Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download To use this template
Document related concepts
no text concepts found
Transcript
PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 11-DEOXYCORTISOL 17-OH CORTICOSTEROIDS, URINE 11-DEOXYCORTISOL Order code 11-DEOXY This method is not appropriate for patients less than 3 months old. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Patient's age. Stability - room temp 2 days Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.1 mL Alternate specimens EDTA or heparinized plasma (lavender or green top tube). Limitations Avoid repeat freeze/thaw cycles. Test schedule Mon, Thu Turnaround time 4-10 days Test includes 11-Deoxycortisol, µg/dL. Synonyms Compound S CPT codes 82634 Notes Specimen may be thawed once and refrozen if sample needs to be split. 17-ALPHA-HYDROXYPROGESTERONE Order code 17AHYD Container type Brick top tube (SST or Corvac) Specimen type Frozen Serum Preferred volume 1 mL Specimen processing Separate serum from cells within 1 hour and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 1 day Stability - refrigerated 3 days Stability - frozen (-20°C) Indefinitely Minimum volume 0.5 mL Test schedule Mon-Sat Turnaround time 4-7 days Test includes 17-Alpha-hydroxyprogesterone, ng/dL. CPT codes 83498 17-HYDROXYPROGESTERONE Order code OH-PROGEST Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Required patient info Patient's date of birth. Stability - room temp 2 days Stability - refrigerated 7 days Stability - frozen (-20°C) 6 months Minimum volume 0.2 mL Alternate specimens EDTA or sodium heparinized plasma (lavender or green top tube). Test schedule Mon-Sat Turnaround time 3-6 days Test includes 17-Hydroxyprogesterone, ng/dL. Synonyms 17-OH Progesterone CPT codes 83498 17-KETOGENIC STEROIDS, URINE Order code KETOGENIC Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 50 mL Collection procedure Add 25 mL of 50% acetic acid to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Use 15 mL 50% acetic acid for children less than 5 years old. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated. Required patient info Total volume. Minimum volume 32 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Time, hrs; Volume, mL; 17-Ketogenic Steroids, mg/24hr; 17-Keto-Steroids, mg/24hr. CPT codes 83582, 83586 17-KETOSTEROIDS, URINE Order code KETO Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 5 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Adjust pH to 2-4with 6N HCl. A pH of LT 2 will decease analyte stability. Record total volume. Store and transport refrigerated. Required patient info Total volume and Collection period. Stability - room temp unstable Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 month Minimum volume 4 mL Alternate specimens Refrigerated specimens. Test schedule Tue, Fri Turnaround time 3-5 days Test includes Time, h; Volume, mL; 17 Keto Steriods, mg/dL; 17 Keto Steroids, mg/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d. CPT codes 83586 17-KETOSTEROIDS, URINE (FRACTIONATED) Order code 17-KETO FRAC Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 50 mL Collection procedure Add 25 mL of 50% acetic acid to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Use 15 mL 50% acetic acid for children less than 5 years old. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2-4. Store and transport refrigerated. Record total volume. Required patient info Collection period and volume. Minimum volume 10 mL Test schedule Mon, Tue, Fri Turnaround time 5-10 days Test includes Time, h; Volume, mL; Androsterone; Etiocholanolone; DHEA; Pregnanetriol; 11-Keto-Androsterone; 11Ketoetiocholanolone; 11-Hydroxyandrosterone; 11-HydroxyEtiocholanolone. CPT codes 83593 17-OH CORTICOSTEROIDS, URINE Order code 17HUQ Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 15 mL Collection procedure Add 10 grams of boric acid to a 24-hour dark plastic urine container to maintain the pH below 7.5. Collect a 24hour specimen. Refrigerate during collection. Specimen processing Aliquot 15 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated. Required patient info Total volume. Stability - refrigerated 1 week Stability - frozen (-20°C) 1 month Minimum volume 5 mL Test schedule Tue-Fri Turnaround time 7-8 days Test includes Collection Period, hrs; Volume, mLs; 17Hydroxycorticosteroids, mg/24h; Creatinine Urine, g/24h. Synonyms 17-Hydroxycorticosteroids CPT codes 83491 11/18/02 -1- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 17-OH PREGNENOLONE ACETAMINOPHEN 17-OH PREGNENOLONE Order code 17OHPG Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 1 day Stability - refrigerated 3 days Stability - frozen (-20°C) Indefinitely Minimum volume 0.5 mL Test schedule Mon, Wed, Fri Turnaround time 4-7 days Test includes 17-OH Pregnenolone, ng/dL. CPT codes 84143 3-ALPHA-ANDROSTANEDIOL GLUCURONIDE Order code 3-AAG Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 days Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Minimum volume 0.3 mL Test schedule Tue Turnaround time 7-12 days Test includes 3-Alpha-Diol Glucuronide, ng/dL. Synonyms 3-Alpha-Diol Glucuronide; 3-Alpha Diol G CPT codes 82154 5' NUCLEOTIDASE Alternate specimens 24-hour urine collected with 10 grams of boric acid, 25 mL of 50% acetic acid and then pH to 1-4 with 6N HCl. Specimens may also be refrigerated during collection without a preservative and the pH adjusted to 1-4 with 6N HCl upon receipt. Test schedule Mon, Wed, Fri days Turnaround time 2-5 days Test includes Time, h; Volume, mL; 5-HIAA, Urine, mg/24h. Synonyms Serotonin Metabolite; 5-Hydroxyindoleacetic Acid CPT codes 83497 5-HIAA, URINE (RANDOM) Order code 5HIAA.R Patient Prep Patient should avoid avocados, bananas, plums, walnuts, pineapple and eggplant for 48 hours prior to and during collection. If possible, medication should be withheld 3-4 days before collection. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 25 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 25 mL of a random urine specimen. Adjust pH to 1-4 with 6N HCl. Store and transport refrigerated or at room temperature. Stability - room temp 1 month Stability - refrigerated 1 year Stability - frozen (-20°C) 3 years Minimum volume 1 mL Alternate specimens Specimens adjusted to pH 1-4 with glacial acetic acid or 12 grams of boric acid. Test schedule Mon, Wed, Fri days Turnaround time 2-5 days Test includes 5-HIAA, Urine, mg/L. Synonyms Serotonin Metabolite; 5-Hydroxyindoleacetic Acid CPT codes 83497 ABO & RH Order code 5NT Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 1 week Stability - frozen (-20°C) 2 weeks Unacceptable conditions Non-frozen specimens. Minimum volume 0.2 mL Limitations Avoid repeat freeze-thaw cycles and hemolysis. Test schedule Sun-Sat Turnaround time 3 days Test includes 5' Nucleotidase, U/L. CPT codes 83915 Order code ABO/RH Container type Black top tube (buffered sodium citrate) and Red top tube (plain) Specimen type Serum and whole blood Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Unacceptable conditions Hemolyzed cells. Minimum volume 0.5 mL serum and cells Alternate specimens EDTA (lavender top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes ABO; RH. Synonyms Blood Type CPT codes 86900, 86901 5-HIAA, URINE (QUANTITATIVE) ABO GROUP Order code 5-HIAA Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection & total volume. There is no charge for this test. Patient Prep Patient should avoid avocados, bananas, plums, walnuts, pineapple and eggplant for 48 hours prior to and during collection. If possible medication should be withheld 3-4 days prior to collection. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 25 mL Collection procedure Add 25 mL 6N HCl to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 25 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-4. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Stability - room temp 1 month Stability - refrigerated 1 year if acidified Minimum volume 5 mL Order code ABO Container type Black top tube (buffered sodium citrate) and Red top tube (plain) Specimen type Serum and whole blood Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Unacceptable conditions Hemolyzed cells. Minimum volume 0.5 mL serum and cells Alternate specimens EDTA (lavender top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes ABO. CPT codes 86900 ACETAMINOPHEN Order code TYLEN Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL 11/18/02 -2- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ACETONE ACID PHOSPHATASE, PROSTATIC Collection procedure Draw peak specimen 1 hour post IM dose or 1/2 hour post IV infusion. Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Peak or trough specimen, time of dose. Stability - refrigerated 24 hours Minimum volume 0.2 mL Alternate specimens EDTA or sodium heparinized plasma (lavender or green top tube) or 1 microtainer. Limitations If testing is delayed more than 24 hours freeze specimen. Test schedule Daily Turnaround time 24 hours Test includes Acetaminophen, µg/mL. Synonyms Tylenol CPT codes 82003 ACETONE Order code ACETONE Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Alternate specimens EDTA or sodium heparinized plasma (lavender or green top tube). Test schedule Mon-Sat days, Mon-Fri nights & STAT Turnaround time 24 hours Test includes Acetone. CPT codes 82009 ACETYLCHOLINE BINDING ANTIBODY Order code AR-AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Limitations Avoid multiple freeze/thaw cycles. Test schedule Mon-Thu Turnaround time 3-7 days Test includes Acetylcholine Binding Antibody, nmol/L. CPT codes 84238 Notes Approximately 10% of individuals with confirmed myasthenia gravis have no measurable binding, blocking or modulating antibody. ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY Order code AR.AB.BLOCK Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Limitations Avoid multiple freeze/thaw cycles. Test schedule Mon, Wed, Thu Turnaround time 2-8 days Test includes Acetylcholine Blocking Antibody, %. CPT codes 84238 ACID HEMOLYSIS (HAM TEST) Order code HAMM This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Yellow top tube (ACD Type A or B), Red top tube (plain) and Blue top tube (buffered sodium citrate). Specimen type Frozen serum and frozen citrated plasma and the cells from both the serum and the citrated plasma tubes Preferred volume 5 mL serum and 2.5 mL plasma Specimen processing Separate serum and plasma from cells and place each in separate plastic tubes and freeze at -70°C and transport frozen. Put the cells from each tube in separate plastic tubes and store and transport at room temperature. Do not spin yellow top tube. Transport at room temperature. Stability - room temp 6 hours Minimum volume 3 mL frozen serum, 1 mL frozen citrated plasma and 1 mL packed cells (room temperature). Test schedule Mon-Fri days Turnaround time 72 hours Test includes Acid Hemolysin; Sucrose Lysis. Synonyms Ham Acid Hemolysin; Acidified Serum Test CPT codes 85475, 86940 Notes The Ham's test is not indicated if the sugar water test is negative unless the diagnosis of HEMPAS is suspected. If the sugar water test is positive, it is confirmed by the Ham Acid Hemolysin Test. Flow cytometric evaluation for PNH allows significantly greater sensitivity and specificity than the Hams test or sucrose hemolysis test and is the method of choice for the diagnosis of PNH. ACID MUCOPOLYSACCHARIDES, URINE Order code ACID MPS Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 2 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 2 mL of a random urine specimen. Store and transport refrigerated. Required patient info Patient's age and clinical information. Minimum volume 1 mL Test schedule Thu Turnaround time 7-10 days Test includes Acid Mucopolysaccharides, Urine (Quant), mg/L; Creatinine, Urine, mg/dL; Acid Mucopolysaccharides Calculation, mg/gCreat; MPS Interpretation. Synonyms Acid MPS CPT codes 83864 ACID PHOSPHATASE WITH TARTRATE STAIN Order code SS.TRAP This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized whole blood (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. Specimen processing Protect from light. Store and transport at room temperature. Limitations Specimen must be processed within 12 hours of collection. Protect from light. Test schedule Mon-Sat days Turnaround time 72 hours Test includes Source; Tartrate Resistant Acid Phosphatase Stain; TRAP Interpretation; Reviewed by. Synonyms TRAP; Cytochemical Stain CPT codes 88319 x 2 ACID PHOSPHATASE, PROSTATIC Order code PAP Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Collection procedure Collect prior to rectal examination or biopsy. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 3 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 6 months Unacceptable conditions Avoid repeat freeze/thaw cycles. Minimum volume 1 mL 11/18/02 -3- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ACTIVATED PROTEIN C RESISTANCE ALDOSTERONE, SERUM Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Acid Phosphatase, Prostatic; ng/mL. Synonyms PAP CPT codes 84066 ACTIVATED PROTEIN C RESISTANCE Order code APCRES Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2-1 mL aliquots Specimen processing Centrifuge for 10 minutes at 3000 rpm. Transfer plasma with a plastic pipette to a plastic tube and cap. Recentrifuge for 10 minutes. Separate the recentrifuged plasma into 2 separate plastic tubes and freeze. Store and transport frozen. Stability - refrigerated 2 hours Minimum volume 2-0.5 mL aliquots Limitations Blood/anticoagulant volume is critical. Test schedule Sat, Wed Turnaround time 2-4 days Test includes APC Resistance, Ratio. CPT codes 85307 ADENOSINE DEAMINASE, RBC Order code ADA.RBC Container type Lavender top tube (EDTA) Specimen type EDTA whole blood Preferred volume 5 mL Specimen processing Store and transport refrigerated. Unacceptable conditions Frozen specimens. Minimum volume 3 mL Alternate specimens Sodium heparin whole blood (green top tube). Test schedule Wed Turnaround time 3-9 days Test includes Adenosine Deaminase, RBC, U/gHgb CPT codes 84311 ADENOVIRUS SEROLOGY Order code ADENO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Adenovirus Serology, Titer. CPT codes 86603 ADRENOCORTICOTROPIC HORMONE ASSAY Order code ACTH Patient Prep Patient should be fasting. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 2 mL Collection procedure Draw between 7:00 A.M. and 10:00 A.M. Patient should be fasting. Draw in pre-chilled tubes. Place sample on ice. Specimen processing Separate plasma from cells immediately and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 0.5 mL Test schedule Mon, Thu evenings Turnaround time 2-7 days Test includes ACTH, pg/mL. Synonyms ACTH CPT codes 82024 ALBUMIN Order code ALB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Albumin, g/dL. CPT codes 82040 ALBUMIN, CSF Order code ALB-C Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 0.5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 72 hours Stability - frozen (-20°C) 3 months Minimum volume 0.3 mL Test schedule Daily Turnaround time 24 hours Test includes Albumin, CSF, mg/dL. CPT codes 82042 ALBUMIN, FLUID Order code ALBFL Container type Red top tube (plain) Specimen type Body fluid. Preferred volume 1 mL Specimen processing Separate fluid from cells and place in separate plastic tube if specimen is grossly bloody. Note type of fluid. Store and transport refrigerated. Required patient info Type of fluid. Stability - refrigerated 72 hours Stability - frozen (-20°C) 6 months Minimum volume 0.2 mL Alternate specimens Heparinized (green top tube) specimens. Test schedule Daily Turnaround time 24 hours Test includes Albumin, Fluid, g/dL. CPT codes 82042 ALDOLASE Order code ALDOLASE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 5 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 2 weeks Unacceptable conditions Hemolyzed specimens and those with cellular contamination. Minimum volume 0.2 mL Limitations Avoid hemolysis. Concentrations with any meds/treatment containing Ag+, Ca2+, Zn2+, and a-phenanthroline. Test schedule Daily Turnaround time 24 hours Test includes Aldolase, U/L. Synonyms ALD; Fructose-Bisphosphate Aldolase CPT codes 82085 ALDOSTERONE, SERUM Order code ALDOSTERONE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days 11/18/02 -4- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALDOSTERONE, URINE ALLERGEN, ALTERNARIA TENUIS (ALTERNATA), IGE Stability - frozen (-20°C) 2 months Unacceptable conditions EDTA plasma (lavender top tube). Minimum volume 0.5 mL Alternate specimens Heparinized plasma (green top tube). Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes Aldosterone, ng/dL. CPT codes 82088 ALDOSTERONE, URINE Order code ALDOSTERONE-U Container type 24-hour dark plastic urine container. Specimen type Frozen 24-hour urine collection. Preferred volume 5 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Preserve urine with 1 gram boric acid per 100 mL urine. Aliquot 5 mL of the preserved urine collection into a leakproof plastic container and freeze. Record total volume. Store and transport frozen. Required patient info Record total volume and collection period. Stability - room temp 2 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Unacceptable conditions Random urine specimens. Minimum volume 1 mL Alternate specimens Specimens preserved with acetic or HCl to pH 3.0-4.5; specimens with no preservative if frozen immediately after collection. Test schedule Tue, Thu, Sat Turnaround time 5-9 days Test includes Time, h; Volume, mL, Aldosterone, Urine, µg/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d. CPT codes 82088 ALDOSTERONE/RENIN RATIO Order code ALDREN Container type Brick top tube (SST or Corvac) and Lavender top tube (EDTA) Specimen type Serum and frozen plasma Preferred volume 4 mL frozen plasma and 2 mL serum Specimen processing Separate plasma from cells within 6 hours of collection and place in separate plastic tube and freeze immediately. Store and transport frozen. Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Both specimen types must be submitted and properly labelled. Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 0.5 mL serum & 2.5 mL frozen plasma Test schedule Renin, Mon-Fri; Aldosterone, Sat, Tue, Thu Turnaround time 2-4 days Test includes Aldosterone, ng/dL; Renin, ng/mL/h; Aldosterone/Renin Ratio, ratio. CPT codes 84244, 82088 ALKALINE PHOSPHATASE Order code AKP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Alkaline Phosphatase, U/L. CPT codes 84075 Notes Previously frozen serum may show a marked decrease in values immediately upon thawing. The activity then increases to initial values. ALKALINE PHOSPHATASE ISOENZYMES (HEAT STABLE) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 5 days Unacceptable conditions EDTA, fluoride & oxalate plasma specimens. Minimum volume 1 mL Limitations Do not freeze. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Alk Phos, U/L; Alk Phos, Heat Stable, U/L; Alk Phos, Heat Stable %. Synonyms Fractionated Alk Phos CPT codes 84075, 84078. ALLERGEN, ACACIA TREE, IGE Order code ICTAC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Acacia Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, ALMOND, IGE Order code ICFAL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Almond, IgE, kU/L. CPT codes 86003 ALLERGEN, ALTERNARIA TENUIS (ALTERNATA), IGE Order code ICMAL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Alternaria Tenuis (Alternata), IgE, kU/L. CPT codes 86003 Order code AKP-ISO Container type Brick top tube (SST or Corvac) 11/18/02 -5- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, AMERICAN BEECH TREE, IGE ALLERGEN, BEEF, IGE ALLERGEN, AMERICAN BEECH TREE, IGE Order code ICTAB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, American Beech Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, APPLE, IGE Order code ICFAP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Apple, IgE, kU/L. CPT codes 86003 ALLERGEN, ASPERGILLUS FUMIGATUS, IGE Order code ICMAF Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Aspergillus Fumigatus, IgE, kU/L. CPT codes 86003 ALLERGEN, ASPERGILLUS NIGER, IGE Order code ICMAN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Aspergillus Niger, IgE, kU/L. CPT codes 86003 ALLERGEN, AUREOBASIDIUM PULLULANS (PULLULARIA), IGE Order code ICMPU Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Aureobasidium Pullaulans (Pullularia), IgE, kU/L. CPT codes 86003 ALLERGEN, BANANA, IGE Order code ICFBN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3days Test includes Allergen, Banana, IgE, kU/L. CPT codes 86003 ALLERGEN, BARLEY, IGE Order code ICFBA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Barley, IgE, kU/L. CPT codes 86003 ALLERGEN, BEEF, IGE Order code ICFBF Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri 11/18/02 -6- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, BENTGRASS, IGE ALLERGEN, CASEIN, IGE Turnaround time 1-3 days Test includes Allergen, Beef, IgE, kU/L. CPT codes 86003 ALLERGEN, BENTGRASS, IGE Order code ICGBG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Bentgrass, IgE, kU/L. CPT codes 86003 ALLERGEN, BERMUDA GRASS, IGE Order code ICGBM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Bermuda Grass, IgE, kU/L. CPT codes 86003 ALLERGEN, BOX ELDER, IGE Order code ICTBE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Box Elder, IgE, kU/L. CPT codes 86003 ALLERGEN, BROCCOLI, IGE Order code ICFBR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Broccoli, IgE, kU/L. CPT codes 86003 ALLERGEN, BROME GRASS, IGE Order code ICGBR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Brome Grass, IgE, kU/L. CPT codes 86003 ALLERGEN, CANDIDA ALBICANS, IGE Order code ICMCA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Candida Albicans, IgE, kU/L. CPT codes 86003 ALLERGEN, CARROT, IGE Order code ICFCA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Carrot, IgE, kU/L. CPT codes 86003 ALLERGEN, CASEIN, IGE Order code ICFCS Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green 11/18/02 -7- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, CASHEW NUT, IGE ALLERGEN, CINNAMON, IGE top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Casein, IgE, kU/L. CPT codes 86003 ALLERGEN, CASHEW NUT, IGE Order code ICFCW Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cashew Nut, IgE, kU/L. CPT codes 86003 ALLERGEN, CAT DANDER, IGE Order code ICECE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cat Dander, IgE, kU/L. CPT codes 86003 ALLERGEN, CEPHALOSPORIUM ACREMONIUM, IGE Order code ICMCP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cephalosporium Acremonium, IgE, kU/L. CPT codes 86003 ALLERGEN, CHESSE, CHEDDAR TYPE, IGE Order code ICFCC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cheese, Cheddar Type, IgE, kU/L. CPT codes 86003 ALLERGEN, CHESSE, MOLD TYPE, IGE Order code ICFMC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cheese, Mold Type, IgE, kU/L. CPT codes 86003 ALLERGEN, CHICKEN MEAT, IGE Order code ICFCK Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Chicken Meat, IgE, kU/L. CPT codes 86003 ALLERGEN, CHOCOLATE/CACAO, IGE Order code ICFCH Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Chocolate/Cacao, IgE, kU/L. CPT codes 86003 ALLERGEN, CINNAMON, IGE Order code ICFCI Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year 11/18/02 -8- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, CLADOSPORIUM HERBARUM, IGE ALLERGEN, COTTONWOOD TREE, IGE Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cinnamon, IgE, kU/L. CPT codes 86003 ALLERGEN, CLADOSPORIUM HERBARUM, IGE Order code ICMCH Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cladosporium Herbarum, IgE, kU/L. CPT codes 86003 ALLERGEN, CLAM, IGE Order code ICFCL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Clam, IgE, kU/L. CPT codes 86003 ALLERGEN, COCKLEBUR, IGE Order code ICWCB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cocklebur, IgE, kU/L. CPT codes 86003 ALLERGEN, COCKROACH, IGE Order code ICICR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cockroach, IgE, kU/L. CPT codes 86003 ALLERGEN, CODFISH (WHITEFISH), IGE Order code ICFCD Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Codfish (Whitefish), IgE, kU/L. CPT codes 86003 ALLERGEN, COMMON SILVER BIRCH , IGE Order code ICTBR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Common Silver Birch , IgE, kU/L. CPT codes 86003 ALLERGEN, CORN (MAIZE), IGE Order code ICFCN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Corn (Maize), IgE, kU/L. CPT codes 86003 ALLERGEN, COTTONWOOD TREE, IGE Order code ICTCW Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. 11/18/02 -9- PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, COW DANDER, IGE ALLERGEN, DOG EPITHELIUM, IGE Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cottonwood Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, COW DANDER, IGE Order code ICECD Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cow Dander, IgE, kU/L. CPT codes 86003 ALLERGEN, COW'S MILK, IGE Order code ICFCM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cow's Milk, IgE, kU/L. CPT codes 86003 ALLERGEN, CRAB, IGE Order code ICFCR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Crab, IgE, kU/L. CPT codes 86003 ALLERGEN, CULTIVATED OAT, IGE Order code ICGCO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Cultivated Oat, IgE, kU/L. CPT codes 86003 ALLERGEN, D. FARINAE (MITE), IGE Order code ICDM2 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, D. farinae (Mite), IgE, kU/L. CPT codes 86003 ALLERGEN, D. PTERONYSSINUS (MITE), IGE Order code ICDM1 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, D. pteronyssinus (Mite), IgE, kU/L. CPT codes 86003 ALLERGEN, DOG DANDER, IGE Order code ICEDD Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Dog Dander, IgE, kU/L. CPT codes 86003 ALLERGEN, DOG EPITHELIUM, IGE Order code ICEDE Container type Brick top tube (SST or Corvac) Specimen type Serum 11/18/02 - 10 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, EGG (WHOLE), IGE ALLERGEN, FALSE RAGWEED, IGE Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Dog Epithelium, IgE, kU/L. CPT codes 86003 ALLERGEN, EGG (WHOLE), IGE Order code ICFEG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Egg (Whole), IgE, kU/L. CPT codes 86003 ALLERGEN, EGG WHITE, IGE Order code ICFEW Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Egg White, IgE, kU/L. CPT codes 86003 ALLERGEN, EGG YOLK, IGE Order code ICFEY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Egg Yolk, IgE, kU/L. CPT codes 86003 ALLERGEN, ELM TREE, IGE Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Elm Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, ENGLISH PLANTAIN (RIBWORT), IGE Order code ICWEP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, English Plantain (Ribwort), IgE, kU/L. CPT codes 86003 ALLERGEN, EUCALYPTUS (GUM) TREE, IGE Order code ICTEU Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Eucalyptus (Gum) Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, FALSE RAGWEED, IGE Order code ICWFR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, False Ragweed, IgE, kU/L. CPT codes 86003 Order code ICTEL Container type Brick top tube (SST or Corvac) 11/18/02 - 11 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, GARLIC, IGE ALLERGEN, HAZEL NUT (FILBERT), IGE ALLERGEN, GARLIC, IGE Order code ICFGA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Garlic, IgE, kU/L. CPT codes 86003 ALLERGEN, GIANT RAGWEED, IGE Order code ICWGR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Giant Ragweed, IgE, kU/L. CPT codes 86003 ALLERGEN, GLUTEN, IGE Order code ICFGT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Gluten, IgE, kU/L. CPT codes 86003 ALLERGEN, GOLDENROD, IGE Order code ICWGD Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Goldenrod, IgE, kU/L. CPT codes 86003 ALLERGEN, GOOSE FEATHERS, IGE Order code ICEGF Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Goose Feathers, IgE, kU/L. CPT codes 86003 ALLERGEN, GRAPE (RAISIN), IGE Order code ICFGR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Grape (Raisin), IgE, kU/L. CPT codes 86003 ALLERGEN, GREY ALDER TREE, IGE Order code ICTAL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Grey Alder Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, HAZEL NUT (FILBERT), IGE Order code ICFHZ Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days 11/18/02 - 12 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, HAZEL NUT TREE, IGE ALLERGEN, JOHNSON GRASS, IGE Test includes Allergen, Hazel Nut (Filbert), IgE, kU/L. CPT codes 86003 ALLERGEN, HAZEL NUT TREE, IGE Order code ICTHZ Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Hazel Nut Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, HELMINTHOSPORIUM HALODES, IGE Order code ICMHL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Helminthosporium Halodes, IgE, kU/L. CPT codes 86003 ALLERGEN, HONEYBEE VENOM, IGE Order code ICIHB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Honeybee Venom, IgE, kU/L. CPT codes 86003 ALLERGEN, HORSE DANDER, IGE Order code ICEHH Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Horse Dander, IgE, kU/L. CPT codes 86003 ALLERGEN, HOUSE DUST (GREER), IGE Order code ICHDG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green tup tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, House Dust (Greer), IgE, kU/L. CPT codes 86003 ALLERGEN, HOUSE DUST (HOLLISTERSTEIR), IGE Order code ICHDS Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, House Dust (Hollister-Steir), IgE, kU/L. CPT codes 86003 ALLERGEN, JAPANESE CEDAR, IGE Order code ICTRW Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Japanese Cedar, IgE, kU/L. CPT codes 86003 ALLERGEN, JOHNSON GRASS, IGE Order code ICGJO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week 11/18/02 - 13 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, KOCHIA (FIREBUSH), IGE ALLERGEN, MEADOW (KENTUCKY BLUE) GRASS, IGE Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Johnson Grass, IgE, kU/L. CPT codes 86003 ALLERGEN, KOCHIA (FIREBUSH), IGE Order code ICWKO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Kochia (Firebush), IgE, kU/L. CPT codes 86003 ALLERGEN, LAMB'S QUARTERS (GOOSEFOOT), IGE Order code ICWLQ Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Lamb's Quarters (Goosefoot), IgE, kU/L. CPT codes 86003 ALLERGEN, LATEX (BRAZILIAN RUBBER TREE), IGE Order code ICOLT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Latex (Brazilian Rubber Tree), IgE, kU/L. CPT codes 86003 ALLERGEN, LETTUCE, IGE Order code ICFLE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Lettuce, IgE, kU/L. CPT codes 86003 ALLERGEN, LOBSTER, IGE Order code ICFLB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Lobster, IgE, kU/L. CPT codes 86003 ALLERGEN, MALT, IGE Order code ICFML Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Malt, IgE, kU/L. CPT codes 86003 ALLERGEN, MAPLE LEAF SYCAMORE TREE, IGE Order code ICTSY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Maple Leaf Sycamore Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, MEADOW (KENTUCKY BLUE) GRASS, IGE 11/18/02 - 14 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, MEADOW FESCUE, IGE ALLERGEN, MUSTARD, IGE Order code ICGKB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Meadow (Kentucky Blue) Grass, IgE, kU/L. CPT codes 86003 ALLERGEN, MEADOW FESCUE, IGE Order code ICGMF Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Meadow Fescue, IgE, kU/L. CPT codes 86003 ALLERGEN, MELON, IGE Order code ICFWM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Melon, IgE, kU/L. CPT codes 86003 ALLERGEN, MOUNTAIN CEDAR (JUNIPER) TREE, IGE Order code ICTMC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Mountain Cedar (Juniper)Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, MUCOR RACEMOSUS, IGE Order code ICMMR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Mucor Racemosus, IgE, kU/L. CPT codes 86003 ALLERGEN, MUGWORT, IGE Order code ICWMW Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Mugwort, IgE, kU/L. CPT codes 86003 ALLERGEN, MULBERRY TREE, IGE Order code ICTML Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Mulberry Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, MUSTARD, IGE Order code ICFMS Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days 11/18/02 - 15 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, NETTLE, IGE ALLERGEN, OYSTER, IGE Test includes Allergen, Mustard, IgE, kU/L. CPT codes 86003 ALLERGEN, NETTLE, IGE Order code ICWNT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Nettle, IgE, kU/L. CPT codes 86003 ALLERGEN, OAK TREE, IGE Order code ICTOK Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, OakTree, IgE, kU/L. CPT codes 86003 ALLERGEN, OAT, IGE Order code ICFOT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Oat, IgE, kU/L. CPT codes 86003 ALLERGEN, OLIVE TREE, IGE Order code ICTOL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Olive Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, ONION, IGE Order code ICFON Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Onion, IgE, kU/L. CPT codes 86003 ALLERGEN, ORANGE, IGE Order code ICFOG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Orange, IgE, kU/L. CPT codes 86003 ALLERGEN, ORCHARD GRASS (COCKSFOOT), IGE Order code ICGOG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Orchard Grass (Cocksfoot), IgE, kU/L. CPT codes 86003 ALLERGEN, OYSTER, IGE Order code ICFOY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green 11/18/02 - 16 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, PAPER WASP VENOM, IGE ALLERGEN, PENICILLOYL G, IGE top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Oyster, IgE, kU/L. CPT codes 86003 ALLERGEN, PAPER WASP VENOM, IGE Order code ICIPW Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Paper Wasp Venom, IgE, kU/L. CPT codes 86003 ALLERGEN, PEA, GREEN, IGE Order code ICFGP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Pea, Green, IgE, kU/L. CPT codes 86003 ALLERGEN, PEANUT, IGE Order code ICFPN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Peanut, IgE, kU/L. CPT codes 86003 ALLERGEN, PEAR, IGE Order code ICFPR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Pear, IgE, kU/L. CPT codes 86003 ALLERGEN, PECAN (WHITE HICKORY) TREE, IGE Order code ICTPE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Pecan (White Hickory) Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, PECAN NUT, IGE Order code ICFPE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Pecan Nut, IgE, kU/L. CPT codes 86003 ALLERGEN, PENICILLIUM NOTATUM, IGE Order code ICMPN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Penicillium Notatum, IgE, kU/L. CPT codes 86003 ALLERGEN, PENICILLOYL G, IGE Order code ICDRP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the drug 11/18/02 - 17 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, PERENNIAL RYE GRASS, IGE ALLERGEN, RUSSIAN THISTLE (SALTWORT), IGE reaction. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Penicilloyl G, IgE, kU/L. CPT codes 86003 ALLERGEN, PERENNIAL RYE GRASS, IGE Order code ICGPR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Perennial Rye Grass, IgE, kU/L. CPT codes 86003 ALLERGEN, PIGWEED, IGE Order code ICWPG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Pigweed, IgE, kU/L. CPT codes 86003 ALLERGEN, PINEAPPLE, IGE Order code ICFPA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Pineapple, IgE, kU/L. CPT codes 86003 ALLERGEN, PORK, IGE Order code ICFPK Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Pork, IgE, kU/L. CPT codes 86003 ALLERGEN, POTATO (WHITE), IGE Order code ICFPT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Potato (White), IgE, kU/L. CPT codes 86003 ALLERGEN, RICE, IGE Order code ICFRC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Rice, IgE, kU/L. CPT codes 86003 ALLERGEN, ROUGH MARSH ELDER, IGE Order code ICWME Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Rough Marsh Elder, IgE, kU/L. CPT codes 86003 ALLERGEN, RUSSIAN THISTLE (SALTWORT), IGE 11/18/02 - 18 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, RYE, IGE ALLERGEN, SOYBEAN, IGE Order code ICWRT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Russian Thistle (Saltwort), IgE, kU/L. CPT codes 86003 ALLERGEN, RYE, IGE Order code ICFRY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Rye, IgE, kU/L. CPT codes 86003 ALLERGEN, SALMON, IGE Order code ICFSA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Salmon, IgE, kU/L. CPT codes 86003 ALLERGEN, SCALE (LENSCALE), IGE Order code ICWSC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Scale (Lenscale) IgE, kU/L. CPT codes 86003 ALLERGEN, SHEEP SORREL (YELLOW DOCK), IGE Order code ICWSO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Sheep Sorrel (Yellow Dock), IgE, kU/L. CPT codes 86003 ALLERGEN, SHORT (COMMON) RAGWEED, IGE Order code ICWRG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Short (Common) Ragweed, IgE, kU/L. CPT codes 86003 ALLERGEN, SHRIMP, IGE Order code ICFSH Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Shrimp, IgE, kU/L. CPT codes 86003 ALLERGEN, SOYBEAN, IGE Order code ICFSB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri 11/18/02 - 19 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, SPINACH, IGE ALLERGEN, WALNUT TREE, IGE Turnaround time 1-3 days Test includes Allergen, Soybean, IgE, kU/L. CPT codes 86003 Turnaround time 1-3 days Test includes Allergen, Timothy Grass, IgE, kU/L. CPT codes 86003 ALLERGEN, SPINACH, IGE ALLERGEN, TOMATO, IGE ALLERGEN, STRAWBERRY, IGE ALLERGEN, TUNA, IGE Order code ICFST Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Strawberry, IgE, kU/L. CPT codes 86003 Order code ICFTU Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Tuna, IgE, kU/L. CPT codes 86003 Order code ICFSP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Spinach, IgE, kU/L. CPT codes 86003 ALLERGEN, SWEET VERNAL GRASS, IGE Order code ICGSV Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Sweet Vernal Grass, IgE, kU/L. CPT codes 86003 ALLERGEN, TIMOTHY GRASS, IGE Order code ICGTM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Order code ICFTM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Tomato, IgE, kU/L. CPT codes 86003 ALLERGEN, TURKEY MEAT, IGE Order code ICFTR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Turkey Meat, IgE, kU/L. CPT codes 86003 ALLERGEN, WALNUT TREE, IGE Order code ICTWL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). 11/18/02 - 20 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, WALNUT, IGE ALLERGEN, YEAST (BAKERS OR BREWERS), IGE Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Walnut Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, WALNUT, IGE Order code ICFWL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Walnut, IgE, kU/L. CPT codes 86003 ALLERGEN, WESTERN RAGWEED, IGE Order code ICWWR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Western Ragweed, IgE, kU/L. CPT codes 86003 ALLERGEN, WHEAT, IGE Order code ICFWT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Wheat, IgE, kU/L. CPT codes 86003 ALLERGEN, WHITE PINE TREE, IGE Order code ICTWP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, White Pine Tree, IgE, kU/L. CPT codes 86003 ALLERGEN, WHITE-FACED HORNET VENOM, IGE Order code ICIWF Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, White-faced Hornet Venom, IgE, kU/L. CPT codes 86003 ALLERGEN, WHITE/NAVY BEAN, IGE Order code ICFWB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, White/Navy Bean, IgE, kU/L. CPT codes 86003 ALLERGEN, WORM WOOD (SAGEBRUSH), IGE Order code ICWSG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Worm Wood (Sagebrush), IgE, kU/L. CPT codes 86003 ALLERGEN, YEAST (BAKERS OR BREWERS), IGE Order code ICFBY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL 11/18/02 - 21 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGEN, YELLOW JACKET VENOM, IGE ALLERGENS, ADULT FOOD PROFILE Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Yeast (Bakers or Brewers), IgE, kU/L. CPT codes 86003 ALLERGEN, YELLOW JACKET VENOM, IGE Order code ICIYJ Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Yellow Jacket Venom, IgE, kU/L. CPT codes 86003 ALLERGEN, YELLOW-FACED HORNET VENOM, IGE Order code ICIYF Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Collection procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Allergen, Yellow-faced Hornet Venom, IgE, kU/L. CPT codes 86003 ALLERGENS, 32 Order code SCRN32 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 2 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. farinae (Mite), IgE, kU/L; D. pteronyssinus (Mite), IgE, kU/L; Cat Epithelium, IgE, kU/L; Dog Dander, IgE, kU/L; Dog Epithelium, IgE,kU/L; Goose Feathers, IgE, kU/L; Horse Dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Cephalosporium acremonium, IgE, kU/L; Helminthosporium halodes, IgE, kU/L; Pencillium notatum, IgE, kU/L; Acacia Tree, IgE, kU/L; Elm Tree, IgE, kU/L; Eucalyptus (Gum) Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Western Ragweed, IgE, kU/L. CPT codes 86003 x 32 ALLERGENS, 37 Order code SCRN37 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 4 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Dog Epithelium, kU/L; Goose Feathers, IgE, kU/L; Horse Dander, IgE, kU/L; Yeast (Bakers/Brewer), IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Egg Yolk, IgE, kU/L; Malt, IgE, kU/L; Peanut, IgE, kU/L; Soybean, IgE, kU/L; Tomato, IgE, kU/L; Wheat, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Cephalosporium acremonium, IgE, kU/L; Helminthosporium halodes, IgE, kU/L; Elm Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Western Ragweed, IgE, kU/L. CPT codes 86003 x 37 ALLERGENS, ADULT FOOD PROFILE Order code ADFP20 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 1.5 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Beef, IgE, kU/L; Yeast (Bakers/Brewers), IgE, kU/L; Codfish (Whitefish), IgE, kU/L; Chocolate/Cacao, IgE, kU/L; Cinnamon, IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Garlic, IgE, kU/L; Pea, Green, IgE, kU/L; Mustard, IgE, kU/L; Orange, IgE, kU/L; Pork, IgE, kU/L; Peanut, IgE, kU/L; Potato (White), IgE, kU/L; Rice, IgE, kU/L; Soybean, IgE, kU/L; Tomato, IgE, kU/L; Tuna, IgE, kU/L; Wheat, IgE, kU/L. CPT codes 86003 x 20 11/18/02 - 22 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGENS, HYMENOPTERA PANEL ALLERGENS, NORTHWEST REGIONAL 10 ALLERGENS, HYMENOPTERA PANEL Order code VENOM5 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.75 mL Collection procedure Blood should be drawn by venipuncture. Draw no sooner than 2 to 3 weeks and no later than 6 months after an insect sting. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.5 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Honeybee Venom, IgE, kU/L; Paper Wasp Venom, IgE, kU/L; Whitefaced Hornet Venom, IgE, kU/L; Yellowfaced Hornet Venom, IgE, kU/L; Yellow Jacket Venom, IgE, kU/L. Synonyms Allergens, Stinging Insect Panel CPT codes 86003 x 5 ALLERGENS, INHALANT 9 Order code INHAL9 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.75 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Epithelium, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Elm Tree, IgE, kU/L; Olive Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Short (Common) Ragweed, IgE, kU/L. CPT codes 86003 x 9 ALLERGENS, INLAND NORTHWEST 14 Order code INW14 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 1 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Oak Tree, IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L. CPT codes 86003 x 14 ALLERGENS, INTERMOUNTAIN WEST 14 Order code IMW14 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 1 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Bermuda Grass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey AlderTree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Pigweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L. CPT codes 86003 x 14 ALLERGENS, MOLD PROFILE 5 Order code MOLD5 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.75 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.5 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Candida albicans, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Penicillium notatum, Ige, kU/L. CPT codes 86003 x 5 ALLERGENS, NORTHWEST COASTAL Order code NWC24 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 2 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. pteronyssinus (Mite), IgE, kU/L; D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Epithelium, kU/L; Sweet Vernal Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Pencillium notatum, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Hazel Nut Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Japanese Cedar, IgE, kU/L; Walnut Tree, IgE, kU/L; White Pine Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Nettle, IgE, kU/L; Short (Common) Ragweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Worm Wood (Sagebrush), IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L. CPT codes 86003 x 24 ALLERGENS, NORTHWEST REGIONAL 10 Order code NWR10 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1.5 mL 11/18/02 - 23 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALLERGENS, PACIFIC NORTHWEST 13 ALPHA SUBUNITS PITUITARY Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 0.75 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Epithelium, IgE, kU/L; Meadow Kentucky Blue Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Grey Alder Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L. CPT codes 86003 x 10 ALLERGENS, PACIFIC NORTHWEST 13 Order code PNW13 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 1 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. pteronyssinus (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Western Ragweed, IgE, kU/L. CPT codes 86003 x 13 ALLERGENS, PEDIATRIC FOOD PROFILE Order code PDFP20 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 1.5 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Barley, IgE, kU/L; Banana, IgE, kU/L; Yeast (Bakers/Brewers), IgE, kU/L; Chocolate/Cacao, IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Pea, Green, IgE, kU/L; Orange, IgE, kU/L; Oat, IgE, kU/L; Pork, IgE, kU/L; Peanut, IgE, kU/L; Potato (White), IgE, kU/L; Rice, IgE, kU/L; Rye, IgE, kU/L; Soybean, IgE, kU/L; Strawberry, IgE, kU/L; Tomato, IgE, kU/L; White/Navy Bean, IgE, kU/L; Wheat, IgE, kU/L. CPT codes 86003 x 20 ALLERGENS, PEDIATRIC PROFILE 11 Order code PEDS11 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 1 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Cows Milk, IgE, kU/L; Soybean, IgE, kU/L; Egg White, IgE, kU/L; Wheat, IgE, kU/L; Peanut, IgE, kU/L; Codfish (Whitefish), IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L . CPT codes 86003 x 11 ALLERGENS, ROCKY MOUNTAIN 15 Order code RMS15 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 1 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. farinae (Mite), IgE, kU/L; Cat Epithelium, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Bermuda Grass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar (Juniper), IgE, kU/L; Oak Tree, IgE, kU/L; Kochia (Firebush), IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L. CPT codes 86003 x 15 ALLERGENS, SOUTHERN CALIFORNIA 18 Order code SCAL18 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Oxalate or citrate plasma. Minimum volume 1.5 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes D. pteronyssinus (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE kU/L; Bermuda Grass, IgE, kU/L; Brome Grass, IgE, kU/L; Cultivated Oat, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Japanese Cedar, IgE, kU/L; False Ragweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Pigweed, IgE, kU/L; Scale (Lenscale), IgE, kU/L. CPT codes 86003 x 18 ALPHA SUBUNITS PITUITARY Order code ALPHA.PGH Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 72 hours Unacceptable conditions Grossly hemolyzed or lipemic specimens. Minimum volume 0.5 mL 11/18/02 - 24 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALPHA-1-ANTITRYPSIN ALPRAZOLAM Alternate specimens Refrigerated specimens if received by testing laboratory within 72 hours of draw. Test schedule Thu Turnaround time 5-9 days Test includes Alpha Subunit, ng/mL. CPT codes 83519 ALPHA-1-ANTITRYPSIN Order code AAT Patient Prep Prefer a fasting specimen. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 72 hours Stability - frozen (-20°C) 3 months Unacceptable conditions Lipemic samples Minimum volume 0.3 mL Alternate specimens Frozen serum, only one freeze/thaw cycle. Limitations False positives due to positive rheumatoid factor. Test schedule Daily Turnaround time 24 hours Test includes Alpha-1-Antitrypsin, mg/dL. Synonyms Alpha-1-Trypsin Inhibitor; Alpha-1-AT; Alpha-1- Proteinase Inhibitor; Alpha-1-PI. CPT codes 82103 ALPHA-1-ANTITRYPSIN PHENOTYPE Order code AAT-PHENO Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Collect on ice. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated unstable Stability - frozen (-20°C) 2 weeks Minimum volume 1 mL Limitations Plasma specimens are not recommended. Test schedule Mon, Wed, Fri Turnaround time 3-8 days Test includes AAT-Phenotype; Alpha-1-Antitrypsin, mg/dL. CPT codes 82103, 82104 ALPHA-FETO PROTEIN & HCG SCREEN Order code AFP.HCG.SCR Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Race, Diabetic (y/n), Previous Downs, Previous NTD, Maternal Weight (lbs), Gestational Age (wks), Other Gestational Information. Stability - refrigerated 24 hours Stability - frozen (-20°C) 30 days Unacceptable conditions Grossly hemolyzed or lipemic specimens. Minimum volume 1 mL Limitations Must be drawn at 14-22 weeks of gestation. Test schedule Mon-Fri days Turnaround time 2-5 days Test includes Alpha-Feto Protein, ng/ml; Gestational Age, weeks; MOM, Weight corrected MOM; HCG, mIU/mL. Synonyms Double Screen CPT codes 82105, 84702 ALPHA-FETO PROTEIN (MATERNAL) Order code AFP Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Race, Gestational Age (wks), Maternal Weight (lbs), Diabetic (y/n), Other Gestational Information. Stability - refrigerated 24 hours Stability - frozen (-20°C) 30 days Unacceptable conditions Grossly hemolyzed specimens. Minimum volume 0.5 mL Alternate specimens Heparinized or EDTA plasma (green or lavender top tube). Limitations Must be drawn at 14-22 weeks gestation. Test schedule Mon-Fri days Turnaround time 2-5 days Test includes Alpha-Feto Protein, ng/mL; Gestational Age, wks; Maternal Weight, lbs; MOM; Weight Corrected MOM; Diabetic Corrected MOM; Comment. Synonyms AFP CPT codes 82105 Notes Assay is reliable from 14-22 weeks gestation. ALPHA-FETO PROTEIN (NON-MATERNAL) Order code AFP-NM Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen or refrigerated. Stability - refrigerated 3 days Stability - frozen (-20°C) 30 days Unacceptable conditions Grossly hemolyzed specimens. Alternate specimens Heparinized or EDTA plasma (green or lavender top tube). Test schedule Mon-Fri evenings Turnaround time 2-5 days Test includes Alpha-Feto Protein, ng/mL. Synonyms AFP, Tumor Marker CPT codes 82105 ALPHA-FETOPROTEIN, AMNIOTIC FLUID Order code AAFP Complete a Cytogentics Congential Disorders Request form available from PAML. Specimen type Amniotic fluid Preferred volume 2 mL Collection procedure Include maternal birthdate, maternal weight, gestational age in weeks and days as determined by LMP or ultrasound (identify method by which it was determined), maternal insulin-dependent diabetic status, maternal race, family history of Down Syndrome or neural tube defect (NTD), and/or twin or multiple pregnancy. Specimen processing Handle specimen using sterile technique. Do not centrifuge the specimen. Put specimen in special tubes provided in the Genzyme Genetics kit and complete the requisition for Genzyme. Store and transport refrigerated. Required patient info See collection procedure Stability - refrigerated 2 days Minimum volume 2 mL Test schedule Mon-Sun Turnaround time 4-6 days Test includes Alpha-fetoprotein, Amniotic Fluid, µg/mL; Interpretation; Reviewed By; Date. CPT codes 82106 ALPRAZOLAM Order code XANAX Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Minimum volume 0.6 mL 11/18/02 - 25 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ALT AMIKACIN, PEAK Alternate specimens Heparinized, EDTA or sodium fluoride/potassium oxalated plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Sun, Tue, Thu Turnaround time 3-5 days Test includes Alprazolam, ng/mL. Synonyms Xanax CPT codes 80154 Container type Brick top tube (SST or Corvac) Specimen type See components Preferred volume See components Specimen processing See components Minimum volume 1.2 mL Test schedule See components Turnaround time 2-5 days Test includes LH, mIU/mL; FSH, mIU/mL; Prolactin, ng/mL. CPT codes 83002, 83001, 84146 ALT AMIKACIN (PAIRED + CREAT) Order code SGPT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Collection procedure Avoid hemolysis. Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes ALT, U/L. Synonyms SGPT; Alanine Aminotransferase CPT codes 84460 ALUMINUM, PLASMA Order code ALUMINUM Container type Green top tube (lithium heparin) Specimen type Plasma Preferred volume 2.5 mL Collection procedure Use 20 gauge needle for venipuncture. Specimen processing Separate plasma or serum from cells with plastic pipette within 2 hours and place in separate plastic tube using a plastic pipette. Respin and transfer if RBC's are present. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 10 days Stability - frozen (-20°C) 6 months Unacceptable conditions Plasma or serum not separated from cells within 2 hours. Minimum volume 0.6 mL Alternate specimens Serum (plain red top tube or royal blue top tube) or sodium heparinized plasma (heparinized royal blue top tube). Limitations Avoid any prolonged contact with glass. Test schedule Sun-Fri, days Turnaround time 1-3 days/Kidney Center Screening 5 days Test includes Aluminum, µg/L. Synonyms Al, Plasma CPT codes 82108 ALUMINUM, URINE Order code ALU-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 10 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Preserve with 12N HCl (0.1mL HCl/10mL). Record total volume. Store and transport refrigerated. Required patient info Collection period, volume. Unacceptable conditions Avoid the use of glass. Minimum volume 5 mL Test schedule Mon, Wed, Fri Turnaround time 3-7 days Test includes Time, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Aluminum, Urine, µg/L; Aluminum, Urine, µg/d; Aluminum, Urine µg/gCreat. CPT codes 82108 AMENORRHEA PROFILE Order code AMEN Order code AMIK2 Includes creatinine on trough specimen. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw trough specimen within 1 hour prior to next dose. Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimens. Specimen processing Separate serum or plasma from cells and place each in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen. Required patient info Trough or peak specimen, times of dose and drawing. Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Daily & STAT Turnaround time 24 hours Test includes Amikacin, Trough, µg/mL; Amikacin, Peak, µg/mL; Creatinine, mg/dL. Synonyms Amikin CPT codes 80150 x 2, 82565 AMIKACIN (SINGLE + CREAT) Order code AMIK Includes creatinine on trough specimen. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw trough specimen within 1 hour prior to next dose. Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimen. Specimen processing Separate serum or plasma from cells and place each in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. Required patient info Trough or peak specimens, times of dose and drawing. Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Daily & STAT Turnaround time 24 hours Test includes Amikacin, µg/mL; Creatinine, mg/dL. Synonyms Amikin CPT codes 80150, 82565 AMIKACIN, PEAK Order code AMIK.PK Includes creatinine. Container type Red top tube (plain) Specimen type Frozen serum. Preferred volume 1 mL Collection procedure Draw peak specimen 1 hour after IM dose or 1/2 hr after IV infusion completed. Note time of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. Required patient info Time of dose and drawing. Stability - refrigerated 24 hours Minimum volume 0.5 mL Test schedule Daily & STAT Turnaround time 24 hours 11/18/02 - 26 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 AMIKACIN, TROUGH AMMONIA Test includes Amikacin , Peak, µg/mL; Creatinine, mg/dL. CPT codes 80150, 82565 AMIKACIN, TROUGH Order code AMIK.TR Includes creatinine. Container type Red top tube (plain) Specimen type Frozen serum. Preferred volume 1 mL Collection procedure Draw trough specimen within 1 hour prior to next dose. Note time of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. Required patient info Time of dose and drawing. Stability - refrigerated 24 hours Minimum volume 0.5 mL Test schedule Daily Turnaround time 24 hours Test includes Amikacin, Trough, µg/mL; Creatinine, mg/dL. CPT codes 80150, 82565 AMINO ACIDS, PLASMA (QUANTITATIVE) Order code AA.QUANT Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Alternate specimens Frozen sodium heparinized plasma (green top tube). Test schedule Mon-Fri Turnaround time 3-6 days Test includes Taurine, µmol/L; Aspartic Acid, µmol/L; OH-Proline, µmol/L; Theonine, µmol/L; Serine, µmol/L; Asparagine, µmol/L; Glutamic Acid, µmol/L; Glutamine, µmol/L; Proline, µmol/L; Glycine, µmol/L; Alanine, µmol/L; Citrulline, µmol/L; Valine, µmol/L; Cystine, µmol/L; Methionine, µmol/L; Isoleucine, µmol/L; Leucine, µmol/L; Tyrosine, µmol/L; Phenylalanine, µmol/L; Ornithine, µmol/L; Lysine, µmol/L; Histidine, µmol/L; Arginine, µmol/L; Amino Acids Interpretation. CPT codes 82139 Notes 1 mL frozen CSF can be used for this test. AMINO ACIDS, URINE (QUANTITATIVE) Order code AAU.QUANT State a specific reason for ordering this test. Container type 24-hr dark plastic urine container. Specimen type 24-hour or random urine collection Preferred volume 10 mL Collection procedure Collect a 24-hour or random urine in a 24hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated. Required patient info Collection period, volume. Minimum volume 6 mL Test schedule Mon-Fri Turnaround time 3-6 days Test includes Time, h; Volume, mL; Amino Acids, Urine (Quant). CPT codes 82139 AMINOLEVULINIC ACID, URINE Order code ALA-U Container type 24-hour dark plastic urine container. Specimen type 24-hour or random urine collection. Preferred volume 5 mL Collection procedure Collect a 24-hour or random urine in a 24hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Protect from light. Store and transport refrigerated or frozen. Required patient info Total volume and Collection Period. Stability - room temp Unstable Stability - refrigerated 4 days Stability - frozen (-20°C) 1 month Minimum volume 3 mL Test schedule Mon, Wed, Fri Turnaround time 3-7 days Test includes Time, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; ALA, Urine, µmol/L; ALA, Urine, µmol/d. Synonyms ALA, Urine CPT codes 82135 Notes Specimen preservation with acid or base is discouraged and may cause assay interference. AMIODARONE Order code AMIO Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and freeze in separate plastic tube. Protect from light. Store and transport frozen. Minimum volume 0.8 mL Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube). Limitations Avoid use of serum separator tubes and gels. Protect from light. Test schedule Sun-Fri Turnaround time 3-5 days Test includes Amiodarone, ug/mL; Desethylamiodarone. Synonyms Cordarone CPT codes 80299 AMITRIPTYLINE & METABOLITE Order code AMI Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Collection procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose. Specimen processing Separate serum from cells within 4 hours and place in separate polypropylene (not polystyrene) plastic tube. The 10 mL PAML labelled, cloudy plastic tubes with the plastic snap-on caps are polypropylene tubes. Store and transport refrigerated. Required patient info Date and time of dose and draw. Stability - refrigerated 2 weeks Minimum volume 2 mL Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with desmethyldoxepin. Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Amitriptyline, ng/mL; Nortriptyline, ng/mL; Total Drug, ng/mL. Synonyms Elavil CPT codes 80152, 80182 Notes Nortriptyline is an active metabolite. AMMONIA Order code AMM Container type Green top tube (sodium heparin) Specimen type Frozen plasma Preferred volume 1.5 mL Collection procedure If specimen is to be delivered directly to hospital laboratory, it must be put on wet ice immediately after collection and delivered within 20 minutes. Specimen processing Separate plasma within 20 minutes of collection and place in separate plastic tube and freeze. Store and transport frozen. Unacceptable conditions Hemolyzed or EDTA specimens. Minimum volume 0.2 mL Limitations Levels increase rapidly as specimen sits at room temperature or refrigerated. Test schedule Daily & STAT Turnaround time 24 hours Test includes Ammonia, µmol/L. CPT codes 82140 11/18/02 - 27 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 AMNIOTIC FLUID SCAN AMYLASE, URINE (QUANTITATIVE) Notes Hepatic coma and the terminal stages of cirrhosis are often marked by elevated blood ammonia. It is also used in the diagnosis of Reye Syndrome. AMNIOTIC FLUID SCAN Order code DOD Container type Leakproof brown container. Specimen type Amniotic fluid Preferred volume 10 mL Collection procedure Call laboratory before collection to arrange for transportation. Collect 10 mL amniotic fluid in brown container. Immediately refrigerate or place on ice. Must be transported within 30 minutes of collection. Protect from light. Specimen processing Separate cells from fluid by centrifugation at 2500 rpm for 10 minutes. Freeze fluid. Protect from light. Note if any rbc's were in the cell button after centrifugation. Store and transport frozen. Required patient info Gestational age. Unacceptable conditions Grossly bloody specimens or specimens containing meconium. Minimum volume 5 mL after centrifugation Limitations Protect from light. Test schedule Mon-Fri, days, evenings Turnaround time 1-3 days Test includes Appearance; Color; RBC'S; Gestational Age, Weeks; Abs 450 Corr, Abs Units; Amniotic Fluid Scan Interpretation. Synonyms Amniotic Scan, OD 450 CPT codes 82143 AMOXAPINE Order code AMOX Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Limitations Protect from light. Test schedule Thu Turnaround time 3-10 days Test includes Amoxapine, ng/mL; 8-Hydroxy Amoxapine, ng/mL. Synonyms Asendin CPT codes 82492 AMPHETAMINES SCREEN Order code AMP Specimen type Urine, random Preferred volume 30 mL CPT codes 80100 AMYLASE Order code AMY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Do not use EDTA. Minimum volume 0.2 mL Alternate specimens Heparinized plasma (green top tube) specimens. Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Amylase, U/L. CPT codes 82150 AMYLASE ISOENZYMES Order code AMY.ISO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 7 days Stability - refrigerated 1 month Stability - frozen (-20°C) 1 month Unacceptable conditions Hemolyzed or frozen specimens. Minimum volume 0.2 mL Test schedule Sun-Sat Turnaround time 3-10 days Test includes Amylase, Pancreatic, U/L; Amylase, Salivary, U/L; Amylase, Total, U/L. CPT codes 82150 x 2 AMYLASE, FLUID Order code AMY.FLD Container type Red top tube (plain) Specimen type Fluid Preferred volume 2 mL Specimen processing Store and transport refrigerated. Required patient info Indicate source. Unacceptable conditions Specimens in EDTA. Minimum volume 0.1 mL Alternate specimens Heparinized fluid (green top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Amylase, Fluid, U/L. CPT codes 82150 AMYLASE, URINE (2HR) Order code AMYLASE-URINE Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 2-hour urine collection Preferred volume 3 mL Collection procedure Collect a 2-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 3 mL of a well-mixed 2-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Time, h; Volume, mL; Amylase, Urine (2 Hr), U/2h. CPT codes 82150 AMYLASE, URINE (PANCREATIC TRANSPLANT) Order code AMY.PANCR This order code is used to monitor pancreatic transplant patients. Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 12-hour urine collection Preferred volume 3 mL Collection procedure Collect a 12-hour urine in a 24-hour dark plastic urine container with no preservative. Refrigerate during collection. Specimen processing Aliquot 3 mL of a well-mixed 12-hour urine collection into a leakproof plastic container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Time, h; Volume, mL; Amylase, Urine, U/L; Amylase, Urine, U/h. CPT codes 82150 AMYLASE, URINE (QUANTITATIVE) Order code AMYUQ Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the 11/18/02 - 28 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 AMYLASE, URINE (RANDOM) ANA WITH REFLEX collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container Specimen type 24-hour urine collection Preferred volume 10 mL Collection procedure Collect a 24-hour in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour collection into a leakproof plastic urine container. Record total volume and collection period. Required patient info Total volume and collection period. Unacceptable conditions Urines that have been acidifed. Minimum volume 3 mL Alternate specimens Specimens that have been frozen. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Time, h; Volume, mL; Amylase, Urine, U/h. CPT codes 82150 AMYLASE, URINE (RANDOM) Order code AMY.R Container type Leakproof plastic urine container. Specimen type Urine Preferred volume 10 mL Collection procedure Collect random urine in leakproof plastic urine container. Specimen processing Store and transport refrigerated. Minimum volume 2 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hrs Test includes Amylase, Urine (Random), U/L. CPT codes 82150 AMYLASE/CREATININE CLEARANCE Order code AMY-CL Container type Red top tube (plain) and Leakproof plastic urine container. Specimen type Serum and urine, random Preferred volume 2 mL serum and 25 mL urine Collection procedure Collect a random urine specimen. Specimen processing Aliquot 25 mL of a random urine specimen. Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Minimum volume 0.5 mL serum and 2 mL urine Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Creatinine, mg/dL; Creatinine, Urine, mg/dL; Amylase, U/L; Amylase, Urine, U/L; Amylase/Creatinine; Amylase/Creatinine Clearance Ratio. CPT codes 82565, 82150 x 2, 82570 AMYLASE/CREATININE, URINE (RANDOM) Order code AMY-U Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Minimum volume 2 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Amylase, Urine, U/L; Creatinine, Urine, mg/dL; Amylase/Creatinine. CPT codes 82150, 82570 ANA & MA Order code ANA/MA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma and heat-inactivated specimens. Minimum volume 0.5 mL Limitations Interfering substances include turbidity, hemolysis, visible bacterial growth, lipemia and fluorescing drugs. Avoid repeat freeze/thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes ANA; ANA Pattern; Mitochondrial Antibodies. Synonyms Antinuclear Antibody/Mitochondrial Antibody CPT codes 86038, 86255 ANA PROFILE Order code ANA-PR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma and heat-inactivated specimens. Minimum volume 2 mL Limitations Interfering substances include turbidity, visible bacterial growth and fluorescing drugs. Avoid repeat freeze/thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes DNA Double Strand; Smith, EU/mL; RNP, EU/mL; SSA, EU/mL; SS-B, EU/mL; Centromere ; SCL-70, EU/mL; ANA; ANA Pattern; RA, IU/mL; C3C, mg/dL; C4, mg/dL. Synonyms Lupus Panel; Antinuclear Antibody Profile CPT codes 86225, 86235 x 5, 86038 x 2, 86431, 86160 x 2 ANA SCREEN Order code ANA This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma and heat-inactivated specimens. Minimum volume 0.5 mL Limitations Interfering substances include turbidity, hemolysis, visible bacterial growth, lipemia, and fluorescing drugs. Avoid repeat freeze/thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes ANA; ANA Pattern. Synonyms Antinuclear Antibody Screen CPT codes 86038 ANA WITH REFLEX Order code ANAR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma, lipemic, hemolyzed or contaminated samples. Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24-48 hours Test includes ANA; ANA Pattern; Smith, EU; RNP, EU; SS-A(RO), EU; SS-B(LA), EU; DNA Double Strand. CPT codes 86038 11/18/02 - 29 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ANALYZER ANTI-CENTROMERE ANTIBODY Notes If ANA is positive this test will reflex to dsDNA, SM, RNP, SSA and SSB. Additional fees will be added for these tests. ANALYZER Order code ANALZ3 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 72 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma. Minimum volume 2.5 mL Test schedule Sun-Sat Turnaround time 2-5 days Test includes Analyzer. CPT codes 83520, 86038, 86160 x 2, 86235 x 5, 86376, 76431, 86225 ANDROSTENEDIONE Order code ANDROS.S Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and freeze in separate plastic tube. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 2 months Minimum volume 0.15 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Tue-Fri, Sun Turnaround time 3-6 days Test includes Androstenedione, ng/mL. CPT codes 82157 ANDROSTERONE, URINE Order code ANDR-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 50 mL Collection procedure Add 25 mL of 50% acetic acid to a 24-hour dark plastic urine container. Use 15 mL 50% acetic acid for children less than 5 years old. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2-4. Store and transport refrigerated. Record total volume. Required patient info Total volume. Test schedule Mon, Tue, Fri Turnaround time 5-10 days Test includes Collection Period, hrs; Volume, mLs; Androsterone, Urine, mg/24hr. CPT codes 83593 ANEMIA PROFILE Order code ANEMIA Container type Red top tube (plain) and Black top tube (buffered sodium citrate) and Lavender top tube (EDTA) and Slides. Specimen type Serum, EDTA whole blood, buffered sodium citrate whole blood, smears Specimen processing Prefer all specimens except blood smears be stored and transported refrigerated. Minimum volume 0.5 mL serum, 1 EDTA tube Alternate specimens Can use 2 EDTA tubes instead of black top tube. Test schedule Sun-Thu nights (CBC Sat-Sun) Turnaround time 24 hours Test includes Autoheme; Reticulocyte Count, %; Reticulocytes, Abs, K/µL; Reticulocytes, Corrected, %; Total Iron, µg/d; Iron Binding Capicity, µg/dL; % Saturation, %; Direct Coombs; Interpretation; Reviewed by. CPT codes 85025, 86880, 83550, 85044 ANGIOTENSIN CONVERTING ENZYME Order code ANGIO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 week Stability - frozen (-20°C) 6 months Minimum volume 0.1 mL Alternate specimens Sodium heparinized plasma (green top tube). Limitations ACE activity may be inhibited by EDTA, heavy metals, oxalate, hemolysis, lipemia. ACE activity may be falsely increased by acetate, bromide, chloride, fluoride or nitrate. Test schedule Daily Turnaround time 24 hours Test includes Angiotensin-1- Converting Enzyme, U/L. Synonyms ACE CPT codes 82164 ANGIOTENSIN CONVERTING ENZYME, CSF [SPECIALTY] Order code ACE.CSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 1 mL Specimen processing Store and transport refrigerated. Minimum volume 0.4 mL Test schedule Tue-Sat Turnaround time 3-5 days Test includes Angiotensin Converting Enzyme, CSF, Units. Synonyms ACE, CSF CPT codes 82164 ANTABUSE Order code ANTABUSE Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 6 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Alternate specimens Frozen EDTA plasma (lavender top tube). Test schedule Wed Turnaround time 10-15 days Test includes Antabuse, µg/mL. Synonyms Disulfiram CPT codes 82491 ANTI-CARDIOLIPIN ANTIBODY PANEL Order code CARD.AB Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store & transport frozen. Stability - refrigerated 72 hours Unacceptable conditions Hemolyzed, icteric or lipemic specimens. Minimum volume 1 mL Limitations Avoid freeze/thaw cycles. Test schedule Mon-Fri nights Turnaround time 2-3 days Test includes Cardiolipin Antibody, IgG, GPL; Cardiolipin Antibody, IgM, MPL. Synonyms Anti-Phospholipid Antibody; Cardiolipin Antibody CPT codes 86147x 2 ANTI-CENTROMERE ANTIBODY Order code ANTI-CENT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. 11/18/02 - 30 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ANTI-CONVULSANT PROFILE ANTI-NEURONAL CELL ANTIBODIES Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Centromere. CPT codes 86038 ANTI-CONVULSANT PROFILE Order code CONV-PAN Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Collection procedure Draw just prior to next oral dose or 2-4 hours after IV loading dose. Note times of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Minimum volume 0.2 mL Alternate specimens Plasma specimens. SST & other gel type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Dilantin, µg/mL; Phenobarbital, µg/mL. CPT codes 80185, 80184 Immunofluorescent Studies CPT codes 86256 ANTI-GLIADIN ANTIBODIES, IGA & IGG Order code GLIGA Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Unacceptable conditions Heat inactivated samples. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 1-3 days Test includes Anti-Gliadin Antibodies, IgA, U/mL; Anti-Gliadin Antibodies, IgG, U/mL. Synonyms Gliadin Antibodies CPT codes 83516 x 2 ANTI-ISLET CELL ANTIBODY Order code DNA.FARR Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or ambient temperature. Stability - room temp 2 weeks Minimum volume 0.5 mL Test schedule Mon-Sat Turnaround time 3-5 days Test includes Anti-DNA (Farr Technique), IU/mL. CPT codes 86225 Order code ISLET Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, hemolyzed or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Anti-Islet Cell Antibody, Titer. Synonyms Islet Cell Antibody CPT codes 86341 ANTI-ENA ANTI-MYOCARDIAL ANTIBODY ANTI-DNA (FARR TECHNIQUE) Order code ENA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Turbidity, marked hemolysis or visible bacterial growth may interfere with procedure. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Smith, Units; RNP, Units. Synonyms Extractable Nuclear Antibodies; SM and RNP Antibody CPT codes 86235 x 2 ANTI-EPIDERMAL ANTIBODIES Order code ANTI-EPI AB This includes Pemphigus and Pemphigoid antibody titers. Intercellular and basement membrane zone antibodies with exclusion tests for blood group antibodies. Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Turnaround time 10 days Test includes Anti-Epidermal Antibody. Synonyms Epidermal Antibody; Anti-Skin Antibody; Skin Order code ANTI-MYO This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Tue Turnaround time 2-8 days Test includes Myocardial Antibody; Interpretation. Synonyms Myocardial Antibody CPT codes 86256 ANTI-NEURONAL CELL ANTIBODIES Order code NCAB Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. This is critical frozen specimen. Minimum volume 1 mL Test schedule Varies Turnaround time 8-11 days Test includes Anti-Neuronal Cell Antibodies, Units. Synonyms Neuronal Cell Antibodies CPT codes 83520 11/18/02 - 31 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ANTI-NEURONAL NUCLEAR ANTIBODY (ANNA) ANTI-SMOOTH MUSCLE ANTIBODY ANTI-NEURONAL NUCLEAR ANTIBODY (ANNA) Order code ANNAB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 2-4 days Test includes ANNA-1 (anti-Hu); ANNA-2 (anti-Ri). CPT codes 86255 ANTI-NEURONAL NUCLEAR ANTIBODY (ANNA), CSF Order code ANNABC Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 1 mL Specimen processing Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 2-4 days Test includes ANNA-1 (anti-Hu), CSF; ANNA-2 (anti-Ri), CSF. CPT codes 86255 ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY Order code ANCAD Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 days Stability - frozen (-20°C) 1 month Unacceptable conditions Plasma, hemolyzed, lipemic, contaminated samples, samples containing fluorescing drugs; other body fluids; repeat freeze/thaw cycles. Minimum volume 1 mL Test schedule Tue & Thu Turnaround time 2-6 days Test includes ANA; ANA Pattern; ANCA Titer; ANCA Pattern; Proteinase 3 Antibody; Myeloperoxidase Antibody. Synonyms ANCA Panel CPT codes 86255, 83516 x 2, 86038 ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY SCREEN Order code ANCASR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 days Stability - frozen (-20°C) 1 month Unacceptable conditions Plasma, hemolyzed, lipemic, contaminated samples, samples containing fluorescing drugs; other body fluids; repeat freeze/thaw cycles. Minimum volume 0.3 mL Test schedule Tue & Thu Turnaround time 2-6 days Test includes ANCA Titer; ANCA Pattern. Synonyms ANCA Screen CPT codes 86255 ANTI-OVARIAN ANTIBODY Order code ANTI-OVA Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Turnaround time 5-10 days Test includes Anti-Ovarian Antibody. Synonyms Ovarian Antibody CPT codes 86256 ANTI-PARIETAL CELL ANTIBODY, TOTAL, IGA, IGG & IGM Order code PARIETAL CELL AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 1 year Unacceptable conditions All specimens drawn with anticoagulant. Minimum volume 0.1 mL Test schedule Sun-Fri Turnaround time 24 hours Test includes Parietal Cell Antibody, Total, IgA, IgG & IgM. Synonyms Parietal Cell Antibody CPT codes 86256 ANTI-SCLERODERMA ANTIBODY Order code SCL AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Turbidity, marked hemolysis or visible bacterial growth may interfere with procedure. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes SCL-70, Units. Synonyms SCL-70; Scleroderma Antibody CPT codes 86235 ANTI-SMITH ANTIBODY Order code ANTI-SM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Turbidity, hemolysis or visible bacterial growth may interfere with procedure. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Smith, Units. Synonyms Anti-SM; Smith Antibody CPT codes 86235 ANTI-SMOOTH MUSCLE ANTIBODY Order code ASM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months 11/18/02 - 32 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ANTI-THYROID ANTIBODIES APOLIPOPROTEIN A-1 Unacceptable conditions Turbid or lipemic serum specimens. Minimum volume 0.5 mL Limitations Turbidity, hemolysis, visible bacterial growth or drugs capable of fluorescing may interfere with accuracy of test. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Smooth Muscle Antibodies. Synonyms Smooth Muscle Antibody CPT codes 86255 ANTI-THYROID ANTIBODIES Order code TAB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from the cells and place in separate plastic tube. Store & transport refrigerated. Stability - room temp 4 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 month Unacceptable conditions Other body fluids, grossly hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 1-2 days Test includes Thyroglobulin Autoantibodies, IU/mL; Thyroid Peroxidase Autoantibodies, IU/mL. Synonyms Anti-Thyroglobulin Antibody; TG and TPO Antibody CPT codes 86800, 86376 ANTIBIOTIC LEVEL Order code ANTIBIOTIC Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Asceptically separate serum from cells and place in separate sterile plastic tube and freeze. Store and transport frozen. Required patient info List all antimicrobial agents (including dosage, route of administration and time of administration). Stability - room temp 2 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 week Unacceptable conditions Delay in transport, unfrozen specimens, inadequate information or plasma samples. Minimum volume 1 mL Alternate specimens Body fluid. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Antibiotic Level, Prelim; Antibiotic Level, Final. CPT codes 80299 ANTIBODY IDENTIFICATION Order code AB ID This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Black top tube (buffered sodium citrate) and Red top tube (plain) Specimen type Serum and whole blood Preferred volume 4 mL each specimen Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Stability - refrigerated 14 days Stability - frozen (-20°C) 6 months (serum) Unacceptable conditions Hemolyzed, grossly icteric or grossly lipemic specimens. Minimum volume 1 mL serum and 0.5 mL cells Alternate specimens Citrated whole blood (blue top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Antibody Screen; Antibody Identification; Antibody Titer. CPT codes 86870 ANTIPHOSPHOLIPID PANEL Order code APS Container type Blue top tube (buffered sodium citrate) and Brick top tube (SST or Corvac) Specimen type Frozen plasma and refrigerated serum Preferred volume 2 mL plasma and 2 mL serum Specimen processing Separate plasma from cells and place in separate plastic tube labelled "plasma" and freeze. Store and transport frozen. Separate serum from cells and place in separate plastic tube labelled "serum". Store and transport refrigerated. Minimum volume 1 mL plasma and 1 mL serum Test schedule Tue, Thu Turnaround time 3-7 days Test includes Lupus Anticoagulant (dRVVT); Cardiolipin Antibody, IgG, IgM, IgA; Phosphatidylserine Antibody, IgG, IgM, IgA. CPT codes 86148 x 3, 86147 x 3; 85613 ANTIPHOSPHOLIPID SYNDROME EVALUATR Order code APSEV Container type Brick top tube (SST or Corvac) and Blue top tube (buffered sodium citrate) Specimen type Frozen serum and plasma Preferred volume 2 mL each Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Double spin the plasma, put in two separate plastic tubes and freeze. Label all tubes properly. Store and transport frozen. Unacceptable conditions Citrated plasma samples not separated, samples that are clotted, collected in the wrong tube, or hemolyzed. Minimum volume 1 mL serum and 1 mL plasma Test schedule Tue-Sat, Sun Turnaround time 4-6 days Test includes Antiphospholipid Syndrome EvaluatR. Synonyms APS CPT codes 85613, 86146 x 3, 86147 x 3, 86148 x 3 ANTITHROMBIN III (ACTIVITY) Order code THROMBIN III.ACT Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Freeze in separate plastic tube at -70°C or on dry ice. Store and transport frozen. Stability - frozen (-70°C) 30 days Limitations Blood/anticoagulant volume is critical. Heparinized specimens may falsely decrease AT3 activity. Test schedule Tue, Fri Turnaround time 3-5 days Test includes Antithrombin III Activity, %. CPT codes 85300 ANTITHROMBIN III (ANTIGEN) Order code THROMBIN.III.AG Patient Prep Patient should be fasting. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2 mL Collection procedure Let vacutainer tube fill completely. Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Freeze in separate plastic tube at -70°C or on dry ice. Store and transport frozen. Unacceptable conditions Lipemic, clotted or short specimens. Minimum volume 0.5 mL Limitations Avoid hemolysis. Plasma/anticoagulant volume is critical. Test schedule Tue, Fri Turnaround time 3-5 days Test includes Antithrombin III Antigen, mg/dL. CPT codes 85301 APOLIPOPROTEIN A-1 Order code APO A 11/18/02 - 33 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 APOLIPOPROTEIN B-100 ARSENIC, URINE (QUANTITATIVE) Patient Prep Patient should be fasting 12-14 hours prior to collection. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp unstable Stability - refrigerated 8 days Stability - frozen (-20°C) 3 months Unacceptable conditions Severely lipemic, contaminated or hemolyzed specimens. Minimum volume 0.3 mL Alternate specimens Refrigerated specimens. Limitations Plasma specimens are not recommended. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Apolipoprotein A-1, mg/dL. CPT codes 82172 APOLIPOPROTEIN B-100 Order code APO B Patient Prep Fasting sample recommended. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - room temp unstable Stability - refrigerated 8 days Stability - frozen (-20°C) 3 months Unacceptable conditions Severely lipemic, contaminated or hemolyzed specimens. Minimum volume 0.3 mL Limitations Plasma specimens are not recommended. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Apolipoprotein B-100, mg/dL. CPT codes 82172 APT Order code APT A screen to differentiate fetal hemoglobin from maternal hemoglobin. Container type Leakproof plastic container. Specimen type Blood-tinged stool, sputum, gastric or vaginal specimens Specimen processing Store and transport at room temperature. Unacceptable conditions Tarry stools because the proteins have been denatured and will not react. Minimum volume At least one visibly bloody area Limitations The presence of adult red cells, mixed with fetal may mask the end result. Test schedule Sun-Sat days Turnaround time 24 hours Test includes Source; APT. Synonyms Downey Test; Fetal Hgb (Qual) CPT codes 83033 ARGININE VASOPRESSIN HORMONE Order code ADH This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated unstable Stability - frozen (-20°C) 2 months Unacceptable conditions Non-frozen specimens. Minimum volume 1.1 mL Test schedule Tue, Fri Turnaround time 7-10 days Test includes Arginine Vasopressin Hormone, pg/mL. Synonyms ADH CPT codes 84588 ARGININE VASOPRESSIN, URINE Order code ADH-U Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 5 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 5 mL of a random urine specimen. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 6 months Minimum volume 1.6 mL Test schedule Fri Turnaround time 7-12 days Test includes AVP, Urine, pg/mL; Osmolality, Urine, mOsm/kg. Synonyms Arginine Vasopressin, Urine; AVP, Urine CPT codes 84588, 83935 ARSENIC Order code ARS Container type Tan top tube (K-EDTA) Specimen type Whole blood Preferred volume 7 mL Specimen processing Store and transport refrigerated. Minimum volume 0.7 mL Alternate specimens EDTA whole blood (lavender top tube). Test schedule Mon-Fri Turnaround time 3-7 days Test includes Arsenic, µg/L. CPT codes 82175 ARSENIC TOTAL INORGANIC, URINE (SPECIATED) Order code ARTISU Container type Leakproof plastic urine container. Specimen type Timed urine Preferred volume 10 mL Collection procedure Collect an end of shift end of work week urine specimen. Specimen processing Aliquot 10 mL of end of shift end of work week urine specimen. Store and transport at room temperature or refrigerated. Minimum volume 10 mL Test schedule Tue, Thu, Sun Turnaround time 4-8 days Test includes Creatinine, Urine, mg/L; Arsenic, Total Inorganic, Urine, ug/L; Arsenic, Total Inorganic, Urine, ug/gCr. CPT codes 82175, 82570 ARSENIC, URINE (QUANTITATIVE) Order code ARS-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 50 mL Collection procedure Add 20mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated. Required patient info pH, collection period and total volume. Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimens contaminated with blood or fecal material. Minimum volume 2 mL 11/18/02 - 34 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ARSENIC, URINE (RANDOM) ASPERGILLUS ANTIBODY Alternate specimens May add 20 mL 6N HNO3 at end of collection. Shake well and let stand for 2 hours shaking every 15 minutes. Adjust pH to 2. Test schedule Tue, Thu, Sun Turnaround time 2-4 days Test includes Time, h; Volume, mL; Arsenic, Urine, µg/L; Arsenic, Urine, µg/24h. Synonyms As, Urine CPT codes 82175 ARSENIC, URINE (RANDOM) Order code ARS-RU Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 50 mL Collection procedure Collect a random urine collection. Specimen processing Aliquot 50 mL of a random urine specimen. Adjust pH to 2 with 6N HNO3. Store and transport refrigerated. Required patient info pH Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimens contaminated with blood or fecal materials. Minimum volume 5 mL Test schedule Sun, Tue, Thu Turnaround time 2-4 days Test includes Arsenic, Urine, µg/L. Synonyms As, Urine (Random) CPT codes 82175 ARTERIAL BLOOD GASES BATTERY Order code ABG Container type Capped syringe designed for blood gases. Specimen type Arterial whole blood Preferred volume 1 mL Collection procedure Contact nearest hospital. Specimen processing 1 mL arterial whole blood with 120 IU lyophilized heparin added to syringe designed for blood gases. Cap with stopper. Test must be performed immediately upon obtaining specimen. Maximum stability is 1 hour on ice. Required patient info Patient's temperature. Minimum volume 0.2 mL Alternate specimens Heparin tube. Limitations Some plastic syringes may allow loss of oxygen. Test schedule Daily & STAT Turnaround time 24 hours Test includes pH; PCO2, mmHg; PO2, mmHg; O2 Content, vol%; O2 SAT, %; HCO3, mmol/L; BE, mmol/L; Base Deficit, mmol/L; Hgb, g/dL; CO Hgb, %; Met Hgb, %; O2, %; Additional Data. Synonyms ABG CPT codes 82803 ARTHRITIS PROFILE Order code AR Container type Brick top tube (SST or Corvac) and Lavender top tube (EDTA) Specimen type Serum and whole blood Preferred volume 2 mL serum and 7 mL whole blood Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Uric Acid, mg/dL; Sed Rate, mm/h; RA, IU/mL. CPT codes 86431, 85651, 84550 ARTHROPOD IDENTIFICATION, MACROSCOPIC Order code ARTHID Container type See below. Specimen type See below. Collection procedure Submit specimen in sterile capped container. Specimen processing Store and transport at room temperature. Required patient info Source. Test schedule Sun-Sat Turnaround time 24 hours Test includes Source; Arthropod ID; Arthropod ID, Status. CPT codes 87168 ARYLSULFATASE A, URINE Order code ARYSUQ Container type 24-hour dark plastic urine container. Specimen type 24-hour or random urine collection. Preferred volume 10 mL Collection procedure Collect a 24-hour or random urine in a 24hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume and time of collection. Store and transport refrigerated. Required patient info Total volume and Collection period. Stability - room temp unstable Stability - refrigerated 7 days Stability - frozen (-20°C) unstable Unacceptable conditions Ambient and frozen samples. Minimum volume 5 mL Limitations Random samples are acceptable but normal values have not been established. Test schedule Varies Turnaround time Within 14 days Test includes Time, h; Volume, mL; Arylsulfatase A, Urine, U/L. CPT codes 84311 ASO Order code ASO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes ASO Titer, IU/mL. Synonyms Anti-Streptolysin O Titer CPT codes 86060 ASPERGILLUS ANTIBODIES PANEL Order code ASPABP Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated samples. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Aspergillus Ab, CF; Aspergillus Ab, ID. CPT codes 86606 x 2 ASPERGILLUS ANTIBODY Order code ASPER Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days 11/18/02 - 35 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 AST BACTERIAL ANTIGEN DETECTION PANEL Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Body fluid samples. Minimum volume 0.25 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Aspergillus Antibody. CPT codes 86606 Test schedule Sun-Sat Turnaround time 3-5 days Test includes B-Type Natriuretic Peptide, pg/mL. CPT codes 83520 B-TYPE NATRIURETIC PEPTIDE (HFH) Order code GOT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Collection procedure Avoid hemolysis. Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes AST, U/L. Synonyms SGOT; Aspartate Aminotransferase CPT codes 84450 Order code BNPEPR This workpar is to be used only when EDTA whole blood is drawn and the sample is at Holy Family within 4 hours of collection. The workpar BNP utilizing its specimen requirements must be used if these conditions cannot be met. Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 1 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 4 hours Unacceptable conditions Serum, plasma or any specimen not collected using EDTA as the anticoagulant. Specimen must arrive at Holy Family Hospital within 4 hours of collection or it cannot be run. Minimum volume 0.25 mL Limitations Must arrive at Holy Family Hospital within 4 hours of collection. Test schedule Daily & Stat Test includes Beta Natriuretic Peptide, pg/mL. CPT codes 83520 AUTO-IMMUNE PROFILE B12 & FOLATE AST Order code AI Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes RA, IU/mL; ANA; CRP, mg/dL; C3C, mg/dL. CPT codes 86431, 86140, 86038, 86160 B 12 ASSAY Order code B12 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate 12 x 75 plastic tube and freeze. Protect from light. Store & transport frozen. Stability - room temp 8 hours Stability - refrigerated 10 days Stability - frozen (-20°C) 2 months Unacceptable conditions Repeat freeze/thaw cycles. Minimum volume 0.5 mL Limitations Protect from light. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes B12, pg/mL. Synonyms Vitamin B12; B12; Cobalamin CPT codes 82607 B-TYPE NATRIURETIC PEPTIDE Order code BNP Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 3 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 4 hours Stability - refrigerated 4 hours Stability - frozen (-20°C) 4 months Unacceptable conditions Hemolyzed sampes and specimens collected in non-EDTA tubes. Do not freeze whole blood. Minimum volume 1 mL Order code B12/FOL Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate 12 x 75 plastic tube and freeze. Protect from light. Store & transport frozen. Stability - room temp 8 hours Stability - refrigerated B12-10 days; Folate-5 days Stability - frozen (-20°C) B12-2 months; Folate-2 weeks Unacceptable conditions Repeat freeze/thaw cycles. Minimum volume 0.5 mL Limitations Protect from light. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes B12, pg/mL; Folate, ng/mL. Synonyms Vitamin B12/Folate; Vitamin B12/Folic Acid CPT codes 82607, 82746 B12 BINDING CAPACITY (UNSATURATED) Order code UBBC Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 4 days Stability - frozen (-20°C) 7 days Alternate specimens Refrigerated specimens are acceptable but not preferred. Limitations Protect from light. Test schedule Mon, Thu Turnaround time 5-10 days Test includes Vitamin B12 Binding Capacity, Unsaturated, pg/mL. CPT codes 82608 BACTERIAL ANTIGEN DETECTION PANEL Order code BAGP Container type Brick top tube (SST or Corvac) Specimen type CSF or serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Specimen source. Stability - refrigerated 1 month except urines. Unacceptable conditions Synovial fluid. 11/18/02 - 36 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 BACTERIAL SENSITIVITY, EACH ORGANISM BARTONELLA HENSELAE ANTIBODY Minimum volume 1 mL Alternate specimens Urine or other body fluid except synovial fluid. Test schedule Mon-Fri Turnaround time 2-3 days Test includes Strep Group B Antigen; H. influenzae Type B Antigen; Strep pneumoniae Antigen; N. meningitidis Group C/W135 Antigen; N. meningitidis Group A/Y Antigen; N. meningitidis Group B/E.coli K1 Antigen. CPT codes 86403 x 5 BACTERIAL SENSITIVITY, EACH ORGANISM Order code SUSC The actual type of susceptibility done will vary . The fee will be dependent upon which particular susceptibility was performed. Specimen type Significant culture isolate Required patient info Specimen source. Limitations Performed on significant culture isolates only. Test schedule Sun-Sat Turnaround time 24-48 hours Test includes Source; Bacterial Sensitivity; Bacterial Sensitivity, Status. Synonyms Bacterial Susceptibility Test CPT codes This workpar uses billing only codes. Charges and coding will be dependent upon the specific type of susceptibility test done. Notes Reported as sensitive, intermediate or resistant to antibiotic. BAL PROFILE Order code BALPR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Specimen type Bronchoalveolar lavage, no anticoagulant Preferred volume 25 mL Specimen processing Store and transport immediately at room temperature. Limitations Grossly bloody specimens or those more than 3/4 mucous may be uninterpretable. Test schedule Sun-Sat days Turnaround time 72 hours Test includes BAL,Volume, mL; BAL, Color; BAL, Clarity; BAL, Neutrophils, %; BAL, Lymphocytes, %; BAL, Atypical Lymphs; BAL, Macro/Mono; BAL, Phag/Mono; BAL, Eosinophils, %; BAL, Basophils, %; Squamous Epithelial Cells, %; BAL, Columnar Epithelial Cells, %; BAL, Others; BAL, Fungus; BAL, Bacteria; BAL, Note; BAL, Oil Red O; BAL, Iron; BAL, Interpretation; BAL, Reviewed by. Synonyms Bronchoalveolar Lavage Profile CPT codes 88108, 89125, 88313, 80500 Notes A BAL routing slip must accompany the specimen. If there are GT 10% lymphocytes present, immunophenotyping studies are performed to determine the percent of CD4 and CD8 cells present and a CD4/CD8 ratio is calculated. Cytochemical stains will be performed as necessary. A fee will be added for this work. BAL, BODY FLUID CONSULT REVIEW Order code BAL.REV Container type Leakproof plastic container. Specimen type Bronchoalveolar lavage, no anticoagulant Preferred volume 25 mL Specimen processing Store and transport at room temperature. Test schedule Mon-Fri Turnaround time 72 hours Test includes Interpretation, BAL; Reviewed by. CPT codes 80500 Notes Interpretive report is provided on all BAL cell counts. BAL, DIFFERENTIAL Order code BALDIF This test may relex to additional tests depending upon the results of this test. An additional fee may be added. Container type Leakproof plastic container. Specimen type Bronchoalveolar lavage, no anticoagulant Preferred volume 25 mL Specimen processing Store and transport immediately at room temperature. Unacceptable conditions Grossly bloody specimens or those more than ¾ mucous. Test schedule Sun-Sat Turnaround time 72 hours Test includes Neutrophils, %; Lymphocytes, %; Variant Lymphocytes, %; Macrophages/Monocytes, %; Phagocytic Monocytes, %; Eosinophils, %; Basophils, %; Squamous Epithelial Cells, %; Columnar Epithelial Cells, %; Others; Fungus; Bacteria; BAL Note. Synonyms Bronchoalveolar Cell Count & Differential CPT codes 88108 Notes If there ar GT 10% lymphocytes present, immunophenotyping studies are performed to determine the percent of CD4 and CD8 cells present and a CD/CD8 ratio is calculated. Cytochemical stains will be performed as necessary. BAL, IRON STAIN Order code BAL.IRN Container type Leakproof plastic container. Specimen type Bronchoalveolar lavage, no anticoagulant Preferred volume 25 mL Specimen processing Store and transport at room temperature. Test schedule Sun-Sat days Turnaround time 72 hours Test includes BAL, Iron. Synonyms Bronchoalveolar Lavage Iron Stain CPT codes 88313 Notes Automatically done on all BAL specimens. BAL, LYMPH SUBSETS Order code BAL.LYMPH This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Leakproof plastic container. Specimen type Bronchoalveolar lavage, no anticoagulant Preferred volume 25 mL Specimen processing Store and transport at room temperature. Test schedule Mon-Fri days Turnaround time 72 hours Test includes BAL, CD3, %; BAL, CD4, %; BAL, CD8, %; BAL, CD19, %; BAL, CD4/CD8, Ratio. Synonyms Bronchoalveolar Lavage Lymph Subsets CPT codes 88180 x 4 Notes Used for pulmonary, immunosuppressed patients. If there are GT 10% lymphocytes present in the BAL, immunophenotyping studies are automatically performed. BAL, OIL RED O STAIN Order code BAL.ORO Container type Leakproof plastic container. Specimen type Bronchoalveolar lavage, no anticoagulant Preferred volume 25 mL Specimen processing Store and transport at room temperature. Test schedule Sun-Sat Turnaround time 72 hours Test includes BAL, Oil Red O. Synonyms Bronchoalveolar Lavage Oil Red O Stain CPT codes 89125 Notes Automatically done on all BAL specimens. BARBITURATES SCREEN Order code BARB Specimen type Urine, random Preferred volume 30 mL CPT codes 80100 BARTONELLA HENSELAE ANTIBODY Order code ROCHAL Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days 11/18/02 - 37 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 BASIC METABOLIC PANEL BETA-2 GLYCOPROTEIN IGG & IGM Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Tue, Fri Turnaround time 3-5 days Test includes Bartonella henselae, IgG Antibody; Bartonella henselae, IgM Antibody. Synonyms Cat Scratch Fever; Rochalimaea henselae Antibody CPT codes 86611x 2 BASIC METABOLIC PANEL Order code BMPA Container type Brick top tube (SST or Corvac) or Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Centrifuge ASAP, keep upright. and do not remove the stopper. Store and transport refrigerated. If red top tube collected, separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Place in separate plastic tube and cap immediately. Store and transport refrigerated. Stability - refrigerated 1 day Minimum volume 0.5 mL Alternate specimens If plasma must be used, use lithium or ammonium heparin. Limitations Avoid hemolysis. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; BUN/Creatinine Ratio; Calcium, mg/dL; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L. CPT codes 80048 Notes Hemolysis will cause elevated potassium and minimal volumes will concentrate. BCL-2/JH, T(14;18) BY PCR, FLUID Order code BCL2FL Container type Lavender top tube (EDTA) or Yellow top tube (ACD)for whole blood specimen or bone marrow. Specimen type EDTA whole blood and bone marrow. Preferred volume 10 mL Specimen processing Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 5 days Unacceptable conditions Serum, heparinized whole blood, frozen whole blood, clotted blood or severely hemolyzed specimen. Minimum volume 3 mL Alternate specimens ACD whole blood or bone marrow (yellow top tube). Test schedule Sun-Sat Turnaround time 7-10 days Test includes bcl-2/JH, t(14;18) mbr, Fluid; bcl-2/JH, t(14;18) mcr, Fluid. CPT codes 83891, 83892, 83898 x 3, 83894 x3, 83912 BENZENE, WHOLE BLOOD Order code BENZENE Container type Grey top tube (fluoride/oxalate) Specimen type Whole blood Preferred volume 2 mL Specimen processing Store and transport at room temperature. Minimum volume 0.5 mL Test schedule Mon, Tue, Wed, Thu, Fri Turnaround time 3-6 days Test includes Benzene, mcg/mL. CPT codes 84600 BERYLLIUM Order code BERY Container type Royal blue top tube (metal free heparin) Specimen type Whole blood Preferred volume 4 mL Specimen processing Store and transport refrigerated or at room temperature. Minimum volume 0.5 mL Test schedule Mon, Thu Turnaround time 2-5 days Test includes Beryllium, Blood, µg/L. CPT codes 83018 BETA HCG Order code HCG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or freeze if transport will exceed 2 days. Stability - refrigerated 48 hours Minimum volume 0.5 mL Limitations Avoid repeat freeze-thaw cycles. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Pregnancy test (Beta HCG). Synonyms HCG Beta, Qual; Pregnancy Test CPT codes 84703 Notes This method is calibrated according to the WHO 3rd International Reference Preparation for Chorionic Gonadotropin (WHO 3rd IRP 75/537). Pregnancy is detected 1 week after implantation or 4-5 days before first missed menses. Sensitivity of the MEIA method is 2.0 mIU/mL, and 25 mIU/mL for EIA. BETA HCG (QUANTITATIVE) Order code HCG-QUANT Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 14 days Stability - frozen (-20°C) 12 months Minimum volume 0.5 mL Alternate specimens Sodium heparinized plasma (green top tube). Test schedule Sun-Sat and STAT Turnaround time 24 hours Test includes HCG-Quant Beta Subunit by MEIA, mIU/mL. Synonyms Chorionic Gonadotropin Quant; HCG Beta, Quant; Human Chorionic Gonadotropin Quant CPT codes 84702 Notes Minimum detectable concentration is 2.0 mIU/mL. This method is calibrated according to the WHO 3rd International Reference Preparation for Chorionic Gonadotropin (WHO 3rd IRP 75/537). The degradation half-life for HCG is 1 day following surgical removal of ectopic pregnancy or trophoblastic tissue. BETA HCG QUANTITATIVE, TUMOR MARKER Order code BHCGTM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions Room temperature samples. Minimum volume 0.2 mL Alternate specimens EDTA or heparinized plasma (lavender or green top tube). Test schedule Sun-Sat Turnaround time 2-4 days Test includes Beta HCG Quantitative, Tumor Marker, IU/L. CPT codes 84702 BETA-2 GLYCOPROTEIN IGG & IGM Order code B2GLY Container type Brick top tube (SST or Corvac) Specimen type Serum 11/18/02 - 38 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 BETA-2-MICROGLOBULIN BILIRUBIN, FRACTIONATED Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated, hemolyzed samples, or other body fluids. Minimum volume 0.5 mL Limitations Avoid repeat freeze/thaw cycles. Test schedule Mon Turnaround time 2-8 days Test includes Beta-2 Glycoprotein 1 Ab, IgG, SGU; Beta-2 Glycoprotein 1 Ab, IgM, SMU. CPT codes 86146 x 2 BETA-2-MICROGLOBULIN Order code BETA.2.MIC Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 2 weeks Minimum volume 1 mL Test schedule Mon-Fri evenings Turnaround time 1-4 days Test includes Beta-2-Microglobulin, ng/mL CPT codes 82232 BETA-2-MICROGLOBULIN, CSF Order code B2M.CSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 0.5 mL Specimen processing Store and transport refrigerated. Stability - room temp unstable Stability - refrigerated 7 days Stability - frozen (-20°C) 2 weeks Minimum volume 0.2 mL Test schedule Sun-Sat Turnaround time 2-4 days Test includes Beta-2-Microglobulin, CSF, mg/L. CPT codes 82232 BETA-2-MICROGLOBULIN, URINE Order code B2M-U Patient Prep Void, drink large glass of water, collect urine specimen within 1 hour. Container type Leakproof plastic urine container. Specimen type Urine, timed Preferred volume 2 mL Collection procedure Collect urine within 1 hour of driniking a large glass of water after voiding. Specimen processing Aliquot 2 mL of a timed urine specimen. Adjust pH to 6-8 with 1M NaOH and freeze. . Store and transport frozen. Stability - refrigerated 2 days Stability - frozen (-20°C) 2 months Unacceptable conditions Unfrozen or pH not adjusted on samples. Minimum volume 1 mL Test schedule Mon-Fri evenings Turnaround time 1-4 days Test includes Beta-2-Microglobulin, Urine, ng/mL. CPT codes 82232 BILE ACIDS, FRACTIONATED Order code BILEAF Patient Prep Overnight fasting is preferred. Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 week Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Test schedule Tue, Thu Turnaround time 5-7 days Test includes Cholic Acid, µmol/L; Deoxycholic Acid, µmol/L; Chenodeoxycholic Acid, µmol/L; Total Bile Acids, µmol/L. CPT codes 83789 BILE ACIDS, TOTAL (CONJUGATED) Order code BILE ACIDS Patient Prep Patient must be fasting a minimum of 8 hours prior to collection. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp unstable Stability - refrigerated unstable Stability - frozen (-20°C) 6 months Unacceptable conditions Grossly hemolyzed or lipemic specimens. Minimum volume 0.1 mL Test schedule Mon, Thu Turnaround time 5-7 days Test includes Bile Acids, µmol/L. CPT codes 82239 BILIRUBIN, DIRECT Order code DBIL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Protect from light. Store and transport refrigerated. Stability - refrigerated 2weeks when protected from light. Minimum volume 0.2 mL Limitations Protect from light. Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Bilirubin, Direct, mg/dL. CPT codes 82248 BILIRUBIN, FLUID Order code BILFL Container type Green top tube (lithium heparin) Specimen type Body fluid Preferred volume 1 mL Specimen processing Separate fluid from cells and put in separate plastic tube if specimen if grossly bloody. Protect from light. Note type of fluid. Store and transport refrigerated. Required patient info Type of fluid. Stability - refrigerated 72 hours Stability - frozen (-20°C) 6 months Minimum volume 0.2 mL Alternate specimens Specimens collected in plain red top tubes. Test schedule Daily Turnaround time 24 hours Test includes Bilirubin, Fld, mg/dL. CPT codes 82247 BILIRUBIN, FRACTIONATED Order code FRBIL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Protect from light. Store and transport refrigerated. Stability - refrigerated 2 weeks when protected from the light. Minimum volume 0.2 mL Limitations Protect from light. Test schedule Sun-Fri nights & STAT 11/18/02 - 39 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 BILIRUBIN, TOTAL BORDETELLA PERTUSSIS SCREEN Turnaround time 24 hours Test includes Bilirubin, Total, mg/dL; Bilirubin, Direct, mg/dL; Bilirubin, Indirect (CALC), mg/dL. CPT codes 82247, 82248 BILIRUBIN, TOTAL Order code BIL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated. Stability - refrigerated 2 weeks when protected from light. Minimum volume 0.2 mL Alternate specimens EDTA plasma (lavender top tube). Limitations Protect from light. Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Bilirubin, Total, mg/dL. CPT codes 82247 Notes Direct exposure from sunlight can decrease bilirubin by 50% within 1 hour. BILIRUBIN, URINE Order code BILE Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Protect from light. Store and transport refrigerated. Minimum volume 5 mL Alternate specimens Frozen specimens. Limitations Protect from light. Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Bile, Urine. Synonyms Bilirubin, Urine CPT codes 81005 BIOAVAILABLE TESTOSTERONE Order code TESBIO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separte serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - room temp 1 day Stability - refrigerated 3 days Stability - frozen (-20°C) Indefinitely Minimum volume 1 mL Test schedule Mon-Fri Turnaround time 3-6 days Test includes Testosterone, Total, ng/dL; Bioavailable Testosterone, ng/dL; Sex Hormone Binding Globulin, ug/dL. CPT codes 84402, 84403, 84270 BLASTOMYCES ANTIBODIES PANEL Order code BLABP Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be recieved within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated samples. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Blastomyces Ab, CF; Blastomyces Ab, ID. CPT codes 86612 x 2 BLASTOMYCES ANTIBODY BY CF Order code BLASTO.CF Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Blastomyces Antibody, Titer. CPT codes 86612 BLASTOMYCES ANTIBODY BY ID Order code BLASTO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma specimens or other body fluids. Minimum volume 0.25 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Blastomyces Precipitin Antibody. CPT codes 86612 BLEEDING TIME Order code BLEED Specimen type Filter paper wheel Specimen processing Timed blotted filter paper wheel. Performed at any Patient Service Center. Test schedule Mon-Sat Turnaround time 24 hours Test includes Bleeding Time, min. Synonyms Ivy Bleeding Time CPT codes 85002 BORDETELLA PERTUSSIS ANTIBODY PANEL Order code BPERAB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.15 mL Test schedule Mon, Wed, Fri Turnaround time 3-6 days Test includes Bordetella pertussis IgG by PT, U/mL; Bordetella pertussis IgA by PT, U/mL; Bordetella pertussis IgM by PT, U/mL; Bordetella pertussis IgG by FHA, U/mL; Bordetella pertussis IgA by FHA, U/mL; Bordetella pertussis IgM by FHA, U/mL. CPT codes 86615 x 6 BORDETELLA PERTUSSIS SCREEN Order code PERT Container type Slide transport pack. 11/18/02 - 40 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 BORDETELLA PERTUSSIS/PARAPERTUSSIS BY PCR (REFLEXIVE) BUN Specimen type Nasopharyngeal slides Collection procedure Collect specimen using nasopharyngeal swab. Calcium alginate is superior to dacron and both are preferred over rayon or cotton. Pass the swab through the nares until resistance is met. Hold in place for up to 30 seconds. Remove the swab and roll the specimen in the center of a slide, in a 1 cm round circular area. A second swab is collected from the contralateral nostril and a second slide is prepared. Specimen processing Store and transport both air dried slides in a slide transport pack. Required patient info Specimen source. Test schedule Sun-Sat Turnaround time 24 hours Test includes Source; Bordetella pertussis Screen; Bordetella pertussis Screen Status. Synonyms Bordatella Pertussis Screen CPT codes 87265 BORDETELLA PERTUSSIS/PARAPERTUSSIS BY PCR (REFLEXIVE) Order code BPPCR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Specimen type NP swab Collection procedure Collect one NP swab (dacron or rayon tip with wire shaft) by inserting through the nose into the posterior nasopharynx and rotating for at least 5 seconds. Place swab in sterile capped tube. Store and transport refrigerated. Stability - refrigerated 72 hours Unacceptable conditions Swabs that are frozen, room temperature or in transport media. Calcium alginate is a known inhibitor of PCR and thus not acceptable. Test schedule 2 or 3 times weekly Turnaround time 2-9 days Test includes Bordetella pertussis/parapertussis by PCR Preliminary; Bordetella pertussis/parapertussis by PCR Final; Comment; Comment. CPT codes 87798 BORRELIA HERMSII [SPECIALTY] Order code BOR.HEM This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.3 mL Test schedule Tue-Sat Turnaround time 4-6 days Test includes Borrelia hermsii, IgG, SD; Borrelia hermsii, IgM. Synonyms Relapsing Fever CPT codes 86619 x 2 BORRELIA HERMSII, SMEAR (BLOOD PARASITES) Order code BLD-PARA BOR Container type Lavender top tube (EDTA) Specimen type Whole blood and 4 unstained peripheral blood smears Preferred volume 5 mL Specimen processing Store and transport at room temperature. Minimum volume 0.5 mL and 4 blood smears Limitations Does not detect Borrellia burgdorferi. Test schedule Sun-Sat Turnaround time 24 hours Test includes Borrelia, number of parasites/KRBC CPT codes 87207 Notes All positives are reported to SHMC Epidemiology Department. Procedure includes the examination of buffy coat preparations. BRETYLIUM TOSYLATE Order code BRET Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Collection procedure Draw approximately 30 minutes following a 300 MG IM dose of Bretylium Tosylate. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Varies Turnaround time 5-10 days Test includes Bretylium Tosylate, µg/mL. CPT codes 82491 BRILLIANT CRESYL BLUE Order code BCB Container type Lavender top tube (EDTA) and slides. Specimen type Whole blood and peripheral blood slides. Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 10 days Unacceptable conditions Specimens more than 10 days old or frozen specimens. Minimum volume 1 mL or 2 EDTA microtainers and peripheral slides. Test schedule Mon-Fri days Turnaround time 3-6 days Test includes Brilliant Cresyl Blue. CPT codes 87207 BROMIDES Order code BROMIDE Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) Indefinitely Minimum volume 1 mL Alternate specimens Heparinized or EDTA plasma (green or lavender top tube). Test schedule Sun, Tue, Thu Turnaround time 3-5 days Test includes Bromide, mg/dL. CPT codes 80299 BRUCELLA Order code BRU Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 2 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Brucella. CPT codes 86622 BUN Order code BUN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL 11/18/02 - 41 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 BUN/CREATININE RATIO C1Q BINDING ASSAY Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes BUN (UREA), mg/dL. Synonyms Urea Nitrogen; Blood Urea Nitrogen CPT codes 84520 BUN/CREATININE RATIO Order code BUN/CRE Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.2 mL Alternate specimens Lithium heparinized (green top tube). Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes BUN (UREA), mg/dL; Creatinine, mg/dL; Bun/Cre. CPT codes 84520, 82565 BUPROPION Order code BUPROPION Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 2.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze within 2 hours. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 2 hours Stability - frozen (-20°C) 5 days Unacceptable conditions Non-frozen specimens. Minimum volume 1.5 mL Alternate specimens Frozen heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Sun, Wed Turnaround time 3-5 days Test includes Bupropion, ng/mL. Synonyms Wellbutrin CPT codes 80299 BUTALBITAL Order code BUT Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 3 months Stability - refrigerated 3 months Stability - frozen (-20°C) 1 year Minimum volume 1 mL Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes & gels. Test schedule Sun, Tue, Thu Turnaround time 3-5 days Test includes Butalbital, µg/mL. Synonyms Fiorinal CPT codes 82205 C-PEPTIDE Order code C-PEP Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Collection procedure Collect on ice. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp unstable Stability - refrigerated unstable Stability - frozen (-20°C) 1 week Unacceptable conditions EDTA plasma specimens. Minimum volume 0.3 mL Alternate specimens Heparinized plasma (green top tube). Test schedule Sun-Sat Turnaround time 5-9 days Test includes C-Peptide, ng/mL. CPT codes 84681 C. BURNETII (Q FEVER) ANTIBODY Order code Q FEV Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue, Fri Turnaround time 4-7 days Test includes C. burnetii (Q Fever), Titer. Synonyms Coxiella burnetii; Q Fever CPT codes 86638 C1 ESTERASE INHIBITOR (FUNCTIONAL) Order code C-1 FUNC Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - frozen (-20°C) 2 weeks Unacceptable conditions Non-frozen specimens. Minimum volume 0.2 mL Alternate specimens Frozen EDTA plasma (lavender top tube). Test schedule Wed Turnaround time 4-7 days Test includes C1 Esterase Inhibitor (Functional), %. CPT codes 86161 C1 ESTERASE INHIBITOR (TOTAL) Order code C-1 EST Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - frozen (-20°C) 2 weeks Unacceptable conditions Non-frozen specimens. Minimum volume 0.5 mL Test schedule Mon, Wed , Fri Turnaround time 4-7 days Test includes C1 Esterase Inhibitor (Total), mg/dL. CPT codes 86160 C1Q BINDING ASSAY Order code C1Q Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Let sample stand on clot for 2 hours. Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated unstable Stability - frozen (-20°C) 2 weeks Unacceptable conditions Non-frozen specimens. Minimum volume 0.5 mL 11/18/02 - 42 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 C2 COMPLEMENT COMPONENT CA 72-4 Limitations Avoid repeated freeze-thaw cycles. Test schedule Mon, Thu Turnaround time 3-10 days Test includes C1Q Binding, µgE/mL. CPT codes 86332 C2 COMPLEMENT COMPONENT Order code C2 This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Allow to clot for 30 minutes to 1 hour at room temperature. Separate serum from the cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated unstable Stability - frozen (-20°C) 2 weeks Unacceptable conditions Specimens allowed to clot at 2-8°C. Specimens subjected to repeated freeze-thaw cycles and non-frozen specimens. Minimum volume 0.5 mL Limitations Plasma samples are not recommended. Test schedule Mon, Thu Turnaround time 5-10 days Test includes C2, mg/dL. CPT codes 86160 C3 & C4 COMPLEMENT COMPONENTS Order code C3/C4 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes C3C, mg/dL; C4, mg/dL. Synonyms Complement C3 and C4 CPT codes 86160 x 2 C3 COMPLEMENT COMPONENT Order code C3 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes C3C, mg/dL. Synonyms C3c; Complement C3 CPT codes 86160 C3, FLUID Order code C3.FLUID Container type Leakproof plastic container. Specimen type Body fluid Preferred volume 2 mL Specimen processing Place fluid in separate plastic tube. Store and transport refrigerated or frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes C3C, mg/dL. CPT codes 86160 C4 COMPLEMENT COMPONENT Order code C4 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes C4, mg/dL. Synonyms Complement C4 CPT codes 86160 CA 125 Order code CA125 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 24 hours Minimum volume 0.5 mL Limitations Avoid hemolysis and lipemia. Test schedule Mon-Sat evenings Turnaround time 1-3 days Test includes CA 125, U/mL. Synonyms Cancer Antigen 125 CPT codes 86304 CA 15-3 Order code CA15-3 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 24 hours Unacceptable conditions Grossly hemolyzed specimens. Minimum volume 0.5 mL Alternate specimens EDTA plasma (lavender top tube). Use same tube type for serial testing. Test schedule Sun-Fri nights Turnaround time 48 hours Test includes Ca 15-3, U/mL. Synonyms Cancer Antigen 15-3; Breast Cancer Antigen 15-3; Carbohydrate Antigen 15-3 CPT codes 86300 CA 27.29 Order code CA27.29 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 48 hours Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA or heparin plasma. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 1-3 days Test includes CA27.29, U/mL. Synonyms Cancer Antigen 27.29 CPT codes 86300 CA 72-4 Order code CA72.4 11/18/02 - 43 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CA19-9 CAFFEINE This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 4 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 1 year Minimum volume 0.3 mL Test schedule Tue, Fri Turnaround time 3-5 days Test includes CA 72-4, U/mL. Synonyms Cancer Antigen 72-4 CPT codes 86316 CA19-9 Order code CA19-9 This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma, grossly hemolyzed or grossly turbid specimens. Minimum volume 0.5 mL Test schedule Mon-Fri nights Turnaround time 1-3 days Test includes CA 19-9, U/mL. Synonyms Cancer Antigen 19-9; Carbohydrate Antigen 19-9 CPT codes 86301 CADMIUM EXPOSURE PANEL (OSHA) Order code CAD.EXP.PAN Container type Tan top tube (K- EDTA) and leakproof plastic urine container. Specimen type Whole blood and urine. Preferred volume 7 mL K- EDTA whole blood and 40 mL urine Specimen processing Split urine into 3 aliquots. Immediately pH one aliquot, use 1M HCL or 5% NaOH to adjust pH between 6 and 8, label for beta-2-microglobulin, store and transport frozen. For second aliquot, add 0.1 mL of 12M HCL, label for cadmium, store and transport refrigerated. The third aliquot is labeled creatinine and shipped refrigerated. Store and transport the blood refrigerated. Minimum volume 1 mL whole blood and 10 mL urine Test schedule Mon-Fri Turnaround time 3-5 days Test includes Cadmium, Blood, µg/L; Cadmium, Urine, µ/L; Creatinine, Urine, mg/dL; Cadmium, Urine, µg/g Creatinine; Beta-2Microglobulin, Urine, µg/L; Beta-2-Microglobulin, Urine, µg/g Creat; pH. CPT codes 82300 , 82232 CADMIUM, URINE (QUANTITATIVE) Order code CAD Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container Specimen type Urine Preferred volume 50 mL Collection procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Use only SAGE, HEDWIN, P-Splitter or GUARD jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen processing Aliquot of a well-mixed 24-hour urine collection into a leakproof plastic container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated. Required patient info pH, collection period and volume. Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimens contaminated with blood or fecal material, or if specimen is collected by rubber catheterization. Minimum volume 5 mL Alternate specimens May add 20 mL 6N HNO3 at end of collection. Shake well and let stand for 2 hours shaking every 15 minutes. Adjust pH to 2. Limitations Urine cadmium cannot be run if specimen is collected by rubber catheterization. Test schedule Mon-Fri Turnaround time 4 days Test includes Cadmium, Urine, µg/L; Cadmium, Urine, µg/24h; Cadmium, Urine µg/gCr. Synonyms Cd, Urine (Quant) CPT codes 82300 CADMIUM, URINE (RANDOM) Order code CAD.R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 25 mL Collection procedure Collect a random urine in a leakproof plastic urine container. Specimen processing Aliquot 25 mL of a random urine specimen. Adjust to pH 2 with 6N nitric acid or 12N HCl Store and transport refrigerated or at room temperature. Stability - room temp 10 days Stability - refrigerated 15 days Stability - frozen (-20°C) 1 month Unacceptable conditions Specimens collected with a rubber catheter. Minimum volume 10 mL Alternate specimens Urine that is not acidified, but frozen immediately and transported frozen. Test schedule Mon, Fri Turnaround time 3-7 days Test includes Cadmium, Urine, µg/L. Synonyms Cd, Urine, Random CPT codes 82300 CADMIUM, WHOLE BLOOD Order code CAD-BLD Container type Tan top tube (K-EDTA) Specimen type Whole blood Preferred volume 7 mL Specimen processing Store and transport refrigerated. Minimum volume 0.7 mL Alternate specimens EDTA whole blood (lavender top tube). Test schedule Mon-Fri Turnaround time 3-7 days Test includes Cadmium, µg/L. Synonyms Cd, Whole Blood CPT codes 82300 CAFFEINE Order code CAFN Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) 60 days Unacceptable conditions Plasma or whole blood specimens. Minimum volume 0.3 mL; 1 microtainer Test schedule Daily Turnaround time 1-3 days Test includes Caffeine, µg/mL. CPT codes 80299 11/18/02 - 44 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CALCITONIN CARBAMAZEPINE CALCITONIN Order code CALCITONIN Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated unstable Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma specimens. Minimum volume 0.4 mL Limitations Critical frozen specimen. Separate samples must be submitted when multiple tests are ordered. Test schedule Mon, Wed, Fri Turnaround time 6-10 days Test includes Calcitonin, pg/mL. CPT codes 82308 CALCIUM Order code CAL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Unacceptable conditions EDTA, sodium citrated or sodium fluoride/oxalated plasma. Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Calcium, mg/dL. Synonyms Ca CPT codes 82310 CALCIUM, IONIZED Order code CAL-ION Draw a separate tube for this test if other tests are also ordered. Patient Prep Prefer patient be fasting. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Collection procedure Collect and handle anaerobically. The tube should be filled completely to limit the loss of CO2. Specimen processing Allow the tube to clot 1/2 hour (maximum of 1 hour) before centrifuging at 1000 RCF for 10-15 minutes. Store and transport centrifuged SST/Corvac tube refrigerated with no further manipulation. Stability - room temp 2 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 6 months Unacceptable conditions Specimen on dry ice, hemolyzed or setting in ice cubes only without water. Minimum volume 1 mL Alternate specimens 1mL whole blood drawn in a balanced heparinized blood gas syringe delivered on wet ice within 4 hours of collection. Limitations Bedrest for 3 days or more may elevate ionized calcium into the abnormal range. Within the pH range of 7.2-7.6 the normalized calcium value included in the report represents what the ionized calcium concentration would be if the pH of the sample was 7.4 For specimens with pH values outside the 7.2-7.6 range, only the ionized calcium value will be reported since the pH is out of range to calculate the normalized value. This ionized calcium result alone may not reflect the physiologic calcium status due to the pH of the specimen. In rare instances where either the ionized calcium or the pH is beyond the range of the instrument (i.e., ionized calcium 20 mg/dL, and pH < 6.0 or > 8.8), no results will be reported. Test schedule Daily Turnaround time 24 hours Test includes Calcium, Ionized, mg/dL; Calcium, Normalized, mg/dL. CPT codes 82330 Notes The pH range is critical. For specimens with pH values outside the 7.2-7.6 range only the ionized calcium will be reported. Do not ship on cold packs or dry ice which can cause supersaturation of CO2 and lower pH. In rare instances where the ionized calcium is beyond the range of the instrument (LT 0.8 or GT 8.8 mg/dL) results will be reported as less than or greater than these limits.