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| Test Code | Test Name | Cpt | Clinical Significance | Profile Components | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8352 | 17 Hydroxypregnenolone, LC/MS/MS | 84143 | 17-Hydroxypregnenolone is useful in the diagnosis of 3-Beta-Hydroxylase enzyme deficiency, a rare cause of congenital adrenalhyperplasia, and 17-Hydroxylase (P450c17) enzyme deficiency. | Red-top tube (no gel) | Room temperature: 24 hours Refrigerated: 5 days Frozen: 28 days | Serum | Room temperature: 24 hours Refrigerated: 5 days Frozen: 28 days | Serum Separator Tubes (SST) are unacceptable | Liquid Chromatography Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum after clotting and transfer serum to transfer tube, Ship serum refrigerated or frozen. | ||||||||
| 17682 | 17-Hydroxyprogesterone Response to ACTH Stimulation | 83498 (x2) | 17-hydroxyprogesterone is elevated in patients with congenital adrenal hyperplasia (CAH). CAH is a group of autosomal recessivediseases characterized by a deficiency of cortisol and an excess of ACTH concentration. 17-hydroxyprogesterone is also useful inmonitoring cortisol replacement therapy and in evaluating infertility and adrenal and ovarian neoplasms. | 17-Hydroxyprogesterone, Baseline 17-Hydroxyprogesterone, 60 Minutes | Red-top tube (no gel) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Serum Separator Tubes (SST) are unacceptable | Liquid Chromatography Tandem Mass Spectrometry (LC/MS/MS) | 0 | Draw baseline specimen. Draw another specimen 60 minutes after stimulation. Separate serum after clotting. Ship serum refrigerated or frozen. Do not submit glass tubes. | |||||||
| 17180 | 17-OH Progesterone LCMS | 83498 | 17-hydroxyprogesterone is elevated in patients with congenital adrenal hyperplasia (CAH). CAH is a group of autosomal recessive diseases characterized by a deficiency of cortisol and an excess of ACTH concentration. 17-hydroxyprogesterone is also useful in monitoring cortisol replacement therapy and in evaluating infertility and adrenal and ovarian neoplasms. | Separate serum after clotting and transfer serum to transfer tube, Ship serum refrigerated or frozen. | Red-top tube (no gel) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Serum Separator Tube (SST) Glass tubes. | Liquid chromatography/tandem mass spectrometry (LC/MS-MS) | 0 | Separate serum after clotting. Ship serum refrigerated or frozen. Do not submit glass tubes. | |||||||
| 523 | 5-Hydroxyindoleacetic Acid (5-HIAA), 24-Hour Urine | 83497 | Values above 10 mg/24-hours occur in carcinoid syndrome. Slight elevations also occur in nontropical sprue and after reserpineadministration. Drugs which can interfere with testing due to physiologic response: Acetaminophen, alpha and beta blockers, atenolol,bromocriptine, broncholdilators, clonidine, digoxin, isoniazid, L-dopa, labetelol, methyldopa, monoamine oxidase inhibitors, nitroglycerin, sympathomimetic amines, phenobarbital, phenothiazines, phentolamine, reserpine, salicylates, tricyclicantidepressants. | 24-hour urine collection | Room temperature: 7 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 7 days Refrigerated: 30 days Frozen: 30 days | Carcinoid Screen, 5-HIAA, Serotonin 5-HIAA | High Performance Liquid Chromatography (HPLC) | 0 | Collect urine with 25 mL 6N HCl to maintain a pH <3. Urine without preservative is acceptable if pH is <6 and sample is shippedfrozen. Keep urine refrigerated during collection if preservatives are not used. Record 24-hour urine volume on test requisition and the urine vial. | ||||||||
| 1648 | 5-Hydroxyindoleacetic Acid (5-HIAA), Random Urine | 82570, 83497 | Values above 10 mg/24 hours occur in carcinoid syndrome. Slight elevations also occur in nontropical sprue and after reserpine administration. Drugs which can interfere with testing due to physiologic response: acetaminophen, alpha and beta blockers, atenolol, bromocriptine, broncholdilators, clonidine, digoxin, isoniazid, L-dopa, labetelol, methyldopa, monoamine oxidase inhibitors, nitroglycerin, sympathomimetic amines, phenobarbital, phenothiazines, phentolamine, reserpine, salicylates, tricyclic antidepressants. | Includes Creatinine | 11 mL aliquot of a 24-hour urine collected with 25 mL of 6N HCl | Room temperature: 7 days Refrigerated: 30 days Frozen: 30 days | Random Urine | Room temperature: 7 days Refrigerated: 30 days Frozen: 30 days | pH >3.0 and received unfrozen | Carcinoid Screen, 5-HIAA, Serotonin 5-HIAA | High Performance Liquid Chromatography (HPLC) | 0 | Collect 24-hour urine with 25 mL 6N HCl to maintain a pH <3. Urine without preservative is acceptable if pH is <6 and sample is shipped frozen. Keep urine refrigerated during collection if preservative is not used. Record 24-hour urine volume on test requesition and the urine vial. | ||||||
| 99992 | AA- Allergy, Dairy Panel | 86003 | See individual tests | Total, IgE Beta-lactoglob, f77, IgE Egg White, f1, IgE Casein, f78, IgE Milk, f2, IgE Cheese Cheddar, f81, IgE Egg Yolk, f75, IgE Yogurt, f360, IgE Alpha-Lactalbumin, f76, IgE | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 3060 | AA- Allergy, Food Panel | 82785 , 86003 x 24 | See individual tests | Total IgE, Fish, Cod, f3 Corn, f8 Egg Yolk, f75 Egg White, f1 Peanut, f13 Milk, f2 Pecan, f201 Shrimp, f24 Soybean, f14 Walnut, f256 Bakers Yeast, f45 Beef, f27 Pork, f26 Coconut, f36 Wheat, f4 Oat, f7 Gluten, f79 Green Bean, f315 Sugar Cane, F21 Rye, f5 Banana, f92 Sesame, f10 Strawberry, f44 Goat Milk, f409 | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Allergy | Quantitative allergen-specific IgE test | 0 | 3 mL | |||||||
| 99982 | AA- Allergy, Fruit Panel | 82785 , 86003 x 21 | See individual tests | Total IgE Melons, f87, IgE Mango Fruit, f91, IgE Strawberry, f44, IgE Grapefruit, f209, IgE Watermelon, f329, IgE Apricot, f237, IgE Tomato, f25, IgE Plum, f255, IgE Cherry, f242, IgE Peach, f95, IgE Orange, f33, IgE Grape, f259, IgE Pineapple, f210, IgE Cantaloupe, f102, IgE Lemon, f208, IgE Pear, f94, IgE Blueberry, f288, IgE Apple, f49, IgE Avocado, f96, IgE Kiwi Fruit, f84, IgE Banana, f92, IgE | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 99991 | AA- Allergy, Grains & Beans Panel | 82785 , 86003 x 17 | See individual tests | Total IgE Sesame,f10, IgE Oat, f7, IgE Barly, f6, IgE Gluten, f79, IgE Green Bean, f315, IgE Rice, f9, IgE Pea, f12, IgE Buckwheat, f11, IgE Soybean, f14, IgE Malt, f90, IgE White Bean, f15, IgE Wheat, f4, IgE Lima Bean, f182, IgE Whey, f236, IgE Pinto Bean, f300, IgE Rye, f5, IgE Red Kidney Bean, f287, IgE | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 99998 | AA- Allergy, Grasses Panel | 86003 | See individual tests | Total IgE Orchard Grass, g3, IgE Cultivated Wheat Grass, g15, IgE Meadow Fescue, g4, IgE Perennial Rye Grass, g5, IgE Meadow Foxtail Grass, g70, IgE Bahia grass, g17, IgE Common Reed Grass, g7, IgE Canary Grass, g71, IgE Bermuda grass, g2, IgE Red Top, g9, IgE Johnson Grass, g10, IgE Brome Grass, g11, IgE June Grass, KYB, g8, IgE Cultivated Rye Grass, g12, IgE Timothy Grass, g6, IgE Velvet Grass, g13, IgE Sweet Vernal Grass, g1, IgE Cultivated Oat Grass, g14, IgE | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 10025 | AA- Allergy, Hymenoptera Panel | 82785 , 86003 X 8 | See individual tests | Honey Bee, i1 Cockroach, I6, IgE Peper Wasp, i4 White Hornet, i2 Yellow Hornet, i5 Yellow Jacket, i3 Fire Ant, i70 Total IgE Venom Peper Wasp, I4, IgE | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Allergy | 0 | |||||||||
| 99987 | AA- Allergy, Meat Panel | 82785, 86003 x 5 | See individual tests | Turkey Meat, f284, IgE Lamb, f88, IgE Beef, f27, IgE Pork, f26, IgE Chicken, F83, IgE | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 99995 | AA- Allergy, Mold Panel | 82785 , 86003 X 14 | See individual tests | Total IgE, Alternaria tenuis, m6, Aspergillus fumigatus, m3 Candida Albicans, m5 Helminthosporium halode, m8 Stemphylium botryosum, m10 Epicoccum purpurascens, m14 P. Notatom, m1 C. herbarum, m2 Fusarium moniliforme, m9 Aureobasidium pullulans, m12 Mucor racemosus, m4 Phoma betae, m13 Curvularia lunat, m16 Rhizopus nigricans, m11 | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 3065 | AA- Allergy, Nuts Panel | 82785 , 86003 X 14 | See individual tests | Total IgE, Peanut, f13 Pecan, f201 Walnut, f256 Hazelnut, f17 Coconut, f36 Almond, f20 Cashew, f202Brazil Nut, f18 Chestnut,f299 Pistachio, f203 Pine nut, f253 Macadamia Nut, f345 Coconut, f36 | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Allergy | Quantitative allergen-specific IgE test | 0 | ||||||||
| 99999 | AA- Allergy, Respiratory Panel | 82785 , 86003 X 24 | See individual tests | Total IgE , Dog Dander, e5 Cat Dander, e1 English plantain, w9 Common Ragweed, w1 Common Pigweed, w14Meadow fescue, g4 Bahia grass, g17 Bermuda grass, g2 Johnson Grass, g10 Meadow Grass(KY) g8Elm, t8 Birch,t3 Oak, t7 Pecan, t22 Cedar tree, t6 D farinae, d2 House Dust Mite,d1 House dust, Greer h1P. notatum, m1 C. herbarum, m2 A. fumigatus, m3 C. albicans, m5 A. alternata, m6 Cockroach, i6 | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Allergy | Quantitative allergen-specific IgE test | 0 | 3.0 mL | |||||||
| 9948 | AA- Allergy, Seafood Panel | 82785 , 86003 x 14 | See individual tests | Total IgE Salmon, f41, IgE Clam, f207, IgE Halibut, f303, IgE Crab, f23, IgE Codfish, f3, IgE Shrimp, f24, IgE Trout, f204, IgE Scallop, f338, IgE Haddock, f42, IgE Oyster, f290, IgE Flounder, f147, IgE Lobster, f80, IgE Red Snapper, f381, IgE Tuna, f40, IgE | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Allergy | Quantitative allergen-specific IgE test | 0 | ||||||||
| 99984 | AA- Allergy, Seeds Panel | 82785 , 86003 X 5 | Sesame, f10, IgE Poppy seed, f224, IgE Flaxseed, rf333, IgE Cotton seed, K83, IgE Sunflower Seed, k84, IgE | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 99981 | AA- Allergy, Spice & Herb Panel | 82785 , 86003 x 9 | See individual tests | Total IgE Basil, f269, IgE Black Pepper, f280, IgE Ginger, f270, IgE Chili Pepper, f279, IgE Garlic, f47, IgE Parsley, f86, IgE Mustard, f89, IgE Hazelnut, f17, IgE Oregano, f283, IgE | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 99996 | AA- Allergy, Trees Panel | 86003 | See individual tests | Total IgE Willow, t12, IgE Sycamore, t11, IgE White Ash, t15, IgE Sweet Gum, t211, IgE Red Cedar, t219, IgE Elm American, t8, IgE White Pine, t16, IgE Birch, t3, IgE Pecan Tree, t22, IgE Alder, t2, IgE Cedar Mountain, t6, IgE Hazlenut, t4, IgE Walnut, t10, IgE Beech, t5, IgE Maple, Box Elde, t1, IgEOak, t7, IgE Cottonwood, t14, IgE Olive, t9, IgE | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 99986 | AA- Allergy, Vegetable Panel | 82785 , 86003 x 15 | See individual tests | Total IgE Spinach, f214, IgE Sweet Potato, f54, IgE Mushroom, f212, IgE Asparagus, f261, IgE Potato, f35, IgE Broccoli, f260, IgE Onion, f48, IgE Cauliflower, f291, IgE Cucumber, f244, IgE Celery, f85, IgE Carrot, f31, IgE Lettuce, f215, IgE Cabbage, f216, IgE Corn, f8, IgE Green Pepper, f263, IgE | x2 Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 7788 | ABO Group and Rh Type | 86900, 86901 | Determination of ABO blood group and Rh type for transfusion candidates. Group and typing of expectant mothers and newborns may indicate potential for ABO hemolytic disease of the fetus/newborn. Rh typing is used to determine Rh immune globulin candidacy for prenatal and postpartum patients. | EDTA Lavander tube, ACD-A, or ACD-B | Room temperature: 72 hours Refrigerated: 6 days | Whole blood | Room temperature: 72 hours Refrigerated: 6 days | Hemolysis, Received frozen, Serum Separator Tube (SST) Frozen: Unacceptable | Type and Group, Blood Type | Immune Agglutination | 0 | ||||||||
| 2519 | Acacia (t19) IgE | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 201 | Acetaminophen (Tylenol), Serum | 80329 (HCPCS: G6039) | Acetaminophen is an analgesic agent that may be hepatotoxic when ingested in quantities exceeding 150 mg/kg. | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 10 days Frozen: Not established | Serum | Room temperature: 5 days Refrigerated: 10 days Frozen: Not established | Serum Separator Tube (SST) | Phenaphen, Paracetamol, Excedrine ™, NAPA, Tempra ™, Panadol ™, Datril ™, Tylenol ™ | Immunoassay (IA) | 0 | Patient Preparation: Collect as a trough just prior to next dose. When evaluating for possible toxicity, a four- to six-hour postingestion sample should be drawn. Collect a second sample three to four hours later. Separate serum after clotting and transfer serum to transfer tube. Ship serum refrigerated or frozen. | |||||||
| 206 | Acetylcholine Receptor Binding Antibody | 83519 | Myasthenia Gravis (MG) is a neuromuscular disorder characterized by muscle weakness, most commonly due to autoantibody-mediated loss of functional acetylcholine receptors (AChR) in the neuromuscular junction. This assay aids in the differential diagnosis of MG-like muscle weakness, in differentiating between generalized MG and ocular MG, and in monitoring therapeutic response. If binding antibodies are negative, assays for blocking and modulating antibodies should be considered. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Microbially contaminated | Radioimmunoassay (RIA) | 0 | |||||||||
| 34459 | Acetylcholine Receptor Blocking Antibody | 83519 | Myasthenia Gravis (MG) is an autoimmune neuromuscular disorder characterized by muscle weakness, most commonly due to autoantibody-mediated loss of functional acetylcholine receptors (AChR) in the neuromuscular junction. AChR binding autoantibodies are diagnostic of MG, and are found in 85-90% of MG patients. AChR blocking autoantibodies prevent inter-action of binding antibodies with the AChR. Fewer than 1% of patients have blocking antibodies without binding antibodies. Blocking antibodies are present in about 50% of patients with MG, but rare in other conditions. Therefore, blocking antibodies have utility in ruling out a possible false positive binding assay and detecting the rare patient without AChR binding antibodies. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Microbially contaminated | Immunoassay | 0 | |||||||||
| 26474 | Acetylcholine Receptor Modulating Antibody | 83519 | Myasthenia Gravis (MG) is an autoimmune neuromuscular disorder characterized by muscle weakness, most commonly due to autoantibody-mediated loss of functional acetylcholine receptors (AChR) in the neuromuscular junction. AChR binding autoantibodies are diagnostic of MG, and are found in 85-90% of MG patients. AChR modulating antibodies cross-link AChR molecules on cell surface, promoting internalization, and decreasing AChR surface density. The AChR binding and modulating antibody assays have similar sensitivities, but performing them together increases sensitivity of antibody detection by approximately 5%. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 year | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 year | Gross hemolysis • Grossly lipemic • Microbially contaminated | Radiobinding Assay | 0 | |||||||||
| 8402 | ACTH Stimulation 30 min | 82024 | Determination of ACTH is useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders: Addison's disease, Cushing's syndrome, adrenal carcinoma, ectopic ACTH syndrome, and adrenal nodular hyperplasia. | Includes Cortisol 30 minutes post ACTH administration | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Immunoassay (IA) | 0 | Draw baseline specimen prior to ACTH administration. Administer 250 mcg cortrosyn by rapid IV push. Draw specimen 30 minutes after ACTH administration. Clearly mark time drawn on all tubes. | ||||||||
| 8403 | ACTH Stimulation 60 min | 82024 | Determination of ACTH is useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders: Addison's disease, Cushing's syndrome, adrenal carcinoma, ectopic ACTH syndrome, and adrenal nodular hyperplasia. | Includes Cortisol 60 minutes post ACTH administration | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Immunoassay (IA) | 0 | Includes Cortisol 60 minutes post ACTH administration | ||||||||
| 8401 | ACTH Stimulation Baseline | 82024 | Determination of ACTH is useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders: Addison's disease, Cushing's syndrome, adrenal carcinoma, ectopic ACTH syndrome, and adrenal nodular hyperplasia. | Includes Cortisol Baseline, 30 minutes post ACTH administration and 60 minutes post ACTH administration need to order separate tests | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Immunoassay (IA) | 0 | Draw baseline specimen prior to ACTH administration. Administer 250 mcg cortrosyn by rapid IV push. Draw specimen 30 and 60 minutes after ACTH administration as requested. Clearly mark time drawn on all tubes. | ||||||||
| 8400 | ACTH, Plasma | 82024 | Determination of ACTH is useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders: Addison's disease, Cushing's syndrome, adrenal carcinoma, ectopic ACTH syndrome, and adrenal nodular hyperplasia. | EDTA (lavender-top) tube | Room temperature: 16 hours Refrigerated: 24 hours Frozen: 28 days Minimum Volume: 0.5 mL | Plasma | Room temperature: 16 hours Refrigerated: 24 hours Frozen: 28 days Minimum Volume: 0.5 mL | Received thawed | Immunoassay (IA) | 0 | Collect specimen between 7 a.m. and 10 a.m. If drawn at any other time, the reference ranges do not apply. Centrifuge immediately after collection to separate plasma from cells. Transfer plasma to a plastic specimen transport container and mark the specimen type as plasma on the container. Freeze immediately. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 15043 | Actin (Smooth Muscle) Antibody IgG | 83516 | Actin is the major antigen to which smooth muscle antibodies react in autoimmune hepatitis. F-Actin IgG antibodies are found in 52-85% of patients with autoimmune hepatitis (AIH) or chronic active hepatitis and in 22% of patients with primary biliarycirrhosis (PBC). Anti-actin antibodies have been reported in 3-18% of sera from normal healthy controls | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Actin | Enzyme Linked Immunosorbent Assay (ELISA) | 0 | |||||||||
| 22 | Activated Protein C Resistance | 85307 | Activated Protein C (APC) resistance is the most frequent hereditary defect associated with deep vein thrombosis. Over 95% of the APC resistance phenotype is due to the Factor V Leiden Mutation. The APC-resistance assay is a plasma based functional test for the determination of APC resistance caused by the Factor V Leiden mutation. | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 2 Months | Platelet-poor plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 2 Months | Gross hemolysis • Received room temperature • Received refrigerated • Clotted specimen • Serum | RVVT-based Assay (Clot-based) | 0 | Platelet-poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice. | ||||||||
| 222 | Additional Tests see comments | Necessary for the test | Various | 0 | |||||||||||||||
| 4504 | Adiponectin | 83520 | Obesity is strongly associated with the pathogenesis of type 2 diabetes, hypertension, and cardiovascular disease. 1-4 Recentstudies have suggested that adipose tissue may play an important role in the development of these conditions and their complications through the secretion of various bioactive molecules referred to as adipokines. Adipokines contribute to the pathophysiology of obesity-linked disorders through their abilities to modulate inflammatory and metabolic processes. Diminished levels of adiponectin have been associated with the increased prevalence of obesity-linked cardiovascular diseases, including ischemic heart disease and peripheral artery disease. 3 Adiponectin is a plasma adipokine protein secreted specifically by adipose tissue. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7days Frozen: 7 days | Serum | Room temperature: 7 days Refrigerated: 7days Frozen: 7 days | 0 | |||||||||||
| 392 | Aerobic Bacterium & Susceptibility | Culture Plate (Slant) | Urine | 0 | |||||||||||||||
| 12253 | AFP, Serum, Tumor Marker | 82105 | Elevation of serum AFP above values found in healthy individuals occurs in several malignant diseases, most notably nonseminomatous testicular cancer and primary hepatocellular carcinoma. AFP is not recommended as a screening procedure to detect cancer in the general population. The follow-up management of patients undergoing cancer therapy, especially for testicular and ovarian tumors and for hepatocellular carcinoma. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3 | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3 | Citrate plasma specimen; improper labeling | Alpha-Fetoprotein, Fetoprotein, Alpha | Electrochemiluminescence immunoassay (ECLIA) | 0 | If a red-top tube is used, transfer separated serum to a plastic transport tube. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing) | 0.8 mL | |||||
| 4040 | Albumin, Serum | 82040 | Albumin is a carbohydrate-free protein, which constitutes 55% to 65% of total plasma protein. It maintains oncotic plasmapressure, is involved in the transport and storage of a wide variety of ligands, and is a source of endogenous amino acids. Albumin binds and solubilizes various compounds, including bilirubin, calcium, long-chain fatty acids, toxic heavy metal ions, andnumerous pharmaceuticals. Hypoalbuminemia is caused by several factors: impaired synthesis due either to liver disease (primary) or due to diminishedprotein intake (secondary), increased catabolism as a result of tissue damage and inflammation, malabsorption of amino acids,and increased renal excretion (eg, nephrotic syndrome). | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Anticoagulants other than heparin | Spectrophotometry (SP) | 0 | Separate serum or plasma from cells within 45 minutes of collection. | 0.5 mL | 1 mL | ||||||
| 90418 | Alcohol, EtG, Qualtitative, Random Urine | 80320 (HCPCS: G6040) | A positive urine alcohol is only indicative of recent use and cannot be used to determine impairment. This test should be restricted to monitoring patients in drug treatment programs where any alcohol use is prohibited. | Urine container | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Urine | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Urine with preservative | 0 | Random urine collection | |||||||||
| 443 | Alcohol, Ethyl, Blood | 80320 (HCPCS: G6040) | Ethanol is the most often abused substance whose primary effect on the CNS varies with blood concentration. Not all individuals experience the same effects at a given blood level. Other CNS depressants have an additive effect when taken in combination with ethanol. At high concentrations, ethanol elimination is relatively constant (zero order). Fatal concentration typically exceeds 0.4 g/dL. Blood concentrations of 0.3 g/dL are associated with coma. Ethyl alcohol is present in many medicinal liquids and mouthwashes. | Fluoride oxalate (gray-top) tube | Room temperature: 14 days Refrigerated: 14 days | Serum | Room temperature: 14 days Refrigerated: 14 days | Keep specimen tightly capped. Prevent exposure to atmosphere. | Ethanol | Gas Chromatography (GC) | 0 | Do not use alcohol solutions as a skin preparation for drawing specimen. Use non-alcohol solutions such as Betadine ™ or Zephiran ™. Keep specimen tightly capped. Prevent exposure to atmosphere. | |||||||
| 578 | Alcohol, Isopropyl, Blood | 80320 (HCPCS: G0480) | Isopropyl alcohol has twice the CNS depressant action as ethanol. Severe intoxication can lead to coma or death. There is no endogenous isopropyl alcohol present in the body. Isopropyl alcohol metabolizes to acetone. If isopropyl swab is used to disinfect skin before drawing a specimen, isopropyl alcohol may be detected without any acetone. | Acetone, Isopropyl Alcohol (Isopropanol) | Fluoride oxalate (gray-top) tube | Room temperature: 14 days Refrigerated: 14 days (preferred) | Whole blood | Room temperature: 14 days Refrigerated: 14 days (preferred) | Alcohol | Chromatography | 0 | Do not use alcohol solutions as a skin preparation for drawing specimens. Use non-alcohol solutions such as Betadine ™ or Zephiran ™. Keep transport container tightly sealed. | yes | ||||||
| 12030 | Aldolase, Serum | 82085 | Aldolase is necessary for glycolysis in muscle as a rapid response pathway for production of adenosine triphosphate, independent of tissue oxygen. Aldolase catalyses the conversion of fructose 1,6-diphosphate into dihydroxyacetone phosphate and glyceraldehyde 3-phosphate, an important reaction in the glycolytic breakdown of glucose to lactate in muscle. Aldolase is a tetramer whose primary structure depends upon the tissue from which it was synthesized (liver, muscle, brain). The brain form of aldolase has, because of its preponderance in white cells, been suggested to be a leukemia marker, but this is not confirmed. | Serum Separator Tube (SST) | Room temperature: 1 day Refrigerated: 14 days Frozen: 15 days | Serum | Room temperature: 1 day Refrigerated: 14 days Frozen: 15 days | Hemolysis (red cells contain aldolase) | Fructose-1,6 bisphospate | Enzymatic | 0 | Separate serum or plasma immediately after coagulation (30 minutes). Note: Not removing refrigerated specimens from the clot results in aldolase levels 12% to 46% higher. | 0.5 mL | 2 mL | |||||
| 17181 | Aldosterone , Serum | 82088 | Investigation of primary aldosteronism (eg, adrenal adenoma/carcinoma and adrenal cortical hyperplasia) and secondary aldosteronism (renovascular disease, salt depletion, potassium loading, cardiac failure with ascites, pregnancy, Bartter syndrome) | Red-top tube (no gel) or EDTA (lavender-top) | Room temperature: 4 days Refrigerated: 7 days Frozen: 28 days | Serum or Plasma | Room temperature: 4 days Refrigerated: 7 days Frozen: 28 days | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture and lable it. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | |||||||
| 229 | Aldosterone, 24-Hour Urine | 82088 | Determination of aldosterone is useful in the diagnosis and evaluation of primary aldosteronism, selective hypoaldosteronism, edematous states, and other conditions of electrolyte imbalance. | Creatinine | 24-hour container | Room temperature: 7 days Refrigerated: 28 days Frozen: 21 days | Urine | Room temperature: 7 days Refrigerated: 28 days Frozen: 21 days | Urine collected with HCl | Hydrolysis • Extraction • Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Record 24-hour urine volume on test requisition and urine vial. Refrigerate during and after collection. Reference ranges do not apply to random urine samples. | |||||||
| 16845 | Aldosterone/Plasma Renin Activity Ratio | 82088, 84244 | The Aldosterone-renin ratio is used to screen for primary aldosteronism. | Aldosterone, Plasma Renin Activity, Aldosterone/Renin Ratio | Lavender-top (EDTA) tube | Room temperature: 24 hours Refrigerated: 24 hours Frozen: 28 days | Plasma | Room temperature: 24 hours Refrigerated: 24 hours Frozen: 28 days | Plasma collected in plasma separator tube | Liquid Chromatography Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect blood mid morning, after the patient has been up (sitting, standing, or walking) for at least two hours and seated for 5 to 15 minutes. After collection, immediately centrifuge the lavender-top tube at room temperature, transfer plasma to a transport tube, and freeze. Label this tube Frozen Plasma. | 0.5 mL serum AND 1.1 mL plasma (NOTE: This volume does NOT allow for repeat testing.) | 1.0 mL serum AND 2.5 plasma | |||||
| 231 | Alkaline Phosphatase Isoenzymes | 84075, 84080 | Alkaline phosphatase (ALP) is present in a number of tissues including liver, bone, intestine, and placenta. The activity of ALP found in serum is a composite of isoenzymes from those sites and, in some circumstances, placental or Regan isoenzymes. Serum ALP is of interest in the diagnosis of 2 main groups of conditions-hepatobiliary disease and bone disease associated with increased osteoblastic activity. Arise in ALP activity occurs with all forms of cholestasis, particularly with obstructive jaundice. The response of the liver to any form of biliary tree obstruction is to synthesize more ALP. The main site of new enzyme synthesis is the hepatocytes adjacent to the biliary canaliculi. ALP also is elevated in disorders of the skeletal system that involve osteoblast hyperactivity and bone remodeling, such as Paget's disease rickets and osteomalacia, fractures, and malignant tumors. | Alkaline Phosphatase, Intestinal Isoenzymes, Bone Isoenzymes, Liver Isoenzymes, Placental Isoenzymes, Macrohepatic Isoenzymes | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 21 days Frozen: 21 days | Serum | Room temperature: 7 days Refrigerated: 21 days Frozen: 21 days | Patient not fasting; hemolysis; citrate, oxalate, or EDTA anticoagulated plasma | Agarose Electrophoresis | 0 | Patient Preparation: Patient should be fasting overnight. Patients who have B or O blood group and are secretors may have an elevated ALP about two hours after a fatty meal. Separate serum from cells as soon as possible after the blood is allowed to clot. | |||||||
| 29498 | Alkaline Phosphatase, Bone Specific (BAP) | 84075 | Quantitative measurement of skeletal alkaline phosphatase to be used as an aid in the management of patients with Paget disease and osteoporosis. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 60 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 60 days | Gross hemolysis, Gross lipemia, Non-serum samples, Grossly icteric | OSTASE, Bone Specific Alk Phos, BSAP, Alk Phos Bone Specific | Immunoenzymatic | 0 | Allow serum samples to clot completely before centrifugation. | |||||||
| 4042 | Alkaline Phosphatase, Serum(ALP) | 84075 | Alkaline phosphatase (ALP) is present in a number of tissues including liver, bone, intestine, and placenta. Serum ALP is of interest in the diagnosis of 2 main groups of conditions-hepatobiliary disease and bone disease associated with increased osteoblastic activity. A rise in ALP activity occurs with all forms of cholestasis, particularly with obstructive jaundice. The response of the liver to any form of biliary tree obstruction is to synthesize more ALP. The main site of new enzyme synthesis is the hepatocytes adjacent to the biliary canaliculi. ALP also is elevated in disorders of the skeletal system that involve osteoblast hyperactivity and bone remodeling, such as Paget disease, hyperparathyroidism, rickets and osteomalacia, fractures, and malignant tumors. A considerable rise in alkaline phosphatase activity caused by increased osteoblast activity following accelerated bone growth is sometimes seen in children and juveniles. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 14 days | Serum or Plasma | Room temperature: 7 days Refrigerated: 7 days Frozen: 14 days | Hemolysis; plasma specimen; specimen collected in EDTA tube; improper labeling | Spectrophotometry (SP) | 0 | 0.5 mL | 2 mL | |||||||
| 3548 | Allergen, A. alternata, (m6) IgE | 86003 | A. alternata, growing commonly on vegetation, is a member of the imperfect fungi and is one of the most important among the allergenic fungi. Brown segmented mycelia give rise to simple or solitary conidiophores, which may produce solitary apical spores, or a string of spores. The spores produced by imperfect fungi vary in shape, size, texture, colour, number of cells, and thickness of the cell wall (1). Although other Alternaria species are probably also relevant clinically, in particular as a result of cross-reactivity of the species, most research has been directed toward A. alternata. Alternaria is one of the main allergens affecting children. In temperate climates, airborne Alternaria spores are detectable from May to November, with peaks in late summer and autumn (3). Dispersion of Alternaria spores occurs during dry periods. These feature higher wind velocity and lower relative humidity, which result in peak dispersion during sunny afternoon periods (4). | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3073 | Allergen, A. fumigatus, (m3) IgE | 86003 | The species A. fumigatus was well-described and illustrated in the 1850s by Fresenius, working with lung material from birds dying of aspergillosis. It is a thermotolerant fungus with worldwide distribution. Due to its wide temperature range for good growth it is not limited to habitats with permanently high temperatures, even though these are obviously very frequently reported. This microorganism is one of the most prevalent airborne fungal pathogens; (1) although in comparison with other aeroallergens the concentration of spores in the air may be low, though with high localised counts. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3735 | Allergen, Alder (t2) IgE | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 39498 | Allergen, Allspice (f339) IgE | 86003 | Dried unripe berries from a tropical evergreen tree of the myrtle family (Myrtaceae) are the source of the highly aromatic spice allspice. Ground allspice, or the whole berry, is widely used in a variety of food products, such as pickles, ketchup, seafood seasoning, curry powder, formulations for sausages, pickled meats and fish products, in sweet goods baking, puddings and fruit preparations. Allspice is also used in herbal therapies and as a perfume for soaps. Hot allspice tea has been used for colds, menstrual cramps and upset stomachs. Allspice oil contains the chemical eugenol, which may be used to promote digestive enzyme activity and as a pain reliever. Dentists sometimes use eugenol as a local anesthetic for teeth and gums. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3086 | Allergen, Almond, (f20) IgE | 86003 | The Almond is the fruit of a vigorous, deep-rooted deciduous small tree belonging to the Rose family, which grows best in areas with dry, warm summers. The plant is believed to be a native of northern Africa and the Middle East. It occurs wild in Sicily and Greece and is extensively cultivated in northern Africa, southern Europe, Australia and the warmer parts of the United States, particularly California.The fruit is a drupe or kernel stone fruit, resembling the Peach in its general structural characteristics. It is, however, much smaller, measuring about 4 cm in length. As in the Peach, the outer portion of the fruit coat (sarcocarp) is fleshy, while the inner portion (endocarp or putamen) is hard and encloses the kernel or seed, to which the term Almond is commonly applied. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2851 | Allergen, Alpha-Lactalbumin (f76) IgE | 86003 | Milk contains more than 40 proteins, and all of them may act as human species antigens. Milk of ruminant species other than Cow (e.g., buffalo, Sheep, Goat, human, and many other species) is constituted from the same or very homologous proteins, which share the same structural, functional, and biological properties. However, human milk does not contain b-lactoglobulin (beta-lactoglobulin)(BLG) (2). Human and Bovine milk differ substantially in the ratio of Whey to Casein protein (approximately 60: 40 in human milk and approximately 20: 80 in Bovine milk) and in the proportions of specific proteins (3). Milk composition changes during processing. Cow's milk contains approximately 30 to 35 g/L (3-3.5%) of Cow's milk proteins (CMPs), which can be divided into 2 main classes: Caseins (80%) and Whey proteins (20%) (4). Caseins are precipitated out by chymosin (rennin) or the acidification of the Milk to pH 4.6, forming the coagulum (curd). The Whey or Lactoserum remains soluble in the Milk serum. Lactoserum constitutes approximately 20% of the CMPs, and coagulum approximately 80% of the CMPs. Caseins and Whey proteins show very different physico-chemical properties. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3731 | Allergen, American cockroach (i206) IgE | 86003 | An insect, which may result in allergy symptoms in sensitized individuals. Cockroaches are probably the oldest insect in the world and have been found in fossil records. Over 3,500 Cockroach species exist worldwide. Although they are cosmopolitan, they are found mainly in warmer, rich forest environments. In the United States, there are approximately 31 genera and 74 species of Cockroach, the majority having been introduced. Around 50 species of Cockroaches across the world have adapted to live in or around buildings. (1) Most Cockroaches have a flattened, oval shape, spiny legs, wings, and long, filamentous antennae. Immature stages are smaller and have undeveloped wings but resemble the adults in most other respects. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 38476 | Allergen, Amoxicillin (c6) IgE | 86003 | Test is used for detection of IgE sensitization to the major allergenic determinant of amoxicillin, with potential cross-reactivity to other penicillins. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2849 | Allergen, Apple (f49) IgE | 86003 | Distinguish between pollen related apple allergy and fruit allergy due to LTP sensitization. Improve the risk assessment using allergen components. Improve management of apple allergic patients. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2563 | Allergen, Apricot (f237) IgE | 86003 | A food, which may result in allergy symptoms in sensitized individuals. Apricot is a species of Prunus, classified with the plum in the subgenus Prunus. It most probably originated in northern and western China and Central Asia. It now thrives in most temperate climates, and ranks fifth in worldwide deciduous fruit production. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2626 | Allergen, Asparagus (f261) IgE | 86003 | Asparagus is a widely grown vegetable. Together with Garlic, the Onion and the Leek, it belongs to the Alliaceae (previously known as Liliaceae) or Lily family, which contains ferns and vegetables and flowers such as tulips. The genus Asparagus is made up of some 300 species. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 6634 | Allergen, Aureobasidium pullulans (m12) IgE | 86003 | A mold, which may result in allergy symptoms in sensitized individuals. Aureobasidium pullulans is a ubiquitous yeast-like fungus that can be found in different environments (e.g. soil, water, air and limestone). (3) It may occur as a naturally occurring epiphyte or endophyte of a wide range of plant species (e.g. apple, grape, cucumber, green beans, cabbage) without causing any symptoms of disease. It is most common in temperate zones, with numerous recordings from the British Isles and the USA, but is also found in Canada, Alaska, Antarctica, Europe and Russia. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 8928 | Allergen, Avocado (f96) IgE | 86003 | Common names: Avocado, Alligator pear, Midshipman's butter, Vegetable butter, Butter pear Varieties: Guatemalan: Persea nubigena var. guatamalensis L. Wms., Mexican: P. americana var. drymifolia Blake West, Indian: P. americana Mill. var. americana (P. gratissima Gaertn.) | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3048 | Allergen, Bahia grass, (g17) IgE | 86003 | Common names: Bahia Grass, Bahiagrass, Paraguay Paspalum A grass species producing pollen, which often induces hay fever, asthma and conjunctivitis in sensitized individual. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3028 | Allergen, Bakers Yeast, (f45) IgE | 86003 | A food, which may result in allergy symptoms in sensitized individuals. Fungi are eukaryotic unicellular or multicellular organisms with absorptive nutrition. Traditionally, they have been classified as members of the plant kingdom. More recently, a separate kingdom -Fungi- was established for them, although species historically considered fungi are currently distributed over several kingdoms. (1) Yeasts such as Saccharomyces cerevisiae are single-celled fungi that that multiply by budding, or in some cases by division (fission), although some yeasts such as Candida albicans may grow as simple irregular filaments (mycelia). | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 9894 | Allergen, Banana, (f92) IgE | 86003 | A food, which may result in allergy symptoms in sensitized individuals. Allergen Exposure: Banana is the common name for a fruit, and also for the herbaceous plants of the genus Musa that produce this popular fruit. Banana plants are of the family Musaceae. They are cultivated primarily for their fruit, and to a lesser extent for the production of fibre and as ornamental plants. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2806 | Allergen, Barley (f6) IgE | 86003 | About half of the total US production is used for malting, but because of Barley's mild flavour and soft texture, the grain is often found in soups and baby foods. Malt is used in making several kinds of alcoholic beverages, most prominently beer and whiskey. Other products are flour, flakes and bran. Scotch and Hulled barley are types with only the outer husk removed. Pearl barley is rounded and polished after the husk is removed. Barley flour is ground from Pearl barley and must be combined with a Gluten-containing flour for use in yeast breads. When combined with water and lemon, Pearl barley is used to make Barley water, an old-fashioned restorative for invalids. Barley is a good source of B vitamins and some minerals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2564 | Allergen, Basil (f269) IgE | 86003 | A food, which may result in allergy symptoms in sensitized individuals. Basil, a member of the mint family, is one of the oldest herbs from the Orient. It originated in India and is now found in more than 100 varieties and grown almost worldwide. It is used, fresh or dried or as an extract, to add a distinct aroma and flavour to food. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3210 | Allergen, Beech (t5) IgE | 86003 | Source material: Pollen Common Names: American beech, Carolina beech, gray beech, red beech, ridge beech, white beech | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3030 | Allergen, Beef, (f27) IgE | 86003 | Several allergens present in cow dander and hair are also found in beef and milk. Allergen Exposure: Meat from bovines. Unexpected exposure: Undeclared ingredient in processed meat, like sausages, patês, etc. Bacterial vaccines containing bovine serum albumin. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3050 | Allergen, Bermuda grass, (g2) IgE | 86003 | Source material: Pollen Common Names: Bermuda grass, Bermuda-grass, Bermudagrass, Scutch grass, Wire grass, Star grass, Bahama grass, Devil grass. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3518 | Allergen, Beta-lactoglob,(f77) IgE | 86003 | Source material: nBos d 5 is purified from milk extract. Milk contains more than 40 proteins, and all of them may act as human species antigens. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3524 | Allergen, Birch,(t3) IgE | 86003 | Source material: Pollen Common Names: Common Silver Birch, Common Birch, Birch, Birch tree Synonym: B. pendula Birches, Betula spp., are boreal and temperate trees and shrubs, with around 50 species worldwide and 12 species native to North America (1). River Birch (B. nigra) and White or Paper Birch (B. papyrifera) are common to North America, whereas Common Silver Birch (B. verrucosa) is the prevalent European species (2). | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 38482 | Allergen, Black Olive (f342) IgE | 86003 | Latin name: Olea europaea Source material: Fresh fruit (black) Family: Oleaceae Common Names: Olive | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2561 | Allergen, Black Pepper (f280) IgE | 86003 | Spice Black pepper is a spice commonly used in foods. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2630 | Allergen, Blackberry (f211) IgE | 86003 | Source material: fruit Common Names: Blackberry, Common blackberry, Allegheny blackberry, European blackberry, Bramble, Bramble-kite, Brambleberry, Brameberry | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2568 | Allergen, Blueberry (f288) IgE | 86003 | Source material: Frozen fruit Common Names: Blueberry, European blueberry, Lowbush blueberry, Highbush blueberry, Whinberry, Whortleberry, Bilberry | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3084 | Allergen, Brazil Nut, (f18) IgE | 86003 | Latin name: Bertholletia excelsa Source material: Shelled nuts Family: Lecythidaceae Common Names: Brazil nut, Para-nut, Cream nut | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2631 | Allergen, Broccoli (f260) IgE | 86003 | Latin name: Brassica oleracea var. italica Source material: florets Family: Brassicaceae Common Names: Broccoli, Spear Cauliflower, Winter Cauliflower, Purple Cauliflower, Calabrese, Romanesco | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2811 | Allergen, Buckwheat (f11) IgE | Latin name: Fagopyrum esculentum Source material: Whole seed Family: Polygonaceae Common Names: Buckwheat, Beechwheat, Fagopyrum, French wheat, Garden buckwheat | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||||
| 3088 | Allergen, C. albicans, (m5) IgE | 86003 | Latin name: Candida albicans Source material: Disrupted cells Yeast Candida-specific IgE antibodies have been demonstrated in asthma and rhinitis (1). C. albicans is common in soil, organic debris and in humans where it occurs as a saprophyte in the nasopharynx and feces. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3720 | Allergen, C. herbarum, (m2) IgE | 86003 | Latin name: Cladosporium herbarum (obsolete name Hormodendrum) MoldA mold, which may result in allergy symptoms in sensitized individuals. Cladosporium is the most frequently encountered mold in the air. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2632 | Allergen, Cabbage (f216) IgE | 36003 | Latin name: Brassica oleracea var. capitata Source material: Whole head of cabbage Family: Brassicaceae Common Names: Cabbage, Head cabbage, Heading cabbage | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2831 | Allergen, Carrot (f31) IgE | 86003 | Latin name: Daucus carota Source material: Fresh frozen juice Family: Apiaceae Common Names: Carrot | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3516 | Allergen, Casein, (f78) IgE | 86003 | Latin name: Bos spp. Source material: Purified bovine casein Casein is a major allergen in milk and the main protein constituent in cheese. Allergen Exposure: Milk and dairy products, especially cheese. Food containing milk. Casein is a heat stable major allergen in milk and the main protein constituent in cheese. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3546 | Allergen, Cashew, (f202) IgE | 86003 | Latin name: Anacardium occidentale Source material: Shelled nuts Family: Anacardiaceae The Cashew nut comes from the Cashew nut tree, a member of the Anacardiaceae family, which includes a number of dermatitis-inducing plants such as poison ivy, poison oak, poison sumac and lacquer sumac. The tree is native to Brazil but is grown in other parts of the world, and the nut is now also exported from southern India, Mozambique, Tanzania and Kenya. This is a small perennial evergreen tree growing to 12 m tall, with a short, often irregularly-shaped trunk. The leaves are simple, alternate, spirally arranged, leathery, elliptic or obovate, up to 22 cm long and 15 cm broad, with a smooth margin. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3057 | Allergen, Cat Dander, (e1) IgE | 86003 | Latin name: Felis domesticus Source material: Dander Family: Felidae Common Names: Cat, Domestic cat Allergen Exposure: Sensitization to cat is strongly associated with asthma, especially in environments free of mite and cockroach (1). The presence of domestic pets increases the prevalence of respiratory symptoms in asthmatic children (2), and children sensitized to cat allergen are more likely to develop a more severe asthma than children with negative tests to cat. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 38267 | Allergen, Catfish (f369) IgE | 86003 | Latin name: Ictalurus punctatus Source material: Fillet, without skin Family: Ictaluridae | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2635 | Allergen, Cauliflower (f291) IgE | 36003 | Latin name: Brassica oleracea var. botrytis Family: Brassicaceae Common Names: Cauliflower, Broccoflower, Calabrese, Romanesco | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2860 | Allergen, Celery (f85) IgE | 86003 | Latin name: Apium graveolens Source material: Freeze-dried stem and root Family: Apiaceae Common Names: Celery, Stick celery, Celeriac, Celery root, Root celery, Celery tuber, Knob celery | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2859 | Allergen, Cheese Mold Type (f82) IgE | 86003 | Source material: A mixture of white, soft cheeses (Camembert, Brie, Gorgonzola, Roquefort) In a recent review of atopic food allergy, cheese was the third most important allergen involved in 12.9% of 402 predominantly adults with confirmed food allergy. Allergen Exposure: Soft, white cheeses of mold type. Clinical Experience: IgE-mediated reactions In a recent review of atopic food allergy cheese was the third most important allergen involved in 12.9% of 402 predominantly adults with confirmed food allergy. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2609 | Allergen, Cherry (f242) IgE | 86003 | Latin name: Prunus avium Source material: Frozen berry Family: Rosaceae Common Names: Cherry, Sweet cherry, Wild cherry | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2651 | Allergen, Chicken Feathers (e85) IgE | 86003 | Latin name: Gallus domesticus Source material: Feather Family: Phasianidae Common Names: Chicken, Hen, Cock, Cockerel Direct or indirect contact with bird allergens may cause sensitization. Bird allergens may be major components of house dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3506 | Allergen, Chicken, (f83) IgE | 86003 | Latin name: Gallus spp. Source material: Freeze-dried, raw meat Family: Galliformes Chicken serum albumin may induce a cross-sensitization between egg and chicken proteins. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2610 | Allergen, Chili Pepper (f279) IgE | 86003 | Latin name: Capsicum frutescens Family: Solanaceae Common Names: Chili Pepper Two unrelated families have members called Pepper: Solanaceae, the Potato family, and Piperaceae, the Pepper family, including White and Black Pepper. The latter, which are condiments and spices, are made from unripe peppercorns from the Piper Nigrum plant and sold dried, crushed, or pickled in vinegar or brine. See Black Pepper/White Pepper f280. Confusion is possible between the Peppers C. frutescens and C. annuum, especially since C. annuum includes Red Peppers that are the source of hot-flavoured Paprika and other spices and condiments. Furthermore, the spice Capsicum can be derived from both species, from C. annuum principally, and from C. frutescens L. to a lesser extent. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2637 | Allergen, Cinnamon (f220) IgE | 86003 | Latin name: Cinnamomum spp. Family: Lauraceae Common Names: Cinnamon (but see immediately below) Commercial Cinnamon may be represented by a number of species, but the following distinction is the most important. True or Ceylon Cinnamon (Cinnamomum zeylanicum or C. Vera) must be differentiated from Cassia (Chinese Cinnamon), obtained from Cinnamomum cassia or C. aromaticum, which grows in China. Cinnamon is not to be confused with another Cassia, Cassia senna, a Fabaceae (legume) family member, which is used as a laxative. Spice: A spice, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 9944 | Allergen, Clam, F207, IgE | Latin name: Clam Source material: Fresh frozen muscle Family: Veneridae Clam is closely related to quahogs and cockles. Allergen Exposure: Cooked, often in sauces. Clinical Experience: Occupational asthma and food allergy caused by clam have been reported. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||||
| 2413 | Allergen, Cocklebur (w13) IgE | 86003 | Latin name: Xanthium commune Source material: Pollen Family: Asteraceae Common Names: Cocklebur, Rough Cocklebur, Common Cocklebur Allergen Exposure: Cocklebur is native to Europe, Asia, southern Canada, and most of the United States, Mexico and Central America. Cocklebur is now found worldwide. Another species that is less common but widespread across North America is called Spiny Cocklebur. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3528 | Allergen, Cockroach, (i6) IgE | 86003 | Latin name: Blatella germanica Source material: Whole insect Family: Blattellidae Common Names: Cockroach, Roach, German cockroach Although disagreement exists, most schemata place Cockroaches in class Insecta, order Blattaria, suborder Blattoidea, and families Blattidae, Blattellidae, Polyphagidae, Blaberidae, and Cryptocercidae. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2875 | Allergen, Cocoa (f93) IgE | 86003 | Latin name: Theobroma cacao Family: Sterculiaceae Common Names: Cacao powder Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3034 | Allergen, Coconut, (f36) IgE | 86003 | Latin name: Cocos nucifera Source material: Fresh coconut meat Family: Arecaceae Common Names: Coconut, Common Coconut There have in the past been 60 other species classified under the genus Cocos, but the Coconut palm is actually monotypic, meaning that within the genus Cocos only one species, nucifera, is now recognised, though within this species are numerous varieties. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2915 | Allergen, Coffee (f221) IgE | 86003 | Code: f221 Latin name: Coffea spp. Family: Rubiaceae Common Names: Coffee C. arabica • Arabica or Arabian, coffee C. canephora • Robusta or Congo, coffee C. liberica • Liberian coffee | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3536 | Allergen, Common Pigweed, (w14) IgE | 86003 | Latin name: Amaranthus retroflexus Source material: Pollen Family: Amaranthaceae Common Names: Common Pigweed, Redroot Pigweed Note: Lamb's quarters (Chenopodium album) is occasionally also called Pigweed or Smooth pigweed but does not belong to the Amaranthaceae family. There is a particular resemblance in the cotyledon stage, but Lamb's quarters cotyledons often have a mealy grey cast and the first true leaves are alternate, unlike those of any of the Pigweed species. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 13024 | Allergen, Common Rageweed (W1) IgE | 86003 | Latin name: Ambrosia elatior (Synonym: Ambrosia artemisifolia) Source material: Pollen Family: Asteraceae (Compositae) Common Names: Common ragweed, Annual ragweed, Short ragweed, Roman wormwood, American wormwood Synonyms: A. artemisifolia | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3308 | Allergen, Common wasp (Yellow jacket),(i3) IgE | 86003 | Latin name: Vespula spp. Source material: Venom Family: Vespidae Order: Hymenoptera Among the Vespula species, Vespula vulgaris is the group of yellow jackets that is responsible for causing the greatest proportion of stings. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3006 | Allergen, Corn, (f8) IgE | 86003 | Code: f8 Latin name: Zea mays Source material: Untreated planting seeds Family: Poaceae (Gramineae) Common Names: Maize, Corn, Sweet Corn, Indian Corn, Field Corn Cultivars within the genus may be divided into 6 general types: Popcorn (everta), Flint corn (indurata), Dent corn (indenta), Flour corn (amylacea), Sweet corn (saccharata) and Pod corn (tunicata). There are, however, only 2 basic types: Sweet corn is distinguished from Field corn by the high sugar content of the kernels. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 23863 | Allergen, Cotton Seed (k83) IgE | 86003 | Code: k83 Latin name: Gossypium hirsutum Family: Malvaceae (Mallow) Common Names: Cotton seed, Cottonseed A number of Gossypium species are relevant in the consideration of this allergen. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3204 | Allergen, Cottonwood (t14) IgE | 86003 | Latin name: Populus deltoides Source material: Pollen Family: Salicaceae Common Names: Cottonwood, Poplar tree The botanical family willow (Salicaceae) consists of Populus and Salix, the latter being true willows. Populus deltoides is the common designation for species of trees in this genus, but in fact Populus can be divided into 3 distinct groups: cottonwoods, aspens and poplars. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2604 | Allergen, Cow Dander (e4) IgE | 86003 | Latin name: Bos taurus Source material: Dander Family: Bovidae Common Names: Cow, Cattle, Steer, Ox, Bull Direct or indirect contact with animal allergens frequently causes sensitization. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3010 | Allergen, Cow's Milk, (f2) IgE | 86003 | Latin name: Bos spp. Source material: Skimmed cow's milk | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 9946 | Allergen, Crab, (f23) IgE | 86003 | Latin name: Chionocetes spp. Source material: Boiled crab meat Family: Oregoniidae Crab is a potent allergen, sometimes causing dramatic manifestations, such as anaphylaxis. Allergen Exposure: Boiled meat. Unexpected exposure: Dust and waste water in factories producing seafood products. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 38254 | Allergen, Cranberry (rf341) IgE | 36003 | Latin name: Vaccinium oxycoccus Source material: Fresh fruit Family: Ericaceae Common Names: Bog cranberry, Small cranberry, Bigger cranberry, Wild cranberry, Swamp cranberry, Marshwort, Fenne berry, Marsh whortleberry, Bounceberry, Craneberry Synonyms: V. microcarpos, V. palustre, V. hagerupii, Oxycoccus quadripetala, O. palustris, O. hagerupii, O. intermedius, O. microcarpus, O. microcarpos, O. ovalifolius, O. oxycoccos, O. quadripetalus | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2639 | Allergen, Cucumber (f244) IgE | 36003 | Latin name: Cucumis sativus Source material: Fresh fruit Family: Cucurbitaceae Common Names: Cucumber, Cuke, Gherkin, Cowcumber | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2916 | Allergen, Curry (f281) IgE | 86003 | Source material: The raw material used for Allergen Immuno CAP f281, Curry, consists of blended spices (Coriander, Turmeric, Fenugreek, Cayenne, Fennel, Cumin and Black pepper), as manufactured by deliverer Santa Maria, Sweden. Common Names: Curry, Curry powder, Curry paste Spice A spice mixture, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 6680 | Allergen, Curvularia lunata (m16) IgE | 86003 | Latin name: Curvularia lunata Source material: Spores and mycelium There appears to be extensive cross-reactivity between Stemphylium and Curvularia and Alternata (3). Allergen Exposure: Curvularia is a facultative pathogen and may cause leaf spots and seedling blight. It is also seen on castor beans, cotton, rice, barley, wheat, and corn. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3718 | Allergen, D farinae, (d2) IgE | 86003 | Code: d2 Latin name: Dermatophagoides farinae Source material: Whole body culture Family: Pyroglyphidae Common Names: House dust mite, dust mite | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2918 | Allergen, Dill (rf277) IgE | 86003 | Latin name: Anethum graveolens Family: Apiaceae Common Names: Dill, False Anise, Bastard Fennel, Russian Parsley, Swedish Parsley Synonym: Peucedanum graveolensSpiceA spice, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3002 | Allergen, Dog Dander, (e5) IgE | 86003 | Latin name: Canis familiaris Source material: Dander Family: Canidae Common Names: Dog, Domestic Dog, Hound Direct or indirect contact with animal allergens frequently causes sensitization. Animal allergens are major components of house dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2664 | Allergen, Duck Feathers (e86) IgE | 86003 | Latin name: Anas platyrhynca Source material: Feathers Family: Anatidae Common Names: Duck; also see below Direct or indirect contact with bird allergens may cause sensitization. Bird allergens may be major components of house dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3102 | Allergen, Egg White, (f1) IgE | 86003 | Latin name: Gallus spp. Source material: Freeze-dried hen's egg-white | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3500 | Allergen, Egg Yolk, (f75)IgE | 86003 | Latin name: Gallus spp. Source material: Freeze-dried egg yolk | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3054 | Allergen, Elm, (t8) IgE | 86003 | Latin name: Ulmus americana Source material: Pollen Family: Ulmaceae Common Names: Elm, white elm, American elm | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3552 | Allergen, English plantain, (w9) IgE | 86003 | Latin name: Plantago lanceolata Source material: Pollen Family: Plantaginaceae Common Names: English Plantain, Ribwort Plantain, Ribwort | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3732 | Allergen, Epicoccum purpurascens (m14) IgE | 86003 | Epicoccum is a secondary decomposer of plants, soil, paper and textiles. It is very common on dying substrates, where abundant sporulation can be observed. Small black pustules of E. purpurascens are frequently found on dead parts of numerous plants. It has also been isolated from cereals, fruits, polluted fresh water, compost beds, insects, human skin and sputum. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3544 | Allergen, Fire Ant, (i70) IgE | 86003 | Latin name: Solenopsis invicta Source material: Whole insect bodies Family: Myrmicidae Insect An insect, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2417 | Allergen, Firebush (w17) IgE | 86003 | Latin name: Kochia scoparia (Synonyms: Bassia scoparia, Chenopodium scoparia) Source material: Pollen Family: Amaranthaceae (Chenopodiaceae) Common Names: Firebush, Kochia, Common Kochia Allergen Exposure: Kochia is native to southern and eastern Russia, Europe and Asia. It is now naturalized across the northern half of the United States and spreading south-westwards. It is found in many other areas of the world. Kochia is a major source of pollen. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3004 | Allergen, Fish, Cod, (f3) IgE | 86003 | Latin name: Gadus morhua Source material: Fish muscle Family: Gadidae; Atlantic Cod - Gadus morhua, Baltic Cod - Gadus callarias Allergen Exposure: The Atlantic cod, Gadus morhua, is a well-known food fish belonging to the family Gadidae. It grows to two metres in length, with sexual maturity being reached between ages 2 and 4. Its colouring is brown to green on the dorsal side, shading to silver. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 11011 | Allergen, Flaxseed (f333) IgE | 86003 | Latin name: Linum usitatissimum Source material: Dried seeds Family: Linaceae Common Names: Linseed, Flaxseed Allergen Exposure: Geographical distribution: Flax has been cultivated and has grown semi-wild wild in various temperate and tropical regions for so many centuries that it is not even clear which hemisphere the plant originated from. Egyptians, Hebrews, Greeks, Romans and New World civilizations used the seeds as food and the fibres (flax) for textiles. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3729 | Allergen, Fusarium moniliforme (m9) IgE | 86003 | Latin name: Fusarium proliferatum/F.moniliforme Source material: Spores and mycelium Family: Hypocreaceae Common Names: Fusarium proliferatum, Fusarium moniliforme Mold A mold, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2847 | Allergen, Garlic (f47) IgE | 86003 | Latin name: Allium sativum Source material: Garlic powder Family: Alliaceae (Liliaceae) Common Names: Garlic, Cultivated garlic, Poor Man's treacle | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2403 | Allergen, Giant Ragweed (w3) IgE | 86003 | Code: w3 Latin name: Ambrosia trifida Source material: Pollen Family: Asteraceae (Compositae) Common Names: Giant ragweed, Great ragweed, Tall ragweed | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3550 | Allergen, Gluten, (f79) IgE | 86003 | Latin name: Common Source material: Gluten from Wheat Common Names: Gluten, Tri a Gluten, Gliadin, Gamma-Gliadin, Omega-gliadin | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2656 | Allergen, Goat Epithelia (e80) IgE | 86003 | Latin name: Capra hircus Family: Bovidae Common Names: Goat Direct or indirect contact with animal allergens frequently causes sensitization. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3530 | Allergen, Goat Milk, (f409) IgE | 86003 | Latin name: Ananas comosus Source material: Whole fresh fruit Family: Bromeliaceae Common Names: Pineapple, Ananas, Pi��?a | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3152 | Allergen, Goldenrod (w12) IgE | 86003 | Latin name: Solidago virgaurea Source material: Pollen Family: Asteraceae (Compositae) Common Names: Goldenrod, European Goldenrod, Woundwort Note: Not to be confused with Rayless Goldenrod (Haplopappus heterophyllus). | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2661 | Allergen, Goose Feathers (e70) IgE | 86003 | Latin name: Anser anser Source material: Feathers and serum proteins Family: Anatidae Common Names: Goose, Toulouse Goose, Grey Goose, Greylag The genera Anser and Branta should both be considered. Anser includes many wild Geese with well-known domestic relatives. This group includes Anser anser (European) and species of Africa and Asia. Branta includes wild Geese like the Canada Goose (Branta Canadensis) and the Brants (most notably Branta bernicla). Direct or indirect contact with bird allergens may cause sensitization. Bird allergens may be major components of house dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2675 | Allergen, Grape (f259) IgE | 86003 | Latin name: Vitis vinifera Source material: Fresh fruit Family: Vitaceae Common Names: Grape Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2923 | Allergen, Grapefruit (f209) IgE | 86003 | Latin name: Citrus paradisi Source material: Fresh fruit Family: Rutaceae Common Names: Grapefruit, Shaddock Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3554 | Allergen, Green Bean, (f315) IgE | 86003 | Latin name: Phaseolus vulgaris Source material: Fresh beans Family: Fabaceae (Leguminosae) Common Names: Green bean, Common bean, French bean, String bean, Snap bean, Wax bean, Haricot bean | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2606 | Allergen, Guinea Pig Epithelia (e6) IgE | 86003 | Latin name: Cavia porcellus Source material: Epithelium and dander Family: Caviidae Common Names: Guinea pig, Cavy Direct or indirect contact with animal allergens frequently causes sensitization. Animal allergens are major components of house dust and laboratory dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 23893 | Allergen, Gulf Flounder (F147) IgE | 86003 | Latin name: Paralichthys albigutta Source material: Fillet, without skin and bone Family: Paralichtyidae | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 9340 | Allergen, Haddock (f42) IgE | 86003 | Latin name: Melanogrammus aeglefinus Source material: Whole fish Family: Gadidae | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2998 | Allergen, Halibut (f303) IgE | 86003 | Latin name: Hippoglossus hippoglossus Source material: Fish muscle Family: Pleuronectidae Anaphylaxis after eating halibut has been reported. Allergen Exposure: Cooked and fried in various dishes. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2652 | Allergen, Hamster Epithelia (e84) IgE | 86003 | Latin name: Cricetus cricetus, Mesocricetus auratus and Phodopus sungorus Source material: Epithelium Family: Cricetidae Common Names: Cricetidae Cricetus cricetus - Common hamster, Phodopus sungorus - Siberian hamster, Dwarf hamster, Mesocricetus auratus - Golden hamster Direct or indirect contact with animal allergens frequently causes sensitization. Animal allergens are major components of house dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3080 | Allergen, Hazelnut, f17 | 86003 | Latin name: Corylus avellana Source material: Shelled nuts Family: Betulaceae (Corylaceae) Common Names: Hazel nut, Hazelnut, Filbert, Cobnut, Cob The terms Filbert and Hazel nut are often used interchangeably for nuts from all plants in the genus Corylus, such as C. silvestris, C. maxima and C. colurna. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3250 | Allergen, Helminthosporium halodes (m8) IgE | 86003 | Code: m8 Latin name: Setomelanomma rostrata/Helminthosporium halodes Source material: Spores and mycelium Helminthosporium almost always occurs seasonally and the spores are released on dry, hot days. Allergen Exposure: Species of Helminthosporium are best known as parasites of cereals and grasses. It is frequently isolated from grains, grasses, sugar cane, soil and textiles. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2707 | Allergen, Herring (f205) IgE | 86003 | Latin name: Clupea harengus Source material: Fish muscle Family: Clupeidae Small herrings are sometimes canned and sold as sardines. Allergen Exposure: Herring is eaten raw, cooked, pickled, fried or smoked. Canned sardines may sometimes be herrings. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3300 | Allergen, Honey bee,i1 | 86003 | Latin name: Apis mellifera Source material: Venom Family: Apidae Order: Hymenoptera Honeybee is the only stinging Hymenoptera that nearly always leaves its fluked stinger in the skin of the victim. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2603 | Allergen, Horse Dander (e3) IgE | 86003 | Latin name: Equus caballus Source material: Dander Family: Equidae Common Names: Horse, Domestic Horse Direct or indirect contact with animal allergens frequently causes sensitization. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3538 | Allergen, House dust, Greer (h1) IgE | 86003 | Latin name: Greer Labs., Inc Mite, cockroach and animal allergens are major components of house dust. For more information, see Insects and Mites. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3539 | Allergen, House dust, Holl (h2) IgE | 86003 | Latin name: Hollister-Stier Labs. Mite, cockroach and animal allergens are major components of house dust. For more information, see Insects and Mites. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3040 | Allergen, Johnson Grass, (g10) IgE | 86003 | Latin name: Sorghum halepense Source material: Pollen Family: Poaceae (Gramineae) Sub Family: Panicoideae Tribe: Andropogoneae Common Names: Johnson grass, Johnsongrass, Sorghum grass | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2884 | Allergen, Kiwi Fruit (f84) IgE | 86003 | Latin name: Actinidia deliciosa Source material: Fresh fruit Family: Actinidiaceae (Dilleniaceae) Common Names: Kiwi, Chinese gooseberry, Kiwifruit, Monkey peach, Sheep peach Synonyms: A. latifolia var. deliciosa, A. chinensis deliciosa There are 2 common species of Kiwi commercially available: A. chinensis - Gold kiwi, A. deliciosa - Green kiwi (Chinese gooseberry) | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2888 | Allergen, Lamb (f88) IgE | 86003 | Code: f88 Latin name: Ovis spp. Source material: Raw meat Mutton is regarded as a weak allergen and preparations of lamb meat have been suggested as an alternative to hydrolyzed cow's milk formulas. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3026 | Allergen, Lamb's Quarters (Goose Foot) (w10) IgE | 86003 | Latin name: Chenopodium album Source material: Pollen Family: Amaranthaceae (Chenopodiaceae) Common Names: Goosefoot, Lamb's-quarters, Common lamb's quarters, Lambsquarter, White goosefoot | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3077 | Allergen, Latex k82 -IgE | 86003 | Latin name: Hevea brasiliensis Source material: Natural rubber from Hevea brasiliensis, without ammonia treatment The prevalence of latex allergy among health care personnel ranges from 2-25%. Allergen Exposure: Numerous items, such as latex gloves, catheters, condoms, balloons, sports equipment etc. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2708 | Allergen, Lemon (f208) IgE | 86003 | Latin name: Citrus limon Source material: Fresh fruit Family: Rutaceae Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3085 | Allergen, Lentils (f235) IgE | 86003 | Latin name: Lens esculenta Source material: Dried seeds Family: Fabaceae (Leguminosae) Common Names: Lens culinaris, Cicer lens, Lentilla lens | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2862 | Allergen, Lettuce (f215) IgE | 86003 | Latin name: Lactuca sativa Source material: Fresh lettuce Family: Asteraceae (Compositae) Common Names: Lettuce, Garden lettuce Main types: L. scariola - Prickly Lettuce, L. sativa var. capitata - Head Lettuce, L. sativa var. asparagina - Stem Lettuce, L. sativa var. crispa - Leaf Lettuce, L. sativa var. longifolia - Romaine | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 30760 | Allergen, Lima Bean (f182) IgE | 86003 | Latin name: Phaseolus lunatus Source material: Dried beans Family: Fabaceae (Leguminosae) Common Names: Lima bean, Butter bean, Sugar bean, Haba bean, Pallar bean, Burma bean, Guffin bean, Hibbert bean, Sieva bean, Rangoon bean, Madagascar bean, Paiga, Paigya, Butterpea, Prolific bean, Civet bean | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2709 | Allergen, Lime (f306) IgE | 86003 | Latin name: Citrus aurantifolia Source material: Fresh fruit Family: Rutaceae Common Names: Lime, Green lemon, Sour lemon Synonyms: C. acida, C. lima, C. medica, Limonia aurantifolia | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 9954 | Allergen, Lobster, (f80) IgE | 86003 | Latin name: Homarus gammarus Source material: Lobster meat Family: Homaridae Crossreactivity to other shellfish has been demonstrated. Allergen Exposure: Cooked in various dishes. Occupational exposure among fishermen and in the fish industry. Potential Cross-Reactivity: Some allergen determinants are shared by members of the Crustacea group, such as shrimp, crab, crayfish, spiny lobster (langust). | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2713 | Allergen, Mackerel (f206) IgE | 86003 | Latin name: Scomber scombrus Source material: Fresh fish Family: Scombridae In a study of fish- and crustacea-allergic adults, the reactivity to mackerel was the second highest. Allergen Exposure: Mackerel is usually eaten cooked, marinated or smoked. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2863 | Allergen, Malt (f90) IgE | 86003 | Latin name: Hordeum vulgare Family: Poaceae (Gramineae) Common Names: Malt, Barley Malt Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2714 | Allergen, Mandarin (Tangerine) (f302) IgE | 86003 | Latin name: Citrus reticulata Family: Rutaceae Common Names: Mandarin, Mandarin orange, Tangerine, Clementine, Satsuma, Dancy Synonyms: C. deliciosa, C. nobilis Food A food, which may rarely result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 23860 | Allergen, Mango Fruit (f91) IgE | 86003 | Latin name: Mangifera indica Source material: Fresh fruit Family: Anacardiaceae Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3534 | Allergen, Maple, Box-Elder (t1) IgE | 86003 | Latin name: Acer negundo Source material: Pollen Family: Aceraceae Common Names: Box elder, Maple ash, Ash maple, Ash leaf maple, Manitoba maple, Box elder maple, Western box elder, Black ash, California boxelder, Cutleaf maple, Cut-leaved maple, Negundo maple, Red river maple, Stinking ash, Sugar ash, Three-leaved maple | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3558 | Allergen, Meadow fescue, (g4) IgE | 86003 | Latin name: Festuca pratensis Source material: Pollen Family: Poaceae (Graminae) Sub Family: Pooideae Tribe: Poeae Common Names: Meadow Fescue, Tall Fescue, Taller Fescue, Giant Fescue, English Bluegrass | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3042 | Allergen, Meadow Grass,Kentucky blue, (g8) IgE | 86003 | Latin name: Poa pratensis Source material: Pollen Family: Poaceae (Gramineae) Sub Family: Pooideae Tribe: Poeae Common Names: Meadow grass, Smooth Meadow-grass, Kentucky Blue grass, Kentucky Bluegrass, June Grass, Spear Grass Poa pratensis naturally hybridises with several other species within the genus, including P. secunda, P. arctica, P. alpina, P. nervosa, P. reflexa, and P. palustris. Most of the 200 species of the genus Poa are distributed in the cold and temperate regions of the world. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2887 | Allergen, Melons (f87) IgE | 86003 | Code: f87 Latin name: Cucumis melo spp. Source material: Fruit Family: Cucurbitaceae Common Names: Melon, Common melon, Muskmelon, Armenian cucumber | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3522 | Allergen, Mountain Cedar (t6) IgE | 86003 | Latin name: Juniperus sabinoides Source material: Pollen Family: Cupressaceae Common Names: Mountain juniper, Mountain cedar, Ashe juniper | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2657 | Allergen, Mouse Epithelia (e71) IgE | 86003 | Latin name: Mus spp. Source material: Epithelium Family: Muridae Common Names: Mouse, House mouse, Common house mouse | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2704 | Allergen, Mucor racemosus (m4) IgE | 86003 | Latin name: Mucor racemosus Source material: Spores and mycelium Family: Mucoraceae Mold A mold, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2406 | Allergen, Mugwort (w6) IgE | 86003 | Latin name: Artemisia vulgaris Source material: Pollen Family: Asteraceae (Compositae) Common Names: Mugwort, Chrysanthemum Weed, Common Wormwood See also: Wormwood w5 (A. absinthium) | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 8931 | Allergen, Mushroom (f212) IgE | 86003 | Latin name: Agaricus hortensis/Agaricus bisporus Family: Agaricaceae Common Names: Mushroom, Champignon mushroom, Button mushroom, Table mushroom, White mushroom, Common mushroom, Cultivated mushroom. Agaricus hortensis is a near-synonym, applied to pure white forms of Agaricus bisporus. Agaricus brunnescens, referring to 'brownish' forms, is a former name and also a near-synonym. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2889 | Allergen, Mustard (f89) IgE | 86003 | Latin name: Brassica/Sinapis spp. Source material: Black and white seeds Family: Brassicaceae Common Names: Mustard (but see immediately below) Mustards were originally identified as members of a small but widespread genus of European and Asiatic herbs named Sinapis, but they are now generally included in the Cabbage genus, Brassica. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3540 | Allergen, Nettle, (w20) IgE | 86003 | Latin name: Urtica dioica Source material: Pollen Family: Urticaceae Common Names: Nettle, Stinging Nettle, American Stinging Nettle, European Stinging Nettle, Hoary Nettle, Hairy Nettle The following five subspecies are currently recognised: U. dioica subsp. dioica (European stinging nettle), Europe, Asia, northern Africa; U. dioica subsp. afghanica, Southwestern and central Asia (Gazaneh in Iran); U. dioica subsp. gansuensis, Eastern Asia (China); U. dioica subsp. gracilis (Ait.) Selander (American stinging nettle), North America; U. dioica subsp. holosericea (Nutt.) Thorne (hairy nettle), North America. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2718 | Allergen, Nutmeg (f282) IgE | 86003 | Nutmeg is the seed or ground spice of several species of the Myristica genus. Myristica fragrans (fragrant nutmeg or true nutmeg) is a dark-leaved evergreen tree cultivated for two spices derived from its fruit: nutmeg and mace. It is also a commercial source of an essential oil and nutmeg butter. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3094 | Allergen, Oak, (t7) IgE | 86003 | Latin name: Quercus alba Source material: Pollen Family: Fagaceae Common Names: Oak, White oak, Forked-leaf white oak, Fork-leaf oak | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 9338 | Allergen, Oat, (f7) IgE | 86003 | Latin name: Avena sativa Source material: Untreated planting seeds Family: Graminae (Poaceae) Common Names: Oats, Oat, Oatmeal, Oat groats | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3749 | Allergen, Olive Tree (t9) IgE | 86003 | Serum Separator Tube (SST) | Serum | 0 | ||||||||||||||
| 2848 | Allergen, Onion (f48) IgE | 86003 | Latin name: Allium cepa Source material: Freeze-dried onion Family: Alliaceae (Liliaceae) Common Names: Onion, Garden Onion, Shallot | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2833 | Allergen, Orange (f33) IgE | 86003 | Latin name: Citrus sinensis Source material: Fresh frozen juice Family: Rutaceae Common Names: Orange, Sweet orange Synonums: C. cinensis, C. macracantha, Citrus sinensis - sweet variety, Citrus aurantium - sour/bitter variety | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2303 | Allergen, Orchard Grass (Cocksfoot) (g3) IgE | 86003 | Latin name: Dactylis glomerata Source material: Pollen Family: Poaceae (Gramineae) Sub Family: Pooideae Tribe: Poeae Common Names: Cocksfoot grass Cock's foot grass, Cock's-foot, Orchard Grass, Orchardgrass Recognized varieties include: D. g. var. ciliata Peterm, D. g. var. detonsa Fries A grass species producing pollen, which often induces hayfever, asthma and conjunctivitis in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3045 | Allergen, Oregano (f283) IgE | 86003 | Latin name: Origanum vulgare Family: Lamiaceae Common Names: Oregano, Oreganum, Wild Marjoram, Greek Oregano There is a great deal of confusion between Oregano and Marjoram (f274), partly because of their similar appearance, including the square stems, opposing pairs of leaves and whorled flower spikes typical of the Lamiaceae or Mint family. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3514 | Allergen, Ovomucoid, (f233) IgE | 86003 | Latin name: Gallus domesticus Source material: nGal d 1 is purified from egg extract | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3508 | Allergen, Oyster, (f290) IgE | 86003 | Latin name: Ostrea edulis Source material: Fresh whole oyster Family: Ostreidae Oyster and crustacea extracts show common antigenic structures. Allergen Exposure: Oysters are eaten raw, cooked or smoked. Oyster sauce is used for flavouring of various dishes. Unexpected exposure: Undeclared oyster sauce in various dishes. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2720 | Allergen, Papaya (f293) IgE | 86003 | Latin name: Carica papaya Source material: Fruit pulp Family: Caricaceae Common Names: Papaya, Pawpaw, Paw paw, Tree melon | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3047 | Allergen, Paprika (f218) IgE | 86003 | Latin name: Capsicum annuum Source material: Dried fruit (powder) Family: Solanaceae Common Names: Sweet Pepper, Paprika, Bell Pepper, Green Pepper, Hungarian Pepper, Red Pepper, Pimento, Pimiento | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2663 | Allergen, Parrot/Parakeet Droppings (e77) IgE | 86003 | Latin name: Melopsittacus undulatus Source material: Droppings Family: Psittacidae Common Names: Budgerigar, Budgie, Parakeet Direct or indirect contact with bird allergens frequently causes sensitization. Bird allergens may be major components in house dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2662 | Allergen, Parrot/Parakeet Feathers (e78) IgE | 86003 | Latin name: Melopsittacus undulatus Source material: Feathers Family: Psittacidae Common Names: Budgerigar, Budgie, Parakeet Direct or indirect contact with bird allergens may cause sensitization. Bird allergens may be major components of house dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2861 | Allergen, Parsley (f86) IgE | 86003 | Latin name: Petroselinum crispum Source material: Fresh leaves Family: Apiaceae (Umbelliferae) Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2812 | Allergen, Pea (f12) IgE | 86003 | Latin name: Pisum sativum Source material: Dried peas Family: Fabaceae (Leguminosae) Common Names: Pea, Common pea, Garden pea, Greenpea, Green pea, Dry pea, Snow pea, Sugar snap pea Synonym: P. humile | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3078 | Allergen, Peach (f95) IgE | 86003 | Latin name: Prunus persica Source material: Peel from fresh fruit Family: Rosaceae Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3012 | Allergen, Peanut, (f13) IgE | 86003 | Latin name: Arachis hypogaea Source material: Shelled nuts Family: Fabaceae (Leguminosae) Common Names: Peanut, Groundnut, Monkeynut | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 8884 | Allergen, Pear (f94) IgE | 86003 | Latin name: Pyrus communis Source material: Peel from fresh fruit Family: Rosaceae Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3022 | Allergen, Pecan Tree (t22) IgE | 86003 | Latin name: Carya tomentosa (syn. C. alba) Source material: Pollen Family: Juglandaceae Common Names: White Hickory, Mockernut hickory, Mockernut, Whiteheart hickory, Hognut, and Bullnut Synonym: C. alba | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3014 | Allergen, Pecan, (f201) IgE | 86003 | Latin name: Carya illinoensis/Carya illinoinensis Source material: Shelled & heated nuts Family: Juglandaceae Common Names: Pecan nut, Hickory nut | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3302 | Allergen, Peper wasp, (i4) IgE | 86003 | Latin name: Polistes spp. Source material: Venom Family: Vespidae Paper wasp includes 5 North American species. Venom An insect, which may cause allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3100 | Allergen, Perennial Rye Grass (g5) IgE | 86003 | Latin name: Lolium perenne Source material: Pollen Family: Poaceae (Gramineae) Sub Family: Pooideae Tribe: Poeae Common Names: Rye grass, Rye-grass, Perennial Rye Grass, Perennial Rye-grass, Perennial Ryegrass, Ray-grass, Annual Ryegrass | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 6770 | Allergen, Phoma betae (m13) IgE | 86003 | Latin name: Phoma betae; synonym: Pleospora betae Source material: Spores and mycelium Family: Pleosporaceae Mold A mold, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3512 | Allergen, Pine nut, (f253) IgE | 86003 | Latin name: Pinus edulis Family: Pinaceae Common Names: Pine nut, Pignoles, Pinon nut, Pignola, Pinyon nut, Pine kernals | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3079 | Allergen, Pineapple (f210) IgE | 86003 | Latin name: Ananas comosus Source material: Whole fresh fruit Family: Bromeliaceae Common Names: Pineapple, Ananas, Piña | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3083 | Allergen, Pinto Bean (f300) IgE | 86003 | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 14 days Refrigerated: 28 days Frozen: 1 year | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||||
