Download Procedure List-A

ACETAMINOPHEN
ACTM
Specimen Required:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Reference Range:
10.0 - 30.0 ug/mL
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
82003
__________________________________________________________________
ACETONE
ACTN
Specimen Required:
1 mL Na Flouride/K Oxalate whole blood (grey tube)
Special Instructions:
Do not uncap tube. Use a non-alcohol based solution to clean collection site
Reference Range:
Negative
Analytical Time:
3 Days
Day(s) Test Set Up:
Daily
CPT Code:
82009
__________________________________________________________________
ACETYLCHOLINE RECEPTOR ANTIBODY
ACER
Specimen Required:
2.5 mL blood collected in a non-additive tube. Separate
and send 1 mL of serum (0.2 mL minimum).
Reference Range:
0.0 - 0.7 nmol/L
Analytical Time:
3-6 days
Day(s) Test Set Up:
Monday, Tuesday, Wednesday, Thursday
CPT Code:
84238
__________________________________________________________________
ACID FAST BACILLUS
AFB
AFBB (for blood or bone marrow specimens)
Specimen Required:
For respiratory specimens – 1-2 tsp or more preferably from early morning.
Body fluids – several ml if possible
Tissue – any amount accepted.
Wound – culturette or aspirate
Blood /Bone marrow – call lab for SPECIAL BOTTLE REQUIRED
Analytical Time:
Cultures held 6 weeks.
Days Test Setup
Smears read M-Sat. Cultures setup M-F.
CPT Code:
87116; 87206
______________________________________________________________________
ACID PHOSPHATASE (PROSTATIC)
Phosphatase, Acid Prostatic
ACIDP
Specimen Required:
Special Instructions:
1 mL blood, gold gel tube
Avoid hemolysis. Transfer a minimum of 0.3 mL serum to
plastic vial.
Reference Range:
0.0 - 2.7 ng/mL
Analytical Time:
2 days
Day(s) Test Set Up:
Daily
CPT Code:
84066
__________________________________________________________________
Page 1
1/18/2013
ADENOVIRUS ANTIBODY TITER
ADENO
Specimen Required:
2.5 mL blood in red top tube, no additives
Special Instructions:
Separate serum and keep refrigerated. Send 1.0 mL of serum (0.5 mL minimum)
Reference Range:
<8
Analytical Time:
3-6 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
86603
___________________________________________________________________
ADRENOCORTICOTROPHIC HORMONE
ACTH
Specimen Required:
Special Instructions:
1.5 mL EDTA blood, lavender top tube, chilled prior to collection
Centrifuge immediately, transfer a minimum of 0.5 mL of plasma to plastic vial ASAP and
freeze immediately
Reference Range:
Interpretive report provided with results
Analytical Time:
3-6 days
Day(s) Test Set Up:
Monday, Wednesday, Friday
CPT Code:
82024
____________________________________________________________________
AFB
See ACID FAST BACILLUS
_________________________________________________________________
ALBUMIN
ALB
Specimen Required:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Reference Range:
2.7 – 4.7 gm/dL
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
82040
__________________________________________________________________
ALCOHOL-ETHANOL
ALCL, ETOH
Specimen Required:
Special Instructions:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Medical purposes only; do not use alcohol to
cleanse venipuncture site. Do not uncap tube.
Reference Range:
< 10 mg/dL
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
82055
__________________________________________________________________
ALDOLASE
ALDO
Specimen Required:
Special Instructions:
Reference Range:
Analytical Time:
Day(s) Test Set Up:
CPT Code:
5 mL blood, gel tube
Avoid hemolysis, lipemia and icterus. Transfer 2.0 mL (min 0.5 mL) serum to plastic vial,
freeze
2.9 - 8.6 IU/L
2-5 days
Monday - Saturday
82085
Page 2
1/18/2013
__________________________________________________________________
ALDOSTERONE, SUPINE
ALDOS
Specimen Required:
Special Instructions:
5 mL blood, gel tube or heparinized tube
Patient should be lying down for 30 minutes prior to draw. Separate serum within 30 mins.