| 3510 | Allergen, Pistachio, (f203) IgE | 86003 | Code: f203 Latin name: Pistacia vera Source material: Shelled nuts Family: Anacardiaceae Common Names: Pistachio, Pistachio nut | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3081 | Allergen, Plum (f255) IgE | 86003 | Latin name: Prunus domestica Source material: Fresh fruit Family: Rosaceae Common Names: Plum, Gage, Prune Food A food, which may rarely result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3737 | Allergen, Poppy Seed (f224) IgE | 86003 | Latin name: Papaver somniferum Source material: White & blue seeds Family: Papaveraceae Common Names: Poppy, Opium poppy, Blue bread seed poppy, White poppy Important other varieties are: Papaver rhoeus L., known as Corn or Field poppy, and native to Europe and Asia; the alkaloids rhoeadine, morphine, and papaverine have been reported in this species. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3032 | Allergen, Pork, (f26) IgE | 86003 | Latin name: Sus spp. Source material: Raw meat In a study of asthmatic patients, 20% (children) and 8.6% (adults) were found to have IgE-mediated allergy to pork. Allergen Exposure: Meat from swine. 30% of the meat is sold fresh, the rest is smoked, frozen, dried or pickled. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2835 | Allergen, Potato (f35) IgE | 86003 | Latin name: Solanum tuberosum Source material: Fresh raw potato Family: Solanaceae Common Names: Potato, Irish Potato, Spud | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2654 | Allergen, Rabbit Epithelia (e82) IgE | 86003 | Code: e82 Latin name: Oryctolagus cuniculus Family: Leporidae Common Names: Rabbit, European Rabbit, Common European Rabbit, Domestic Rabbit | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 26281 | Allergen, Raspberry (rf343) IgE | 86003 | Latin name: Rubus idaeus Source material: Fruit Family: Rosaceae Common Names: Raspberry, Red raspberry, Wild raspberry, Common red raspberry, European red raspberry, American red raspberry Synonyms: R. buschii, R. vulgatus var. buschii Important included species: R. occidentalis -Black raspberry/Thimbleberry | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2659 | Allergen, Rat Epithelia (e73) IgE | 86003 | Latin name: Rattus norvegicus Family: Muridae Common Names: Rat, Brown rat, House rat, Norway rat | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3082 | Allergen, Red Snapper (f381) IgE | 86003 | Latin name: Lutjanus campechanus Source material: Whole fish Family: Lutjanidae | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3532 | Allergen, Redtop(Bentgrass) g9 | 86003 | Latin name: Agrostis stolonifera Source material: Pollen Family: Poaceae (Gramineae) Sub Family: Pooideae Tribe: Agrostideae Common Names: Redtop, Bentgrass, Water Bent grass, Creeping Bent, Creeping Bentgrass, Carpet Bentgrass; also see below. Synonyms: A. lachnanthis, A. gigantea, A. alba | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3734 | Allergen, Rhizopus nigricans (m11) IgE | 86003 | Latin name: Rhizopus nigricans Source material: Spores and mycelium Family: Mucoraceae Mold A mold, which may result in allergy symptoms in sensitized individuals. Allergen Exposure: Fungi can be found throughout the world. They may live or be found in indoor as well as outdoor environments. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2809 | Allergen, Rice (f9) IgE | 86003 | Latin name: Oryza sativa Source material: Unpolished rice Family: Graminae (Poaceae) Common Names: Rice, Jasmine rice, Wild rice, Basmati rice, popped Rice, Rice semolina | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3154 | Allergen, Rough Marsh Elder (w16) IgE | 86003 | Latin name: Iva ciliata (Synonym: I. annua) Source material: Pollen Family: Asteraceae Common Names: Rough Marshelder, Rough Marsh Elder, Annual Marshelder, Annual Marsh-Elder, Sumpweed | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3556 | Allergen, Rye, (f5) IgE | 86003 | Latin name: Secale cereale Source material: Untreated planting seeds Family: Poaceae (Gramineae) Common Names: Rye, Rogge There is a need to differentiate between Rye the foodstuff (Secale cereale), Cultivated Rye grass pollen (Secale cereale) g12, Rye grass pollen (Lolium perenne) g5, and Wild Rye grass pollen (Elymus tricoides) g70. This distantly related genus, Elymus, contains species known as Wild Ryes, which are used as cover and for forage. A Wheat hybrid is known as Giant Rye. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 2841 | Allergen, Salmon (f41) IgE | 86003 | Latin name: Salmo salar Source material: Fish muscle Family: Salmonidae Confusion surrounds the common names of fish in this group. The genus Salmo salar is from the northern Atlantic, the others from the Pacific.Allergen ExposureMeat from salmon. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2623 | Allergen, Sardine/Pilchard (f61) IgE | 86003 | Latin name: Sardinops melanosticta Source material: Fish muscle Family: Clupeidae The name sardine or pilchard is given to herring-like fishes belonging to the genera Sardina, Sardinella and Sardinops. Canned sardines may, in fact, be herrings.Allergen ExposureThe name sardine or pilchard is given to herring-like fishes belonging to the genera Sardina, Sardinella and Sardinops. Canned sardines may, in fact, be herrings. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 9950 | Allergen, Scallop (f338) IgE | 86003 | Latin name: Pecten spp. Source material: Muscle Family: Pectinidae Allergen Exposure: Scallops, or fan shells, are found in all seas, shallow as well as deep. Adult scallops are usually free-swimming. The well-developed muscle is the food served as scallop or, in France Coquille St. Jacques. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3502 | Allergen, Sesame, (f10) IgE | 86003 | Latin name: Sesamum indicum Source material: Unpolished seeds Family: Pedaliaceae Common Names: Sesame seed, Sesame, Benne seed Other species of Sesame include S. indicum, S. radiatum, S. schum, and S. thoron. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3075 | Allergen, Sheep Sorrel (w18) IgE | 86003 | Latin name: Rumex acetosella Source material: Pollen Family: Polygonaceae Common Names: Sheep Sorrel, Field Sorrel, Red Sorrel, Common Sheep Sorrel | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3016 | Allergen, Shrimp, f24 | 86003 | Latin name: Pandalus borealis, Penaeus monodon, Metapenaeopsis barbata, Metapenaus joyneri Source material: Boiled, frozen Atlantic shrimp and raw, frozen prawns from the Indo-West-Pacific Family: Pandalidae (Pandalus borealis) and Penaeidae (Penaeus monodon, Metapenaeopsis barbata, Metapenaus joyneri) Shrimp is considered to be a highly allergenic food, causing severe reactions, such as anaphylaxis. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3018 | Allergen, Soybean, (f14) IgE | 86003 | Latin name: Glycine max (Soja hispida) Source material: Dried beans Family: Fabaceae (Leguminosae) Common Names: Soybean, Soya Bean, Soy, Soya Allergen Exposure: Geographical distribution: Soybean is the world's most important legume. Proteins of Soybeans are widely used in animal and human nutrition. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3071 | Allergen, Spinach (f214) IgE | 86003 | Latin name: Spinachia oleracea Source material: Freeze-dried spinach Family: Chenopodiaceae Common Names: Spinach, Savoy spinach | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3256 | Allergen, Stemphylium botryosum (m10) IgE | Latin name: Stemphylium herbarum/S.botryosum Source material: Spores and mycelium Family: Pleosporaceae A mold, which may result in allergy symptoms in sensitized species of mold, very common in temperate and subtropical regions and found on a wide range of host plants. Soil isolates have been reported from forests, grasslands, decaying vegetation, wheat plantings, beet and citrus cultivation and coffee plantations. It has also been isolated from polluted fresh water, leaf litter of trees, and bark and leaves of citrus. As a typical seedborne fungus, it is seen on tomato (black mold rot), wheat and barley. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||||
| 3504 | Allergen, Strawberry, (f44) IgE | 86003 | Latin name: Fragaria vesca Source material: Fresh fruit Family: Rosaceae Common Names: Strawberry Other important Strawberry species: F. ananassa, F. alpina, F. chiloensis, F. virginiana Food A food, which may result in allergy symptoms in sensitized individual. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 23864 | Allergen, Sunflower Seed (k84) IgE | 86003 | Latin name: Helianthus annuus Source material: Whole seeds Family: Asteraceae (Compositae) Allergy to sunflower seeds is frequently associated with inhalant allergy to pollen from plants of the family Compositae. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3328 | Allergen, Sweet Gum (t211) IgE | 86003 | Latin name: Liquidambar styraciflua Family: Altingiaceae Common Names: Sweet gum tree, American sweetgum, Redgum Two forms of Sweet gum tree are recognised in horticulture: the round-lobed American sweet gum, L. styraciflua forma rotundiloba; and the Weeping American sweet gum, L. styraciflua forma pendula | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2555 | Allergen, Sweet Potato (f54) IgE | 86003 | Latin name: Ipomoea batatas Source material: Fresh sweet potato Family: Convolvulaceae Common Names: Sweet Potato, Sweetpotato, Yam, Batata | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2301 | Allergen, Sweet Vernal Grass (G1) IgE | 86003 | Latin name: Anthoxanthum odoratum Source material: Pollen Family: Poaceae (Gramineae) Sub Family: Pooideae Tribe: Aveneae Common Names: Sweet Vernal grass, Large Sweet Vernal grass, Sweet grass, Spring grass Pollen A grass species producing pollen, which often induces hay fever, asthma and conjunctivitis in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2653 | Allergen, Swine Epithelia (e83) IgE | 86003 | Latin name: Sus scrofa Family: Suidae Common Names: Swine, Pig, Hog, Boar Direct or indirect contact with animal allergens frequently causes sensitization. Animal allergens are major components of farm, home and animal laboratory dust. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3206 | Allergen, Sycamore (t11) IgE | 86003 | Latin name: Platanus acerifolia Source material: Pollen Family: Platanaceae Common Names: Maple leaf sycamore, London plane tree, American sycamore Synonyms: P. hispanica, P. hybrida This is a somewhat variable species. It is often considered to be a hybrid of P. orientalis and P. occidentalis. Not to be confused with the Maple tree (Acer spp.), i.e. Box-elder (A. negundo). | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3076 | Allergen, Thyme (f273) IgE | Latin name: Thymus vulgaris Family: Lamiaceae (Labiatae) Common Names: Thyme, Garden thyme, Common thyme Herb A herb, which may result in allergy symptoms in sensitized individuals. Allergen Exposure: Thymus is a huge genus, containing 300 to 400 species, most of which are aromatic shrubs or perennials. All are native to Asia or Europe, most probably to Southern Europe. Thyme is now cultivated all over the world and has become naturalized in some areas, including the northeastern US. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||||
| 3072 | Allergen, Timothy Grass (g6) IgE | Latin name: Phleum pratense Source material: Pollen Common Names: Timothy, Herd's Grass, Cat's Tail Synonyms: P. nodosum, P. parnassicum The two commonly recognised varieties are P. Pratense var. pratense, P. Pratense var. nodosum A grass species producing pollen, which often induces hayfever, asthma and conjunctivitis in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||||
| 3069 | Allergen, Tomato (f25) IgG | 86003 | Latin name: Lycopersicon esculatum Source material: Whole freeze-dried tomato Family: Solanaceae Common Names: Tomato, Garden Tomato, Love Apple | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3406 | Allergen, Trichophyton rubrum (m205) IgE | 86003 | Latin name: Trichophyton spp. Source material: Spores and mycelium Common Names: Trichophyton The following 3 allergens are included in this overview: Trichophyton rubrum m205, Trichophyton ment. var goetzii m210, Trichophyton ment. var interdigitale m211 Mold A mold, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3063 | Allergen, Trout (f204) IgE | 86003 | Latin name: Oncorhynchus mykiss Source material: Fish muscle Family: Salmonidae All Pacific salmon belong to the genus Oncorhynchus. Allergen Exposure: Eaten cooked, raw, smoked or marinated. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2840 | Allergen, Tuna (F40) IgE | 86003 | Latin name: Thunnus albacares Source material: Fish muscle Family: Scombridae Anaphylaxis after ingestion of tuna has been reported Allergen Exposure: Meat from tuna. Tuna is sold fresh, canned or frozen. Japanese sashimi/sushi includes raw tuna. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3244 | Allergen, Vanilla (f234) IgE | 86003 | Latin name: Vanilla planifolia Family: Orchidaceae Common Names: Vanilla Synomyns: Vanilla fragrans Of the over 150 varieties of Vanilla orchids, only 2 species are used commercially for fragrances and flavorants: Bourbon or Mexican (Vanilla planifolia or Vanilla fragrans), from Mexico, Madagascar, Indonesia, and many other regions; with standard Vanilla scents and flavours; Tahitian (Vanilla tahitensis), only from Tahiti, which smells of prunes, liquorice, Cherry or wine. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3020 | Allergen, Walnut, (f256) IgE | 86003 | Latin name: Juglans spp. Source material: Shelled nut Family: Juglandaceae The Juglandaceae family contains 2 important genera: Hickory/Pecan (Carya) and Walnut (Juglans) | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3526 | Allergen, Walnut, (t10) IgE | 86003 | Latin name: Juglans californica Source material: Pollen Family: Juglandaceae Common Names: California Black Walnut, California walnut, Jupiter's Nuts, Carya persica (Greek), Carya basilike (Greek) | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 30755 | Allergen, Watermelon (rf329) IgE | 86003 | Latin name: Citrullus vulgaris/Citrullus lanatus Source material: Fresh fruit Family: Cucurbitaceae Common Names: Watermelon See also Melon f87. Food A food, which may result in allergy symptoms in sensitized individuals. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3036 | Allergen, Wheat, (f4) IgE | 86003 | Latin name: Triticum aestivum Source material: Untreated planting seeds Family: Poaceae (Gramineae) Common Names: Wheat, Common wheat, Bread wheat Synonyms: Triticum hybernum L., Triticum macha Dekap. & Menab., Triticum sativum Lam., Triticum sphaerococcum Percival, Triticum vulgare Vill | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3248 | Allergen, Whey (f236) IgE | 86003 | Latin name: Bos spp. Source material: Whey powder Whey is the by-product of cheese-making. Milk proteins contain about 20% whey components. Allergen Exposure: Processed cheese. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 2515 | Allergen, White Ash (t15) IgE | Latin name: Fraxinus americana Source material: Pollen Family: Oleaceae There are 4 important genera in the Oleaceae Family: Olive (Olea), Ash (Fraxinus), Lilac (Syringa), and Privet (Ligustrum). | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||||
| 3706 | Allergen, White Pine (t16) IgE | 86003 | Latin name: Pinus strobus Source material: Pollen Family: Pinaceae Common Names: White pine, Eastern white pine, Northern white pine, Weymouth pine Not to be confused with the Australian pine tree (Casuarina equisetifolia) t73. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3304 | Allergen, White-faced hornet,(i2) IgE | 86003 | Latin name: Dolichovespula maculata Source material: Venom Family: Vespidae Order: Hymenoptera Some sting victims have been reported as suffering 2000 stings and surviving while others receive a single fatal sting. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3208 | Allergen, Willow (t12) IgE | 86003 | Latin name: Salix caprea Source material: Pollen Family: Salicaceae Common Names: Willow, Goat willow, Great sallow, Pussy willow The Family: Salicaceae contains the genera Populus (Aspens, Cottonwoods, and Poplars) and Salix (Willow) | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | |||||||||||
| 3306 | Allergen, Yellow hornet,(i5) IgE | 86003 | Latin name: Dolichovespula arenaria Source material: Venom Family: Vespidae Order: Hymenoptera Yellow hornets are not particularly attracted by food and are not often in contact with man. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3716 | Allergen,D. pteronyssinus (d1), IgE | 86003 | Latin name: Dermatophagoides pteronyssinus Source material: Whole body culture Family: Pyroglyphidae Common Names: House dust mite, Dust mite | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | ||||||||||
| 3560 | Allergen,Sugar Cane,F21, IgE | 86003 | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 14 days Refrigerated: 28 days Frozen: 1 year | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||||
| 2748 | Allergen,Turkey Meat (f284) IgE | 86003 | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 14 days Refrigerated: 28 days Frozen: 1 year | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||||
| 99886 | Allergy Environmental Panel, IgE | 86003 X 16 | Dog Dander, E5, Cat Dander, E1, Lamb's Qtrs, W10, Common Ragweed, W1, Bermuda grass, G2, Johnson Grass, G10, June Grass,KYB, G8, Cockroach, I6, Alternaria tenuis, M6, Aspergillus fumigatus, M3, Elm American, T8, Oak, T7, Pecan Tree, T22, Maple, Box Elde, T1, D. Pteronyssinus, D1, C. herbarum, M2. | Serum Separator Tube (SST) | Serum | Dog Dander, E5, Cat Dander, E1, Lamb's Qtrs, W10, Common Ragweed, W1, Bermuda grass, G2, Johnson Grass | 0 | ||||||||||||
| 99988 | Allergy, Animal Epithelium Panel | 86003 | See individual tests | Cat Dander, e1, IgE Rabbit Epithelia, e82, IgE Dog Dander, e5, IgE Chicken Feathers, e85, IgE Horse Dander, e3, IgE Canary, e204, IgE Cow Dander, e4, IgE Duck, e86, IgE Mouse Epithelia, e71, IgE Goat Epithelia, e80, IgE Rat Epithelia, e73, IgE Guinea Pig Epithelia, e6, IgE Goose Feathers, e70, IgE | Serum Separator Tube (SST)X2 | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 99997 | Allergy, Weeds Allergens | 86003 | See individual tests | Giant Ragweed, w3, IgE Rough Marsh Elder, w16, IgE Mugwort, w6, IgE Firebush, w17 IgE English plantain, w9, IgE Cocklebur, w13, IgE Lamb's Quarters (Goose Foot) ,w10, IgE Goldenrod, w12, IgE Common Ragweed, w1, IgE Pigweed Rough, w14, IgE Nettle,w20, IgESheep Sorrel, w18, IgE | Serum Separator Tube (SST) x2 | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 1 year | 0 | ||||||||||
| 91898 | Alpha Melanocyte Stimulating Hormone (MSH) | 83520 | Alpha MSH is a 13 amino acid peptide (1665 kD) with serine at the N terminal end and amidated valine at the C terminal end. Alpha MSH is derived from pro-opiomelanocorticotropin, a precursor protein which contains within its structure, the equence of ACTH, beta MSH and gamma MSH. The amino acid sequence of alpha MSH is identical to ACTH 1-13 in humans. Alpha MSH stimulates melanosome dispersion within dermal melanocytes and melanin biosynthesis within epidermal melanocytes. It also stimulates aldosterone synthesis. Plasma alpha MSH increases in humans with high fever due to endotoxin. Average plasma alpha MSH has been found higher in AIDS patients and also in obese men with insulin resistance. | EDTA (lavender-top) tube | Room temperature: Not stable Refrigerated: 6 hours Frozen: 90 days | Plasma | Room temperature: Not stable Refrigerated: 6 hours Frozen: 90 days | Received room temperature • Received refrigerated | MSH, Melanocyte | Enzyme Linked Immunosorbent Assay (ELISA) • Extraction | 0 | Patient Preparation: Fasting specimen is preferred. Patient should be free from medications for 2 days. After collection, immediately centrifuge the lavender-top tube at room temperature, transfer plasma to a transport tube, and freeze. Label this tube Frozen Plasma. | |||||||
| 8658 | Alpha Subunit | 82397 | This assay is useful in the diagnosis and management of various pituitary, placental, pancreatic and hCG-producing tumors. The assay can also be useful for investigations where alpha subunit is increased under various physiological stimuli, e.g., GnRH stimulation and TRH stimulation tests. | This test measures the alpha subunit that is common to LH, FSH, TSH and hCG. These hormones are comprised of identical alpha subunits and unique beta subunits that confer biological specificity. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 10 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 10 days Frozen: 28 days | Glycoprotein Alpha Subunit, Pituitary Glycoprotein Hormone Alpha Subunit, Alpha Subunit of the Gonadot | Electrochemiluminescence Immunoassay | 0 | ||||||||
| 469 | Alpha-1-Acid Glycoprotein | 82985 | Alpha-1-acid glycoprotein is an acute phase reactant found in a number of conditions. It migrates with the α-1 proteins on serum protein electrophoresis. As an acute-phase protein levels of α-1-acid glycoprotein are elevated during infections as well as acute and chronic inflammatory processes (eg, Crohn's disease). In these cases a highly sensitive assessment of the condition of the patient can be obtained by preparing a prognostic index of α1-acid glycoprotein and other parameters such as CRP. 1-3 Patients with injuries, burns, or tumors exhibit elevated concentrations. Patients with chronic renal failure are found to have high concentrations of α1-acid glycoprotein, with no major difference reported between dialyzed and nondialyzed patients. Diminished concentrations due to restricted production of α1-acid glycoprotein are found in patients with chronic liver diseases. Low serum concentrations due to increased excretion of the protein are associated with nephritic syndrome. | Serum Separator Tube (SST) | Room temperature: 6 hours Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 6 hours Refrigerated: 7 days Frozen: 90 days | Received room temperature | Fixed Rate Time Nephelometry | 0 | Patient Preparation: Overnight fasting is preferred | ||||||||
| 853 | Alpha-1-Antitrypsin (AAT) Phenotype | 82104 | More than 40 phenotypes of Alpha-1-Antitrypsin (AAT) exist. The inherited deficiency, seen most often as the ZZ, SS and SZ phenotypes, is associated with neonatal hepatitis and infantile cirrhosis. In adults, these phenotypes are associated with chronic lung disease, including emphysema and chronic bronchitis. Definitive analysis of hereditary α1-antitrypsin deficiency, which is associated with chronic obstructive pulmonary disease (COPD) (panacinar emphysema), hepatic cirrhosis, and hepatoma. Cholestasis with neonatal hepatitis is found in a minority of neonates with α1AT deficiency. | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 8 hours Refrigerated: 7 days Frozen: 30 days | Received room temperature | P1 Typing | Isoelectrofocusing | 0 | ||||||||
| 235 | Alpha-1-Antitrypsin, Quantitative | 82103 | Alpha-1-Antitrypsin level may be increased in normal pregnancy and in several diseases including chronic pulmonary disease; hereditary angioedema; renal, gastric, liver and pancreatic diseases; diabetes; carcinomas and rheumatoid diseases. Alpha-1-Antitrypsin may be decreased in emphysema, hepatic cirrhosis, respiratory distress syndrome of the newborn, nephrosis, malnutrition and cachexia. If a deficiency is present, aat phenotyping may be considered to confirm heterozygous versus homozygous deficiencies. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: 90 days | Gross hemolysis, Lipemia | Nephelometry | 0 | |||||||||
| 228 | Alpha-2 Macroglobulins | 83883 | α2-macroglobulin assay is of major significance in the differential diagnosis of nephrotic syndrome, where an elevated α2-macroglobulin: albumin ratio is indicative of postrenal hematuria. In patients with liver cirrhosis and diabetes, the level of α2-macroglobulin is found to be elevated. | Serum Separator Tube (SST) | Room temperature: 6 hours Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 6 hours Refrigerated: 7 days Frozen: 90 days | Received room temperature | Fixed Rate Time Nephelometry | 0 | Patient Preparation: Overnight fasting is preferred. | ||||||||
| 19529 | Alpha-Fetoprotein (AFP) and AFP-L3 | 82107 | This assay is intended for use in the assessment of risk for the development of hepatocellular carcinoma (HCC) in patients with chronic liver disease. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 5 days Frozen: 2 years | Serum | Room temperature: 72 hours Refrigerated: 5 days Frozen: 2 years | Hemolysis • Lipemia | 0 | ||||||||||
| 11175 | Alpha-Globin Common Mutation Analysis | 81257 | Alpha Thalassemia is a common hereditary trait and disease among individuals of Asian heritage. Disease ranges in severity from mild abnormalities of erythrocytic indices to severe anemia. Genetic counseling may be advised for some patients. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Received frozen | Thalassemia, alpha; Alpha Thalassemia | Polymerase Chain Reaction (PCR) | 0 | Physician Attestation of Informed Consent: This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test is performed in MA. | |||||||
| 850827 | Alprazolam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Alprazolam Alpha-HydroxyalprazolamPresent in the following medication: Xanax, Niravam, Xanor, Frontal, Tafil, Alprax | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 4048 | ALT (SGPT) | 84460 | Alanine aminotransferase (ALT) is present primarily in liver cells. In viral hepatitis and other forms of liver disease associated with hepatic necrosis, serum ALT is elevated even before the clinical signs and symptoms of the disease appear. Although serum levels of both aspartate aminotransferase (AST) and ALT become elevated whenever disease processes affect liver cell integrity, ALT is a more liver-specific enzyme. Serum elevations of ALT are rarely observed in conditions other than parenchymal liver disease. Moreover, the elevation of ALT activity persists longer than does AST activity. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days | Serum | Room temperature: 7 days Refrigerated: 14 days | Gross hemolysis; excessive lipemia; improper labeling | Alanine | Spectrophotometry (SP) | 0 | Separate serum or plasma from cells within 45 minutes of collection. Maintain specimen at room temperature. | 0.5 mL | 1 mL | |||||
| 2958 | Aluminum, Plasma/Serum | 82108 | Individuals undergoing hemodialysis are at risk for aluminum toxicity. Prolonged accumulation may cause anemia, encephalopathy, and vitamin D-resistant steomalacia. Also, workers exposed to high levels or to long-term low levels of aluminum dust are at increased risk of toxicity. | No additive (royal blue-top) trace element tube | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Serum or plasma | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | If not collected as instructed | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | Draw one (royal blue-top) tube of blood and discard. Draw second (royal-blue top) tube. Allow to clot in an upright position. Centrifuge and pour (do not pipette) the serum or plasma into an acid-washed or metal-free vial. | ||||||||
| 236 | Amikacin | 80150 | Amikacin is an aminoglycoside antibiotic used in the treatment of gram-negative bacillary infections. Amikacin is potentially nephrotoxic and ototoxic and serial monitoring of peak and trough serum levels provides information to maintain safe and therapeutic levels. | Red-top tube (no gel) | Room temperature: 7 days Refrigerated: 7 days Frozen: 7 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 7 days | Serum Separator Tube (SST) • Heparin plasma | 0 | Patient Preparation: Collect trough just prior to next dose. Collect peak at end of 60 minute IV infusion or 30 minutes after end of 30 minute IV infusion or 60 minutes after IM dose. | |||||||||
| 767 | Amino Acid Analysis, LC/MS, Plasma | 82139 | Amino acids serve many functions including as building blocks for proteins, neurotransmitters, precursors to hormones, and enzyme co-factors. More than 70 disorders of amino acid metabolism have been described. The clinical manifestations of these disorders are diverse. | 1-Methylhistidine, 3-Methylhistidine, Alanine, Alpha-Amino Adipic Acid, Alpha-Amino Butyric Acid, Arginine, Asparagine, Aspartic Acid, Beta-Alanine, Beta-Amino Isobutyric Acid, Citrulline, Cystathionine, Ethanolamine, Gamma-Amino Butyric Acid, GlutamicAcid, Glutamine, Glycine, Histidine, Homocystine, Hydroxyproline, Isoleucine, Leucine, Lysine, Methionine, Ornithine, Phenylalanine, Proline, Sarcosine, Serine, Taurine, Threonine, Tryptophan, Tyrosine, Valine | Sodium heparin (green-top) tube | Room temperature: Unstable Refrigerated: 7 days Frozen: 30 days | Plasma | Room temperature: Unstable Refrigerated: 7 days Frozen: 30 days | Received room temperature, Serum, Sodium fluoride (gray-top), 3.2% sodium citrate (light blue-top) | Liquid Chromatography/Mass Spectrometry (LC/MS) | 0 | Patient Preparation: Collect plasma specimens after an overnight fast (or at least 4 hours after a meal). Non-fasting samples are acceptable for pediatric patients. Plasma should be separated from cells as soon as possible after collection. Freeze plasma below -20°C and ship frozen. Note: Plasma collected in a 3.2% sodium citrate (light blue-top) or sodium fluoride (gray-top) tube, and serum are not acceptable specimen types. | |||||||
| 850861 | Amitriptyline, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Amitriptyline Nortriptyline Present in the following medication: Elavil, Endep, Enovil, Levate, Tryptanol, Etrafon, Triavil, Saronten | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 17054 | Ammonia, Plasma | 82140 | Ammonia is a waste product of protein catabolism; it is potentially toxic to the central nervous system. Increased plasma ammonia may be indicative of hepatic encephalopathy, hepatic coma in terminal stages of liver cirrhosis, hepatic failure, acute and subacute liver necrosis, and Reye's syndrome. Hyperammonemia may also be found with increasing dietary protein intake. The major cause of hyperammonemia in infants includes inherited deficiencies of urea cycle enzymes, inherited metabolic disorders of organic acids and the dibasic amino acids lysine and ornithine, and severe liver disease. | Lavender-top (EDTA) tube | Room temperature: Unstable Refrigerated: Unstable Frozen -20°C: 72 hours Frozen -70°C: 7 days | Plasma | Room temperature: Unstable Refrigerated: Unstable Frozen -20°C: 72 hours Frozen -70°C: 7 days | Received room temperature • Received refrigerated. Hemolysis • Lipemia • PPT Potassium EDTA (white-top) tube | Enzymatic | 0 | Tube must be filled completely and kept tightly stoppered at all times. Mix well. Specimen must be placed on ice immediately. After collection, immediately centrifuge the lavender-top tube at room temperature, transfer plasma to a transport tube, andfreeze. Label this tube Frozen Plasma. Freeze. Ammonia is stable for several days at -20°C. Caution: Blood ammonia increases rapidly at room temperature. | 0.5 mL | 1 mL | ||||||
| 850823 | Amphetamine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Amphetamine Present in the following medication: Adderall, Adzenys XR-ODT, Benzedrine, Dexedrine, Dyanavel XR, Evekeo, Vyvanse, ProCentra, Zenzed | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 8464 | Amylase, Random Urine with Creatinine | 82150, 82570 | Urinary amylase is useful in the consideration of macroamylasemia and pseudocyst of the pancreas. With macroamylasemia, only the serum concentration is elevated. With pseudocysts, the urinary concentration remains elevated for weeks after an episode of acute pancreatitis. | Sterile screw-cap container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | 10 mL random urine | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Acidified urine | Spectrophotometry (SP) | 0 | Submit 10 mL of a well-mixed random collection. Collect without preservatives. Refrigerate during and after collection. Aliquot unpreserved specimen prior to any addition of acid | ||||||||
| 4008 | Amylase, Serum | 82150 001 | The major sources of amylase are the pancreas and the salivary glands. The most common cause of elevation of serum amylase is inflammation of the pancreas (pancreatitis). In acute pancreatitis, serum amylase begins to rise within 6-24 hours, remains elevated for a few days and returns to normal in 3-7 days. Other causes of elevated serum amylase are inflammation of salivary glands (mumps), biliary tract disease and bowel obstruction. Elevated serum amylase can also be seen with drugs (e.g., morphine) which constrict the pancreatic duct sphincter preventing excretion of amylase into the intestine. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Gross hemolysis | Enzymatic | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 250 | ANA Direct Sceen | 86038 | Detect antibodies to nuclear antigens using Multiplex flow immunoassay | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | ImmunoAssay | 0 | |||||||||
| 6004 | ANA Profile | See individual tests | ANA Profile,dsDNA Ab , Anti-SSA Ab, Anti-SSB Ab, Smith Ab, Sm RNP Ab, Ribosomal P Ab, Scl-70 Ab, Centromere B Ab, Jo-1 Ab, RNP Ab, Chromatin Ab,Rf, ACLs, pANCA,cANCA,Vitamin D,Anti-CCP,ESR,CRP,Uric Acid, PTH Intact,Calcium,Phosphorus | Serum Separator Tube (SST) | Serum | ANA,dsDNA, SSA Ab, SSB Ab, Smith Ab, Sm RNP Ab, Ribosomal P Ab, Scl-70 Ab, Centromere B Ab | 0 | ||||||||||||
| 249 | ANA Screen , with Reflex to Panel | 86038 | ANA screen through a combination of IA & IFA methods The ANA Reflex provides physicians with a cost-effective and medically justified approach to evaluating a patient with suspected rheumatologic disease. Eleven antibodies associated with specific rheumatologic disease entities are analyzed and resulted in sequential tiers until positive findings are reported. The test is not intended for the work-up of autoimmune hepatitis or other non-rheumatologic diseases. | If the ANA IA or IFA Screen is positive, it will reflex to Pattern & titer and the following antibodies : dsDNA Ab, Anti-SSA Ab, Anti-SSB Ab, Smith Ab, Sm RNP Ab, Ribosomal P Ab, Scl-70 Ab, Centromere B Ab, Jo-1 Ab, RNP Ab,Chromatin Ab | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | Immunofluorescence Assay (IFA) | 0 | 0.5 mL | 1 mL | ||||||
| 251 | ANA Screen w/Reflex to Panel II | 86038 | ANA screen through a combination of IA & IFA methods | If ANA IA or IFA is positive test will reflex to the following tests: -anti-DNA (DS) Ab Qn-Ribosomal P-Scleroderma Antibody (Scl-70) -Smith Antibodies-Centromere B Ab-Jo-1 Antibody-RNP-Chromatin (Nucleosomal) Antibody | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | ANA | Immunofluorescence Assay (IFA) | 0 | |||||||
| 6002 | ANA Screen, IFA with Reflex to Titer/Pattern | 86038 | Antinuclear antibodies are associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE. | If ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge (CPT code(s): 86039). | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Microbial contamination may interfere | Immunofluorescence Assay (IFA) | 0 | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | ||||||
| 70159 | ANCA Screen with MPO and PR3 | 86021 (x3) | Testing for anti-neutrophil cytoplasmic antibodies (P-ANCA and/or C-ANCA) has been found to be useful in establishing the diagnosis of suspected vascular diseases, inflammatory bowel disease, as well as other autoimmune diseases. | ANCA Screen with Reflex to ANCA Titer, Myeloperoxidase Ab (MPO), Proteinase-3 AntibodyIf ANCA Screen is positive, then C-ANCA Titer and/or P-ANCA Titer and/or atypical P-ANCA Titer will be performed at an additional charge (CPT code(s): 86021 for each titer performed). | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | ANCA | Immunoassay (IA) | 0 | |||||||
| 17182 | Androstenedione, LC/MS/MS | 82157 | Androstenedione is useful when evaluating patients with androgen excess and managing patients with Congenital Adrenal Hyperplasia (CAH). | Red-top tube (no gel) | Room temperature: 14 days Refrigerated: 28 days Frozen: 2 years | Serum | Room temperature: 14 days Refrigerated: 28 days Frozen: 2 years | Serum Separator Tube (SST) • Glass tubes | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum after clotting and send Serum only in Plastic screw-cap vial. Do not submit glass tubes. An early morning specimen is preferred. | ||||||||
| 30577 | Anemia Profile | 83540 001 835585025, 85045 | There are many types and causes of anemia, we have created this panel to look at the most frequent causes, such as iron deficiency, B12 deficiency, and the bone marrow's ability to produce red blood cells. Symptoms of anemia symptoms include fatigue, pale skin, weakness, shortness of breath, headache, dizziness, and cold hands and feet. | CBC, Reticulocyte Count, B12, Folate, Ferritin, Iron, TIBC, Transferrin. | Serum Separator Tube (SST) and Lavender-top (EDTA) tube | See Individual tests | Serum AND whole blood | See Individual tests | See Individual tests | See individual tests. | 0 | See Individual tests | |||||||
| 36718 | Angiotensin II | 82163 | Angiotensin II is a eight amino acid peptide formed by Angiotensin Converting Enzyme (ACE) cleavage of Angiotensin I. Angiotensin II is metabolized further to Angiotensin III. Angiotensin II release is controlled by Renin, blood pressure, blood volume, sodium balance and by Aldosterone concentration. Levels of Angiotensin II are increased in many types of hypertension. Angiotensin II stimulates the release of Anti-Diuretic Hormone, ACTH, Prolactin, Luteinizing Hormone, Oxytocin and Aldosterone. Angiotensin II increases vasoconstriction and inhibits tubular resorption of sodium, and canincrease endothelial cell growth. | EDTA (lavender-top) tube | Room temperature: 12 hours Refrigerated: 24 hours Frozen: 28 days | 1 mL plasma | Room temperature: 12 hours Refrigerated: 24 hours Frozen: 28 days | Gross hemolysis • Received room temperature • Received refrigerated | Immunoassay | 0 | After collection, immediately centrifuge the lavender-top tube at room temperature, transfer plasma to a transport tube, and freeze. Label this tube Frozen Plasma. | ||||||||
| 683 | Angiotensin-Converting Enzyme | 82164 | This test is useful in evaluating patients presenting with sarcoidosis, Gaucher's disease and lymphoangiomyomatosis in that the enzyme is increased in these clinical settings. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 60 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 60 days | Gross hemolysis | Spectrophotometry (SP) | 0 | |||||||||
| 8220 | Anti-Centromere B Antibodies | 86038 | Centromere B Antibody is diagnostic for the form of scleroderma known as CREST (calcinosis, Raynaud's phenomenon, esophageal immotility, sclerodactyly, and telangiectasia). | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia • Grossly icteric | Multiplex flow immunoassay | 0 | |||||||||
| 255 | Anti-dsDNA Antibodies | 86225 | dsDNA Antibody is detected in patients with active systemic lupus erythematosus (SLE) and approximately 20% of patients with Mixed Connective Tissue Disease | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia • Grossly icteric | Native DNA, dsDNA, Double-Stranded DNA Antibody, Anti-DNA, (dsDNA) | Multiplex flow immunoassay | 0 | ||||||||
| 16842 | Anti-Mullerian Hormone AssessR | 82397 | AMH/MIS may be used in the investigation of ovarian reserve and the perimenopausal transition in women; the detection and onset of puberty in the young, the differential diagnosis of intersex disorders; the diagnosis of cryptorchidism and anorchidism, and the evaluation of male gonadal function in all ages. | Red-top tube no gel | Room temperature Unacceptable Refrigerated 5 days Frozen 30 days | Serum | Room temperature Unacceptable Refrigerated 5 days Frozen 30 days | Gross hemolysis, Lipemia, Icteric, Serum Separator Tube SST | AMH MIS, Mullerian Inhibiting Substance | Chemiluminescence (CL) | 0 | Separate serum from clot and ship frozen in a transport tube. | |||||||
| 265 | Anti-Streptolysin O Antibody (ASO) | 86060 | This test is a sensitive test for recent streptococcal infection. A rise in ASO begins about one week after infection and peaks two to four weeks later. ASO levels do not rise with cutaneous infections. In the absence of complications or reinfection, the ASO level will fall to preinfection levels within 6 to 12 months. Over 80% of patients with acute rheumatic fever and 95% of patients with acute glomerulonephritis due to streptococci have elevated levels of ASO. | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 Days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 Days Frozen: 14 days | Streptolysin-O Antibody, Strep A, ASO, Streptococcus, Group A, Strep | Immunoturbidimetric | 0 | |||||||||
| 795 | Antibody Screen, RBC, Reflex to Identification, Titer, and Antigen Typing | 86850 | This test is used to detect significant RBC antibodies. | If Antibody Screen is positive, Antibody Identification, Titer and Antigen Typing will be performed at an additional charge (CPT code(s): 86870 (x) # of panel(s) performed, 86886 (x) # of titer(s) performed and 86905 (x) # of antigen typing(s). Based on reactions presenting from Antibody Identification, then 36668 - Direct Antiglobulin Test (DAT) with Reflex to Anti-C3 and Anti-IgG may be performed at an additional charge (CPT code(s): 86880).If 36668 - Direct Antiglobulin Test (DAT) is positive, then %36669 - Anti-C3 and Anti-IgG will be performed at an additional charge (CPT code(s): 86880 x2). | EDTA (lavender-top) tube | Room temperature: 24 hours Refrigerated: 7 days Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: Unacceptable | Gross hemolysis • Grossly lipemic • Serum Separator Tube (SST) • Received frozen • Cord blood • Grossly icteric | RBC Antibody Screen, Type and Screen, Blood Type | Immune Agglutination | 0 | 1 mL (Note: This minimum amount will not allow for antibody identification if the antibody screen is positive.) | 4 mL | |||||
| 14890 | Antiphospholipid Panel (APLs) | 86146 (x3),86147 (x3),86148 (x3) | Antiphospholipid antibody testing is used to help determine the cause of: Inappropriate blood clot formation (unexplained thrombotic episode, excessive clotting) Recurrent miscarriage, Low platelet count (thrombocytopenia), Prolonged PTT testDepending on a person's signs and symptoms and medical history, a healthcare practitioner may order one or more of these tests to help detect the presence of antiphospholipid antibodies and/or to help diagnose antiphospholipid syndrome (APS): Cardiolipin antibodies (IgG, IgM, and sometimes IgA) are frequently ordered since they are the most common antiphospholipid antibodies. Lupus anticoagulant assays (e.g., RVVT, LA-sensitive PTT) if a person has a prolonged PTT test. Beta-2 glycoprotein 1 testing may be ordered along with the other antiphospholipid antibodies to detect their presence and to provide the healthcare practitioner with additional information. If an antiphospholipid antibody is detected, the same test(s) may be repeated 12 weeks later to determine whether their presence is persistent or temporary. Testing may also be performed to help diagnose and/or evaluate a person with an autoimmune disorder, which can occur along with disorders like lupus. If a person with an autoimmune disorder tests negative for antiphospholipid antibodies, testing may be repeated to determine if an antibody has developed in the course of the disease.Profile Components: Anticardiolipin IgA; Anticardiolipin IgG; Anticardiolipin IgM; Beta-2-Glycoprotein I Antibodies IgA, Qn; Beta-2-Glycoprotein I Antibodies IgG, Qn; Beta-2-Glycoprotein I Antibodies IgM, Qn | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Immunoassay | 0 | |||||||||
| 9918 | Antiproteinase 3 (PR3) Abs | 86021 | Evaluating patients suspected of having Wegener granulomatosis (WG) Distinguishing between WG and other forms of vasculitis, in conjunction with MPO/Myeloperoxidase Antibodies, IgG, Serum and ANCA/Cytoplasmic Neutrophil Antibodies, Serum (may be obtained as VASC/Antineutrophil Cytoplasmic Antibodies Vasculitis Panel, Serum) May be useful to follow treatment response or to monitor disease activity in patients with myeloperoxidase antibodies. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 daysFrozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 daysFrozen: 30 days | Gross hemolysis | PR-3 | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 216 | Antithrombin III Activity | 85300 | Diagnosis of antithrombin deficiency, acquired or congenital. Monitoring treatment of antithrombin deficiency disorders, including infusion of antithrombin therapeutic concentrate. | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | frozen platelet-poor plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Hemolysis • Received room temperature • Received refrigerated | Chromogenic Substrate | 0 | Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship Froozen. | ||||||||
| 7017 | Antithrombin III Activity and Antigen | 85300, 85301 | This assay is used to assess the availability of antithrombin, a potent, naturally occurring anticoagulant, by measuring total protein (antigen) and activity. Antithrombin deficiency may result in serious venous thrombosis and heparin resistance. | Antithrombin III Activity, Antithrombin III Antigen | 3.2% sodium citrate (light blue- top) tubes (x2) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 21 days | Frozen plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 21 days | Hemolysis | Chromogenic Substrate • Fixed Rate Time Nephelometry | 0 | Platelet poor plasma: Centrifuge light blue-top tube 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/μL). Freeze immediately and ship on dry ice. Do not thaw. Patient Preparation: Patient should abstain from anabolic steroids, Gemfibrozil, Warfarin (Coumadin ™), heparin therapy, asparaginase, estrogens, gestodene and oral contraceptives optimally for 3 days prior to specimen collection. Overnight fasting is preferred. | |||||||
| 5158 | Antithrombin III Antigen | 85301 | A decrease in Antithrombin III may predispose an individual to thrombosis and to failure to respond to heparin therapy. This can occur as a result of a congenital deficiency, secondary to liver transplant, DIC, nephrotic syndrome, cirrhosis, carcinoma, or in patients with chronic liver failure. | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 21 days | frozen platelet-poor plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 21 days | Received thawed • Received room temperature • Received refrigerated | Fixed Rate Time Nephelometry | 0 | Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice. | ||||||||
| 7 | Apo A-1 (TRH) | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 46 | Apo B (TRH) | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 90649 | ApoE Genotype | 81401 | This test determines the subtypes of APOE which will aid in the risk assessment of Corornary Heart Disease (CHD) and Hyperlipoproteinemia. | EDTA (Lavender top) Tube | 0 | ||||||||||||||
| 4105 | Apolipoprotein A-1 | 82172 | Apolipoprotein A1 (ApoA1) is the primary protein associated with high-density lipoprotein (HDL) particles, and plays a central role in reverse cholesterol transport. (1) HDL cholesterol (HDL-C) and ApoA1 concentrations are inversely related to the risk for coronary artery disease (CAD). (2) There are a variable number of ApoA1 proteins per HDL particle. Therefore, ApoA1 is not a 1: 1 surrogate marker for HDL particles. Similarly, the number of ApoA1 proteins and the amount of cholesterol contained in HDL particles is highly variable. This heterogeneity has led to unique clinical findings related to ApoA1 compared with HDL-C. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 10 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 10 days Frozen: 90 days | Grossly lipemic | Nephelometry | 0 | |||||||||
| 4108 | Apolipoprotein B | 82172 | Apolipoprotein B (APO B) has been reported to be a powerful indicator of CAD. In some patients with CAD, APO B is elevated even in the presence of normal LDL cholesterol. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 10 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 10 days Frozen: 90 days | Grossly lipemic | Nephelometry | 0 | |||||||||
| 90382 | Aquaporin-4 (AQP4) Antibody (NMO-IgG) | 83516 | Confirm suspected cases of NMO and assist in making a differential diagnosis and identifying the cause of MS-like symptoms in the patient. An accurate diagnosis will further help predict disease course and provide direction in treatment options. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 40 days Frozen: 5 months | Serum | Room temperature: 72 hours Refrigerated: 40 days Frozen: 5 months | NMO | Enzyme Linked Immunosorbent Immunoassay (ELISA) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | ||||||||
| 252 | Arginine Vasopressin (AVP, Antidiuretic Hormone) | 84588 | Antidiuretic Hormone (also called ADH or Vasopressin) regulates water reabsorption in the kidney, reducing diuresis and increasing blood volume and pressure. The syndrome of inappropriate release of ADH (SIADH) occurs with neoplasia, pulmonary disorders (e.g., pneumonia and tuberculosis), CNS disorders, and with specific drugs. | EDTA (lavender-top) tube | Room temperature: 1 hour Refrigerated: 6 hours Frozen: 6 months | Plasma | Room temperature: 1 hour Refrigerated: 6 hours Frozen: 6 months | Received thawed • Received room temperature • Received refrigerated | ADH, Vasopressin, AVP, Antidiuretic Hormone | Extraction • Radioimmunoassay (RIA) | 0 | Draw blood in a pre-chilled EDTA (lavender-top) tube. Transport in an ice bath, centrifuge immediately. Separate and freeze immediately. Do not thaw. | |||||||
| 269 | Arsenic, Blood | 82175 | This assay is used to monitor exposure to arsenic, wellness, and therapy during treatment of chronic myelocytic leukemia. | EDTA (royal blue-top) tube | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Whole blood | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Clotted specimen | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | Avoid seafood consumption for 48 hours prior to sample collection. Carefully clean skin prior to venipuncture. Avoid worksite collection. | ||||||||
| 270 | Arsenic, Random Urine | 82175 | Clinical Significance: Arsenic is widely distributed in the earth's crust. Arsenic is used in some pesticides and industrial applications. Arsenic toxicity can cause skin changes, respiratory illness, nausea and vomiting, and other effects. | Creatinine | Acid-washed plastic urine container | Room temperature: 48 hours Refrigerated: 5 days Frozen: 14 days | 7 mL random urine | Room temperature: 48 hours Refrigerated: 5 days Frozen: 14 days | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | Avoid worksite collection. Collect urine in an acid-washed or metal-free plastic container. | ||||||||
| 164065 | Arthritis Panel | 86200, 86431 | A basic panel to assisit in diagnosing Rheumatoid Arthritis. | ANA Panel, ESR, Uric Acid, RF, AntiCCP, CRP | Serum Separator Tube (SST) & Lavender Tube | See individual tests | Serum & Whole blood | See individual tests | See individual tests | Latex immunoturbidimetry and enzyme-linked immunosorbent assay (ELISA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | |||||
| 20341 | Aspergillus Antibodies, Immunodiffusion | 86606 (x3) | Aspergillus flavus, Aspergillus fumigatus, Aspergillus niger | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | 1 mL Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | 0 | |||||||||||
| 4046 | AST (SGOT) | 84450 | AST is widely distributed throughout the tissues with significant amounts being in the heart and liver. Lesser amounts are found in skeletal muscles, kidneys, pancreas, spleen, lungs, and brain. Injury to these tissues results in the release of the AST enzyme to general circulation. In myocardial infarction, serum AST may begin to rise within 6-8 hours after onset, peak within two days and return to normal by the fourth or fifth day post infarction. An increase in serum AST is also found with hepatitis, liver necrosis, cirrhosis, and liver metastasis. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days | Hemolysis • Anticoagulants other than heparin | AST, SGOT | Spectrophotometry (SP) | 0 | Separate serum or plasma from cells within 45 minutes of collection. | 0.5 mL | 1 mL | |||||
| 6981 | Autoimmune & Arthritis Profile | 86038 001 86160 001 86225 001 | Antibodies are proteins made by your immune system. They help your body recognize and fight infections. Antibodies normally target harmful substances, such as bacteria and viruses, by activating the immune system to get rid of them. Sometimes, however, antibodies mistakenly target your healthy cells and tissues. This is known as an autoimmune response. Antibodies that attack healthy proteins within the nucleus -the control center of your cells- are called antinuclear antibodies (ANA). When the body receives signals to attack itself, autoimmune diseases such as lupus, scleroderma, mixed connective tissue disease, autoimmune hepatitis, and others can occur. Symptoms vary by disease, but they may include rashes, swelling, arthritis, or fatigue. While it's normal to have some ANA, having too many of these proteins is a sign that there may be an active autoimmune disease, such as lupus. An ANA panel helps determine the level of ANA in your blood. You may have an autoimmune disorder if the level is high. However, conditions such as infections, cancer, and other medical problems can also result in a positive ANA test. | ANA, Anti-Centromere, Anti-dsDNA, Anti-Chromatin, Anti-Ro (SS-A), Anti-Ro (SS-B), Anit-Sm, Anti-RNP, Anti-scl-70, Anticardiolipin, Anti-Ribosomo P, Anti-TPO, RF, CCP | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 5 days Frozen: 28 days | Serum | Room temperature: 3 days Refrigerated: 5 days Frozen: 28 days | See individual tests. | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 19873 | AutoImmune Hepatitis Diagnostic Panel | 86038, 86255, 83516, 86376 | The detection of a number of autoantibodies supports the diagnosis of autoimmune hepatitis. | ANA Screen (IFA) with Reflex to Titer, Mitochondrial Antibody with Reflex to Titer, Actin (Smooth Muscle) Antibody (IgG), Liver Kidney Microsome (LKM-1) Antibody (IgG). If ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge (CPT code(s): 86039). If Mitochondrial Antibody Screen is positive, then Mitochondrial Antibody Titer will be performed at an additional charge (CPT code(s): 86256). | Serum Separator Tube (SST) (x2) | Room temperature: 4 hrs Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 hrs Refrigerated: 7 days Frozen: 30 days | Received room temperature | Immunoassay | 0 | ||||||||
| 90962 | B-cell Receptor IGH Gene Rearrangement, PCR | 81261, 84999 (HCPCS: G0452) | This assay, which interrogates the immunoglobulin heavy chain gene (IGH) by a PCR method based on the BIOMED-2 consensus, is useful for establishing clonality of B-cell lymphoid neoplasms and in the identification of minimal residual disease or early recurrence in patients with a previous diagnosis of a B-cell neoplasm. It can be used in association with the immunoglobulin kappa light chain (IGK test code 90363, or IGH/IGK combo test code 91635), since false-negative results can occur in up to 10-20% of B-cell malignancies when testing for IGH only. The highest rates of non-detectable IGH clonal rearrangements are in IGVH mutated B-cell neoplasms such as follicular lymphoma and plasma cell neoplasms and in B-lymphoblastic leukemia/lymphomadue to absent or incomplete B-cell receptor rearrangements. | Test includes pathologist interpretation | EDTA (lavender-top) tube | Whole blood and bone marrow Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Whole blood or bone marrow | Whole blood and bone marrow Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | B-Cell Clonality | Polymerase Chain Reaction (PCR), Fragment Analysis | 0 | Collect in an EDTA (lavender-top) tube and ship refrigerated or room temperature. | |||||||
| 90363 | B-cell Receptor IGK Gene Rearrangement, PCR | 81264, 84999 | This assay, which interrogates the immunoglobulin kappa light chain gene (IGK) by a PCR method based on the BIOMED-2 consensus, is useful for establishing clonality of B-cell lymphoid neoplasms and in the identification of minimal residual disease or early recurrence in patients with a previous diagnosis of a B-cell neoplasm. It can be used in association with the immunoglobulin heavy chain (IGH PCR assay test code 90362), since false-negative results can occur in up to 10-15% of B-cell malignancies when testing IGK only. | Test includes pathologist interpretation | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | B-Cell Clonality | Polymerase Chain Reaction (PCR), Fragment Analysis | 0 | Collect in an EDTA (lavender-top) tube and ship refrigerated or room temperature. Stability of whole blood and bone marrow samples at room and refrigerated temperatures is 1 week. | |||||||
| 140889 | B-Type Natriuretic Peptide | 83880 | BNP is increased in congestive heart failure, left ventricular hypertrophy, acute myocardial infarction, coronary angioplasty, and hypertension. Elevations are also observed in pulmonary hypertension (indicating right ventricular dysfunction), acute lung injury, hypervolemic states, chronic renal failure and cirrhosis. Decreasing levels indicate therapeutic response to anti-hypertensive therapy. | EDTA (lavender-top) tube | Room temperature: 7 hrs Refrigerated: 1 day Frozen: 14 day | Whole Blood or Plasma | Room temperature: 7 hrs Refrigerated: 1 day Frozen: 14 day | Collected in a glass tube • PPT potassium EDTA (white-top) tube | Brain Natriuretic Peptide, BNP | Immunochemiluminometric assay (ICMA) | 0 | Collect specimen in a plastic EDTA (lavender-top) tube. Note: BNP is unstable in glass containers. Use of glass tubes and glass transfer pipettes will affect accurate quantitation of BNP. For longer stability please send Frozen plasma,After collection, immediately centrifuge the lavender-top tube at room temperature, transfer plasma to a transport tube, and freeze. Label this tube Frozen Plasma | 0.5 mL (NOTE: This volume does NOT allow for repeat testing) | 0.8 mL | |||||
| 34300 | Babesia microti Antibodies (IgG, IgM), IFA | 86753 (x2) | Babesia serological testing is used to diagnose infection by the Babesia tick-borne protozoan. Infection may cause hemolytic anemia. | Babesia microti Antibodies IgG Babesia microti Antibodies IgM | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 30 days | 1 mL Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: 30 days | Immunofluorescence Assay (IFA) | 0 | |||||||||
| 37314 | Babesia microti DNA, Real-Time PCR | 87798 | Babesia microti DNA PCR is a highly specific and sensitive method to detect the presence of B. microti DNA in clinical specimens; DNA sequences from the closely related canine pathogen B. gibsoni are not detected by this assay. The diagnosis of Human Babesiosis should not rely solely upon the result of a PCR assay. A positive result should be considered in conjunction with clinical presentation and additional established clinical tests. A negative PCR result indicates the absence of B. microti DNA in the sample tested and does not exclude the diagnosis of disease. | EDTA (lavender-top) or ACD (yellow-top) tube | Whole blood | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | ||||||||||||
| 15509 | Bacterial Vaginosis/Vaginitis Comprehensive (SureSwab) | 87481, 87512, 87661, 87799 | To diagnose the causative agent(s) of aginosis/vaginitis. | Lactobacillus species PCR, Atopobium vaginae PCR, Megasphaera species PCR, Gardnerella vaginalis PCR Trichomonas Vaginalis PCR, Candidiasis, PCR, C. albicans, DNA, C. glabrata, DNA, C. tropicalis, DNA, C. parapsilosis, DNA | APTIMA Vaginal Swab (orange label) Or APTIMA Unisex Swab (White Label) | Room temperature: 7 daysRefrigerated: 7 days Frozen -20° C: 30 days Frozen -70°C: 30 days | Vaginal swab | Room temperature: 7 daysRefrigerated: 7 days Frozen -20° C: 30 days Frozen -70°C: 30 days | Samples from leaking, uncapped or broken container • Non-APTIMA™ Vaginal Swab Collection Kit | SureSwab™ Bacterial Vaginosis DNA, Quantitative, Real-Time PCR (Lactobacillus species, Atopobium vag | Real-Time Polymerase Chain Reaction (RT-PCR) • Transcription-Mediated Amplification (TMA) | 0 | Follow instructions in the APTIMA™ Vaginal Swab Collection Kit for physician collected or self-collection of vaginal specimens. | One swab | One swab | ||||
| 14577 | Bacterial Vaginosis/Vaginitis Panel | 87480, 87510, 87660 | G. vaginalis is associated (in concert with other organisms) with bacterial vaginosis. Trichomonas and candida species are known agents of vaginitis. | Candida species, Trichomonas vaginalis, Gardnerella vaginalis | Vaginal swab BD AFFIRM™ ATTS swab | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Vaginal swab | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Specimen >72 hours old • Swabs received in transport systemsother than AFFIRM™ VPIII Ambient Temperature Transport System(ATTS) • Received frozen | Candida, Yeast, Affirm™, Affirm VPII, Vaginal Infection, Trichomonas, Trichomoniasis, Gardnerella, BV/Vagini | DNA Probe | 0 | Vaginal swab from the posterior fornix and the vaginal wall. | Swab placed in Affirm transport system | |||||
| 11108 | Bartonella DNA, Qualitative Real-Time PCR | 87471 | Bartonella DNA PCR is a highly specific and sensitive method to detect the presence of Bartonella species DNA in clinical specimens. This assay can differentiate between Bartonella henselae and Bartonella quintana. The diagnosis of Bartonella infection should not rely solely on the result of a PCR assay. A negative PCR result indicates only the absence of Bartonella species DNA in the sample tested and does not exclude the diagnosis of the disease. Patients with a positive PCR result should be evaluated with other tests to further establish the diagnosis of the disease. A positive result should be considered in conjunction with clinical presentation and additional established clinical tests. | Bartonella henselae, Bartonella quintana | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Whole blood | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Hemolysis • Received frozen | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | ||||||||
| 34251 | Bartonella Species Antibodies (IgG, IgM) with Reflex to Titer | 86611 (x4) | Bartonella henselae IgG, IgM; Bartonella quintana IgG, IgM | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 4280 | Basic Metabolic Panel (8) | 80048 | BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Glucose, Potassium, Sodium, Urea Nitrogen (BUN) | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerate: 14 days Frozen: 14 days | Serum | Room temperature: 14 days Refrigerate: 14 days Frozen: 14 days | BMP | See individual tests. | 0 | Draw blood in gel-barrier tube and centrifuge. If red-top tube or green-top tube is used, centrifuge within 45 minutes of draw, remove the serum or plasma, and place in a transport tube and tightly stopper the tube. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | ||||||
| 17561 | BasoFunction HRT Penicillin Benzylpen | 86003 | This test may be useful with patients for whom skin testing and or in vitro IgE testing in not appropriate or available. This is an in vitro challenge of whole blood with histamine as a measure of cell stimulation. | Patient Preparation Patients taking calcineurin inhibitors should stop their medication 72 hours prior to draw. Patients taking prednisone should stop medication for 2 weeks prior to draw. Collection Instructions Specimen must be received within 48 hours of draw. Submit Monday through Wednesday only. Specimens must be drawn after 11: 00 am. Do not submit samples on weekends or the day before a holiday. | Sodium Heparin green-top | Room temperature 48 hours Refrigerated Unacceptable Frozen Unacceptable | whole blood | Room temperature 48 hours Refrigerated Unacceptable Frozen Unacceptable | Hemolysis, Received refrigerated, Received frozen, Lithium heparin | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 19590 | BasoFunction HRT Sulfamethoxazole (sulfa Allergy) | 86343 | This test may be useful with patients for whom skin testing and/or in vitro IgE testing in not appropriate or available. This is an in vitro challenge of whole blood with histamine as a measure of cell stimulation. | Sodium heparin (green-top) tube | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | 8-10 mL whole blood | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Hemolysis • Received refrigerated • Received frozen • Lithium heparin | Sulfa, allergy | 0 | Specimen must be received within 48 hours of draw. Submit Monday through Wednesday only. Specimens must be drawn after 11:00 a.m. Do not submit samples on weekends or the day before a holiday. | ||||||||
| 480481 | BCR ABL | 81207 ,81206 ,81206, 81207 | This reverse-transcription PCR-based assay detects the BCR-ABL1 transcript produced by the t(9;22) chromosomal translocation associated with chronic myelogenous leukemia (CML) and a subset of lymphoblastic leukemias. For the P190 transcript associated with the minor t(9;22) breakpoint in lymphoblastic leukemia, BCR-ABL1 transcript levels are expressed as a percent ratio of BCR-ABL1 to the normalizing ABL1 transcript. For the P210 transcript associated with CML, quantitation is further adjusted to the international scale (IS) to allow comparison with other IS-compliant BCR-ABL1 assays. Optimal therapy in CML is associated with transcript levels below the major molecular response (MMR) milestone indicated by a BCR-ABL1/ABL1 % (IS) below 0.1. | If P190 transcript expression was previously documented, only P190 BCR-ABL1 will be performed (CPT code(s): 81207). If P210 transcript expression was previously documented, only P210 BCR-ABL1 will be performed (CPT code(s): 81206). If no prior positive is documented, P190 BCR-ABL1 and P210 BCR-ABL1 will be performed (CPT code(s): 81206, 81207) | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Received frozen | 0 | |||||||||
| 480510 | BCR-ABL by PCR | 81206, 81207 | This reverse-transcription PCR-based assay detects the BCR-ABL1 transcript produced by the t(9;22) chromosomal translocation associated with chronic myelogenous leukemia (CML) and a subset of lymphoblastic leukemias. For the P190 transcript associated with the minor t(9;22) breakpoint in lymphoblastic leukemia, BCR-ABL1 transcript levels are expressed as a percent ratio of BCR-ABL1 to the normalizing ABL1 transcript. For the P210 transcript associated with CML, quantitation is further adjusted to the international scale (IS) to allow comparison with other IS-compliant BCR-ABL1 assays. Optimal therapy in CML is associated with transcript levels below the major molecular response (MMR) milestone indicated by a BCR-ABL1/ABL1 % (IS) below 0.1 | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | whole blood or bone marrow | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Received frozen | 0 | ||||||||||
| 7131 | Beryllium | 83018 | Exposure monitoring | EDTA, trace metal-free (royal blue- top) tube | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Whole blood | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Polymer gel separation tube (SST™ or PST | 0 | Promptly centrifuge and separate serum or plasma into an acid washed plastic vial using approved guidelines. | |||||||||
| 37054 | Beta hydroxybutyrate | 82010 | In diabetics, the measurement of B-hydroxybutyrate as well as blood glucose is needed for the assessment of the severity of diabetic coma and is essential for the exclusion of hyperosmolar non-ketotic diabetic coma. A specific enzymatic assay for Beta-hydroxybutyrate is extrememly important in the assessment of ketosis. | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 7 days Frozen: 7 days | Serum | Room temperature: 8 hours Refrigerated: 7 days Frozen: 7 days | 0 | |||||||||||
| 4944 | Beta-2 Microglobulin, Urine | 82232 | Beta-2-Microglobulin (B2M) is a low molecular weight protein that forms the light chain component of the histocompatibility antigen. It is synthesized by all nucleated cell types. It is an integral part of the class I MHC antigens and is present in all body fluids. B2M is filtered through the glomeruli of the kidney and is then reabsorbed and catabolised by the proximal tubular cells. In normal patients only trace amounts of B2M appear in the urine. Elevated urine B2M is seen in tubulo-interstitial disorders. Increased urine B2M is seen in cadmium exposure, diatrizoate, exercise, fever, nephrectomy, semen. There is evidence that monitoring B2M levels in HIV-infected individuals offers an independent predictor of progression to AIDS, leukemia and lymphoma. | Transport Tube | Room temperature: 8 hours Refrigerated: 7 days Frozen: 1 year | 1 mL random urine | Room temperature: 8 hours Refrigerated: 7 days Frozen: 1 year | Received room temperature | Nephelometry | 0 | A urine sample should be collected within 1 hour and pH adjusted to pH 6-8 with 1M NaOH. Beta-2-Microglobulin is unstable in acidic urine (pH <6). Patient should void bladder, then drink at least 500 mL of water. | ||||||||
| 30340 | Beta-2-Glycoprotein I Antibodies (IgG, IgA, IgM) | 86146 | Beta-2-Glycoprotein 1, apolipoprotein H, is a cofactor in antiphospholipid antibody binding and is the critical antigen in the antiphospholipid antibody syndrome. Beta-2-Glycoprotein 1 Antibody is more specific than Cardiolipin Antibody that may express reactivity in patients with syphilis and other infectious diseases. | B2-Glycoprotein I (IgG) B2-Glycoprotein I (IgA) B2-Glycoprotein I (IgM) | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | Glycoprotein | Enzyme Immunoassay (EIA) | 0 | |||||||
| 852 | Beta-2-Microglobulin, Serum | 82232 | Beta-2-microglobulin normally passes through the glomerulus into the proximal tubule where much of it is reabsorbed. Serum levels are therefore an index of glomerular function. When impaired, serum levels rise in inverse ratio to glomerular filtration rate. Increased amounts of beta-2-microglobulin are excreted in several renal disorders, e.g., Balkan nephropathy, heavy metal poisoning and renal tubular disease due to therapeutic agents. Serial levels of beta-2-microglobulin in serum and urine are used to evaluate transplant viability and anticipate rejection. Following a successful graft, serum levels decline toward normal. Increasing serum levels provide an early sign of rejection. Elevated levels are also noted in lymphproliferative disorders, neoplasms (malignant and benign), inflammatory disease, and autoimmune diseases such as systemic lupus erythematosus (SLE) and Sjogren's disease. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days | Hemolysis • Lipemia | Nephelometry | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. If a red-top tube is used, transfer separated serum to a plastic transport tube. | ||||||||
| 14974 | Beta-Globin Complete | 81364 | 1) To identify disease-causing mutations in individuals affected with beta-thalassemia. 2) To identify carriers in high-risk ethnic group or people with positive family history. 3) Prenatal diagnosis of beta-thalassemia. | EDTA lavender-top tube | Room temperature: 8 days Refrigerated: 8 days Frozen: Unacceptable | Whole blood | Room temperature: 8 days Refrigerated: 8 days Frozen: Unacceptable | Received frozen | Beta-Thalassemia Mutation Analysis | DNA Sequencing • Polymerase Chain Reaction (PCR) | 0 | Whole blood: Normal phlebotomy procedure. Specimen stability is crucial. Store and ship ambient immediately. Do not freeze. | |||||||
| 4059 | Bile Acids, Total | 82239 | An increase in serum bile acids concentration in the fasting state or postprandial is considered to be a specific indicator of liver disease. A decreased level indicates bile acid malabsorption, possibly due to ileal dysfunction. | Serum Separator Tube (SST) | Room temp. : Unacceptable Refrigerated: 7 days Frozen: Indefinitely | Serum | Room temp. : Unacceptable Refrigerated: 7 days Frozen: Indefinitely | Unspun Serum Separator Tube (SST) • No additive (red-top) tube • Received room temperature | Enzymatic | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. If a red-top tube is used, transfer separated serum to a plastic transport tube. | ||||||||
| 4056 | Bilirubin, Direct | 82248 | Evaluate liver and biliary disease. Increased direct bilirubin occurs with biliary diseases, including both intrahepatic and extrahepatic lesions. Hepatocellular causes of elevation include hepatitis, cirrhosis, and advanced neoplastic states. Increased with cholestatic drug reactions, Dubin-Johnson syndrome, and Rotor syndrome. In the latter two syndromes, the level is usually <5 mg/dL. | Serum Separator Tube (SST) | Room temperature: 2 Days Refrigerated: 3 days Frozen: 14 Days *If protected from light | Serum | Room temperature: 2 Days Refrigerated: 3 days Frozen: 14 Days *If protected from light | Hemolysis • Anticoagulants other than heparin | Conjugated Bilirubin | Spectrophotometry (SP) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. If a red-top tube is used, transfer separated serum to a plastic transport tube. Protect from light. | 0.5 mL | 1 mL | |||||
| 4057 | Bilirubin, Indirect | Erythrocytes generated in the bone marrow are disposed of in the spleen when they get old or damaged. This releases hemoglobin, which is broken down to heme as the globin parts are turned into amino acids. The heme is then turned into unconjugated bilirubin in the reticuloendothelial cells of the spleen. This unconjugated bilirubin is not soluble in water, due to intramolecular hydrogen bonding. It is then bound to albumin and sent to the liver. The measurement of direct bilirubin depends on its reaction with diazosulfanilic acid to create azobilirubin. However, unconjugated bilirubin also reacts slowly with diazosulfanilic acid, so that the measured indirect bilirubin is an underestimate of the true unconjugated concentration. | Serum Separator Tube (SST) | Room temperature: 2 Days Refrigerated: 3 days Frozen: 14 Days *If protected from light | Serum | Room temperature: 2 Days Refrigerated: 3 days Frozen: 14 Days *If protected from light | Hemolysis • Anticoagulants other than heparin | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. If a red-top tube is used, transfer separated serum to a plastic transport tube. Protect from light. | ||||||||||
| 4054 | Bilirubin, Total | 82247 | Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gallbladder obstructive disease. | Serum Separator Tube (SST) | Room temperature: 2 Days Refrigerated: 3 days Frozen: 14 Days *If protected from light | Serum | Room temperature: 2 Days Refrigerated: 3 days Frozen: 14 Days *If protected from light | Hemolysis • Anticoagulants other than heparin | Spectrophotometry (SP) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. If a red-top tube is used, transfer separated serum to a plastic transport tube. Protect from light. | 0.5 mL | 1 mL | ||||||
| 11351 | BK Virus DNA, Qualitative, PCR, Plasma | 87798 | This test is used to determine the presence of BK Virus DNA in patient's specimens. Detection of the virus in these specimens may be indicative of an active infection, as PCR detects the presence of the virus, and not the host's reaction to the virus. Polyomavirus BK DNA detection in urine or plasma is associated with an increased risk of graft rejection in renal recipients. Quantitative testing may indicate change in risk over time. | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 8 days Frozen: Unacceptable | whole blood | Room temperature: 48 hours Refrigerated: 8 days Frozen: Unacceptable | Frozen whole blood • Samples collected in heparin • Unspun PPT tube • Serum collected in a no additive (red-top) tube | 0 | ||||||||||
| 16553 | BK Virus DNA, Qualitative, PCR, Urine | 87798 | This test is used to determine the presence of BK virus DNA in patient's specimens. Detection of the virus in these specimens may be indicative of an active infection, as PCR detects the presence of the virus, and not the host's reaction to the virus. Polyomavirus BK DNA detection in urine is associated with an increased risk of graft rejection in renal recipients. | Urine Container | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Urine | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | 0 | |||||||||||
| 4281 | BMP with eGFR | 80048 | See individual tests | BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Glucose, Potassium, Sodium, Urea Nitrogen (BUN) | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 72 hours Frozen: 28 days | Serum | Room temperature: 48 hours Refrigerated: 72 hours Frozen: 28 days | Metabolic Panels, BMP | See individual tests | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. If a red-top tube is used, transfer separated serum to a plastic transport tube. | |||||||
| 17825 | Bordetella pertussis Antibodies (IgG, IgA), MAID | Antibody levels above the reference range are highly suggestive of recent infection or vaccination. | Pertussis toxin IgG, Pertussis toxin IgA, Filamentous Hemagglutinin Antigen IgG, Filamentous Hemagglutinin Antigen IgA | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Whooping Cough | Multi-Analyte Immunodetection (MAID) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 11365 | Bordetella pertussis/parapertussis DNA, Qualitative, Real-Time PCR | 87798 (x2) | Preferred diagnostic test for the detection of Bordetella pertussis or Bordetella parapertussis | Nasopharyngeal aspirate or nasopharyngeal swab | Nasopharyngeal aspirate Room temperature: 48 hours Refrigerated: 8 days Frozen: 30 days Nasopharyngeal swab | Nasopharyngeal aspirate or nasopharyngeal swab | Nasopharyngeal aspirate Room temperature: 48 hours Refrigerated: 8 days Frozen: 30 days Nasopharyngeal swab | Nasopharyngeal aspirate Room temperature: 48 hours Refrigerated: 8 days Frozen: 30 days Nasopharyngeal swab | Whooping Cough | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | Nasopharyngeal aspirates: Instill 1-1.5 mL of nonbacteriostatic saline (pH 7.0) into one nostril. Flush a plastic catheter or tubing with 2-3 mL of saline. Insert the tubing into the nostril parallel to the palate. Aspirate nasopharyngeal secretions. Repeat this procedure for the other nostril. Combine aspirates into a sterile vial. Nasopharyngeal swab: Use Amies collection tube with liquid Amies and wire collection swab. Do not use calcium alginate swab, as they may contain substances that inhibit PCR. Insert swab into nostril parallel to the palate and leave in place for a few seconds to absorb secretions. Swab both nostrils. Place swab(s) immediately into transport tube. Swab submitted in a V-C-M medium (green-cap) tube or equivalent UTM • Multi-microbe media (M4) • eSwabs | |||||||
| 34690 | Borrelia hermsii Antibody Panel, IFA | 86619 (x2) | Borrelia hermsii is a cause of American tick-borne relapsing fever in the Western United States. Single IgG titers of 1: 64 and greater against Borrelia hermsii are considered presumptive evidence of infection by Borrelia. A fourfold or greater change in titer between acute and convalescent sera provides evidence of recent or current infection. Acute sera generally show specific IgM titers ≥1: 16 while patients with manifestations of later stages of disease display elevated IgG titers only. Crossreactivity is shown with other Borrelia species and Treponema; therefore, positive specimens should be assayed in parallel against these antigens when possible to identify the specific species causing infection. | Borrelia hermsii IgG and IgM | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | CSF | Immunoassay (IA) | 0 | ||||||||
| 91068 | Brucella Antibodies (IgG, IgM), EIA with Reflex to Agglutination | 86622 (x2) | Detection of antibodies to Brucella sp. Usually indicates recent or past exposure to the organism. | If Brucella IgM is ≥1.10, Brucella Antibody, Agglutination will be performed at an additional charge (CPT code(s): 86622). | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Immunoassay (IA) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. If a red-top tube is used, transfer separated serum to a plastic transport tube. | ||||||||
| 850848 | Buprenophine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Buprenophine Norbuprenophine Naloxone Present in the following medication: Buprenex, Butrans, Suboxone, Subutex, Zubsolv | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 37212 | C difficile Toxins A+B, Qualitative, PCR | 87493 | The C. difficile Assay is an in vitro diagnostic test for the direct, qualitative detection of the Clostridium difficile Toxin A gene (tcdA) in unformed stool specimens of patients suspected of having Clostridium difficile-infection (CDI). The C. difficile Assay isintended for use as an aid in diagnosis of CDI. The assay utilizes helicase-dependent amplification (HDA) for the amplificationof a highly-conserved fragment of the Toxin A gene sequence. The C. difficile Assay combines simple sample processing and Helicase-Dependent Amplification (HDA) performed for thedetection of toxigenic Clostridium difficile directly from CDI-suspected diarrheal specimen | Sterile screw-cap container or stool transport without preservatives | Room temperature: Unacceptable Refrigerated: 5 days Frozen: 30 days | Stool | Room temperature: Unacceptable Refrigerated: 5 days Frozen: 30 days | Specimen other than liquid or semi-formed stool • Stool in preservative or mixed with urine • Specimen in wrong transport container | Enzyme immunoassay (EIA) for Clostridium difficile toxins A and B | 0 | Transfer liquid or soft stool (but not urine) into the container. Avoid mixing toilet paper, or soap with the sample. Store sample refrigerated until shipment. | ||||||||
| 19961 | c-KIT Mutation Analysis, Cell Based | 81272 | Activating c-KIT mutations have been indentified in various human cancers. c-KIT exon 8 and 17 mutations have been described in patients with CBF-AMLs and usually confer a poor prognosis with increased relapse rate. c-KIT exon 9, 11, 13, 17 mutations have been reported in nearly 90% GIST patients. The presence mutation usually predict poor survival. c-KIT exon 17 mutation has been reported in patients with systemic mastocytosis. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 14 days Frozen: Unacceptable | Whole Blood | Room temperature: 7 days Refrigerated: 14 days Frozen: Unacceptable | Received frozen | 0 | ||||||||||
| 3066 | C-Peptide, Serum | 84681 | C-Peptide is useful in the evaluation of pancreatic beta cell function (e.g., helping distinguish type 1 from type 2 diabetesmellitus, or monitoring patients who have received islet cell or pancreatic transplants) and for determining the source of insulinin patients with hyperinsulinemic hypoglycemia (e.g., distinguishing insulin-secreting tumors from exogenous insulinadministration). It is also sometimes measured as an additional means (more resistant to hemolysis than is insulin itself) forevaluating glucose tolerance tests. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen : 7 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen : 7 days | Gross hemolysis • Plasma | C-Terminal Insulin | Immunoassay (IA) | 0 | Patient should fast 12 hours prior to collection. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||
| 298 | C1 Esterase Inhibitor, Protein | 86160 | The C1 esterase inhibitor protein is a normal constituent of serum which functions as a serine proteinase inhibitor of the serpin family. The C1 esterase inhibitor inhibits the complement proteases C1r and C1s, as well as the proteases Kallikrein, factor XIa, XIIa and plasmin of the blood clotting system. The concentration of C1 esterase inhibitor protein is reduced to 10-30% of normal in patients with angioedema secondary to C1 esterase inhibitor deficiency (85% of patients with hereditary angioedema (HAE)); in 15% of patients with HAE, the concentrations of the inhibitor protein is normal but function is markedly reduced. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 8 days Frozen: 1 year | Serum | Room temperature: 7 days Refrigerated: 8 days Frozen: 1 year | Nephelometry | 0 | ||||||||||
| 297 | C1 Inhibitor, Functional | 86161 | C1 esterase is decreased in angioedema. The inherited form is usually diagnosed in the first two decades of life. The acquired form affects primarily adults with autoimmune or lymphoproliferative disorders. Approximately 15% of patients with hereditary angioedema have a normal concentration of the protein but it is dysfunctional. | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Grossly lipemic • Received thawed • Received room temperature • Received refrigerated • SerumSeparator Tube (SST™) • Glasstubes • CSF • Pleural fluid | Functional C1-Inhibitor, C1 Esterase | Immunoassay | 0 | Freeze serum within 1 hour of time drawn. Do not use gel barrier tubes. Do not submit the sample in a glass tube. Do not thaw. | |||||||
| 17689 | C3a Level | 83520 | C3a desArg is a cleavage product of C3 complement component activation. Elevated levels of C3a have been reported in patients with acute lyme disease, acute pancreatitis, systemic lupus erythematosus, and adult respiratory distress syndrome. | 2 X EDTA (lavender-top) tubes | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 21 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 21 days | Received room temperature • Received refrigerated | Enzyme Immunoassay (EIA) | 0 | After collection, immediately centrifuge the lavender-top tube at room temperature, transfer plasma to a transport tube, and freeze. Label this tube Frozen Plasma. | ||||||||
| 4698 | CA 19-9 | 86301 | A large percentage of patients with gastrointestinal tumors (such as pancreatic, liver, gastric, colorectal tumors) and some other malignancies have been shown to have elevated serum CA 19-9 levels. Serum CA 19-9 levels may be useful for monitoring disease activity or predicting relapse following treatment. CA 19-9 should not be used as a screening test. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Carbohydrate Antigen 19-9 | Immunoassay (IA) | 0 | |||||||||
| 29493 | CA 27.29 | 86300 | CA 27.29 may be useful for monitoring patients for metastatic breast cancer. | Serum Separator Tube (SST) | Refrigerated: 5 days Frozen: 28 days | Serum | Refrigerated: 5 days Frozen: 28 days | Gross hemolysis | Carbohydrate Antigen 27.29, Breast Carcinoma Associated Mucin Antigen, Cancer Associated Breast Anti | Immunoassay (IA) | 0 | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | ||||||
| 299 | Cadmium, Blood | 82300 | Cadmium is a naturally occurring element that is mined and used in industrial production because of its durability. Excessive cadmium exposure can damage lungs, kidneys, and the digestive tract. | EDTA (royal blue-top) tube | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Whole blood | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Clotted specimen | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | Avoid worksite collection. Phlebotomist should wear powderless gloves. | ||||||||
| 305 | Caffeine, Serum | 80155 | Coffee, tea and other beverages may contain caffeine. Caffeine is a methylxanthine found in over the counter products and in prescription medications. Small premature infants with mild respiratory distress shortly after birth may be treated with theophylline or caffeine. In neonates, a significant amount of theophylline is converted to caffeine. Since the demethylation pathway of theophylline is relatively undeveloped, caffeine levels may be elevated. Caffeine clearance rates typically reach adult values at about 3-4 months of age. | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Serum Separator Tube (SST) | Immunoassay (IA) | 0 | |||||||||
| 30742 | Calcitonin | 82308 | Aids in the diagnosis and follow-up of medullary thyroid carcinoma. Aids in the evaluation of multiple endocrine neoplasia type II and familial medullary thyroid carcinoma. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: 24 hours Frozen: 28 days | Serum | Room temperature: Unacceptable Refrigerated: 24 hours Frozen: 28 days | Gross hemolysis • Received thawed • Received room temperature • Received refrigerated | Immunoassay | 0 | Overnight fasting is preferred. Spin to separate serum and transfer to transport tube vial. Freeze immediately and submit to laboratory froze. | 0.4 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | ||||||
| 16558 | Calcitriol(1,25-Dihydroxy Vit D) | 82652 | This test is used to measure the bio-active form of Vitamin D. This test is also used in the differential diagnosis of hypocalcemia and to monitor patients with renal osteodystrophy or chronic renal failure. | Vitamin D, 1,25 (OH)2, Total; Vitamin D3, 1,25 (OH)2; Vitamin D2, 1,25 (OH)2 | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 28 days | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 28 days | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect blood in a Vacutainer™. Allow blood to clot (30 minutes) at room temperature, 18-25°C. Centrifuge and separate the serum from the cells. | ||||||||
| 1635 | Calcium, 24-Hour Urine with Creatinine | 82340, 82570 | Urinary calcium reflects dietary intake, rate of calcium absorption by the intestine and bone resorption. Urinary calcium is used primarily to evaluate parathyroid function and the effects of vitamin D. A significant number of patients with primary hyperparathyroidism will have elevated urinary calcium. However, there are other clinical entities that may be associated with increased urine calcium: Sarcoidosis, Paget's disease of bone, vitamin D intoxication, hyperthyroidism and glucocorticoid excess. Decreased urine calcium is seen with thiazide diuretics, vitamin D deficiency and familial hypocalciuric hypercalcemia. | Plastic urine container (6N HCl) | Room temperature: 5 days Refrigerated: 35 days Frozen: 6 months | Urine | Room temperature: 5 days Refrigerated: 35 days Frozen: 6 months | Refrigerate during and after collection. Collect urine with 25 mL of 6N HCl to maintain a pH <3. Do not include first morning specimen; collect all subsequent voidings. The last specimen collected should be the first morning specimen voided the following morning at the same time as the previous morning's first voiding. Specify 24-hour total volume and collection duration on specimen container and test requisition | Spectrophotometry (SP) | 0 | Collect urine with 25 mL of 6N HCl to maintain a pH below 3. It is acceptable to add preservative after collection if urine is refrigerated during collection. Adjust ph to <3.0. Record total volume and collection time on specimen container and requisition. Refrigerate during and after collection. Do not include first morning specimen; collect all subsequent voidings. The last sample collected should be the first morning specimen voided the following morning at the same time as the previous morning's first voiding. | ||||||||
| 11313 | Calcium, 24-Hour Urine without Creatinine | 82340 | Urinary calcium reflects dietary intake, rate of calcium absorption by the intestine and bone resorption. Urinary calcium is used primarily to evaluate parathyroid function and the effects of vitamin D. A significant number of patients with primary hyperparathyroidism will have elevated urinary calcium. However, there are other clinical entities that may be associated with increased urine calcium: Sarcoidosis, Paget's disease of bone, vitamin D intoxication, hyperthyroidism and glucocorticoid excess. Decreased urine calcium is seen with thiazide diuretics, vitamin D deficiency and familial hypocalciuric hypercalcemia. | Plastic urine container (6N HCl) | Room temperature: 5 days Refrigerated: 35 days Frozen: 6 months | Urine | Room temperature: 5 days Refrigerated: 35 days Frozen: 6 months | Spectrophotometry (SP) | 0 | Refrigerate during and after collection. Collect urine with 25 mL of 6N HCl to maintain a pH <3. Do not include first morning specimen; collect all subsequent voidings. The last specimen collected should be the first morning specimen voided the following morning at the same time as the previous morning's first voiding. Specify 24-hour total volume and collection duration on specimen container and test requisiton. | |||||||||
| 306 | Calcium, Ionized | 82330 | The ionized calcium is determined by an ion selective electrode methodology. The result that is generated is pH adjusted. The result is empirically based on a measured pH and ionized calcium concentration normalized to a pH of 7.40. This calculation compensates for in vitro changes in pH due to loss of CO2 through specimen handling. Ionized calcium represents the true bioavailable calcium in the circulation. In situations where the total calcium is normal but does not fit the clinical picture, e.g., hyperparathyroidism, a determination of the ionized calcium will, many times, show an elevation in the bioavailable calcium component. This may be due to alterations in protein concentrations, especially albumin, that binds most of the calcium in the circulation. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Gross hemolysis • Grossly lipemic • Received frozen | Ion Specific Electrode (ISE) | 0 | Let clot and spin immediately with the cap on. Do not open tube. Ship the unopened gel barrier tube at room temperatureand make sure the cap is taped . If submitting with any other assay, please submit a separate tube for this test. | ||||||||
| 1633 | Calcium, Random Urine with Creatinine | 82310 | Urinary calcium reflects dietary intake, rate of calcium absorption by the intestine and bone resorption. Urinary calcium is used primarily to evaluate parathyroid function and the effects of vitamin D. A significant number of patients with primary hyperparathyroidism will have elevated urinary calcium. However, there are other clinical entities that may be associated with increased urine calcium: Sarcoidosis, Paget's disease of bone, vitamin D intoxication, hyperthyroidism and glucocorticoid excess. Decreased urine calcium is seen with thiazide diuretics, vitamin D deficiency and familial hypocalciuric hypercalcemia. | Plastic urine container | Room temperature: 5 days Refrigerated: 35 days Frozen: 6 months | Urine | Room temperature: 5 days Refrigerated: 35 days Frozen: 6 months | Spectrophotometry (SP) | 0 | Adjust pH to <3 with 6N HCl | |||||||||
| 4018 | Calcium, Serum | 82310 | Serum calcium is involved in the regulation of neuromuscular and enzyme activity, bone metabolism and blood coagulation. Calcium blood levels are controlled by a complex interaction of parathyroid hormone, vitamin D, calcitonin and adrenal cortical steroids. Calcium measurements are useful in the diagnosis of parathyroid disease, some bone disorders and chronic renal disease. A low level of calcium may result in tetany. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Anticoagulants other than heparin | Spectrophotometry (SP) | 0 | 0.5 mL | 1 mL | |||||||
| 16796 | Calprotectin, Stool | 83993 | Used to diagnose inflammatory bowel disease (IBD), including Chron's disease and ulcerative colitis, or to differentiate IBD from irritable bowel syndrome (IBS). | Sterile leak-proof container | Room temperature: 11 days Refrigerated: 11 days Frozen: 1 year | Stool | Room temperature: 11 days Refrigerated: 11 days Frozen: 1 year | Immunoassay | 0 | Collect undiluted feces in clean, dry sterile leak-proof container. Do not add fixative or preservative. | |||||||||
| 29256 | Cancer Antigen (CA) 125 , Serum | 86304 | The CA 125 level can provide prognostic information in the follow-up management of patients with ovarian carcinoma. The assay should be used as an adjunctive test in the management of ovarian cancer patients. CA 125 is not recommended as a cancer screening procedure to detect cancer in the general population. | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 12 days Frozen: 28 days | Serum | Room temperature: 10 days Refrigerated: 12 days Frozen: 28 days | OC125, Cancer Antigen 125, Ovarian Antigen | Immunoassay (IA) | 0 | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 5819 | Cancer Antigen 15-3 | 86300 | CA 15-3 may be useful for monitoring patients with metastatic breast cancer and certain ovarian cancers. The CA 15-3 values from sequential samples have a high correlation with the clinical course in most patients with metastatic breast cancer. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Gross hemolysis • Gross lipemia | Cancer Antigen 15-3 | Immunoassay (IA) | 0 | ||||||||
| 30440 | Candida Antibodies IgG,IgA,IgM | 86628 (x3) | Candidiasis is a fungal infection that may cause localized or systemic disease. The severity of infection is broad extending to life threatening. Acute or convalescent titers should be compared. Systemic candidiasis is often characterized by markedly elevated levels of IgG, IgA, and IgM recognizing Candida. However, interpretation of Candida antibody levels is complicated by detection of antibodies in 20-30% of healthy individuals, and blunted antibody responses in immuno-compromised patients at risk for systemic candidiasis. Candida antibody results should be considered within the context of clinical findings and results from other relevant laboratory tests, such as Candida antigen detection and/or culture. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Enzyme Linked Immunosorbent Assay (ELISA) | 0 | ||||||||||
| 34336 | Candida Antigen Detection | 86403 | Candidiasis is a fungal infection that may cause localized or systemic disease. The severity of infection is broad extending to life threatening. Acute and convalescent titers should be compared. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: 14 days Frozen: 6 months | Serum | Room temperature: Unacceptable Refrigerated: 14 days Frozen: 6 months | Received room temperature | Latex agglutination (LA) | 0 | |||||||||
| 2180 | Carbamazepine, Serum | 80156 | Carbamazepine is an anticonvulsant which is structurally related to the tricyclic antidepressants and is useful in treating patients with temporal lobe epilepsy. Carbamazepine levels are monitored to assure adequate therapeutic levels are achieved and to avoid toxicity. | Red-top tube (no gel) | Room temperature: 6 days Refrigerated: 10 days Frozen: 30 days | Serum | Room temperature: 6 days Refrigerated: 10 days Frozen: 30 days | Serum Separator Tube (SST) | Tegretol | Immunoassay (IA) | 0 | Patient Preparation: Collect as a trough just prior to next dose. | 1 mL | 3 mL | |||||
| 4024 | Carbon Dioxide, Total | 82374 | Evaluate the total carbonate buffering system in the body, acid-base balance. High results may represent respiratory acidosis with CO2 retention, or metabolic alkalosis (eg, prolonged vomiting). Low value may indicate respiratory alkalosis as in hyperventilation or metabolic acidosis (eg, diabetes with ketoacidosis). | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 72 hours Frozen: 30 days | Serum | Room temperature: 48 hours Refrigerated: 72 hours Frozen: 30 days | Anticoagulants other than heparin • Red-top tube (no gel) | CO2 Content, Bicarbonate, HCO3 | Spectrophotometry (SP) | 0 | Do not open tube. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | |||||
| 309 | Carboxyhemoglobin, Blood | 82375 | Carbon monoxide is the most common of the gaseous poisons. Malfunctioning or poorly ventilated heating appliances and internal combustion engines are frequent causes of carbon monoxide poisoning. Carbon monoxide combines reversibly with hemoglobin in a manner almost identical to oxygen resulting in a decrease in the amount of oxygen carried by hemoglobin. Accidental poisoning can occur even at low levels (greater than 0.01%) of CO in the atmosphere with prolonged exposure. | EDTA (lavender-top) tube | Room temperature: 5 days Refrigerated: 10 days Frozen: Unacceptable | Whole blood | Room temperature: 5 days Refrigerated: 10 days Frozen: Unacceptable | Received frozen • Fluoride oxalate (gray-top) tube • Grossly clotted | Carbon, monoxide; Carbon monoxide | Spectrophotometry (SP) | 0 | Collect one full EDTA (lavender-top) tube of whole blood - keep tube closed. | |||||||
| 12139 | Carcinoembryonic Antigen (CEA) | 82378 | Increased serum CEA levels have been detected in persons with primary colorectal cancer and in patients with other malignancies involving the gastrointestinal tract, breast, lung, ovarian, prostatic, liver and pancreatic cancers. Elevated serum CEA levels have also been detected in patients with nonmalignant disease, especially patients who are older or who are smokers. CEA levels are not useful in screening the general population for undetected cancers. However, CEA levels provide important information about patient prognosis, recurrence of tumors after surgical removal, and effectiveness of therapy. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 28 days | Carcinoembryonic Antigen | Immunoassay (IA) | 0 | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 7352 | Cardiolipin Antibodies (IgA, IgG, IgM) | 86147 (x3) | Cardiolipin antibodies (CA) are seen in a subgroup of patients with autoimmune disorders, particularly systemic lupus erythematosus (SLE), who are at risk for vascular thrombosis, thrombocytopenia, cerebral infarct and/or recurrent spontaneous abortion. Elevations of CA associated with increased risk have also been seen in idiopathic thrombocytopenic purpura, rheumatoid and psoriatic arthritis, and primary Sjogren's syndrome. Cardiolipin antibodies (CA) are seen in a subgroup of patients with autoimmune disorders, particularly systemic lupus erythematosus (SLE), who are at risk for vascular thrombosis, thrombocytopenia, cerebral infarct and/or recurrent spontaneous abortion. Elevations of CA associated with increased risk have also been seen in idiopathic thrombocytopenic purpura, rheumatoid and psoriatic arthritis, and primary Sjogren's syndrome. | Cardiolipin Antibody (IgA) Cardiolipin Antibody (IgG) Cardiolipin Antibody (IgM) | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Anticardiolipin | Immunoassay (IA) | 0 | |||||||
| 850857 | Carisoprodol, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Carisoprodol Meprobamate Present in the following medication: Soma, Carisoma, Dance, Ds | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 70107 | Carnitine | 82379 | Serum carnitine analysis is useful in the diagnosis and monitoring of patients with carnitine deficiency (either primary or secondary). Primary carnitine deficiency is an autosomal recessively inherited genetic condition that affects carnitine uptake by cells and tissues through a defect in the plasma membrane carnitine transporter. Secondary carnitine deficiency can be seen in some disease states or in patients on carnitine-poor diets, but is also seen in a number of metabolic disorders. In these disorders, carnitine complexes with the accumulated substrate of the blocked metabolic step, and the resulting acylcarnitine ester is excreted in the urine, leading to a depletion of carnitine in the patient. | Serum Separator Tube (SST) | Room temperature: 5 hours Refrigerated: 5 days Frozen: 30 days | Serum | Room temperature: 5 hours Refrigerated: 5 days Frozen: 30 days | Moderate and gross hemolysis • Received room temperature | 0 | Separate serum by centrifugation. Avoid hemolysis. Remove serum and place in plastic tube. Freeze immediately afterseparation. | |||||||||
| 8061 | Catecholamines, Fractionated and VMA, 24-Hour Urine without Creatinine | 82384, 84585 | The three catecholamines (norepinephrine, epinephrine and dopamine) are the principal secretory products of neural tissue. Clinically, the measurement of circulating catecholamines is valuable in the diagnosis of catecholamine secreting tumors associated chiefly with hypertension (pheochromocytomas, neuroblastomas and gangliomas) and with the evaluation of orthostatic hypotension. | Dopamine, Epinephrine, Norepinephrine, Total Catecholamines (calculated), VMA | Plastic urine container | Room temperature: 7 days Refrigerated: 14 days Frozen: 49 days | Urine | Room temperature: 7 days Refrigerated: 14 days Frozen: 49 days | Received room temperature • Received refrigerated | See individual tests | 0 | It is preferable for the patient to be off medications for three days prior to collection. However, common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) may cause minimal or no interference. Patient should avoid tobacco, tea, coffee, and strenuous exercise for 8-12 hours prior to collection. Collect 24-hour urine with 25 mL of 6N HCl to maintain a pH below 3. Urine without preservative is acceptable if pH is <6 and sample is shipped frozen. Record 24-hour urine volume on specimen and test requisition. | |||||||
| 39626 | Catecholamines, Fractionated and VMA, 24-Hr Urine with Creatinine | 82384, 82570, 84585 | Catecholamines include the hormones epinephrine, norepinephrine, and dopamine. Catecholamines, along with VMA, are produced in chromaffin cell tumors, pheochromocytoma, ganglioneuroma, and neuroblastoma. Symptoms of pheochromocytomas include episodic hypertension, headaches, sweating, heart palpitations, and anxiety. | Creatinine, Norepinephrine, Epinephrine, Dopamine, and Total Catecholamines (calculated), VMA | 24-hour urine collection preserved with 6N HCl | Room temperature: 7 days Refrigerated: 14 days Frozen: 49 days | Urine | Room temperature: 7 days Refrigerated: 14 days Frozen: 49 days | See individual tests | 0 | It is preferable for the patient to be off medications for three days prior to collection. However, common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patient should avoid alcohol, coffee, tea, tobacco (including use of nicotine patch), bananas, citrus fruits and strenuous exercise prior to collection. Collect 24-hour urine with 25 mL of 6N HCl to maintain a pH below 3. Urine without preservative is acceptable if pH is below 6 and the sample is shipped frozen. Record 24-hour urine volume on test requisition and urine vial. | ||||||||
| 39627 | Catecholamines, Fractionated, 24-Hour Urine with Creatinine | 82384 | The three catecholamines (norepinephrine, epinephrine and dopamine) are the principal secretory products of neural tissue. Clinically, the measurement of circulating catecholamines is valuable in the diagnosis of catecholamine secreting tumors associated chiefly with hypertension (pheochromocytomas, neuroblastomas and gangliomas) and with the evaluation of orthostatic hypotension. | Dopamine, Epinephrine, Norepinephrine, Total Catecholamines (calculated) | 24-hour urine container-25 mL 6N HCL | Room temperature: 7 days Refrigerated: 30 days Frozen: 49 days | Urine | Room temperature: 7 days Refrigerated: 30 days Frozen: 49 days | Boric acid preserved urine • Acetic acid preserved urine | High Performance Liquid Chromatography (HPLC) | 0 | It is preferable for the patient to be off medications for three days prior to collection. Common antihypertensives (Diuretics, Ace Inhibitors, Calcium Channel Blockers, Alpha and Beta Blockers) may cause minimal or no interference.Preferred Specimen(s)10 mL aliquot from a 24-hour collection preserved with 6N HCI at the start of collection. | |||||||
| 314 | Catecholamines, Fractionated, Plasma | 82384 | Diagnosis of pheochromocytoma and araganglioma, as an auxiliary test to fractionated plasma and urine metanephrine measurements (plasma metanephrine is the preferred test for this diagnosis) Diagnosis and follow-up of patients with neuroblastoma and related tumors, as an auxiliary test to urine vanillylmandelic acid and homovanillic acid measurements Evaluation of patients with autonomic dysfunction or failure or autonomic neuropathy. | Dopamine, Epinephrine, Norepinephrine and Total Catecholamines (calculated) | Sodium heparin (green-top) tube | Room temperature: 6 hours Refrigerated: 6 hours Frozen: 30 days | Plasma | Room temperature: 6 hours Refrigerated: 6 hours Frozen: 30 days | Received room temperature • Received refrigerated | High Performance Liquid Chromatography (HPLC) with Electrochemical Detection | 0 | Patients should be relaxed in either a supine or upright position before blood is drawn. States of anxiety and stress can cause fluctuations in the catecholamine levels. Draw specimen in a pre-chilled green-top vacutainer. Plasma should be separated in a refrigerated centrifuge within 30 minutes of collection and then frozen immediately at -20°C in plastic vials. | |||||||
| 5244 | Catecholamines, Fractionated, Random Urine | 82384, 82570 | A first- and second-order screening test for the presumptive diagnosis of catecholamine-secreting pheochromocytomas and paragangliomas. Confirming positive plasma metanephrine results. | Creatinine, Norepinephrine, Epinephrine, Dopamine, and Total Catecholamines (calculated) | Plastic urine container | Room temperature: 7 days Refrigerated: 30 days Frozen: 49 days | Urine | Room temperature: 7 days Refrigerated: 30 days Frozen: 49 days | High Performance Liquid Chromatography (HPLC) | 0 | It is preferable for the patient to be off medications for a minimum of 18-24 hours prior to collection. However, common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patient should avoid alcohol, coffee, tea, tobacco and strenuous exercise for 8-12 hours prior to collection. Adjust a well mixed random urine sample with 6N HCl to maintain a pH below 3. Urine without preservative is acceptable if pH is below 6 and the sample is shipped frozen. | ||||||||
| 1002 | CBC With Differential | 85025 | A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes. | WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) If abnormal cells are noted on a manual review of the peripheral blood smear or if the automated differential information meets specific criteria, a full manual differential will be performed. | Lavender-top (EDTA) tube | Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unacceptable | Hemolysis • Clotted • Received frozen | Complete Blood Count | Electronic Cell Sizing/Counting/Cytometry/Microscopy | 0 | Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets. | 0.5 mL | Tube fill capacity | ||||
| 1003 | CBC Without Differential | 85025 | A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes. | WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils) | Lavender-top (EDTA) tube | Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unacceptable | Hemolysis • Clotted • Received frozen | Complete Blood Count | Electronic Cell Sizing/Counting/Cytometry/Microscopy | 0 | Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets. | ||||||
| 164914 | CCP Antibodies IgG/IgA | 86200 | A synthetic circular peptide containing citrulline called CCP IgG (cyclic citrullinated peptide) has been found to be better at discriminating Rheumatoid Arthritis patients from other patients than either the perinuclear autoantibody test or the test for rheumatoid factor. Approximately 70% of patients with Rheumatoid Arthritis are positive for Anti-CCP IgG, while only about 2% of random blood donors and disease controls subjects are positive. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia • Plasma | Citrullinated Peptide (CCP) IgG, CCP, Anti-Cyclic Citrullinated Peptide (CCP) Antibody IgG | Immunoassay (IA) | 0 | 0.3 mL | 1 mL | ||||||
| 11237 | CD25 | 88342 | To identify the presence of CD25 on the surface of the t lymphocytes, if present, this would qualify the patient for ONTAK™therapy. | Sodium Heparin (green-top) | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Received frozen | Immunohistochemical Assay | 0 | |||||||||
| 19146 | CD4, IHC with Interpretation | 88342 | The following CD markers are expressed on specific hemotologic cells. Individual and a series of IHC markers can be run on unknown cells and presence or absence of the antigen can help to characterize the cell of interest. | IHC specimen transport kit | Room temperature: Indefinite Refrigerated: Indefinite Frozen: Unacceptable | Formalin-fixed paraffin embedded tissue | Room temperature: Indefinite Refrigerated: Indefinite Frozen: Unacceptable | Received frozen | Immunohistochemical Stain (IHC) | 0 | Pathology report is required | ||||||||
| 19860 | CD57, CD3, CD8, Flow Cytometry | 88184, 88185 (x2) | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Gross hemolysis • Lipemia • Icteric • Received refrigerated • Receivedfrozen | CD57, CD3, CD8, Flow Cytometry | Flow Cytometry (FC) | 0 | |||||||||
| 165142 | Celiac Disease Panel | 83516 (4) , 82784 | Celiac disease is a gluten enteropathy occurring in both children and adults. The disease is probably underdiagnosed in that it may affect as much as 1% of the population in the US. The condition is characterized by a sensitivity to gluten (found in wheat, barley, and rye) that causes inflammation and atrophy of the villi of the small intestine, malabsorption, etc. This sensitivity to gluten may also be seen in dermatitis herpetiformis. Strict avoidance of gluten in the diet will control disease activity, and antibodies to serum markers will disappear with time. | Deamidated Gliadin Abs, IgA; Deamidated Gliadin Abs, IgG; t-Transglutaminase (tTG) IgA; t-Transglutaminase (tTG) IgG; Immunoglobulin A | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Enzyme immunoassay (EIA); indirect immunofluorescence | 0 | |||||||||
| 4562 | Cell Count and Differential, Synovial Fluid | 89051 | Immunologic, mechanical, chemical or bacteriologic damage may alter the permeability of the membrane and capillaries to produce varying degrees of inflammatory response. Various disorders produce changes in the chemical constituents of the joint fluid and in the type of cell population present. | Color, Appearance, Total Nucleated Cell Count, Neutrophils %, Lymphocytes %, Monocyte/Macrophage %, Eosinophils %, Synoviocytes % | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated (2-8°C): 48 hours Frozen: Unacceptable | 3 mL synovial fluid | Room temperature: 48 hours Refrigerated (2-8°C): 48 hours Frozen: Unacceptable | Clotted • Received frozen | Microscopy Visual Examination | 0 | ||||||||
| 326 | Ceruloplasmin | 82390 | Decreased levels of ceruloplasmin are found in Wilson's Disease, fulminant liver failure, intestinal malabsorption, renal failure resulting in proteinuria, chronic active hepatitis and malnutrition. Elevated levels are found in primary biliary cirrhosis, pregnancy (first trimester), oral contraceptive use and in acute inflammatory conditions since ceruloplasmin is an acute phase reactant. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 60 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 60 days Frozen: 90 days | Wilson's Disease, Copper Oxide | Nephelometry | 0 | |||||||||
| 11361 | Chlamydia trachomatis RNA, TMA | 87491 | C. trachomatis infections are the leading cause of sexually transmitted diseases in the united states. C. trachomatis is known to cause cervicitis, pelvic inflammatory disease (PID), epididymitis and proctitis. It is also the most frequent cause of non-gonococcal urethritis in men. Among women, the consequences of chlamydial infections are severe if left untreated. Approximately half of chlamydial infections are asymptomatic. | Urine Container or SurePath or ThinPrep or PCR Media Cobas Swab | 36 hrs | Urine or Swab | 36 hrs | • Endocervical and vaginal specimen tubes with no swabs or with two swabs • Specimens that appear bloody or have a dark brown color | CT | Dual Kinetic Assay (DKA) • Target Capture • Transcription-Mediated Amplification (TMA) | 0 | ||||||||
| 29479 | Chlamydia/Chlamydophila Antibody Panel 3 (IgG, IgA, IgM) | 86631(x6), 86632 (x3) | Chlamydia/Chlamydophila species include C. pneumoniae, C. psittaci, and C. trachomatis. Each may cause pneumonia and other overlapping medical conditions. | Chlamydia trachomatis (IgG, IgM, IgA), Chlamydophila pneumoniae (IgG, IgM, IgA), Chlamydophila psittaci (IgG, IgM, IgA) | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Immunofluorescence Assay (IFA) | 0 | |||||||||
| 850837 | Chlordiazepoxide, LCMS Confirmation, Ur | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Chlordiazepoxide Nordiazepam Oxazepam Present in the following medication: Librium, Poxi, Libritabs, Mitran | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | ||||||||||
| 3160 | Chloride, 24 hr Urine | 82436, 82570 | Urine chloride excretion approximates the dietary intake. The chloride content of most foods parallels that of sodium. An increase in urine chloride may result from water deficient dehydration, diabetic acidosis, Addison's Disease, and salt-losing renal disease. Decreased urine levels are seen in congestive heart failure, severe diaphoresis and in hypochloremic metabolic alkalosis due to prolonged vomiting. | 24-hour urine container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Urine | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Urine preserved with HCl | Ion Selective Electrode (ISE) | 0 | Refrigerate during collection. Record total volume and collection duration on specimen container and test requisition. | ||||||||
| 4016 | Chloride, Serum | 82435 | Serum chloride is the major extracellular anion and counter-balances the major cation, sodium, maintaining electrical neutrality of the body fluids. Two thirds of the total anion concentration in extracellular fluids is chloride and it is significantly involved in maintaining proper hydration and osmotic pressure. Movement of chloride ions across the red blood cell membrane is essential for the transport of biocarbonate ions in response to changing concentrations of carbon dioxide. Chloride measurements are used in the diagnosis and treatment of electrolyte and metabolic disorders such as cystic fibrosis and diabetic acidosis. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Anticoagulants other than heparin | Ion-selective electrode (ISE) | 0 | 0.5 mL | 1 mL | |||||||
| 9830 | Chloride, Urine | 82436, 82570 | Urine chloride excretion approximates the dietary intake. The chloride content of most foods parallel that of sodium. An increasein urine chloride may result from water deficient dehydration, diabetic acidosis, Addison's disease, and salt-losing renal disease. Decreased urine levels are seen in congestive heart failure, severe diaphoresis and in hypochloremic metabolic alkalosis due toprolonged vomiting. | Urine container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Random urine - no preservative | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Ion Selective Electrode (ISE) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 4060 | Cholesterol, Total | 82465 | Total LDL and HDL cholesterol, in conjunction with a triglyceride determination, provide valuable information for the risk of coronary artery disease. Total serum cholesterol analysis is useful in the diagnosis of hyperlipoproteinemia, atherosclerosis, hepatic and thyroid diseases. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 90 days | Gross hemolysis • Anticoagulantsother than heparin • Moderate togross icterus | Spectrophotometry (SP) | 0 | If a cholesterol measurement is to be performed along with triglycerides, the patient should be fasting 9-12 hours prior to collection. | 0.5 mL | 1 mL | ||||||
| 15000 | Cholestrol/HDL Ratio | To calculate your cholesterol ratio, divide your total cholesterol number by your HDL cholesterol number. So if your total cholesterol is 200 mg/dL (5.2 mmol/L) and your HDL is 50 mg/dL (1.3 mmol/L), your ratio would be 4-to-1. Higher ratios mean ahigher risk of heart disease. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 90 days | Gross hemolysis • Anticoagulantsother than heparin • Moderate togross icterus | Cholestrol, CHO/HDL Ratio, chol, hdl, ratio | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 34088 | Chromatin (Nucleosomal) Antibody | 86235 | Chromatin Antibody plays a central role in the autoimmune response in systemic lupus erythematosus (SLE). Approximately 90% of patients with SLE have sera that will exhibit reactivity to nucleosomes. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia • Grossly icteric | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 6085 | Chromium, Blood | 82495 | This assay is useful to monitor exposure to chromium, progress of medical treatment or determine nutritional status. | EDTA (royal blue-top) tube | Room temperature: 48 hours Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 7 days Frozen: Unacceptable | Clotted specimen | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | To avoid contamination, use powderless gloves. Draw one (royal-blue top) tube of blood and discard. Draw second (royal blue-top) tube, label tube with patient name. | ||||||||
| 5248 | Chromium, Serum | 82495 | Occupational exposure and exposure to environmental contamination of Chromium may lead to toxicity. The need for Chromium supplements is unproven. Supplements taken in excess may also lead to Chromium toxicity. | No additive (royal blue-top) tube | Room temperature: 5 days Refrigerated: 10 days Frozen: 21 days | Serum | Room temperature: 5 days Refrigerated: 10 days Frozen: 21 days | Inductively-coupled plasma/mass spectrometry (ICP/MS) | 0 | Draw one royal blue-top tube of blood and discard. Draw second royal-blue top tube. Allow to clot in an upright position. Centrifuge and pour (do not pipette) the serum into a metal-free tube. | |||||||||
| 16379 | Chromogranin A | 86316 | Chromogranin A (CgA) is used as an adjunct in the diagnosis of carcinoid tumors. Measurements of CgA are also used to assess disease progression, response to therapy, or recurrence after surgical resection. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 14 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 14 days | Moderate to gross hemolysis • Moderate to gross lipemia • Icteria | Electrochemiluminescence (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.1 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.2 mL | ||||||
| 100090 | Chromosome Analysis- Leukemic Blood (CYTO LPB | Sodium heparin (green-top) tube | Whole blood | 0 | |||||||||||||||
| 14596 | Chromosome Analysis, Blood | 88230, 88262 | This test may assist with the detection of common chromosome abnormalities. | Sodium heparin (green-top) tube | Room temperature: See Instructions Refrigerated: See Instructions Frozen: Do not freeze | Whole blood | Room temperature: See Instructions Refrigerated: See Instructions Frozen: Do not freeze | Karyotype | Culture • Karyotype • Microscopy | 0 | Other Vacutainer™ tubes containing sodium heparin are acceptable. Specimen viability decreases during transit. Send specimen to testing lab for viability determination. | ||||||||
| 850868 | Citalopram, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Citalopram Desmethylcitalopram Present in the following medication: Celexa, Cipramil | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 4616 | Citric Acid, 24-Hour Urine with Creatinine | 82507, 82570 | Diagnosing risk factors for patients with calcium kidney stones Monitoring results of therapy in patients with calcium stones or renal tubular acidosis. | Plastic urine container | Room temperature: 8 hours Refrigerated: 30 days Frozen: 60 days | Urine | Room temperature: 8 hours Refrigerated: 30 days Frozen: 60 days | Received room temperature • Acidified urine | Citrate | Spectrophotometry (SP) • Enzymatic | 0 | Collect urine without preservative. Refrigerate during and after collection. Record total volume on specimen and test requisition. 10 mL aliquot of 24-hour urine collection | |||||||
| 11315 | Citric Acid, 24-Hour Urine without Creatinine | 82507 | Urine levels of citrate are increased in metabolic and respiratory alkalosis. Increased citrate excretion is associated with increased calcium excretion due to the formation of soluble citrate-calcium complexes in the kidney. Citrate levels are decreased in metabolic acidosis. As a result of lowered citrate excretion, calcium excretion may be reduced resulting in the formation of renal stones. | Plastic urine container | Room temperature: 8 hours Refrigerated: 30 days Frozen: 60 days | Urine | Room temperature: 8 hours Refrigerated: 30 days Frozen: 60 days | Received room temperature • Acidified urine | Spectrophotometry (SP) • Enzymatic | 0 | Collect urine without preservative. Refrigerate during and after collection. Do not include first morning specimen; collect all subsequent voidings. The last sample collected should be the first morning specimen voided the following morning at the same time as the previous morning's first voiding. Record 24-hour urine volume on test request form and urine vial. Please aliquot unpreserved specimen prior to any addition of acid. | ||||||||
| 2155 | CKMB Creatine Kinase | 82553 | Serial quantitation of serum creatine kinase MB (CKMB) levels, often performed at admission and 8-hours, 16-hours, and 24-hours after admission, has traditionally been used as an aid in the diagnosis of myocardial injury. May be useful if the initial troponin determination is abnormal or if a hospitalized patient has a suspected reinfarction. | Serum Separator Tube (SST) | Room temperature: 1 day Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 1 day Refrigerated: 14 days Frozen: 14 days | CPK-MB, CKMB, CPK MB, MB Fraction | Chemiluminescence (CL) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL each tube | ||||||
| 510594 | CLL FISH Panel | EDTA (lavender-top) tube | Serum | 0 | |||||||||||||||
| 850864 | Clomipramine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | ClomipramineN-Desmethylclomipramine | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 850828 | Clonazepam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Clonazepam 7-Aminoclonazepam Present in the following medication: Klonopin, Antelepsin, Rivotril, Paxam | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 90854 | Clorazepate (Tranxene) | 80346 | Orally administered clorazepate is rapidly decarboxylated to its metabolite, nordiazepam. There is essentially no circulating patent drug. Nordiazepam elimination half-life is about 40 to 50 hours. Plasma levels of nordiazepam increase proportionally with clorazepate dose and show moderate accumulation with repeated administration. | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 60 days | Serum | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 60 days | Serum Separator Tube (SST) • Received room temperature | Tranxene | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | After collection, immediately centrifuge, transfer serum to a transport tube. | |||||||
| 1769 | Clozapine | 80159 | Clozapine is an atypical antipsychotic agent. Norclozapine has minimal therapeutic activity. | Clozapine and Norclozapine | Red-top tube (no gel) | Room temperature: 24 hours Refrigerated: 5 days Frozen: 30 days | Serum | Room temperature: 24 hours Refrigerated: 5 days Frozen: 30 days | Gross hemolysis • Gel barrier/Serum Separator Tube (SST) | Clozapine and Norclozapine, Clozaril™ | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | |||||||
| 4006 | CMP with eGFR | 80053 | See individual tests | Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen, eGFR.eGFR is intended for patients with stable renal functio | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 3 days Frozen: Unacceptable | Serum | Room temperature: 3 days Refrigerated: 3 days Frozen: Unacceptable | CMP, Metabolic Panels | See individual tests | 0 | Fasting specimen is preferred. Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 35417 | Cobalt, Blood | 83018 | Cobalt is part of our diet. Approximately 85% of absorbed cobalt is excreted in the urine and the remainder eliminated in stool. Toxicity may occur in select industrial environments. Cobalt is not mined in the United States so primary supplies are imported. | EDTA (royal blue-top) tube | Room temperature: 48 hours Refrigerated: 5 days Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 5 days Frozen: Unacceptable | Inductively-coupled plasma/mass spectrometry (ICP/MS) | 0 | Patient should refrain from taking mineral supplements, vitamin B12 or vitamin B complex 3 days prior to specimen collection. Avoid worksite collection. To avoid contamination, use powderless gloves. Do not aliquot specimens. | |||||||||
| 15240 | Coccidioides Antibody, CF and ID, Serum | 86635 (x2) | Coccidioides Antibody, CFCoccidioides Antibody, ID | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | 0 | |||||||||||
| 850843 | Codeine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Codeine Morphine Hydrocodone Present in the following medication: Tylenol3, Tylenol4, Tylenol5 | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 19826 | Coenzyme Q10 | 82491 | Coenzyme Q10 (CoQ10) is a fat soluble cofacter that is essential for energy producing metabolic pathways and for the proper functioning of the mitochondrial oxidative system. With insufficient CoQ10, the electron transfer activity of the mitochondria decreases, resulting in a net failure to produce the energy necessary to run the cell. Tissues with high energy demand have even greater demands for CoQ10. For example, heart muscle, which continually exerts a pumping action for an entire lifetime, has an immense need for the cofactor. Studies demonstrate the effectiveness of supplemental coenzyme Q10 in cardiomyopathy, myocardial dysfunction, and congestive heart failure. CoQ10 is also a powerful antioxidant like vitamins E and C, and thus serves the role of neutralizing excess free radicals. It is now well established that the control of excessive free radical activity is key in preventing/delaying the progression of degenerative diseases. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 7 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 7 days | Received room temperature • Received refrigerated • Not protected from light | High Performance Liquid Chromatography (HPLC) | 0 | Send serum in an amber vial or wrap a clear, plastic screw-cap vial in foil. Protect from light. Freeze and ship frozen Patient Preparation: Patient should fast 8-12 hours prior to collection. Patient may have water. It is not necessary to discontinue nutritional supplements prior to this test. | ||||||||
| 17406 | Collagen Type I C-Telopeptide (CTx) | 82523 | CTx is useful to assess bone resorption in patients with metabolic bone disease. The test is also useful in monitoring therapy to slow or halt osteoporotic bone loss. | Red-top tube (no gel) | Room temperature: 16 hours Refrigerated: 72 hours Frozen: 90 days | Serum | Room temperature: 16 hours Refrigerated: 72 hours Frozen: 90 days | Moderate to gross hemolysis • Grossly lipemic • Gross icteric | C-Telopeptide, Serum, CTX, Beta-Crosslaps | Electrochemiluminescent Immunoassay | 0 | A minimum of 12 hours fasting is required. Fasting morning collection 8-10 am (diurnal variations cause elevated levels at night). Dietary supplements containing biotin may interfere in assays and may skew results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation. Allow blood to clot (10-15 minutes) at room temperature. Centrifuge and separate the serum from the cells. Freeze as soon as possible. | |||||||
| 31569 | Collagen Type II Antibodies | 83520 | Anti-collagen II antibodies occur in 22% of patients with idiopathic SNHL, 30% of patients with sudden deafness and 20% of patients with Meniere's disease. Anti-collagen II antibodies also occur in patients with relapsing polychondritis and in rheumatoid arthritis. | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 5 days Frozen: 1 year | Serum | Room temperature: 5 days Refrigerated: 5 days Frozen: 1 year | Collagen | Enzyme Linked Immunosorbent Immunoassay (ELISA) | 0 | |||||||||
| 4290 | Comp. Metabolic Panel (14) | 80053 | See individual tests | Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 3 days Frozen: Unacceptable | Serum | Room temperature: 3 days Refrigerated: 3 days Frozen: Unacceptable | CMP | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | ||||||
| 6090 | Complement C3, C4, Serum | 86160 | Decreased C3 and C4 levels may be associated with acute glomerulonephritis, membranoproliferative glomerulonephritis, immune complex disease, active systemic lupus erythematosis, cryoglobulinemia, congenital C4 deficiency and generalized autoimmune disease. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: 90 days | C4 & C3 Complements, Complement Components C3 & C4, C3 & C4 Complements | Immunoturbidimetric | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | 1 mL (adult), 0.5 (pediatric) | |||||||
| 19956 | Complement C4a Level | 86160 | Decreased C4 level is associated with acute systemic lupus erythematosis, glomerulonephritis, immune complex disease, cryoglobulinemia, congenital C4 deficiency and generalized autoimmune disease. | EDTA (lavender-top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable days Frozen: 1 year | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable days Frozen: 1 year | Received room temperature • Received refrigerated | c4a | Radioimmunoassay (RIA) | 0 | Centrifuge at room temperature within one half hour of collection; preferably immediately after venipuncture. Transfer plasmato a clean tube and immediately freeze tand ship frozen. | |||||||
| 981 | Complement Component C1q | 86160 | The complement system is critical to the inflammatory response. C1q concentrations may be decreased in patients with acquired angioedema, immune complex induced vasculitis, and concurrent low concentrations of C1 inhibitor, carcinoma, or lymphoma. | Red-top tube (no gel) | Room temperature: 4 days Refrigerated: 10 days Frozen: 29 days | Serum | Room temperature: 4 days Refrigerated: 10 days Frozen: 29 days | Gross hemolysis • Gross lipemia • Received room temperature | Radial immunodiffusion (RID) | 0 | Separate serum within one hour of draw time and refrigerate. Can be drawn in a gel barrier tube but needs to be separated within one hour from time drawn. | ||||||||
| 433 | Complement Component C2 | 86160 | The complement system is critical to inflammatory responses. C2 is a component of the classical pathway. Decreased concentrations are observed in patients with immune complex diseases such as systemic lupus erythematosus (SLE) and immune complex-induced vasculitis. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 28 days | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 28 days | Grossly lipemic | C2 | 0 | Separate serum within one hour of time drawn and refrigerate. Can be drawn on gel barrier but needs to be separated within one hour of draw time. | ||||||||
| 58689 | Complement, Alternate Pathway (AH50), Functional | 86161 | The complement alternate pathway (AH50) assay is a screening test for complement abnormalities in the alternative pathway. The alternate pathway shares C3 and C5-C9 components, but has unique early complement components designated factors D, B, and P, as well as regulatory factors H and I. This pathway is activated by microbial polysaccharides and does not require immune complex formation. Patients with disseminated infections with pyogenic bacteria in the presence of a normal CH50 may have an absent AH50 due to hereditary or acquired deficiencies of the alternate pathway. Patients with deficiencies in the alternate pathway factors (D, B, P, H, and I) or late complement components (C3, C5-C9) are unusually susceptible to recurrent neisserial meningitis. The use of the CH50 and AH50 assays allow identification of the specific pathway abnormality. | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 14 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 14 days | Serum Separator Tube (SST) | 0 | 1. Immediately after drawing the specimen, place the tube on wet ice. 2. Spin down and separate serum from clot. 3. Freeze specimen within 30 minutes. | |||||||||
| 618 | Complement, Total (CH50) | 86162 | CH50 is a screening test for total complement activity. Levels of complement may be depressed in genetic deficiency, liver disease, chronic glomerulonephritis, rheumatoid arthritis, hemolytic anemias, graft rejection, systemic lupus erythematosis, acute glomerulonephritis, subacute bacterial endocarditis and cryoglobulinemia. Elevated complement may be found in acute inflammatory conditions, leukemia, Hodgkin's Disease, sarcoma, and Behcet's Disease. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Hemolytic Complement | Liposome | 0 | Separate serum into a plastic tube and freeze sample within one hour of time drawn. With multiple tests, submit a separate tube for each test. Do not submit the sample in a glass tube. | ||||||||
| 361 | Coombs, Direct | 86880 | The DAT (Direct Coomb's test) is positive if red cells have been coated, in vivo, with immunoglobulin, complement, or both. A positive result can occur in immune-mediated red cell destruction, autoimmune hemolytic anemia, a transfusion reaction or in patients receiving certain drugs. | EDTA (lavender-top) tube | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Not provided | Whole blood | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Not provided | Gross hemolysis • Serum Separator Tube (SST) • Received frozen • Red-top tube | Direct Antiglobulin Test (DAT) | Immune Agglutination | 0 | ||||||||
| 3481 | Copper, RBC | 82525 | Copper is an essential element that is a cofactor of many enzymes. Copper metabolism is disturbed in Wilson's disease, Menkes disease, primary biliary cirrhosis, and Indian childhood cirrhosis. Copper concentrations increase in acute phase reactions. Copper concentrations are decreased with nephrosis, malabsorption, and malnutrition. Copper concentrations are also useful to monitor patients, especially preterm newborns, on nutritional supplementation. Results of copper are often interpreted together with ceruloplasmin. | EDTA trace metal-free (royal blue-top) tube | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Whole Blood | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Gross hemolysis • Received clotted • Received frozen | 0 | ||||||||||
| 363 | Copper, Serum | 82525 | Copper is an essential element that is a cofactor of many enzymes. Copper metabolism is disturbed in Wilson's disease, Menkes disease, primary biliary cirrhosis, and Indian childhood cirrhosis. Copper concentrations increase in acute phase reactions and during the third trimester of pregnancy. Copper concentrations are decreased with nephrosis, malabsorption, and malnutrition. Copper concentrations are also useful to monitor patients, especially preterm newborns, on nutritional supplementation. Results of copper are often interpreted together with ceruloplasmin. | (royal blue-top) trace element tube | Room temperature: 5 days Refrigerated: 10 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 10 days Frozen: 30 days | Hemolysis • Serum or plasma not separated from cells • Samples submitted in non-trace metal or non-acid washed containers | Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) • Atomic Spectroscopy (AS) | 0 | Separate serum or plasma from cells within two hours. Transfer separated serum/plasma to a plastic acid-washed or metal-free vial. | ||||||||
| 39006 | Coronavirus Diagnostic Panel | TBA | SARS-CoV-2 RNA PCRSARS-CoV-2 IgGSARS-CoV-2 IgM | UTM Swab and SST | Swab &Serum | CORONA, COVID-19, CORONAVIRUS | 0 | ||||||||||||
| 2105 | Cortisol AM/PM | 82533 | Discrimination between primary and secondary adrenal insufficiency Cortisol, the main glucocorticoid (representing 75%-90% of the plasma corticoids) plays a central role in glucose metabolism and in the body's response to stress. Cortisol levels are regulated by adrenocorticotropic hormone (ACTH), which is synthesized by the pituitary in response to corticotropin-releasing hormone (CRH). CRH is released in a cyclic fashion by the hypothalamus, resulting in diurnal peaks (6 a.m.-8 a.m.) and nadirs (11 p.m.) in plasma ACTH and cortisol levels. | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Hydrocortisone, Total Cortisol, Cortisol, Serum | Immunoassay (IA) | 0 | Assay not recommended when patient is on prednisone/prednisolone therapy due to cross reactivity with the antibody used in this assay. | 0.3 mL (Note: This volume does not allow for repeat testing.) | 0.8 mL | ||||||
| 37371 | Cortisol Binding Globulin (TRANSCORTIN) | 84999, 84449 | Cortisol Binding Protein Carries Glucocorticoids in Blood. An α2 globulin called cortisol binding globulin (CBG) binds about 90% of the total circulating cortisol. CBG is synthesized and secreted by the liver and binds cortisol with high affinity. Levels of CBG are increased by estrogen and reduced by glucocorticoids. | Red-top tube (No gel) | Room temperature: 24 hrs Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 24 hrs Refrigerated: 7 days Frozen: 30 days | Transcortin, CBG | 0 | ||||||||||
| 14534 | Cortisol, Free, 24-Hour Urine | 82530 | Referred screening test for Cushing syndrome Diagnosis of pseudo-hyperaldosteronism due to excessive licorice consumption. This test has limited usefulness in the evaluation of adrenal insufficiency. | Creatinine | Plastic urine container | Room Temperature: 48 hours Refrigerated: 7 days Frozen: 5 months | Urine | Room Temperature: 48 hours Refrigerated: 7 days Frozen: 5 months | Received room temperature | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect urine with 10 g of noric acid or keep urine refrigerated during collection if preservative is not used. Record 24 hour urine volume on test request form and urine vial. | |||||||
| 36423 | Cortisol, Free, LC/MS/MS | 82530 | Free cortisol is useful in the detection of patients with Cushing's syndrome for whom free cortisol concentrations are elevated. | Red-top tube (no gel) | Room temperature: 24 hrs Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 24 hrs Refrigerated: 7 days Frozen: 30 days | Free Cortisol, Cortisol Free | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) • Equilibrium Dialysis | 0 | |||||||||
| 19897 | Cortisol, LC/MS/MS, Saliva | 82530 | Screening for Cushing syndrome Diagnosis of Cushing syndrome in patients presenting with symptoms or signs suggestive of the disease. | Salivette tube (SARSTEDT) | Room temperature: 5 days Refrigerated: 7 days Frozen: 2 years | Saliva | Room temperature: 5 days Refrigerated: 7 days Frozen: 2 years | Hemolysis • Any tubes other than Salivette™ | Cortisol, Saliva | Liquid Chromatography/Tandem Mass spectrometry (LC/MS/MS) | 0 | 1. Saliva should be collected at the time(s) prescribed by your doctor. 2. No food or fluids for 30 minutes prior to collection. 3. Do not use any creams, lotions, or steroid inhalers immediately prior to collection. 4. Avoid any activity that can cause your gums to bleed, including brushing and flossing your teeth. Consult with your doctor ifthis is a chronic problem. 5. Do not use this kit on children under 3 years of age or any patient with increased risk of swallowing or choking. Instructions for collection: 1. Rinse mouth thoroughly with water and discard. Do not swallow. 2. Hold the Salivette™ at the rim of the suspended insert and remove the stopper. | |||||||
| 37477 | Coxsackie A Antibodies, Serum | 86658 | Panel currently includes testing against 2, 4, 7, 9, 10, and 16 antigens. Although there is cross-reactivity among the enteroviruses by CF, most healthy people do not have titers >1: 8. Therefore, detectable titers, especially those >1: 32, should be considered diagnostic. Confirmed serodiagnosis is made by demonstration of a four-fold change in titers between acute and convalescent sera. | Coxsackie Antibodies A2, A4, A7, A9, A10, A16 | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Complement Fixation (CF) | 0 | |||||||||
| 7656 | Coxsackie B (1-6) Antibodies, CSF | 86658 | Coxsackie Antibodies B1, B2, B3, B4, B5, B6 | Plastic screw-cap vial | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | CSF | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Complement fixation (CF) | 0 | ||||||||||
| 4032 | CPK, Total | 82550 | Test for myocardial infarction and skeletal muscle damage. Elevated results may be due to: myocarditis, myocardial infarction (heart attack), muscular dystrophy, muscle trauma or excessive exercise. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Creatine Kinase, CK | Spectrophotometry (SP) | 0 | If CK and CK Isoenzymes are ordered together, specimen must be submitted frozen. | ||||||||
| 4451 | Creatine Kinase Isoenzymes (CK Isoenzymes) with Total CK | 82550, 82552 | CK-BB, CK-MB, CK-MM and (CK) Total | Serum Separator Tube (SST) | Serum | CPK | 0 | ||||||||||||
| 8630 | Creatinine Clearance, 24 Hr Ur | 82575 | Creatinine Clearance is used to evaluate the glomerular filtration rate (GFR). Clearance is defined as that volume of plasma from which a measured amount of substance could be completely eliminated into the urine per unit of time. Daily creatinine production is fairly constant except when there is massive injury to muscle. | Creatinine (serum and urine), Creatinine Clearance (calculation), eGFR | 10 mL aliquot from a well-mixed, 24h urine collection no preservative. And 1 Serum Separator Tube | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum AND urine (24-hour) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Grossly icteric serum | Spectrophotometry (SP) | 0 | Record total volume and collection duration on specimen container and test requisition. Indicate the patient's height (in feet and inches) and weight (in lbs.) on test requisition. Note: A serum creatinine level must be collected within 24 hours of the beginning or ending of the urine collection in Serum Separator Tube (SST). | 0.5 mL serum AND 0.5 mL urine | 1 mL serum AND 10 mL aliquot of entire urine collection | |||||
| 8035 | Creatinine, 24-Hour Urine | 82570 | Creatinine is the endproduct of creatine metabolism. Creatine is present primarily in muscle and the amount of creatinine produced is related to total skeletal muscle mass. Daily creatinine production is fairly constant except when there is massive injury to muscle. The kidneys excrete creatinine very efficiently and blood levels and daily urinary excretion of creatinine fluctuates very little in healthy normal people. Since blood and daily urine excretion of creatinine shows minimal fluctuation, creatinine excretion is useful in determining whether 24-hour urine specimens for other analytes (e.g., protein) have been completely and accurately collected. | Plastic screw-cap container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | 24-hour urine | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Colorimetric • Kinetic | 0 | Record total volume and collection time on specimen container and test requisition. | 0.5 mL aliquot | 10 mL aliquot of entire collection | |||||||
| 8104 | Creatinine, Random Urine | 82570 | Creatinine is the endproduct of creatine metabolism. Creatine is present primarily in muscle and the amount of creatinine produced is related to total skeletal muscle mass. Daily creatinine production is fairly constant except when there is massive injury to muscle. The kidneys excrete creatinine very efficiently and blood levels and daily urinary excretion of creatinine fluctuates very little in healthy normal people. Since blood and daily urine excretion of creatinine shows minimal fluctuation, creatinine excretion is useful in determining whether 24-hour urine specimens for other analytes (e.g., protein) have been completely and accurately collected. | Plastic screw-cap container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Urine | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Kinetic | 0 | Label the urine container with the patient's full name and the date and time of collection. | 1 mL | 10 mL | |||||||
| 4010 | Creatinine, Serum | 82565 | Serum creatinine is useful in the evaluation of kidney function and in monitoring renal dialysis. A serum creatinine result within the reference range does not rule out renal function impairment: serum creatinine is not sensitive to early renal damage since it varies with age, gender and ethnic background. The impact of these variables can be reduced by an estimation of the glomerular filtration rate using an equation that includes serum creatinine, age and gender. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Grossly icteric • Anticoagulants other than heparin | Kinetic Jaffe | 0 | Separate serum or plasma from cells within 45 minutes of collection. | 0.5 mL | 1 mL | ||||||
| 2135 | CRP, High Sensitivity | 86141 | Assessment of risk of developing myocardial infarction in patients presenting with acute coronary syndromes C-reactive protein (CRP) is a biomarker of inflammation. Plasma CRP concentrations increase rapidly and dramatically (100-foldor more) in response to tissue injury or inflammation. High-sensitivity CRP (hs-CRP) is more precise than standard CRP when measuring baseline (ie, normal) concentrations and enables a measure of chronic inflammation. Atherosclerosis is an inflammatory disease and hs-CRP has been endorsed by multiple guidelines as a biomarker of atherosclerotic cardiovascular disease risk. (1-3) | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 90 days | Gross hemolysis • Grossly lipemic | hsCRP, CRP | Immunochemiluminometric Assay (ICMA) | 0 | Separate serum from cells within one hour after collection. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | |||||
| 4082 | CRP, Quant | 86140 | Detecting systemic inflammatory processes. Detecting infection and assessing response to antibiotic treatment of bacterial infections. Differentiating between active and inactive disease forms with concurrent infection. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 90 days | Gross hemolysis • Grossly lipemic | CRP | Latex immunoturbidimetry | 0 | 1 mL | |||||||
| 36562 | Cryoglobulin (% Cryocrit), Serum | 82595 | The Cryocrit is primarily intended for following a patient with previously defined and quantitated Cryoglobulins. The Cryocrit may consist of Cryoglobulins, fibrin or mixtures of Cryoglobulins and fibrin. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Serum | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Gross hemolysis • Lipemia • Received refrigerated • Receivedfrozen • Serum Separator Tube(SST) | Cryoglobulin, Qualitative | Visual inspection for the formation of Cryoglobulin • Cryocrit calculation, if positive | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 37358 | Cryoglobulin Screen with Reflex to Cryoglobulin Profile | 82595 | Cryoglobulins are proteins that precipitate from serum at temperatures below 37°C. Most precipitate when serum is cooled at 4°C, but some gel even at room temperature. The gel or precipitate must redissolve at 37°C to be classified as a cryoglobulin. | If cryoglobulin is present (positive), it is identified. Positives are semi-quantitated (as % cryoglobulin) by cryocrit. When Cryoglobulin Screen is positive, Cryoglobulin Profile (Cryocrit Immunofixation, Cryocrit Immunodiffusion and RheumatoidFactor) will be performed at an additional charge (CPT Code(s): 86334, 86329, 86431). | Red-top tube (no gel) | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Cryocrit • Electrophoresis • Immunodiffusion (ID) • Rate Nephelometry | 0 | Collect 20 mL of fasting whole blood specimen in a red-top tube (no gel). Allow serum to clot for one hour in 37°C water bath,oven, incubator, or heat block. After clotting, centrifuge the specimen for 10 minutes at 3000 rpm utilizing one of the 3 options below: 1) In a warm centrifuge at 37°C2), In a bench-top centrifuge placed in a warm room at 37°C3), At room temperature, in a bench-top centrifuge pre-warmed by running it for 10 minutes at 2000 rpmAfter centrifuging, decant serum into a screw-cap vial. Transport at room temperature. Avoid hemolysis. | ||||||||
| 90389 | Cryptosporidium Antigen, EIA | 87015, 87272 | Cryptosporidium is the causative agent of cryptosporidiosis. Symptoms include diarrhea, abdominal pain and respiratory problems lasting from several days to more than a month and often leading to persistant infection or death. | 0 mL stool preserved in 10% formalin or Total-Fix(TM) transport vial | Stool (fresh, unpreserved) Room temperature: Unacceptable Refrigerated: 48 hours Frozen: 60 days | Stool | Stool (fresh, unpreserved) Room temperature: Unacceptable Refrigerated: 48 hours Frozen: 60 days | Concentrated specimens • Stool with PVA | 0 | ||||||||||
| 4563 | Crystal,Synovial | 89060 | Clinical Significance: To rule out pathologic crystals. Specimen Stability: Room temperature: 48 hours Refrigerated (2-8°C): 48 hours Frozen: Unacceptable Reject Criteria: Clotted | EDTA (lavender-top) tube or heparin (green-top) tube | Synovial fluid ONLY. | Uric Acid Crystals | Microscopy/Polarized Light | 0 | Container must state collection site. | ||||||||||
| 11363 | CT/NG NAA PCR | 87491, 87591 | C. trachomatis infections are the leading cause of sexually transmitted diseases in the United States. C. trachomatis is known to cause cervicitis, pelvic inflammatory disease (PID), epididymitis and proctitis. It is also the most frequent cause of non-gonococcal urethritis in men. Among women, the consequences of Chlamydial infections are severe if left untreated. Approximately half of Chlamydial infections are asymptomatic. Neisseria gonorrhoeae (gonococci) is the causative agent of gonorrhea. In men, this disease generally results in anterior urethritis accompanied by purulent exudate. In women, the disease is most often found in the cervix, but the vagina and uterus may alsobe infected. | Chlamydia trachomatis, Neisseria gonorrhoeae | Urine Container or SurePath or ThinPrep or PCR Media Cobas Swab | Urine | • Endocervical and vaginal specimen tubes with no swabs or with two swabs • Specimens that appear bloody or have a dark brown color | Chlamydia trachomatis, Neisseria gonorrhoeae | Dual Kinetic Assay (DKA) • Target Capture • Transcription-Mediated Amplification (TMA) | 0 | |||||||||
| 11364 | CT/NG/Trich PCR | 87491, 87591, 87661 | Detecting the present of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis. | Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis PCR | Urine Container or SurePath or ThinPrep or PCR Media Cobas Swab | 36 hrs | Urine | 36 hrs | • Endocervical and vaginal specimen tubes with no swabs or with two swabs • Specimens that appear bloody or have a dark brown color | CT/NG, Trich, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis | 0 | Note: Trich is performed on urine samples ONLY, please collect in addition if other container was used. | |||||||
| 4446 | Culture, Anaerobic and Aerobic | 87070, 87075, 87205 | Deep wound/abscess infections are often caused by a mixture of aerobic and anaerobic bacteria. | Culture, Aerobic Bacteria and Culture, Anaerobic Bacteria with Gram Stain | Transport device(s) appropriate for aerobic and anaerobic culture, such as Anaerobic Transport Media | abscess, deep wound, tissue, normally sterile body fluids other than blood | Specimens not in an anaerobic transport medium • Expired transport media • Throat specimens • Nasopharyngeal specimens • Sputum or bronchoscopic specimens • Specimens not collected by Double Lumen Brush technique • Stool and rectal swabs • Urine-voided or catheter • Vaginal and cervical • Specimens from sites contaminated with intestinal contents • Superficial or fresh wounds • External ear • External eye • Intrauterine device • Tracheal aspirates | Abscess Culture, Body Fluid Culture, wound, wound culture | Direct Microscopy • Bacterial Culture • Aerobic and Anaerobic Isolation | 0 | Tissues and fluids are superior to a swab specimen. If swabs must be used, collect 2 anaerobic transport swabs, one for cultureand one for gram stain OR submit one anaerobic transport swab with one air dried smear OR one ESwab (white-cap) for bothculture and gram stain. Specimens not listed as acceptable may be processed for anaerobic culture only after consultation with a Quest Microbiology Scientific Director. Do not submit syringe with needle attached. If submitting syringe, remove needle, expel air and cap syringe. Purulent sterile body fluids not submitted in an anaerobic transport tube may be accepted for culture if received within 8 hours of collection. | ||||||||
| 389 | Culture, Blood | 87040 | Bacterial sepsis constitutes one of the most serious infectious diseases. The detection of microorganisms in a patient's blood has importance in the diagnosis and prognosis of endocarditis, septicemia, or chronic bacteremia. | Aerobic culture, anaerobic culture. If culture is positive, identification will be performed at an additional charge (CPT code(s): 87076 or 87106 or 87077 or 87140 or 87143 or 87147 or 87149).Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186). | BD BACTEC Plus Aerobic/F (blue label and cap) and Lytic/10 Anaerobic/F bottles (purple label and c | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Adults: 8-10 mL of blood in each of BD BACTEC™ Plus™ Aerobic/F (blue label and cap) and Lytic/10 Ana | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Blood specimens collected in EDTA, sodium citrate or anticoagulants such as SPS orheparin • Frozen specimens • Specimens broken in transit | Listeria Culture, Fungus Culture, Blood, Blood Culture, Brucella, Blood Culture | Automated continuous monitoring using fluorescent detection. | 0 | Do not pre-incubate bottles prior to shipment. | ||||||
| 388 | Culture, CSF | 87070, 87205 | Cerebrospinal fluid cultures are of importance in the diagnosis of bacterial meningitis, an inflammation of the meninges. The most common causes of this life threatening condition are E. coli and Group B streptococci in neonates, H. influenzae (2 months-5 years), N. meningitidis (all ages, most common in older children and young adults) and S. pneumoniae (all ages). | Aerobic culture and Gram Stain. If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or87184 or 87185 or 87186). | Sterile, plastic screw-cap tube or Port-A-Cul(TM) gel vial | Transport to the lab as soon aspossible. | Cerebrospinal fluid | Transport to the lab as soon aspossible. | Refrigerated | Listeria Culture, Cerebrospinal Fluid (CSF) Culture | Bacterial culture, aerobic, anaerobic, microscopy, routine isolation | 0 | |||||||
| 2627 | Culture, Cytomegalovirus Conventional and Rapid | 87252, 87254 | Cytomegalovirus (CMV) is ubiquitous, infecting 60-80% of individuals by adulthood in the U.S. In certain populations, antibodies to CMV are detected in 100% of sera tested. Most infections are asymptomatic, and only about 1% of those infected actually experience clinical manifestations of CMV disease. CMV belongs to the herpes virus group including Herpes Simplex, Varicella-Zoster, and Epstein-Barr Virus. Characteristic of this group is the ability to establish latent infections with sporadic episodes of reactivation of disease or viral shedding. CMV has been identified as the etiologic agent in a variety of conditions including congenital abnormalities, mononucleosis-like syndromes, pneumonitis in infants, and interstitial pneumonias in immunocompromised populations such as renal transplant recipients, individuals with AIDS, and in patients with malignancies. | V-C-M medium (green-cap) tube | Room temperature: Unacceptable Refrigerated: 4 days Frozen -20°C: Unacceptable Frozen -70°C: 30 days | Urine | Room temperature: Unacceptable Refrigerated: 4 days Frozen -20°C: Unacceptable Frozen -70°C: 30 days | Wooden-shaft and calciumalginate swabs may inhibit recovery of viruses and chlamydiae • Stool specimens • Dry swabs • Gel based transport systems | Cytomegalovirus Culture, Conventional and Rapid | Conventional Culture by Immunofluorescence • Spin Amplification | 0 | Note: Urine specimens must not be shipped frozen unless preserved in VCM medium (green-cap) tube or equivalent prior to transport. | |||||||
| 4606 | Culture, Fungus, Blood | 87103 | Blood culture results may aid in the diagnosis of systemic fungal infections. | If culture is positive, identification will be performed at an additional charge (CPT code(s): 87106 or 87107 or 87140 or 87143 or 87149 or 87158). | Bactec Myco F/Lytic aerobic blood bottle | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | blood | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Received frozen • Specimens in EDTA (lavender-top) tube • Specimens in heparin (green-top)tube • Specimens in citrate, ACDor SPS (yellow-top) tubes | 0 | |||||||||
| 39515 | Culture, Fungus, Skin, Hair or Nails | 87101 | Fungi can infect the hair, skin, and nails. Early diagnosis can lead to effective treatment. | Fungus, Skin, Hair or Nails | Sterile leakproof container | Room temperature: 7 days Refrigerated: See Instructions Frozen: Unacceptable | Skin, Hair or Nails | Room temperature: 7 days Refrigerated: See Instructions Frozen: Unacceptable | Fungus, Skin, Hair or Nails | Calcofluor White Stain • Culture | 0 | Remove hairs with forceps, scrape skin or scalp scales, clip nails and include keratin scrapings. Cleanse skin with alcohol before scraping. Cleanse feet and hands before collecting nails. Refrigeration is not recommended because it can inhibit dermatophytes. | |||||||
| 4558 | Culture, Genital | 87070 | The significance of any isolate(s), in pure or mixed culture, must be assessed with respect to the source cultured, the organism's pathogenic potential, the possibility of colonization versus infection, and the number of other organisms recovered from thesame culture. | If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT: 87181 or 87184 or 87185 or 87186). | Blue-cap culture swab device with Amies gel transport medium | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Swab | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Expired transport swabs • Frozen specimens or requests for anaerobic culture | Genital Culture | Bacterial culture | 0 | Do not refrigerate. | ||||||
| 90417 | Culture, Methicillin Resistant Staphylococcus Aureus Screen | 87081 | MRSA is a major cause of nosocomial and life threatening infections. Infections with MRSA have been associated with a significantly high morbidity, mortality and cost. Selection of these organisms has been greatest in the healthcare setting. However, MRSA has also become more prevalent in the community. To control the transmission of MRSA, the Society for Healthcare Epidemiology of America (SHEA) has recommended guidelines, which include an active surveillance to identify potential reservoirs and a rigorous infection control program to control thespread of MRSA. Rapid, accurate, and cost-effective screening tests for MRSA colonization are needed in order to reduce the economic burden of this pathogen. The MRSA Culture Screen test detects colonization with Methicillin resistant Staphylococcus aureus (MRSA) in patients and can be used as a tool in infection prevention and control efforts. Early detection of this pathogen can accelerate the isolation process, thus minimizing the spread of infections. | Swab in Amies culture media, Eswab or equivalent | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Nasal swab | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Received frozen • Specimenssubmitted in formalin • Specimens submitted in viral transport media• Dry swabs • Expired transport media • Specimens >48 hours old | MRSA Culture Screen, MRSA Colonization | Chrom Aagar method | 0 | 1. Use Amies liquid transport medium (red-cap Copan™ or BD™ swab), or Amies gel transport medium (blue-cap Copan™ or BD™swab) or Eswab to obtain the specimen. 2. Culture both anterior nares (the opening of each nostril) utilizing one culture swab. 3. Insert a premoistened swab (sterile non-bacteriostatic saline or water) about 2 cm and rotate the swab against the nasal mucosa back and forth of each nostril for 3 seconds - slight pressure with a finger on the outside of the nose helps to assure good contact between the swab and the inside of the nose. 4. Return swab back to the plastic transport tube and make sure the cap is on tight. | |||||||
| 871 | Culture, Mycoplasma hominis/Ureaplasma | 87109 | Ureaplasma urealyticum and Mycoplasma hominis are primarily associated with genital tract colonization and disease in adults and respiratory tract colonization and disease in newborns. Though controversial, these organisms have been associated with endometritis, chorioamnionitis, premature rupture of membranes, stillbirth, premature birth, low birth weight, post-partuminfections, and infertility. Of particular concern is the causal relationship between central nervous system infections in the premature newborn and U. urealyticum. | V-C-M medium (green-cap) tube | Room temperature: Unacceptable Refrigerated: 48 hours Frozen -20°C: Unacceptable Frozen -70°C: 30 days | Urogenital (vaginal, cervical, urethral swabs or secretions) | Room temperature: Unacceptable Refrigerated: 48 hours Frozen -20°C: Unacceptable Frozen -70°C: 30 days | Specimens collected on wooden shafted swabs, or cotton swabs • Specimen received in expired transport medium • Tissue specimen in formalin • Urine | Culture | 0 | Ship on dry ice. Urine: Client should centrifuge urine at 3000 rpm for 15 minutes. Suspend sediment in VCM or equivalent transport media. If thespecimen is not centrifuged, submit a 1:1 volume of urine in VCM or equivalent transport media. Sterile body fluids, tissue, respiratory (sputum, bronchial washing, tracheobronchial secretions, bronchial alveolar lavage): Submit a 1:1 volume in in VCM or equivalent transport media. Respiratory: Samples are only acceptable from children under 1 year old. | ||||||||
| 4482 | Culture, Nasopharyngeal/Nasal | 87070 | Culture of the nose (as opposed to nasopharynx) is primarily for the detection of Staphylococcus aureus. The significance of other organisms is difficult to assess since this site and its discharges can easily be colonized by a variety of organisms. | If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87143 or 87147 or 87140 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186). | Transport swab (mini-tip with thin wire shaft in Amies gel medium or in Eswab transport) | Deliver to the Microbiology laboratory as soon as possible | Nasopharyngeal (NP), nasal passages and paranasal sinus drainage | Deliver to the Microbiology laboratory as soon as possible | Requests for anaerobic culture • Expired transport device • Frozenspecimens | Adenoids Culture, Nose Culture, Tonsils Culture, Inner Ear Culture, Nasopharyngeal Culture, NP Culture | Bacteriologic culture. Aerobic includes routine isolation and identification procedures. | 0 | Collect specimen using a mini-tip culture swab transport device. Indicate source of specimen on both the test requisition and specimen transport device. | ||||||
| 4556 | Culture, Sputum/Lower Respiratory | 87070, 87205 | Isolation of potential respiratory pathogens can be useful in the diagnosis of respiratory tract infection. This specimen may contain normal oral flora. The significance of any isolate must be evaluated with this in mind. | Aerobic culture and Gram stainIf culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186). | Sterile, leak-proof, screw-cap container | Room temperature: 2 hours maximum, then refrigerate ASAP Refrigerated: 24 hours Frozen: Unacceptable | Sputum | Room temperature: 2 hours maximum, then refrigerate ASAP Refrigerated: 24 hours Frozen: Unacceptable | Any specimen >48 hours old • Sputum specimens with >25 epithelial cells per low power field • 24-hour pooled sputum • Received frozen • Room | Sputum Bacterial Culture, Respiratory Culture, Lower Respiratory Culture | Aerobic bacterial culture. Includes gram stain evaluation of specimen, routine isolation and | 0 | Early morning expectorated sputum from deep cough. | ||||||
| 10108 | Culture, Stool | 87045, 87046, 87427 | Specimen Stability: Room temperature: 4 days Refrigerated: 4 days Frozen: Unacceptable | Salmonella and Shigella, Culture Campylobacter, Culture | Stool Container | Stool | Bacterial culture • Aerobic Isolation and Identification Procedures • Broth Enhanced Enzyme Immunoas | 0 | |||||||||||