Send a minimum of 0.6 mL of serum or plasma.
Reference Range:
2.0 - 9.0 ng/dL
Analytical Time:
2-5 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
82088
__________________________________________________________________
ALDOSTERONE, UPRIGHT
ALDOU
Specimen Required:
Special Instructions:
5 mL blood, gel tube or heparinized tube
Patient should remain standing for 30 minutes prior to draw. Separate serum within 30
minutes. Send a minimum of 0.6 mL of serum or plasma.
Reference Range:
Interpretive report provided with results
Analytical Time:
2-5 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
82088
__________________________________________________________________
ALKALINE PHOSPHATASE
ALKP
Specimen Required:
Reference Range:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Age/sex dependent; appropriate normals
provided with result.
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
84075
__________________________________________________________________
ALKALINE PHOSPHATASE ISOENZYMES
Fractionated Alkaline Phosphatase
ALKPISO
Specimen Required:
Special Instructions:
Reference Range:
5 mL blood, gel tube
Send 2 mL of serum (1.0 minimum)
Age/sex related; appropriate normals
provided with result
Analytical Time:
2-5 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
84075/84080
Test Includes:
Alk phos total, liver fraction, bone fraction,
intestinal fraction
_____________________________________________________________
ALPHA 1 ANTITRYPSIN
A1A
Page 3
1/18/2013
Specimen Required:
2.0 mL blood, gel tube.
Special Instructions:
Separate serum and send 1mL of serum. Avoid hemolysis and lipemia.
Reference Range:
89-199 mg/dL
Analytical Time:
1-4 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
82103
__________________________________________________________________
ALPHA FETOPROTEIN (CA)
AFP (Tumor Marker)
AFPCA
Specimen Required:
1.5 mL blood, gel tube
Special Instructions:
Reject if hemolyzed. EDTA and Heparinized plasma acceptable.
Reference Range:
0.0 – 8.7 ng/mL
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
82105
__________________________________________________________________
ALPHA FETOPROTEIN (NTD)
AFPNTD (Neural Tube Defect Marker)
Specimen Required:
2.5 mL blood, gel tube
Special Instructions:
Requires special requisition form
Reference Range:
Interpretive report provided with results
Analytical Time:
2-4 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
82105
__________________________________________________________________
ALT
SGPT
Specimen Required:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Reference Range:
Age/sex dependent; appropriate normals provided with result
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
84460
__________________________________________________________________
ALUMINUM
AL
Specimen Required:
Full 10 mL navy EDTA trace metal tube. Separate plasma within 2 hrs of collection.
Transfer 3mL (2mL min) to acid washed vial. Avoid hemolysis.
Special Instructions:
Patient should refrain from taking antacids for 3 days prior to blood collection
Reference Range:
0-7 ug/L
Analytical Time:
1-3 days
Day(s) Test Set Up:
Tuesday- Saturday
CPT Code:
82108
__________________________________________________________________
Page 4
1/18/2013
AMIKACIN VALLY
AMIKV
Specimen Required:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Special Instructions:
Draw just before next dose
Reference Range:
5-10 ug/mL Adult
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
80150
_________________________________________________________________
AMIKACIN PEAK
AMIKP
Specimen Required:
Special Instructions:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
IV infusion: draw 30 minutes after completion
IM injection: draw 60 minutes after
Reference Range:
20-25 ug/mL
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
80150
___________________________________________________________________
AMIKACIN LEVEL
AMIKL
Specimen Required:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Reference Range:
5 – 20 µg/mL
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
80150
____________________________________________________________________
AMINO ACID SCREEN, PLASMA
AAS
Specimen Required:
Special Instructions:
5 mL blood, green top Na Hep tube
Transfer plasma to plastic vial and freeze within 30 minutes of collection. Minimum of
2mL of plasma. Reject if thawed.