| 15090 | Culture, Streptococcus Group B with Susceptibility | 87081 | Group B Streptococci can be one of the most significant pathogens in the neonatal period. The organism is transmitted to the newborn through the birth canal. Prepartum vaginal introitus and anorectal cultures are important to determine carriage. | If culture is positive, identification will be performed at an additional charge, (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities will be performed on Group B streptococcus isolates (CPT code(s): 87181 or 87184 or 87186). | Amies liquid transport medium swab | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Two swabs | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Expired transport device • Received frozen specimens • Viraltransport devices • DNA probetransport devices | Culture, Group B Strep | Bacterial Culture, Aerobic Isolation and Identification Procedure including Broth Enhanced Culture a | 0 | Deliver to the Microbiology laboratory ASAP | ||||||
| 394 | Culture, Throat | 87070 | The significance of any isolate in pure or mixed culture must be assessed with respect to the source cultured, the organism's pathogenic potential, the possibility of colonization versus infection, and the number of other organisms recovered in the same culture. This test may be useful in the detection of agents of epiglottis and thrush and A. haemolyticum. | If culture is positive, identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186). | Transport swab or Eswab | Transport swab Room temperature: 48 hours | Throat swab | Transport swab Room temperature: 48 hours | Expired transport device • Frozen • Request for anaerobic culture | Throat Culture and Susceptibility | Bacterial culture, Aerobic routine isolation and Identification procedures; Antibiotic susceptibilit | 0 | Collect throat specimen using either a BD™ red-cap Amies liquid transport medium swab or BD™ blue-cap, Amies gel medium swab or Eswab (blue-cap) | ||||||
| 689 | Culture, Viral, Body Fluids, Tissues | 87252 | Viral isolation in tissue culture remains the most sensitive method or gold standard for the detection of many common viruses. Successful isolation depends on the selection of the appropriate cell lines based on provisional diagnosis or symptoms and source of infection. | Isolation and Identification | V-C-M medium (green-cap) tube or equivalent | Room temperature: Unacceptable Refrigerated: 4 days Frozen -20°C: Unacceptable Frozen -70°C: 30 days | sample | Room temperature: Unacceptable Refrigerated: 4 days Frozen -20°C: Unacceptable Frozen -70°C: 30 days | Wooden shaft and calcium alginateswabs • Dry swabs • Transwabs or swabs in bacterial transportmedium • DNA probe transports • Tissues in formalin or other | Viral Culture, Body Fluid, Tissue, Virus Isolation, Body Fluid or Tissue, Viral, Comprehensive Culture | Immunofluorescence Assay (IFA) • Tissue Culture | 0 | Bronchial lavage, bronchial wash, or tracheal aspirate: Transfer 5-10 mL of an aspirate or a wash into sterile leak-proof container. Place brush into sterile, leak-proof container with small amount of sterile saline/sterile water to prevent it from drying. Lung biopsy: Transport in sterile, leak-proof container with a small volume of sterile saline/sterile water to prevent it from drying. Body fluids: For all body fluids add an equal volume of specimen to transport medium (V-C-M or equivalent). Newborn urine: Random urine, random clean catch urine, catheterized urine, or first void catch urine in sterile screw-capped container. | ||||||
| 3968 | Culture, Yeast with Direct Fluorescent KOH | 87102, 87206 | The clinical significance of an isolate varies with the identification, source, and clinical symptoms manifested. | If culture is positive, identification will be performed at an additional charge (CPT code(s): 87106 or 87140 or 87143 or 87149 or 87158). | Transport Medium | Room temperature: 72 hours | Swab | Room temperature: 72 hours | Specimen received frozen • Specimen in formalin • Serum | Thrush, Candida, Yeast Culture, Culture, Monilia | Fluorescent microscopy•*Conventional aerobic culture identification by biochemical or DNA probe metho | 0 | |||||||
| 20541 | Culture, Yeast, with Identification | 87102 | The significance of a yeast isolate varies with the organism identification, source, and clinical symptoms manifested. | Eswab | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Vaginal swabs | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Stool • Sputum | Culture with Phenotypic • Matrix Assisted Laser Desorption Ionization-Time of Flight | 0 | Oral or vaginal swab collected in an ESwab mini-tip transport system (blue-cap). | ||||||||
| 850863 | Cyclobenzaprine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Cyclobenzaprine Present in the following medication: Amrix, Flexeril, Fexmid | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 10018 | Cyclospora and Isospora Examination | 87015, 87207 | Cyclospora cayetanensis and Isospora belli are coccidian parasites which cause malaise, low grade fever, and diarrhea. Fatigue, anorexia, vomiting, myalgia and weight loss occur. The clinical presentation for those patients infected with either disease issimilar. | Cyclospora Examination, Isospora Examination, Concentration | 10% formalin or Total-Fix(TM) transport vial | Room temperature: 6 months Refrigerated: Not recommended Frozen: Unacceptable | Stool | Room temperature: 6 months Refrigerated: Not recommended Frozen: Unacceptable | Unpreserved stool • Received frozen | Microscopic Exam of Modified Acid-Fast Stain | 0 | Stool must not contain residual barium from diagnostic tests. Transfer stool within 30 minutes of collection into suitable vial. Fill to the line on the transport vial. | |||||||
| 8812 | Cyclosporine A Trough, Blood | 80158 | Cyclosporine is a commonly used immunosuppressive drug in patients receiving transplants. LC/MS/MS methods have higher specificity for the parent compound than immunoassay. Therapeutic drug monitoring is useful to optimize dose and avoid toxicity. High cyclosporine levels can lead to nephrotoxicity; Low levels can lead to organ rejection following transplant. Peak concentrations are reached at around 3.5 hours after oral dosage. Elimination half-life is 10-27 hours. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 6 days Frozen: Unacceptable | Whole blood | Room temperature: 7 days Refrigerated: 6 days Frozen: Unacceptable | Clotted specimen | Sandimmune | Immunoassay (IA) | 0 | Optimum time to collect sample is 1 hour before next dose. | |||||||
| 10570 | Cystatin C | 82610 | An index of glomerular filtration rate, especially in patients where serum creatinine may be misleading (eg, very obese, elderly, or malnourished patients). Assessing renal function in patients suspected of having kidney disease. Monitoring treatment response in patients with kidney disease. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days | Nephelometry | 0 | ||||||||||
| 10458 | Cystic Fibrosis (CF) Screen | 81220 | General screen for carrier status and assessment of CF risk. This test will identify approximately 90% of Cystic Fibrosis (CF) mutations in the Caucasian population, and 97% in the Ashkenazi Jewish population. | EDTA (lavender-top) tube | Room temperature: 8 days Refrigerated: 8 days Frozen: Unacceptable | Whole blood | Room temperature: 8 days Refrigerated: 8 days Frozen: Unacceptable | Received frozen | CF Mutation Screen, Cystic Fibrosis Mutation Screen, CFTR Screen, CF Carrier Screen, CF Screen, Cystic Fibrosis Carrier Screen | Multiplex Polymerase Chain Reaction • Massively Parallel Sequencing | 0 | Please indicate the ethnicity of the patient. Normal phlebotomy procedure. Specimen stability is crucial. Store and ship room temperature immediately. Do not freeze. | 2 mL | ||||||
| 10917 | Cystic Fibrosis Complete Rare Mutation Analysis, Entire Gene Sequence | 81223 | Cystic fibrosis (CF) is the most common recessive lethal genetic disorder affecting primarily Caucasians of Northern European descent, with an incidence of approximately 1 in 3300 births and a carrier rate of 1 in 29. This test analyzes approximately 1000 mutations that account for greater than 98% of disease causing mutations. This test is only appropriate when there is a strong likelihood of cystic fibrosis and the mutation is not detected in the general cystic fibrosis mutation panel and familial mutations are unknown. | EDTA (lavender-top) tube | Room temperature: 8 days Refrigerated: 8 days Frozen: Unacceptable | Whole blood | Room temperature: 8 days Refrigerated: 8 days Frozen: Unacceptable | CF Rare Mutation Analysis,CF Sequencing,Cystic Fibrosis Entire Gene Sequencing,Cystic Fibrosis Rare | Dye-Terminator Sequencing Reaction • Polymerase Chain Reaction (PCR) | 0 | Normal phlebotomy procedure. Specimen stability is crucial. Store at room temperature and ship immediately. Do not freeze. | ||||||||
| 10676 | Cytology, Non-Gynecological, Fluid, Washings, Brushings or FNA | 88, 104 | The nature of possible underlying disease states including cancer or infections can often be detected by microscopically visualizing cytological changes in cells which are exfoliated and captured by fluid extraction from body cavity, brushings, washings, or fine needle aspirations. | CPT code varies based on sample preparation requirements as follows: 88104 Fluid requiring simple smear preparation 88172 Determination of adequacy of specimen 88108 Fluid requiring concentration technique 88173 FNA interpretation 88114 Fluid requiring thin layer preparation 88305 Fluid requiring cell block preparation 88160 Smear(s) prepared by client 88161 Smear(s) requiring preparation 88162 Multiple smears (5 or more) requiring extended study 87207 Stain for inclusion bodies | 4 oz sterile specimen cup | Fluid | Slide broken in transit beyond ourability to repair • Unlabeled container or slide • Leakage of fluid during transport • Mismatch between name of patient on slide | Cytology, Fine Needle Aspiration | Microscopy | 0 | Collection requirements differ greatly depending on the type and source of the submitted sample. Provide all patient information using the Cytology test requisition. | ||||||||
| 403 | Cytomegalovirus Ab, IgG | 86644 | CMV infections are common and usually asymptomatic. In patients who are immunocompromised, CMV may cause severe disseminated disease. CMV may cause birth defects in a minority of infected newborns. CMV IgG antibodies may represent prior exposure or recent infection. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | CMV IgG Ab, CMV Antibody IgG | Immunoassay (IA) | 0 | 0.5 mL | 1 mL | |||||||
| 6732 | Cytomegalovirus Ab, IgG/IgM | 86644, 86645 | Intrauterine or congenital CMV infections occur in 0.5 to 2.2% of all live births. Symptomatic congenital infections usually occur in infants born to nonimmune mothers who have primary infections during pregnancy. Latency and reactivation of CMV influence the interpretation of serological results. A single positive CMV IgG result is and indication of present or past infection. The presence of CMV IgM suggests a recent CMV exposure but does not differentiate between primary infection and reactivation. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 daysFrozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 daysFrozen: 30 days | Gross hemolysis • Gross lipemia • Plasma • Cord blood | CMV Antibody IgG, IgM, CMV IgG, IgM Abs | Immunoassay (IA) | 0 | ||||||||
| 8503 | Cytomegalovirus Ab, IgM | 86645 | CMV infections are common and usually asymptomatic. In patients who are immunocompromised, CMV may cause disseminated, severe disease. CMV may cause birth defects in a minority of infected newborns. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | CMV | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 10600 | Cytomegalovirus DNA, Quantitative, Real-Time PCR | 87497 | In patients who are immunocompromised, CMV may cause disseminated, severe disease. CMV is also the most common cause of congenital viral infection in humans. Quantitative PCR methods may be useful in monitoring CMV replication in immunosuppressed patients or in determining the viral load of CMV in amniotic fluid. This is a quantitative molecular test, with a linear range of 200-2,000,000 IU/mL. | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 8 days Frozen: 30 days | Whole blood | Room temperature: 48 hours Refrigerated: 8 days Frozen: 30 days | Heparinized specimens • Unspun PPT tube | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | Collect whole blood in sterile tubes containing EDTA or ACD as anticoagulant. Store refrigerated. Blood collected in tubes containing ACD anticoagulant will yield results approximately 15% lower when compared to EDTA tubes due to a dilution effect. Do not freeze whole blood. | ||||||||
| 850914 | D & L isomers of Methamphetamine | G0480 | Separate illicit or prescribed drug from over the counter drugs such as Vicks inhaler. | d-Methamphetaminel-Methamphetamine | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 2100 | D-Dimer | 85379 | Excluding the diagnosis of acute pulmonary embolism or deep vein thrombosis, particularly when results of a sensitive D-dimer assay are combined with clinical information, including pretest disease probability(1-4) Diagnosis of intravascular coagulation and fibrinolysis, also known as disseminated intravascular coagulation, especially when combined with clinical information and other laboratory test data (eg, platelet count, assays of clottable fibrinogen and soluble fibrin monomer complex, and clotting time assays-prothrombin time and activated partial thromboplastin time)(5). | Blue-top (sodium citrate) tube | Unopened light blue-top tube- Room temperature: 72 hrs Refrigerated: 72 hrs Frozen: Unacceptable; Separated platelet-poor plasma- Room temperature: Unacceptable Refrigerated: 72 hrs Frozen: 6 Months | Whole blood | Unopened light blue-top tube- Room temperature: 72 hrs Refrigerated: 72 hrs Frozen: Unacceptable; Separated platelet-poor plasma- Room temperature: Unacceptable Refrigerated: 72 hrs Frozen: 6 Months | Frozen Whole Blood | D-dimer levels are determined by latex immunoagglutination assay (LIA). Patient plasma is mixed with D-dimer antibody- coated latex particles. Aggregation of the latex particles caused by D-dimer from the sample is measured photo- optically. | 0 | A COMPLETELY FILLED TUBE IS NECESSARY BECAUSE THE CORRECT RATIO OF BLOOD TO CITRATE IS CRITICAL (9:1). MIX BY GENTLE INVERSION 3-4 TIMES. DO NOT UNCAP. | 1 mL | 2 mL | ||||||
| 8612 | Deamidated Gliadin Abs, IgA | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 8614 | Deamidated Gliadin Abs, IgG | 83516 | Evaluating patients suspected of having celiac disease; this includes patients with symptoms compatible with celiac disease, patients with atypical symptoms, and individuals at increased risk of celiac disease. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | |||||||||
| 19894 | Dehydroepiandrosterone, Unconjugated | 82626 | DHEA is a weakly androgenic steroid that is useful when congenital adrenal hyperplasia is suspected. It is also useful in determining the source of androgens in hyperandrogenic conditions, such as polycystic ovarian syndrome and adrenal tumors. | Red-top tube (no gel) | Room temperature: 7 days Refrigerated: 7 days Frozen: 2 years | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 2 years | Gross hemolysis • Serum Separator Tube (SST) | DHEA | 0 | |||||||||
| 850866 | Desipramine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Desipramine Present in the following medication: Norpramin, Pertofrane | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 6921 | Dexamethasone Suppression Test (DST) | 82533 | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | 0 | The ordering physician should administer 1 mg Dexamethasone between 11:00 p.m. and midnight. Draw serum for cortisol testing between 7:00-9:00 a.m. the next morning. Mark tube with time and date drawn. | |||||||||||
| 29391 | Dexamethasone, Serum | 80299 | Test used in the differential diagnosis of Cushing's syndrome. | Red-top tube (no gel) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 2 years | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 2 years | Serum Separator Tubes (SST) • Received room temperature | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Draw specimen between 8:00 a.m. and 10:00 a.m. | ||||||||
| 850854 | Dextromethorphan, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Dextromethorphan Dextrophan Present in the following medication: Benylin DM, Mucinex DM, Camydex-20 tablets, Robitussin, NyQuil Dimetapp, Vicks, Coricidin, Delsym, TheraFlu, Cheracol D | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 8036 | DHEA-Sulfate | 82627 | Diagnosis and differential diagnosis of hyperandrogenism (in conjunction with measurements of other sex steroids)An adjunct in the diagnosis of congenital adrenal hyperplasia. Diagnosis and differential diagnosis of premature adrenarche. Dehydroepiandrosterone (DHEA) is the principal human C-19 steroid. DHEA has very low androgenic potency, but serves as the major direct or indirect precursor for most sex steroids. DHEA is secreted by the adrenal gland and production is at least partly controlled by adrenocorticotropic hormone. The bulk of DHEA is secreted as a 3-sulfoconjugate (DHEA-S). Both hormones are albumin bound, but binding of DHEA-S is much tighter. In gonads and several other tissues, most notably skin, steroid sulfatases can convert DHEA-S back to DHEA, which can then be metabolized to stronger androgens and to estrogens. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 28 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 28 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 35035 | Diabetes Assessment Panel | Multiple | HgA1c, Glucose, C-Peptide, Insulin, HOMA-IRFerritin, GlycoMark, Adiponectin | SST & EDTA | Serum & Whole blood | Homa, Diabetes, A1C, Insulin, GlycoMark, Adiponectin | 0 | ||||||||||||
| 125 | Diabetes Panel | Multi | HgA1c, Glucose, C-Peptide, Insulin, HOMA-IRMA/Creatinine Ratio | EDTA, SST, Urine Container | Whole blood, Serum Urine | Homa, Diabetes, A1C, Insulin, GlycoMark, Adiponectin | 0 | ||||||||||||
| 850829 | Diazepam, LCMS Confirmation, Ur | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Diazepam Nordiazepam Oxazepam Temazepam Present in the following medication: Valium | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | ||||||||||
| 2018 | Digoxin, Serum | 80162 | Monitoring digoxin therapy. | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 10 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 10 days Frozen: 30 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Patient Preparation: Collect as a trough just prior to next dose. Separate serum after clotting and send Serum only in Plastic screw-cap vial. Do not submit glass tubes. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 90567 | Dihydrotestosterone, LC/MS/MS | 80327 | DHT is a potent androgen derived from testosterone via 5-Alpha-Reductase activity. 5-Alpha-Reductase deficiency results in incompletely virilized males (phenotypic females). This diagnosis is supported by an elevated ratio of testosterone to DHT. | Red-top tube (no gel). | Room temperature: 7 days Refrigerated: 7 days Frozen: 2 years | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 2 years | Moderate to gross hemolysis • Lipemia • Serum Separator Tube (SST) | DHT | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Centrifuge for 15 min. Separate in pour-off tube. Transport refrigerated. | |||||||
| 34042 | Diphtheria and Tetanus Antitoxoid | 86648, 86774 | Assessment of an antibody response to tetanus and diphtheria toxoid vaccines. An aid to diagnose immunodeficiency. Diphtheria is an acute, contagious, febrile illness caused by the bacterium Corynebacterium diphtheriae. The disease is classically characterized by a combination of localized inflammation in the upper respiratory tract with the formation of a diphtheric pseudomembrane over the oropharynx, including the tonsils, pharynx, larynx and posterior nasal passages. Corynebacterium diphtheriae produces a potent diphtheria exotoxin which is absorbed systemically and can lead to cardiac failure and paralysis of the diaphragm. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia • Grossly icteric | Enzyme Linked Immunosorbent Immunoassay (ELISA) | 0 | |||||||||
| 4865 | Diphtheria Antitoxoid | 86648 | Assessment of an antibody response to tetanus and diphtheria toxoid vaccines. An aid to diagnose immunodeficiency. Diphtheria is an acute, contagious, febrile illness caused by the bacterium Corynebacterium diphtheriae. The disease is classically characterized by a combination of localized inflammation in the upper respiratory tract with the formation of a diphtheric pseudomembrane over the oropharynx, including the tonsils, pharynx, larynx and posterior nasal passages. Corynebacterium diphtheriae produces a potent diphtheria exotoxin which is absorbed systemically and can lead to cardiac failure and paralysis of the diaphragm. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia • Grossly icteric | DPT Titer, Anti Diphtheria | Enzyme Linked Immunosorbent Immunoassay (ELISA) | 0 | ||||||||
| 256 | DNase-B Antibody | 86215 | Demonstration of acute or recent streptococcal infection. | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 8 days Frozen: 90 days | Serum | Room temperature: 48 hours Refrigerated: 8 days Frozen: 90 days | Received room temperature | Streptococcus, Group A, Strep, Strep A | Nephelometry | 0 | ||||||||
| 14762 | Dopamine, Plasma | 82542 | Dopamine is mainly produced in the nervous system and adrenal medulla; it plays a role in many brain functions like behavior and cognition. The plasma reference ranges for dopamine are as follows : Supine adults - < 10 ng/ml (conventional units); < 0.065 nmol/L (SI units). | Sodium heparin (green-top) tube | Room temperature: 6 hours Refrigerated: 6 hours Frozen: 30 days | Plasma | Room temperature: 6 hours Refrigerated: 6 hours Frozen: 30 days | Thawed specimen • Received room temperature • Received refrigerated | High Performance Liquid Chromatography (HPLC) | 0 | Draw specimen in a pre-chilled green-top vacutainer. Plasma should be separated in a refrigerated centrifuge within 30 minutes of collection and then frozen immediately at -20°C in plastic vials. Each specimen will be invoiced separately. Patients should be relaxed in either a supine or upright position before blood is drawn. States of anxiety and stress can cause fluctuations in the catecholamine levels. Patient should avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Overnight fasting is required. | ||||||||
| 850867 | Doxepin, LCMS Confirmation, Ur | G0481 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Doxepin Desmethyldoxepin Present in the following medication: Adapin, Prudoxin, Sinequan, Zonalon | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 19733 | Drug Abuse Panel 9, Serum | 80307 | Amphetamines, Barbiturates, Benzodiazepines, Cocaine Metabolites, Marijuana, Methadone, Opiates, Propoxyphene, PCP (Phencyclidine)All positive drug screens are confirmed and quantitated at an additional charge (CPT coding varies by drug confirmed). | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 7 days Frozen: Not established | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: Not established | 0 | Draw 2 full 10 mL red-top tubes (no gel) in order to get 10 mL serum. | ||||||||||
| 8650 | Drug Monitoring, 12 Panel Urine Drug Screen | 80307 | Toxicology screen isused to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. Drug screen results may need to be confirmed with LCMS. | Creatinine (Urine Screen), Urine PH Screen, Urine Specific Gravity S, Amphetamines (AMP), Benzodiazepines (BZO), Cocaine (COC), Methadone (MTD), Opiates (OPI), Oxycodone (OXY), Phencyclidine (PCP), Cannabinoid (THC), Methamphetamine (MAMP), Buprenorphine (BUP), and Ecstasy (MDMA). | Plastic urine container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | UDS | 0 | Urine temperature monitoring cup is recommended for samples integrity. | ||||||||
| 850900 | Drug Monitoring, Amphetamines Confirmation | G0481 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Amphetamine, Methamphetamine MDMA (3,4-Methylenedioxymethamphetamine) MDA (3,4-Methylenedioxyamphetamine ) MDEA (3,4-Methylenedioxy-N-ethylamphetamine) MethylphenidateRitalinic acid Phentermine | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850906 | Drug Monitoring, Anticonvulsants Confirmation | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Gabapentin Pregabalin | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850904 | Drug Monitoring, Bath Salts Confirmation | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | • Methylone • MDPV • Mephedrone • Alpha-PVP | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850901 | Drug Monitoring, Benzodiazepines, Confirmation | G0481 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | • Alprazolam, • alpha-Hydroxyalprazolam, • Clonazepam, • 7-Aminoclonazepam, • Chlordiazepoxide • Diazepam • Nordiazepam • Oxazepam • Temazepam • Lorazepam • 2-Hydroxyethylflurazepam • alpha-Hydroxymidazolam | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 126 | Drug Monitoring, Comp. Drugs, Oral Swab Confirmation | Oral Swab | Oral Swab | Drugs, Oral, Drug | 0 | ||||||||||||||
| 120 | Drug Monitoring, Comp. Drugs, Urine Confirmation | G0483 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Amphetamines (8), Benzodiazepines (13), Opiates (8), Synthetic Opiates (18), Illicits (4), Anticonvulsants (2), Marijuana and others (6), Tranquilizers (6), Tricyclic Antidepressants (9), SSRIs/SARIs/SNRIs (9), Bath Salts (4) | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Immunoassay with GC/MS | 0 | 50 mL | ||||||||
| 19767 | Drug Monitoring, Drugs Screen 7 with Conf., Serum | 80307 | Toxicology screen is used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. Drug screen results may need to be confirmed with LCMS. | Amphetamines, Barbiturates, Benzodiazepines, Cocaine Metabolites, Marijuana Metabolites, Opiates, PCP (Phencyclidine) | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 7 days Frozen: Not established | Serum (10mL, Min 5mL) | Room temperature: 5 days Refrigerated: 7 days Frozen: Not established | Serum Separator Tube (SST) | Chromatography • Gas Chromatography/Mass Spectrometry (GC/MS) • Immunoassay (IA) | 0 | ||||||||
| 850905 | Drug Monitoring, Illicits Confirmation | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | • 6-Acethylmorphine • Cocaine • Benzoylecgonine • Phencyclidine (PCP) | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850910 | Drug Monitoring, Marijuana and others Confirmation | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | • THC-COOH • JWH-018-COOH • JWH-073-COOH • Mitragynine • OH- Mitragynine • Cotinine | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850902 | Drug Monitoring, Opiates Confirmation | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | • Hydrocodone • Hydromorphone • Norhydrocodone • Oxycodone • Oxymorphone • Noroxycordone • Morphine • Codeine | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850909 | Drug Monitoring, SSRIs/SARIs/SNRIs Confirmation | G0481 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | • Citalopram, • Desmethylcitalopram • Duloxetine • Fluoxetine • Norfluoxetine • Paroxetine • Sertraline • Trazodone • Venlafaxine | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850903 | Drug Monitoring, Synthetic Opiates Confirmation | G0482 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | • Pentazocine, • Tramadol, • O-Desmethyl-cis-tramadol, • Propoxyphene, • Norpropoxyphene, • Tapentadol • Buprenophine, • Norbuprenophine, • Naloxone, • Fentanyl • Norfentanyl • Meperidine • Normeperidine • Methadone • EDDP • Naltrexone | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850907 | Drug Monitoring, Tranquilizers Confirmation | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | •Carisoprodol • Meprobamate •Zaleplon •Zolpidem • Zolpidem-COOH •Zopiclone | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | ||||||||
| 850908 | Drug Monitoring, Tricyclic Antidepressants Confirmation | G0481 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | • Amitriptyline, • Nortriptyline • Cyclobenzaprine • Clomipramine • N-Desmethylclomipramine • Desipramine • Imipramine • Doxepin • Desmethyldoxepin | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 124 | Drugs, Pain Management Follow Up Asses ment | Urine container | Urine | 0 | Volume: 30 mL container. Use plastic urine drug bottle and evidence tape or tamper-evident container for forensic specimen. Collection kits are available by request from the laboratory. Collection: Urine temperature monitoring is recommended for samples to be tested for medicolegal purposes. Storage Instructions: Maintain specimen at room temperature. If arrival extends beyond seven days, then refrigerate. Causes for Rejection: Quantity not sufficient for analysis; improper specimen (serum, plasma, blood); incomplete chain-of-custody documentation; incomplete specimen identification; improper or missing tamper-evident seals. | ||||||||||||||
| 122 | Drugs, Pain Management Initial Asses ment | Urine container | Urine | 0 | Volume: 30 mL container. Use plastic urine drug bottle and evidence tape or tamper-evident container for forensic specimen. Collection kits are available by request from the laboratory. Collection: Urine temperature monitoring is recommended for samples to be tested for medicolegal purposes. Storage Instructions: Maintain specimen at room temperature. If arrival extends beyond seven days, then refrigerate. Causes for Rejection: Quantity not sufficient for analysis; improper specimen (serum, plasma, blood); incomplete chain-of-custody documentation; incomplete specimen identification; improper or missing tamper-evident seals. | ||||||||||||||
| 850869 | Duloxetine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Duloxetine Present in the following medication: Ariclaim, Cymbalta, Yentreve | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 91307 | Echinococcus Antibody (IgG), EIA with Reflex to Western Blot | 86682 | Echinococcus IgG detection is an important tool for diagnosing hydatid disease, since infected individuals do not exhibit fecal shedding of E. granulosus eggs. | If Echinococcus Antibody (IgG), EIA is positive, Echinococcus Antibody (IgG), Western Blot will be performed at an additional charge (CPT code(s): 86682). | Red-top tube (no gel) | Room temperature; 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature; 7 days Refrigerated: 14 days Frozen: 30 days | Immunoassay (IA) | 0 | Separate serum after clotting and send Serum only in Plastic screw-cap vial. Do not submit glass tubes. | ||||||||
| 34271 | Ehrlichia chaffeensis (IgG, IgM) | 86666 | Human Monocytic Ehrlichiosis (HME) is a tick-borne infection caused by Ehrlichia chaffeensis. Infections range in severity from asymptomatic to life-threatening, especially in patients who are immunocompromised. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Immunofluorescence Assay (IFA) | 0 | ||||||||||
| 4300 | Electrolyte Panel | 80051 | See Individual tests | Carbon Dioxide, Chloride, Potassium, Sodium | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 72 hours Frozen: 28 days | Serum | Room temperature: 72 hours Refrigerated: 72 hours Frozen: 28 days | See individual tests | Ion-selective electrode (ISE); enzymatic | 0 | Separate serum from cells within 45 minutes of venipuncture; avoid hemolysis. | 0.8 mL | 2 mL | |||||
| 15064 | Endomysial Antibody (IgA) Screen with Reflex to Titer | 86255 | Diagnosis of dermatitis herpetiformis and celiac disease. Monitoring adherence to gluten-free diet in patients with dermatitis herpetiformis and celiac disease. Because of the high specificity of endomysial antibodies for celiac disease, the test may obviate the need for multiple small bowel biopsies to verify the diagnosis. This may be particularly advantageous in the pediatric population, including the evaluation of children with failure to thrive. | If Endomysial Antibody (IgA) Screen is abnormal, Endomysial Antibody Titer will be performed at an additional charge (CPT code(s): 86256). | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 21 days Frozen: 21 days | Serum | Room temperature: 4 days Refrigerated: 21 days Frozen: 21 days | Gross hemolysis • Grossly lipemic | Immunofluorescence Assay (IFA) | 0 | ||||||||
| 426 | Eosinophil Count, Nasal | 89190 | Screening test to aid in diagnosis of allergic rhinitis. | Slide | Room temperature: Indefinitely Refrigerated: Not provided Frozen: Not provided | 2 air-dried nasal smears | Room temperature: Indefinitely Refrigerated: Not provided Frozen: Not provided | Microscopic Examination/Wright's Stain | 0 | ||||||||||
| 3147 | Eosinophil Count, Sputum | 85999 | Screening test to aid in diagnosis of asthma, bronchitis and some types of pneumonia. | Slide | Room temperature: Indefinitely Refrigerated: Not provide Frozen: Not provided | 2 air-dried sputum smears | Room temperature: Indefinitely Refrigerated: Not provide Frozen: Not provided | Poor smear quality | Sputum for Eosinophils | Microscopic Examination/Wright's Stain | 0 | ||||||||
| 8559 | Eosinophil Count, Urine | 85999 | The presence of eosinophils has been noted in pyelonephritis, transplant rejection and drug-induced acute interstitial cystitis. | Urinalysis transport tube | Room temperature: 3 days | Urine | Room temperature: 3 days | Unpreserved specimen | Urine for Eosinophils, EOS, Urine | Microscopic Examination/Wright's Stain | 0 | Encourage clean catch mid stream samples to minimize contamination and improve accuracy. Label the sample appropriately and store at room temperature until pick up. | |||||||
| 9514 | Epstein-Barr Virus (EBV) IgG | SST | Serum | EBV,Epstein-Barr Virus,Epstein,VCA,IgG | 0 | ||||||||||||||
| 9482 | Epstein-Barr Virus (EBV) IgM | 86663 | Presence of VCA IgM antibodies indicates recent primary infection with Epstein-Barr virus. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | EBV | Immunoassay (IA) | 0 | |||||||||
| 6421 | Epstein-Barr Virus Antibody Panel | 86664, 86665 | Primary infection by EBV causes infectious mononucleosis, usually a self-limiting disease in children and young adults. Infection with EBV can cause lymphoproliferative disorders including tumors. VCA-IgM is typically detectable at clinical presentation, then declines to undetectable levels within a month in young children and within 3 months in other individuals. VCA-IgG is typically detectable at clinical presentation, and persists for life. EBNA IgG typically appears during convalescence (3-4 months after clinical presentation) and remains detectable for life. | Epstein-Barr Virus VCA Antibody (IgM), Epstein-Barr Virus VCA Antibody (IgG), Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG), EBV Interpretation Chart, EBV Early Antigen D Ab | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | EBV | Immunoassay (IA) | 0 | ||||||||
| 10186 | Epstein-Barr Virus DNA, Quantitative, Real-Time PCR | 87799 | Monitoring EBV DNA levels by quantitative PCR in patients at risk of EBV-associated lymphoproliferative disorders may allow timely recognition of virus reactivation and permit installment of antiviral treatment. This is a quantitative molecular test, with a linear range of 200-2,000,000 copies/mL. | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 8 days Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 8 days Frozen: Unacceptable | Frozen whole blood • Frozen bone marrow | EBV | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | Collect specimen in lavender-top (EDTA) tube. Centrifuge specimen within 24 hours of collection. Remove plasma, transfer plasma to a screw-cap polyropylene transport tube and freeze. Ship frozen (preferred). To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested. | |||||||
| 9512 | Epstein-Barr Virus Early Antigen D Antibody (IgG) | 86663 | A third-order test in the diagnosis of infectious mononucleosis, especially in situations when initial testing results (heterophile antibody test) are negative and follow-up testing (viral capsid antigen: VCA IgG, VCA IgM, and Epstein-Barr nuclear antigen) yields inconclusive results aiding in the diagnosis of type 2 or type 3 nasopharyngeal carcinoma. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | EBV | Immunoassay (IA) | 0 | |||||||||
| 762 | Erythrocyte Protoporphyrin (EP) | 84202 | Please note that EP testing is not recommended for detection of pediatric lead poisoning. For occupational safety and health administration (OSHA) medical surveillance of a worker exposed to lead, please refer to zinc protoporphyrin (ZPP). | EDTA (lavender-top) tube | Room temperature: 4 days Refrigerated: 10 days Frozen: Unacceptable | Whole blood | Room temperature: 4 days Refrigerated: 10 days Frozen: Unacceptable | Hemolysis • Received frozen • Clotte | Hematofluorometry | 0 | Specimen should be foil wrapped. Protect from light. Use a lead free tube if blood lead is also requested. | ||||||||
| 427 | Erythropoietin(EPO) | 82668 | An aid in distinguishing between primary and secondary polycythemia Differentiating between appropriate secondary polycythemia (eg, high-altitude living, pulmonary disease, tobacco use) and inappropriate secondary polycythemia (eg, tumors). Identifying candidates for erythropoietin (EPO) replacement therapy (eg, chronic renal failure). Evaluating patients undergoing EPO replacement therapy who demonstrate an inadequate hematopoietic response. | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 18 days Frozen: 28 days | Serum | Room temperature: 10 days Refrigerated: 18 days Frozen: 28 days | EPO | Immunoassay | 0 | Due to diurnal variation, it is recommended that specimens be collected between 7:30am and noon. | ||||||||
| 2110 | Estradiol | 82670 | Measuring the circulating levels of estradiol is important for assessing the ovarian function and monitoring follicular development for assisted reproduction protocols. Estradiol plays an essential role throughout the human menstrual cycle. Elevated estradiol levels in females may also result from primary or secondary ovarian hyperfunction. Very high estradiol levels are found during the induction of ovulation for assisted reproduction therapy or in pregnancy. Decreased estradiol levels in females may result from either lack of ovarian synthesis (primary ovarian hypofunction and menopause) or a lesion in the hypothalamus-pituitary axis (secondary ovarian hypofunction). Elevated estradiol levels in males may be due to increased aromatization of androgens, resulting in gynecomastia. | Serum Seperator Tube | Room temperature: 7 days Refrigerated: 7 days Frozen: 6 months | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 6 months | E2 | Electrochemiluminescence immunoassay (ECLIA) | 0 | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 36169 | Estradiol, Ultrasensitive LC/MS | 82670 | All applications that require moderately sensitive measurement of estradiol: -Evaluation of hypogonadism and oligo-amenorrhea in females. -Assessing ovarian status, including follicle development, for assisted reproduction protocols (eg, in vitro fertilization). -In conjunction with luteinizing hormone measurements, monitoring of estrogen replacement therapy in hypogonadal premenopausal women. -Evaluation of feminization, including gynecomastia, in males. -Diagnosis of estrogen-producing neoplasms in males and, to a lesser degree, females. -As part of the diagnosis and workup of precocious and delayed puberty in females, and, to a lesser degree, males. -As part of the diagnosis and workup of suspected disorders of sex steroid metabolism (eg, aromatase deficiency and 17 alpha-hydroxylase deficiency). -As an adjunct to clinical assessment, imaging studies and bone mineral density measurement in the fracture risk assessment of postmenopausal women, and, to a lesser degree, older men. -Monitoring low-dose female hormone replacement therapy in postmenopausal women. -Monitoring antiestrogen therapy (eg, aromatase inhibitor therapy). | Red-top tube (no-gel) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 2 years | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 2 years | Moderate to gross hemolysis • Lipemia • Received room temperature • Serum Separator Tube (SST) • Animal specimen | Estradiol | 0 | Centrifuge for 15 min. Separate in pour-off tube. Transport refrigerated. | ||||||||
| 34883 | Estriol, LC/MS/MS, Serum | 82677 | The placenta converts DHEA-S produced by the fetal adrenals to Estriol and other estrogens. Estriol is useful in assessing the fetal adrenals and placenta during pregnancy. More commonly, Estriol is one of the maternal serum biochemical markers used to screen for common chromosomal trisomies, especially Down syndrome. | Red-top tube (no-gel) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 2 years | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 2 years | Received room temperature • Amniotic fluid • Serum Separator Tube (SST) | Liquid Chromatography Tandem Mass Spectrometry (LC/MS/MS) | 0 | Centrifuge for 15 min. Separate in pour-off tube. Transport refrigerated | ||||||||
| 36742 | Estrogen, Fractionated, LC/MS | 82671 | Estrone; Estradiol, Ultrasensitive; Estriol | Red-top tube (no gel) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 28 days | Hemolysis • Received room temperature • Specimen received in Serum Separator Tube (SST) | 0 | Centrifuge for 15 min. Separate in pour-off tube. Transport refrigerated | |||||||||
| 439 | Estrogens, Total | 82672 | Estrogens are secreted by the gonads, adrenal glands, and placenta. Total estrogens provide an overall picture of estrogen status for men and women. | Estrone & Estradiol Total | Red-top tube (no gel) | Room temperature: 14 days Refrigerated: 14 days Frozen: 28 Days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 28 Days | Gross hemolysis • Grossly lipemicSST Tube | Estrone, Estradiol | Extraction • Radioimmunoassay (RIA) | 0 | |||||||
| 23244 | Estrone, LC/MS/MS | 82679 | Estrone is primarily derived from metabolism of androstenedione in peripheral tissues, especially adipose tissues. Individuals with obesity have increased conversion of androstenedione to Estrone leading to higher concentrations. In addition, an increase in the ratio of Estrone to Estradiol may be useful in assessing menopause in women. | Red-top tube (no gel) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 2 years | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 2 years | Gross hemolysis • Lipemia • Received room temperature • Collected in a Serum Separator Tube (SST) | Radioimmunoassay (RIA) | 0 | Centrifuge for 15 min. Separate in pour-off tube. Transport refrigerated | ||||||||
| 32 | F CHRONICH LYMPHOCYTIC LEUKEMIA PROFILE BY FISH | Multi | Lavender-top (EDTA) tube & Green-top (heparin) tube | 48 hrs | Plasma | 48 hrs | 0 | ||||||||||||
| 31 | F MYELODYSPLASIA PROFILE BY FISH | Lavender-top (EDTA) tube & Green-top (heparin) tube | 48 hrs | Plasma | 48 hrs | 0 | |||||||||||||
| 17900 | Factor V (Leiden) Mutation Analysis | 81241 | Factor V Leiden mutation testing should be reserved for patients with clinically suspected thrombophilia and: 1) APC-resistance proven or suspected by a low or borderline APC-resistance ratio, or 2) a family history of factor V Leiden. Venous thromboembolism includes deep vein thrombosis and its complication, pulmonary embolism. Plasma from 12% to 20% of venous thromboembolism patients is resistant to the anticoagulant effect of activated protein C (APC resistance). Essentially all patients with hereditary APC resistance have a single nucleotide mutation of the coagulation factor V gene (F5 rs6025), which encodes for an arginine ™ to glutamine (Q) substitution at position 506 of the factor V protein (FV R506Q). The factor V Leiden (R506Q) gene mutation test is a direct mutation analysis of patient blood leukocyte genomic DNA. | EDTA (lavender-top) tube | Room temperature: 8 days Refrigerated: 8 days Frozen: 30 days | Whole blood | Room temperature: 8 days Refrigerated: 8 days Frozen: 30 days | Hybeacons | 0 | ||||||||||
| 346 | Factor VII Activity, Clotting | 85230 | Factor VII is a vitamin K-dependent serine protease synthesized in the liver. It is a component of the extrinsic coagulation scheme, measured by the prothrombin time. Plasma biological half-life is about 3 to 6 hours. Deficiency may result in a bleeding diathesis. Diagnosing congenital deficiency of coagulation factor VII. Evaluating acquired deficiencies associated with liver disease, oral anticoagulant therapy, and vitamin K deficiency. Determining degree of anticoagulation with warfarin to correlate with level of protein C. Investigation of a prolonged prothrombin time. | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Hemolysis • Received room temperature • Received refrigerated • Received thawed | Photometric Clot Detection | 0 | Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the BC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship frozen. | ||||||||
| 347 | Factor VIII Activity, Coagulation | 85240 | Diagnosing hemophilia A, Diagnosing von Willebrand disease when measured with the von Willebrand factor (VWF) antigen and VWF activity. Diagnosing acquired deficiency states, and Investigation of prolonged activated partial thromboplastin time. Factor VIII is synthesized in the liver, and perhaps in other tissues. It is a coagulation cofactor which circulates bound to von Willebrand factor and is part of the intrinsic coagulation pathway. The biological half-life is 9 to 18 hours (average is 12 hours). Congenital factor VIII decrease is the cause of hemophilia A which has an incidence of 1 in 10,000 and is inherited in a recessive sex-linked manner on the X chromosome. Severe deficiency (<1%) characteristically demonstrates as hemarthrosis, deep-tissue bleeding, excessive bleeding with trauma and cchymoses. Factor VIII may be decreased in von Willebrand disease. Acquired deficiency states also occur. Antibodies specific for factor VIII are the most commonly occurring specific inhibitors of coagulation factors and can produce serious bleeding disorders (acquired hemophilia). Factor VIII is highly susceptible to proteolytic inactivation, with the potential for spuriously decreased ass. | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Hemolysis • Received room temperature • Received refrigerated • Received thawed | Hemophilia A, Procoagulant Factor 8, Antihemophilic Factor, Hemophiliac Factor, Factor VIII Functional | Clotting | 0 | Platelet poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice. | |||||||
| 90879 | Factor VIII Antigen | 85244 | An ELISA for Factor VIII antigen may be used in conjunction with the functional assays in the assessment of Factor VIII replacement therapies, assessment of carrier status, as well as to distinguish those patients that may be deemed cross-reactive material (CRM) positive. | 3.2% sodium citrate (light blue- top) tube | Room temperature: 4 hours Refrigerated: 48 hours Frozen -20°C: 30 days Frozen -70°C: 6 months | Plasma | Room temperature: 4 hours Refrigerated: 48 hours Frozen -20°C: 30 days Frozen -70°C: 6 months | Received room temperature • Received refrigerated | Immunoassay (IA) | 0 | Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic screw-cap vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic screw-cap vial. Plasma must be free of platelets (<10, 000/mcl). Freeze immediately and ship on dry ice. | ||||||||
| 40083 | Factor VIII Inhibitor Panel | 85240, 85335 | The presence of alloantibodies against factor VIII activity is a complication of treatment in hemophilia A, while the presence of autoantibodies may develop spontaneously in patients with acquired Factor VIII-C deficiency. The presence of Factor VIII inhibitor may lead to the neutralization (inactivation) of transfused or endogenous Factor VIII activity. The detection and magnitude of Factor VIII inhibitor is of great importance in the care of these patients. Factor VIII inhibitor EIA assay provides a quick method for the detection of Factor VIII inhibitor with less sample volume. | Factor VIII Inhibitor, EIA Screen and Factor VIII Activity, Clotting If Factor VIII Inhibitor, EIA Screen is positive, the Nijmegen Assay will be performed at an additional charge (CPT code(s): 85335) | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 14 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 14 days | Received room temperature • Received refrigerated | FVIII Bethesda Inhibitor, Factor VIII Inactivity, Inhibitor APTT, Factor 8 Inhibitor Evaluation | See individual tests | 0 | |||||||
| 362 | Factor XII Activity, Clotting, Coagulation | 85280 | Diagnosing deficiency of coagulation factor XII. Determining cause of prolonged activated partial thromboplastin time. Factor XII is synthesized in the liver. Its biological half-life is 40 to 50 hours. Factor XII is a component of the contact activation system and is involved in both intrinsic pathway and fibrinolytic system. Factor XII deficiency is often discovered when activated partial thromboplastin time is found to be unexpectedly long. The deficiency causes no known bleeding disorder. An association between severe factor XII deficiency and thrombosis risk has been proposed, but not proven. | 3.2% sodium citrate (light blue-top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days | Hemolysis • Received thawed • Received room temperature • Received refrigerated | Photometric Clot Detection | 0 | Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the BC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice. | ||||||||
| 14461 | Factor XIII, Functional | 85290 | Low Factor XIII levels, i.e., <15%, may cause a bleeding disorder and levels <2% have been associated with spontaneous introcranial hemorrhage. | 3.2% sodium citrate (light blue- top) tube | Room temperature: 24 hours Refrigerated: 24 hours Frozen: 14 days | Plasma | Room temperature: 24 hours Refrigerated: 24 hours Frozen: 14 days | Received room temperature • Received refrigerated | Factor Testing | Chromogenic | 0 | Note oral anticoagulant therapy. Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice. | |||||||
| 3967 | Fecal Fat, Qualitative | 82705 | Results may indicate malabsorption or maldigestion. False positive results can occur due to mineral oil or castor oil present in the specimen. Large number of neutral fat globules may indicate steatorrhea. | Plastic leak-proof stool container | Room temperature: 1 hour Refrigerated: 5 days Frozen: 30 days | Stool | Room temperature: 1 hour Refrigerated: 5 days Frozen: 30 days | Received room temperature | Lipids, Stool | Microscopic Examination of Sudan-Stained Smear | 0 | Do NOT contaminate outside of container; do not overfill container. | |||||||
| 455 | Fecal Fat, Quantitative | 82710 | Excessive Fat in stool, steatorrhea, is useful in diagnosing patients with malabsorption and maldigestion, e.g., pancreatic failure. In addition, results may be useful in monitoring patients receiving exogenous enzyme therapy for chronic diarrhea. | Plastic leak-proof stool container | Room temperature: 4 days Refrigerated: 6 days Frozen: 14 days | Stool | Room temperature: 4 days Refrigerated: 6 days Frozen: 14 days | Lipids, Stool, Split Fats, Unesterfied Fatty Acids | Nuclear Magnetic Resonance (NMR) | 0 | Use a one gallon, plastic leak-proof container with screw cap (warehouse item #2614). Record total collection time (24, 48, or 72 hours) and weight on test requisition. If entire collection is sent to the lab, the lab will verify weight of sample. Keep refrigerated during collection. Do no submit specimen in metal paint cans, as processing poses a safety hazard. Specimens received in paint cans will be rejected. Stool collection duration: Preferred (normal ranges apply). Frozen stool, 72 hour collection: Acceptable (normal ranges apply) Homogenized stool: Acceptable (normal ranges do not apply) | ||||||||
| 3930 | Fecal Leukocyte Stain | 89055 | The presence of leukocytes is an indicator of inflammation. Generally, inflammation is a product of bacteria-host interaction. | Zn-PVA or Total-Fix(TM) transport vial | Room temperature: 6 months Refrigerated: Not recommended Frozen: Unacceptable | Stool | Room temperature: 6 months Refrigerated: Not recommended Frozen: Unacceptable | Unpreserved stool | 0 | Collection Instructions: 1. The specimen must be passed into a clean dry container and must not be contaminated with urine or water. If a toilet is used, the water supply may be cut off and the bowl drained. 2. Add stool to bring the liquid level to the 'Fill to here' line on the Para-Pak Zn PVA or Total-Fix(TM) vial. Mix contents thoroughly until homogeneous. | |||||||||
| 35085 | Female Hormone Assessment | See Individual Tests | TSH, T4, Free T3, Total Testosterone, Total Testosterone Free SHBG, Progesterone, Estradiol, FSH, LH, PTH, Intact, DHEA-S, Cortisol, Serum, IGF-1, Prolactin | Serum Separator Tube (SST) | Serum | Progesterone | 0 | ||||||||||||
| 850850 | Fentanyl, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Fentanyl Norfentanyl Present in the following medication: Duragesic, Ionsys | Sealed Urine Container | Room temperature: 10 daysRefrigerated: 30 daysFrozen: 30 days | Urine | Room temperature: 10 daysRefrigerated: 30 daysFrozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 4225 | Ferritin, Serum | 82728 | Aiding in the diagnosis of iron deficiency and iron overload conditions. Differentiating iron deficiency anemia and anemia of chronic disease. Ferritin is a large spherical protein consisting of 24 oncovalently linked subunits with a molecular weight of approximately 450,000 daltons. The subunits form a shell surrounding a central core containing variable amounts of ferric hydroxyphosphate. One molecule of ferritin is capable of binding between 4,000 and 5,000 atoms of iron, making ferritin the major iron storage protein for the body. Ferritin is found chiefly in the cytoplasm of cells of the reticuloendothelial system and is a constituent of normal human serum. The concentration of ferritin is directly proportional to the total iron stores in the body, resulting in serum ferritin concentrations becoming a common diagnostic tool in the evaluation of iron status. | Serum Separator Tube (SST) | Room temperature: 7 daysRefrigerated: 7 daysFrozen: 28 days | Serum | Room temperature: 7 daysRefrigerated: 7 daysFrozen: 28 days | Gross hemolysis • Plasma | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | 0.3 mL each tube (NOTE: This volume does NOT allow for repeat testing). | 0.8 mL each tube | ||||||
| 38226 | Fetal Fibronectin | 82731 | Fetal fibronectin is a protein that performs two roles during pregnancy. It is produced by the placenta and acts as the glue that attaches the placenta to the uterine wall. In late pregnancy, it acts as a lubricant, aiding in the passage of the newborn through the vaginal canal. Amniotic fluid contains fetal fibronectin and when the membranes leak, fetal fibronectin can be detected in a cervicovaginal collection. This can be used as a predictor of pre-term delivery, defined as less than 37 weeks gestation. | Dacron cotton swab | Room temperature: 8 hours Refrigerated: 3 days Frozen: 3 months | Swab | Room temperature: 8 hours Refrigerated: 3 days Frozen: 3 months | Room temperature samples received more than 8 hours after collection • Specimens received in expired transport | Solid Phase Immunosorbent Colorimetric Assay | 0 | Collect using Adeza Biomedical Corp kit | ||||||||
| 461 | Fibrinogen Activity, Clauss | 85384 | Diagnosis of homozygous and heterozygous fibrinogen deficiency as well as dysfibrinogenemia; diagnosis of disseminated intravascular coagulation, fibrinogen levels can be used to assess the effectiveness of thrombolytic therapy. | 3.2% sodium citrate (light blue- top) tube | Room temperature: 72 hours (non-heparinized) | Whole blood | Room temperature: 72 hours (non-heparinized) | Gross hemolysis • Clotted | Factor I | Photometry/Optical, Clauss | 0 | Correct ratio of blood to citrate is critical. Do not overfill or underfill collection tube. Mix by inversion 4 times. Do not pool plasma from multiple tubes. For non-heparinized patients, maintain specimen at room temperature. Do not uncap. Non-heparinized patients are stable up to 72 hours at room temperature. Heparinized patients stable for 24 hours at room temperature. If testing cannot be completed within stability limits, centrifuge specimen within 1 hour of collection at 1500 g. Transfer plasma to a transport tube and freeze at -20°C immediately. | |||||||
| 37801 | Fibrinogen Antigen, Plasma | 85385 | Evaluation of fibrinogen deficiency. Measuring fibrinogen in patients with elevated plasma levels of fibrin degradation products, patients receiving heparin, and in patients with antibodies to thrombin (following surgical use of topical bovine thrombin). Identifiying afibrinogenemia, hypofibrinogenemia and dysfibrinogenemia when ordered in combination with fibrinogen activity. Fibrinogen (clotting factor I) is an essential protein responsible for blood clot formation. In the final step of the coagulation cascade, thrombin converts soluble fibrinogen into insoluble fibrin strands that crosslink and form a clot. | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: 72 hours Frozen: 90 days | Plasma | Room temperature: Unacceptable Refrigerated: 72 hours Frozen: 90 days | Received room temperature • Received refrigerated | Nephelometry | 0 | After collection, immediately centrifuge the tube, transfer plasma to a transport tube, and freeze. Label this tube Frozen Plasma. | ||||||||
| 90665 | FISH, Myeloproliferative Neoplasms (Eosinophilia) | 88271 (x7), 88275 (x3) | This FISH panel includes probes that target the PDGFRA (4q12), PDGFRB (5q33.1) and FGFR1 (8p11-12) loci. The probes included in this panel are constructed using the breakapart strategy (fusion signal indicates an intact locus). This allows detection of rearrangements of PDGFRA, PDGFRB, and FGFR1 that result from translocations involving various chromosome regions (usually tyrosine kinase coding genes). Fusion of these receptors with a tyrosine kinase coding gene leads to kinase activation. Rearrangements of PDGFRA, PDGFRB, and FGFR1 are found in a rare group of stem cell myeloid and lymphoid neoplasms that have in common the presence of eosinophilia and the involvement of genes that code for a tyrosine kinase. As such, detection of these rearrangements will help to properly diagnose and follow up of these patients. Furthermore, patients with activated tyrosine kinases are good candidates for tyrosine kinase inhibitors. | Sodium heparin (green-top) | Whole Blood | 0 | 3 mL bone marrow or 5 mL whole blood collected in a sodium heparin (green-top) tube. | ||||||||||||
| 5309 | Flecainide | 80299 | Monitoring the Flecainide concentration is used to assure compliance and avoid toxicity of this cardiac drug used to treat ventricular tachycardia and premature contractions. | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Lipemia • Gel barrier/Serum Separator Tube (SST) | Tambocor | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Optimum time to collect sample: 1 hour before next dose | |||||||
| 489100 | FLOW FOR CLL | 88184, 88185, 88189 | CD2, CD3, CD4, CD5, CD7, CD8, CD10, CD11c, CD19, CD20, CD23, CD38, CD56, CD64, FMC7, Kappa, Lambda, CD45*Additional markers may be performed based on the pahtologist review. These markers will be performed at an additional charge (CPT code(s): 88185 for each additional marker) | Lavender-top (EDTA) tube & Greentop (heparin) tube | 72 hours | Peripheral blood, Bone marrow, Tissue, or Body fluids | 72 hours | 0 | |||||||||||
| 850870 | Fluoxetine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Fluoxetine Norfluoxetine Present in the following medication: Prozac | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 850834 | Flurazepam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | 2-Hydroxyethylflurazepam Present in the following medication: Dalmane, Dalmadorm | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 2115 | Folate (Folic Acid), Serum | 82746 | Investigation of suspected folate deficiency.Approximately 20% of the folate absorbed daily is derived from dietary sources; the remainder is synthesized by intestinal microorganisms. Serum folate levels typically fall within a few days after dietary folate intake is reduced and may be low in the presence of normal tissue stores. RBC folate levels are less subject to short-term dietary changes. Significant folate deficiency is characteristically associated with macrocytosis and megaloblastic anemia. Lower than normal serum folate also has been reported in patients with neuropsychiatric disorders, in pregnant women whose fetuses have neural tube defects, and in women who have recently had spontaneous abortions. Folate deficiency is most commonly due to insufficient dietary intake and is most frequently encountered in pregnant women or in alcoholics. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 21 days | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 21 days | Plasma specimen; hemolysis | Electrochemiluminescence immunoassay (ECLIA) | 0 | If red-top tube is used, transfer separated serum IMMEDIATELY to a plastic transport tube. Avoid hemolysis. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 467 | Folate, RBC | 82747 | Folate levels have diagnostic significance in nutritional deficiencies, especially in cases of severe alcoholism, function damage to the upper third of small bowel, pregnancy and various forms of megoblastic anemia. Since serum folate levels are subject to rapid changes reflecting diet and absorption, RBC folate may be a better diagnostic tool since the levels remain fairly constant. | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 72 hours Frozen: 30 days | Whole blood | Room temperature: 72 hours Refrigerated: 72 hours Frozen: 30 days | Red Blood Cell Folate, RBC Folic Acid, Folic Acid, RBC, Folic Acid, Red Cell Folate, RBC Folate | Immunoassay (IA) | 0 | Whole blood collected in an EDTA (lavender-top) tube sent at room temperature will have folate and hematocrit testing performed. Wrap tube in aluminum foil to protect from light. | ||||||||
| 35176 | Francisella tularensis Antibody, Direct Agglutination (DA) | 86000 | In the presence of compatible symptoms, a Francisella tularensis antibody titer of 1: 160 or greater in an acute specimen supports a presumptive diagnosis of tularemia. However, a titer > or =1: 160 may also reflect past infection. An equivocal titer may be due to cross-reactive antibodies (Brucella, Yersinia, or Proteus OX19), past infection, or very recent infection. A four-fold rise in titer between acute and convalescent sera is required for definitive serologic diagnosis of tularemia. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Tularemia Ab | Direct Agglutination (DA) | 0 | |||||||||
| 66 | Free Fatty Acids | Evaluation of metabolic status of persons with endocrinopathies. Detection of pheochromocytoma and of glucagon-, thyrotropin-, and edrenocorticotropin- secreting tumors. Monitoring of control of diabetes mellitus (serum-free glycerol is a very useful companion test in assessing diabetes and may be ordered by special request from Mayo Medical Laboratories). The correlation with insulin resistance and downstream cardiovascular risk may be a useful treatment aid in some patients. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: 2 hours Frozen: 30 days | Serum | Room temperature: Unacceptable Refrigerated: 2 hours Frozen: 30 days | Received thawed • Received room temperature • Received refrigerated | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | ||||||||||
| 2006 | Free Thyroxine Index (FTI) | 84436, 84479 | Estimating the amount of circulating free thyroxine (free thyroxine index) using the total thyroxine and thyroid binding capacity (T-uptake). | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 28 days | Lipemia • Heparin plasma • EDTA plasma | FTI, T4, FT4 | 0 | |||||||||
| 8340 | Fructosamine | 82985 | The fructosamine assay is useful in monitoring the degree of glycemia over short-to-intermediate time frames (1-3 weeks). A fructosamine concentration greater than the established normal range is an indication of prolonged hyperglycemia of 1-3 weeks or longer. The higher the fructosamine value, the poorer the degree of glycemia control. | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 14 days Frozen: 60 days | Serum | Room temperature: 5 days Refrigerated: 14 days Frozen: 60 days | Hemolysis | Spectrophotometry (SP) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 28480 | FSH and LH | 83001 | See individual tests | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | 0.6 mL (NOTE: This volume does NOT allow for repeat testing.) | 1.5 mL | |||||||
| 2120 | FSH, Serum | 83001 | An adjunct in the evaluation of menstrual irregularities. Evaluating patients with suspected hypogonadism. Predicting ovulation, Evaluating infertility, and Diagnosing pituitary disorders. Gonadotropin-releasing hormone from the hypothalamus controls the secretion of the gonadotropins, follicle-stimulating hormone (FSH) and luteinizing hormone (LH), from the anterior pituitary. The menstrual cycle is divided by a midcycle surge of both FSH and LH into a follicular phase and a luteal phase. FSH appears to control gametogenesis in both males and females. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum or plasma from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 4112 | FTA-ABS | 86780 | The FTA-ABS is a specific treponemal assay to detect antibody to t. Pallidum. The FTA-ABS becomes reactive 4-6 weeks after infection. Unlike the nontreponemal tests, once the FTA-ABS test becomes reactive, it will remain reactive for many years. Since the reactivity found with the FTA-ABS does not indicate response to therapy, it is not suitable for monitoring treatment. The FTA-ABS test does not distinguish between syphillis and other treponematoses such as yaws, pinta and bejil. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Treponemal pallidum, Fluorescent Treponemal Antigen, Syphilis | Immunofluorescent Assay (IFA) | 0 | ||||||||
| 16283 | Fungitell (1-3)-�-D-Glucan Assay | 84311 | Invasive Fungal Infections (IFI) are increasing, especially among immunocompromised patients. Most pathogenic fungi have (1->3)-beta-D-glucan in their cell walls and minute quantities are sloughed into the bloodstream and appear in the serum in cases ofIFI. Monitoring serum (1->3)-beta-D-glucan for evidence of elevated and rising levels provides a convenient surrogate marker for IFI. | Cryogenic vial | Room temperature: Unacceptable Refrigerated: 5 days Frozen: 14 days | Serum | Room temperature: Unacceptable Refrigerated: 5 days Frozen: 14 days | Hemolysis, Lipemia, Icteric, Turbid serum, Specimens other than serum, Glass tubes | Protease Zymogen-Based Colorimetric | 0 | Draw blood in plain red-top tube or Serum Separator Tube (SST), spin down, then aliquot off into a cryogenic vial (DNAse, RNAse, pyrogen-free). Glucan-free tubes are acceptable. | ||||||||
| 3557 | Gabapentin | 80171 | Gabapentin is an anticonvulsant drug commonly used as adjunctive therapy to treat partial seizures. Therapeutic drug monitoring is useful to optimize dose and to avoid toxicity. | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 12 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 12 days Frozen: 30 days | Gel barrier/Serum Separator Tube (SST) • Gross hemolysis | Neurotin, Neurontin™ | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Draw sample 2 hours after last dose | |||||||
| 850855 | Gabapentin, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Gabapentin Present in the following medication: Neurontin, Gralise, Gabarone, Fanatrex | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 34878 | GAD-65 Autoantibody | 86341 | Glutamic Acid Decarboxylase (GAD-65) Antibody is useful to diagnose insulin dependent diabetes mellitus (IDDM, Type I diabetes), to assess risk for development of IDDM, to predict onset of IDDM, and risk of development of related endocrine disorders, e.g., thyroiditis. Before clinical onset, Type I diabetes is characterized by lymphocytic infiltration of the islet cells, and by circulating autoantibodies against a variety of islet cell antigens, including GAD-65, IA-2 (a tyrosine phosphatase-like protein), and insulin autoantibody (IAA). | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 7 daysFrozen: 6 months | Serum | Room temperature: 8 hours Refrigerated: 7 daysFrozen: 6 months | Received room temperature | Radiobinding Assay | 0 | |||||||||
| 10584 | GAD65, IA-2, and Insulin Autoantibody | 86337, 86341 | Glutamic Acid Decarboxylase (GAD-65) Antibody is useful to diagnose insulin dependent diabetes mellitus (IDDM, Type I diabetes), to assess risk for development of IDDM, to predict onset of IDDM, and risk of development of related endocrine disorders, e.g., thyroiditis. Before clinical onset, Type I diabetes is characterized by lymphocytic infiltration of the islet cells, and by circulating autoantibodies against a variety of islet cell antigens, including GAD-65, IA-2 (a tyrosine phosphatase-like protein), and insulin autoantibody (IAA). | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Received room temperature | IA-2 Antibody, Panel, Diabetes Antibody Panel, Glutamic Acid Decarboxylase-65 Antibody Panel, Insulin A | Radiobinding Assay (RBA) | 0 | ||||||||
| 95241 | Galactose-alpha-1,3-galactose (Alpha-Gal) IgE | 82657 | The Galactose-alpha-1,3-galactose (Alpha-Gal) IgE test more specifically defines the etiology of allergic responses to meat allergens in patients with a delayed onset of symptoms (3 to 6 hours after meal). IgE to Alpha-Gal is the likely cause of anaphylactic reactions in individuals who develop hypersensitivities to beef, pork and/or lamb as adults. | Serum Separator Tube (SST) | Room temperature: 25 days Refrigerated: 25 days Frozen: 1 year | Serum | Room temperature: 25 days Refrigerated: 25 days Frozen: 1 year | Lipemia may be rejected | Alpha Gal | 0 | |||||||||
| 4030 | Gamma Glutamyl Transferase (GGT) | 82977 | Elevated GGT is found in all forms of liver disease. Measurement of GGT is used in the diagnosis and treatment of alcoholic cirrhosis, as well as primary and secondary liver tumors. It is more sensitive than alkaline phosphatase, the transaminases, and leucine aminopeptidase in detecting obstructive jaundice, cholangitis, and cholecystitis. Normal levels of GGT are seen in skeletal diseases; thus, GGT in serum can be used to ascertain whether a disease, suggested by elevated alkaline phosphatase, is skeletal or hepatobiliary. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Plasma | Kinetic | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 37093 | Ganglioside GM-1 Antibodies (IgG, IgM), EIA | 83520 | Supporting diagnosis of neurological diseases-primarily motor neuron disease and motor europathies. Peripheral neuropathies are a group of disorders that results from lesions on peripheral nerves. Patients with a peripheral neuropathy can have symptoms of weakness, sensory loss, and/or autonomic dysfunction. The causes of acquired peripheral neuropathies are varied, and include vitamin deficiencies, metabolic abnormalities, infections, malignancies (paraneoplastic disorders), and autoimmune diseases. A subset of the autoimmune-mediated peripheral neuropathies is associated with the presence of circulating autoantibodies that bind to specific gangliosides. Gangliosides are glycosphingolipids that contain sialic acid residues. Although present in the plasma membranes of many cell types, gangliosides are particularly abundant in neural tissue. | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 48 hours Refrigerated: 14 days Frozen: 30 days | Received room temperature | GM-1 Antibody | Immunoassay (IA) | 0 | Overnight fasting is preferred. | |||||||
| 478 | Gastrin | 82941 | Investigation of patients with achlorhydria or pernicious anemia. Investigation of patients suspected of having Zollinger-Ellison syndrome. Diagnosis of gastrinoma; basal and secretin-stimulated serum gastrin measurements are the best laboratory tests for gastrinoma. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 28 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 28 days | Gross hemolysis • Gross lipemia • Received thawed • Grossly icteric | Immunoassay | 0 | Overnight fasting is preferred. | ||||||||
| 30578 | General Health Panel | Multi | These tests can yield information about health problems at a stage that has not yet produced any physical signs or symptoms of illness. A wide variety of conditions can be identified including: Liver disorders, diabetes, thyroid disease. Blood tests that indicate abnormalities in your blood system - i.e., you are 'out of normal range' -can alert you to take action. That action might be a visit to a physician or simply a different diet and exercise. In any case, 'knowing' if something is wrong with you -and what is wrong- are the first steps to correction of a poor health condition. A blood test can 'keep you in the know' about your personal health! | CBC, BMP, Hepatic, Lipids, HgA 1 c, TSH, Vit D | Serum Separator Tube (SST) & EDTA (Laventer top) tube | See individual tests | Serum & whole blood | See individual tests | See individual tests | 0 | |||||||||
| 10594 | Genosure Prime | 87906 | HIV genotype | Performing Laboratory Monogram Biosciences, Inc345 Oyster Point Blvd South San Francisco, CA 94080-1913 | 4x Lavender Tubes | Plasma | 0 | For EDTA samples after centrifugation, immediately remove plasma from cells and transfer to a screw-cap tube. Immediately after centrifugation, freeze plasma samples. Sample should be frozen when courier arrives to pick it up. Do not thaw samples after freezing.Minimum Volume3 mL. | |||||||||||
| 10100 | GI Panel PCR | GI Panel tests for a comprehensive set of 22 gastrointestinal pathogens by Multiplex PCR. The GI Panel tests stool specimens for common pathogens associated with gastroenteritis. Quickly identifying the correct pathogen can ensure appropriate treatment, patient management and help decrease infectious gastroenteritis which can lead to severe illness or death. | BACTERIA: Campylobacter (jejuni, coli and upsaliensis), Clostridium difficile (toxin A/B), Plesiomonas shigelloides, Salmonella, Yersinia enterocolitica, Vibrio (parahaemolyticus, vulnificus and cholerae) Vibrio cholerae. DIARRHEAGENIC E. COLI/SHIGELLA: Enteroaggregative E. coli (EAEC, EPEC, ETEC lt/st), Shiga-like toxin-producing E. coli (STEC) stx1/stx2, E. coli O157, Shigella/Enteroinvasive E. coli (EIEC)PARASITES: Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia VIRUSES: Adenovirus F40/41, Astrovirus, Norovirus GI/GII, Rotavirus A, Sapovirus (I, II, IV & V). | Para-Pak C&S Kit | Room temperature: 4 days Refrigerated: 4 days Frozen: 40 days | Stool | Room temperature: 4 days Refrigerated: 4 days Frozen: 40 days | Stool, Culture, Stool Culture, difficile, Clostridium diff, Giardia | 0 | ||||||||||
| 9917 | Glomerular Basement Mmbrane (GBM) IgG | 83520 | Glomerular Basement Membrane Antibody is present in one fourth of patients with Goodpasture's syndrome. This syndrome consists of glomerulonephritis and pulmonary hemorrhage. | Serum Separator Tube (SST) | Room temperature: 7 Days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 Days Refrigerated: 14 days Frozen: 30 days | GBM | Immunoassay | 0 | |||||||||
| 500 | Glucose-6-Phosphate Dehydrogenase (G6PD) Qn | 82955 | G-6-PD is the most common enzyme deficiency in the world. Newborns with G-6-PD may have prolonged and more pronounced neonatal jaundice than other newborns. Older individuals are subject to hemolytic anemia that can be induced by some foods,drugs, and infections. | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 7 days Frozen: Unacceptable | G-6-PD, g6pd | Ultra-violet • Kinetic | 0 | |||||||||
| 4004 | Glucose, Serum | 82947 | Glucose levels may be abnormally high (hyperglycemia) or abnormally low (hypoglycemia). Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolic disorders including diabetes mellitus, idiopathic hypoglycemia, and pancreatic islet cell neoplasm. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Unspun serum or plasma separator tube | Enzymatic | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 4315 | Glucose, serum 1Hr | 82947 | Glucose levels may be abnormally high hyperglycemia) or abnormally low (hypoglycemia). Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolic disorders including diabetes mellitus, idiopathic hypoglycemia, and pancreatic islet cell neoplasm. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Unspun serum or plasma separator tube | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 4320 | Glucose, serum 1Hr 30min | 82950 | Red-top tube, gel-barrier tube, green-top (lithium heparin) tube OR gray-top (sodium fluoride) tube | Serum (preferred) OR plasma | Enzymatic | 0 | Collect specimen two hours from the beginning of meal. Separate serum or plasma from clot or red cells within 45 minutes of collection. Mix plasma thoroughly. | ||||||||||||
| 4325 | Glucose, serum 2Hr | 82947 | Glucose levels may be abnormally high hyperglycemia) or abnormally low (hypoglycemia). Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolic disorders including diabetes mellitus, idiopathic hypoglycemia, and pancreatic islet cell neoplasm. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Unspun serum or plasma separator tube | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 4310 | Glucose, serum 30 min | 82947 | Glucose levels may be abnormally high (hyperglycemia) or abnormally low (hypoglycemia). Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolic disorders including diabetes mellitus, idiopathic hypoglycemia, and pancreatic islet cell neoplasm. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Unspun serum or plasma separator tube | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 19599 | GlycoMark, 1,5-Anhydroglucitol (1,5AG) | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 497 | Gram Stain | 87205 | The gram stain is a rapid, preliminary test to assess the quality of specimens, identify bacterial infections, and to guide the initial antibacterial therapy. | Sterile, leak-proof container | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Body fluids, CSF, lower respiratory tract specimens, urine or fresh (unfixed) tissue | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Smears with cytology fixatives • Broken slides | Microscopic Examination | 0 | Specimen requirement: Primary specimen from any source in sterile, leak-proof container or heat-fixed or methanol-fixed smear in a slide folder. Tissues or brushes in transport medium or in a small amount of sterile saline are acceptable. Stool will only be examined for campylobacter. If culture is requested second swab must be submitted. | ||||||||
| 521 | Growth Hormone (GH) | 83003 | Measurement of GH is primarily of interest in the diagnosis and treatment of various forms of inappropriate growth hormone secretion. Growth hormone measurements in children are used in the evaluation of short stature and help differentiate low GH production from other sources of growth failure. Stimulation and suppression tests are often more meaningful than random measurements. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 28 days | Plasma | Human Growth Hormone (hGH), HGH, GH | Immunoassay | 0 | If a red-top tube is used, transfer separated serum to a plastic transport tube. Label tube with time of collection and patients name. | |||||||
| 8578 | GTT - 1 Hr | 86415 | The GTT only establishes the presence of glucose intolerance. It is used in patients with borderline fasting and postprandial glucose to support or rule out the diagnosis of diabetes mellitus. Some use it in unexplained hypertriglyceridemia, neuropathy, impotence, diabetes-like renal diseases, retinopathy, reevaluation of prior diagnosis made under substandard conditions and with necrobiosis lipoidica diabeticorum. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Unspun serum or plasma separator tube | GTT, glucose, tolerance | 0 | Draw a fasting blood sample before administering glucose. Administer a 75-gram glucose. The patient should remain seated throughout the test. Submit 1 mL serum or plasma for fasting and one-hour specimens. Separate serum or plasma from cells within 45 minutes of venipuncture. Gray-top tubes only, may be submitted without centrifugation. Label each tube with the patient's name and collection time interval. (ie, fasting and two-hour). | ||||||||
| 4800 | GTT - 2 Hr | The GTT only establishes the presence of glucose intolerance. It is used in patients with borderline fasting and postprandial glucose to support or rule out the diagnosis of diabetes mellitus. Some use it in unexplained hypertriglyceridemia, neuropathy, impotence, diabetes-like renal diseases, retinopathy, reevaluation of prior diagnosis made under substandard conditions and with necrobiosis lipoidica diabeticorum. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Unspun serum or plasma separator tube | GTT, glucose, tolerance | 0 | Draw a fasting blood sample before administering glucose. Administer a 75-gram glucose. The patient should remain seated throughout the test. Submit 1 mL serum or plasma for fasting and one and two-hour specimens. Separate serum or plasma from cells within 45 minutes of venipuncture. Gray-top tubes only, may be submitted without centrifugation. Label each tube with the patient's name and collection time interval, (ie, fasting and two-hour). | |||||||||
| 8590 | GTT - 3 Hr | The GTT only establishes the presence of glucose intolerance. It is used in patients with borderline fasting and postprandial glucose to support or rule out the diagnosis of diabetes mellitus. Some use it in unexplained hypertriglyceridemia, neuropathy, impotence, diabetes-like renal diseases, retinopathy, reevaluation of prior diagnosis made under substandard conditions and with necrobiosis lipoidica diabeticorum. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Unspun serum or plasma separator tube | GTT, glucose, tolerance | 0 | Draw a fasting blood sample before administering glucose. Administer a 75-gram glucose. The patient should remain seated throughout the test. Submit 1 mL serum or plasma for fasting and one, tow-hour specimens and three-hour. Separate serum or plasma from cells within 45 minutes of venipuncture. Gray-top tubes only, may be submitted without centrifugation. Label each tube with the patient's name and collection time interval, (ie, fasting and two-hour). | |||||||||
| 6006 | H pylori IgG Ab | 86677 | The qualitative determination of IgG antibodies to Helicobacter pylori (H. pylori) in human serum from symptomatic adults as an aid in the diagnosis of H. pylori infection. | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Helicobacter pylori | H. pylori IgA and IgM: enzyme immunoassay (EIA); H. pylori IgG: chemiluminescence | 0 | Separate serum from cells within 45 minutes of venipuncture. | 1 mL | 2 mL | ||||||
| 34838 | H. pylori Stool Ag, EIA | 87338 | Colonization with H. pylori is associated with increased risk of patients developing gastritis, peptic ulcer disease, and gastric adenocarcinoma. Stool antigen testing provides a sensitive measure of infection including during and after treatment. | Sterile leak-proof container | Room temperature: Unacceptable Refrigerated: 72 hours Frozen: 30 days | Stool | Room temperature: Unacceptable Refrigerated: 72 hours Frozen: 30 days | Watery, diarrheal stool • Stool in preservative, transport media or swab | H. pylori Antigen, H. pylori Stool Antigen | Immunoassay (IA) | 0 | Collect 0.5 mL or 0.5 grams of semi-solid stool or 20 mm diameter solid stool and transfer to properly labeled plastic, leak-proof container. Do not place stool in preservative, transport media or swab. Watery, diarrheal stool is not acceptable. | |||||||
| 35135 | Haemophilus influenzae Type B Antibody (IgG) | 86684 | Haemophilus influenzae is a gram-negative bacteria that is present in approximately three-quarters of children and adults. In infants and young children, haemophilus influenzae, especially type B, may cause bacteremias and meningitis. In children and older individuals haemophilus influenzae may cause respiratory tract infections. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 564 | Haloperidol | 80173 | Monitoring the haloperidol concentration is used to assure compliance and avoid toxicity of this antipsychotic drug. | Red-top tube (no-gel) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Gel barrier/Serum Separator Tube (SST) | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect sample 11-17 hours after last dose. | ||||||||
| 502 | Haptoglobin | 83010 | Increased haptoglobin is found in hemolytic disease, hepatocellular disease and infectious mononucleosis. Increased level is found in inflammatory disease in the presence of tissue necrosis and in general acute inflammatory conditions. | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 90 days | Gross Hemolysis • Gross lipemia | Nephelometry | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 2126 | hCG, �-Subunit, Qualitative ,Serum | This test should be used only to determine pregnancy. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||||
| 2125 | hCG, �-Subunit, Quantitative, Serum | 84702 | Monitoring patients for retained products of conception. Aiding in the diagnosis of gestational trophoblastic disease (GTD), testicular tumors, ovarian germ cell tumors, teratomas, and, rarely, other human chorionic gonadotropin (hCG)-secreting tumors. Serial measurement of hCG following treatment for: -Monitoring therapeutic response in GTD or in hCG-secreting tumors. -Detecting persistent or recurrent GTD or hCG-secreting tumors. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL NOTE This volume does NOT allow for repeat testing. | 0.8 mL | |||||||
| 17611 | HCV FibroSURE | 82172, 82247, 82977, 83010, 83883, 84460 | Assessment of liver status following a diagnosis of HCV. Baseline determination of liver status before initiating HCV therapy. Posttreatment assessment of liver status six months after completion of therapy. Noninvasive assessment of liver status in patients who are at increased risk of complications from a liver biopsy. | Serum Separator Tube (SST) | Room temperature: Unexceptable Refrigerated: 3 days Frozen: 7 days | Serum | Room temperature: Unexceptable Refrigerated: 3 days Frozen: 7 days | Gross hemolysis; gross lipemia; nonfasting specimen; patient younger than 14 years of age | 0 | FibroSURE is a DOS test. Do not set DOS to Y so that a PAL letter will be generated. Patient age and sex must be included on the request form. Separate serum from cells within one hour. | |||||||||
| 4058 | HDL Cholesterol | 83718 | HDL cholesterol is inversely related to the risk for cardiovascular disease. It increases following regular exercise, moderate alcohol consumption and with oral estrogen therapy. Decreased levels are associated with obesity, stress, cigarette smoking and diabetes mellitus. | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 15 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 15 days | Anticoagulants other than heparin | Enzymatic | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 7655 | Heavy Metals Profile I, Blood | 82175, 83655, 83825 | Useful in the diagnosis of toxicity due to Arsenic, Lead or Mercury. | Arsenic, Lead, Mercury | EDTA (royal blue-top) tube | Room temperature: 5 days Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 5 days Refrigerated: 7 days Frozen: Unacceptable | Clotted specimen | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | Carefully clean skin prior to venipuncture. Avoid worksite collection. Carefully clean skin prior to venipuncture. Avoid worksite collection. | |||||||
| 14839 | Helicobacter pylori, Urea Breath Test | 83013 | Helicobacter pylori is a gram-negative microaerophilic curved bacillus with an affinity for human gastric mucosa. H. pylori has been identified as an important pathogen in the upper GI tract. The casual relationship between H. pylori and chronic active gastritis, duodenal ulcers, and gastric ulcers has been well documented. BreathTek™ UBiT™ for H. pylori is a non-invasive, non-radioactive method for detecting urease activity associated with H. pylori infection. It is FDA approved to confirm cure and offers 95.2% sensitivity and 89.7% specificity compared with endoscopic methods. | BreathTek™ UBT Collection Kit | Room temperature: 7 days Refrigerated: Unacceptable Frozen: Unacceptable | Human breath | Room temperature: 7 days Refrigerated: Unacceptable Frozen: Unacceptable | Specimen types other than BreathTek™ UBT bags • Specimens from patients <3 years old | Breath Test, UBiT, Urea Breath Test, H. pylori | Infra-red Spectrophotometry (IR) | 0 | This test can only be performed on specimens from patients >3 years old. | |||||||
| 1015 | Hematocrit | 85014 | Usual method for determining anemia. Used to calculate indices. | Lavender-top (EDTA) tube | Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unstable | Whole blood | Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unstable | Hemolysis • Clotted • Received frozen | Automated cell counter | 0 | Invert tube 8 to 10 times immediately after tube is filled at the time of collection. | 0.5 mL | Tube fill capacity | ||||||
| 1010 | Hemoglobin | 85018 | Usual method for determining anemia. Used to calculate indices. | Lavender-top (EDTA) tube | Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unstable | Whole blood | Room temperature: 48 hours Refrigerated: 48 hours (may cause platelet clumping) Frozen: Unstable | Hemolysis • Clotted • Received frozen | Automated cell counter | 0 | Invert tube 8 to 10 times immediately after tube is filled at the time of collection. | 0.5 mL | Tube fill capacity | ||||||
| 4000 | Hemoglobin A1c | 83036 | To assist with control of blood glucose levels, the American Diabetes Association (ADA) has recommended glycated hemoglobin testing (HbA1c) twice a year for patients with stable glycemia, and quarterly for patients with poor glucose control. Interpretative ranges are based on ADA guidelines. | Lavender-top (EDTA) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: 6 months | Whole blood | Room temperature: 7 days Refrigerated: 7 days Frozen: 6 months | Sodium fluoride/oxalate (gray-top) tube • Heparinized plasma | Roche Tina Quant | 0 | The usual precautions in the collection of venipuncture samples should be observed. The sample must be free of clots. Samples with any hematocrit disorders can lead to erroneous results. Send entire tube to the laboratory. | Pediatric EDTA whole blood tubes may be used. Please place the entire tube in a transport tube for shipment to the laboratory. | 7 mL | ||||||
| 511 | Hemoglobin A2, Quantitative | 83021 | Differential diagnosis of thalassemia and anemias. In B-thalassemia trait A2 is elevated. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | HGB A2 | High Performance Liquid Chromatography (HPLC) | 0 | |||||||||
| 35489 | Hemoglobinopathy Evaluation | 83021, 85014, 85018, 85041 | The detection and proper identification of hemoglobinopathies and thalassemias is an important aspect of the evaluation of patients with anemia, microcytosis and erythrocytosis. | Variants, Red Blood Cell Count, Hemoglobin, Hematocrit, MCV, MCH, RDW | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 6 days Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: 6 days Frozen: Unacceptable | Received frozen | Hemoglobin Electrophoresis, Hemoglobin, Electrophoresis, hgb | High Performance Liquid Chromatography (HPLC) followed by, if necessary, Alkaline and Acid Hemoglobi | 0 | Patient age and ethnicity are necessary for proper interpretation. Blood transfusions within the last 4 months may affect results. | ||||||
| 14874 | Heparin-Induced Thrombocytopenia Panel | 86022 | Clinical picture of HIT type II: -In patients not previously exposed to heparin-Decrease in platelet count (thrombocytopenia) of 50% or more from baseline or postoperative peak. -Onset of thrombocytopenia beginning approximately 5 to 10 days after initiation of heparin this may or may not be associated with new or progressive thrombosis in patients treated with heparin. Patients previously exposed to heparin (especially within the preceding 100 days), in addition to the above findings, the onset of thrombocytopenia could occur within 24 to 48 hours after reexposure to heparin. | Serotonin Release Assay (SRA), Unfractionated Heparin Heparin-Induced Platelet Antibody | Red-top tube (no gel) (x2) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 6 months | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 6 months | Gross hemolysis • Lipemia • Icteric • Serum Separator Tube (SST) • Received room temperature • Received refrigerated | Radiobinding 14C Serotonin Radiolabel • Immunoassay | 0 | Two separate aliquots required. Separate from cells as soon as possible after clotting. | |||||||
| 30292 | Heparin, Anti-Xa | 85520 | This assay is useful in measuring heparin concentration in patients treated with low molecular weight heparins (i.e. Enoxaparin/Lovenox) or unfractionated heparin. It is not intended for measurement of Rivaroxaban (Xarelto) or Fondaparinux (Arixtra). Refer to test code 90981 for Rivaroxaban measurement and test code 16103 for Fondaparinux measurement. | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Hemolysis • Received room temperature • Received refrigerated | Heparin Anti-Xa (LMWH) | Chromogenic Assay | 0 | Platelet-poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship Frozen. | |||||||
| 4400 | Hepatic Function Panel (7) | 80076 | See individual tests | Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), Total Bilirubin, Direct Bilirubin, Indirect Bilirubin (calculated), Alkaline Phosphatase, AST, ALT | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Hemolysis • Received frozen • Serum • Any anticoagulant other than lithium or sodium heparin | Liver | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing). | 1 mL | |||||
| 4410 | Hepatic Function Panel with Bile Acid | 80076, 82239 | Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), Total Bilirubin, Direct Bilirubin, Indirect Bilirubin (calculated), Alkaline Phosphatase, AST, ALT and Total Bile Acid. | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: Unacceptable | Hemolysis • Received frozen • Serum • Any anticoagulant other than lithium or sodium heparin | Liver | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 6734 | Hepatitis A Antibody, IgM | 86709 | IgM antibodies to Hepatitis A suggest a current, acute or recent Hepatitis A infection. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | Hep A, HAV, Hepatitis | Immunochemiluminometric assay (ICMA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 508 | Hepatitis A Antibody, Total | 86708 | Hepatitis A Virus (HAV) antibodies indicate prior or acute infection with, or immunization to, Hepatitis A virus. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | HAV Total, HAV Antibody | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 8000 | Hepatitis B Core Antibody, IgM | 86705 | Hepatitis B core-specific IgM class antibody has been detected in most acute infections and is a reliable marker for acute disease. In some cases, hepatitis B core IgM antibody may be the only specific marker for the diagnosis of acute infection with hepatitis B virus. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | Immunochemiluminometric assay (ICMA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 501 | Hepatitis B Core Antibody, Total | 86704 | This assay does not distinguish between Total B core antibody IgG and IgM detected before or at the onset of symptoms; however, such reactivity can persist for years after illness, and may even outlast anti-HBs. Occasionally Hepatitis B core antibodymay be the only marker of either current or past Hepatitis B infection. | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Hep B, HBV, Hepatitis | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 6530 | Hepatitis B Surface Antibody | 86317 | Identifying previous exposure to hepatitis B virusDetermining adequate immunity from hepatitis B vaccination. | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Immunochemiluminometric assay (ICMA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 8086 | Hepatitis B Surface Antigen | 86706 | Surface antigen usually appears in the serum after an incubation period of 1 to 6 months following exposure to Hepatitis B virus and peaks shortly after onset of symptoms. It typically disappears within 1 to 3 months. Persistence of Hepatitis B surface antigen for greater than 6 months is a prognostic indicator of chronic Hepatitis B infection. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | Hep B, HBV, Hepatitis | Immunochemiluminometric assay (ICMA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | |||||
| 8369 | Hepatitis B Virus DNA, Quantitative,PCR | 87517 | Chronic carriers will persist in producing detectable HBV. Patients with chronic liver disease of unknown origin most commonly have HBV that is detected by viral DNA testing. Quantitative measurement of HBV viral DNA may be used to monitor progression of disease. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: 6 days Frozen: 84 days | Serum | Room temperature: Unacceptable Refrigerated: 6 days Frozen: 84 days | 0 | |||||||||||
| 16694 | Hepatitis B Virus RT PCR, Quant Rfx Genotype | 87517 | Chronic carriers will persist in producing detectable HBV. Patients with chronic liver disease of unknown origin most commonly have HBV that is detected by viral DNA testing. Quantitative measurement of HBV viral DNA may be used to monitor progression of disease. | EDTA (lavender-top) tube (x2) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 30 days | Plasma | Room temperature: 72 hours Refrigerated: 7 days Frozen: 30 days | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | Separate plasma from whole blood within 1 day of collection by centrifugation at 800 to 1600 x g for 20 minutes at room temperature. Recommend collecting two tubes per patient to avoid QNS. | |||||||||
| 556 | Hepatitis Be Antibody | 86707 | HBeAb appears in the early convalescence of HBV infection. With carrier state and chronic hepatitis, HBeAb may not develop. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | HBe Antibody, Anti-Hepatitis Be | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 555 | Hepatitis Be Antigen | 87350 | HBeAg indicates active HBV replication. Infectivity is evaluated based on HBeAg and HBsAg. When HBeAg persists much longer than 10 weeks, the patient is likely to develop chronic hepatitis and be a carrier. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | HBe Antigen | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 37811 | Hepatitis C Viral RNA, Genotype | 87902 | Hepatitis C genotype is a predictor of response to interferon alfa-2b (non-type 1 are better responders) and to combination therapy with interferon and ribavirin (all types respond but dosage and duration of treatment is dependent on genotype; type 1 (requires extended treatment). | Red-top tube (no gel) | Room temperature: 72 hours Refrigerated: 14 days Frozen: 42 days | Plasma | Room temperature: 72 hours Refrigerated: 14 days Frozen: 42 days | HCV, Hep C, Hepatitis, viral load | Multi-Probe Reverse Hybridization | 0 | Separate plasma (preferred) or serum (acceptable) from whole blood within 24 hours of collection. | 2.5 mL | 3.0 mL | ||||||
| 35645 | Hepatitis C Viral RNA, Qn, RT PCR | 87522 | Useful in monitoring therapy and/or disease progression. Reportable range is 15 to 100,000,000 IU/mL (1.18-8.00 Log IU/mL). | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 14 days Frozen: 84 days | Plasma | Room temperature: 72 hours Refrigerated: 14 days Frozen: 84 days | HCV, Hep C, Hepatitis, viral load | Real-Time Polymerase Chain Reaction | 0 | |||||||||
| 11348 | Hepatitis C Viral RNA, Quantitative, Real-Time PCR with Reflex to Genotype LiPA™ | 87522 | Useful in monitoring response to therapy and/or disease progression. Reportable range is 15 to 100,000,000 IU/mL (1.18-8.00 Log 10 IU/mL). | If Hepatitis C Viral RNA, Quantitative, Real-Time PCR is ≥300 IU/mL, then Hepatitis C Viral RNA Genotype, LiPA™ will be performed at an additional charge (CPT code(s): 87902) | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 14 days Frozen: 42 days | Plasma | Room temperature: 72 hours Refrigerated: 14 days Frozen: 42 days | Unspun PPT tube • Unspun Serum Separator Tube (SST) • Unspun red-top (no gel) tube • Received room temperature | HCV, Hep C, Hepatitis | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | |||||||
| 8005 | Hepatitis C Virus (HCV) Antibody | 86803 | Useful in monitoring therapy and/or disease progression. Reportable range is 15 to 100,000,000 IU/mL (1.18-8.00 Log IU/mL). | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | HCV, Hep C, Hepatitis | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 1 mL | ||||||
| 34469 | Hepatitis D Virus RNA, Qualitative, Real-Time PCR | 87798 | Diagnosis of concurrent HDV infection in patients with acute hepatitis B virus (HBV) infection (acute coinfection), chronic HBV infection (chronic coinfection), or acute exacerbation of known chronic HBV infection (HDV superinfection). | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | HDV, Hepatitis | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 322744 | Hepatitis Panel (4) | 80074 | Differential diagnosis of recent acute viral hepatitis. | Hepatitis B Core IgM Antibody, Hepatitis B Surface Antigen Hepatitis C Antibody Hepatitis A IgM Antibody, | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | See individual tests. | 0 | Separate serum from cells within 45 minutes of venipuncture. | 3 mL | 4 mL | |||||
| 35079 | Hereditary Hemochromatosis, DNA Analysis | 81256 | Hereditary Hemochromatosis (HH) is an inherited disorder wherein the body accumulates excess iron. This test establishes HH diagnosis in individuals with abnormal iron study results and identifies at-risk family members. | EDTA (lavender-top) tube | Room temperature: 8 days Refrigerated: 8 days Frozen: Unacceptable | Whole blood | Room temperature: 8 days Refrigerated: 8 days Frozen: Unacceptable | Received frozen | HLA-H, HFE, Hemochrom HFE Gene Analysis, Blood, Hemochromatosis Hereditary DNA, H63D, Hemochromatosis, C28 | Fluorescent Restriction Fragment Length Polymorphism • Polymerase Chain Reaction (PCR) | 0 | Whole blood: Normal phlebotomy procedure. Specimen stability is crucial. Store and ship room temperature immediately. Do not freeze. | |||||||
| 8531 | Herpes Simplex Virus (HSV) 1 (IgG), Type-Specific Antibody | 86695 | Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging from inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivostomatitis. There are two HSV serotypes that are closely related antigenically. HSV type 2 is more commonly associated with genital tract and neonatal infections, while HSV type 1 is more commonly associated with infections of non-genital sites. Specific typing is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is 25 days. The performance of this assay has not been established for use in a pediatric population, for neonatal screening, or for testing of immunocompromised patients. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 daysFrozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 daysFrozen: 30 days | Gross hemolysis • Grossly lipemic • Plasma | HSV | Enzyme-linked immunosorbent assay (ELISA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 90849 | Herpes Simplex Virus 1/2 Antibody (IgM), IFA with Reflex to Titer | 86695, 86696 | HSV IgM is detectable in serum from >90% of patients with primary HSV infection; however, HSV IgM is also found in 30% of patients with reactivated HSV. | If HSV 1 IgM screen is positive, HSV 1 IgM Titer will be performed at an additional charge (CPT code(s): 86695). If HSV 2 IgM Screen is positive, HSV 2 IgM Titer will be performed at an additional charge (CPT code(s): 86696). | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Cord blood | Herpes Simplex Virus Serum, Herpes 1/2 IgM, Serum | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||
| 164905 | Herpes Simplex Virus 1&2-Specific Ab, IgG | 86695, 86696 | Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging from inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivostomatitis. There are two HSV serotypes that are closely related antigenically. HSV type 2 is more commonly associated with genital tract and neonatal infections, while HSV type 1 is more commonly associated with infections of non-genital sites. Specific typing is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is 25 days. The performance of this assay has not been established for use in a pediatric population, for neonatal screening, or for testing of immunocompromised patients. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Plasma | HSV | Enzyme-linked immunosorbent assay (ELISA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 1.0 mL | 1.5 mL | |||||
| 2649 | Herpes Simplex Virus I&II/VZV PCR, Swab | 87255 | The HSV 1+2/VZV Assay is a multiplex in vitro diagnostic test for the detection and differentiation of Herpes simplex virus type 1(HSV-1), Herpes simplex virus type 2 (HSV-2), and Varicella-zoster virus (VZV) nucleic acids isolated and purified from cutaneousor mucocutaneous swab specimens obtained from symptomatic patients.Using HDA technology the target sequences are amplified by HSV-1, HSV-2 and/or VZV specific primers and detected by HSV-1,HSV-2 and/or VZV specific fluorescence probes included in the Reaction Tube. | Herpes Simplex Virus I PCRHerpes Simplex Virus II PCRVZV PCR | Universal Viral Transport Medium | Room temperature: 2 days Refrigerated: 2 days Frozen : Unacceptable | swab | Room temperature: 2 days Refrigerated: 2 days Frozen : Unacceptable | CSF • Sputum • Raw (unpreserved)stool • Dry swabs • Moleculartransport systems • Bacterialtransport systems • Tissue orbiopsies in formalin or other | Herpes Simplex Virus, HSV, VZV | Centrifuge Enhanced Culture • Histochemical Stain • Monoclonal Fluorescent Antibody Typing | 0 | |||||||
| 19502 | Herpes Simplex Virus Type 1 & 2 DNA, Quantitative, Real-Time PCR | 87530 | The detection of HSV-1 and HSV-2 DNA is based upon the real-time amplification, detection and differentiation of specific HSV-1and HSV-2 genomic DNA sequences by PCR from total DNA extracted from the specimen. The quantitative range of this assay is100-2,000,000 copies/mL. | EDTA or ACD tube | Room temperature: 48 hours Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 7 days Frozen: Unacceptable | Received frozen | HSV | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | Do not freeze whole blood. | |||||||
| 8532 | Herpes Simplex VirusType 2-Specific Ab, IgG | 86696 | Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging from inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivostomatitis. There are two HSV serotypes that are closely related antigenically. HSV type 2 is more commonly associated with genital tract and neonatal infections, while HSV type 1 is more commonly associated with infections of non-genital sites. Specific typing is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is 25 days. The performance of this assay has not been established for use in a pediatric population, for neonatal screening, or for testing of immunocompromised patients. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Plasma | HSV | Enzyme-linked immunosorbent assay (ELISA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 34282 | Herpesvirus 6 Antibodies (IgG, IgM) | 86790, 86790 | HHV-6 is a distinct herpes virus that typically causes a self-limiting illness in patients who are not immunocompromised. In some patients, especially if immumocompromised, HHV-6 can cause febrile convulsions in infants, encephalitis mononucleosis-like symptoms, and hepatitis. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Plasma | Herpesvirus, Herpes | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 19723 | Herpesvirus 6 DNA, Quantitative Real-Time PCR | 87533 | This test is used to determine the presence of HHV-6 DNA in patients' specimens. Organisms may be detected by PCR prior to detection by immunological methods. PCR provides more rapid results than other methods, including culture. | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 7 days Frozen: Unacceptable; Serum, CSF or Plasma: 30 days | Plasma | Room temperature: 48 hours Refrigerated: 7 days Frozen: Unacceptable; Serum, CSF or Plasma: 30 days | Received frozen | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | |||||||||
| 16838 | Histamine Release (Chronic Urticaria) | 86343 | Chronic Urticaria (CU) is a common skin disorder affecting 1 to 6% of the general population. It is characterized by repeated occurrence of short-lived cutaneous wheals accompanied by redness and itching. Autoimmune urticaria is defined by the presence of a functional IgG antibody to high-affinity IgE receptor (Fc epsilon RI alpha) or IgE. These antibodies trigger mast cell and basophil degranulation by the engagement of Fc epsilon receptor. Functional IgG antibody to the receptor has been identified in approximately 30-40% of patients with CU, and anti IgE antibody has been identified in another 5%-10%. | Red-top tube (no gel) | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Icteric • Specimen other than serum • Serum Separator Tube (SST) | Anti-IgE Receptor, Chronic Urticaria, FCER1, Chronic Urticaria, FC Epsilon Receptor Antibody, CU (Chronic Urticaria) | Cell Culture (CC) • Immunoassay (IA) | 0 | Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw. | |||||||
| 37056 | Histone Antibodies | 83516 | Histone antibody is present in 80-95% of patients with drug-induced Systemic Lupus Erythematosus (SLE), 20-50% of patients with idiopathic SLE, and infrequently in patients with other autoimmune connective tissue diseases. | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 8 hours Refrigerated: 7 days Frozen: 30 days | Received room temperature | Enzyme Immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 938 | Histoplasma Antibody, Complement Fixation | 86698 | Used for the diagnosis and prognosis of histoplasma infections. Titers ≥1: 32 are highly suggestive of H.capsulatum infection. The CF test is more frequently positive with sera from chronic active pulmonary histoplasmosis than sera from primary active pulmonary disease. | Antibodies to Yeast and Mycelial Antigens | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Complement Fixation (CF) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 91431 | HIV 1/2 Antigen/Antibodies, with Reflexes | 87389 | This 5th generation HIV Ag/Ab Combo assay is intended to be used as an aid in the diagnosis of HIV1/HIV2 infection, including acute or primary HIV-1 infection. | If HIV Antigen and Antibody, 5th Generation Screen is Repeatedly Reactive, HIV-1/2 Antibody Differentiation will be performed at an additional charge | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 5 days Frozen: 30 days | Serum | Room temperature: 72 hours Refrigerated: 5 days Frozen: 30 days | HIV | Immunoassay (IA) | 0 | Tube must be labeled with patient identifier and submitted only for HIV testing. Tube should be spun after clotting and remain unopened. | |||||||
| 34949 | HIV-1 Genotype | 87900, 87901 | This test is intended for use in conjunction with clinical presentation and other laboratory markers of disease progress for the clinical management of HIV-1 infected patients. The test identifies drug resistance-associated mutations in the HIV-1 protease and reverse transcriptase genes. It can be used to predict antiretroviral drug resistance before initiation of therapy and in patients experiencing virologic failure while on therapy. | EDTA (lavender-top) tube | Room temperature: 24 hours Refrigerated: 6 days Frozen: 42 days | Plasma | Room temperature: 24 hours Refrigerated: 6 days Frozen: 42 days | Plasma received frozen in the plasma preparation tube (PPT) • Serum • Whole blood >24 hours old • Frozen whole blood | HIV | DNA Sequencing • Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) | 0 | Freshly drawn specimens (whole blood) may be stored at 2°C to 25°C for up to 24 hours prior to centrifugation. Separate plasma from cells within 24 hours of collection by centrifugation. | |||||||
| 40085 | HIV-1 RNA, Quantitative, Real-Time PCR | 87536 | This test is intended for use in conjunction with clinical presentation and other laboratory markers of disease progress for the clinical management of HIV-1 infected patients. The test can be used to assess patient prognosis by measuring the baseline HIV-1 RNA level or to monitor the effects of antiretroviral therapy by measuring changes in EDTA plasma HIV-1 RNA levels during the course of antiretroviral treatment. | HIV Viral Load, Viral Load, HIV, HIV | EDTA (lavender-top) tube | Room temperature: Unacceptable Refrigerated: 6 days Frozen: 84 days | Plasma | Room temperature: Unacceptable Refrigerated: 6 days Frozen: 84 days | Plasma received frozen in the plasma preparation tube (PPT) • Serum • Whole blood greater than 24 hours old • Frozen whole blood | HIV Viral Load, Viral Load, HIV, HIV | Real-Time Polymerase Chain Reaction | 0 | Freshly drawn specimens (whole blood) may be stored at 2-25°C for up to 24 hours prior to centrifugation. Separate plasma from cells within 24 hours of collection by centrifugation. Follow manufacturer's instructions for collection tube handling. | 1.1 mL (NOTE: This volume does NOT allow for repeat testing.) | 3.5 mL | ||||
| 19774 | HLA-B*5701 Typing | 81381 | Abacavir therapy for HIV treatment is associated with significant drug hypersensitivity in approximately 8% of recipients, with retrospective studies indicating a strong association with the HLA-B*5701 allele. HLA-B*5701 typing can be used for genetic risk stratification prior to initiation of abacavir therapy. | Additional testing by Sequence Based Typing (SBT) may be performed when necessary. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Received frozen | Polymerase Chain Reaction (PCR) • Sequence Specific Oligonucleotide Probes (SSO) | 0 | A separate ACD (yellow-top) or EDTA (lavender-top) tube must be submitted for all HLA testing. If submitted with any other test requiring an ACD or EDTA tube, please submit a separate tube for this test. Do not open tube. | |||||||
| 528 | HLA-B27 Antigen | 86812 | HLA-B27 is found in 90% of patients with ankylosing spondylitis and 80% in Reiter's disease. Ankylosing spondylitis affects 1 in 1000 caucasians. Ankylosing spondylitis is 10 times more common among individuals with HLA-B27 compared to individuals without this antigen. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 5 days Frozen: Unacceptable | Whole blood | Room temperature: 7 days Refrigerated: 5 days Frozen: Unacceptable | Hemolysis • Lithium heparin (green-top) tube • Clotted • Received frozen | Ankylosing Spondylitis | Flow Cytometry | 0 | 3 mL whole blood | Adult tube | ||||||
| 31789 | Homocysteine | 83090 | An aid for screening patients suspected of having an inherited disorder of methionine metabolism including: -Cystathionine beta-synthase deficiency (homocystinuria). -Methylenetetrahydrofolate reductase deficiency (MTHFR) and its thermolabile variants. -Methionine synthase deficiency-Cobalamin (Cbl) metabolism: -Combined methyl-Cbl and adenosyl-Cbl deficiencies: Cbl C2, Cbl D2, and Cbl F3 deficiencies. -Methyl-Cbl specific deficiencies: Cbl D-Var1, Cbl E, and Cbl G deficiencies. -Transcobalamin II deficiency. -Adenosylhomocysteinase (AHCY) deficiency. -Glycine N-methyltransferase (GNMT) deficiency. -Methionine adenosyltransferase (MAT) I/III deficiency. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 14 days Frozen: 6 months | Serum | Room temperature: 4 days Refrigerated: 14 days Frozen: 6 months | Gross hemolysis • Gross lipemia • Unseparated serum or plasma • Whole blood specimens | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 31790 | Homocysteine w/rfx to Vit B12 & Folate | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 17185 | HPV DNA, Low and High Risk, Anal-Rectal | 87624 | This test is used to detect the presence of HPV DNA in anorectal mucosa. | Dacron swab or anal-rectal brush | Room temperature: 14 days Refrigerated: 21 days Frozen: 90 days | Swab | Room temperature: 14 days Refrigerated: 21 days Frozen: 90 days | Liquid based PAP smear sample • Specimens other than Digene (STM) specimens | Human Papillomavirus | Hybrid Capture II | 0 | To collect an anal-rectal sample, a tap water-moistened Dacron swab is used. The Dacron swab is inserted about 5-6 cm into the anal canal past the anal verge, into the rectal vault. This is done without direct visualization of the anal canal. Firm lateral pressure is applied to the swab handle as it is rotated and slowly withdrawn from the anal canal, inscribing a cone-shaped arc. Avoid using cotton swabs on a wooden stick because the handle may break and splinter during collection. The sample may also be collected using the cervical sampler brush provided in the Digene Cervical Sampler Collection Kit. Brush or swab that is grossly contaminated with feces should be discareded and the collection repeated. Remove the cap from the Digene Standard Transport Medium (STM) supplied with the collection kit. Immediately insert swab or brush to the bottom of the transport tube. Snap off shaft at score line and cap tube securely. | |||||||
| 31535 | HPV with Ref to Genotypes & Pap | 87624 | Replacement of the Pap Smear with a Molecular HPV Test Under the new guidelines, a sample of cells is collected from the cervix into the liquid based specimen vial, which will be analysed to identify the presence of HPV viral DNA at the molecular level. | If HPV is detected, a reflex to HPV Genotypes and Liquid Based pap testing will be performed on the same specimen. | ThinPrep vial | Room temperature: 7 days Refrigerated: 7 days | Sample from the cervix | Room temperature: 7 days Refrigerated: 7 days | Unlabeled vial • Leakage of fluid during transport • Mismatch between patient name on vial and name on test requisition | PAP | 0 | THINPREP™ VIAL-BROOM ONLY: BROOM-LIKE COLLECTION TECHNIQUE: Obtain a sample from the cervix using a broom-like device by inserting the brush portion into the cervical os and rotate the brush five times. Rinse the collection device in the PreservCyt™ solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. As a final step, twirl the brush between the thumb and forefinger vigorously to release additional cellular material. disregard the collection device. Tighten the cap on the ThinPrep™ vial so that the torque line on the cap passed the torque line on the vial. SUREPATH(TM) VIAL: When using the SurePath(TM) vial, the cervical broom must be used for specimen collection. Insert the broom into the cervical os and rotate five times. Place the broom head into the CytoRich(TM) preservative fluid in the SurePath(TM) collection vial. Tightly cap the vial. | |||||||
| 31532 | HPV with Reflex to Genotypes | 87624 | HPV Test can be used as a first-line primary cervical cancer screening test to detect high risk HPV, if positive then it will reflex to genotyping for 16 and 18 and other risk types. Women who test negative for high risk HPV types by the cobas™ HPV Test should be followed up in accordance with the physician's assessment of screening and medical history, other risk factors, and professional guidelines. Women who test positive for HPV genotypes 16 and/or 18 by the cobas™ HPV Test should be referred to colposcopy. Women who test high risk HPV positive and 16/18 negative by the cobas™ HPV Test (12 other HR HPV positive) should be evaluated by cervical cytology to determine the need for referral to colposcopy. | ThinPrep vial or SurePath vial | Room temperature: 30 days Refrigerated: 30 days Frozen: Unacceptable | PAP | Room temperature: 30 days Refrigerated: 30 days Frozen: Unacceptable | ThinPrep vial or SurePath vial specimens that appear bloody or have a dark brown color | Human Papillomavirus | Hybrid Capture II | 0 | To submit HPV and SurePath(TM) liquid cytology testing submit a SurePath(TM) vial according to SurePath(TM) collection instructions. If only HPV testing is requested and cytology will be performed elsewhere; Following cytology slide preparation, add 2 mL of fresh SurePath(TM) fluid to the CytoRich(TM) fraction. Vortex or mix gently for 5 seconds. Cap and transport this sample to the laboratory for HPV testing. | |||||||
| 164910 | HSV 1&2-Specific Ab, IgG , IgM | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 34177 | HTLV-I and HTLV-II, DNA by PCR | 87798 | HTLV-I/II DNA PCR is a highly specific and sensitive method used to detect HTLV-I/II proviral DNA in clinical specimens. In addition, the assay can also differentiate between HTLV-I and HTLV-II infected individuals. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 14 days Frozen: Unacceptable | Whole blood | Room temperature: 7 days Refrigerated: 14 days Frozen: Unacceptable | Gross hemolysis • Received frozen • Heparinized plasma | Human T Lymphotropic Virus Type I/II DNA, Qualitative, Real-Time PCR | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | Mix specimen well so that no clots form. Specimens with clots will be rejected. Specimens should be shipped at room temperature. Specimens are stable for as long as 96 hours. | |||||||
| 36175 | HTLV-I/II Antibody, with Reflex to Confirmatory Assay | 86790 | Detection of human T-cell lymphotropic virus types I and II (HTLV-I and HTLV-II)-specific IgG antibodies in human serum specimens. | If HTLV-I/II Antibody is positive, HTLV-I/II Antibody, Confirmatory Assay will be performed at an additional charge (CPT code(s): 86689) | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 8 hours Refrigerated: 7 days Frozen: 30 days | Received room temperature | Chemiluminescence • Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 850838 | Hydrocodone, LCMS Confirmation, Ur | G0481 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Hydrocodone Hydromorphone Norhydrocodone Present in the following medication: Anexsia, Dicodid, Hycodan, Hycomine, Lorcet, Lortab, Norco, Tussionex , Vicodin, Vicoprofen | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 850839 | Hydromorphone, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Hydromorphone Present in the following medication: Dilaudid, Hydromorph, Contin, Laudicon, Novolaudon | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 16490 | Hypersensitivity Pneumonitis Evaluation | 86609, 86606, 86001 | Support the clinical diagnosis of hypersensitivity pneumonitis. | Saccharomonospora rectivirgula, Saccharomonospora viridis, Thermoactinomyces candidus, Thermoactinomyces sacchari, Thermoactinomyces vulgaris, Aspergillus fumigatus, Aureobasidium pullulans IgG, Alternaria tenuis IgG, Cladosporium herbarum IgG, Penicillium notatum IgG, Phoma spp IgG, Trichoderma viride IgG, Mixed Feathers IgG, Pigeon Droppings IgG | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 31 days | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 31 days | Double Diffusion (DD) • Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 14978 | Hypersensitivity Pneumonitis Screen | 86606, 86609, 86331 | Support the clinical diagnosis of hypersensitivity pneumonitis. | Aspergillus fumigatus, Micropolyspora faeni, Pigeon Serum, T. candidus, T. vulgaris, S. viridis | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 14 days Frozen: 6 months | Serum | Room temperature: 48 hours Refrigerated: 14 days Frozen: 6 months | Immunodiffusion (ID) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 5656 | Hypocalcemia Profile | To evaluate patients with indications of Hypocalcemia. | Intact PTH, Creatinine, Serum, Bun/Creat Ratio, Calcium, Serum, Phosphorus, Magnesium, Uric Acid, Vitamin D 25-OH | Serum Separator Tube (SST) | Room temperature: 2 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 2 days Refrigerated: 14 days Frozen: 14 days | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||||
| 34188 | IgA Subclasses | 82784, 82787 | IgA1 constitutes approximately 80% of the circulating IgA. IgA nephropathy is typically due to IgA1. IgA2 predominates in secretions of some mucosal surfaces. IgA2 concentrations may be useful as an index of mucosal pathology. Subclass deficiency is associated with anaphylactic transfusion reactions. | IgA1, IgA2, Total IgA | Serum Separator Tube (SST) | Room temperature: 6 hours Refrigerated: 14 days Frozen: 90 days | Serum | Room temperature: 6 hours Refrigerated: 14 days Frozen: 90 days | Received room temperature • No additive (royal blue-top) | IgA, subclass, immunoglobulin | Nephelometry | 0 | Centrifuge and immediately separate serum specimens from the cells into clean transport tube. | ||||||
| 34458 | IGF Binding Protein-3 (IGFBP-3) | 82397 | Insulin-like growth factor binding proteins bind IGF-I and IGF-II with high affinity but do not bind insulin. Of the 6 distinct IGF binding proteins structurally characterized at this time, IGFBP-3 has been shown to be the major carrier of the IGFs, transporting approximately 95% of circulating IGF-I and IGF-II. IGFBP-3 is growth hormone (GH) responsive. Thus, levels are high in acromegaly and low in hypopituitarism, and levels increase in GH-deficient children after GH administration. Other causes of short stature that result in reduced IGFBP-3 levels include poorly controlled diabetes. The IGFBP-3 assay is useful in assessing nutritional status, since IGFBP-3 decreases during both caloric and protein restriction. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 1 year | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 1 year | Gross hemolysis • Grossly lipemic | 0 | ||||||||||
| 16293 | IGF-1 | 84305 | Diagnosing growth disorders. Diagnosing adult growth hormone deficiency. Monitoring of recombinant human growth hormone treatment. Insulin-like growth factor binding protein 3 can be used as a possible adjunct to insulin-like growth factor 1 and growth hormone in the diagnosis and follow-up of acromegaly and gigantism. | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 3 days Refrigerated: 7 days Frozen: 90 days | Plasma specimen | Immunochemiluminometric assay (ICMA) | 0 | 0.2 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.5 mL | |||||||
| 7903 | IgG Subclasses Panel | 82784, 82787 | IgG are the most common isotype of Ig and include four subclasses which differ from one another in the following ways: their initial amino acid sequence, their physical and chemical properties and the different serum concentrations reached with age. Every subclass has a specific biological function: the response to proteic antigens is prevalently mediated by IgG1 and IgG3, while IgG2 mediates the response to polysaccharide antigens. It is still unclear whether IgG4 are protective or sensitising antibodies; IgG1 and IgG3 also have a major ability to bind to the cells that mediate the immune response, while only IgG4 activate the complement using an alternative route. Although low levels of IgG subclasses may be temporary, deficiencies are often associated with various diseases: 1) recidivating bacterial infections involving the respiratory and digestive tracts, primarily sustained by capsulated or pyogenic microorganisms; 2) IgA deficiency; 3) absence of immune response following vaccination; 4) allergic or autoimmune diseases; 5) diseases of the CNS. IgG subclass deficiencies must therefore be looked for every time these diseases are diagnosed, also because subjects may benefit from gammaglobulin replacement therapy Iinculdes : Subclasses 1,2,3,4 and Total IgG. | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 21 days Frozen: 6 months | Serum | Room temperature: 3 days Refrigerated: 21 days Frozen: 6 months | Gross hemolysis • Lipemia | Immunoglobulin IgG Subclasses | Nephelometry | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 100092 | IgvH Mutation | EDTA (lavender-top) tube | Whole blood | 0 | |||||||||||||||
| 850865 | Imipramine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | DesipramineImipramine Present in the following medication: Tofranil, Tofranil-PM | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 36735 | Immune Complex Detection by C1q Binding | 86332 | Circulating immune complexes may be found without any evident pathology and positive results do not necessarily implicate the immune complex in a disease process. | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: 48 hours Frozen: 1 year | Serum | Room temperature: Unacceptable Refrigerated: 48 hours Frozen: 1 year | Gross lipemia • Received room temperature • Received refrigerated • SST™ tube • Plasma | Enzyme Linked Immunosorbent Immunoassay (ELISA) | 0 | Freeze serum within one hour of time drawn. With multiple tests, submit a separate tube for each test. Do not thaw. | ||||||||
| 35082 | Immunity Assessment Panel | Comprehensive panel confirm whether or not an individual has received specific immunizations and vaccinations against certain diseases, or, in some cases, has previously contracted these illnesses and no longer has an active infection. All test maybe ordered individually as well. | Measles Ab IgG, Mumps Ab IgG, Rubella Ab IgG, Varicella Z Ab IgG, C3, C4, Hep B Surface Ab, Immunoglobolin A/D/E/G/M, IgGSubclasses, A-1 Antitrypsin | Serum Separator Tube (SST) | Serum | Measles Ab IgG, Mumps Ab IgG, Rubella Ab IgG, Varicella Z Ab IgG, C3, C4, Hep B Surface Ab, Immunog | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||||
| 549 | Immunofixation, Serum | 82784, 86334 | Monoclonal increases in IgG or IgA are often associated with diseases such as multiple myeloma, lymphomas or leukemia. A monoclonal increase in IgM is commonly associated with Waldenström's macroglobulinemia. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 6 months | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 6 months | Electrophoresis followed by immunodiffusion against mono- specific antisera to immunoglobulin and individual heavy and light chains (IFE); turbidimetric quantitation of IgA, IgG, IgM | 0 | Overnight fasting is preferred. | 1 mL | 3 mL | |||||||
| 213 | Immunofixation, Urine | 86335 | Immunofixation of urine is useful in evaluation of monoclonal free light chains and other monoclonal gammopathies seen in light chain disease, multiple myeloma, Waldenstrom's macroglobulinemia, amyloidosis, and other lymphoproliferative disorders. Increased polyclonal free light chains in urine may be seen in glomerular leak syndromes and in infection or inflammation. | Plastic urine container | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | 24-hour urine | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | IFE, Urine | Immunofixation | 0 | Random or 24-hour urine collection; mix well. | ||||||||
| 8664 | Immunoglobulin A, Qn, Serum | 82784 | The gamma globulin band as seen in conventional serum protein electrophoresis consists of 5 immunoglobulins. In normal serum, about 15% is immunoglobulin A (IgA). Monoclonal gammopathies of all types may lead to a spike in the gamma globulin zone seen on serum protein electrophoresis. Monoclonal elevations of IgA characterize multiple myeloma. Decreased immunoglobulin levels are found in patients with congenital deficiencies. | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Grossly lipemic | Immunoturbidimetric | 0 | Separate serum from cells within 45 minutes of venipuncture. | Pediatrics: 0.4 mL; adults: 1 mL | |||||||
| 541 | Immunoglobulin D, Qn, Serum | 82784 | Antibodies or immunoglobulins (Ig) are formed by plasma cells as a humoral immune response to antigens. The first antibodies formed after antigen stimulation are of the IgM class, followed later by IgG and also IgA antibodies. IgD normally occurs in serum in trace amounts. Changes in IgD concentration are used as a marker of changes in the size of the clone of monoclonal IgD plasma cells. | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Grossly lipemic | Immunoglobulin D | Nephelometry | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | |||||
| 2999 | Immunoglobulin E, Qn, Serum | 82785 | Evaluation of patients with suspected diseases associated with elevations in total immunoglobulin E (IgE), including allergic disease, primary immunodeficiencies, infections, malignancies, or other inflammatory diseases. Diagnostic evaluation of patients with suspected allergic bronchopulmonary aspergillosis. Identification of candidates for omalizumab (anti-IgE) therapy. | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Grossly lipemic | Total IgE, IgE | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (Note: This volume does not allow for repeat testing). | 0.8 mL | |||||
| 1776 | Immunoglobulin G, Qn, Serum | 82784 | Detecting or monitoring of monoclonal gammopathies and immune deficiencies. The gamma globulin band as seen in conventional serum protein electrophoresis consists of 5 immunoglobulins. In normal serum, about 80% is immunoglobulin G (IgG).Elevations of IgG may be due to polyclonal immunoglobulin production. Monoclonal elevations of IgG characterize multiple myeloma. Monoclonal gammopathies of all types may lead to a spike in the gamma globulin zone seen on serum protein electrophoresis. Decreased immunoglobulin levels are found in patients with congenital deficiencies. | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Grossly lipemic | Immunoturbidimetric | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 1792 | Immunoglobulin M, Qn, Serum | 82784 | Detecting or monitoring of monoclonal gammopathies and immune deficiencies. The gamma-globulin band as seen in conventional serum protein electrophoresis consists of 5 immunoglobulins. In normal serum, about 5% is immunoglobulin M (IgM). Elevations of IgM may be due to polyclonal immunoglobulin production. Monoclonal elevations of IgM occur in macroglobulinemia. Monoclonal gammopathies of all types may lead to a spike in the gamma-globulin zone seen on serum protein electrophoresis. Decreased immunoglobulin levels are found in patients with congenital deficiency. | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Grossly lipemic | Immunoturbidimetric | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 8660 | Immunoglobulins A/E/G/M/D, Serum | 82784, 82785 | See Individual tests | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Grossly lipemic | IgG, IgA, IgM: Immunologic; IgE: Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 3 mL | |||||||
| 7083 | Immunoglobulins A/G/M, Qn, Ser | 82784 | See individual tests | Serum Separator Tube (SST) | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 14 Days Refrigerated: 14 days Frozen: 14 days | Grossly lipemic | Immunologic | 0 | Separate serum from cells within 45 minutes of venipuncture. | 2 mL | |||||||
| 70160 | Infectious Disease Panel | See Individual Tests | - RPR | SST and Urine Tube | 0 | ||||||||||||||
| 16503 | Inflammatory Bowel Disease Differentiation Panel | 86671, 86021 | These tests are intended to aid in the diagnosis of Crohn's Disease. A positive P-ANCA aids in the differentiation of patients with ulcerative colitis. | ANCA Screen with Reflex to ANCA Titer, Myeloperoxidase Ab (MPO), Proteinase-3 Antibody, Saccharomyces cerevisiae Ab (ASCA) IgG, Saccharomyces cerevisiae Ab (ASCA) IgAIf ANCA Screen is positive, C-ANCA Titer and/or P-ANCA Titer and/or atypical P-ANCA Titer will be performed at an additional charge (CPT code(s): 86021 for each titer performed) . | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 21 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 21 days | Gross hemolysis • Lipemia • Icteric | IBD Panel | Immunoassay | 0 | |||||||
| 9804 | Influenza A&B / RSV Panel PCR | 87631 | This assay is a rapid qualitative in vitro diagnostic test for the detection and differentiation of influenza A , influenza B, hMPV and RSV viral RNA in nasal and nasopharyngeal swabs from patients with signs and symptoms of respiratory infection. The assay amplifies and detects viral RNA present in transport media containing nasopharyngeal or nasal swab specimens obtained from symptomatic patients. | Influenza A PCR Influenza B PCRRSV PCRhMPV RNA PCR | UTM | Room temperature: 2 days Refrigerated: 2 days Frozen: Unacceptable | Nasal Swab | Room temperature: 2 days Refrigerated: 2 days Frozen: Unacceptable | Flu, RSV | 0 | |||||||||
| 34472 | Inhibin A | 86336 | Inhibin A is useful as an indicator of gonadal function, and ovarian response to hMg or to FSH stimulation. Inhibin A, produced by the placenta, is used along with other maternal serum biochemical markers to improve sensitivity of the screen for Down syndrome risk. | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 48 hours Frozen: 28 days | Serum | Room temperature: 8 hours Refrigerated: 48 hours Frozen: 28 days | Gross hemolysis • Grossly lipemic | Enzyme Immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 34445 | Inhibin B | 82397 | Inhibin B is the major circulating inhibin in males. It is also detectable in women during menstrual cycles, particularly prior to ovulation. The measurement of inhibin B serves as an endocrine marker for monitoring male and female gonadal function. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Hemolysis • Lipemia • Icteric sample | Chemiluminescence | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 2140 | Insulin | 83525 | Insulin is a hormone produced by the beta cells of the pancreas. It regulates the uptake and utilization of glucose and is also involved in protein synthesis and triglyceride storage. Type 1 diabetes (insulin-dependent diabetes) is caused by insulin deficiency due to destruction of insulin-producing pancreatic islet (beta) cells. Type 2 diabetes (noninsulin dependent diabetes) is characterized by resistance to the action of insulin (insulin resistance). Insulin levels may be increased in patients with pancreatic beta cell tumors (insulinoma). Use for diagnosing insulinoma, when used in conjunction with proinsulin and C-peptide measurements. | Serum Separator Tube (SST) | Room temperature: 1 Day Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 1 Day Refrigerated: 14 days Frozen: 14 days | Citrate plasma specimen; hemolyzed specimen | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 2142 | insulin 1Hr | 83525 | Serum Separator Tube (SST) | Room temperature: 1 Day Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 1 Day Refrigerated: 14 days Frozen: 14 days | Citrate plasma specimen; hemolyzed specimen | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||||
| 2143 | insulin 2Hr | 83525 | Serum Separator Tube (SST) | Room temperature: 1 Day Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 1 Day Refrigerated: 14 days Frozen: 14 days | Citrate plasma specimen; hemolyzed specimen | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||||
| 2141 | insulin 30min | 83525 | Serum Separator Tube (SST) | Room temperature: 1 Day Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 1 Day Refrigerated: 14 days Frozen: 14 days | Citrate plasma specimen; hemolyzed specimen | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||||
| 36178 | Insulin Antibodies | 86337 | Predicting the future development of type 1 diabetes in asymptomatic children, adolescents, and young adults, when used in conjunction with family history, HLA-typing, and other autoantibodies, including GD65S/81596 Glutamic Acid Decarboxylase (GAD65) Antibody Assay, Serum and islet cell antigen 2 (IA-2) antibodies.Differential diagnosis of type 1 versus type 2 diabetes. Evaluating diabetics with insulin resistance in patients with established diabetes (type 1 or type 2). Investigation of hypoglycemia in nondiabetic subjects. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 28 days | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 28 days | Human Insulin Antibody | Radiobinding Assay (RBA) | 0 | |||||||||
| 36700 | Insulin, Free (Bioactive) | 83527 | Assessing free (bioactive) insulin concentrations in patients with known or suspected insulin antibodies. Circulating insulin antibodies develop after diabetic patients are treated with exogenous insulin preparations. The presence of insulin antibodies has 2 main consequences: 1. Insulin antibodies will directly bind to insulin, making it unavailable for metabolic activity. 2. Insulin antibodies may adversely affect the binding characteristics of insulin in immunoassays, making reliable quantitation difficult. Free (bioactive) insulin could be measured after polyethylene glycol (PEG) precipitation of insulin antibodies and their bound insulin. If insulin antibodies are not present, the free and total insulin should be equivalent. The laboratory will report results of the total insulin (without PEG precipitation) and the free insulin (with PEG precipitation). | EDTA (lavender-top) tube | Room temperature: 12 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 12 hours Refrigerated: 7 days Frozen: 28 days | Hemolysis • Received room temperature | Free Insulin, Non-AB Bound Insulin, Biologically Active Insulin | Immunoassay (IA) | 0 | Overnight fasting is required. | |||||||
| 34887 | Interferon-alpha | 83520 | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Gross hemolysis • Lipemia • Icteric • Heat inactivated serum • SerumSeparator Tube (SST) • CSF andother body fluids • Receivedrefrigerated • Received room | inf, alpha interferon | Enzyme Linked Immunosorbent Assay (ELISA) | 0 | Keep samples frozen. Freeze within 30 minutes of draw. | ||||||||
| 34473 | Interleukin-6, IL-6 | 83520 | Evaluation of patients with suspected systemic infection. Evaluation of patients with suspected localized infection, specifically prosthetic joint infection (PJI). Evaluation of patients with suspected chronic inflammatory disorders, such as rheumatoid arthritis, systemic lupus erythematosus, ankylosing spondylitis, or inflammatory bowel disease. | EDTA (lavender-top) tube | Room temperature: 24 hours Refrigerated: 48 hours Frozen: 7 months | Plasma | Room temperature: 24 hours Refrigerated: 48 hours Frozen: 7 months | Moderate or gross hemolysis • Lipemia • Received room temperature • Received refrigerated • Serum Separator Tube (SST) • Icteric sample | IL-6 | Enzyme Linked Immunosorbent Immunoassay (ELISA) | 0 | Cytokine levels may demonstrate diurnal variation. Recommend cytokine levels be determined at the same time of day for improved longitudinal comparison. | |||||||
| 568 | Intrinsic Factor Blocking Antibody | 86340 | Confirming the diagnosis of pernicious anemia. Intrinsic Factor, produced by cells lining the stomach, binds Vitamin B12 (cyanocobalamin) to facilitate absorption of the vitamin. Blocking antibody impedes the action of Intrinsic Factor as observed in approximately half of the patients who develop pernicious anemia. | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 28 hours Frozen: 28 days | Serum | Room temperature: 8 hours Refrigerated: 28 hours Frozen: 28 days | IF-Blocking Antibody | Immunoassay | 0 | Samples should not be collected from a patient who has received Vitamin B12 injection therapy within the past week. | ||||||||
| 16601 | Iodine, Random Urine | 83789 | Iodine is an essential element that is required for thyroid hormone production. The measurement of urinary iodine serves as an index of adequate dietary intake. | Sterile, leak-proof container | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Urine | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Inductively Coupled Plasma-Mass Spectrometry (ICP/MS) | 0 | Do NOT use preservatives. | |||||||||
| 16599 | Iodine, Serum or Plasma | 83789 | Iodine is an essential element that is required for thyroid hormone production. The measurement of iodine serves as an index of adequate dietary intake. | No additive trace metal-free (dark blue-top) tube | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Serum or Plasma | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Received frozen, Anticoagulants other than EDT | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | Serum or Plasma collected in a no additive trace metal-free (dark blue-top) tube. Acid-washed, metal-free plastic vial. | ||||||||
| 300114 | Iron & TIBC | 82607 | Screening for chronic iron overload diseases, particularly hereditary hemochromatosis. Serum iron, total iron-binding capacity, and percent saturation are widely used for the diagnosis of iron deficiency. However, serum ferritin is a much more sensitive and reliable test for demonstration of iron deficiency. | Serum Separator Tube (SST) | Room temperature: 6 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 6 days Refrigerated: 7 days Frozen: 28 days | Hemolysis • Anticoagulants other than heparin | Iron, TIBC, UIBC, Fe | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 8633 | Iron Saturation | Percent saturation (100 x serum iron/TIBC) is usually normal or decreased in persons who are iron deficient, pregnant, or are taking oral contraceptive medications. Persons with chronic inflammatory processes, hemochromatosis, or malignancies generally display low transferrin. Serum iron, total iron-binding capacity, and percent saturation are widely used for the diagnosis of iron deficiency. However, serum ferritin is a much more sensitive and reliable test for demonstration of iron deficiency. | Serum Separator Tube (SST) | Room temperature: 6 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 6 days Refrigerated: 7 days Frozen: 28 days | Hemolysis • Anticoagulants other than heparin | Iron | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 4075 | Iron, Serum | 83540 | Serum iron quantification is useful in confirming the diagnosis of iron-deficiency anemia or emochromatosis. The measurement of total iron binding in the same specimen may facilitate the clinician's ability to distinguish between low serum iron levels caused by iron deficiency from those related to inflammatory neoplastic disorders. The assay for iron measures the amount of iron which is bound to transferrin. The total iron binding capacity (TIBC) measures the amount of iron that would appear in blood if all the transferrin were saturated with iron. It is an indirect measurement of transferrin concentrations but expressed as an iron measurement. To obtain the percent saturation, the serum iron is divided by the TIBC which gives the actual amount of saturated transferrin. The percent saturation is low in iron deficiency and high in iron storage diseases. | Serum Separator Tube (SST) | Room temperature: 6 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 6 days Refrigerated: 7 days Frozen: 28 days | Hemolysis • Anticoagulants other than heparin | Iron | Colorimetric | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | |||||
| 36741 | Islet Cell Antibody Screen with Reflex to Titer | 86341 | Type 1 diabetes is characterized by lymphocytic cell infiltrate of the pancreatic islets. Measurement of GAD-65, ICA-512, and Insulin Antibody is a highly sensitive means to assess risk and predict onset of Type 1 diabetes. There is a correlation between the number of positive antibodies and the antibody titers versus the severity of the autoimmune process. | If Islet Cell Antibody Screen is positive, Islet Cell Antibody Titer will be performed at an additional charge (CPT code(s): 86341). | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 14 days Frozen: 6 months | Serum | Room temperature: 48 hours Refrigerated: 14 days Frozen: 6 months | Gross hemolysis • Lipemia • Icteric • Received room temperature | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 29837 | Isohemagglutinin Titer | 86886 | Determine the isoagglutinin status of the patient. Maternal isohemagglutinins are associated with ABO-hemolytic disease of the newborn. | A1, A2, B | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 60 days | Serum | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 60 days | Received Room Temperature • Serum Separator Tube (SST) | 0 | Collect whole blood in plain, red-top tube. Let blood clot, centrifuge and separate. Once separated from clot, serum may be sent refrigerated or frozen. | ||||||||
| 480482 | Jack2 V617F Mutation | Diagnose Polycythemia Vera (PV), Essential Thrombocythemia (ET), and Idiopathic Myelofibrosis (MF). | If JAK2 V617F result is not detected, Exons 12,13 will be performed at an additional charge (CPT code(s): 81403). If JAK2 Exons 12,13 Mutations result is not detected, MPL W515 and MPL S505 Mutation Analysis will be performed at an additional charge (CPT code(s): 81402). | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Gross hemolysis • Frozen whole blood • Frozen bone marrow • Clotted whole blood • Clotted bone marrow | 0 | ||||||||||
| 480483 | JAK2 Exon 12 Mutation Analysis | Myeloproliferative disorders (MPDs) are clonal hematopoietic stem cell malignancies characterized by excessive production of blood cells by hematopoietic precursors. In addition to thrombotic and hemorrhagic complications, leukemic transformation can occur. The main members of MPD are Polycythemia Vera (PV), Essential Thrombocythemia (ET) and Idiopathic Myelofibrosis (MF). The molecular pathogenesis of most MPDs is unknown. This V617F mutation leads to constituitive tyrosine phosphorylation activity that promotes cytokine activity and induces erythrocytosis. The V617F mutation in JAK2 is a dominant-gain of function mutation that contributes to the expansion of the myeloproliferative disorder clone. JAK2 exon 12 mutations define a distinctive myeloproliferative syndrome. | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Gross hemolysis • Frozen whole blood • Frozen bone marrow • Clotted whole blood • Clotted bone marrow | 0 | |||||||||||
| 480480 | JAK2 V617F Mutation | JAK2V617F (exon 14) mutation analysis can be used in conjunction with bone marrow histology and cytogenetic analysis to assist in the diagnosis of myeloproliferative neoplasms (MPN). The JAK2V617F mutation is found in almost all patients with polycythemia vera (PV) and in nearly one- half of those with idiopathic myelofibrosis (IMF) and with essential thrombocythemia (ET). The V617F mutation has also been detected, although infrequently, in other myeloid disorders, such as chronic myelomonocytic leukemia and chronic neutrophilic leukemia. | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Whole Blood | Room temperature: 72 hours Refrigerated: 72 hours Frozen: Unacceptable | Gross hemolysis • Frozen wholeblood • Frozen bone marrow • Clotted whole blood • Clottedbone marrow | 0 | |||||||||||
| 92472 | JAK2 V617F W/REFLEX TO CALR, JAK2 EXON 12 | 81270 | This DNA-based cascading reflex identifies the disease-defining mutations in four genes used for diagnosis and follow-up of myeloproliferative neoplasms (MPNs) including polycythemia vera (PV), essential thrombocythemia (ET), primary myelofibrosis (PMF) and chronic neutrophilic leukemia (CNL). Since these mutations are essentially mutually exclusive, reporting is done in a stepwise fashion based on mutation frequencies assessing JAK2 V617F, then exon 9 of CALR (calreticulin), then exon 12 of JAK2, then codon 505 and 515 of MPL, and then two mutational hotspots in the CSF3R gene. Once a pathogenic or MPN-associated mutation in a target gene is identified in this sequence, the remainder of the genes are not reported or billed. The reflexed assays test leukocytes from blood or bone marrow aspirates for clinically relevant hotspot mutations using an advanced DNA sequencing method. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | 0 | |||||||||||
| 18939 | JC Virus DNA,PCR | 87799 | JC polyoma virus is the cause of progressive multifocal leukoencephalopathy (PML), a demyelinating neurologic disease of immunocompromised patients and patients on certain medications. This test detects and quantifies JCV in cerebrospinal fluid (CSF). Detection of the virus in CSF may indicate infection. | CSF | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Whole blood | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Real-Time Polymerase Chain Reaction (PCR) | 0 | ||||||||||
| 5810 | Jo-1 Antibody | 86235 | Jo-1 Antibody occurs most frequently (31%) in patients with polymyositis, but has also been found in patients with dermatomyositis, and the polymyositis/scleroderma overlap syndrome (PM/SCL) or polymyositis/systemic lupus erythematosis overlap syndrome (PM/SLE). | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Multiplex flow immunoassay | 0 | Separate serumfrom cells within 45 minutes of venipuncture. | |||||||||
| 11234 | Kappa/Lambda Light Chains, Free with Ratio | 8388383883 | Monitoring patients with monoclonal light chain diseases but no M-spike on protein electrophoresis. | Kappa Light Chain, Free, Serum Lambda Light Chain, Free, Serum Kappa/Lambda Light Chains Free with Ratio | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 21 days Frozen: 30 days | Serum | Room temperature: 72 hours Refrigerated: 21 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Microbially contaminated • Heavy visible particulate | 0 | |||||||||
| 3431 | Ketones Panel | 82010 | Acetone Normal: Up to 3 mg/dL Blood Acetone concentrations are markedly elevated during diabetic or fasting ketoacidosis and may range from 10-70 mg/dL. The blood to plasma ratio of acetone is 1.0-1.1. | Red-top tube (no gel) | Room temperature: 4 days Refrigerated: 5 days Frozen: 14 days | Serum | Room temperature: 4 days Refrigerated: 5 days Frozen: 14 days | Serum Separator Tube (SST) • PST | 0 | Collect sample using alcohol free skin preparation. Promptly centrifuge and separate serum into a plastic screw-cap vial after clouting. | |||||||||
| 3515 | KPC Allergy Panel | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 16262 | Lacosamide, LC/MS/MS | 80299 | Lacosamide is an antiepileptic medication. Monitoring the serum concentration is beneficial to ensure compliance with drug therapy. | Red-top tube (no gel) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum Separator Tube (SST) | Vimpat | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum after clotting and send Serum only in Plastic screw-cap vial. | |||||||
| 4411 | Lactate Dehydrogenase (LD) Isoenzyme Panel | 83615 | Lactate Dehydrogenase (LD) is an enzyme that is present in many different organs and tissues. LD Isoenzymes (LDI) are useful in distinguishing the different isoenzymes expressed differentially in tissues and organs, e.g., cardiac muscle, skeletal muscle, and liver. | LD Isoenzymes and LDH, Total | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 48 hours Frozen: Unacceptable | Serum | Room temperature: 14 days Refrigerated: 48 hours Frozen: Unacceptable | Hemolysis • Received frozen • Anticoagulants other than heparin | Spectrophotometry (SP) • Electrophoresis | 0 | Do not refrigerate or freeze. | |||||||
| 585 | Lactic Acid, Plasma | 83605 | Lactic acid is the endproduct of the anaerobic metabolism of glucose. The blood lactic acid concentration is affected by its production in muscle cells and erythrocytes and its rate of metabolism in the liver. During exercise, blood lactate can increase up to ten times of normal levels. | Gray-top tube | Room temperature: 3 hours Refrigerated: 7 days Frozen: 90 days | Plasma | Room temperature: 3 hours Refrigerated: 7 days Frozen: 90 days | Gross hemolysis • Specimens with visible icterus | Spectrophotometry (SP) | 0 | Sample should be collected without the use of a tourniquet, avoid hand-clenching. If a tourniquet has been used, it should be released for one minute prior to drawing blood. Collected blood should be cooled on ice immediately and separated from the cells within 3 hours. The collected blood should be well-mixed and separated from the cells within 3 hours. Freeze plasma and ship frozen. | ||||||||
| 10156 | Lactoferrin, Qualitative, Stool | 83630 | Lactoferrin is a marker for fecal leukocytes and a positive result is an indicator of intestinal inflammation. This elevation may be caused by acute infectious colitis or active inflammatory bowel disease (IBD). The test may not be appropriate in immunocompromised persons. In addition, this test is not FDA cleared for patients with a history of HIV and/or hepatitis B and C, patients with a history of infectious diarrhea (within 6 months), and patients having had a colostomy and/or ileostomy within 1 month. | Plastic screw-cap container | Room temperature: Unacceptable Refrigerated: 14 days Frozen: 21 days | Stool | Room temperature: Unacceptable Refrigerated: 14 days Frozen: 21 days | Specimen received in transport media | Immunoassay | 0 | Collect undiluted feces in clean, dry, sterile leak-proof container. Do not add fixative or preservative. Patients may collect stool and hold at room temperature until it can be properly frozen. The time held at room temperature must not exceed 48 hours from time of collection. Specimens can be delivered to patient service center (PSC) or physician's office for freezing and delivery to the laboratory. Once specimen has been frozen, do not thaw. | ||||||||
| 22060 | Lamotrigine | 80175 | Lamotrigine is an anticonvulsant drug used as adjunctive treatment for refactory partial seizures. | Red-top tube (no-gel) | Room temperature: 48 hours Refrigerated: 5 days Frozen: 14 days | Serum | Room temperature: 48 hours Refrigerated: 5 days Frozen: 14 days | Gross hemolysis • Gross Lipemia • Gel barrier/Serum Separator Tube (SST) | Lamictal | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Draw 1/2 to 1 hour before next dose at steady-state. Separate serum after clotting and send serum only in plastic screw-cap vial. Do not submit glass tubes. | |||||||
| 4080 | LDH | 83615 | Elevations in serum lactate dehydrogenase occur from myocardial infarction, liver disease, pernicious and megaloblastic anemia, pulmonary emboli, malignancies, and muscular dystrophy. Since lactic dehydrogenase is present in many body tissues, it's diagnosis usefulness is limited. Tissue specificity may be enhanced by isoenzyme analysis. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 48 hours Frozen: Unacceptable | Serum | Room temperature: 14 days Refrigerated: 48 hours Frozen: Unacceptable | Hemolysis • Received frozen • Anticoagulants other than heparin | Kinetic | 0 | Do not refrigerate or freeze. | 0.5 mL | 1 mL | ||||||
| 4068 | LDL Cholesterol (Direct) | 83721 | LDL cholesterol is a key factor in the pathogenesis of atherosclerosis and Coronary Artery Disease (CAD), while HDL cholesterol has often been observed to have a protective effect. Even within the normal range of total cholesterol concentrations, an increase in LDL cholesterol can produce an associated increased risk for CAD. LDL cholesterol binds to receptor sites on macrophages in blood vessel walls inciting several changes to the blood wall which enhance atherosclerotic plaque development. | Serum Separator Tube (SST) | Separate serum from cells within 45 minutes of venipuncture. | Serum | Separate serum from cells within 45 minutes of venipuncture. | Anticoagulants other than heparin | Enzymatic/spectrophotometric without sample pretreatment | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.1 mL | 0.5 mL | ||||||
| 5000 | LDL-P (TRH) | 9 mL Hornet Red/Yello | Serum | 0 | |||||||||||||||
| 15005 | LDL/HDL ratio | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 22996 | Lead and Zinc Protoporphyrin Evaluation | 83655, 84202 | Lead, Blood Industrial exposure <40 mcg/dL mcg/dL = mcg/100g for OSHA (Refer to current governmental Regulations for exposure criteria). Zinc ProtoporphyrinIndustrial exposure <100 mcg/dL Refer to current Occupational Safety and Health Administration (OSHA) regulation for exposure criteria. | EDTA (lavender-top) tube | Room temperature: 4 days Refrigerated: 10 days Frozen: Unacceptable | Whole blood | Room temperature: 4 days Refrigerated: 10 days Frozen: Unacceptable | Hemolysis • Frozen whole blood • Clotted | ZPP | Lead: atomic absorption spectrometry (AAS); ZPP: fluorometry | 0 | ||||||||
| 599 | Lead, Blood | 83655 | Blood lead level analysis is performed to evaluate the body burden of lead. | EDTA (lavender-top) tube | Room temperature: 5 days Refrigerated: 14 days Frozen: 60 days | Whole blood | Room temperature: 5 days Refrigerated: 14 days Frozen: 60 days | Clotted specimen | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) or Atomic Spectroscopy (AS) | 0 | Collection material such as alcohol swabs should be lead-free. Use powderless gloves. For capillary collection, wash hands thoroughly with soap and dry with clean, low-lint towel. Once washed, fingers must not come into contact with any surface. Clean skin (finger or other area for venipuncture) with lead-free alcohol swab prior to puncture. Avoid worksite collection. | ||||||||
| 3058 | Lead, Blood (OSHA) | 83655 | Blood lead is useful in detecting industrial, dietary and accidental exposure to lead and to monitor detoxification therapy. | EDTA (lavender-top) tube | Room temperature: 5 days Refrigerated: 14 days Frozen: 60 days | Whole blood | Room temperature: 5 days Refrigerated: 14 days Frozen: 60 days | Clotted specimen | Inductively-Coupled Plasma/Mass Spectrometry (ICP/MS) or Atomic Spectroscopy (AS) | 0 | Collection material such as alcohol swabs should be lead-free. Avoid worksite collection. | 0.5 mL | 7 mL | ||||||
| 8856 | Legionella Antigen, EIA, Urine | 87449 | Legionella urinary antigen is useful in conjunction with other laboratory tests in the diagnosis of Legionnaire's Disease. Legionella urinary antigen may be identified for months after recovery. | Urine Container | Room temperature: 24 hours Refrigerated: 14 days Frozen: 30 days | Urine | Room temperature: 24 hours Refrigerated: 14 days Frozen: 30 days | 0 | |||||||||||
| 37345 | Legionella pneumophila Antibodies (IgG, IgM), Serotypes 1-6 | 86713 | Evaluation of possible legionellosis (Legionnaires disease, Pontiac fever, extrapulmonary legionella infection caused by Legionella pneumophila). Legionella pneumophila may cause pulmonary disease in both normal and immunocompetent hosts. The disease may occur sporadically in the form of community acquired pneumonia and in epidemics. Pneumonia (often referred to as Legionnaires disease) occurs more frequently in severely immunosuppressed individuals; a milder form of the illness, referred to as Pontiac fever, is more prevalent in normal hosts. Extrapulmonary infection with Legionella pneumophila is rare. Legionnaire's disease, Pontiac fever, and extrapulmonary infection have been collectively referred to as legionellosis. | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 60 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 60 days | Indirect Fluorescence Assay (IFA) | 0 | ||||||||||
| 90367 | Leptin | 82397 | Leptin is an adipocyte-derived hormone that is essential for normal body weight regulation. Leptin production is under neuroendocrine control so that serum concentrations vary directly with the amount of triglycerides stored in adipose tissue depots. | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 14 days Frozen: 35 days | Serum | Room temperature: 8 hours Refrigerated: 14 days Frozen: 35 days | Moderate hemolysis • Gross hemolysis • Hypericteric specimens | Electrochemiluminescence (ECL) | 0 | Separate serum or plasma from cells and transfer to a plastic transport tube. | ||||||||
| 17875 | Leptospira DNA, Qualitative, Real-Time PCR | 87798 | PCR can be used to rapidly diagnose Leptospirosis, an infection caused by a waterborne spirochete of the genus Leptospira. In addition, testing of blood, CSF and urine may give an indication of the stage of infection. | Plastic leak-proof container | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Urine | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Urine received room temperature • Urine received refrigerated | Real-Time Polymerase Chain Reaction (RT-PCR) | 0 | |||||||||
| 35078 | Leukemia/Lymphoma Evaluation | 88184, 88185, 88189 | To aid in the diagnosis, lineage assignment, subclassification, and response to treatment of hematologic malignancies. | Initial markers to be evaluated are CD2, CD3, CD4, CD5, CD7, CD8, CD10, CD11C, CD13, CD19, CD20, CD23, CD33, CD34, CD38, CD56, CD64, CD117, HLA-DR, sKAPPA, sLAMBDA, CD45 | Green top tube | Peripheral blood | 0 | The tube must be kept at room temperature and shipped to the lab immediately. | |||||||||||
| 15142 | Levetiracetam | 80177 | Levetiracetam is an anticonvulsant used as adjunct therapy to treat adult partial seizures. As multiple anticonvulsants are administered, it is important to monitor its level to (1) optimize therapy, (2) assure compliance, and (3) to avoid toxicity. | Red-top tube (no gel) | Room temperature: 14 days Refrigerated: 28 days Frozen: 60 days | Serum | Room temperature: 14 days Refrigerated: 28 days Frozen: 60 days | Serum Separator Tube (SST) | Keppra | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect at trough level (i.e. immediately prior to next dose). Collect in red-top tube (no gel). Avoid use of Serum Separator Tube (SST) as the drug may be adsorbed into the gel. Separate serum after clotting and send serum only in plastic screw-cap vial. | |||||||
| 4086 | Lipase, Serum | 83690 | Investigating pancreatic disorders, usually pancreatitis. Lipases are enzymes that hydrolyze glycerol esters of long-chain fatty acids and produce fatty acids and 2-acylglycerol. Bile salts and a cofactor, colipase, are required for full catalytic activity and greatest specificity. The pancreas is the primary source of serum lipase. Both lipase and colipase are synthesized in the pancreatic acinar cells and secreted by the pancreas in roughly equimolar amounts. Lipase is filtered and reabsorbed by the kidneys. Pancreatic injury results in increased serum lipase levels. | Serum Separator Tube (SST) | Room temperature: 8 days Refrigerated: 8 days Frozen: 31 days | Serum | Room temperature: 8 days Refrigerated: 8 days Frozen: 31 days | Colorimetric | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | |||||||
| 4260 | Lipid Panel | 80061 | Evaluation of cardiovascular risk. Cardiovascular disease is the number one cause of death in the United States with an estimated 1.5 million heart attacks and 0.5 million strokes occurring annually, many in individuals who have no prior symptoms. Prevention of ischemic cardiovascular events is key. Risk factors including age, smoking status, hypertension, diabetes, cholesterol, and HDL cholesterol, are used by physicians to identify individuals likely to have an ischemic event. | Total Cholesterol, HDL Cholesterol, Triglycerides, LDL-Cholesterol (calculated), Cholesterol/HDL Ratio (calculated), Non-HDL Cholesterol (calculated).Lipid Panel will reflex to LDL Cholesterol Direct (CPT 83721) if Triglycerides are grater then 400 mg/dL | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 15 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 15 days | Gross hemolysis • Moderate to gross icterus • Anticoagulants other than heparin | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 2 mL | ||||||
| 100313 | Lipid panel with direct LDL | 84275 | Evaluation of cardiovascular risk. Cardiovascular disease is the number one cause of death in the United States with an estimated 1.5 million heart attacks and 0.5 million strokes occurring annually, many in individuals who have no prior symptoms. Prevention of ischemic cardiovascular events is key. Risk factors including age, smoking status, hypertension, diabetes, cholesterol, and HDL cholesterol, are used by physicians to identify individuals likely to have an ischemic event. | Total Cholesterol, HDL Cholesterol, Triglycerides, LDL-Cholesterol (Direct), Cholesterol/HDL Ratio (calculated), Non-HDL Cholesterol (calculated) | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 15 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 15 days | Gross hemolysis • Moderate to gross icterus • Anticoagulants other than heparin | Spectrophotometry | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.1 mL | 2 mL | |||||
| 34604 | Lipoprotein (a) | 83695 | Cardiovascular disease (CVD) risk refinement in patients with moderate or high risk based on conventional risk factors. Lipoprotein (a) (Lp[a]) consists of an LDL particle that is covalently bound to an additional protein, apolipoprotein (a) (Apo[a]). Apo(a) has high-sequence homology with the coagulation factor plasminogen and, like LDL, Lp(a) contains apolipoprotein B100 (ApoB). Thus, Lp(a) is both proatherogenic and prothrombotic. Lp(a) is an independent risk factor for coronary heart disease (CHD), ischemic stroke, and aortic valve stenosis. Lp(a) has been referred to as the most atherogenic lipoprotein. The mechanism of increased risk is unclear but most likely involves progression of atherosclerotic stenosis via intimal deposition of cholesterol and promotion of thrombosis via homology to plasminogen. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | Gross lipemia • PPT potassium EDTA (white-top) tube | Lp (a) | Immunoturbidimetric | 0 | Plasma collected in a PPT Potassium EDTA (white-top) tube is unacceptable. Plasma collected in sodium heparin (green-top) and lithium heparin (green-top) tubes is now acceptable. | |||||||
| 91604 | Lipoprotein Fractionation, Ion Mobility | 83704 | There is a correlation between increased risk of premature heart disease with decreasing size of LDL particles. Ion mobility offers the only direct measurement of lipoprotein particle size and concentration for each lipoprotein from HDL3 to large VLDL. | LDL Particle Number; LDL Small; LDL Medium; HDL Large; LDL Pattern; LDL Peak Size | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 30 days | Gross hemolysis, Gross lipemia | IDL Subfractions, Cardio IQ, NMR , Lipoprotein Fractionation, Ion Mobility, VLDL, Lipo | Ion Mobility | 0 | Fasting preferred, but not required. | ||||||