Reference Range:
Interpretive report provided with results
Analytical Time:
1-3 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
82128
__________________________________________________________________
AMINO ACID SCREEN, URINE
AASU
Specimen Required:
10 mL urine in a sterile container with no acid or preservatives
Special Instructions:
Freeze urine aliquot immediately
Reference Range:
Interpretive report provided with results
Analytical Time:
1-3 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
82128
___________________________________________________________________
Page 5
1/18/2013
AMMONIA
NH3, NH4
AMM
Specimen Required:
Special Instructions:
Reference Range:
2.5 mL blood (min 1 mL), lavender top tube, chilled on ice. Avoid hemolysis.
Collect on ice, transfer plasma into plastic vial and freeze.
Male:
28.2-80.4 ug/dL
Female: 19.5-64.6 ug/dL
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
82140
__________________________________________________________________
AMMONIA - ARTERIAL
NH3, NH4
Specimen Required:
Special Instructions:
Reference Range:
2.5 mL arterial blood (min 1 mL), lavender top tube, chilled on ice. Avoid hemolysis
Collect on ice, transfer plasma into plastic vial and freeze.
Male:
28.2-80.4 ug/dL
Female: 19.5-64.6 ug/dL
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
82140
__________________________________________________________________
AMPHETAMINE SCREEN - URINE
AMPHU
Specimen Required:
50 mL urine (single test volume requirement or combined with other drug screens)
Special Instructions:
Positives sent to reference lab for confirmation
Reference Range:
Negative
Analytical Time:
4 hours if negative
Day(s) Test Set Up:
Daily
CPT Code:
80101
__________________________________________________________________
AMOEBA SEROLOGY
Amoebic Antibodies
AMOAB
Specimen Required:
2 mL blood, gel tube or heparinized tube
Special Instructions:
Separate serum from cells as soon as possible. 1 mL of serum or 0.2 mL minimum.
Reference Range:
Interpretive report provided with results
Analytical Time:
2-5 days
Day(s) Test Set Up:
Monday, Wednesday and Friday
CPT Code:
86753
__________________________________________________________________
AMYLASE
AMY
Specimen Required:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Reference Range:
Less than 88 U/L
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
82150
_________________________________________________________________
Page 6
1/18/2013
AMYLASE - FLUID
AMYF
Specimen Required:
1 mL body fluid
Special Instructions:
Specify type of fluid
Reference Range:
Normal values not defined
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
82150
__________________________________________________________________
ANA
Anti-Nuclear Antibodies
Anti-Centromere Antibodies
ANA, ANTINUCAB
Specimen Required:
5ml SERUM gel tube
Special Instructions:
Avoid hemolysis. Positive ANA’s will reflex to a pattern and titer.
Reference Range:
<1:80 = Negative
Analytical Time:
2-3 days if positive
Day(s) Test Set Up:
Monday - Friday
CPT Code:
86038 (86039-Titer)
__________________________________________________________________
ANAEROBIC CULTURE
AC
Specimen required:
Abscess or deep wound, tissue and sterile body fluid other than urine, blood or CSF.
Tissue and fluids are preferred but if swabs must be used, collect 2 anaerobic transport
swabs.
Reference Range:
No growth
Analytical Time:
2-5 days
Day(s) Set Up:
Daily
CPT Code:
87075
__________________________________________________________________
ANGIOTENSIN CONVERTING ENZYME
ACE
Specimen Required:
2.5 mL blood, gel tube.
Special Instructions:
Centrifuge within 1 hour of collection. Refrigerate 1 mL of serum (0.2 mL minimum)
Reference Range:
9-67 U/L
Analytical Time:
2-5 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
82164
__________________________________________________________________
ANTI-BASEMENT MEMBRANE ANTIBODY
Glomerular Basement (Membrane) Antibody
Basement Membrane Antibody
GBM
Specimen Required:
Reference Range:
Analytical Time:
Day(s) Test Set Up:
4 0 mL blood, red top tube no additives. 2.0 mL of serum (1 mL minimum)
Less than 3 U/mL- Negative
2-5 days
Tuesday,Thursday,Saturday
Page 7
1/18/2013
CPT Code:
83520
__________________________________________________________________
ANTI-CARDIOLIPIN ANTIBODY
Cardiolipin Antibody
CAR
Specimen Required:
2.5 mL blood, red top tube. No additives. 1 mL of serum minimum.