| 4090 | Lithium, Serum | 80178 | Lithium is used to treat manic-depressive disorders and the manic phase of affective disorders, including mania. The therapeutic window is relatively small. Therapeutic drug monitoring is useful to optimize dose and avoid toxicity. | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 10 days Frozen: Not established | Serum | Room temperature: 10 days Refrigerated: 10 days Frozen: Not established | Lithium | Ion-selective electrode (ISE) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL | 1 mL | ||||||
| 15038 | Liver Kidney Microsomal (LKM-1) Antibody (IgG) | 86376 | The presence of LKM-1 antibodies can be used in conjunction with clinical findings and other laboratory tests to aid in the diagnosis of autoimmune liver diseases such as autoimmune hepatitis (AIH-2). | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Lipemic | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 850833 | Lorazepam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Lorazepam Present in the following medication: Ativan, Lorabenz, Temesta | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | ||||||||||
| 91738 | Lp-PLA2 Activity | 83689 | Lipoprotein-associated phospholipase A2 (Lp- PLA2), also known as platelet activating factor Acetylhydrolase, is an inflammatory enzyme that circulates bound mainly to low density lipoproteins and has been found to be localized and enriched in atherosclerotic plaques. In multiple clinical trials, Lp-PLA2 activity has been shown to be an independent predictor of coronary heart disease and stroke in the general population. Measurement of Lp-PLA2 may be used along with traditional cardiovascular risk factor measures for identifying individuals at higher risk ofcardiovascular disease events. Clinical management may include beginning or intensifying risk reduction strategies. The activity assay is an enzyme assay run on an automated chemistry platform. | Serum Separator Tube (SST) | Room temperature: 28 days Refrigerated: 28 days Frozen: 42 days | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 42 days | Hemolysis • Moderate to grosslylipemic • Moderate to grosslyicteric | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 37491 | Lupus (SLE) Panel I | 83516 | Evaluation of patients with signs and symptoms compatible with connective tissue diseases Parietal Cell Antibody. | C3 serum, C4 Serum, Thyroid Peroxidase Antibody, Rheumatoid Factor, SS-A Antibody, SS-B Antibody, SM Antibody, SM/RNP Antibody, SCL-70 Antibody, Ribosomal P Protein Antibody, Reticulin Antibody IgA with Reflex to Titer, Mitochondrial Antibody with Reflex to Titer, Actin (Smooth Muscle) Antibody IgG, DNA Antibody (DS) (Crithidia) with Reflex to Titer, Anti-Nuclear Antibody with Reflex to Titer and Pattern, Striated Antibody with Reflex to Titer, Myocardial Antibody with Reflex to Titer, Gastric Parietal Cell Antibody | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 7 days Frozen: 28 day | Serum | Room temperature: 8 hours Refrigerated: 7 days Frozen: 28 day | Gross hemolysis • Lipemia • Received room temperature | See individual tests. | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 7079 | Lupus Anticoagulant Evaluation with Reflex | 85613, 85730 | Lupus anticoagulants (LA) are members of a family of antibodies with phospholipid specificity. LA may be defined as an immunoglobulin, IgG or IgM or a mixture of both, that interferes with one or more of the in vitro phospholipid (PL) dependent tests of coagulation. These antibodies are not associated with a hemorrhagic diathesis, but rather have been linked to thrombotic events. In addition to thrombosis other clinical complications have been associated with the presence of LA. These include strokes, nonbacterial thrombotic endocarditis, livedo reticularis and a variety of obstetrical complications such as intrauterine fetal death, recurrent spontaneous abortion, fetal growth retardation, early onset preeclampsia and chorea gravidarum. | PTT-LA and dRVVT with Reflex ConfirmationsIf PTT-LA is >40 seconds, Hexagonal Phase Confirmation will be performed at an additional charge (CPT code(s): 85598). If Hexagonal Phase Confirmation is positive or weakly positive, Thrombin Clotting Time will be performed at an additional charge (CPT code(s): 85670.If dRVVT is >45 seconds, dRVVT Confirmation will be performed at an additional charge (CPT code(s): 85597). If dRVVT Confirmation is positive, dRVVT 1: 1 Mixing Study will be performed at an additional charge (CPT code(s): 85613) | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 90 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 90 days | Hemolysis • Received thawed | Photo-Optical Clot Detection | 0 | Platelet-poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice. | |||||||
| 70162 | Lupus Monitoring Panel | See Individual Tests | CBC with Diff, CMP, ESR, CRP, C3, C4, CH50, DSDNA | EDTA (Lavender top) & SST | Whole Blood and Serum | 0 | |||||||||||||
| 70161 | LUPUS PANEL II | See Individual Tests | -ANA IFA, Titer -ANA Profile (dsDNA Ab, Anti-SSA Ab, Anti-SSB Ab, Smith Ab, Sm RNP Ab, Ribosomal P Ab, Scl-70 Ab, Centromere B Ab, Jo-1 Ab, RNP Ab, Chromatin Ab.) -APLs (Anticardiolipin IgA; Anticardiolipin IgG; Anticardiolipin IgM; Beta-2-Glycoprotein I Antibodies IgA, Qn; Beta-2-Glycoprotein I Antibodies IgG, Qn; Beta-2-Glycoprotein I Antibodies IgM, Qn)-UA and protein/creatinine Ratio -C3 and C4-CH50-Combs | SST, EDTA & Urine Tube | Whole blood, Serum & Urine | 0 | |||||||||||||
| 2130 | Luteinizing Hormone(LH), S | 83002 | An adjunct in the evaluation of menstrual irregularities. Evaluating patients with suspected hypogonadism. Predicting ovulation. Evaluating infertility. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 104 | LXR Confirm, Urine | G0480 | NA | NA | 0 | ||||||||||||||
| 106 | LXR Oral-3 | G0480 | NA | NA | 0 | ||||||||||||||
| 107 | LXR Oral-4 | G0483 | NA | NA | 0 | ||||||||||||||
| 105 | LXR Screen, Urine | 80307 | NA | NA | 0 | ||||||||||||||
| 108 | LXR TIER 1 CONFIRMATION | G0482 | NA | NA | 0 | ||||||||||||||
| 6646 | Lyme Disease Ab with Reflex to Immunoblot (IgG, IgM) | 86618 | Lyme disease is caused by a bacterium borrelia burgdorferi and is transmitted by ticks. A screening test with high sensitivity is used as the first step in the CDC recommended algorithm. Immunoblot testing qualitatively examines, with high specificity, antibodies in a patient's specimen. Immunoblot testing is appropriate for confirming a detected screening result. | Lyme Disease Antibody IgG Lyme Disease Antibody IgMIf Lyme Disease Antibody Screen is ≥0.90, then Lyme Disease Antibodies (IgG, IgM), Immunoblot will be performed at an additional charge (CPT code(s): 86617 x2). | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | Enzyme immunoassay (EIA); Western blot | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 9110 | Lyme IgG/IgM Ab | 86618 | Lyme disease is caused by a bacterium borrelia burgdorferi and is transmitted by ticks. A screening test with high sensitivity is used as the first step in the CDC recommended algorithm. | Lyme Disease Antibody IgG Lyme Disease Antibody IgM | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | |||||
| 7197 | Lymphocyte Subset Panel 1 | 86255 | Immunophenotypic analysis may assist in evaluating cellular immunocompetency in suspected cases of primary and secondary immunodeficiency states. | Absolute Lymphocytes, Absolute CD3, Percentage CD3, Absolute CD4, Percentage CD4, Absolute CD8, Percentage CD8, CD4/CD8 Ratio (calculated), Absolute CD16/56, Percentage CD16/56, Absolute CD19, Percentage CD19 | EDTA (lavender-top) tube | Room temperature: 3 days Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Room temperature: 3 days Refrigerated: Unacceptable Frozen: Unacceptable | Flow Cytometry | 0 | |||||||||
| 7924 | Lymphocyte Subset Panel 4 | 86360 | Assists in evaluating helper and suppressor cell immune status in immunodeficiency diseases such as AIDS. | Absolute Lymphocytes, Percentage CD4, Absolute CD4, Percentage CD8, Absolute CD8, CD4/CD8 Ratio (calculated) | EDTA (lavender-top) tube | Room temperature: 72 hours | Whole blood | Room temperature: 72 hours | Hemolysis • Lithium heparin (green-top) tube • ACD (yellow-top) tube • Clotted • Frozen | CD4, C8 | Flow Cytometry | 0 | Volumes below 1mL should be submitted in a pediatric EDTA tube. If a CBC is also required, a separate EDTA (lavender-top) tube must be submitted. | ||||||
| 11322 | Magnesium, 24-Hour Urine | 83735 | Useful in the assessment of nutritional and metabolic disorder. Increased levels indicate renal and respiratory failure and decreased levels indicate seizures, tetany, cardiac arrhythmias, Low CA++ and K+. | Urine container | Room temperature: 4 days Refrigerated: 7 days Frozen: 90 days | Urine | Room temperature: 4 days Refrigerated: 7 days Frozen: 90 days | 0 | Please submit a 10 mL aliquot of a 24-hour collection. Collect urine with 25 mL of 6N HCL to maintain a pH below 3. Do not include first morning specimen; collect all subsequent voidings. The last sample collected should be the first morning specimen voided the following morning at the same time as the previous morning's first voiding. Record 24-hour urine volume on test requisition and urine vial. | ||||||||||
| 623 | Magnesium, RBC | 83735 | Clinical Significance: Magnesium is an essential trace element. Deficiency leads to irritability, neuromuscular abnormalities, cardiac and renal damage. Its salts are used as antacids and cathartics. Excessive amount may cause CNS depression, loss of muscle tone, respiratory and cardiac arrest. Specimen Stability: EDTA packed cells- Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable; EDTA whole blood- Room temperature: 4 days Refrigerated: 7 days Frozen: Unacceptable Reject Criteria: Received frozen | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Packed red blood cells | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Received frozen | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | |||||||||
| 4052 | Magnesium, Serum | 83735 | Magnesium is an essential trace element. Deficiency leads to irritability, neuromuscular abnormalities, cardiac and renal damage. Its salts are used as antacids and cathartics. Excessive amount may cause CNS depression, loss of muscle tone, respiratory and cardiac arrest. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Anticoagulants other than heparin | Colorimetric | 0 | 0.5 mL | 1 mL | |||||||
| 6179 | Magnesium, Urine | 83735 | Assessing the cause of abnormal serum magnesium concentrations. Determining whether nutritional magnesium loads are adequate. Calculating urinary calcium oxalate and calcium phosphate supersaturation and assessing kidney stone risk. | Urine container | Room temperature: 4 days Refrigerated: 7 days Frozen: 90 days | Urine | Room temperature: 4 days Refrigerated: 7 days Frozen: 90 days | 0 | Submit 10 mL of a well-mixed random collection. Adjust pH to <3.0 with 6N HCl prior to aliquoting for testing. | ||||||||||
| 831 | Malaria/Babesia/Other Blood Parasites | 87207 | The identification of malarial parasites and other blood parasites is used to determine treatment and prognosis. Babesia and other blood parasite are noted and reported. Microfilaria can be detected from a giemsa stain. However, this test is not recommended for the detection of microfilaria. One negative observation cannot rule out blood parasites. | Slides in slide holders and an EDTA (lavender-top) tube | Room temperature: 30 days Refrigerated: Unacceptable Frozen: Unacceptable; Whole blood- Room temperature: 24 hours | At least 2 thick and 2 thin smears prepared from capillary source (finger) and 1 whole blood EDTA | Room temperature: 30 days Refrigerated: Unacceptable Frozen: Unacceptable; Whole blood- Room temperature: 24 hours | Hemolysis • Clotted blood • Age-deteriorated blood cells (EDTA blood older than 48 hours) | Filariasis, Blood, Babesia | Microscopic Examination with Giemsa stain. | 0 | Blood drawn 1 to 2 hours prior to expected chill will enhance recovery of malarial parasites by the laboratory. Blood samples are to be taken, and slides prepared when the patient presents with symptoms of malaria, and every 6 hours for 36 hours. Specimens obtained during the febrile state yield the greatest number of parasites in circulating blood. It is very important that at least one thick and one thin blood film smear must be submitted on two separate glass slides with one frosted end, in addition to the EDTA (lavender-top) tube. One slide should be smeared as is done with a differential exam and one slide should have a drop of blood dried in an area about the size of a dime. | |||||||
| 35086 | Male Hormone Assessment | See Individual Tests | TSH, T4, FreeT3, Total Testosterone, Total Testosterone Free SHBG, Estradiol, FSH, LH, PTH, Intact, DHEA-S, Cortisol, Serum, IGF-1, PSA, Total, Prolactin | Serum Separator Tube (SST) | Serum | PSA | 0 | ||||||||||||
| 951 | Manganese | 83785 | Evaluation of central nervous system symptoms similar to Parkinson disease in manganese miners and processors. Characterization of liver cirrhosis. Therapeutic monitoring in treatment of cirrhosis, parenteral nutrition-related Mn toxicity and environmental exposure to Mn Evaluation of Behcet disease. | (Royal blue-top) tube | Room temperature: 7 days Refrigerated: 30 days Frozen: 60 days | Serum | Room temperature: 7 days Refrigerated: 30 days Frozen: 60 days | Hemolysis • Sodium heparin leadfree(tan-top) tube | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | |||||||||
| 16039 | Mannose-Binding Lectin (MBL) | 83520 | Evaluation of children and adults with a clinical history of recurrent infections. Results may be useful for genetic counseling and support aggressive management of recurrent infections in patients with reduced levels of mannose-binding lectin. | Serum Separator Tube (SST) | Room temperature: 4 hours Refrigerated: 4 hours Frozen: 21 days | Serum | Room temperature: 4 hours Refrigerated: 4 hours Frozen: 21 days | Hemolysis • Lipemia • Heat treated • Specimens containing visible particular matter • Received room temperature • Received refrigerated | Enzyme Linked Immunosorbent Immunoassay (ELISA) | 0 | Overnight fasting is preferred. Do not submit specimens that have been heat treated. Do not submit the sample in a glass tube. | ||||||||
| 5059 | Maternal Serum AFP | 82105 | Maternal serum alpha-fetoprotein (MSAFP) is used for prenatal screening. Maternal serum Alpha-Fetoprotein (AFP) elevation is associated with open neural tube defects, multiple gestation, placental anomalies, ventral abdominal wall defects, congenital nephrosis, and oligohydramnios. Follow-up for abnormal AFP results include genetic counseling, level II or III ultrasound examination and consideration of amniocentesis for chromosome and AFP analysis. MSAFP is not to be used as a screening test for chromosomal abnormalities. | AFP, Maternal Risk Interpretation | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 45 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 45 days | Grossly lipemic | AFP, Alpha-Fetoprotein, Maternal Serum | Immunoassay (IA) | 0 | |||||||
| 850822 | MDEA, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | MDEA (3,4-Methylenedioxy-N-ethylamphetamine) MDA (3,4-Methylenedioxyamphetamine) Present in the following medication: Eve | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 850821 | MDMA, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | MDMA (3,4-Methylenedioxymethamphetamine) MDA (3,4-Methylenedioxyamphetamine) Present in the following medication: Ecstasy, XTC, Adam, bean, Molly, New Yorkers, peace, white dove | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 8512 | Measles (Rubeola) IgG | 86735 | Measles, also known as rubeola, causes fever, irritability, respiratory illness, and the characteristic skin rash. Immunization has greatly diminished the incidence of measles. The presence of IgG is consistent with immunity or prior exposure. IgM is consistent with current or recent infection. IgM tests can generate false positive results and low levels of IgM can persist for longer than 12 months. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Rubeola | 0 | 1 mL | 2 mL | ||||||||
| 34256 | Measles Antibody (IgM) | 86765 | Determining acute-phase infection with rubeola (measles) virus. Measles (rubeola) virus is a member of the family paramyxoviridae, which also includes mumps, respiratory syncytial virus, and parainfluenza viruses. Clinical infection with measles virus is characterized by a prodromal phase of high fever, cough, coryza, conjunctivitis, malaise, and Koplik's spots on the buccal mucosa. An erythematous rash then develops behind the ears and over the forehead, spreading to the trunk. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Rubeola, IgM | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 91899 | Melatonin | 83520 | Endogenous concentrations of melatonin are of the order of less than 0.02-0.2 ng/mL and vary based on time of day and age. An oral use of a 6 mg dose in 60 female subjects produced an average peak concentration of 12 ng/mL with a peak time of approximately 0.75 hours. A 10 mg dose in male subjects produced an average concentration of 9.8 ng/mL. Melatonin's major side effect profile includes drowsiness and sleepiness. | EDTA (lavender-top) tube | Room temperature: Not stable Refrigerated: 24 hours Frozen: 90 days | Plasma | Room temperature: Not stable Refrigerated: 24 hours Frozen: 90 days | Received room temperature | Enzyme Linked Immunosorbent Assay (ELISA) • Extraction | 0 | Fasting specimen is preferred. Melatonin concentration varies with light and dark cycle. The concentration is lower during the day and high at night. Patients treated with pituitary or steroid hormones influence the concentration. Hence, it should be discontinued for 2 days prior to the collection of samples. Ship specimen frozen in dry ice. | ||||||||
| 850851 | Meperidine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Meperidine Normeperidine Present in the following medication: Demerol, Meperitab | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity. | |||||||||
| 636 | Mercury, Blood | 83825 | Clinical Significance: The primary clinical utility of blood mercury is the determination of abnormal exposures seen at levels over 20 μg/L. Mercury is absorbed via the respiratory tract (mercury vapors), skin, and gastrointestinal tract. Mercury poisoning can cause kidney damage. The chronic effect of mercury poisoning includes inflammation of mouth and gums, loosening of the teeth, kidney damage, nervousness, depression, and spasms. Specimen Stability: Room temperature: 5 days Refrigerated: 7 days Frozen: Unacceptable Reject Criteria: Clotted specimen. | EDTA (royal blue-top) tube | Room temperature: 5 days Refrigerated: 7 days Frozen: Unacceptable | Whole blood | Room temperature: 5 days Refrigerated: 7 days Frozen: Unacceptable | Clotted specimen | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | Avoid seafood consumption for 48 hours prior to sample collection. Carefully clean skin prior to venipuncture. Avoid worksite collection. | ||||||||
| 19548 | Metanephrines, Fractionated, Free, LC/MS/MS, Plasma | 83835 | Normetanephrine (NM) and metanephrine (MN) are the extra-neuronal catechol-o-methyl transferase (COMT) metabolites of the catecholamines norepinephrine and epinephrine, respectively. Measurement of plasma metanephrines is more sensitive (but may be less specific) than measurement of catecholamines for the detection of pheochromocytoma. Proper interpretation of results requires awareness of recent edication/drug history (e.g., antyhypertensive agents, alcohol, cocaine) and other pre-analytical factors (e.g., stress, severe congestive heart failure, myocardial infarction) that influence release of catecholamines and metanephrines. | Metanephrine, Normetanephrine, and Total Metanephrine | EDTA (lavender-top) tube | Room temperature: 4 hours Refrigerated: 14 days Frozen: 14 days | Plasma | Room temperature: 4 hours Refrigerated: 14 days Frozen: 14 days | Heparinized plasma • Serum • CSF • Urine | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Patient should avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Overnight fasting is preferred. Patients should be relaxed in either a supine or upright position before blood is drawn. Draw specimen in a pre-chilled EDTA lavender-top Vacutainer™. The whole blood sample should be kept on wet ice until centrifuged (preferably at 4°C) to separate the plasma within 2 hours of venipuncture. After centrifugation, the plasma should be transferred to a plastic, leak-proof vial and immediately refrigerated. | |||||||
| 14962 | Metanephrines, Fractionated, LC/MS/MS, 24-Hour Urine | 83835 | Test is useful in the evaluation of pheochromocytoma. | Metanephrine, Normetanephrine, Total Metanephrines | 6N HC 24-hour urine container | Room temperature: 7 days (acidified) Refrigerated: 8 days Frozen: 30 days | Urine | Room temperature: 7 days (acidified) Refrigerated: 8 days Frozen: 30 days | Boric acid preservative • Concentrated glacial acetic acid preservative | Liquid Chromatomagraphy Tandem Mass Spectrometry (LC/MS/MS) | 0 | It is preferable for the patient to be off medications for three days prior to collection. Patient should avoid tobacco, tea, coffee, for three days prior to specimen collection. Common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Medications which are alpha agonists (Aldomet), alpha blockers (Dibenzyline) should be avoided 18-24 hours prior to specimen collection. After urine collection, add 25 mL 6N HCL to maintain a pH below 3. Urine without preservative is accecptable if pH is below 6 and the sample is shipped frozen. Record 24-hour urine volume and patient's age on test requisition and urine vial. | |||||||
| 14961 | Metanephrines, Fractionated, LC/MS/MS, Random Urine | 82570, 83835 | Useful in the evaluation of pheochromocytoma. | Metanephrines, Normetanephrines, Total Metanephrines, Creatinine | Plastic urine container | Room temperature: 7 days (acidified) Refrigerated: 8 days Frozen: 30 days | Urine | Room temperature: 7 days (acidified) Refrigerated: 8 days Frozen: 30 days | Boric acid preservative | Liquid Chromatography Tandem Mass Spectrometry (LC/MS/MS) | 0 | It is preferable for the patient to be off medications for three days prior to collection. Patient should avoid tobacco, tea, coffee, for three days prior to specimen collection. Common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Medications which are alpha agonists (Aldomet), alpha blockers (Dibenzyline) should be avoided 18-24 hours prior to specimen collection. Room temperature stability: 1 week (acidified)After urine collection, add 6N HCl to maintain a pH below 3. Urine without preservative is acceptable if pH is below 6 and the sample is shipped frozen. Record patients age on test request form and urine vial. | |||||||
| 3258 | Methadone (Dolophine), Serum | 80358 | Therapeutic monitoring of methadone (Dolphine™/Methadose™) treatment.) | Red-top tube (no gel) | Room temperature: 72 hours Refrigerated: 14 days Frozen: 1 year | Serum | Room temperature: 72 hours Refrigerated: 14 days Frozen: 1 year | Serum Separator Tube (SST) | Gas Chromatography/Mass Spectrometry (GC/MS) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL | 1 mL | ||||||
| 850852 | Methadone, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Methadone EDDP Present in the following medication: Dolophine, Methadose, Methadone Diskets, Methadose Sugar-Free | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 850824 | Methamphetamine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs | Methamphetamine, Amphetamine Present in the following medication: Desoxy, Methedrine | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 17656 | Methicillin Resistant Staphylococcus aureus, PCR | 87641 | Rapid, direct detection of nasal colonization by MRSA. Aids in the prevention and control of MRSA infections in healthcare settings. | Liquid Amies Collection Tube | Room temperature: 24 hours Refrigerated: 5 days Frozen: Unacceptable | Nasal swab | Room temperature: 24 hours Refrigerated: 5 days Frozen: Unacceptable | Received frozen • Specimens exceeding stability • Specimens in leaking or broken containers • Non-validated specimen types • Wire swabs | MRSA PCR, Staphylococcus aureus, Methicillin-resistant | Polymerase Chain Reaction (PCR) | 0 | Swab must be inserted into nostril up to 2.5 cm (1 inch) from edge of the nare and rolled 5 times. Repeat using same swab in the other nostril. Return swab to its container. | |||||||
| 648 | Methotrexate (MTX), Serum | 80299 | Methotrexate is an antimetabolite used in the treatment of certain neoplastic diseases, psoriasis and rheumatoid arthritis. In combination with other chemotherapeutic agents, high dose methotrexate doses followed by leucovorin rescue may be effective in prolonging relapse-free survival in patients with non-metastatic osteosarcoma. Methotrexate levels are monitored to assess toxicity. | Red-top tube (no gel) | Room temperature: 24 hours Frozen: 5 days | Serum | Room temperature: 24 hours Frozen: 5 days | Serum Separator Tube (SST) or any other tube with additives • Received thawed | Immunoassay | 0 | Collect 24, 48, or 72 hours after dose. Protect from light. Record hours from last dose on specimen container and in the remark column on the test requisition | ||||||||
| 17911 | Methylenetetrahydrofolate Reductase (MTHFR), DNA Mutation Analysis | 81291 | Direct mutation analysis for the MTHFR C677T mutation should be reserved for patients with coronary artery disease, acute myocardial infarction, peripheral vascular artery disease, stroke, or venous thromboembolism who have increased basal homocysteine levels or an abnormal methionine-load test | EDTA (lavender-top) tube | Room temperature: 8 days Refrigerated: 8 days Frozen: 30 days | Whole blood, EDTA LAV Top | Room temperature: 8 days Refrigerated: 8 days Frozen: 30 days | Completed ABN Required | MTHFR | Hybeacons | 0 | 3 mL whole blood or two buccal swabs | 7 mL whole blood or LabCorp buccal swab kit | ||||||
| 91002 | Methylmalonic Acid, Serum | 83921 | Evaluating children with signs and symptoms of methylmalonic acidemiaEvaluating individuals with signs and symptoms associated with a variety of causes of cobalamin (vitamin B12) deficiency | SST | Room temperature: 4 days Refrigerated: 7 days Frozen: 10 months | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 10 months | MMA | Liquid chromatography/tandem mass spectrometry (LC/MS-MS) | 0 | |||||||||
| 91032 | Methylmalonic Acid, Urine | 82570, 83921 | Methylmalonic Acid (MMA) is useful to diagnose and monitor Vitamin B12 (cobalamin) deficiency, and to diagnose and monitor patients with methylmalonic acidemia. | Creatinine | Plastic urine container | Room temperature: 4 days Refrigerated: 12 days Frozen: 30 days | Urine | Room temperature: 4 days Refrigerated: 12 days Frozen: 30 days | Received room temperature • Acidified urine | MMA | Gas Chromatography/Tandem Mass Spectrometry (GC/MS/MS) | 0 | Do not use preservatives | ||||||
| 850825 | Methylphenidate, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs | Methylphenidate Ritalinic acid Present in the following medication: Ritalin, Concerta, Aptensio, Biphentin, Daytrana, Equasym, Medikinet, Metadate, Methylin, QuilliChew, Quillivant | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 8010 | Microalb/Creat Ratio, Randm Ur | 82043, 82570 | Assessing the potential for early onset of nephropathy in diabetic patients | Plastic urine container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Urine | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Microalbumin: immunoturbidimetric; creatinine: kinetic | 0 | Mix well if aliquoting Note: Exercise within 24 hours, infection, fever, congestive heart failure, marked hyperglycemia, and marked hypertension may elevate urinary albumin excretion over baseline values. | 2 mL (NOTE: This volume does NOT allow for repeat testing.) | 10 mL | |||||||
| 8588 | Microalbumin, 24 hr Urine | 82043 | Microalbumin is albumin excreted in the urine and is a sensitive marker of nephropathy. It is used to screen for early renal diseases in diabetic patients | 24 hr Plastic urine container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Urine | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Acid preserved urine | Immunoturbidimetric | 0 | Collect random urine without preservatives. pH must be 4-8. | 1 mL aliquot | 10 mL aliquot | ||||||
| 4120 | Microalbumin, Random Urine | 82043 | Microalbumin is albumin excreted in the urine and is a sensitive marker of nephropathy. It is used to screen for early renal diseases in diabetic patients. | Plastic urine container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 day | Urine | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 day | Acid preserved urine | Immunoturbidimetric | 0 | Collect random urine without preservatives. pH must be 4-8. | 1 mL (NOTE: This volume does NOT allow for repeat testing). | 10 mL | ||||||
| 850835 | Midazolam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Alpha-Hydroxymidazolam Present in the following medication: Versed, Dormicum, Hypnovel, Dormonid | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 30321 | Mitochondria M2 Antibody (IgG), EIA | 83520 | Mitochondrial antibody is present in approximately 95% of patients with Primary Biliary Cirrhosis (PBC). Mitochondrial M2 antibody has an even higher specificity for PBC | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Enzyme Immunoassay (EIA) | 0 | Centrifuge serum specimens within 1 hour of collection. | |||||||||
| 259 | Mitochondrial Antibody with Reflex to Titer | 86255 | A high Anti-Mitochondrial Antibody (AMA) titer supports the diagnosis of primary biliary cirrhosis (PBC). Low titers of AMA may be detected in other liver disorders, which include chronic active hepatitis and cryptogenic cirrhosis. Mitochondrial M2 Antibody has an even higher specificity for PBC | If Mitochondrial Antibody Screen is positive, Mitochondrial Antibody Titer will be performed at an additional charge (CPT code(s): 86256). | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Anti-Mitochondrial Antibody, AMA, Mitochondrial Antibody with Reflex | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||
| 91978 | Mitogen- and Antigen-induced Lymphocyte Proliferation Panel | 86353 | Measurement of human lymphocytes' proliferative responses to various stimuli is a fundamental technique used to assess their biological status and functions. Mitogens, such as plant lectins phytohemagglutinin (PHA), concanavalin A (Con A) and pokeweed mitogen (PWM), are able to nonspecifically stimulate lymphocyte proliferation and used to evaluate patient immune responsiveness. Lymphocyte proliferation response to antigens, such as Candida, tetanus toxoid and tuberculin purified protein derivative (PPD), are evaluated as a function of memory in cell-mediated immunity. | Phytohemagglutinin (PHA)-induced Lymphocyte Proliferation; Concanavalin A (Con A)-induced Lymphocyte Proliferation; Pokeweed Mitogen (PWM)-induced Lymphocyte Proliferation; Candida-induced Lymphocyte Proliferation; Tetanus-induced Lymphocyte Proliferation; Tuberculin PPD-induced Lymphocyte Proliferation | Sodium heparin (green-top) tube | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: Unacceptable Frozen: Unacceptable | Hemolysis • Received refrigerated • Received frozen • Clottedspecimens • Samples collected inlithium heparin tubes | Cell Culture (CC) • Scintillation Counter | 0 | Whole blood must be transported at room temperature and delivered to the testing laboratory within 48 hours after collection.Maintain and transport blood at room temperature. Avoid temperatures <15°C and >37°C. In hot weather, it may be necessary to pack the specimen in a container with insulating material around it and place this container inside another one that contains a cold pack (ice pack) and absorbent material. This method will help retain the specimen at ambient temperature. For longitudinal studies, draw specimens at the same time of day to minimize diurnal variation. | |||||||
| 5555 | MMR Immunity Profile | See individual tests | Measles Ab, IgG, Mumps Ab, IgG, Rubella Ab IgG | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | MMR | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 14511 | Modified Acid Fast Stain for Nocardia and Aerobic Actinomycetes | 87206 | The clinical manifestations, severity and prognosis of nocardiosis are extremely variable. In immunocompetent hosts, localized subcutaneous infections are most commonly seen, however invasive disease may also occur | Sterile leak-proof container | Room temperature: 5 days Refrigerated: 5 days Frozen: Unacceptable | Fresh (unfixed) tissue, wound, aspirate, CSF, lower respiratory tract specimen | Room temperature: 5 days Refrigerated: 5 days Frozen: Unacceptable | Partial Acid Fast Stain | Microscopic Examination | 0 | Culture recommended in addition to stain | ||||||||
| 8112 | Mononucleosis Test, Qual | 86308 | Mononucleosis tests are blood tests to look for antibodies that indicate mononucleosis (mono), which is usually caused by the Epstein-Barr virus (EBV). The antibodies are made by the immune system to fight an infection. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Latex agglutination (LA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | |||||||
| 9296 | Morphine | 83925 | Red-top tube (no gel) | Room temperature: 72 hours Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 72 hours Refrigerated: 14 days Frozen: 30 days | CSF • Serum Separator Tube (SST) | Gas Chromatography/Mass Spectrometry (GC/MS) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 2 mL | 5 mL | |||||||
| 850842 | Morphine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Morphine Hydromorphone Present in the following medication: MS Contin, Avinza, Kadian Morphabond, MSI, Oramorph SR, Roxanol | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | ||||||||||
| 2658 | Mouse Urine Proteins (e72) IgE | 86003 | Serum Separator Tube (SST) | Serum | 0 | ||||||||||||||
| 657 | Mucin Clot, Synovial Fluid | 83872 | Test to aid in differential diagnosis of diseases of joints and joint fluid. | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Synovial fluid | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Received clotted | Macroscopic Examination/Ropes Test | 0 | |||||||||
| 8510 | Mumps Antibodies, IgG | 86735 | Mumps is an acute, usually self-limited systemic illness characterized by parotiditis, high fever and fatigue. One third of infections are asymptomatic | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 36565 | Mumps Antibodies, IgM | 86735 | Laboratory diagnosis of activemumps virus infection | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 7550 | Myasthenia Gravis Panel I | 83519, 84999, 86255, 86256 | Useful in the diagnosis of Myasthenia Gravis | Anti-Striated Muscle Antibody Screen with Reflex; Acetylcholine Receptor Binding Antibody | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Myasthenia Gravis | AChRAb Binding: Measures antibodies that precipitate solublized muscle AChR that has been complexed with radiolabeled alpha-bungarotoxin (alphaBTX). Antibodies that bind to the receptor regions that are not sterically blocked by the alphaBTX are detected. AChRAb Blocking: Measures antibodies that inhibit the binding of radiolabeled alpha-bungarotoxin (alphaBTX) to solublized muscle AChR. | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 10211 | Myasthenia Gravis Panel III | 83519, 86255 | Myasthenia Gravis is a neurological disorder characterized by a decrease in acetylcholine receptors. Patients exhibit skeletal muscle weakness and fatigability. Approximately 80% of patients with Myasthenia Gravis, excluding ocular involvement only, have detectable acetylcholine receptor antibody. There is a strong correlation between the presence of striated muscle antibody and the presence of thymoma | Acetylcholine Receptor Binding Antibody, Acetylcholine Receptor Blocking Antibody, Acetylcholine Receptor Modulating Antibody, *Anti-Striated Muscle Antibody Screen with Reflex Titer | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Acetylcholine Receptor Binding Antibody | See individual analytes | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 10662 | Mycophenolic Acid | 80180 | Mycophenolic acid is an immunosuppressant used in tissue transplants. It prevents graft rejection by the host's immune system. It is very important to monitor its level. Too little of this drug will cause graft rejectoin, while too much will lead to infection. Monitoring its level is essential to optimize therapeutic effects, avoid toxicity, and assure compliance. | Red-top tube (no gel) | Room temperature: 72 hours Refrigerated: 14 days Frozen: 60 days | Serum OR Plasma | Room temperature: 72 hours Refrigerated: 14 days Frozen: 60 days | Hemolysis • Lipemia • Improperly labeled specimens • Specimens left at room temperature >72 hours • Gel barrier/Serum Separator Tube (SST) | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Optimum time to collect sample: 1/2 hour to 1 hour before next dose (trough) at steady-state (3-5 days after treatment with oral doses). Serum (preferred): Collect blood in a plain red-top tube (no gel). Allow blood to clot at 15-28°C for 20-30 minutes. Centrifuge at 25-28°C (2200-2500 rpm, 1000 x g) for 8-10 minutes. Transfer serum to polypropylene or polyethylene transport tube. Ship refrigerated (cold packs). Samples left at room temperature for >72 hours are unacceptable | ||||||||
| 34127 | Mycoplasma pneu. IgG/IgM Abs | 86738 | Screen for recent or past exposure to Mycoplasma pneumoniae | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Icteric | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 659 | Mycoplasma pneumoniae, IgG Ab | 86738 | Mycoplasma are the smallest of the free-living organisms. M. pneumoniae causes approximately 10-20% of all cases of pneumonia. These pneumonias that can affect otherwise healthy individuals, are commonly referred to as walking and aypical pneumonias. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Icteric | pneumoniae IgG, Mycoplasma IgG | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 9142 | Myeloperoxidase (MPO) | 83876 | Myeloperoxidase testing may be used for individuals with multiple risk factors for cardiovascular disease, or those withestablished disease. | EDTA (Pearl top) Tube | Room temperature: Unacceptable Refrigerated: 8 days Frozen: 6 months | Plasma | Room temperature: Unacceptable Refrigerated: 8 days Frozen: 6 months | 0 | Gently invert 8 times Centrifuge IMMEDIATELY for 15 minutes Refrigerate immediately send refrigerated. | ||||||||||
| 9916 | Myeloperoxidase Antibody (MPO) | 86021 | Patients with vascular diseases will generally have either a C-ANCA pattern or P-ANCA pattern, and give positive results in specific tests for PR-3 or MPO. Patients with bowel disease have been shown to have antibodies that give a P-ANCA or C-ANCA pattern. These antibodies, however, may not be directed toward MPO. Patients with drug induced lupus, etc., often present with a P-ANCA pattern that is associated with antibodies against MPO. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 261 | Myocardial Antibody Screen with Reflex to Titer | 86255, 86256 | Detection of myocardial Antibodies suggests that a patient's heart disease may have an immunologic component. Myocardial Antibodies are found in the serum of patients with various cardiomyopathies, especially idiopathic dilated cardiomyopahty, myocarditis, rheumatic fever, and Dressler's Syndrome. | If Myocardial Antibody Screen is positive, Myocardial Antibody Titer will be performed at an additional charge (CPT code(s): 86256). | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 14 days Frozen: 6 months | Serum | Room temperature: 48 hours Refrigerated: 14 days Frozen: 6 months | Cardiac Muscle Antibody | Indirect Immunofluorescence Assay (IFA) | 0 | ||||||||
| 2070 | Myoglobin, Serum | 83874 | Assessing muscle damage from any cause.Myoglobin is a heme protein found in smooth and skeletal muscles. Serum myoglobin reflects a balance between intravascular release of myoglobin from muscle and renal clearance.Previously serum myoglobin had been advocated as a sensitive marker for early acute myocardial injury (eg, acute myocardial infarction: AMI). However, more recent studies indicate that other newer markers (eg, troponin) provide superior diagnostic utility in detecting early myocardial injury.Elevation of serum myoglobin may occur as a result of muscle trauma, resuscitation, myopathies, AMI, shock, strenuous body activity, or decreased elimination during renal insufficiency. Extreme elevations occur in rhabdomyolysis. | GEL BARRIER, SERUM | Room temperature: 7 days Refrigerated: 14 days Frozen: 35 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 35 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 10185 | Myositis Assess | See Individual Tests | PL-7, PL-12, Mi-2, Ku, EJ, OJ, SRP plus Jo-1 Antibody. | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||
| 94777 | Myositis Specific 11 Antibodies Panel | See Individual Tests | Jo-1 Ab, PL-7 Ab, PL-12 Ab, EJ Ab, OJ Ab, SRP Ab, Mi-2 Alpha Ab, Mi-2 Alpha Ab, Mi-2 Beta Ab, MDA-5 Ab, TIF-1y Ab, NXP-2 Ab | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||
| 10243 | N-Methylhistamine, Urine | 82542, 82570 | Screening for and monitoring of mastocytosis and disorders of systemic mast-cell activation, such as anaphylaxis and other forms of severe systemic allergic reactions.Monitoring therapeutic progress in conditions that are associated with secondary, localized, low-grade persistent, mast-cell proliferation and activation such as interstitial cystitis | Urine Container | Room temperature: 24 hours Refrigerated: 8 days Frozen: 14 days | Urine | Room temperature: 24 hours Refrigerated: 8 days Frozen: 14 days | 0 | 5 mL from a 24-hour urine collection with no preservative. Total volume required. Record on both the specimen container and the test requisition. | ||||||||||
| 59245 | N-Telopeptide, Serum | 82523 | Serum N-Telopeptide (NTx) levels may be used in predicting skeletal response (bone mineral density) to antiresorptive therapy and in monitoring bone resorption changes following initiation of antiresorptive therapy. Prior to initiating antiresorptive therapy, a serum NTx level is used to determine the probability for a decrease in bone mineral density (BMD) after one year in postmenopausal women treated with hormonal antiresorptive therapy relative to those treated with calcium supplementation. | Serum Separator Tube (SST) | Frozen: 60 days | Serum | Frozen: 60 days | Serum received in Serum Separator Tube (SST) • Plasma | Enzyme immunoassay (EIA) | 0 | Collect whole blood by standard venipuncture technique. Allow blood to fully clot and remove the serum from the clot promptly. Specimens collected in Serum Separation Tubes (SST) should be centrifuged and serum removed from the gel separator into a different tube and shipped. Specimens sent in SST™ tubes will be rejected. Plasma samples will also be rejected | ||||||||
| 91979 | NAFLD Fibrosis Score | 82947, 84450, 84460, 85049 | The NAFLD fibrosis score is a simple noninvasive approach to identify patients that may have significant liver fibrosis and who therefore might benefit from additional studies such as elastography or liver biopsy. Non-alcoholic fatty liver disease (NAFLD) affects approximately 30% of adults in developed countries. It is associated with obesity, diabetes, and dyslipidemia and is considered the liver manifestation of the metabolic syndrome. This disease is often asymptomatic. In some individuals, NAFLD is associated with inflammation (non-alcoholic steatohepatitis [NASH]) and may progress to liver fibrosis and ultimately to cirrhosis and attendant complications. Such individuals are also at risk for the development of hepatocellular carcinoma. In patients with NAFLD, liver fibrosis is an important prognostic factor that predicts progression and outcome. The NAFLD fibrosis score was initially published by Angulo et al. (Hepatology 45, 846 (2007)) and has since been extensively validated. | Glucose, AST, ALT, Platelet Count, Albumin, Calculated Components, Personal Factors | Serum Separator Tube (SST) and EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: 5 days Frozen: Unacceptable | Serum & Whole Blood | Room temperature: 72 hours Refrigerated: 5 days Frozen: Unacceptable | Spectrophotometry (SP) • Electronic Sizing and Counting/Cytometry/Microscopy | 0 | The patient should fast 9-12 hours prior to collection. For risk calculations to be performed, the following patient-specific information must be provided at the time of order: Age: Years Gender: M (for male) or F (for female) Height Feet: Feet Height Inches: Inches Weight: lbs.Diabetes Status: Y (for yes) or N (for no) | ||||||||
| 850849 | Naloxone, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Naloxone Present in the following medication: Narcan, Evzio, and Narcan Nasal Spray | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 850853 | Naltrexone, LCMS Confirmation, Ur | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Naltrexone Present in the following medication: Revia, Vivitrol | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | ||||||||||
| 37088 | Natural Killer Cells | 86357 | Determine levels of natural killer cells in circulation; monitor immune stimulation therapy | Absolute Lymphocytes and Natural Killer Cells (CD3-CD56+CD16+) | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Received frozen • Received refrigerated | CD56, CD3, CD16 | Flow Cytometry (FC) | 0 | Do not freeze. Do not transfer whole blood to M4. Submit the EDTA tubes at room temperature. ACD (yellow-top) and sodium heparin (green-top) tubes are not acceptable collection containers.Note: Draw sample shortly before courier pick up so it is received at the lab within 24 hours. Avoid transport just before or during weekends, which can result in preassay delay. | ||||||
| 11362 | Neisseria gonorrhoeae RNA, TMA | 87591 | Gonorrhea is caused by the bacterium Neisseria gonorrhoeae, which is a common sexually transmitted infection (STI). (1,2) Many infections in women are asymptomatic and the true prevalence of gonorrhea is likely much higher than reported. The organism causes genitourinary infections in women and men and may be associated with dysuria and vaginal, urethral, and/or rectal discharge. Potential complications include pelvic inflammatory disease in women and gonococcal epididymitis and prostatitis in men. Gonococcal bacteremia, pharyngitis, and arthritis may also occur. Infection in men is typically associated with symptoms that would prompt clinical evaluation. Given the risk for asymptomatic infection in women, screening is recommended for women at increased risk of infection (e.g., women with previous gonorrhea or other STI, inconsistent condom use, new or multiple sex partners, and women in certain demographic groups, such as those in communities with high STI prevalence). | Urine Container or SurePath or ThinPrep or PCR Media Cobas Swab | 36 hrs | Urine | 36 hrs | • Endocervical and vaginal specimen tubes with no swabs or with two swabs • Specimens that appear bloody or have a dark brown color | NG | 0 | Urine cup , Cobas PCR urine sample Packet, or Cobas PCR Female Swab | ||||||||
| 34476 | Neuron Specific Enolase (NSE) | 86316 | Elevated levels of serum NSE are reported in patients with small cell carcinomas primarily of lung origin. Patients with neuroblastomas may also have high levels of NSE. Serum NSE can be used to monitor recurrence or progression of tumor in these cancer patients. Daily serial monitoring of serum NSE may also be used in comatose patients to assess neuronal damage. High NSE levels in comatose patients at 24hr and 48hr post cardio-pulmonary resusitation have been associated with poor outcome. Hemolysis can cause false positive results. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 4696 | Nickel, Blood | 83885 | Test for detecting nickel toxicity in patients exposed to nickel carbonyl | 1 ml serum in royal blue-acid washed vial | Room temperature: 30 days Refrigerated: 30 days Frozen: 90 days | Whole blood | Room temperature: 30 days Refrigerated: 30 days Frozen: 90 days | Clotted blood specimens • Plastic container • Lithium heparin (light green-top) tube • Sodium heparin, glass (tan-top) tube • Sodium heparin, trace metal-free (royal | 0 | ||||||||||
| 5215 | Nickel, Random Urine | 82570, 83885 | Urine nickel is the test of choice for detecting nickel toxicity in patients exposed to nickel carbonyl | Creatinine | Acid-washed plastic urine container | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Urine | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | 0 | Avoid worksite collection. Collect urine in an acid-washed or metal-free plastic container. | |||||||||
| 85999 | Nicotine/Cotinine, Urine LC/MS/MS | 80323 | This assay is used for the detection of nicotine and cotinine in urine a to determine the tobacco exposure status of the individual.Nicotine has a short half-life of approximately forty minutes; Its presence may indicate recent tobacco exposure. Cotinine, the major nicotine metabolite, has a half-life of 24 hours and is detectable for several days after cessation of tobacco exposure | Urine container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | |||||||||||
| 4066 | Non-HDL Cholesterol | The third report of the National Cholesterol Education Program (NCEP) Expert Panel's revised guidelines1 for the treatment of cholesterol in adults called for increased attention to the metabolic syndrome and diabetes. These guidelines highlighted the increased inaccuracy of the LDL-C measurement in these patients because of elevated triglycerides. To overcome the inaccuracy of the calculated LDL-C method when triglycerides are elevated, measurement of non-high-density lipoprotein (non-LDL-C) was recommended as a better means to follow these patients toward their treatment goals. Non-HDL-C is a calculation (total cholesterol minus HDL-C), ie, the sum of the VLDL-C, LDL-C, and IDL-C. While LDL-C has long been the primary focus of cholesterol reduction efforts. | Cholesterol, total; high-density lipoprotein (HDL) cholesterol; non-HDL cholesterol (calculation) | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 14 days Frozen: 14 days | Serum | Room temperature: 3 days Refrigerated: 14 days Frozen: 14 days | Gross hemolysis • Moderate to gross icterus • Anticoagulants other than heparin • Received frozen | Non-HDL C, Non HDL Cholesterol | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 850830 | Nordiazepam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Nordiazepam Oxazepam Present in the following medication: Nordaz, Camday, Vegesan, Madar, Stilny | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 37562 | Norepinephrine, Plasma | 82542 | Plasma norepinephrine is an independent risk factor in patients with chronic congestive heart failure that relates to subsequent mortality. Norepinephrine is useful in evaluating patients with hypertension. | Sodium heparin (green-top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Received room temperature • Received refrigerated | High Performance Liquid Chromatography (HPLC) • Electrochemical Detection | 0 | Overnight fasting is preferred. Patient should avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Patients should be relaxed in either a supine or upright position before blood is drawn. States of anxiety and stress can cause fluctuations in the catecholamine levels.Draw specimen in a pre-chilled green-top Vacutainer™. Plasma should be separated in a refrigerated centrifuge within 30 minutes of collection and then frozen immediately at -20°C in plastic vials. Each specimen will be invoiced separately. | ||||||||
| 272 | Nortriptyline | 80335 | Nortriptyline is a tricyclic antidepressant. Therapeutic drug levels are monitored to assist the physician assessing therapeutic response and to avoid toxicity. | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gel barrier/Serum Separator Tube (SST) | Pamelor(TM), Aventyl | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect at steady-state trough concentration. Specimen should be collected >12 hours after dose. | |||||||
| 850862 | Nortriptyline, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Nortriptyline Present in the following medication: Aventyl, Pamelor, Sensoval, Nortrilen | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 70163 | NSAID Monitoring Panel | See Individual Tests | CBC with Diff, CMP | EDTA Lavender & SST | Whole Blood & Serum | 0 | |||||||||||||
| 99985 | NSAIDS Panel | 3xSodium heparin (green-top) tube, 1 SST | Serum | 0 | |||||||||||||||
| 2075 | NT-proBNP | 83880 | B-type natriuretic peptide (brain natriuretic peptide: BNP) is a small, ringed peptide secreted by the heart to regulate blood pressure and fluid balance.(1) This peptide is stored in and secreted predominantly from membrane granules in the heartventricles in a pro form (proBNP). Once released from the heart in response to ventricle volume expansion or pressure overload,the N-terminal (NT) piece of 76 amino acids (NT-proBNP) is rapidly cleaved by the enzymes corin and furin to release the active32-amino acid peptide (BNP).Both BNP and NT-proBNP are markers of atrial and ventricular distension due to increased intracardiac pressure. The New YorkHeart Association (NYHA) developed a 4-stage functional classification system for congestive heart failure (CHF) based on theseverity of the symptoms. Studies have demonstrated that the measured concentrations of circulating BNP and NT-proBNPincrease with the severity of CHF based on the NYHA classification | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 3 days Frozen: 30 days | Serum | Room temperature: 3 days Refrigerated: 3 days Frozen: 30 days | Citrate plasma specimen; grossly hemolyzed samples | Electrochemiluminiscense immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 9450 | Occult Blood, Fecal, IA | 82274 | Qualitative detection of fecal occult blood | Polymedco OC-Auto Sampling Bottle | Room temperature: 15 days | Stool | Room temperature: 15 days | Immunoassay | 0 | Enter patient identification and date of collection on sampling bottle label. Place collection paper inside toilet bowl on top of water. Deposit fecal sample on top of collection paper. Do not allow fecal sample to contact toilet water until after specimen has been collected. Open the green cap on the sampling bottle by twisting and pulling upwards. Scrape the surface of the fecal sample with the sampling probe. Cover the grooved portion of the sampling probe completely with the fecal sample. Close the sampling bottle by inserting the sampling probe and snap the green cap on tight. Do not reopen. Flush remaining stool and used collection paper. Return the sampling bottle to the physician or laboratory. Only one stool specimen collected from one bowel movement is required. | One Polymedco OC-Auto Sampling Bottle with stool | ||||||||
| 70073 | Olanzapine | 80299 | Olanzapine (Zyprexa™) is indicated for the management of psychotic disorders | Red-top tube (no gel) | Room temperature: 30 days Refrigerated: 30 days Frozen: 30 days | Serum | Room temperature: 30 days Refrigerated: 30 days Frozen: 30 days | Serum Separator Tube (SST) | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum after clotting and send Serum only in Plastic screw-cap vial . Do not submit glass tubes. | ||||||||
| 91001 | Omega-3 and -6 Fatty Acids | 82542 | Fats are important sources of energy for tissues and for the function and integrity of cellular membranes. Deficiencies are commonly caused by inadequate dietary intake of lipids due to an unbalanced diet, long-term parenteral nutrition, or by intestinal malabsorption. Linoleic acid, an omega-6 fatty acid, and alpha-linolenic acid, an omega-3 fatty acid, are considered essential fatty acids in that they cannot be made by the body and are essential components of the diet.The major clinical manifestations associated with essential fatty acid deficiency (EFAD) include dermatitis, increased water permeability of the skin, increased susceptibility to infection, and impaired wound healing. Biochemical normalities may be detected before the onset of recognizable clinical manifestations. EFAD can be detected by diminished levels of the essential fatty acids linoleic acid and alpha-linolenic acid, as well as by increases in the triene: tetraene ratio.Excess dietary fatty acids have been linked to the onset of cardiovascular disease. Elevated levels of linoleic acid can contribute to overproduction of the | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 14 days Frozen: 35 days | Plasma | Room temperature: 7 days Refrigerated: 14 days Frozen: 35 days | OMEGA | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate plasma from cells within 45 minutes of venipuncture. 2 mL plasma collected in an EDTA (lavender-top) tube | ||||||||
| 8066 | Osmolality, Serum | 83930 | Osmolality is a measure of the number of dissolved solute particles in solution.It is determined by the number and not by the nature of the particles in solution.Dissolved solutes change the physical properties of solutions, increasing the osmotic pressure and boiling point and decreasing the vapor pressure and freezing point.The osmolality of serum increases with dehydration and decreases with overhydration. The patient receiving intravenous fluids should have a normal osmolality. If the osmolality rises, the fluids contain relatively more electrolytes than water. If the osmolality falls, relatively more water than electrolytes is being administered.Normally, the ratio of serum sodium, in mEq/L, to serum osmolality, in mOsm/kg, is between 0.43 and 0.5. The ratio may be distorted in drug toxication.Generally, the same conditions that decrease or increase the serum sodium concentration affect the osmolality.A comparison of measured and calculated serum osmolality produces a delta-osmolality. If this is >40 mOsm/kg a H2O in a critically ill patient, the prognosis is poor. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Hyperlipemia • Heparinized plasma | Freezing point depression | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.2 mL (NOTE: This volume does NOT allow for repeat testing.) | 2 mL | ||||||
| 8077 | Osmolality, Urine | 83935 | If 24-hour urine is collected, record total urine volume on the request form. | 2 mL urine Transport Tube - no preservative | Assessing the concentrating and diluting ability of the kidney. Osmolality is an index of the solute concentration. Urine osmolality is a measure of the concentration of osmotically active particles, principally sodium, chloride, potassium, and urea; glucose can contribute significantly to the osmolality when present in substantial amounts in urine. Urinary osmolality corresponds to urine specific gravity in nondisease states. The ability of the kidney to maintain both tonicity and water balance of the extracellular fluid can be evaluated by measuring the osmolality of the urine either routinely or under artificial conditions. More information concerning the state of renal water handling or abnormalities of urine dilution or concentration can be obtained if urinary osmolality is compared to serum osmolality and if urine electrolyte studies are performed. Normally, the ratio of urine osmolality to serum osmolality is 1.0 to 3.0, reflecting a wide range of urine osmolality. | Urine | Assessing the concentrating and diluting ability of the kidney. Osmolality is an index of the solute concentration. Urine osmolality is a measure of the concentration of osmotically active particles, principally sodium, chloride, potassium, and urea; glucose can contribute significantly to the osmolality when present in substantial amounts in urine. Urinary osmolality corresponds to urine specific gravity in nondisease states. The ability of the kidney to maintain both tonicity and water balance of the extracellular fluid can be evaluated by measuring the osmolality of the urine either routinely or under artificial conditions. More information concerning the state of renal water handling or abnormalities of urine dilution or concentration can be obtained if urinary osmolality is compared to serum osmolality and if urine electrolyte studies are performed. Normally, the ratio of urine osmolality to serum osmolality is 1.0 to 3.0, reflecting a wide range of urine osmolality. | Freezing point depression | 0 | 0.2 mL (NOTE: This volume does NOT allow for repeat testing.) | 2 mL | ||||||||
| 16322 | Osteocalcin, N-MID | 83937 | Monitoring and assessing effectiveness of antiresorptive therapy in patients treated for osteopenia, osteoporosis, Paget's disease, or other disorders in which osteocalcin levels are elevated As an adjunct in the diagnosis of medical conditions associated with increased bone turnover, including Paget's disease, cancer accompanied by bone metastases, primary hyperparathyroidism, and renal osteodystrophy | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: 24 hours Frozen 21 days | Serum | Room temperature: Unacceptable Refrigerated: 24 hours Frozen 21 days | Hemolysis • Heat inactivated specimens • Specimens stabilized with azide • Patient administered with biotin within 8 hours | Electrochemiluminescence (ECLIA) | 0 | Dietary supplements containing biotin may interfere in assays and may skew results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega-doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation. Allow blood to clot at room temperature (20-26°C) and centrifuge immediately to separate the serum from the cells. Freeze as soon as possible | ||||||||
| 70155 | Osteoporosis Follow up | See Individual Tests | CBC, CMP, Vit D | EDTA & SST | Whole Blood & Serum | 0 | |||||||||||||
| 70154 | Osteoporosis Panel | See Individual Tests | CBC, CMP, Vitamin D, TSH, SPEP, PTH, B12 & Folate, Phosphorus, Magnesium | EDTA & SST | Whole blood and Serum | 0 | |||||||||||||
| 681 | Ova and Parasites, Stool, Concentrate and Permanent Smear | 87177, 87209 | Clinical Significance: Diseases caused by human parasites remain on a worldwide basis among the principle causes of morbidity and mortality. Correct diagnosis of intestinal parasitic infection depends on proper collection, transport, detection and identification of parasites in stool specimens. Symptoms range from malaise to death. Treatment is dependent upon examining multiple stool specimens due to the erratic shed rates of some parasites.Specimen Stability: StoolRoom temperature: 6 months Refrigerated: Not recommended Frozen: UnacceptableUrineRoom temperature: Unacceptable Refrigerated: 48 hours Frozen: Unacceptable Sputum (unpreserved)Room temperature: Unacceptable Refrigerated: 48 hours Frozen: Unacceptable Sputum (preserved)Room temperature: 6 months Refrigerated: Not recommended Frozen: UnacceptableReject Criteria: Unpreserved stool • Specimens containing barium • Stool not preserved in 10% formalin, PVA, SAF or Total-Fix(TM) • Received frozen • Stool submitted in expired transport vial • Preserved urine • Unpreserved sputum or urine received room temperature or frozen | Ova and Parasite Concentrate Result, Trichrome Result | 10 grams or 10 mL fresh stool preserved in 10% formalin and Polyvinyl Alcohol Transport or single To | Sputum, feces, and urine | O and P with Permanent Stain | Microscopic Examination of Concentrate • Permanent Stained Smear | 0 | Stool (preferred): Place fresh stool in 10% formalin transport vial, as well as PVA transport medium or single Total-Fix(TM) vial, within 30 minutes of collection. Add stool to bring the liquid level to the fill to here line on the vial. Mix well. Send specimen(s) at room temperature in the same shipping container. If parasite infestation is strongly suspected, collect at least 3 stool specimens every other day, since a single specimen can be negative. If Giardia is strongly suspected, please see Giardia Antigen, EIA, Stool (Test Code 8625). Urine (acceptable): Urine may be submitted unpreserved for exam for Schistosoma. Collect at mid-day. Peak egg secretion occurs between noon and 3 p.m. Do not submit first morning specimen. In patients with hematuria, eggs may be found trapped in blood and mucous in the terminal portion (last-voided portion) of the urine specimen. Sputum (acceptable): The specimen should be a deep expectorated sputum, preferably collected in the early morning. A 24-hour sputum collection is also acceptable. Submit in a sterile screw-capped container, unpreserved or in 10% formalin to increase stability. | |||||||||
| 11318 | Oxalate, Quant, 24-Hour Urine | 83945 | Excessive oxalates in the urine may lead to oxalate kidney stones. Hyperoxaluria may be due to a rare inherited metabolic disorder in which the body produces excess of the salt oxalate, leading to stone formation. | 24-hour container | Room temperature: 6 days Refrigerated: 7 days Frozen: 4 months | Urine | Room temperature: 6 days Refrigerated: 7 days Frozen: 4 months | Spectrophotometry (SP) | 0 | Patient should refrain from taking excessive amounts of ascorbic acid or oxalate-rich foods (i.e., spinach, coffee, tea, chocolate, rhubarb) for at least 48 hours prior to collection period. Collect urine with 25 mL of 6N HCl to maintain a pH below 3. Refrigerate during and after collection. | |||||||||
| 850832 | Oxazepam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Oxazepam Present in the following medication: Serax, Serenid | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 36637 | Oxcarbazepine (Trileptal),S | 80183 | Monitoring serum concentration during oxcarbazepine therapy Assessing compliance Assessing potential toxicity | 10-Hydroxycarbazepine | Red-top tube (no gel) | Room temperature: 72 hours Refrigerated: 14 days Frozen: 60 days | Serum | Room temperature: 72 hours Refrigerated: 14 days Frozen: 60 days | Serum Separator Tube (SST) | Hydroxycarbazepine, 10-Hydroxycarbazepine, Trileptal | Liquid chromatography/tandem mass spectrometry (LC/MS-MS) | 0 | |||||||
| 850840 | Oxycodone, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Oxycodone Oxymorphone Noroxycordone Present in the following medication: Percodan, Endodan, Roxiprin, Percocet, Endocet, Roxicet, OxyContin, OxyIR, Roxicodone | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 850841 | Oxymorphone, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Oxymorphone Present in the following medication: Opana, Opana ER, Numorphan | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 14693 | Pancreatic Elastase-1 | 82656 | Serum Elastase, also called Pancreatopeptidase, is a protease present in pancreatic secretion with the unique ability to rapidly hydrolyze elastin. Elastin is a fibrillar protein found in connective tissue. Elastin forms the elastic fibers found mostly in lungs and skin. Elastase is able to hydrolyze denatured hemoglobin, casein, fibrin, albumin and denatured but not native collagen. Elastase has been implicated in the pathogenesis of pulmonary emphysema, atherosclerosis and in the vascular injury of acute pancreatic necrosis. Elastase activity is inhibited by protease inhibitors including a1-Anti-Trypsin, a1-anti-Chymotrypsin, anti-Thrombin III, a2-Macroglobulin and b1-anti-Collagenase. Patients with thyroid dysfunction have decreased Elastase activity. Serum pancreatic levels quantify EL 1 for the diagnosis or exclusion of an acute pancreatitis or an inflammatory episode of chronic pancreatitis or gallstone induced pancreatitis. | Sterile leak-proof container | Room temperature: 7 days Refrigerated: 7 days Frozen: 1 year | Stool | Room temperature: 7 days Refrigerated: 7 days Frozen: 1 year | Specimens collected in formalin, MF, SAF or PVA • Cary-Blair media | Fecal Elastase, Elastase-1, Pancreatic | Immunoassay (IA) | 0 | Collect undiluted feces in clean, dry, sterile leak-proof container. Do not add fixative or preservative. | |||||||
| 16143 | Pancreatic Exocrine Cell Antibody | 86255 | Antibodies to pancreatic exocrine cells (ExPA) have been suggested as a very specific Crohn's Disease (CD) serological marker. Clinical studies reported a prevalence of 30-50% in CD patients. In spite of the relatively low sensitivity, ExPA can detect a subpopulation of CD patients that are negative for other CD markers (ASCA IgG, ASCA IgA), thus being very useful in combination with other IBD tests. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 15114 | Parietal Cell Antibody | 83516 | Gastric Parietal Cell Antibodies (GPA) test results are used in the diagnosis of pernicious anemia.Evaluating patients suspected of having pernicious anemia or immune-mediated deficiency of vitamin B12 with or without megaloblastic anemia | Serum Separator Tube (SST) | Room temperature: 8 hours Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 8 hours Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Lipemia • Received room temperature | Gastric Parietal Cell Antibody, Elisa | Enzyme Linked Immunosorbent Immunoassay (ELISA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 262 | Parietal Cell Antibody, ELISA | 86255 | Evaluating patients suspected of having pernicious anemia or immune-mediated deficiency of vitamin B12 with or without megaloblastic anemia | If Parietal Cell Antibody Screen is positive, Parietal Cell Antibody Titer will be performed at an additional charge (CPT code(s): 86256) | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 850871 | Paroxetine, LCMS Confirmation, Ur | G0480 | Paroxetine Present in the following medication: Paxil, Paxil CR, Pexeva, Brisdelle | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | ||||||||||
| 8946 | Parvovirus B19, Human, IgG/IgM | 86747 | Parvovirus B19 is also known as Fifth Disease. It primarily affects children and causes a rash on the face, trunk, and limbs. Joint pain and swelling is more common in adults. Although one-fifth of those affected have only mild disease, patients with sickle cell anemia or similar types of chronic anemia can suffer from acute anemia. Infection during pregnancy can lead to complications. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Human Parvovirus Antibody, Human Parvovirus B19 IgG, IgM, Fifth's Disease | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 833 | Pathologist Review of Peripheral Smear | 85060 | To assist in diagnosis of hematological disorders. | 2 glass microscope slide-peripheral smears | Slides: Make smears immediately | 2 glass microscope slide-peripheral smears | Slides: Make smears immediately | If poor quality smear(s) | Smear, peripheral smear, blood film | Microscopic Examination/Pathologist Review | 0 | Do not refrigerate. Submit results of CBC/Differential counts and clinical history. | |||||||
| 91681 | Peanut Component Panel | 86003 | The ImmunoCAP™ Peanut Component Allergen Test helps to assess a patient's level of risk of a life-threatening reaction, and may reassure patients when the risk for allergic symptoms is low or when they will most likely experience mild or localized reactions upon exposure to peanut. The test helps the health care provider identify primary, species-specific allergic sensitization, differentiate between symptoms caused by a primary allergen source and those caused by cross-reactivity, assess the level of risk for life-threatening allergic reactions, and provide clarity regarding the patient's risk of an allergic reaction to ease fears and help target effective management | Ara h 2 (f423), Ara h 1 (f422), Ara h 3 (f424), Ara h 9 (f427), Ara h 8 (f352) | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | ImmunoCAP(TM) | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 3052 | Penicillium notatum (m1) IgE | 86003 | A mold, which may result in allergy symptoms in sensitized individuals.Penicillium is the blue-green mold found on stale bread, fruits and nuts, and used for production of green and blue mold cheese. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 30 days | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||||
| 850844 | Pentazocine, LCMS Confirmation, Ur | G0480 | effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Pentazocine Present in the following medication: Fortral, Sosegon, Talwin NX, Talwin, Talwin PX, Fortwin and Talacen | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 94088 | Perfluorooctanoic Acid, Blood | 82542 | Exposure monitoring. | EDTA (Lavender top) Tube | Room temperature: 15 days Refrigerated: 15 days Frozen: 11 months | Whole Blood | Room temperature: 15 days Refrigerated: 15 days Frozen: 11 months | 0 | |||||||||||
| 100010 | Peripheral Blood or other tishes/fluids Flow & Morphology Evaluation (FLOW M) | RSULT | Microscopic evaluation of peripheral blood specimens on smears. Flow cytometry, multiparameter analysis for Acute myeloid leukemia, Acute lymphoblastic leukemia, Chronic lymphocytic leukemia, Non-Hodgkin lymphoma | EDTA (lavender-top) tube & Heparin tube | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Slides with metaphases and/or interphase nuclei OR bone marrow touch prep slides. | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Gross hemolysis • Lipemia • Icteric • Received refrigerated • Receivedfrozen | FLOW CYTOMETRY, Leukemia / Non-Hodgkin Lymphoma (FLOW) | Fluorescence in situ hybridization (FISH) | 0 | Specimen Requirements-5.0 mL (min. 2.0 mL) whole blood heparin preferred, CytoChex and EDTA or ACD whole blood accepted-<2.0 ml (min. 0.5 mL) bone marrow aspirate heparin preferred, EDTA bone marrow accepted-20 mm^3 bone marrow core biopsy in MPLN RPMI transport media-5 mm^3 fresh tissue in RPMI transport media-FNA (cell suspension or core biopsy) in RPMI transport media (2.0-4.0 mL RPMI)-4.0 mL (min. 2.0 mL) cerebrospinal fluid (CSF) in sterile container-10.0 mL (min. 5.0 mL) pleural/body fluid in sterile container-10.0 mL (min. 5.0 mL) bronchoalveolar lavage in sterile container | |||||||
| 3670 | Phenobarbital (luminal), Serum | 80181 | Monitoring for appropriate therapeutic concentration of phenobarbitalAssessing compliance or toxicity | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Serum Separator Tube (SST) | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. I.V.: two to four hours after loading dose; oral: peak: three to nine hours after dose, trough: immediately prior to next dose. Optimal resampling after change in dosage: 48 hours. | 0.3 mL | 1 mL | ||||||
| 850826 | Phentermine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Phentermine Present in the following medication: Adipex-P, Duromine, Metermine, Suprenza | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 3668 | Phenytoin (Dilantin), Serum | 80185 | Monitoring for appropriate therapeutic concentration of phenytoinAssessing compliance or toxicity | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Serum Separator Tube (SST) | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. I.V.: two to four hours after loading dose; oral: peak: three to nine hours after dose, trough: immediately prior to next dose. Optimal resampling after change in dosage: 48 hours. | 0.8 mL | 1 mL | ||||||
| 3189 | Phenytoin, Free | 80186 | Free phenytoin is especially useful in patients with altered phenytoin binding to protein, e.g., uremia or individuals having abnormally low levels of albumin, such as nephrotic syndrome. Free phenytoin in serum correlates better with the various other free compartments of the body than does the total drug and is probably a better estimate of the active drug level at the receptor site and agrees more with the clinical response. | Red-top tube (no gel) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Specimen received in serum separator tube (SST) • Plasma | Dilantin | Ultrafiltration • Immunoassay (IA) | 0 | Collect as a trough just prior to next dose. For patients receiving fosphenytoin therapy, collect as peak (at least 2 hours after IV infusion or at least 4 hours after IM injection). | |||||||
| 10062 | Phosphatidylserine Antibodies (IgG, IgA, IgM) | 86148 x 3 | The presence of phosphatidylserine antibodies may be associated with thrombosis, fetal loss and thrombocytopenia. | PHOSPHATIDYLSERINE AB (IGA)PHOSPHATIDYLSERINE AB (IGG)PHOSPHATIDYLSERINE AB (IGM) | Sodium citrate (light-blue top) tube | Room temperature: 7 days Refrigerated: 21 days Frozen: 28 days | Plasma or Serum | Room temperature: 7 days Refrigerated: 21 days Frozen: 28 days | 0 | Collection InstructionsPlatelet-poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). | |||||||||
| 14579 | Phosphorus, Random Urine | 84105 | Evaluation of hypo- or hyper-phosphatemic states Evaluation of patients with nephrolithiasis | Urine container | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | Urine | Room temperature: 48 hours Refrigerated: 7 days Frozen: 28 days | 0 | Adjust pH to <3.0 with 6N HCl prior to aliquoting for phosphate testing | ||||||||||
| 4050 | Phosphorus, Serum | 84100 | Diagnosis and management of a variety of disorders including bone, parathyroid, and renal diseaseHypophosphatemia may have 4 general causes: shift of phosphate from extracellular to intracellular, renal phosphate wasting, loss from the gastrointestinal tract, and loss from intracellular stores.Hyperphosphatemia is usually secondary to an inability of the kidneys to excrete phosphate. Other factors may relate to increased intake or a shift of phosphate from the tissues into the extracellular fluid. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Plasma | Colorimetric | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 16288 | Platelet Antibody Screen (Indirect) | 86022 | Assay detects platelet IgG/M/A antibodies in serum/plasma. | Plt Ab: GP IIb/IIIaPlt Ab: GP Ia/IIaPlt Ab: GP Ib/IXPlt Ab: GP IVPlt Ab: HLA Class I | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 2 years | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 2 years | Gross hemolysis • Received room temperature • Received refrigerated • Clotted | Immunoassay (IA) | 0 | Serum or plasma that cannot be tested immediately should be frozen as soon as possible. Spin whole blood specimens and pour off serum or plasma and transport frozen. | |||||||
| 988 | Poliovirus Antibody, Neutralization | 86382 | This sensitive procedure is recommended for vaccine response testing and type-specific serodiagnosis of recent poliovirus infection. It can also serve as an aid for diagnosing immune deficiency disorders. | Poliovirus Types 1, 3 | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 14 days Frozen: 30 days | Tissue Culture/Neutralization | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 5519 | Porphyrins, Fractionated, Plasma | 82542 | To diagnose certain types of porphyria. To diagnose patients with chronic renal failure who may be suspected of primary or secondary porphyria. | Uroporphyrin, Heptacarboxyporphyrin, Hexacarboxyporphyrin, Pentacarboxyporphyrin, Coproporphyrin, Protoporphyrin, Total Porphyrins | Sodium heparin (green-top) tube - protect from light | Room temperature: 8 hours Refrigerated: 8 hours Frozen: 90 days | Plasma | Room temperature: 8 hours Refrigerated: 8 hours Frozen: 90 days | Hemolysis • Received room temperature • Received refrigerated • Not protected from light • Serum Separator Tube (SST) | High Performance Liquid Chromatography (HPLC) | 0 | Collect blood sample with foil-wrapped green-top tube. Separate plasma by centrifugation. Avoid hemolysis. Remove plasma to a light-protected tube. Freeze immediately after separation | |||||||
| 36592 | Porphyrins, Fractionated, Quantitative, Random Urine | 84120 | Porphyria is a group of distinct disorders characterized by the abnormal accumulation of porphyrins or porphyrin precursors. Porphyrin Fractionation of Urine is useful in diagnosing porphyrin cutanea tarda, hereditary coproporphyria, and variegate porphyria. | Sodium carbonate container or no preservative container - protected from light | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 30 days | Urine | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 30 days | Received room temperature • Samples not protected from light • Samples with a pH <4.0 | High Performance Liquid Chromatography (HPLC) | 0 | Random urine collected with 5 grams of sodium carbonate, refrigerated and protected from light during collection is preferred.Collection with no preservative is acceptable, if properly refrigerated and light protected | ||||||||
| 729 | Porphyrins, Qn, 24 Hr Ur. | 84120 | Porphyria is a group of distinct disorders characterized by the abnormal accumulation of porphyrins or porphyrin precursors. Porphyrin Fractionation of Urine is useful in diagnosing porphyrin cutanea tarda, hereditary coproporphyria, and variegate porphyria. | Coproporphyrin I, Coproporphyrin III, Heptacarboxyporphyrin, Hexacarboxyporphyrin, Pentacarboxyporphyrin, Total Porphyrins, Uroporphyrin I, Uroporphyrin III | 5 g sodium carbonate container or no preservative container | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 30 days | 24-hour urine | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 30 days | Received room temperature • Not protected from light • pH <4.0 | Tetracarboxyporphyrin, Heptacarboxyporphyrin | High Performance Liquid Chromatography (HPLC) | 0 | 2 mL of 24-hour urine collected with 5 grams of sodium carbonate, refrigerated and protected from light during collection is preferred. Collection with no preservative is acceptable, if properly refrigerated and light protected.24-hour total volume must be provided on the test requisition | ||||||
| 3186 | Potassium, 24 hr Urine | Potassium (K+) is the major intracellular cation. Functions of potassium include regulation of neuromuscular excitability, heart contractility, intracellular fluid volume, and hydrogen ion concentration. The physiologic function of K+ requires that the body maintain a low extracellular fluid (ECF) concentration of the cation; the intracellular concentration is 20 times greater than the extracellular K+ concentration. Only 2% of total body K+ circulates in the plasma.The kidneys provide the most important regulation of K+. The proximal tubules reabsorb almost all the filtered K+. Under the influence of aldosterone, the remaining K+ can then be secreted into the urine in exchange for sodium in both the collecting ducts and the distal tubules. Thus, the distal nephron is the principal determinant of urinary K+ excretion.Decreased excretion of K+ in acute renal disease and end-stage renal failure are common causes of prolonged hyperkalemia.Renal losses of K+ may occur during the diuretic (recovery) phase of acute tubular necrosis, during administration of nonpotassium sparing | Urinary excretion of potassium is increased in primary aldosteronism. It is often increased in dehydration and in salicylate toxicity. Decreased levels are seen in malabsorption. | 24hr Urine Container | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | Urine | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | 0 | 10 mL aliquot of a 24-hour urine collected in a no preservative plastic urine container . Record total volume and collection duration on specimen container and test requisition | ||||||||||
| 4014 | Potassium, Serum | 84132 | Evaluation of electrolyte balance, cardiac arrhythmia, muscular weakness, hepatic encephalopathy, and renal failure Potassium should be monitored during treatment of many conditions but especially in diabetic ketoacidosis and any intravenous therapy for fluid replacement. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Hemolysis • Plasma | K | Ion-selective electrode (ISE); flame photometer | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | |||||
| 131862 | Potassium, Urine | Determining the cause for hyper- or hypokalemia | Urine Cup | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Urine | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | 0 | ||||||||||||
| 4847 | Prealbumin | 84134 | Assessing nutritional status, especially in monitoring the response to nutritional support in the acutely ill patient.Prealbumin is synthesized in the liver and acts as a binding protein for thyroxine and retinol-binding protein.The serum concentration of prealbumin reflects the synthesis capacity of the liver and is markedly diminished in malnutrition and other conditions.Due to its short half-life of approximately 2 days, prealbumin can be used for monitoring the nutritional status and efficacy of parenteral nutrition. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 4 months | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 4 months | Gross hemolysis • Grossly lipemic | Immunologic | 0 | Separate serum from cells within 45 minutes of venipuncture. | 1 mL (adult0, 0.1 mL (pediatric) | |||||||
| 18866 | Pregabalin | 80366, 80299 | Monitoring serum pregabalin (Lyrica) concentrations, assessing compliance, and adjusting dosage in patients.regabalin (Lyrica) is an anticonvulsant drug used to treat partial seizures in patients and is a more potent successor to gabapentin. Pregabalin is commonly used for neuropathic pain and fibromyalgia. This test can be used by physicians to assess compliance and may be clinically useful in patients with renal failure who generally require lower dosages. Therapeutic and toxic ranges are not well defined. Therapeutic concentrations are reported to be from 2 to 5 mcg/mL, while toxicity may occur at concentrations above 10 mcg/mL. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Lyrica | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 850856 | Pregabalin, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis on clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Pregabalin Present in the following medication: Lyrica | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 80000 | Pregnancy Test, Urine | 81025 | This test is specific for hCG beta subunit and offers sensitivity necessary to detect pregnancy as early as ten days post conception | Urinalysis transport tube | Room temperature: 7 days Refrigerated: 7 days Frozen: Not established | Urine | Room temperature: 7 days Refrigerated: 7 days Frozen: Not established | Pregnancy | 0 | 10 mL urine from a first morning voided specimen | |||||||||
| 31493 | Pregnenolone, LC/MS/MS | 84140 | An ancillary test for congenital adrenal hyperplasia, particularly in situations in which a diagnosis of 21-hydroxylase and 11-hydroxylase deficiency have been ruled out Confirming a diagnosis of 3-beta-hydroxy dehydrogenase deficienc | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: 72 hours Frozen : 14 days | Serum | Room temperature: Unacceptable Refrigerated: 72 hours Frozen : 14 days | Hemolysis • Received room temperature • Serum Separator Tube (SST) | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Serum/plasma must be separated from cells and transferred to a plastic transport tube within 1 hour of collection. The specimen should be FROZEN immediately and maintained frozen until tested. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested. | 1.1 mL (NOTE: This volume does NOT allow for repeat testing.) | 2.5 mL | ||||||
| 8500 | Prenatal Profile I | Multi | Evaluate woman's health status in early pregnancy; evaluate for anemia, leukemia, reaction to inflammation and infections, peripheral blood cellular characteristics, state of hydration and dehydration, polycythemia, hemolytic disease of the newborn, and ABO incompatibilities | ABO grouping and Rh typing; antibody screen (includes ID and titer of all irregular antibodies detected); CBC with differential; Hepatis Panel ; rubella antibodies, IgG; syphilis serology (if positive, confirmation is performed by TP-PA at an additional charge); HIV screen | Serum Separator Tube (SST) (x2) and EDTA (lavender-top) tube (x2) | Room temperature: 48 hrs Refrigerated: 72 hours Frozen : unexceptable | Serum AND whole blood | Room temperature: 48 hrs Refrigerated: 72 hours Frozen : unexceptable | Hemolysis; clotted specimen | See individual tests | 0 | Refrigerate serum tubes and one lavender-top (EDTA) tube. Other Lavender-top (EDTA) tube may be kept at room temperature for 24 hours | Two 10 mL gel-barrier tubes (preferred), two 5 mL lavender- top tubes, and two peipheral blood films | ||||||
| 751 | Primidone | 80188, 80184 | Assessing compliance; Monitoring for appropriate therapeutic levels of primidone and phenobarbital; Assessing toxicity | Primidone, Phenobarbital | Red-top tube (no gel) | Room temperature: 72 hours Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 72 hours Refrigerated: 14 days Frozen: 30 days | Immunoassay | 0 | Collect as a trough. Separate serum after clotting and send Serum only in Plastic screw-cap vial . Do not submit glass tubes | ||||||||
| 16265 | Procalcitonin | 84145 | Diagnosis of bacteremia and septicemia in adults and children (including neonates). Diagnosis of renal involvement in urinary tract infection in children. Diagnosis of bacterial infection in neutropenic patients.Diagnosis, risk stratification, and monitoring of septic shock.Diagnosis of systemic secondary infection post-surgery, and in severe trauma, burns, and multiorgan failure.Differential diagnosis of bacterial versus viral meningitis.Differential diagnosis of community-acquired bacterial versus viral pneumonia.Monitoring of therapeutic response to antibacterial therapy | Serum Separator Tube (SST) | Room temperature: 24 hrs Refrigerated: 48 hrs Frozen: 30 days | Serum | Room temperature: 24 hrs Refrigerated: 48 hrs Frozen: 30 days | Sepsis | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 2060 | Progesterone | 84144 | Ascertaining whether ovulation occurred in a menstrual cycle.Assessment of infertility.Evaluation of abnormal uterine bleeding.Evaluation of placental health in high-risk pregnancy.Determining the effectiveness of progesterone injections when administered to women to help support early pregnancy.Workup of some patients with adrenal disorders. | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 1 year | Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: 1 year | Serum stored on barrier gel for more than 72 hours | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 760 | Proinsulin | 84206 | Diagnosing insulinoma, when used in conjunction with proinsulin and C-peptide measurements. Management of diabetes mellitus.Insulin is a hormone produced by the beta cells of the pancreas. It regulates the uptake and utilization of glucose and is also involved in protein synthesis and triglyceride storage.Type 1 diabetes (insulin-dependent diabetes) is caused by insulin deficiency due to destruction of insulin-producing pancreatic islet (beta) cells. Type 2 diabetes (noninsulin dependent diabetes) is characterized by resistance to the action of insulin (insulin resistance).Insulin levels may be increased in patients with pancreatic beta cell tumors (insulinoma). | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 72 hours Frozen: 6 months | Serum | Room temperature: 24 hours Refrigerated: 72 hours Frozen: 6 months | Gross hemolysis • Grossly lipemic | Insulin | Immunoassay | 0 | Overnight fasting is required. Allow blood to fully clot (about 1/2 hour) at room temperature (20-25°C).Centrifuge in a refrigerated centrifuge and separate serum immediately. Specimens collected in serum separator tubes (SST™s) should be removed from the gel after centrifugation. | |||||||
| 2050 | Prolactin | 84146 | Aiding in evaluation of pituitary tumors, amenorrhea, galactorrhea, infertility, and hypogonadismMonitoring therapy of prolactin-producing tumors | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 28 days | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 92021 | Prolixin (Fluphenazine) | 92021 | Fluphenazine is a phenothiazine derivative (piperazine) used in the treatment of psychotic disorders. Its dose in milligrams equivalent to 100 mg of chlorpromazine is 0.6-1.2 mg. A statistical evaluation1 of clinical studies found the near maximal effective dose of oral fluphenazine to be <6.9 mg/day. For the decanoate, the near-maximal effective dose was 25 mg/two weeks. As a high potency antipsychotic, it may have a high potential for causing extrapyramidal side effects. This would be in addition to the usual adverse effects of antipsychotic drugs (neurologic, anticholinergic, hypotension). Elderly patients should be observed for these occurrences. The half-life of fluphenazine is formulation-dependent. (The decanoate is 5 to 12 days; the hydrochloride 12 to 60 hours.) Fluphenazine is also used to alleviate pain and in childhood development disorders. | Red-top tube (no gel) | Room temperature: 24 hours Refrigerated: 10 days Frozen: 2 years | Serum | Room temperature: 24 hours Refrigerated: 10 days Frozen: 2 years | Serum Separator Tube (SST) | Fluphenazine, Prolixin | High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) | 0 | ||||||||
| 850846 | Propoxyphene, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Propoxyphene Norpropoxyphene Present in the following medication: Darvon, PP-Cap, Darvon-N | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 10180 | Prostaglandin D2 (PG-D2), Urine | 84150 | Prostaglandins are fatty acids derived from arachidonic acid metabolism. They are closely related to the Thromboxanes and Leukotrienes. Prostaglandin D2 is derived mainly from Prostaglandin H2, and is metabolized to Dihydroketo Prostaglandin D2. Prostaglandin D2 is excreted directly into the urine. The sites of highest Prostaglandin D2 activity are the brain, spinal cord, intestines, and stomach. Prostaglandin D2 is the major Prostaglandin produced by uterine tissue. Prostaglandin D2 is a potent bronchoconstrictor, neuromodulator, and anti-antithrombin agent. It also stimulates the secretion of Pancreatic Glucagon. Prostaglandin D2 has been found to have an anti- metastatic effect on many malignant tumor cells. Prostaglandin D2 production and circulating levels are drastically suppressed by aspirin and indomethacin. Urine Prostaglandin D2 levels give an integrated picture of Prostaglandin D2 production over a 24 hour period minimizing the effect of diurnal variation and episodic secretion. | Urine Container | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Urine | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | 24-hour urine collections | 0 | ||||||||||
| 2017 | Prostate Health Panel | 84153, 84154 | In men over 50 years with total PSA between 4.0 and 10.0 ng/mL, the percent (%) free PSA gives an estimate of the probability of cancer. In these circumstances the measurement of the % free PSA may aid in avoiding unnecessary biopsies.Elevated levels of Prostate Specific Antigen (PSA) have been associated with benign and malignant prostatic disorders. Studies indicate that in men 50 years or older measurement of PSA is a useful addition to the digital rectal exam in the early detection of prostate cancer. In addition, PSA decreases to undetectable levels following complete resection of the tumor and may rise again with recurrent disease or persist with residual disease. Thus, PSA levels may be of assistance in the management of prostate cancer patients. | Total PSA, Free PSA, % Free PSA (calculated) | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 72 hours Frozen: 5 months | Serum | Room temperature: 72 hours Refrigerated: 72 hours Frozen: 5 months | Serum stored on barrier gel for more than 72 hours | PSA | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 208 | Prostatic Acid Phos, Serum | 84066 | Prostatic acid phosphatase (PAP), a glycoprotein synthesized by the prostate gland, is a member of a diverse group of isoenzymes, the acid phosphatases, which are capable of hydrolyzing phosphate esters in acidic medium. They are classified on the basis of their electrophoretic mobilities.PAP was a major tumor marker for prostate cancer for more than 50 years.(1) However, PAP is no longer used to screen for or stage prostate cancer. In most instances, serum prostate specific antigen (PSA) is used instead. PAP usefulness is now limited to niche applications. Pre-treatment PAP measurement may add unique, clinically useful prognostic information for predicting recurrence in men who are undergoing radical prostatectomy for clinically localized prostate cancer. PAP also may be useful for following the progression of disease response to therapy in men treated by androgen ablation. However, for both of these applications, PSA provides more information and also should be utilized | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 24 hours Frozen: 28 days | Serum | Room temperature: 24 hours Refrigerated: 24 hours Frozen: 28 days | Gross hemolysis | Immunoassay | 0 | Samples must be obtained before rectal examination, biopsy, prostatectomy or prostatic massage, since manipulating the prostate gland may lead to elevated PAP levels persisting up to 24-48 hours. Specimens must be frozen if received by the laboratory >24 hours after collection | 0.2 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.5 mL | ||||||
| 1777 | Protein C Activity | 85303 | As an initial test for evaluating patients suspected of having congenital protein C deficiency, including those with personal or family histories of thrombotic events.Because coagulation testing and its interpretation is complex, Mayo Medical Laboratories suggests ordering THRMP / Thrombophilia Profile.Detecting and confirming congenital Type I and Type II protein C deficiencies, detecting and confirming congenital homozygous protein C deficiency, and identifying decreased functional protein C of acquired origin (eg, due to oral anticoagulant effect, vitamin K deficiency, liver disease, intravascular coagulation and fibrinolysis/disseminated intravascular coagulation.) | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Platelet-poor plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Hemolysis • Received thawed • Received room temperature • Received refrigerated | Protein C Chromogenic, Protein C Functional, Functional Protein C | Clotting Assay | 0 | Platelet-poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice | |||||||
| 8757 | Protein C Activity & Antigen | 85302, 85303 | Comprehensive test assesses the total level of protein and its functional activity in determining Protein C deficiency, which is strongly prothrombotic, and may require long-term anticoagulation therapy. In the presence of low Protein C Activity, Protein C Antigen helps to confirm and to classify Protein C Deficiency as Type I or Type II. Protein C is a highly thrombophilic protein | Sodium citrate (light blue-top) tube (x2) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days | Gross hemolysis • Received room temperature • Received refrigerated | Clotting Assay • Immunoassay (IA) | 0 | Draw blood in (light blue-top) tube containing 3.2% sodium citrate, mix gently by inverting 3-4 times. Centrifuge 15 minutes at 1500 g within 1 hour of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial(s). Freeze immediately and transport on dry ice | ||||||||
| 39457 | Protein C and Protein S, Functional | 85303, 85306 | This panel screens for two common deficiencies associated with thrombotic disease. If a deficiency is identified, additional testing is recommended for classification | Protein C Activity, Protein S Activity | Sodium citrate (light blue-top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Hemolysis • Received thawed • Received room temperature • Received refrigerated | Clotting Assay | 0 | Draw blood in a 3.2% sodium citrate (light blue-top) tube, mix gently by inverting 3-4 times.Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice. | |||||||
| 4948 | Protein C Antigen | 85302 | Clinical Significance: Aids in diagnosis of congenital deficiencies characterized by recurrent venous thrombosis. Acquired deficiencies associated with Protein C include: oral anticoagulant therapy, liver disease, vitamin K deficiency, malignancy, consumptive DIC, surgery, trauma, antibodies to Protein C and hepatic immaturity of the newborn.Limitations: Expected impact by therapeutic levels (potential interference depends upon drug concentration): Warfarin: no effect to decrease; Heparin (UFH or LMWH): no effect; Dabigatran or Argatroban (Thrombin Inhibitors): no effect; Rivaroxaban or Apixaban (Factor Xa Inhibitors): no effect.Specimen Stability: Room temperature: UnacceptableRefrigerated: UnacceptableFrozen -20°C: 14 daysFrozen -70°C: 1 yearReject Criteria: Received room temperature • Received refrigerated • Gross hemolysis | Blue-top (sodium citrate) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 14 days Frozen -70°C: 1 year | Received room temperature • Received refrigerated • Gross hemolysis | Immunoassay | 0 | Draw blood in light blue-top tube containing 3.2% sodium citrate. Mix gently by inverting 3-4 times. Centrifuge 15 minutes at 1500 g within 1 hour of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet (buffy) layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Freeze immediately and ship on dry ice.*Note: 3.8% sodium citrate (light blue-top) tube is unacceptable. | ||||||||
| 8328 | Protein Creatinine Ratio, Random Urine | 82570 ,84156 | Protein in urine is normally composed of a combination of plasma-derived proteins that have been filtered by glomeruli and have not been reabsorbed by the proximal tubules and proteins secreted by renal tubules or other accessory glands.Increased amounts of protein in the urine may be due to: -Glomerular proteinuria: caused by defects in permselectivity of the glomerular filtration barrier to plasma proteins (eg,glomerulonephritis or nephrotic syndrome)-Tubular proteinuria: caused by incomplete tubular reabsorption of proteins (eg, interstitial nephritis)-Overflow proteinuria: caused by increased plasma concentration of proteins (eg, multiple myeloma, myoglobinuria) | Urinalysis transport tube | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Urine | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Acidified urine | 0 | ||||||||||
| 38944 | Protein Electrophoresis, Total Protein, 24 Hour Urine and Immunofixation | 82570, 84156, 84166, 86335 | Urine protein electrophoresis alone is not considered an adequate screening for monoclonal gammopathies. If a discrete electrophoresis band is identified, the laboratory will evaluate the urine protein electrophoresis and, if necessary, perform immunofixation at an additional charge | Creatinine If monoclonal band is detected, immunofixation will be performed at an additional charge (CPT code(s): 86335). | Plastic urine container | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Urine | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | UPEP | Urine immunofixation (IFE) on agarose gel; urine protein electrophoresis on agarose media; visual light-chain typing | 0 | Collect 24-hour urine; mix well. | |||||||
| 10263 | Protein Electrophoresis, with Total Protein and Reflex to IFE, Urine | 82570, 84156, 84166 | Urine protein electrophoresis alone is not considered an adequate screening for monoclonal gammopathies. If a discrete electrophoresis band is identified, the laboratory will evaluate the urine protein electrophoresis and, if necessary, perform immunofixation at an additional charge. | Creatinine If monoclonal band is detected, immunofixation will be performed at an additional charge (CPT code(s): 86335). | Plastic urine container | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Urine | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | UPEP | Electrophoresis • Total Protein: Spectrophotometry (SP) | 0 | ||||||||
| 1779 | Protein S Activity | 85306 | Second-order testing for diagnosis of congenital or acquired protein S deficiency for example, as an adjunct to initial testing based on results of protein S antigen assay (free protein S antigen, with or without total protein S antigen assay)Evaluating patients with a history of venous thromboembolism | 3.2% sodium citrate (light blue- top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 30 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 30 days | Hemolysis • Received thawed • Received room temperature • Received refrigerated | Protein S, Functional | Clot Detection | 0 | Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the BC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship frozen. | |||||||
| 5165 | Protein S Antigen, Total | 85305 | Investigation of patients with a history of thrombosis | Sodium citrate (light blue-top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 30 days Frozen -70°C: 1 year | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen -20°C: 30 days Frozen -70°C: 1 year | Hemolysis • Received thawed • Received room temperature • Received refrigerated | Immunoturbidimetric | 0 | Draw blood in a light blue-top tube containing 3.2% sodium citrate, mix gently by inverting 3-4 times. Centrifuge 15 minutes at 1500 g within one hour of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial(s). Plasma must be free of platelets (<10,000/uL). Freeze immediately and transport on dry ice | ||||||||
| 11343 | Protein S Panel | 85305, 85306, 86329 | Provides for distinguishing Type I, II, and III Protein S deficiency which may help in appropriate diagnosis, treatment and genetic counseling. | Protein S Activity; Protein S Antigen, Free; Protein S Antigen, Total; C4b Binding Protein | Sodium citrate (light blue-top) tubes (x2) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 14 days Frozen -70°C: 1 year | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 14 days Frozen -70°C: 1 year | Hemolysis • Room temperature • Received refrigerated | Clot Detection • Microlatex Particle Mediated Immunoassay • Enzyme Immunoassay • Radial Immunodiffus | 0 | Draw blood in a light blue-top tube containing 3.2% sodium citrate, mix gently by inverting 3-4 times. Centrifuge 15 minutes at 1500 g within one hour of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial(s). Freeze immediately and ship Frozen. | |||||||
| 8068 | Protein Total, Qn, 24-Hr Urine | 84156 | Protein in urine is normally composed of a combination of plasma-derived proteins that have been filtered by glomeruli and have not been reabsorbed by the proximal tubules and proteins secreted by renal tubules or other accessory glands.Increased amounts of protein in the urine may be due to: -Glomerular proteinuria: caused by defects in permselectivity of the glomerular filtration barrier to plasma proteins (eg,glomerulonephritis or nephrotic syndrome)-Tubular proteinuria: caused by incomplete tubular reabsorption of proteins (eg, interstitial nephritis)-Overflow proteinuria: caused by increased plasma concentration of proteins (eg, multiple myeloma, myoglobinuria)-Urinary tract inflammation or tumor | Plastic urine container | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Urine (24-hour) | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Acidified urine | Spectrophotometric | 0 | Instruct patient to void at 8 AM and discard the specimen. Then collect all urine including the final specimen voided at the end of the 24-hour collection period (ie, 8 AM the following day). Mix well. Screw the lid on securely. Container must be labeled with patient's name, date, total urine volume and time collection started and finished. 10 mL urine aliquot from a well-mixed, 24-hour collection - no preservative | 1.0 mL | 50 mL aliquot of entire collection | ||||||
| 755 | Protein, Total, CSF | 84157 | The CSF normally contains less than 1% of the amount of protein present in plasma. Clinical disorders associated with increased CSF protein include traumatic spinal tap, increased blood-CSF permeability due to meningitis or hemorrhage, endocrine/metabolic disorders, drug toxicity, and CSF circulation disorders. Clinical disorders associated with decreased CSF total protein include CSF leakage from dural tear, increased intracranial pressure, removal of CSF, hyperthyroidism and leukemia. Young children (6 months to 2 years) also have decreased CSF total protein. | Plastic screw-cap container | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | CSF | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis | Spectrophotometry (SP) | 0 | |||||||||
| 4020 | Protein, Total, Serum | 84155 | Plasma proteins are synthesized predominantly in the liver; immunoglobulins are synthesized by mononuclear cells of lymph nodes, spleen and bone marrow. The 2 general causes of alterations of serum total protein are a change in the volume of plasma water and a change in the concentration of 1 or more of the specific proteins in the plasma. Of the individual serum proteins, albumin is present in such high concentrations that low levels of this protein alone may cause pypoproteinemia. Hemoconcentration (decrease in the volume of plasma water) results in relative hyperproteinemia; hemodilution results in relative hypoproteinemia. In both situations, concentrations of all the individual plasma proteins are affected to the same degree.Hyperproteinemia may be seen in dehydration due to inadequate water intake or to excessive water loss (eg, severe vomiting, diarrhea, Addison disease, and diabetic acidosis) or as a result of increased production of proteins. Increased polyclonal protein production is seen in reactive, inflammatory processes; increased monoclonal protein production is seen in some hematopoietic neoplasms (eg, multiple myeloma, Waldenstrom macroglobulinemia, monoclonal gammopathy of undetermined significance). | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Plasma | Colorimetric | 0 | Separate serum from cells within four hours of collection. | 0.5 mL | 1 mL | ||||||
| 8071 | Protein, Total, Urine | 84156 | Protein in urine is normally composed of a combination of plasma-derived proteins that have been filtered by glomeruli and have not been reabsorbed by the proximal tubules and proteins secreted by renal tubules or other accessory glands.Increased amounts of protein in the urine may be due to: -Glomerular proteinuria: caused by defects in permselectivity of the glomerular filtration barrier to plasma proteins (eg,glomerulonephritis or nephrotic syndrome)-Tubular proteinuria: caused by incomplete tubular reabsorption of proteins (eg, interstitial nephritis)-Overflow proteinuria: caused by increased plasma concentration of proteins (eg, multiple myeloma, myoglobinuria)-Urinary tract inflammation or tumor | Plastic urine container | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Urine | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Acidified urine | Coomassie blue; colorimetric | 0 | Collect random urine in a clean plastic container. | 1.0 mL | 50 mL | ||||||
| 17909 | Prothrombin (Factor II) 20210G - A Mutation Analysis | 81240 | Clinical Significance: Factor II Mutation (G20210A) is one of the most common causes of venous thrombosis. 2.3 percent of the general population is heterozygous in contrast with 6.2 percent of patients with venous thrombosis and 18 percent with familial venous thrombosis. Other risk factors compound the risk for venous thrombosis. Limitations: If this mutation is not found by the testing procedure, it does not mean that the risk of carrying or developing deep vein thrombosis is not present. It simply means that this specific mutation has not been found, although other mutations may be present. It is also possible that such a patient may have secondary deep vein thrombosis due to non-genetic causes that would not be detected by this test. A person with one copy of the mutation has an approximate 3-fold increase in risk for venous thrombosis. The increase in risk for a person with two copies of the mutation is not known. | EDTA (lavender-top) tube | Room temperature: 8 days Refrigerated: 8 days Frozen: 30 days | Whole blood | Room temperature: 8 days Refrigerated: 8 days Frozen: 30 days | Hybeacons | 0 | ||||||||||
| 6500 | Prothrombin Time (PT/INR) | 85610 | Screening assay to detect deficiencies of one or more coagulation factors (factors I, II, V, VII, X) Screening assay to detect coagulation inhibition Monitoring intensity of oral anticoagulant therapy when combined with INR reporting | Blue-top (3.2% sodium citrate) tube | Unopened light blue-top tube Room temperature: 24 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Unopened light blue-top tube Room temperature: 24 hours Refrigerated: Unacceptable Frozen: Unacceptable | Gross hemolysis • Gross lipemia • Improper blood to citrate ratio • Clotted • High hematocrit • Improper blood collection | PT, INR | Prothrombin time reagent containing thromboplastin and calcium chloride is mixed with the patient plasma and the time to clot formation is measured photo-optically. The calcium chloride overcomes the citrate anticoagulant and allows the tissue factor in the thromboplastin to initiate coagulation. The prolongation of the clotting time correlates with the degree of deficiency or inhibition of the extrinsic pathway factors. | 0 | Blood should be collected in a blue-stopper tube containing 3.2% buffered sodium citrate.(1) Evacuated collection tubes must be filled to completion to ensure a proper blood to anticoagulant ratio.(2,3) The sample should be mixed immediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood. | 90% of full draw | 4.5 mL | |||||
| 2015 | PSA | 84153 | Evaluating patients with documented prostate problems in whom multiple prostate-specific antigen tests may be necessary per year. Monitoring patients with a history of prostate cancer as an early indicator of recurrence and response to treatment | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 5 days Frozen: 28 days | Serum | Room temperature: 3 days Refrigerated: 5 days Frozen: 28 days | Prostate specific antigen | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within four hours of collection.Do not collect specimen after a transrectal biopsy, results may be falsely elevated | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 2016 | PSA, Free | 84153 | The percentage of measured prostate-specific antigen (PSA) existing in the free form (free: total PSA ratio) is useful in assessing the risk of prostate cancer in patients with borderline or moderately increased total PSA (4.0-10.0 ng/mL) and has been used to help select men who should have follow-up prostate biops | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 5 days Frozen: 28 days | Serum | Room temperature: 3 days Refrigerated: 5 days Frozen: 28 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within four hours of collection. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | |||||||
| 480772 | PSA, Total with Reflex to Free PSA | 84153 | In men over 50 years with Total PSA between 4.0 and 10.0 ng/mL, the percent (%) Free PSA gives an estimate of the probability of cancer. In these circumstances the measurement of the % Free PSA may aid in avoiding unnecessary biopsies.Elevated levels of prostate specific antigen (PSA) have been associated with benign and malignant prostatic disorders. Studies indicate that in men 50 years or older measurement of PSA is a useful addition to the digital rectal exam in the early detection of prostate cancer. In addition, PSA decreases to undetectable levels following complete resection of the tumor and may rise again with recurrent disease or persist with residual disease. Thus, PSA levels may be of assistance in the management of prostate cancer patients. | Serum Separator Tube (SST) | Room temperature: 3 days Refrigerated: 5 days Frozen: 28 days | Serum | Room temperature: 3 days Refrigerated: 5 days Frozen: 28 days | 0 | Separate serum from cells within 45 minutes of venipuncture. Do not collect specimen after a transrectal biopsy, results may be falsely elevated | ||||||||||
| 2145 | PTH, Intact | 83970 | Diagnosis and differential diagnosis of hypercalcemia Diagnosis of primary, secondary, and tertiary hyperparathyroidism Diagnosis of hypoparathyroidism Monitoring end-stage renal failure patients for possible renal osteodystrophy | Serum Separator Tube (SST) | Room temperature: 8 hrs Refrigerated: 2 days Frozen: 6 days | Serum | Room temperature: 8 hrs Refrigerated: 2 days Frozen: 6 days | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum from cells within four hours of collection. | 0.3 mL each tube (NOTE: This volume does NOT allow for repeat testing). | 0.8 mL each tube | |||||||
| 34478 | PTHrP (PTH-Related Peptide) | 83519 | Diagnostic workup of patients with suspected hypercalcemia of malignancyDiagnostic workup of patients with hypercalcemia of unknown origin | Sodium heparin (green-top) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Plasma | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Whole blood | Immunoassay | 0 | Sodium heparin tubes: Centrifuge the specimen as soon as possible.Transfer the plasma to a plastic screw-cap vial. Mark the specimen type as plasma on the transport tube. Do not submit unspun tubes | ||||||||
| 7022 | PTT, Activated | 85730 | Monitoring heparin therapy (unfractionated heparin) Screening for certain coagulation factor deficiencies Detection of coagulation inhibitors such as lupus anticoagulant, specific factor inhibitors, and nonspecific inhibitors | Blue-stopper (3.2% sodium citrate) tube; do not open tube unless plasma is to be frozen. | Unopened light blue-top tube- Room temperature: 24 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Unopened light blue-top tube- Room temperature: 24 hours Refrigerated: Unacceptable Frozen: Unacceptable | Gross hemolysis • Gross lipemia • Improper blood to citrate ratio • Clotted • High hematocrit • Improper blood collection | The aPTT reagent consisting of silica mixed with synthetic phospholipid is mixed with the patient plasma. The silica provides a negatively charged particulate surface for the activation of the contact pathway of coagulation. Calcium chloride is then added to the sample/reagent mixture to initiate clot formation. The time to clot formation is measured photo-optically. | 0 | Blood should be collected in a blue-stopper tube containing 3.2% buffered sodium citrate.(1) Evacuated collection tubes must be filled to completion to ensure a proper blood to anticoagulant ratio.(2,3) The sample should be mixed immediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood. | 90% of full draw | 4.5 mL, 2.7 mL, 1.8 mL | ||||||
| 16603 | QFT (Discontinued) | Lithium Heparin | Serum | 0 | |||||||||||||||
| 92777 | QNatal Advanced | 81420 | The NIPS screens for fetal chromosomal abnormalities: trisomy 21, 18 and 13, as well as fetal sex. In addition, when a clear result is seen, will also report fetal sex aneuploidies and select microdeletions, including 22q (DiGeorge syndrome), 15q (Prader-Willi/Angelman syndromes), 11q (Jacobsen syndrome), 8q (Langer-Giedion syndrome), 5p (Cri-du-chat syndrome), 4p (Wolf-Hirschhorn syndrome), and 1p36 deletion syndrome as an additional finding. | Trisome 21, 18 and 13, as well as fetal sex. Also, when a clear result is seen, fetal sex aneuploidies and select microdeletions (22q, 15q, 11q, 8q, 5p, 4p, 1p36) will be reported as additional findings. | black/tan tiger-top | Room temperature: 7 days Refrigerate: Unacceptable Frozen: Unacceptable | Whole Blood | Room temperature: 7 days Refrigerate: Unacceptable Frozen: Unacceptable | 0 | ||||||||||
| 30294 | Quad Screen | 82105, 82677, 84702, 86336, 81511 | Maternal serum Quad Screen is used for prenatal screening of Down syndrome (Trisomy 21), Trisomy 18 (Edwards syndrome),and open neural tube defects (ONTD). This profile includes alpha-fetaprotein (AFP), unconjugated estriol (μE3), human chorionicgonadotropin (hCG), and inhibin A. Establishing risk for fetal Down syndrome, using the quad screen achieves a 70-75% detectionrate with a 5% false positive rate. Screening for Trisomy 18 detects 60% of affected fetuses with a 0.2% false positive rate.MSAFP screening detects 88% of anencephaly and 79% of open spina bifida with a 3% false positive rate. Normal results do not ensure birth of a normal infant. In addition, 2-3% of newborns have some type of physical or mental defect, many of which may be undetectable with current prenatal diagnostic procedures. | AFP, unconjugated Estriol, hCG, Dimeric Inhibin A and Maternal Risk Interpretation | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Gross lipemia | AFP Quad Screen, Alpha-Fetoprotein, Maternal Serum | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 3 mL | 5 mL | ||||
| 36970 | QuantiFERON TB Gold Plus | 86481 | QuantiFERON™-TB Gold is an indirect test for M. tuberculosis infection (including disease) and is intended for use in conjunction with risk assessment, radiography and other medical and diagnostic evaluations | Lithium- heparin green top tube (No Gel) | Uncentrifuged ONLY Room temperature: Hold 15 min to 3 hours prior to refrigeration. Refrigerated: 16 to 48 hours Frozen: Unacceptable | Whole blood | Uncentrifuged ONLY Room temperature: Hold 15 min to 3 hours prior to refrigeration. Refrigerated: 16 to 48 hours Frozen: Unacceptable | Received >24 hours • Room temperature • Received frozen | 0 | 1. Prior to refrigeration, blood drawn into a lithium-heparin tube (No Gel) must be held at room temperature (17-25°C) between 15minutes and 3 hours after collection.2. Ship the lithium-heparin tube to the testing laboratory at 2-8°C.3. Blood drawn into lithium-heparin tube may be refrigerated (2-8°C) for 16 to 48 hours prior to transfer to QFT™-Plus BloodCollection Tubes at the testing laboratory.*PLEASE SEND SPECIMEN WITHOUT SPINNING. SEND ON ICE REFRIGERATED | |||||||||
| 140100 | Quantose IGT/IR (GTT) | UANTOSE™ IGT is a laboratory-developed test (LDT) that reflects the degree of impaired glucose tolerance (IGT) in an individual - a known risk factor for prediabetes and cardiovascular disease. Prediabetes occurs when blood glucose levels that are higher than normal, but not yet high enough to be diagnosed as diabetes. Our test is designed to easily differentiate IGT from normalglucose tolerance. Quantose IGT is currently available to clinicians in the U.S. Quantose IGT is the first convenient test developed and clinically validated using the gold standard for impaired glucose tolerance, the oral glucose tolerance test (OGTT). We offer a simplified OGTT process that requires only a single, fasted blooddraw. | Lavender (EDTA whole blood) tube | Plasma | GTT, IR, IGT | 0 | Spin within one hour of collection , separate plazma an submit frozen | ||||||||||||
| 766 | Quinidine | 80194 | Quinidine is used in the treatment of acute and chronic supraventricular arrhythmias and ectopic rhythm disturbances. Quinidineclearance can be altered by changes in plasma proteins and in renal and/or hepatic dysfunction. Both quinidine and the relatedisomer quinine possess antimalarial schizonticide activity. Quinidine levels are monitored to assure adequate therapeutic levelsare achieved and to avoid toxicity. | Red-top tube (no gel) | Room temperature: 4 days Refrigerated: 7 days Frozen: Not established | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: Not established | Serum Separator Tube (SST) | QUINDIN | IMMUNOASSAY | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 70158 | RA Follow UP PNL | See Individual Tests | CBC, CMP , CRP , ESR | EDTA (Lavender top) & SST | Whole Blood & Serum | 0 | |||||||||||||
| 6072 | Rapid Plasma Reagin (RPR), Qualitative Test | 86592 | If this test is positive, RPR titer will be performed at an additional charge.Syphilis is a disease caused by infection with the spirochete Treponema pallidum. The infection is systemic and the disease is characterized by periods of latency. These features, together with the fact that T pallidum cannot be isolated in culture, mean that serologic techniques play a major role in the diagnosis and follow-up of treatment for syphilis.Patients with primary or secondary syphilis should be reexamined clinically and serologically 6 months and 12 months following treatment. Typically, rapid plasma reagin titers decrease following successful treatment, but this may occur over a period of months to years. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum or plasma | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | RPR, Rapid Plasma Reagin | Charcoal flocculation | 0 | Separate serum from cells within four hours of collection. | |||||||
| 5022 | Reducing Substances, Stool | 84376 | The presence of reducing substances is useful in the diagnosis of abnormalities in carbohydrate metabolism, i.e., sucrose and lactase. The unabsorbed sugars in stool are measured as reducing substances. | Plastic urine container | Room temperature: 4 hours Refrigerated: 24 hours Frozen: 60 days | Stool | Room temperature: 4 hours Refrigerated: 24 hours Frozen: 60 days | Received room temperature • Received refrigerated • Specimens in paint cans | Benedict's Solution | 0 | Collect fresh stool in a plastic, leak-proof container. Adult and older children patients can collect the specimen by passing feces into plastic wrap stretched loosely over the toilet bowl. Then transfer 10 g of the stool specimen into the plastic container. With young children and infants wearing diapers, the diaper should be lined with clean plastic wrap to prevent absorption. A pediatric urine bag can be attached to the child to ensure that the stool specimen is not contaminated with urine. Then transfer 10 g of the stool specimen from the plastic lined diaper to the plastic container. Do not submit the diaper itself. Freeze and transport frozen. | ||||||||
| 4500 | Renal Function Panel | 80069 | See individual tests | Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 72 hours Frozen: 28 days | Serum | Room temperature: 72 hours Refrigerated: 72 hours Frozen: 28 days | See individual tests | 0 | Separate serum from cells within four hours of collection. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing). | 1 mL | ||||||
| 16846 | Renin Activity, Plasma | 84244 | Investigation of primary aldosteronism (eg, adrenal adenoma/carcinoma and adrenal cortical hyperplasia) and secondary aldosteronism (renovascular disease, salt depletion, potassium loading, cardiac failure with ascites, pregnancy, Bartter syndrome)Not useful for determination of plasma renin concentration | EDTA (lavender-top) tube | Room temperature: 24 hours Refrigerated: 24 hours Frozen: 28 days | Plasma | Room temperature: 24 hours Refrigerated: 24 hours Frozen: 28 days | Plasma collected in plasma separator tube | Renin, PRA | Liquid Chromatography Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate plasma from cells within 45 minutes of venipuncture. | 1 mL (NOTE: This volume does NOT allow for repeat testing.) | 3 mL | |||||
| 10102 | Respiratory Viral Panel, PCR W Covid-19 | 87633 | The detection and identification of specific viral nucleic acids from individuals exhibiting signs and symptoms of respiratory infection aids in the diagnosis of respiratory viral infection. | VIRUSES: SARS-CoV-2 RNA ,Coronavirus HKU1, Coronavirus NL63, Coronavirus 229E, Coronavirus OC43, Human Metapneumovirus, Human Rhinovirus/Enterovirus, ln-fluenza A, lnfluenza NH1, lnfluenza NH3, Influenza NH1 -2009, Influenza B, Parainfluenza Virus 1, Parainfluenza Virus 2, Parainfluenza Virus 3, Parainfluenza Virus 4, Respiratory Syncytial Virus. BACTERIA: Bordetella pertussis, Chlamydophila pneumoniae, Mycoplasma pneumo-niae. | UTM medium tube | Room temperature: Unacceptable Refrigerated: 7 days Frozen: Not established | Swab | Room temperature: Unacceptable Refrigerated: 7 days Frozen: Not established | Room temperature | Flu, Influenza, VIRUSES: Adenovirus, Coronavirus HKU1, Coronavirus NL63, Coronavirus 229E, Coronavirus | 0 | Swab must be sterile Dacron, nylon or rayon with plastic shafts. Place swab in sterile viral transport media containing protein stabilizer, antibiotics to inhibit bacterial fungal growth and buffer solutions (e.g. UTM, V-C-M, M4, M4RT intended to transport chlamydia, mycoplasma, or viruses). | |||||||
| 37520 | Reticulin Antibody (IgA) Screen with Reflex to Titer | 86255 | Investigation of celiac disease (CD) Reticulin antibodies are no longer considered useful in the diagnosis of CD. Mayo Medical Laboratories recommends ordering TTGA / Tissue Transglutaminase (tTG) Antibody, IgA, Serum or EMA / Endomysial Antibodies (IgA), Serum for evaluation of patients suspected of CD or dermatitis herpetiformis. | If Reticulin Antibody (IgA) Screen is Positive, Reticulin (IgA) Titer will be performed at an additional charge (CPT code(s): 86256). | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Immunoassay (IA) | 0 | Specimen must be free from bacterial contamination, hemolysis, and lipemia. | |||||||
| 793 | Reticulocyte Count, Blood | 85045 | Assessing erythropoietic bone marrow activity in anemia and other hematologic conditions.Reticulocytes are immature erythrocytes (RBC) that have been released into the peripheral blood from the bone marrow after extrusion of their nucleus. The reticulocyte contains residual polyribosomes used in the formation of hemoglobin in the developing erythrocyte. | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: Not established Frozen: Not established | Whole blood | Room temperature: 48 hours Refrigerated: Not established Frozen: Not established | Clotted | Electronic Cell Sizing and Counting/Cytometry/Microscopy | 0 | Maintain specimen at room temperature. If multiple draw, collect lavender-top tube last. | ||||||||
| 35084 | Rheumatoid Arthritis Comprehensive PNL III | multi | -ANA Profile (ANA IFA with Titeranti-DNA (DS) Ab QnSjogren's Antibodies (SS-A, SS-B)Sm and Sm/RNP Antibodies Ribosomal PScleroderma Antibody (Scl-70)Centromere B Antiboody Jo-1 Antibody RNP Chromatin (Nucleosomal) Antibody)-Rheumatoid Factor-ACLs-pANCA cANCA-Vitamin D-Anti-CCP-ESR-CRP-Uric Acid-PTH, Intact-Calcium-Phosphorus | 2 x SST, 1 Lavander | Whole Blood , Serum | ANA | 0 | ||||||||||||
| 70157 | Rheumatoid Arthritis PNL I | See Individual Tests | -CBC-CMP-RF-CCP-ESR-CRP-Hepatitis Panel (Hepatitis B Core IgM Antibody, Hepatitis B Surface Antigen Hepatitis C Antibody Hepatitis A IgM Antibody)-TSH-HLA B27-C3&C4-CH50-Combs-RPR-ANA Screen, ANA IA & IFA Screen is positive with reflex to Pattern & titer and the following antibodies: -APLs (Anticardiolipin IgA; Anticardiolipin IgG; Anticardiolipin IgM; Beta-2-Glycoprotein I Antibodies IgA, Qn; Beta-2-Glycoprotein I Antibodies IgG, Qn; Beta-2-Glycoprotein I Antibodies IgM, Qn) -dsDNA Ab, Anti-SSA Ab, Anti-SSB Ab, Smith Ab, Sm RNP Ab, Ribosomal P Ab, Scl-70 Ab, Centromere B Ab, Jo-1 Ab, RNP Ab, Chromatin Ab. | EDTA & 2 x SST | Whole blood and Serum | 0 | |||||||||||||
| 70156 | Rheumatoid Arthritis Screen PNL II | See Individual Tests | -CBC-CMP-RF-CCP-ESR-CRP-Hepatitis Panel (Hepatitis B Core IgM Antibody, Hepatitis B Surface Antigen Hepatitis C Antibody Hepatitis A IgM Antibody) -TSH-HLA B27-C3&C4-CH50-Combs-RPR-ANA Screen, If the ANA IA or IFA Screen is positive, it will reflex to Pattern & titer and the following antibodies: -APLs (Anticardiolipin IgA; Anticardiolipin IgG; Anticardiolipin IgM; Beta-2-Glycoprotein I Antibodies IgA, Qn; Beta-2-Glycoprotein I Antibodies IgG, Qn; Beta-2-Glycoprotein I Antibodies IgM, Qn) -dsDNA Ab, Anti-SSA Ab, Anti-SSB Ab, Smith Ab, Sm RNP Ab, Ribosomal P Ab, Scl-70 Ab, Centromere B Ab, Jo-1 Ab, RNP Ab, Chromatin Ab. | EDTA & 2 x SST | Whole Blood & Serum | 0 | |||||||||||||
| 4330 | Rheumatoid Factor (RF) | 86431 | Elevated RF is found in collagen vascular diseases such as SLE, rheumatoid arthritis, scleroderma, Sjogren's syndrome, and in other conditions such as leprosy, tuberculosis, syphilis, malignancy, thyroid disease and in a significant percentage of otherwise normal elderly patients. | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 90 days | Rheumatoid, RF | Latex immunoturbidimetry | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 34283 | Ribosomal P Antibody | 83516 | As an adjunct in the evaluation of patients with lupus erythematosus (LE) Aids in the differential diagnosis of neuropsychiatric symptoms in patients with LE, a positive result is consistent with the diagnosis of lupus erythematosus, and may indicate the presence of central nervous system involvement. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Ana | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 6419 | Rickettsia (RMSF) Antibodies (IgG, IgM) with Reflex to Titers | 86757 | Antigen specific IgG and IgM titers allow rapid diagnosis of infection by any of the spotted fever group of rickettsial agents. This group of agents include R. rickettsii (Rocky Mountain Spotted Fever) and R. akari (rickettsial pox), both seen in the continental United States. | If Rickettsia (Typhus Fever) screen is detected, IgG or IgM, the appropriate Titer will be performed at an additional charge (CPT code(s) 86757 per titer performed) | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Rocky Mountain Spotted Fever, Spotted Fever Typhus, RMSF, Rocky, Rocky Mountain | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 19887 | RNP Antibody | 86235 | Evaluating patients with signs and symptoms of a connective tissue disease in whom the test for antinuclear antibodies is positive | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | BIOPLEX | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 706 | Rotavirus Antigen Detection | 87425 | Rotavirus infection is the major cause of gastroenteritis in children from six months to two years. Infection occurs in both sporadic and epidemic forms and is responsible for approximately half the cases of diarrhea in infants that require hospitalization worldwide. The peak of rotavirus disease in temperate climates occurs during the cooler months of the year. Rotavirus has also emerged as a cause of enteritis in adults, particularly in elderly immunosuppressed patients. | dry container | Room temperature: Unacceptable Refrigerated: 72 hours Frozen : Indefinitely | rectal swab | Room temperature: Unacceptable Refrigerated: 72 hours Frozen : Indefinitely | Transport systems containing media, serum, preservatives or detergent | Immunoassay (IA) | 0 | Stool specimen or rectal swab in a clean, dry container without preservatives or media. | ||||||||
| 8088 | Rubella Antibodies, IgG | 86762 | Determination of immune status to the rubella virus | Serum Separator Tube (SST) | Room temperature: 4 daysRefrigerated: 7 daysFrozen: 30 days | Serum | Room temperature: 4 daysRefrigerated: 7 daysFrozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | Chemiluminescence | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 4422 | Rubella Antibodies, IgM | 86762 | Rubella is an acute exanthematous viral infection of children and adults. Rash, fever and lymphadenopathy characterize the illness. While many infections are subclinical, this virus has the potential to cause fetal infection with resultant birth defects. In the absence of a current or recent infection, a demonstration of specific IgG on a serum sample is evidence of immunity to rubella. A positive rubella IgM result does not necessarily indicate current or recent infection. Without a history of exposure to rubella or symptoms consistent with rubella, the IgM result may be difficult to interpret. Rubella IgM can be false positive due to other causes (e.g., parvovirus, rheumatoid factor, cytomegalovirus). Rubella IgM may also persist for more than 12 months after vaccination or natural infection. For a serologic diagnosis of congenital rubella in the neonatal period, antibody to rubella virus should be measured in both infant and maternal sera. If IgM is detected in a newborn infants serum, it is probable that transplacental rubella infection has occurred. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia • Plasma • Cord blood | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 2411 | Russian Thistle (w11) IgE | 86003 | Serum Separator Tube (SST) | Serum | 0 | ||||||||||||||
| 10295 | Saccharomyces cerevisiae Antibodies (ASCA) (IgA) | 86671 | Antibodies to Saccharomyces cerevisiae are found in approximately 75% of patients with Crohn's disease, 15% of patients with ulcerative colitis, and 5% of the healthy population. High titers of antibody increase the likelihood of disease, and specifically Crohn's disease, and are associated with more aggressive disease. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 21 days Frozen: 21 days | Serum | Room temperature: 14 days Refrigerated: 21 days Frozen: 21 days | Gross hemolysis • Lipemia | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 10294 | Saccharomyces cerevisiae Antibodies (ASCA) (IgG) | 86671 | The QuantaLite™ ASCA (S. cerevisiae) IgG kit is an Enzyme-Linked Immunosorbent Assay (ELISA) for the semi-quantitative detection of anti-saccharomyces cerevisiae antibodies (ASCA) of the IgG class in human serum. This test is intended to aid in the diagnosis of patients with Crohn's disease. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 21 days Frozen: 21 days | Serum | Room temperature: 14 days Refrigerated: 21 days Frozen: 21 days | Moderate hemolysis • Gross hemolysis • Lipemia | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 805 | Salicylate, Serum | 80329 | Salicylates are used in the treatment of fever, analgesia and in the treatment of acute rheumatic fever, rheumatoid arthritis and for inhibition of platelet aggregation in patients with CAD. When treating rheumatoid arthritis, salicylates reduce the inflammation in joint tissues. Salicylate levels are monitored to assess toxicity. | Red-top tube (no gel) | Room temperature: 7 days Refrigerated: 7 days Frozen: 7 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 7 days | Serum Separator Tube (SST) | Immunoassay (IA) | 0 | Collect just prior to next dose. | ||||||||
| 39015 | SARS Covid 2 Antbodies Total | U0002 | The SARS-CoV-2 antibodies total test detects the presence/ absence of COVID-19- specific IgM, IgG, or IgA | Serum Separator Tube (SST) | 7 days Room temperature 14 days Refrigerated | Serum | 7 days Room temperature 14 days Refrigerated | CORONA, COVID-19, CORONAVIRUS | 0 | ||||||||||
| 39010 | SARS Covid 2 IgG | U0002 | ��?The SARS-CoV-2 IgM test specifically detects the presence/ absence of COVID-19- specific IgM antibodies in the blood of a patient.��?The SARS-CoV-2 IgG test specifically detects the presence/ absence of COVID-19- specific IgG antibodies in the blood of a patient.��?A positive test for either SARS-CoV-2 IgM or SARS-COV-2 IgG provides a strong evidence of the infection of a patient with the SARS-CoV-2 virus. A positive test for SARS CoV-2 IgM indicates that the infection was recent. A positive test for SARS CoV-2 IgG indicates that the patient had an infection for at least 3 weeks or more. Since most patients do not know the exact time when they contracted the virus, the combining both IgM and IgG tests provides a much higher test sensitivity and test specificity. | Serum Separator Tube (SST) | 24 hrs Room temperature 72 hrs Refrigerated | Serum | 24 hrs Room temperature 72 hrs Refrigerated | CORONA, COVID-19, CORONAVIRUS | 0 | ||||||||||
| 39000 | SARS Covid 2 IgG/IgM | U0002 | ��?The SARS-CoV-2 IgM test specifically detects the presence/ absence of COVID-19- specific IgM antibodies in the blood of a patient.��?The SARS-CoV-2 IgG test specifically detects the presence/ absence of COVID-19- specific IgG antibodies in the blood of a patient.��?A positive test for either SARS-CoV-2 IgM or SARS-COV-2 IgG provides a strong evidence of the infection of a patient with the SARS-CoV-2 virus. A positive test for SARS CoV-2 IgM indicates that the infection was recent. A positive test for SARS CoV-2 IgG indicates that the patient had an infection for at least 3 weeks or more. Since most patients do not know the exact time when they contracted the virus, the combining both IgM and IgG tests provides a much higher test sensitivity and test specificity. | Serum Separator Tube (SST) | 7 days Room temperature14 days Refrigerated | Serum | 7 days Room temperature14 days Refrigerated | CORONA, COVID-19, CORONAVIRUS | 0 | ||||||||||
| 39020 | SARS Covid Spike Antibody | 86769 | The new Anti-SARS-CoV-2 S test can quantitatively measure the level of antibodies against SARS-CoV-2 in patients who have been exposed to the virus. The test targets antibodies against the spike protein. This is the focus of vaccines in development and convalescent plasma therapy. | SST | Room Temperature: 3 days Refrigerated: 7 days | SST | Room Temperature: 3 days Refrigerated: 7 days | Spike,COVID,SARS-CoV-2 | 0 | ||||||||||
| 39433 | SARS-CoV-2 RNA, RT-PCR | 87798 | UTM | Swab | CORONA, COVID-19, CORONAVIRUS | 0 | 1 NASOPHARYNGEAL OR OROPHARYNGEAL SWAB IN M4, VCM OR UTM MEDIA | ||||||||||||
| 34306 | Schistosoma Antibody (IgG), FMI | 86682 | Detection of antibodies to Schistosoma species.Schistosoma species (class Trematoda) are flukes, characterized by their flat, leaf-like morphology as adults, and use of gastropod molluscs (eg, snails) as an intermediate host. The schistosomes are also referred to as the blood flukes, of which there are 5 species known to infect humans: S mansoni, S japonicum, S haematobium, S mekongi, and S intercalatum. Among these S mansoni, S japonicum and S haematobium are most common. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Fluorescent Microscopy Immunoassay (FMI) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 4942 | Scleroderma Antibody (Scl-70) | 86235 | Evaluating patients with signs and symptoms of scleroderma and other connective tissue diseases in whom the test for antinuclear antibodies is positive | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Gross lipemia • Grossly icteric | Multiplex flow immunoassay | 0 | |||||||||
| 57 | SdLDL | 83704 | The small dense LDL test can be used to determine cardiovascular risk in individuals with metabolic syndrome or established/progressing coronary artery disease, individuals with triglyceride levels between 70 and 140 mg/dL, as well asindividuals with a diet high in trans fat or carbohydrates. | Serum Separator Tube (SST) | Refrigerated: 5 days | Serum | Refrigerated: 5 days | Received Room temperature orFrozen | 0 | Collection InstructionsRed-top (Serum Separator Tube - SST™)1. Gently invert 5x (DO NOT SHAKE!)2. Let blood clot for 30 minutes at room temperature.3. Centrifuge at 1300 rcf for 10 minutes.4. Store and transport refrigerated. | |||||||||
| 6000 | Sedimentation Rate, ESR | 85652 | Useful in differentiating inflammatory and neoplastic diseases and as an index of disease severity. CRP is also useful in monitoring inflammatory disease states. | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 48 hours | Whole blood | Room temperature: 48 hours Refrigerated: 48 hours | Hemolysis • Samples >48 hours old • Clotted | ESR, SED | Modified Westergren; automated and manual methods are employed. | 0 | Invert tube immediately 8 to 10 times once tube is filled at time of collection. | 2 mL | Tube fill capacity | |||||
| 5507 | Selenium, Whole Blood | 84255 | Selenium (Se) is a key component of a number of functional selenoproteins required for normal health. The best known of these are the antioxidant glutathione peroxidase enzymes, which remove hydrogen and damaging lipid and phospholipid hydroperoxides generated in vivo by free radicals and other oxygen-derived species. If not removed, lipid hydroperoxides impair membrane structure and function and cause blood-clotting disturbances by decreasing the production of prostacyclin while increasing the production of thromboxane | EDTA trace metal-free (royal blue-top) tube | Room temperature: 14 days Refrigerated: 30 days Frozen: 60 days | Whole blood | Room temperature: 14 days Refrigerated: 30 days Frozen: 60 days | Atomic Spectroscopy (AS) | 0 | ||||||||||
| 29851 | Serotonin, Serum | 84260 | In conjunction with, or as an alternative to first-order test in the differential diagnosis of isolated symptoms suggestive of carcinoid syndrome, in particular flushing (5-HIAA or serum chromogranin A measurements are first-line tests)Second-order test in the follow-up of patients with known or treated carcinoid tumors in serum specimens | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 42 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 42 days | Received room temperature • Received refrigerated | High Performance Liquid Chromatography (HPLC) • Fluorescence Detection | 0 | Spin and freeze serum within 2 hours after collection. Patient should avoid food high in indoles: Avocado, banana, tomato, plum, walnut, pineapple, and eggplant. Patient should also avoid tobacco, tea and coffee three days prior to specimen collection. | 1.5 mL | 2 mL | ||||||
| 850872 | Sertraline, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Sertraline Present in the following medication: Lustral, Zoloft | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 9280 | Sex Horm Binding Glob, Serum (SHBG) | 84403 | Diagnosis and follow-up of women with symptoms or signs of androgen excess (eg, polycystic ovarian syndrome and idiopathic hirsutism)In laboratories without access to bioavailable testosterone or equilibrium dialysis-based true free testosterone assays, sex hormone-binding globulin measurement is crucial in cases when assessment of the free testosterone fraction (aka free androgen index or calculated free testosterone) is required. At Mayo Medical Laboratories, both bioavailable testosterone (TTBS / Testosterone, Total and Bioavailable, Serum) and free testosterone (TGRP / Testosterone, Total and Free, Serum) measurements are available. Free testosterone (TGRP) is measured by equilibrium dialysis, obviating the need for sex hormone-binding globulin measurements to calculate free androgen fractions. | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | SHBG | 0 | Separate serum from cells within 45 minutes of venipuncture. | 1.0 mL (NOTE: This volume does NOT allow for repeat testing). | 2 mL | |||||||
| 35080 | Shortness of Breath Panel | SOB Panel is a fluorescence immunoassay that empowers physicians with the ability to distinguish between the many causes of shortness of breath. | Quantitative measurements of Myoglobin, CK-MB, Troponin I, B-type Natriuretic Peptide and D-dimer. | Serum Separator Tube (SST), EDTA (lavender-top) tube & Blue-top (sodium citrate) tube | 24 hrs | Whole blood & Serum | 24 hrs | See individual tests | CKMB, Troponin I, Myoglobin, D-Dimer, BNP | 0 | Blue-top (sodium citrate) tube : Room temperatureEDTA (lavender-top) tube & Serum Separator Tube (SST): Refrigerated | ||||||||
| 825 | Sickle Cell Screen | 85660 | Screening test to determine presence of sickling hemoglobins, e.g., Hemoglobin S; Hemoglobin C, Harlem; Hemoglobin Georgetown. | EDTA (lavender-top) tube | Room temperature: 7 days Refrigerated: 30 days | Whole blood | Room temperature: 7 days Refrigerated: 30 days | Gross hemolysis • Gross lipemia • Clotted | Hemoglobin S | Hydrosulfite Solubility | 0 | Maintain specimen at room temperature. If multiple draw, collect lavender-top tube last. | 0.1 mL | 1 mL | |||||
| 11040 | Silicon, Serum/Plasma | 84285 | Silicon is environmentally prevalent in that it makes up approximately 25% of the earth's crust. It is used in the manufacturing of transistors, silcon diodes and semiconductors. Symptoms of exposure are most often seen from inhalation of silica dust, which could cause a fibronodular lung disease called silicosis. | Trace metal-free, no additive (royal blue-top) plastic tube | Room temperature: 14 days Refrigerated: 21 days Frozen: 14 days | Serum | Room temperature: 14 days Refrigerated: 21 days Frozen: 14 days | Glass container • SST™ • PST | Inductively Coupled Plasma/Optical Emission Spectrometry (ICP/OES) | 0 | Collect sample in plastic tube. Promptly centrifuge and separate serum or plasma into an acid-washed, plastic screw-cap vial. | ||||||||
| 36712 | Sirolimus, LC/MS/MS | 80195 | Sirolimus is an immunosuppressant drug used to prevent organ graft rejection. Therapeutic drug monitoring is used to optimize dose and avoid toxicity. Peak concentrations are reached in 2 hours following oral administration. Elimination half-life in males is approximately 72 hours; in females approximately 61 hours. | EDTA (lavender-top) tube | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Whole blood | Room temperature: 5 days Refrigerated: 7 days Frozen: 30 days | Clotted specimen | Rapamune™,Rapamycin | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect specimen 1 hour prior to next dose (12 hour trough). | |||||||
| 7832 | Sjogren's Ab, Anti-SS-A/-SS-B | 86235 | Sjogren's antibodies (SS-B) is detected in approximately 15% of patients with Sjogren's Syndrome. Sjogren's antibody (SS-B) is present only if Sjogren's antibody (SS-A) is also detected. The presence of both antibodies (SS-A and SS-B) strengthen the diagnosis of Sjogren's Syndrome and conveys prognostic information. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic | ANA | Multiplex flow immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | |||||
| 7448 | Sm and Sm/RNP Antibodies | 86235 | Antibodies to Sm are highly specific for systemic lupus erythematosus (SLE) and when present are considered a marker antibody. However, these antibodies are found in only 20% of patients with SLE.RNP antibodies (also known as anti-u1 or ribonucleoprotein antibodies) are found in 45% of SLE patients but are also observed in numerous other disease states such as Sjogren's syndrome, scleroderma and polymyositis. Elevated levels of antibodies to RNP are seen in mixed connective tissue disease. In SLE, RNP antibodies have been associated with a relatively benign disease course with lower incidence of renal and central nervous system involvement. Patients may be considered positive for RNP antibodies when the RNP antibody result is significantly higher than the Sm antibody result. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | Sm and Sm/RNP Antibodies,ana | Multiplex flow immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | |||||
| 37923 | Sm Antibody | 86235 | Smith Antibody (Sm) is highly specific for systemic lupus erythematosus (SLE). Smith Antibody is also detected in approximately 15% of patients with SLE. Smith Antibody is detected in more than half of young African-American women with SLE. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | ANA | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 9254 | Sodium, 24 hr Urine | 84300 | Assessing acid-base balance, water balance, water intoxication, and dehydration.The excretion of sodium varies with dietary intake. There is a diurnal variation of sodium excretion with excretion being greater during daytime than during the night. Decreased levels are seen in congestive heart failure, excessive sweating, diarrhea, pyloric obstruction, malabsorption and primary aldosteronism. Increased levels may be due to increased salt intake, failure of the adrenal glands, diabetic acidosis, salt losing renal disease, diuretic therapy and water deprivation dehydration. | Plastic urine container, no preservative | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | Urine (24-hour) | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | Ion-selective electrode (ISE); flame photometer | 0 | 10 mL urine aliquot from 24-hour collection - no preservative , Record total volume and collection duration on specimen container and test requisition. | |||||||||
| 4012 | Sodium, Serum | 84295 | Sodium assays are important in assessing acid-base balance, water balance, water intoxication, and dehydration.Sodium is the primary extracellular cation. Sodium is responsible for almost one half the osmolality of the plasma and therefore plays a central role in maintaining the normal distribution of water and the osmotic pressure in the extracellular fluid compartment. The amount of sodium in the body is a reflection of the balance between sodium intake and output. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Anticoagulants other than heparin | Ion-selective electrode (ISE); flame photometer | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 9600 | Sodium, Urine | Assessing acid-base balance, water balance, water intoxication, and dehydration.The excretion of sodium varies with dietary intake. There is a diurnal variation of sodium excretion with excretion being greater during daytime than during the night. Decreased levels are seen in congestive heart failure, excessive sweating, diarrhea, pyloric obstruction, alabsorption and primary aldosteronism. Increased levels may be due to increased salt intake, failure of the adrenal glands, diabetic acidosis, salt losing renal disease, diuretic therapy and water deprivation dehydration. | Plastic urine container, no preservative | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | Urine | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | 0 | ||||||||||||
| 91031 | Soluble Transferrin Receptor | 84238 | Soluble Transferrin Receptor (sTFR) values can be within normal limits over a broad range of body iron stores and is elevated only when there is functional (i.e. cellular) iron deficiency. It is usually not affected by chronic disease states, sTFR levels are about 6% higher in people in high altitudes (above 5200 ft/1600 m) and in African-Americans. Reference value may not apply to pregnant females and recent or frequent blood donors. | Serum Separator Tube (SST) | Room temperature: Not established Refrigerated: 7 days Frozen: 60 days | Serum | Room temperature: Not established Refrigerated: 7 days Frozen: 60 days | Received room temperature • Icteric | Transferrin, Receptor Soluble, Receptor, Soluble Transferrin | Nephelometry | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| S0100 | Specimen Collection Fee | n/a | 0 | ||||||||||||||||
| 10269 | SPEP & Reflex to IFE, Serum | 84155, 84165 | Serum protein electrophoresis (SPE) is an analytical technique that provides separation of serum protein into six fractions: Albumin, Alpha-1, Alpha-2, Beta-1, Beta-2, and Gamma. Interpretation of elevation, decreased, or visual change in different fractions can be used as a diagnostic aid for a variety of different disease states and protein abnormalities, including monoclonal gammopathies (MG). | SPEP REF TO IFE, IGG, IGM, IGA, K&L FLC | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 7 days Frozen: 28 days | SERUM | Room temperature: 5 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Grossly lipemic • Plasma | SPEP, Protein Electrophoresis | Electrophoresis on agarose media | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.8 mL | 2 mL | ||||
| 34982 | St. Louis Encephalitis Virus Antibodies (IgG, IgM) | 86653 | IgG titers ≥1: 16 suggest exposure (either past or recent), while the presence of IgM indicated recent infection. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Immunofluorescence Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 35081 | STD Panel | STD Panel is a comprehensive profile includes most common sexually transmitted diseases. | HSV Type 1&2-Specific, IgG - Hepatitis Profile - CT/NG-urine - Syphilis - HIV I/II Antibodies-, Chlamydia, Gonorrhea, Trichomoniasis | Serum Separator Tube (SST) & Urine Container | Room temperature: 2 days | Serum & Urine | Room temperature: 2 days | See individual tests | HSV Type 1&2-Specific, IgG - Hepatitis Profile, CT/NG/Trich PCR -urine, Syphilis Ab, HIV I/II Antibod | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 30260 | Stone Analysis | 82365 | Stone Analysis is used in determining the etiology of stones. The results are often useful in determining the cause and treatment. | Sterile screw-cap container | Room temperature: 1 year Refrigerated: 1 year Frozen: 1 year | STONE(S) OR FILTERED MATERIAL OR DRY KIDNEY STONE | Room temperature: 1 year Refrigerated: 1 year Frozen: 1 year | Nidus, Component 1, Component 2: Infrared Spectrum Analysis (IR) (FTIR) • Stone Weight: Gravimetric | 0 | Dry stone in sterile screw-cap container. Stones originating from sources not related to the kidney should be air-dried, then placed in a plastic tube or a urine collection cup. Do not use tape. Minute specimens may be placed in a gelatin capsule. | |||||||||
| 442 | Stone Risk Diagnostic Profile | 82140, 82340, 82507, 82570, 83735, 83945, 83986, 84105, 84133, 84300, 84392, 84560 | StoneRisk™ profile is for stone formers with a positive urine culture indicating urinary tract infection (UTI), also for recurrent stone formers or when attending physician deems it medically necessary for the patient to have comprehensive metabolic evaluation. | Calcium, Oxalate, Uric Acid, Citrate, pH, Sodium, Sulfate, Phosphorus, Magnesium, Ammonium, Potassium, Creatinine, Calcium Oxalate, Brushite, Sodium Urate, Struvite, Uric Acid | 24-hour Urine Collection Kit | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Plain urine and acid urine | Room temperature: 10 days Refrigerated: 10 days Frozen: Unacceptable | Received frozen • Orange jug | Kidney Stone, Stone Analysis, Kidney | Calculation (CALC) • Immunochemiluminometric Assay (ICMA) • Ion Coupled Plasma/Optical Emission Spec | 0 | 1) Upon completion of 24-hour collection in the large orange collection container, tighten the cap on the container and mixcontents in the container vigorously for one minute. A good mix will ensure accurate test results.2) Carefully fill the two plastic white vials with urine collected in the large orange container. The two white vials must be filledwithin two to four hours of completion of 24-hour collection. Fill and cap vials one at a time. Cap both vials tightly, write patient'sname on each vial and place in zip-lock bags provided (do not remove absorbent sheets).3) Complete the patient information section.4) Place specimen in mail-back box and mail to the laboratory.DO NOT MAIL LARGE ORANGE COLLECTION CONTAINER | ||||||
| 15568 | Stonerisk Citrate Test | 82507, 82570 | 24-Hour Stonerisk Urine Container | Urine | 0 | ||||||||||||||
| 91665 | STRATIFY JCV(TM) Antibody (with Index) with Reflex to Inhibition Assay | 86711 | The JC Virus (JCV) is associated with progressive multifocal leukoencephalopathy (PML). Detection of antibodies to JCV in serum or plasma is a reliable indicator of exposure to JCV. The analytical performance characteristics were determined for multiple sclerosis patients. | If Index Value is between 0.19 and 0.41 (not inclusive), JC Virus Antibody Inhibition Assay will be performed at an additional charge (CPT code(s): 86711) | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | JC Polyoma Virus Ab | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 90257 | STRATIFY JCV(TM) Antibody with Reflex to Inhibition Assay | 86711 | The JC Virus (JCV) is associated with Progressive Multifocal Leukoencephalopathy (PML). Detection of antibodies to JCV in serum or plasma is a reliable indicator of exposure to JCV. The analytical performance characteristics were determined for multiple sclerosis patients. | If the JCV Antibody result is, INDETERMINATE, STRATIFY JCV™ Antibody Inhibition Assay will be performed at an additional charge (CPT code(s): 86711). | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | JC Polyoma Virus Ab | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 4485 | Streptococcus Complete PCR | 87081 | Strep Complete PCREnhanced strep testing with Group Aand pyogenic Group C/G Strep | Streptococcus Group A, C & G PCR | Sterile BD or Copan aerobic culture swab or Strauts transport medium | Deliver to the microbiology laboratory ASAP. Transport swab: Room temperature: 2 days | Indicate source of specimen on both requisition and specimen transport device | Deliver to the microbiology laboratory ASAP. Transport swab: Room temperature: 2 days | Swabs >48 hours old • Expiredtransport device • Received frozen • Viral transport device • DNAprobe transport device | Strep, Streptococcus, Group A,Group G, Group C | Bacterial Culture, Aerobic Routine Isolation and Identification Procedures; susceptibility testing n | 0 | Indicate source of specimen on both requisition and specimen transport device | ||||||
| 19564 | Streptococcus pneumoniae Antibody (IgG) (14 Serotypes) | 86317 | Responses to pneumococcal conjugate vaccines are demonstrated by 2-to 4-fold increases in type-specific IgG levels. | Serotypes 1, 3, 4, 5, 8, 9 (9N), 12 (12F), 14, 19 (19F), 23 (23F), 26 (6B), 51 (7F), 56 (18C), 68 (9V) | SST (Serum Separator Tube) | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | Strep, pneumoniae, Pneumonia | Multi-Analyte Immunodetection (MAID) | 0 | If you are interested in PRE and POST vaccination testing, please follow these instructions: PRE and POST samples should be tested together on the same run to avoid variation in results caused by lot to lot and inter assay variation. It is recommended that two PRE tubes be drawn. Save one PRE serum frozen. The other can be sent to determine the need to vaccinate. If patient already has protective values, there is no need to revaccinate and test a POST sample. If PRE results do not show protective values, send the saved PRE sample together with the POST vaccination sample. | |||||||
| 16963 | Streptococcus pneumoniae IgG Antibody (23 Serotypes) | 86317 | Responses to pneumococcal conjugate vaccines are demonstrated by 2- to 4-fold increases in type-specific IgG levels. | Serotypes 1, 2, 3, 4, 5, 8, 9 (9N), 12 (12F), 17 (17F), 14, 19 (19F), 20, 22 (22F), 23 (23F), 26 (6B), 34 (10A), 43 (11A), 51 (7F), 54 (15B), 56 (18C), 57 (19A), 68 (9V), 70 (33F) | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 90 days | Pneumococcal Ab, 23 Serotypes | Multi-Analyte Immunodetection (MAID) | 0 | If you are interested in PRE and POST vaccination testing, please follow these instructions: PRE and POST samples should be tested together on the same run to avoid variation in results caused by lot to lot and inter assay variation. It is recommended that two PRE tubes be drawn. Save one PRE serum frozen. The other can be sent to determine the need to vaccinate. If patient already has protective values, there is no need to revaccinate and test a POST sample. If PRE results do not show protective values, send the saved PRE sample together with the POST vaccination sample | |||||||
| 15260 | Streptozyme Screen with Reflex to Titer | 86403 | Screening test for antibodies to the streptococcal antigens NADase, DNase, streptokinase, streptolysin O, and hyaluronidase. This test is most useful in evaluating suspected poststreptococcal disease following Streptococcus pyogenes infection, such as rheumatic fever. | Serum Separator Tube (SST) | Room temperature: 2 days Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 2 days Refrigerated: 7 days Frozen: 90 days | Slide Hemagglutination | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 266 | Striated Muscle Antibody with Reflex to Titer | 86255, 86256 | Anti-skeletal muscle antibody titers of >1: 80 have been reported to be present in the serum of 30% of patients with Myasthenia Gravis, 95% of patients with Myasthenia Gravis and thymoma, and 25% of patients with thymoma. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Anti-striated Muscle Antibody, Striated Muscle Antibodies | Immunofluorescent Assay (IFA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 34309 | Strongyloides Antibody (IgG) | 86682 | Strongyloides stercoralis is a parasitic nematode found in tropical and subtropical regions. Because of low larval densities in feces, stool examination is a relatively insensitive diagnostic test; antibody detection offers increased sensitivity. Patients with latent infections who are immunosuppressed or receiving immunosuppressive therapy are at risk of life-threatening hyperinfection. The assay shows 92% sensitivity and 100% specificity compared to the CDC assay. Some crossreactivity may be observed with filarial and nematode infections. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gross hemolysis • Gross lipemia | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 18810 | SurePath Pap | 88175 | Liquid based Pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by the Bethesda System for Reporting Results of Cervical Cytology. Pap screening is not reliable for the detection of endometrial cancer | In instances where computer-assisted Pap testing is unable to make an evaluation, manual screening will be performed. All SurePath(TM) Imaging Pap tests and all ThinPrep™ Imaging System tests will be CPT coded as 88175. | Cytobroom tip submitted in a SurePath vial | Room temperature: 28 days Refrigerated: 6 months | Fluid | Room temperature: 28 days Refrigerated: 6 months | Unlabeled vial • Leakage of fluid during transport • Mismatch between name of patient on vial and name on test requisition • SurePath(TM) (blue) vials without the | SUREPATH | Liquid Based-Density Gradient Sedimentation | 0 | |||||||
| 18811 | SurePath Pap reflex HPV mRNA E6/E7 | 88175 | Liquid based pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by the bethesda system for reporting results of cervical cytology. Pap screening is not reliable for the detection of endometrial cancer | If SurePath(TM) Pap result is ASCUS, HPV mRNA E6/E7 will be performed at an additional charge (CPT code(s): 87624). Pap results requiring physician interpretation will be performed at an additional charge (CPT code(s): 88141; HCPCS: G0124) For Interpretations of Atypical Squamous Cells (ASC), HPV DNA, High Risk will be performed at an additional charge (CPT code(s): 87624) | Cytobroom tip submitted in a SurePath vial | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Pap sample | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Unlabeled vial • Leakage of fluid during transport • Mismatch between name of patient on vial and name on test requisition • SurePath(TM) (blue) vials without the | PAP | Liquid Based-density Gradient Sedimentation | 0 | Pap sample collected with a cytobroom or cytobrush and spatula. | ||||||
| 18813 | SurePath Pap, HPV with Ref to Genotypes | 88175 | Liquid based pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by the bethesda system for reporting results of cervical cytology. Pap screening is not reliable for the detection of endometrial cancer. | Pap results, HPV with Ref to Genotypes | Cytobroom tip submitted in a SurePath vial | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Pap sample | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Unlabeled vial • Leakage of fluid during transport • Mismatch between name of patient on vial and name on test requisition • SurePath(TM) (blue) vials without the | PAP | Liquid Based-density Gradient Sedimentation with Computerized Digital Imaging • Transcription-Mediat | 0 | Pap sample collected with a cytobroom or cytobrush and spatula. | ||||||
| 18812 | SurePath Pap, HPV with Ref to Genotypes, CT/NG | 88175, 87624, 87491, 87591, 87661, 87529 | Liquid based Pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by the Bethesda System for Reporting Results of Cervical Cytology. Pap screening is not reliable for the detection of endometrial cancer.Testing for Human Papilloma Virus (HPV) DNA is an important adjunct to the detection of premalignant or malignant lesions in women.The HPV test simultaneously provide pooled results on high-risk genotypes and individual results on the highest-risk genotypes,HPV 16 and HPV 18, at clinically relevant infection levels | SurePath(TM) Imaging Pap HPV Screen with Ref to Genotypes Chlamydia trachomati PCR Neisseria gonorrhoeae PCR | SurePath vial | Room temperature: 7days Refrigerated: 7days Frozen: Unacceptable | Gynecological sample | Room temperature: 7days Refrigerated: 7days Frozen: Unacceptable | Unlabeled vial • Leakage of fluidduring transport • Mismatchbetween name of patient on vialand name on test requisition • SurePath(TM) (blue) vials without the Cytobroom tip | 0 | Cervical cells collected by one of the methods described below | ||||||||
| 18828 | SurePath Pap, HPV with Ref to Genotypes, CT/NG/Trich | 88175, 87624, 87491, 87591, 87661 | Liquid based Pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cellsand all other cytologic categories as defined by the Bethesda System for Reporting Results of Cervical Cytology. Pap screening isnot reliable for the detection of endometrial cancer.Testing for Human Papilloma Virus (HPV) DNA is an important adjunct to the detection of premalignant or malignant lesions in women.The HPV test simultaneously provide pooled results on high-risk genotypes and individual results on the highest-risk genotypes, HPV 16 and HPV 18, at clinically relevant infection levels. | SurePath(TM) Imaging Pap HPV Screen with Ref to Genotypes Chlamydia trachomati PCR Neisseria gonorrhoeae PCR Trichomonas vaginalis PCR | SurePath vial & BBL Culture Swab | Room temperature: 21 days Refrigerated: Unacceptable Frozen: Unacceptable | Gynecological sample | Room temperature: 21 days Refrigerated: Unacceptable Frozen: Unacceptable | Unlabeled vial • Leakage of fluidduring transport • Mismatchbetween name of patient on vialand name on test requisition • SurePath(TM) (blue) vials without the | PAP | Liquid Based-Density Gradient Sedimentation • Transcription-Mediated Aplification (TMA) | 0 | SurePath™ vial : Cytobroom tip must be submitted in a SurePath™ vial .BBL™ CultureSwab: 1. Using the sterile swab, carefully insert the swab into the vagina about 2 inches (5 cm) past the introitus.2. Gently rotate the swab for 10 to 30 seconds against the vaginal wall ensuring the entire circumference of the swab hastouched the vaginal wall.3. Swab the lateral vaginal wall while removing the swab.Both SurePath vial and BBL Culture Swab are required to perform tests in this panel | ||||||