Reference Range:
Interpretive report provided with results
Analytical Time:
1-3 days
Day(s) Test Set Up:
Monday-Saturday
CPT Code:
Cardiolipin screen is performed first 83516. Relex to 86147 x2 if positive.
Test Includes:
Cardiolipin IgG Ab, Cardiolipin IgM Ab
___________________________________________________________________
ANTI-CENTROMERE ANTIBODY
See ANA
ANTI-DNA (DS)
Antibodies, Double Stranded
DNA Antibodies, Native
DNA
Specimen Required:
Special instructions:
Reference Range:
2.5 mL blood, gel tube. 1 mL serum. Avoid hemolysis.
Positive results will reflex a titer.
<1:10 - Negative
Analytical Time:
3-5 days
Day(s) Test Set Up:
Monday, Thursday
CPT Code:
86255
__________________________________________________________________
ANTI-INTRINSIC FACTOR ANTIBODY
Intrinsic Factor Blocking Antibody
INTAB
Specimen Required:
2 mL blood, red top tube no additives. 1mL serum.
Special Instructions:
Do not collect sample within 48 hours of a B12 injection
Reference Range:
Negative
Analytical Time:
1-3 days
Day(s) Test Set Up:
Tuesday, Thursday and Saturday
CPT Code:
86340
__________________________________________________________________
ANTI-MITOCHONDRIAL ANTIBODY
Mitochondrial Antibody
AMA
Specimen Required:
2 mL blood, gel tube. 1 mL of serum.
Special Instructions:
Avoid hemolysis
Reference Range:
Negative
Analytical Time:
1-3 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
86255. Reflex to titer if positive 86256
___________________________________________________________________
ANTI-SMOOTH MUSCLE ANTIBODY
Smooth Muscle Antibody
Page 8
1/18/2013
SMAB
Specimen Required:
Special Instructions:
Reference Range:
2.5 mL blood, gel tube. 1 mL of serum
Not the same as SM Antibody. For SM Antibody, see Extractable Nuclear Antigen.
Negative
Analytical Time:
1-3 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
86255. If positive, reflex to titer 86256
__________________________________________________________________
ANTITHROMBIN III ACTIVITY, FUNCTIONAL
AT3
Specimen Required:
5 mL blood, 3.2% blue top tube; must be filled to completion
Special Instructions:
Transfer plasma to plastic vial and freeze immediately if testing will be delayed > 4 hours.
Reference Range:
80-120 % of Normal
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
85300
__________________________________________________________________
ARTHRITIS PROFILE
ART
Specimen Required:
5 mL blood, gold gel tube and 2.5 mL EDTA tube
Reference Range:
See individual tests
Analytical Time:
2-4 days
Day(s) Test Set Up:
Monday - Friday
CPT Code:
80072
Standard Profile Includes: ANA, RA, Sed Rate, Uric Acid
_____________________________________________________________
ANTI-STREPTOLYSIN O TITER
ASO
Streptozyme
Specimen Required:
3 mL blood, gel tube
Reference Range:
Children <6y/o Negative; <100 IU/mL. >6 y/o Negative <200 IU/mL
Analytical Time:
1-3 days
Day(s) Test Set Up:
Daily
CPT Code:
86060
__________________________________________________________________
ASPERGILLUS SEROLOGY
ASPAB
Specimen Required:
2.5 mL blood, red top tube no additives. Send 1mL serum. Keep refrigerated.
Reference Range:
Negative, None Detected
Analytical Time:
1-3 days
Day(s) Test Set Up:
Tuesday, Thursday, Saturday
CPT Code:
86606 x3
Test Includes:
Aspergillus Fumigatus, Aspergillus Flavus, Aspergillus Niger
_____________________________________________________________
AST
SGOT
Page 9
1/18/2013
Specimen Required:
2.5 mL blood (0.6 mL minimum), gold gel or green tube or 1 full microtainer
Reference Range:
Age/sex dependent; appropriate normals provided with result
Analytical Time:
4 hours
Day(s) Test Set Up:
Daily
CPT Code:
84450
__________________________________________________________________
Page 10
1/18/2013