| 6398 | Synovial Fluid Analysis, Complete | 83872, 89051, 89060 | Immunologic, mechanical, chemical or bacteriologic damage may alter the permeability of the membranes and capillaries of the joints to produce varying degrees of inflammatory response. Various disorders produce changes in the chemical constituents of the joint fluid and in the type of cell population present | Appearance, Color, Microscopic Cell Differential, Crystals, Mucin Clot | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Synovial fluid | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Clotted • Received frozen | Microscopic Examination/Polarized Light | 0 | ||||||||
| 90349 | Syphilis Antibody Reflex | 86592 | Identification of Treponema pallidum antibodies may aid in the diagnosis of syphilis. | If T. pallidum Antibody is equivocal or positive, then RPR Screen with Reflex to Titer will be performed at an additional charge (CPT code(s): 86592). If RPR Screen is reactive, then RPR titer will be performed at an additional charge (CPT code(s): 86593) | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Hemolysis • Lipemia | Lyme disease: enzyme immunoassay (EIA)/Western blot; STS: charcoal flocculation | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 39588 | T and B Cells, Total | 86355, 86359 | T-cell deficiency is frequently associated with chronic, recurrent mucocutaneous candidiasis. B-cell deficiency is frequently associated with recurrent, complicated or severe pyrogenic infections. Deficiencies of T and B cells are observed in many medical conditions. Often, more specific evaluations are required after a deficiency is identified. | Lymphocytes, absolute; CD19, absolute; CD19 percentage; CD3, absolute; CD3 percentage | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | ACD (yellow-top) tube • Sodium heparin (green-top) tube | Flow Cytometry | 0 | Submit the preferred EDTA tube at room temperature. Volumes less than 1 mL should be submitted in a pediatric EDTA tube. Do not refrigerate or freeze.Note: It is recommended that the sample be drawn shortly before courier pick up and be received within 24 hours. | |||||||
| 8616 | t-Transglutaminase (tTG) IgA | Evaluating patients suspected of having celiac disease, including patients with compatible clinical symptoms, patients with atypical symptoms, and individuals at increased risk (family history, previous diagnosis with associated disorder, positivity for HLA DQ2 and/or DQ8)Screening test for dermatitis herpetiformis, in conjunction with endomysial antibody testMonitoring adherence to gluten-free diet in patients with dermatitis herpetiformis and celiac disease | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | tg, tTGa, glutaminase | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||||
| 8618 | t-Transglutaminase (tTG) IgG | 83516 | Evaluating patients suspected of having celiac disease, including patients with compatible clinical symptoms, patients with atypical symptoms, and individuals at increased risk (family history, previous diagnosis with associated disease, positivity for HLA DQ2 and/or DQ8) Monitoring adherence to gluten-free diet in patients with dermatitis herpetiformis and celiac disease | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | tissue, Transglutaminase, glutaminase, tTG | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 9060 | T3 Uptake | 84479 | Decreased: Pregnancy, estrogens, hyperproteinemia, acute intermittent porphyria.Increased: Androgens, hyperproteinemia, stress, acute liver disease.This assay is a measure of available thyroid hormone binding sites and should be interpreted with thyroxine levels. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Cloned enzyme donor immunoassay (CEDIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | Pediatrics: 0.3 mL; adults: 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | Pediatrics: 0.8 mL; adults: 1 mL | |||||||
| 2005 | T3, Free Serum | 84481 | Free triiodothyronine (T3) is a second- or third-level test of thyroid function; it provides further ionfirmation of hyperthyroidism, supplementing the tetraiodothyronine (T4), sensitive thyrotropin (sTSH), and total T3 assays Evaluating clinically euthyroid patients who have an altered distribution of binding proteinsMonitoring thyroid hormone replacement therapy | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | FT3 | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 90963 | T3, Reverse Serum | 84482 | 3,3,5-Triiodothyronine (reverse T3, rT3) is, along with 3,3,5-Triiodothyronine (T3) a deiodinated metabolite of thyroxine (T4), the major secretory product of the thyroid gland and is secreted into the bloodstream. Unlike T3, however, rT3 is thought to be metabolically inert. The process of 5-monodeiodination that converts T4 to T3, and rT3 to diiodothyronine (DTT) is inhibited in a wide variety of conditions, collectively referred to as nonthyroidal illnesses (NTI) or the euthyroid sick state. These conditions include fasting, malnutrition, poorly controlled diabetes mellitus, trauma, surgery, and systemic illness. Consequently, in patients with NTI the serum T3 level typically decreases, and the rT3 often, but not always, increases. | Red-top tube (no gel) | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Unseparated serum (>48 hours on clot) | RT3, Triiodothyronine Reverse, RT3, Reverse Triiodothyronine, Reverse T3 | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Allow blood to clot at room temperature for 30 minutes. Centrifuge and separate the serum from cells immediately. Alternatively, collect blood in a gel barrier tube, allow to clot at room temperature, centrifuge and remove from gel within 24 hours. | |||||||
| 2020 | T3, Total ( TT3) | 84480 | Second-order testing for hyperthyroidism in patients with low thyroid-stimulating hormone values and normal thyroxine levels Diagnosis of triiodothyronine toxicosis | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 2000 | T4, Free Serum | 84439 | hyroxine (T4) and free T4 are measured together with thyroid-stimulating hormone when thyroid function disorders are suspected. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Free T4, FT4 | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 2030 | T4, Total (TT4) | 84436 | Monitoring treatment with synthetic hormones (synthetic triiodothyronine will cause a low total thyroxine: T4)Monitoring treatment of hyperthyroidism with thiouracil and other antithyroid drugs | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | TT4, T4 | Cloned enzyme donor immunoassay (CEDIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | Pediatrics: 0.3 mL; adults: 0.5 mL (NOTE: This volume does NOT allow for repeat testing. | Pediatrics: 0.8 mL; adults: 1 mL | ||||||
| 70007 | Tacrolimus, Highly Sensitive, LC/MS/MS | 80197 | Tacrolimus is an immunosuppressant drug which has been shown to be effective for the treatment of rejection following transplantation. | Lavender-top (EDTA) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: 60 days | Whole blood | Room temperature: 7 days Refrigerated: 7 days Frozen: 60 days | FK506, Prograf | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Specimens collected in EDTA tubes may be stored for 14 days at 2°C to 8°C prior to being tested. | ||||||||
| 850847 | Tapentadol, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Tapentadol Present in the following medication: Nucynta, Palexia, Tapal | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 5738 | TBII (Thyrotropin-Binding Inhibitory Immunoglobulin) | 83519 | Measurement of TBII is used to diagnose and manage Graves' disease, neonatal hypothyroidism, and postpartum thyroid dysfunction. | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Received room temperature • Gross hemolysis • Moderate or gross lipemia • Moderate or gross icterus specimens | TBII | Radioreceptor Assay (RRA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 850831 | Temazepam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Temazepam Oxazepam Present in the following medication: Restoril, Normison, Euhypnos, Temaze | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 70196 | Testosterone, F&T w SHBG | 84402, 84403, 84270 | This assay is the alternative, second-level test for suspected increases or decreases in physiologically active testosterone (preferred: TTBS / Testosterone, Total and Bioavailable, Serum); indications: -Assessment of androgen status in cases with suspected or known sex hormone-binding globulin-binding abnormalities-Assessment of functional circulating testosterone in early pubertal boys and older men-Assessment of functional circulating testosterone in women with symptoms or signs of hyperandrogenism, but normal totaltestosterone levels-Monitoring of testosterone therapy or antiandrogen therapy in older men and in females | Separate serum from cells within 45 minutes of venipuncture. | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 7 days Frozen: 21 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 21 days | 0 | ||||||||||
| 70195 | Testosterone, Free &Total | 84402, 84403 | This assay is the alternative, second-level test for suspected increases or decreases in physiologically active testosterone (preferred: TTBS / Testosterone, Total and Bioavailable, Serum); indications: -Assessment of androgen status in cases with suspected or known sex hormone-binding globulin-binding abnormalities-Assessment of functional circulating testosterone in early pubertal boys and older men-Assessment of functional circulating testosterone in women with symptoms or signs of hyperandrogenism, but normal totaltestosterone levels-Monitoring of testosterone therapy or antiandrogen therapy in older men and in females | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 7 days Frozen: 21 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 21 days | Free: direct analog/radioimmunoassay (RIA); Total: liquid chromatography/tandem mass spectrometry (LC/MS-MS) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.7 mL (NOTE: This volume does NOT allow for repeat testing.) | 2 mL | |||||||
| 8124 | Testosterone, Free, Serum | 84402 | Evaluate hirsutism and masculinization in women; evaluate testicular function in clinical states where the testosterone binding proteins may be altered (obesity, cirrhosis, thyroid disorders) | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 7 days Frozen: 21 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 21 days | Grossly icteric | Direct analog/radioimmunoassay (RIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.5 mL | ||||||
| 2045 | Testosterone,Total | 84402 | Evaluation of men with symptoms or signs of possible hypogonadism, such as loss of libido, erectile dysfunction, gynecomastia, osteoporosis, or infertility.Evaluation of boys with delayed or precocious puberty.Monitoring testosterone replacement therapy.Monitoring antiandrogen therapy (eg, used in prostate cancer, precocious puberty, treatment of idiopathic hirsutism, male-to-female transgender disorders, etc.).Evaluation of women with hirsutism, virilization, and oligoamenorrhea.Evaluation of women with symptoms or signs of possible testosterone deficiency.Evaluation of infants with ambiguous genitalia or virilization. Diagnosis of androgen-secreting tumors. | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 7 days Frozen: 21 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 21 days | Grossly icteric | Ammonium sulfate precipitation; liquid chromatography/tandem mass spectrometry (LC/MS-MS) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.6 mL (NOTE: This volume does NOT allow for repeat testing) | 1.2 mL | ||||||
| 4862 | Tetanus Antitoxoid | 86774 | Tetanus is caused by clostridium tetani. Immunization with tetanus antitoxoid is effective with boosters. This test assesses tetanus antitoxoid antibody following booster immunization. Immunization supports an intact humoral antibody response. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Enzyme Linked Immunosorbent Assay (ELISA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 8830 | Thallium | 83018 | EDTA (lavender-top) tube | Room temperature: 48 hours Refrigerated: 5 days Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 5 days Frozen: Unacceptable | 0 | Carefully clean skin prior to venipuncture. Avoid worksite collection. | |||||||||||
| 878 | Theophylline | 80198 | Theophylline is used in the treatment of bronchial asthma as well as in the treatment of chronic obstructive pulmonary disease and episodes of prolonged apnea in pre-term infants. Theophylline levels are monitored to assure adequate therapeutic levels are achieved and to avoid toxicity | Red-top tube (no gel) | Room temperature: 6 days Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 6 days Refrigerated: 7 days Frozen: 90 days | Serum Separator Tube (SST) | Immunoassay | 0 | Collect as a trough just prior to next dose. | ||||||||
| 58315 | ThinPrep Pap | Liquid Based Pap Testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by The Bethesda System for Reporting Results of Cervical Cytology. Pap screening is not reliable for the detection of endometrial cancer. | ThinPrep vial | Room temperature: 7 days Refrigerated: 7 days | Sample from the cervix | Room temperature: 7 days Refrigerated: 7 days | Unlabeled vial • Leakage of fluid during transport • Mismatch between patient name on vial and name on test requisition | PAP | CYTYC Imaging System | 0 | THINPREP™ VIAL-BROOM ONLY: BROOM-LIKE COLLECTION TECHNIQUE: Obtain a sample from the cervix using a broom-like device by inserting the brush portion into the cervical os and rotate the brush five times. Rinse the collection device in the PreservCyt™ solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. As a final step, twirl the brush between the thumb and forefinger vigorously to release additional cellular material. disregard the collection device. Tighten the cap on the ThinPrep™ vial so that the torque line on the cap passed the torque line on the vial. SUREPATH(TM) VIAL: When using the SurePath(TM) vial, the cervical broom must be used for specimen collection. Insert the broom into the cervical os and rotate five times. Place the broom head into the CytoRich(TM) preservative fluid in the SurePath(TM) collection vial. Tightly cap the vial. | A minimum volume cannot be determined for the ThinPrep™ vial because it varies depending on the cellularity of the specimen. The entire SurePath(TM) specimen should arrive intact. | ThinPrep™ vial or SurePath(TM) vial | ||||||
| 90934 | ThinPrep Pap with Reflex to HPV mRNA E6/E7 | 88175 | Liquid based pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by the Bethesda System for reporting results of cervical cytology. Pap screening is not reliable for the detection of endometrial cancer. | If ThinPrep™ Pap result is ASCUS, HPV mRNA E6/E7 will be performed at an additional charge (CPT Code(s): 87624) | ThinPrep vial | Room temperature: 7 days Refrigerated: 7 days | Cervical cells | Room temperature: 7 days Refrigerated: 7 days | Unlabeled vial • Leakage of fluid during transport • Mismatch between name of patient on vial and name on test requisition | Hologic | CYTYC Imaging System | 0 | THINPREP™ VIAL-BROOM ONLY: BROOM-LIKE COLLECTION TECHNIQUE: Obtain a sample from the cervix using a broom-like device by inserting the brush portion into the cervical os and rotate the brush five times. Rinse the collection device in the PreservCyt™ solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. As a final step, twirl the brush between the thumb and forefinger vigorously to release additional cellular material. Discard the collection device. Tighten the cap on the ThinPrep™ vial so that the torque line on the cap passes the torque line on the vial. | ||||||
| 90933 | ThinPrep Pap, HPV with Ref to Genotypes | 88175 | ThinPrep vial | Room temperature: 7 days Refrigerated: 7 days | Cervical cells | Room temperature: 7 days Refrigerated: 7 days | Hologic | Papanicolaou Staining/Bethesda System of Reporting • Transcription-Mediated Amplification (TMA) | 0 | ||||||||||
| 91340 | ThinPrep Pap, HPV with Ref to Genotypes, CT/NG | 88175, 87624, 87491, 8759 | Liquid based Pap testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cellsand all other cytologic categories as defined by the Bethesda System for Reporting Results of Cervical Cytology. Pap screening isnot reliable for the detection of endometrial cancer.Testing for Human Papilloma Virus (HPV) DNA is an important adjunct to the detection of premalignant or malignant lesions in women.The HPV test simultaneously provide pooled results on high-risk genotypes and individual results on the highest-risk genotypes, HPV 16 and HPV 18, at clinically relevant infection levels. | SurePath(TM) Imaging PapHPV Screen with Ref to Genotypes Chlamydia trachomati PCR Neisseria gonorrhoeae PCR | ThinPrep Vial | Room temperature: 7days Refrigerated: 7days Frozen: Unacceptable | Gynecological sample | Room temperature: 7days Refrigerated: 7days Frozen: Unacceptable | Unlabeled vial • Leakage of fluidduring transport • Mismatchbetween name of patient on vialand name on test requisition | ThinPrep Pap, HPV, CT, NG | 0 | Use the cervix brush to obtain cells from the upper third of the lateral vaginal wall. Then, rotate the brush in the PreservCyt™ solution 10 times while pushing against the wall of the vial. Swirl the brush vigorously to release additional materi | |||||||
| 91339 | ThinPrep Pap, HPV with Ref to Genotypes, CT/NG/Trich | 88175, 87624, 87491, 87591 | Liquid Based Pap Testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by The Bethesda System for Reporting Results of Cervical Cytology. Pap screening is not reliable for the detection of endometrial cancer. | ThinPrep™ Imaging System Pap HPV with Ref to Genotypes Chlamydia/Neisseria gonorrhoeae Trichomonas vaginalis | ThinPrep vial & BBL Culture Swab | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Gynecological sample | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Unlabeled vial • Leakage of fluidduring transport • Mismatchbetween name of patient on vialand name on test requisition | Hologic | Liquid-based Pap test; nucleic acid amplification (NAA) | 0 | Thin Prep : Use the cervix brush to obtain cells from the upper third of the lateral vaginal wall. Then, rotate the brush in the PreservCyt™ solution 10 times while pushing against the wall of the vial. Swirl the brush vigorously to release additional materialBBL™ CultureSwab: 1. Using the sterile swab, carefully insert the swab into the vagina about 2 inches (5 cm) past the introitus.2. Gently rotate the swab for 10 to 30 seconds against the vaginal wall ensuring the entire circumference of the swab hastouched the vaginal wall.3. Swab the lateral vaginal wall while removing the swab.Both SurePath vial and BBL Culture Swab are required to perform tests in this panel | ||||||
| 91745 | Thiopurine Metabolites | 80299 | 6-Mercaptopurine (Purinethol) and its imidazolyl derivative, Azathioprine (Imuran), are immunosuppressive drugs. 6-Mercaptopurine (6-MP) is indicated for remission induction and maintenance therapy of acute lymphoblastic leukemia (ALL).Azathioprine is indicated as an adjunct for the prevention of rejection in renal allograft (kidney transplant) patients, for themanagement of rheumatoid arthritis, and for the management of inflammatory bowel disease.Azathioprine is cleaved to 6-MP. 6-MP is metabolized via a series of enzymatic steps to 6-thioguanine nucleotides (6-TGNs), to 6-methyl-mercaptopurine (6-MMPNs) by the enzyme thiopurine methyltransferase (TPMT), and to 6-thiouric acid by the enzymexanthine oxidase (XO). TPMT enzyme activity has large inter-individual variations which affect the efficacy, toxicity and variabilityof the treatment. Therapeutic drug monitoring of 6-MP metabolites (6-TGNs and 6-MMPNs) in erythrocytes is recommended toassist therapy. | 6-Thioguanine (6-TG), 6-Methylmercaptopurine (6-MMP) | EDTA (lavender-top) tube | Room temperature: 24 hours Refrigerated: 5 days Frozen: Unacceptable | Whole blood | Room temperature: 24 hours Refrigerated: 5 days Frozen: Unacceptable | Hemolysis • Heparin whole blood • Received frozen | 6-Methylmercaptopurine (6-MMP), 6-MP, 6-Thioguanine (6-TG), AZA | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | A trough specimen is required (within 1 hour prior to the next dose) | ||||||
| 7080 | Thyroglobulin Antibodies | 86800 | As an adjunct in the diagnosis of autoimmune thyroid diseases: Hashimoto disease, postpartum thyroiditis, neonatal hypothyroidism, and Graves diseaseIdentification of potentially unreliable serum thyroglobulin measurements by immunoassay in the follow-up of patients with differentiated follicular-cell derived thyroid carcinomas (for this application order HTG2 / Thyroglobulin, Tumor Marker, Serum or HTGR / Thyroglobulin, Tumor Marker Reflex to LC-MS/MS or Immunoassay) | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 16692 | Thyroglobulin Antibodies Panel | 84432, 86800 | Thyroglobulin (TG) is a secretory product only of the thyroid gland. The major clinical use of serum TG measurement is to monitor, but not to diagnose, patients with well-differentiated thyroid cancers. The measurement of thyroglobulin, after thyroidectomy and ablation of the thyroid gland, is useful to determine metastasis.Deficient TG synthesis is observed in infants with goitrous hypo-thyroidism. Most patients with thyroid autoimmune disease have thyroglobulin antibody. With immunometric assays (sandwich assays), TGAB interference typically produces inappropriately low TG results, most likely caused by endogenous TG immune complexes that block one or more of the reagent antibodies from binding endogenous TG. | Thyroglobulin Antibodies and Quantitative Thyroglobulin | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Grossly lipemic | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 15561 | Thyroglobulin Quantitative | 84432 | Thyroglobulin (TG) is a secretory product only of the thyroid gland. The major clinical use of serum TG measurement is to monitor, but not to diagnose, patients with well-differentiated thyroid cancers. The measurement of thyroglobulin, after thyroidectomy and ablation of the thyroid gland, is useful to determine metastasis. Deficient TG synthesis is observed in infants with goitrous hypothyroidism. With immunometric assays (sandwich assays), TGAB interferene typically produces inappropriately low TG results, most likely caused by endogenous TG immune complexes that block one or more of the reagent Ab from binding endogenous TG. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Gross hemolysis • Grossly lipemic | Thyroglobulin | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 620 | Thyroid Cascade Panel | 84436, 84443, 84479 | TSH , TT3, FT4, TPO | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | See individual test descriptions | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 2200 | Thyroid Peroxidase (Anti-TPO) Ab | 86376 | Aiding in the diagnosis of thyroid autoimmune disorders Differentiating thyroid autoimmune disorders from nonautoimmune goiter or hypothyroidism As a diagnostic tool in deciding whether to treat a patient who has subclinical hypothyroidism | Serum Separator Tube (SST) | Room temperature: 10 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 10 days Refrigerated: 7 days Frozen: 28 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 5007 | Thyroid Progressive Panel | 84436 | See individual tests | TSH with reflex to FT4 and TT3 | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Cloned enzyme donor immunoassay (CEDIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL (NOTE: This volume does NOT allow for repeat testing.) | 1 mL | ||||||
| 30551 | Thyroid Stim Immunoglobulin (TSI) | 84445 | Graves' disease is a classic form of hyperthyroid disease, affecting approximately 0.4% of the population of the United States. It is caused by IgG immunoglobulins, collectively known as thyroid stimulating immunoglobulins (TSI). Patients who are candidates for antithyroid drug therapy may not respond to this treatment when TSI levels are markedly elevated. The determination of TSI can also assist in predicting hyperthyroidism in neonates, due to placental transmission of the immunoglobulins from a mother with hyperthyroidism. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: 21 days Frozen: 60 days | Serum | Room temperature: Unacceptable Refrigerated: 21 days Frozen: 60 days | Gross hemolysis • Gross lipemia • Sodium heparin (green-top) tube • Received room temperature • Grossly icteric | Thyroid Receptor Antibody, Thyroid Stimulating Immunoglobulin | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 3 mL | |||||
| 870 | Thyroxine Binding Globulin | 84442 | Thyroxine-binding globulin (TBG), a glycoprotein produced in the liver, binds both thyroxine (T4) and triiodothyronine (T3) with high affinity. Because TBG accounts for 76% of plasma protein thyroxine-binding activity, an increase or decrease in its circulating level alters total concentrations of T4 and T3 in blood, leading to potential confusion with true thyroid gland dysfunction. A number of diseases and medications, as well as inherited alterations in TBG gene expression, can change the serum TBG concentration. Measurement of TBG is useful in distinguishing quantitative TBG derangements from thyroid dysfunction. This analyte is elevated with estrogen therapy (especially oral contraceptive agents), during pregnancy and or hepatitis. Serum TBG may be decreased in cirrhosis, in the nephritic syndrome and by androgens | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis | Thyroxine Binding Globulin | Chemiluminescence | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 4100 | TIBC | 83540 | Screening for chronic iron overload diseases, particularly hereditary hemochromatosis | Serum Separator Tube (SST) | Room temperature: 6 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 6 days Refrigerated: 7 days Frozen: 28 days | Hemolysis • Plasma | Colorimetric | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 2 mL | ||||||
| 3946 | Tick (and Other Arthropods) ID | 87168 | Plastic Container | Tick | 0 | ||||||||||||||
| 6324 | Tin Total, Serum/Plasma | 83018 | Exposure Monitoring/Investigation.In the beverage industry QUANTOFIX™ Tin is used to control canned juices or food. Depending on the storage conditions and the quality of the tin plating, significant quantities of tin may get into the product, causing a negative aftertaste. The control of tin ensures the optimal quality of the food. | Trace metal-free, no additive (royal blue-top) tube | Room temperature: 28 days Refrigerated: 28 days Frozen: 28 days | Serum | Room temperature: 28 days Refrigerated: 28 days Frozen: 28 days | Polymer gel separation tube (SST™ or PST) | 0 | Promptly centrifuge and separate serum or plasma into acid-washed or metal-free plastic screw-cap vial | |||||||||
| 3542 | Tissue Pathology / Biopsy | The nature of possible underlying disease states can often be detected by microscopically visualizing histologic changes in tissue biopsies.H and E SectionsPunch BiopsySkin Lesion | Preparation of each submitted sample and microscopic interpretation by a pathologist. The fee for service will vary depending upon the number of specimens submitted, the size and complexity of the specimen and difficulty of diagnosis. Specimens requiring a decalcification procedure will be performed at an additional charge (CPT code(s): 88311). Special stains (CPT code(s): 88312 (each stain) or 88313 (each stain)) and/or IHC immunohistochemistry stains (CPT code(s): 88342 (each antibody)) may be ordered at the discretion of the pathologist. These services will be performed at an additional charge. | Test tube with 10% formalin | Maintain specimen at room temperature. | Skin punch biopsy | Maintain specimen at room temperature. | Specimen not received in formalin | H & E Staining • Microscopy | 0 | Transfer specimen to plastic transport tube before freezing. | ||||||||
| 403091 | TLR Function | 86352 | Toll-like receptors (TLRs) are a class of proteins that play a key role in the innate immune system. They are single, membrane-spanning, non-catalytic receptors usually expressed on sentinel cells such as macrophages and dendritic cells, that recognize structurally conserved molecules derived from microbes. | Sodium heparin (green-top) tube (x2) | Room temperature 48 hrs Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood | Room temperature 48 hrs Refrigerated: Unacceptable Frozen: Unacceptable | Refrigerated, Frozen | 0 | ||||||||||
| 30965 | Topiramate | 80201 | Topiramate is an anticonvulsant used as an adjunctive treatment of partial-onset epilepsy. Therapeutic drug monitoring is useful to optimize dose and avoid toxicity. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Serum | Room temperature: 7 days Refrigerated: 14 days Frozen: 30 days | Gel barrier/Serum Separator Tube (SST) | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum from cells within 45 minutes of venipuncture. Draw at peak (2-4 hours after dose) or trough (0.5-1 hour before dose) at steady state | ||||||||
| 90379 | Total Glutathione | 82978 | Glutathione is a tripeptide formed by a peptide linkage between the amine group of cysteine linked to glycine and the carboxyl group of the glutamate side-chain. It is an abundant cellular reducing agent, whose major biological function is mitigating oxidative damage to biological macromolecules. Glutathione is also important in the metabolism and excretion of xenobiotic compounds. Glutathione is consumed to maintain cells in a reducedcondition. Consequently, glutathione levels in patient samples are expected to be diminished in disease states where oxygen reactive species are involved, such as rheumatoid arthritis and atherosclerosis. Low glutathione levels have been linked to reduced dopamine production in neurons, which suggests a relationship to dopamine based neurological disorders such as Parkinson's disease. High levels of glutathione have been linked to chemotherapy resistance in cancer treatments. | ACD (yellow-top) tube | Room temperature: Unacceptable Rrefrigerated: 21 days Frozen: Unacceptable | Whole Blood | Room temperature: Unacceptable Rrefrigerated: 21 days Frozen: Unacceptable | Hemolysis • Received frozen • Received room temperature | 0 | ||||||||||
| 8636 | Toxoplasma Abs IgG/IgM | 86777, 86778 | Toxoplasmosis is a parasitic infection caused by the protozoan Toxoplasma gondii. Approximately 23% of the immunocompetent population are asymptomatic carriers of the parasite. The combination of high titers of IgG and IgM antibodies to Toxoplasma gondii is consistent with infection in the last three months. High titers of IgG and low to medium titers of IgM antibodies to Toxoplasma gondii are consistent with infection in the last three to six months | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. Draw at peak (2-4 hours after dose) or trough (0.5-1 hour before dose) at steady state | 2 mL | ||||||||
| 18831 | TPMT ACTIVITY | 80375 | Help prevent hepatotoxicity from thiopurine therapy.This test helps identify individuals at increased risk of hepatotoxicity from thiopurine dose escalation. Patients with a TMPTactivity of 4-12 nmol 6-MMP/hr/mL RBC (heterozygote/low metabolizer) are at increased risk and may require a lower dose ofthiopurine drug. | 2 X (EDTA) Lavender-top tube | Room temperature: 48 hours Refrigerated: 9 days Frozen: Unacceptable | Whole blood | Room temperature: 48 hours Refrigerated: 9 days Frozen: Unacceptable | Hemolysis • Clotted • Animalspecimen • Forensic specimen • Received frozen | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | 4 mL whole blood (x2) collected in an EDTA (lavender-top) tube | ||||||||
| 850845 | Tramadol, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Tramadol O-Desmethyl-cis-tramadol Present in the following medication: Ultram, Ultracet, Ultram ER, ConZip, Tramadol Hydrochloride ER | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 8338 | Transferrin | 84466 | Transferrin is a direct measure of the iron binding capacity. Transferrin is thus useful in assessing iron balance. Iron deficiency and overload are often evaluated with complementary laboratory tests | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Immunologic | 0 | Fasting for at least 12 hours is required. Avoid hemolysis | 1 mL | ||||||||
| 8339 | Transferrin Saturation | The transferrin saturation is a function of the circulating plasma iron in relation to the total iron-binding capacity and is often regarded as a better measure of available iron | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||||
| 16985 | Transferrin, Carbohydrate-deficient (Alcohol Use) | 82373, 84466 | Heavy alcohol use (defined as >4 or 5 beverages per day for two weeks or more) is commonly associated with elevated CDT levels as are certain liver diseases such as primary biliary cirrhosis and chronic active hepatitis and in some patients with genetic D variants of transferrin. | CDT; Transferrin; Percent CDT | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 90 days | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 90 days | Gross hemolysis • Gross lipemia • Grossly icteric | Carbohydrate Deficient Transferrin, CDT | Nephelometry | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||
| 91238 | Transforming Growth Factor Beta 1 TGF-Beta 1 | 83520 | Transforming Growth Factor (TGF) plays a crucial role in tissue regeneration, cell differentiation, embryonic development, and regulation of the immune system. Transforming growth factor beta is found in hematopoietic (blood-forming) tissue and initiates a signaling pathway that suppresses the early development of cancer cells. It enhances the deposition of extracellular matrix and may play potential role in wound healing and cirrhosis formation. Many cells synthesize TGF-b and almost all of them have specific receptors for this peptide. | EDTA (lavender-top) tube | Room temperature: Not established Refrigerated: Not established Frozen -20°C: 14 days Frozen -70°C: 30 days | Platelet-free plasma | Room temperature: Not established Refrigerated: Not established Frozen -20°C: 14 days Frozen -70°C: 30 days | Hemolysis • Grossly lipemic • Specimens with particulate matter or microbial contamination • Specimens outside of listed stability | TGF | 0 | Collect in EDTA (lavender-top) tube. Centrifuge for 15 minutes at 1000 X G within 30 minutes of collection. Centrifuge plasma again at 3000 X G for complete platelet removal. Freeze at -70°C. | ||||||||
| 850873 | Trazodone, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Trazodone Present in the following medication: Desyrel, Molipaxin, Oleptro, Trazamine | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 850836 | Triazolam, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs | alpha-Hydroxymidazolam Present in the following medication: Apo-Triazo, Halcion, Hypam, Trilam | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 90801 | Trichomonas vaginalis, PCR | 87661 | This test is used to detect Trichomonas vaginalis in clinical specimens. The test has greater analytical sensitivity than culture methods | Urine container | Room temperature: 36 hrs Refrigerated: 36 hrs Frozen: not expectable | Urine | Room temperature: 36 hrs Refrigerated: 36 hrs Frozen: not expectable | T. vaginalis, Urine Trichomonas, Trichomonas Urine | Transcription-Mediated Amplification (TMA) | 0 | The patient should not have urinated for at least one hour prior to specimen collection. Patient to provide a first-catch urine (approximately 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity. | ||||||||
| 4062 | Triglycerides | 84478 | Triglycerides are esters of the trihydric alcohol glycerol with 3 long-chain fatty acids. They are partly synthesized in the liver and partly derived from the diet.Increased plasma triglyceride levels are indicative of a metabolic abnormality and, along with elevated cholesterol, are considered a risk factor for atherosclerotic disease. Hyperlipidemia may be inherited or be associated with biliary obstruction, diabetes mellitus, nephrotic syndrome, renal failure, or metabolic disorders related to endocrinopathies. Increased triglycerides may also be medication-induced (eg, prednisone).Since cholesterol and triglycerides can vary independently, measurement of both is more meaningful than the measurement of cholesterol only. | Serum Separator Tube (SST) | Room temperature: 5 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 5 days Refrigerated: 7 days Frozen: 28 days | Anticoagulants other than heparin | Enzymatic | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 2091 | Troponin I | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 2090 | Troponin T | 84484 | Exclusion diagnosis of acute myocardial infarctionTroponin is a complex that regulates the contraction of striated muscle. It consists of 3 subunits (C, T, and I) that are located periodically along the thin filament of the myofibrils. Troponin I inhibits actomyosin ATPase.Troponin I is an inhibitory protein and exhibits in 3 isoforms: cardiac muscle, slow-twitch skeletal muscle, and fast-twitch skeletal muscle. The cardiac form of troponin I has 31 amino acid residues on its N-terminal, not present in the skeletal forms, which allow for specific polyclonal and monoclonal antibody development. The cardiac specificity of this isoform improves the accuracy of diagnosis in patients with acute or chronic skeletal muscle injury and possible concomitant myocardial injury.Troponin I is the only troponin isotope present in the myocardium and is not expressed during any developmental stage in skeletal muscle. Troponin I is released into the bloodstream within hours of the onset of symptoms of myocardial infarction or ischemic damage. It can be detected at 3 to 6 hours following onset of chest pain with peak concentrations at 12 to 16 hours, and remains elevated for 5 to 9 days. | Serum Separator Tube (SST) | Room temperature: 2 days Refrigerated: 2 days Frozen: 14 days | Serum | Room temperature: 2 days Refrigerated: 2 days Frozen: 14 days | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | |||||||
| 34484 | Tryptase | 83520 | Assessing mast cell activation, which may occur as a result of anaphylaxis or allergen challenge.Assessing patients with systemic mastocytosis or mast cell activation syndrome.Tryptase, a neutral protease, is a dominant protein component of the secretory granules of human mast cells. There are 2 forms of tryptase, designated as alpha and beta, which are encoded by 2 separate genes. Both are expressed as inactive proenzymes. Alpha-protryptase and beta-protryptase are spontaneously released from resting mast cells. The levels of the protrypases reflect the total number of mass cells within the body, but are not an indication of mast cell activation. Beta-protryptase is processed to a mature form, which is stored in granules and released as an active tetramer that is bound to heparin or chondroitin sulfate proteoglycans. In contrast, an amino acid change in alpha-protryptase prevents processing to a mature form. Upon mast cell activation, degranulation releases mature tryptase, which is almost exclusively in the form of beta-tryptase.After anaphylaxis, mast cell granules release tryptase; measurable amounts are found in blood, generally within 30 to 60 minutes. The levels decline under first-order kinetics with half-life of approximately 2 hours. By comparison, histamine (another immunologic mediator released by activated mast cells) is cleared from blood within minutes. Increased serum levels may also occur after allergen challenge or in patients with systemic mastocytosis or mast cell activation syndrome. | Serum Separator Tube (SST) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 30 days | Hemolysis • Post-mortem sample | Fluorenzyme Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 2010 | TSH | 84443 | Second-order testing for autoimmune thyroid disease, including: -Differential diagnosis of etiology of thyrotoxicosis in patients with ambiguous clinical signs or contraindicated (eg, pregnant orbreast-feeding) or indeterminate thyroid radioisotope scans-Diagnosis of clinically suspected Graves disease (eg, extrathyroidal manifestations of Graves disease: endocrine exophthalmos,pretibial myxedema, thyroid acropachy) but normal thyroid function tests-Determining the risk of neonatal thyrotoxicosis in a fetus of a pregnant female with active or past Graves disease-Differential diagnosis of gestational thyrotoxicosis versus first-trimester manifestation or recurrence of Graves disease-Assessing the risk of Graves disease relapse after antithyroid drug treatmentA combination of TSI / Thyroid-Stimulating Immunoglobulin (TSI), Serum and THYRO / Thyrotropin Receptor Antibody, Serum is useful as an adjunct in the diagnosis of unusual cases of hypothyroidism (eg, Hashitoxicosis). | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Plasma | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 4593 | TSH with reflex to Free T4 | See individual tests | TSH with Reflex to FT4 | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Plasma | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 34485 | Tumor Necrosis Factor-Alpha, Highly Sensitive | 83520 | Evaluation of patients with suspected systemic infection, in particular infection caused by gram-negative bacteria Evaluation of patients with suspected chronic inflammatory disorders, such as rheumatoid arthritis, inflammatory bowel disease, or ankylosing spondylitis | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 9 months | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 9 months | Gross hemolysis • Grossly lipemic • Serum Separator Tube (SST) -Grossly icteric | TNF A, TNF, TNF ALPHA | IMMUNOASSY | 0 | Collect blood in a red-top tube (no gel). Allow blood to clot (10-15 minutes) at room temperature. Centrifuge and separate the serum from the cells. Transfer the serum to a clean 12x75 mm tube. Freeze as soon as possible. | |||||||
| 4444 | UIBC | Serum Separator Tube (SST) | Serum | 0 | |||||||||||||||
| 8525 | UPEP & Reflex to IFE, Random Urine | 82570, 84156, 84166 | Evaluate myeloma, macroglobulinemia of Waldenström, lymphoma, amyloidosis; differentiate between normal renal function, glomerular proteinuria, and tubular proteinuria. Increased glomerular permeability leads to higher concentrations of large proteins in the glomerular filtrate. Diminished tubular reabsorptive capacity results in a marked increase in urinary excretion of low molecular weight problems. | Total Protein, Protein Electrophoresis, Creatinine | Plastic urine container | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Urine | Room temperature: 4 days Refrigerated: 5 days Frozen: 30 days | Acidified urine | UPEP, Protein Electrophoresis | Electrophoresis • Total Protein: Specrophotometry (SP) | 0 | |||||||
| 973 | Urea Nitrogen, 24-Hour Urine without Creatinine | 84540 | About 80% of urinary nitrogen is in the form of urea which is the major end product of protein metabolism. Urea excreted in the urine is the primary method of nitrogen elimination. Conditions associated with increased urine urea nitrogen are hyperthyroidism, high protein diets and post-operative states. Decreased levels are associated with convalescence, liver disease, toxemia and advanced renal disease | Plastic urine container | Room temperature (unpreserved): 24 hours (including collection time ) Refrigerated: 7 days Frozen: 15 months | Urine | Room temperature (unpreserved): 24 hours (including collection time ) Refrigerated: 7 days Frozen: 15 months | BUN, Nitrogen, Urea, 24-Hour Urine, Nitrogen Balance | Spectrophotometry (SP) | 0 | Record total volume on both the transport container and the test requisition | ||||||||
| 4002 | Urea Nitrogen, Serum (BUN) | 84520 | Urea is the principle waste product of protein catabolism. BUN is most commonly measured in the diagnosis and treatment of certain renal and metabolic diseases. Increased BUN concentration may result from increased production of urea due to (1) diet or excessive destruction of cellular proteins as occurs in massive infection and fevers, (2) reduced renal perfusion resulting from dehydration or heart failure, (3) nearly all types of kidney disease, and (4) mechanical obstruction to urine excretion such as is caused by stones, tumors, infection, or stricture. Decreased urea levels are less frequent and occur primarily in advanced liver disease and in overhydration. | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 5 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 5 days Frozen: 28 days | Anticoagulants other than heparin | Blood Urea Nitrogen, BUN | Spectrophotometry (SP) | 0 | 0.5 mL | 1 mL | ||||||
| 11321 | Uric Acid, 24-Hour Urine without Creatinine | 84560 | Urine uric acid may supplement serum uric acid testing when trying to identify conditions in which there is alteration of uric acid production or excretion, e.g., gout, leukemia, renal disease. The amount of uric acid excreted may be useful in treating asymptomatic hyperuricemia. Measurement of urine uric acid is important in the investigation of urolithiasis. | Plastic urine container | Room temperature: 13 days Refrigerated: 13 days Frozen: 28 days | Urine | Room temperature: 13 days Refrigerated: 13 days Frozen: 28 days | Acid preserved urine | Spectrophotometry (SP) | 0 | Do not acidify the urine. Please aliquot for uric acid testing prior to addition of any acid for those tests requiring preservative.Do not include first morning specimen; collect all subsequent voidings. The last sample collected should be the first morning specimen voided the following morning at the same time as the previous morning's first voiding. Specify total volume and duration of collection on container and test requisition | ||||||||
| 4403 | Uric Acid, Body Fluid | 84560 | Analysis of synovial fluid plays a major role in the diagnosis of joint disease. | Sterile, plastic transport tube | Room temperature: 7 days Refrigerated: 14 days Frozen: 28 days | Synovial fluid | Room temperature: 7 days Refrigerated: 14 days Frozen: 28 days | Colorimetric • Enzymatic | 0 | Aspirate body fluid and transfer to a sterile tube immediately. | |||||||||
| 4070 | Uric Acid, Serum | 84550 | Diagnosis and treatment of renal failure. Monitoring patients receiving cytotoxic drugs and a variety of other disorders, including gout, leukemia, psoriasis, starvation and other wasting conditions.Uric acid is the final product of purine metabolism in humans. Purines, compounds that are vital components of nucleic acids and coenzymes, may be synthesized in the body or they may be obtained by ingesting foods rich in nucleic material (eg, liver, sweetbreads). Approximately 75% of the uric acid excreted is lost in the urine; most of the remainder is secreted into the gastrointestinal tract where it is degraded to allantoin and other compounds by bacterial enzymes | Serum Separator Tube (SST) | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Anticoagulants other than heparin | Uricase | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 1744 | Uric Acid, Urine with creatinine | 82570, 84560 | Urine uric acid may supplement serum uric acid testing when trying to identify conditions in which there is alteration of uric acid production or excretion, e.g., gout, leukemia, renal disease. The amount of uric acid excreted may be useful in treating asymptomatic hyperuricemia. Measurement of urine uric acid is important in the investigation of urolithiasis. | Uric Acid, Urine with creatinine | Plastic urine container | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Urine | Room temperature: 72 hours Refrigerated: 7 days Frozen: 28 days | Spectrophotometry (SP) | 0 | Do not acidify urine. Please aliquot for uric acid testing prior to addition of any acid for those tests requiring preservative. | ||||||||
| 6015 | Urinalysis | 81003 | Tmportant in accessing the chemical constituents in the urine and the relationship to various diseases. | pH, Specific gravity, Protein Negative, Glucose Negative, Appearance Clear, Leukocyte esterase, Color, Occult blood, Nitrite Bilirubin, Ketones, Reducing substances | Urinalysis transport tube | Room temperature: 72 hours preserved specimen Refrigerated: 24 hours unpreserved pediatric specimen | Urine | Room temperature: 72 hours preserved specimen Refrigerated: 24 hours unpreserved pediatric specimen | 0 | A voided specimen is usually suitable. If the specimen is likely to be contaminated, a clean catch midstream specimen is desirable. | |||||||||
| 9 | Urinalysis, Complete (w/microscopic) | 81001 | Important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of cells and other formed elements | Urinalysis transport tube | Room temperature: 72 hours preserved specimen Refrigerated: 24 hours unpreserved pediatric specimen | Urine | Room temperature: 72 hours preserved specimen Refrigerated: 24 hours unpreserved pediatric specimen | Reagent strip and light microscopy | 0 | A voided specimen is usually suitable. If the specimen is likely to be contaminated, a clean catch midstream specimen is desirable. | 2 mL | 10 mL | |||||||
| 6018 | Urinalysis, Complete, with Reflex to Culture | Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify the organism(s) causing infection. | Macroscopic and Microscopic Examinations If any of the following Urinalysis results are applicable, then a culture will be performed at an additional charge (CPT code(s): 87088, 87086). • Presence of Leukocyte esterase alone • Presence of WBCs (>5/hpf) alone •Presence of Yeast •Presence of Bacteria and the presence of WBCs (>5/hpf) or Leukocyte esterase •Presence of Nitrite and the presence of WBCs (>5/hpf) or Leukocyte esterase | Urinalysis transport tube | Room temperature: 72 hours preserved specimen Refrigerated: 24 hours unpreserved pediatric specimen | Urine | Room temperature: 72 hours preserved specimen Refrigerated: 24 hours unpreserved pediatric specimen | Urinalysis, culture | 0 | A voided specimen is usually suitable. If the specimen is likely to be contaminated, a clean catch midstream specimen is desirable | |||||||||
| 6017 | Urinalysis, with Reflex to Culture | 81003 | Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify theorganism(s) causing infection. | Macroscopic and Microscopic Examinations If any of the following Urinalysis results are applicable, then a culture will be performed at an additional charge (CPT code(s): 87088, 87086).• Presence of Leukocyte esterase alone • Presence of WBCs (>5/hpf) alone •Presence of Yeast •Presence of Bacteria and the presence of WBCs (>5/hpf) or Leukocyte esterase •Presence of Nitrite and the presence of WBCs (>5/hpf) or Leukocyte esterase | Transport tube | Room temperature: 72 hours preserved specimen Refrigerated: 24 hours unpreserved pediatric specimen | Urine | Room temperature: 72 hours preserved specimen Refrigerated: 24 hours unpreserved pediatric specimen | Urinalysis, culture | Reagent strip | 0 | A voided specimen is usually suitable. If the specimen is likely to be contaminated, a clean catch midstream specimen isdesirable | 2 mL | 10 mL | |||||
| 395 | Urine Culture & Sensitivity | 87086, 87088 | This culture is designed to quantitate the growth of significant bacteria when collected by the Clean Catch Guidelines or from indwelling catheters. Quantitative culturing of urine is an established tool to differentiate significant bacteruria from contamination introduced during voiding. This test has a reference range of less than 1,000 bacteria per mL. More than 95% of Urinary Tract Infections (UTI) are attributed to a single organism. Infecting organisms are usually present at greater that 100,000 per mL, but a lower density may be clinically important. In cases of UTI where more than one organism is present, the predominant organism is usually significant and others are probably urethral or collection contaminants. When multiple organisms are isolated from patients with indwelling catheters, UTI is doubtful and colonization likely | If culture is positive, CPT code(s): 87086 (each isolate) will be added with an additional charge. Identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186). | Gray-top urine transport tube | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Urine | Room temperature: 48 hours Refrigerated: 48 hours Frozen: Unacceptable | Preserved urine > 48 hours old • Unpreserved, refrigerated urine > 24 hours old • Unpreserved, not refrigerated urine • Urine tube not filled to minimum fill line • Foley | Urine, Routine Culture | Semi-quantitative culture techniques and conventional and/or rapid identification methods | 0 | Fill to the fill line (4 mL) indicated on the tube label | To fill line on Vacutainer™ gray-top urine culture transport tube | |||||
| 70164 | Uveitis Panel | See Individual Tests | Uveitis Panel (70164 ): -ANCA panel -70159- ANA Screen with Reflex to Comprehensive Panel-ANA Screen, if the ANA IA or IFA Screen is positive, it will reflex to Pattern & titer and the following antibodies: -APLs (Anticardiolipin IgA; Anticardiolipin IgG; Anticardiolipin IgM; Beta-2-Glycoprotein I Antibodies IgA, Qn; Beta-2-Glycoprotein I Antibodies IgG, Qn; Beta-2-Glycoprotein I Antibodies IgM, Qn) -dsDNA Ab, Anti-SSA Ab, Anti-SSB Ab, Smith Ab, Sm RNP Ab, Ribosomal P Ab, Scl-70 Ab, Centromere B Ab, Jo-1 Ab, RNP Ab, Chromatin Ab. -SSA/SSB-RF-CCP-HLAB27 -Angiotensin Converting Enzyme Level -HSV 1-2 IgG-CMV IgG/IgM -Toxoplasma IgG/IgM -RPR with reflex FTABs confirmation -QTF Gold -Bartonella Henselae IFA titers | EDTA , SST , Lithium- heparin | Whole Blood & Serum | 0 | |||||||||||||
| 16491 | Vaginosis Panel with CT/NG | 87491, 87512, 87591, 87799 | To diagnose bacterial vaginosis and concomitant infection with Chlamydia trachomatis and/or Neisseria gonorrhoeae in sexually active women. | SureSwab™ Bacterial Vaginosis DNA, Quantitative, Real-Time PCR*(Lactobacillus species, Atopobium vaginae, Megasphaera species, Gardnerella vaginalis) | APTIMA Vaginal Swab Collection Kit (orange label) | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Vaginal swab | Room temperature: 7 days Refrigerated: 7 days Frozen: 30 days | Leaking specimens • Uncapped specimens • Broken container • Non-APTIMA™ Vaginal Swab Collection Kit | Dual Kinetic Assay (DKA) • Real-Time Polymerase Chain Reaction (RT-PCR) • Target Capture • Transcrip | 0 | Follow instructions in the APTIMA™ Vaginal Swab Specimen Collection kit for physician collected or self-collection of vaginal specimens. | One swab | One swab | |||||
| 2205 | Valproic Acid (Depakote), S | 80164 | Monitoring total valproic acid in therapy Assessing complianceEvaluating potential toxicity | Red-top tube (no gel) | Room temperature: 5 days Refrigerated: 7 daysFrozen: 30 days | Serum | Room temperature: 5 days Refrigerated: 7 daysFrozen: 30 days | Serum Separator Tube (SST) | Immunoassay | 0 | Oral: peak: 1-4 hours after dose (influenced by meals); trough: immediately prior to next dose (possibly more useful than peak values) | 0.3 mL | 1 mL | ||||||
| 3314 | Valproic Acid, Free | 80165 | Valproic acid is used as an anticonvulsant to treat certain types of seizures, to prevent migraine headahces, and to treat various psychiatric illnesses such as bipolar disorder and aggression. Drugs that compete from protein-binding sites with valproic acid, can increase the concentration of valproic acid. Measurement of the free concentration is useful if toxicity is suspected | Red-top tube (no gel) | Room temperature: 48 hours Refrigerated: 7 days Frozen: 60 days | Serum | Room temperature: 48 hours Refrigerated: 7 days Frozen: 60 days | Serum Separator Tube (SST) | Fluorescence Polarization Immunoassay (FPIA) | 0 | Avoid contact of samples with plasticizers, varnishes, paint fumes, and fatty acids.Collect as trough just before next dose (optimum time to collect sample: 1 hour before next dose). Do not use gel barrier tubes. Centrifuge and immediately separate serum specimens from the cells into clean, plastic, transport tubes(s). | ||||||||
| 9306 | Vancomycin Peak | 80202 | Vancomycin is an antibiotic used in the treatment of bacterial infections, especially methicillin-resistant staphylococci. Vancomycin is also used in treatment for penicillin-allergic patients who cannot receive or have failed to respond to other drugs, including the penicillins and/or cephalosporins and for other infections caused by vancomycin-susceptible organisms. | Red-top tube (no gel) | Room temperature: 72 hours Refrigerated: 7 days Frozen: Unacceptable | Serum | Room temperature: 72 hours Refrigerated: 7 days Frozen: Unacceptable | Serum Separator Tube (SST) | Immunoassay | 0 | Collect peak sample 1 hour after completion of the drug infusion. Separate serum after clotting and send Serum only in Plastic screw-cap vial . Do not submit glass tubes. | 0.3 mL | 1 mL | ||||||
| 9304 | Vancomycin Trough, Serum | 80202 | Vancomycin is an antibiotic used in the treatment of bacterial infections, especially methicillin-resistant staphylococci.Vancomycin is also used in treatment for penicillin-allergic patients who cannot receive or have failed to respond to other drugs,including the penicillins and/or cephalosporins and for other infections caused by vancomycin-susceptible organisms. | Red-top tube (no gel) | Serum | Immunoassay | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL | 1 mL | |||||||||
| 8683 | Varicella-Zoster Ab, IgM | 86787 | Diagnosing acute-phase infection with varicella-zoster virusVaricella-zoster virus (VZV), a herpes virus, causes 2 exanthematous (rash-associated) diseases, chickenpox and herpes zoster (shingles). Chickenpox is a highly contagious disease usually contracted during childhood and is characterized by a dermal vesiculopustular rash that develops in successive crops. Although primary infection results in immunity to subsequent exposure to chickenpox, the virus remains latent in the body, localized to the dorsal root or cranial nerve ganglia. Reactivation of latent infection manifests as herpes zoster. On reactivation, the virus migrates along neural pathways to the skin, producing a unilateral rash usually limited to a single dermatome. Reactivation occurs in older adults and in patients with impaired cellular immunity. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | Chicken Pox IgM, Shingles, Herpes Zoster IgM | Immunoassay (IA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 8084 | Varicella-Zoster V Ab, IgG | 86787 | Determination of immune status of individuals to the varicella-zoster virus (VZV)Varicella-zoster virus (VZV), a herpes virus, causes 2 exanthematous (rash-associated) diseases, chickenpox and herpes zoster (shingles). Chickenpox is a highly contagious disease usually contracted during childhood and is characterized by a dermal vesiculopustular rash that develops in successive crops. Although primary infection results in immunity to subsequent exposure to chickenpox, the virus remains latent in the body, localized to the dorsal root or cranial nerve ganglia. Reactivation of latent infection manifests as herpes zoster. On reactivation, the virus migrates along neural pathways to the skin, producing a unilateral rash usually limited to a single dermatome. Reactivation occurs in older adults and in patients with impaired cellular immunity. | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 30 days | Gross hemolysis • Grossly lipemic • Grossly icteric | Enzyme immunoassay (EIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.5 mL | 1 mL | ||||||
| 14512 | Vascular Endothelial Growth Factor (VEGF), ELISA | 83520 | Evaluation of patients with suspected POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome, particularly in differentiating from other forms of polyneuropathy and monoclonal plasma cell disorders Monitoring response to treatment in patients with a known diagnosis of POEMS syndrome | EDTA (lavender-top) tube | Room temperature: 4 hours Refrigerated: 48 hours Frozen: 1 year | Plasma | Room temperature: 4 hours Refrigerated: 48 hours Frozen: 1 year | Gross hemolysis • Gross lipemia • Received room temperature • Received refrigerated • Gross icterus | VEGF | Enzyme Immunoassay (EIA) | 0 | Note: Cytokine levels may demonstrate diurnal variation. Recommend cytokine levels be determined at the same time of day for improved longitudinal comparison. After collection, immediately centrifuge the lavender-top tube at room temperature, transfer plasma to a transport tube, and freeze. Label this tube Frozen Plasma | |||||||
| 920 | Vasoactive Intestinal Polypeptide (VIP), Plasma | 84586 | Vasoactive intestinal polypeptide (VIP) was originally isolated from porcine small intestine and was recognized by its potent vasodilator activity. This brain/gut hormone has widespread distribution and is present in neuronal cell bodies localized in the central nervous system, digestive, respiratory, and urogenital tracts, exocrine glands, and thyroid and adrenal glands. VIP has a ide scope of biological actions. The main effects of VIP include relaxation of smooth muscle (bronchial and vascular dilation), stimulation of gastrointestinal water and electrolyte secretion, and release of pancreatic hormones.VIP-producing tumors (VIPomas) are rare; most (90%) are located in the pancreas. Watery diarrhea, hypokalemia, and achlorhydria are key symptoms. | EDTA (lavender-top) tube | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 90 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 90 days | Gross hemolysis • Grossly lipemic • Received room temperature • Received refrigerated | VIP | Radioimmunoassay (RIA) | 0 | Fasting required (8 hours). Spin down and immediately freeze.Note: This test should not be requested on patients who have recently received radioactive material.After collection, immediately centrifuge the lavender-top tube at room temperature, transfer plasma to a transport tube, and freeze. Label this tube Frozen Plasma | |||||||
| 850874 | Venlafaxine, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Venlafaxine Present in the following medication: Effexor | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 918 | Viscosity, Serum | 85810 | High serum viscosity may be most commonly observed in patients with Waldenström's macroglobulinemia and multiple myeloma. Patients with high viscosity may have capillary occlusion, stasis hypoxia, and acidosis | Serum Separator Tube (SST) | Room temperature: 4 days Refrigerated: 7 days Frozen: 6 months | Serum | Room temperature: 4 days Refrigerated: 7 days Frozen: 6 months | Gross hemolysis • Grossly lipemic • Grossly icteric | Kinematic Viscometer | 0 | Separate serum from cells within 45 minutes of venipuncture. | ||||||||
| 921 | Vitamin A, Serum | 84590 | Vitamin A is critical for vision, growth, and many cell functions. High concentrations of vitamin A are seen with renal failure, but this is not associated with toxicity, and excessive ingestion. High concentrations are associated with bone fractures. Low concentrations of vitamin A are consistent with fat malabsorption and rarely due to inadequate diet. Vitamin A, vitamin E, and carotene are always extracted and detected simultaneously. This is a free vitamin A (retinol) | Serum Separator Tube (SST) protected from light | Room temperature: 24 hours Refrigerated: 7 days Frozen: 1 year | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 1 year | Received room temperature • Received refrigerated but not protected from light | Retinol | High Performance Liquid Chromatography (HPLC) | 0 | PROTECT FROM LIGHT. Overnight fasting is requiredSend serum in an amber tube. If amber tube is not available, wrap tube in aluminum foil to protect from light or Transport tube protected from light. | |||||||
| 5042 | Vitamin B1 (Thiamine), Blood, LC/MS/MS | 84425 | Vitamin B1 deficiency is most often associated with alcoholism, chronic illness and following gastric by-pass surgery. Prolonged deficiency causes beriberi. Plasma vitamin B1 is useful in evaluating nutritional assessment and compliance, while whole blood vitamin B1 is useful in evaluating body stores. | EDTA (lavender-top) tube - protect from light | Room temperature: 24 hours Refrigerated: 48 hours Frozen: 30 days | Whole Blood | Room temperature: 24 hours Refrigerated: 48 hours Frozen: 30 days | Hemolysis • Lipemia • Received room temperature • Received refrigerated • Not protected from light • Specimens collected in gel barrier tube • Tubes other than | B1, Thiamine | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect blood in an EDTA (lavender-top) tube. Remove plasma within 4 hours of collection and transfer to a light protected pour off tube. If separation of cells can't be performed immediately after collection, keep the whole blood refrigerated and protected from light. The separation of cells must be completed within 4 hours of collection. Separate cells by centrifugation for 8-10 minutes. Transfer plasma to dark brown polypropylene or polyethylene transport tubes to protect from light tube immediately. Alternately, neutral colored polypropylene or polyethylene tubes can be used if wrapped in aluminum foil. | |||||||
| 90353 | Vitamin B1 (Thiamine), LC/MS/MS | 84425 | Vitamin B1 deficiency is most often associated with alcoholism, chronic illness and following gastric by-pass surgery. Prolonged deficiency causes beriberi. Plasma vitamin B1 is useful in evaluating nutritional assessment and compliance, while whole blood vitamin B1 is useful in evaluating body stores. | EDTA (lavender-top) tube - protect from light | Room temperature: 24 hours Refrigerated: 48 hours Frozen: 30 days | Plasma | Room temperature: 24 hours Refrigerated: 48 hours Frozen: 30 days | Hemolysis • Lipemia • Received room temperature • Received refrigerated • Not protected from light • Specimens collected in gel barrier tube • Tubes other than | B1, Thiamine | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Collect blood in an EDTA (lavender-top) tube. Remove plasma within 4 hours of collection and transfer to a light protected pour off tube. If separation of cells can't be performed immediately after collection, keep the whole blood refrigerated and protected from light. The separation of cells must be completed within 4 hours of collection. Separate cells by centrifugation for 8-10 minutes. Transfer plasma to dark brown polypropylene or polyethylene transport tubes to protect from light tube immediately. Alternately, neutral colored polypropylene or polyethylene tubes can be used if wrapped in aluminum foil. | |||||||
| 2080 | Vitamin B12 | 82607 | Investigation of macrocytic anemiaWorkup of deficiencies seen in megaloblastic anemias | Serum Separator Tube (SST) | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Serum | Room temperature: 7 days Refrigerated: 7 days Frozen: 28 days | Hemolysis | Electrochemiluminescence immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.8 mL | ||||||
| 810 | Vitamin B12 and Folate | 82607, 82746 | See individual tests | Vitamin B12 and Folic acid | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 21 days | Serum | Room temperature: 24 hours Refrigerated: 7 days Frozen: 21 days | Hemolysis | Electrochemiluminescence Immunoassay (ECLIA) | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||
| 36399 | Vitamin B2 (Riboflavin), Plasma | 84252 | Vitamin B2 is involved in metabolism of fats, carbohydrates, and protein. The clinical manifestations of deficiency are non-specific. Clinical manifestations include mucocutaneous lesions of the mouth and skin, corneal vascularization, anemia, and personality changes | EDTA (lavender-top) tube - protect from light | Room temperature: 24 hours Refrigerated: 48 hours Frozen: 30 days | Plasma | Room temperature: 24 hours Refrigerated: 48 hours Frozen: 30 days | Hemolysis • Lipemia • Received room temperature • Received refrigerated • Not protected from light • Specimens collected in gel barrier tube • Tubes other than | B2, Riboflavin | Fluorometric Detection • High Performance Liquid Chromatography (HPLC) | 0 | Collect blood in an EDTA (lavender-top) tube. Remove plasma within 4 hours of collection and transfer to a light protected pour off tube. If separation of cells can't be performed immediately after collection, keep the whole blood refrigerated and protected from light. The separation of cells must be completed within 4 hours of collection. Separate cells by centrifugation for 8-10 minutes. Transfer plasma to dark brown polypropylene or polyethylene transport tubes to protect from light tube immediately. Alternately, neutral colored polypropylene or polyethylene tubes can be used if wrapped in aluminum foil. | |||||||
| 91029 | Vitamin B3 | 84591 | The amino acid tryptophan can be metabolically converted into niacin. Vitamin B3, also called niacin and nicotinic acid, is a water soluble B vitamin. It plays a role in releasing energy from carbohydrates and fats, metabolizes proteins, and assists in the production of some hormones and in the formation of red blood cells. Niacin is also thought to prevent and treat diabetes, improve circulation (as inositol hexaniacinate); and relieve arthritis.Niacin deficiency causes pellagra. Other forms of niacin may help prevent the development of childhood diabetes (Type I) in high risk children. | Red-top tube (no gel) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Serum Separator Tube (SST) | Niacin | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum from cells and submit in a transport tube, ship frozen | |||||||
| 91030 | Vitamin B5 (Pantothenic Acid) | 84591 | Specimen Stability: ROOM TEMPERATURE: 6 HOURSREFRIGERATED: 4 DAYSFROZEN: 30 DAYS | Red-top tube (no gel) | Room temperature: 6 hours Refrigerated: 4 days Frozen: 30 day | Serum | Room temperature: 6 hours Refrigerated: 4 days Frozen: 30 day | Received room temperature | Pantothenic acid | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Separate serum from cells and submit in a transport tube. | |||||||
| 926 | Vitamin B6 , Plasma | 84207 | Test is used to determine vitamin B6 deficiency or overdosage, for monitoring treatment, and to evaluate wellness and health. | EDTA (lavender-top) tube | Room temperature: 6 hours Refrigerated: 12 hours Frozen: 6 days | Plasma | Room temperature: 6 hours Refrigerated: 12 hours Frozen: 6 days | Hemolysis • Lipemia • Received room temperature • Received refrigerated | Pyridoxal Phosphate, Pyridoxal™, B6 Vitamin | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | Overnight fasting is required. Separate cells within 6 hours by centrifugation . Transfer plasma to an amber polypropylene or polyethylene transport tube to protect from light. Alternately, neutral color polypropylene or polyethylene tube can be used if wrapped in aluminum foil. Freeze the tubes and Ship frozen. | |||||||
| 929 | Vitamin C (Ascorbic Acid) | 82180 | Vitamin C is an antioxidant involved in connective tissue metabolism, drug-metabolizing systems, and mixed-function oxidase systems to list a few. Vitamin C deficiency causes scurvy; manifestations include impaired formation of mature connective tissue, bleeding into the skin, weakness, fatigue, and depression. | Serum Separator Tube (SST) protected from light | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Serum | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 30 days | Received room temperature • Received refrigerated but not protected from light | Ascorbic Acid | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | PROTECT FROM LIGHT. Overnight fasting is requiredSend serum in an amber tube. If amber tube is not available, wrap tube in aluminum foil to protect from light or Transport tube protected from light. | |||||||
| 7068 | Vitamin D with reflex to PTH | 82306 | Total Vitamin D , with reflex to PTH in the present of vitamin D deficiancy . | Serum Separator Tube (SST) | Room temperature: 8 hrs Refrigerated: 2 days Frozen: 6 days | Serum | Room temperature: 8 hrs Refrigerated: 2 days Frozen: 6 days | Immunochemiluminometric assay (ICMA) This assay is performed on the DiaSorin Liason instrument in mu | 0 | Separate serum from cells within 45 minutes of venipuncture. | |||||||||
| 7066 | Vitamin D, 25-Hydroxy | 82306 | Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor absorption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead to hypercalcemia | Serum Separator Tube (SST) | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | Serum | Room temperature: 14 days Refrigerated: 14 days Frozen: 60 days | Gross hemolysis • Grossly lipemic • Plasma | Vit d, VITD | Immunochemiluminometric assay (ICMA) This assay is performed on the DiaSorin Liason instrument in multiple laboratories throughout LabCorp. This highly automated test measures both D2 and D3 together and reports a total 25-hydroxy vitamin D. Major clinical studies, including (but not limited to) the Centers for Disease Control (CDC) National Health and Nutrition Examination Survey (NHANES) data base, the Women's Health Initiative (WHI) studies, and the Harvard-based Health Professionals Studies, employed DiaSorin reagents. | 0 | Separate serum from cells within 45 minutes of venipuncture. | 0.3 mL (NOTE: This volume does NOT allow for repeat testing.) | 0.5 mL | |||||
| 931 | Vitamin E (Tocopherol) | 84446 | Deficiency of vitamin E may cause extensive neuropathy in young children and, in addition, is suspect as a possible cause of motor and sensory neuropathy in older children and in adults. One likely cause of vitamin E deficiency is intestinal malabsorption, resulting from bowel disease, pancreatic disease, or chronic cholestasis. Other causes of malabsorption of vitamin E include celiac disease, cystic fibrosis, and intestinal lymphangiectasia. | Alpha-Tocopherol, Beta-Gamma-Tocopherol | Serum Separator Tube (SST) | Room temperature: 24 hours Refrigerated: 7 days Frozen: 28 days | Serum protected from light | Room temperature: 24 hours Refrigerated: 7 days Frozen: 28 days | Received room temperature • Received not protected from light (room temperature or refrigerated) | Alpha-Tocopherol | High Performance Liquid Chromatography (HPLC) | 0 | Overnight fasting is preferred | ||||||
| 1710 | VMA (Vanillylmandelic Acid), Random Urine | 82570, 84585 | Clinical Significance: Urinary vanillylmandelic acid is useful in diagnosing neuroblastoma, one of the most common tumors in the pediatric population.Specimen Stability: Room temperature: 10 days Refrigerated: 14 daysFrozen: 1 year | Creatinine | Urine container | Room temperature: 10 days Refrigerated: 14 days Frozen: 1 year | Urine | Room temperature: 10 days Refrigerated: 14 days Frozen: 1 year | High Performance Liquid Chromatography (HPLC) | 0 | It is preferable for the patient to be off medications for three days prior to collection. However, common antihypertensives (diuretics, ace inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patient should avoid alcohol, coffee, tea, tobacco (including use of nicotine patch), bananas, citrus fruits and strenuous exercise prior to collection. Urine without preservative is acceptable if pH is below 6 and the sample is shipped frozen | ||||||||
| 19790 | von Willebrand Comprehensive Panel | 85240, 85245, 85246, 85247, 85730 | Detection of deficiency or abnormality of von Willebrand factor and related deficiency of factor VIII coagulant activity Subtyping von Willebrand disease as type 1 (most common), type 2 variants (less common), or type 3 (rare) This test is not useful for detection of hemophilia carriers. | Partial Thromboplastin Time, Activated; Factor VIII Activity, Clotting; von Willebrand Factor Antigen; Ristocetin Cofactor; von Willebrand Antigen, Multimeric Analysis; Interpretation | 3.2% sodium citrate (light blue- top) tube (x4) | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 14 days | Plasma | Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 14 days | Received room temperature • Received refrigerated | Clot, Enzyme-linked immunosorbent assay (ELISA), latex immuno-agglutination assay, platelet agglutination | 0 | Platelet-poor plasma: Centrifuge light blue-top tube 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice.Note: Storage of whole blood at refrigerated temperatures prior to processing may lead to cryoprecipitate formation and falsely low Factor VIII and von Willebrand Factor studies | |||||||
| 4919 | von Willebrand Factor Antigen | 85246 | Von Willebrand Disease is the most common hereditary bleeding disorder; it may also be acquired. von Willebrand Factor is necessary for platelet adhesion to injured endothelium. von Willebrand Factor Antigen is useful in assessing the quantity of von Willebrand Factor. When combined with other tests, results are useful in categorizing the type of von Willebrand Disease. | 3.2% sodium citrate (light blue-top) tube(x4) | Room temperature: 8 hours Refrigerated: 24 hours Frozen: 30 days | Plasma | Room temperature: 8 hours Refrigerated: 24 hours Frozen: 30 days | Received room temperature • Received refrigerated | Immunoturbidimetric Assay | 0 | Platelet-poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship. | ||||||||
| 90271 | von Willebrand Screen | 85240, 85245, 85246, 85730 | Detection of deficiency or abnormality of von Willebrand factor and related deficiency of factor VIII coagulant activity | Partial Thromboplastin Time, Activated; Factor VIII Activity, Clotting; von Willebrand Factor Antigen; Ristocetin Cofactor | 3.2% sodium citrate (light blue- top) tube(x4) | Room temperature: 8 hours Refrigerated: 24 hours Frozen: 30 days | Plasma | Room temperature: 8 hours Refrigerated: 24 hours Frozen: 30 days | Received room temperature • Received refrigerated | See individual assays | 0 | Platelet-poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice. | |||||||
| 8892 | Wet Prep & KOH | 87210 | Clue cell exam; Trichomonas exam; yeast exam | Clue cell exam; Trichomonas exam; yeast exam | Swab container | 48 hrs | Swab | 48 hrs | 0 | Vaginal swab, sedimented first-void male urine, semen, prostatic fluid, or male urethral swab | |||||||||
| 850858 | Zaleplon, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Zaleplon Present in the following medication: Sonata, Starnoc, Andante | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 489000 | ZAP-70 | 88184, 88185 | Patients with chronic lymphocytic leukemia have variable outcome. Some live with their disease for more than 25 years and some die within a few years. ZAP70 can predict patients who have aggressive disease and need aggressive therapy. | EDTA (lavender-top) tube | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | Whole blood or bone marrow | Room temperature: 72 hours Refrigerated: Unacceptable Frozen: Unacceptable | 0 | |||||||||||
| 93870 | Zika Virus RNA, Qualitative, RT-PCR | 87662 | Testing should only be performed on individuals meeting Centers for Disease Control and Prevention (CDC) Zika virus clinical criteria (e.g., a history of clinical signs and symptoms associated with Zika virus infection); CDC Zika virus epidemiological criteria (e.g. history of residence in or travel to a geographic region with active Zika transmission at the time of travel, or other epidemiological criteria for which Zika virus testing may be indicated); and/or the CDC guidelines. Most people with Zika virus infection are asymptomatic. Symptomatic individuals typically experience a mild illness characterized by fever, joint pain, rash, or conjunctivitis. Clinical illness is usually self-limited and lasts a week or less. Not all symptomatic patients report all of these clinical findings, and Zika manifestations overlap significantly with those seen in other viral infections. The incubation period is unclear, but likely to be several days. Symptoms generally resolve on their own within a week. | Serum Separator Tube (SST) | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 30 days | Serum | Room temperature: Unacceptable Refrigerated: 7 days Frozen: 30 days | Heparinized specimens • Serum received in a frozen Serum Separator Tube (SST) • Serum received in an unspun Serum Separator Tube (SST) • Serum | 0 | Order Zika test separately from other tests - on a separate test requisition. • Collect blood in a Serum Separator Tube (SST) (preferred) or a standard red-top • Allow blood to clot at room temperature. • Blood collection tube should be centrifuged as soon as possible and serum transferred to a plastic transfer tube in order to avoid hemolysis. • Transport refrigerated (cold packs) to local Quest Diagnostics accessioning laboratory.IMPORTANT: If sample is being shipped directly to the performing laboratory facility by an overnight air courier, then transport it frozen on dry ice. • Specimens must not be left in lock boxes. | |||||||||
| 945 | Zinc | 84630 | Zinc is an essential element involved in a myriad of enzyme systems including wound healing, immune function, and fetal development. Zinc measurements are used to detect and monitor industrial, dietary, and accidental exposure to zinc. Also, zinc measurements may be used to evaluate health and monitor response to treatment. | EDTA (royal blue-top) tube | Room temperature: 5 days Refrigerated: 10 days Frozen: 30 days | Plasma | Room temperature: 5 days Refrigerated: 10 days Frozen: 30 days | Hemolysis • Plasma/serum not separated from cells within 2 hours • Specimens submitted in non-trace element or non-acid washed container | ZN, Plasma | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) or Atomic Spectroscopy (AS) | 0 | Separate plasma or serum from cells within 2 hours. Transfer separated plasma/serum to a plastic acid-washed or metal-free vial. | |||||||
| 948 | Zinc Protoporphyrin (ZPP) | 84202 | Zinc protoporphyrin (ZPP) accumulates in erythrocytes as a result of chronic lead absorption or iron deficiency anemia. | EDTA (lavender-top) tube | Room temperature: 4 days Refrigerated: 10 daysFrozen: Unacceptable | Whole blood | Room temperature: 4 days Refrigerated: 10 daysFrozen: Unacceptable | Hemolysis • Received frozen • Clotted | Free Erythrocyte Protoporphyrin | Hematofluorometry | 0 | Specimen should be foil-wrapped to protect from light. Use a lead-free tube if blood lead is also requested. | 0.2 mL | 7 mL | |||||
| 6354 | Zinc, RBC | 84630 | Zinc is an essential element involved in a myriad of enzyme systems including wound healing, immune function, and fetal development. Zinc measurements are used to detect and monitor industrial, dietary, and accidental exposure to zinc. Also, Zinc measurements may be used to evaluate health and monitor response to treatment. | EDTA trace metal-free (royal blue-top) tube | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Red blood cells | Room temperature: 7 days Refrigerated: 7 days Frozen: Unacceptable | Moderate hemolysis • Clotted • Received frozen | RBC Zinc | Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) | 0 | Carefully clean skin prior to venipuncture. Avoid hemolysis. Avoid worksite collection.Red blood cells trace metal: Use the royal blue-top trace metal evacuated tube (Beckton-Dickinson catalog #367736) with EDTA for RBC trace metal testing.Packed cells: Centrifuge to separate plasma from RBCs and discard plasma. Transfer RBCs to a plastic transfer vial from a Quest Diagnostics (trace element and metal free) collection kit or transfer to a plastic screw-cap vial. | |||||||
| 850859 | Zolpidem, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Zolpidem Zolpidem-COOH Present in the following medication: Ambien, Zolpimist, Ambien CR Edluar | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . | |||||||||
| 37852 | Zonisamide | 80203 | Zonisamide is commonly used as an adjunct together with other conventional anticonvulsants. As multiple drugs are administered, it is important to monitor its level to optimize therapeutic effects, to assure compliance, and to avoid toxicity. | Red-top tube (no gel) | Room temperature: 24 hours Refrigerated: 14 days Frozen: 45 days | Serum | Room temperature: 24 hours Refrigerated: 14 days Frozen: 45 days | Gel barrier/Serum Separator Tube (SST) | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | 0 | |||||||||
| 850860 | Zopiclone, LCMS Confirmation, Ur | G0480 | Toxicology LCMS confirmation are used to identify substances affecting a patient and to guide the clinician to predict future toxic effects, to confirm the differential diagnosis or to guide therapy. Accurate diagnosis of clinical intoxication secondary to illicit drug use based on clinical history and physical examination may be difficult without laboratory confirmation. This testing is also necessary when multiple drug ingestion is involved, as the effects of one drug may mask the clinical signs and symptoms of the effects of other drugs. | Zopiclone Present in the following medication: Zimovane, Imovane | Sealed Urine Container | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | Urine | Room temperature: 10 days Refrigerated: 30 days Frozen: 30 days | 0 | Urine temperature monitoring cup is recommended for samples integrity . |