`The least preferred specimen is a full Sursep microtainer ensuring minimum air exposure when drawing. Handle as you would other specimens. CALCIUM, URINE (QUANTITATIVE) Order code CAL-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 10 mL Collection procedure Add 30 mL 6N HCl to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to between 1.0-2.0 with 6N HCl. Record collection time and total volume. Store and transport at room temperature. Required patient info Collection period and total volume. Stability - room temp 1 week Unacceptable conditions Specimen contaminated with fecal material or pH not adjusted between 1.0-2.0. Minimum volume 2 mL Test schedule Daily Turnaround time 24 hours Test includes Time, h; Volume, mL; Calcium, Urine, mg/dL; Calcium, Urine, mg/24h. CPT codes 82340 CALCIUM, URINE (RANDOM) Order code CAL-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Adjust pH to between 1.0-2.0 with 6N HCl. Note time adjusted on label. Store and transport at room temperature. Stability - room temp 1 week Unacceptable conditions Specimen contaminated with fecal material or pH not adjusted to 2. Minimum volume 2 mL Test schedule Daily Turnaround time 24 hours Test includes Calcium, Urine, mg/dL. CPT codes 82310 CANDIDA PRECIPITINS Order code CAN AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma and other body fluids. Minimum volume 0.25 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Candida Precipitins. CPT codes 86628 CARBAMAZEPINE Order code CARB Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw sample just prior to next dose. Note 11/18/02 - 45 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CARBAMAZEPINE, FREE & TOTAL CATECHOLAMINES, PLASMA (FRACTIONATED) times of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Unacceptable conditions EDTA plasma. Minimum volume 0.2 mL Alternate specimens Plasma specimens (except EDTA). Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Carbamazepine, µg/mL. Synonyms Tegretol CPT codes 80156 CARBAMAZEPINE, FREE & TOTAL Order code CARB.FREE Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells ASAP and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 5 days Stability - refrigerated 5 days Stability - frozen (-20°C) 4-6 months Unacceptable conditions EDTA plasma (lavender top tube) Minimum volume 1 mL Alternate specimens Heparinized or sodium fluoride/potassium oxalate (green or grey top tube) plasma. Limitations Avoid the use of serum separator tubes and gels. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Carbamazepine, Free, µg/mL; Carbamazepine, Total, µg/mL; % Carbamazepine, Free, %. Synonyms Free Carbamazepine; Tegretol, Free CPT codes 80156, 80157 CARBOXYHEMOGLOBIN Order code CO HGB Container type Lavender top tube (EDTA) Specimen type EDTA whole blood Preferred volume 5 mL Collection procedure Fill EDTA lavender top tube completely. Specimen processing Do not remove stopper. Do not centrifuge. Store and transport immediately on wet ice. Stability - room temp 30 minutes; Stable 4 hours on wet ice. Stability - refrigerated 7 days Unacceptable conditions Specimen that has been at room temperature longer than 30 minutes, been opened, recapped or spun. Alternate specimens Sodium heparinized whole blood (green top tube). Limitations Stable 4 hours on wet ice. Test schedule Sun-Sat Turnaround time 24 hours Test includes Hemoglobin, g/dL; Carboxyhemoglobin, %. Synonyms Carboxyhemoglobin; COHB CPT codes 82375 CARCINOEMBRYONIC ANTIGEN Order code CEA Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube within 6 hours. Ensure that complete clot formation has taken place prior to centrifugation. Store and transport refrigerated or frozen. Stability - refrigerated 14 days Stability - frozen (-20°C) 12 months Unacceptable conditions Grossly hemolyzed specimens. Minimum volume 0.5 mL Alternate specimens EDTA or heparinized plasma (lavender or green top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes CEA, ng/mL. Synonyms CEA; CEA (ABBOTT) CPT codes 82378 Notes When serial samples are being evaluated, the same sample type should be used. CARCINOEMBRYONIC ANTIGEN, CSF Order code CEA.CSF Container type CSF sterile plastic tube. Specimen type Frozen CSF Preferred volume 0.5 mL Specimen processing Specimen must be frozen immediately. Store and transport frozen. Test schedule Mon-Fri Turnaround time 2-4 days Test includes CEA, CSF, ng/mL. CPT codes 82378 CARNITINE, FREE & TOTAL Order code CARFT Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Minimum volume 0.6 mL Limitations Critical frozen specimen. Separate specimens must be submitted when mulitple tests are ordered. Avoid hemolysis. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Carnitine, Free, µmol/dL; Carnitine, Total, µmol/dL; Carnitine, Esterified (Acyl), µmol/dL. CPT codes 82379, 82017 CAROTENE Order code CAROT Patient Prep Patient should be fasting. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 week Unacceptable conditions Hemolyzed specimen. Minimum volume 2.1 mL Limitations Protect from light. Test schedule Mon, Thu Turnaround time 1-5 days Test includes Carotene, µg/dL. Synonyms Beta-carotene CPT codes 82380 CATECHOLAMINES, PLASMA (FRACTIONATED) Order code CATCPF Patient Prep Patient should be calm and in a supine position with a venous catheter in place for 30 minutes prior to collection. Container type Green top tube (sodium heparin) Specimen type Frozen plasma Preferred volume 4 mL Collection procedure Collect on ice. Specimen processing Separate plasma from cells within 1 hour and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp unstable Stability - refrigerated 2 days Stability - frozen (-20°C) 1 month Stability - frozen (-70°C) 1 year Minimum volume 2.5 mL Test schedule Sun, Tue-Sun Turnaround time 4-5 days 11/18/02 - 46 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CATECHOLAMINES, URINE (FRACTIONATED) CD3 Test includes Patient Position; Dopamine, pg/mL; Epinephrine, pg/mL; Norepinephrine, pg/mL; Interpretation. CPT codes 82384 Notes "Standing" ranges typically show norepinephrine up to 700 pg/mL, epinephrine up to 900 pg/mL and dopamine essentially unchanged. CATECHOLAMINES, URINE (FRACTIONATED) Order code CAT.UF Order the workpar "1TV" with this test. Enter the collection (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 30 mL Collection procedure Add 25 mL 6N HCl to a 24-hour dark plastic urine container at the start of the collection. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 30 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Adjust pH to 1-3 with 6N HCl. Record collection time and total volume. Store and transport frozen. Required patient info Collection time and total volume. Stability - frozen (-20°C) 30 days if acidified Unacceptable conditions Specimens collected with boric acid. Minimum volume 7 mL Alternate specimens 24-hour urine collected with 25 mL of 50% acetic acid or collected with no preservative, refrigerated during collection and pH adjusted to 1-3 upon receipt and frozen. Limitations Aldomet can interfere with quantitation. Isoproteranol and isoetharine can interfere when found in high concentration. Test schedule Tue, Thu, days Turnaround time 3-7 days Test includes Time, h; Volume, mL; Epinephrine, µg/24h; Norepinephrine, µg/24h; Dopamine, µg/24h; Catecholamines, Total, µg/24h. CPT codes 82384 CATECHOLAMINES, URINE (RANDOM) Order code CAT.R Container type Leakproof plastic urine container. Specimen type Urine, random frozen Preferred volume 30 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 30 mL of a random urine specimen. Adjust pH to 1-3 with 6N HCl. Store and transport frozen. Stability - frozen (-20°C) 30 days Minimum volume 7 mL Limitations Aldomet can interfere with quantitation. Isoproternol and isoetharine can interfere when found in high concentrations. Test schedule Tue, Thu Turnaround time 3-7 days Test includes Epinephrine, µg/L; Norepinephrine, µg/L; Dopamine, µg/L. CPT codes 82384 CBC WITH PLATELET Order code CBC Container type Lavender top tube (EDTA) and Blood smears. Specimen type Whole blood and smears Specimen processing EDTA whole blood (lavender top tube) and 2 peripheral blood smears. Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated. Minimum volume 0.30 mL, slides Test schedule Daily-24 hours Turnaround time 24 hours Test includes WBC, K/µL; RBC, M/µL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW, %; Platelet Count, K/µL; Neut, % (if Automated Diff); Neut, Abs, K/µL ( if Automated Diff); Segs, %; Segs, Abs, K/µL; Bands, %; Bands, Abs, K/µL; Lymphs, %; Lymphs, Abs, K/µL; Variant Lymphs, %; Variant Lymphs, Abs, K/µL; Monocytes, %; Monocytes, Abs, K/µL; Eosinophils, %; Eosinophils, Abs, K/µL; Basophils, %; Basophils, Abs, K/µL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast Cells, %; Other, %; NRBC, /100 WBC; Meg Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted. Synonyms Complete Blood Count CPT codes 85025 Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised. Microtainers must be filled to SECOND mark. Automated differential fields are not reported if manual differential is done. Manual differential is not reported if automated differential is reported. CBC WITH PLATELET + MANUAL DIFFERENTIAL Order code CBCMAN Container type Lavender top tube (EDTA) and Blood smears Specimen type Whole blood and smears Specimen processing EDTA whole blood (lavender top tube) and 2 peripheral blood smears. Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated. Minimum volume 0.30 mL, slides Test schedule Daily-24 hours Turnaround time 24 hours Test includes WBC, K/µL; RBC, M/µL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW, %; Platelet Count, K/µL; Segs, %; Segs, Abs, K/µL; Bands, %; Bands, Abs, K/µL; Lymphs, %; Lymphs, K/ µL; Variant Lymphs, %; Variant Lymphs, Abs, K/µL; Monos, %; Monos, Abs, K/µL; Eosinophils, %; Eosinophils, Abs, K/µL; Basophils, %; Basophils, Abs, K/µL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast Cells, %; Other, %; NRBC, /100 WBC; Meg Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted. CPT codes 85023 Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised. Microtainers must be filled to second mark. CBC WITHOUT PLATELET + DIFFERENTIAL Order code CBCW Container type Lavender top tube (EDTA) and Blood smears Specimen type Whole blood and smears Specimen processing EDTA whole blood (lavender top tube) and 2 peripheral blood smears. Prefer to receive specimen within 12 hours of collection. Prefer specimens be stored and transported refrigerated. Minimum volume 0.30 mL, slides Test schedule Daily-24 hours Turnaround time 24 hours Test includes Same components as workpar CBC but no platelet count. CPT codes 85021 Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised. Microtainers must be filled to second mark. CBC WITHOUT PLATELET + MANUAL DIFFERENTIAL Order code HEMMAN Container type Lavender top tube (EDTA) and Blood smears Specimen type Whole blood and smears Specimen processing EDTA whole blood (lavender top tube) and 2 peripheral blood smears. Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated. Minimum volume 0.30 mL, slides Test schedule Daily-24 hours Turnaround time 24 hours Test includes Same as workpar CBCMAN without Platelet Count. CPT codes 85022 Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report is sample integrity is compromised. Microtainers must be filled to second mark. CD3 Order code CD3 Container type Yellow top tube (ACD Type A or B) and Lavender top 11/18/02 - 47 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CD4 CHLAMYDIA (LGV) ANTIBODIES tube (EDTA) Specimen type Whole blood Preferred volume 7 mL ACD and 5 mL EDTA Specimen processing Store and transport at room temperature. Required patient info In accordance with the CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if the specimen will arrive after 24 hours. Minimum volume 5 mL ACD whole blood and 2.5 mL EDTA whole blood Limitations Specimens must arrive within 48 hours of collection. Test schedule Mon-Sat (Sun by special request) Turnaround time 48 hours Test includes Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD3, %; CD3 Abs, /uL, Note; Note. CPT codes 86359 CD4 Order code CD4 Container type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 7 mL ACD and 5 mL EDTA Specimen processing Store and transport at room temperature. Required patient info In accordance with CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if the specimen will arrive after 24 hours. Minimum volume 5 mL ACD and 2.5 mL EDTA whole blood Limitations Samples must arrive and be processed within 48 hours of collection. Test schedule Mon-Sat (Sun by special request) Turnaround time 48 hours Test includes Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD4, %; CD4 Abs, /uL; Note; Note. Synonyms Helper Cells CPT codes 86361 CELL COUNT, BODY FLUID, DIFFERENTIAL Order code CBC.FLD Container type Lavender top tube (EDTA) Specimen type Body fluid Preferred volume 5 mL Specimen processing Transport ASAP. Store and transport refrigerated. Required patient info Source Unacceptable conditions Samples received without anticoagulant, clotted specimens or specimens that have been at room temperature for 24 hours or more will be analyzed only with physician authorization. Minimum volume 0.25 mL Alternate specimens Heparinized fluid (green top tube). Test schedule Sun-Sat Turnaround time 24 hours Test includes Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Mononuclear Phagocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100 WBC; Mesothelial Cells, /100 WBC; Note; Reviewed By. CPT codes 89051 CELL COUNT, CSF, DIFFERENTIAL Order code CBCCSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 1 mL Collection procedure If three sterile tubes are collected, tube #3 should be sent for total cell count and differential. Specimen processing Transport ASAP. Fluids delayed more than 2 hours should be refrigerated to a maximum of 72 hours. Unacceptable conditions Clotted specimens or specimens that have been at room temperature for 24 hours of more will be analyzed only with physician authorization. Test schedule Sun-Sat Turnaround time 24 hours Test includes Tube Number; Xanthochromia; Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Monocytes, %; Histiocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100WBC; Note. CPT codes 89051 CERULOPLASMIN Order code CER Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells within 2 hours and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 72 hours Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma and lipemic samples. Minimum volume 0.3 mL Test schedule Daily Turnaround time 24 hours Test includes Ceruloplasmin, mg/dL. Synonyms Copper oxidase CPT codes 82390 CH50 COMPLEMENT, TOTAL Order code CH50 Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Allow blood to clot at room temperature for 30 minutes to 1 hour. Separate serum from cells ASAP and put in separate plastic tube and freeze. Store and transport frozen. Unacceptable conditions Serum from SST tubes, plasma, samples left to clot at 2-8°C, repeated freeze/thaw cycles and non-frozen samples. Minimum volume 0.1 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon, Wed, Fri Turnaround time 2-4 days Test includes CH50 Complement, Total, CAE Units Synonyms Complement, Total; Complement CH50 CPT codes 86162 CHEMISTRY REFLEX PANEL Order code CHEMRA This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) or Red top tube (plain) Specimen type Serum Preferred volume 3 mL Specimen processing Centrifuge ASAP, keep upright and keep the tube capped. Store and transport refrigerated. If red top tube is used, separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Place the serum in separate plastic tube and cap immediately. Store and transport refrigerated. Stability - refrigerated 1 day Unacceptable conditions Plasma specimens. Minimum volume 2 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Comprehensive Metabolic Panel; Lipid Profile; TSH (Reflex). CPT codes 80053, 80061, 84443 Notes Hemolysis will cause elevated potasssium values, minimal volumes will concentrate, previously frozen samples may show a marked decrease in ALP values immediately upon thawing, but returns to initial values, frozen samples will show decreased total LDH values and prolonged contact with cell clot will elevate phosphorus values. CHLAMYDIA (LGV) ANTIBODIES Order code CHLGV Acute and Convalescent samples advised. 11/18/02 - 48 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CHLAMYDIA ANTIBODY PANEL, IGM CHLAMYDIA TRACHOMATIS BY AMPLIFIED DETECTION (APTIMA) Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure If convalescent specimen draw 2-3 weels after onset. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 4 days Unacceptable conditions Grossly lipemic or hemolyzed specimens. Minimum volume 0.5 mL Test schedule Mon-Sat Turnaround time 2-4 days Test includes Chlamydia pneumoniae, IgG, Titer; Chlamydia pneumoniae, IgM, Titer; Chlamydia trachomatis, IgG, Titer; Chlamydia trachomatis, IgM, Titer; Chlamydia trachomatis, IgM, Titer; Chlamydia psittaci, IgG, Titer; Chlamydia psittaci, IgM, Titer; Note. Synonyms Lymphogranuloma Venereum (LGV) Antibodies CPT codes 86631 x 3, 86632 x 3 CHLAMYDIA ANTIBODY PANEL, IGM Order code CHLAM.AB.SPEC Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells as soon as possible and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Required patient info Specimen source. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, CSF, hyperlipemic, hemolyzed or contaminated samples. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Sat Turnaround time 3-5 days Test includes Source; C. pneumoniae, IgM; C. trachomatis, IgM; C. psittaci, IgM; Chlamydia IgM Panel Interpretation. CPT codes 86632 x 3 CHLAMYDIA ANTIGEN Order code CHLAMYDIAZYME Container type See below. Specimen type See below. Collection procedure Adult male urethral or female endocervical specimens collected with a Biorad or Sanofi Chlamydia Swab or brush collection kit. Store and transport refrigerated. Test schedule Mon, Wed, Fri Turnaround time 2-5 days Test includes Chlamydia Antigen.. CPT codes 87320 CHLAMYDIA ANTIGEN BY EIA Order code CHLAMY Specimen type Female endocervical, male urethral, or ocular specimens. Collection procedure Use MicroTrak Chlamydia EIA specimen collection kits only as directed on kit. These kits are available from PAML Supply Department. Specimen processing Store and transport swab in media at ambient temperature. Required patient info Source Alternate specimens Urine specimens from males. Collect in clean, dry urine container and send refrigerated. Males should be instructed to not urinate for at least 1 hour prior to collection. Test schedule Mon-Sun Turnaround time 4-6 days Test includes Chlamydia Antigen By EIA. CPT codes 87320 CHLAMYDIA DIFFERENTIATION ANTIBODY PANEL Order code CHL.DIF.AB Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Required patient info Specimen source. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, CSF, hyperlipemic, hemolyzed or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Sat Turnaround time 8-10 days Test includes Chlamydia Source; C. pneumoniae, IgM; C. trachomatis, IgM; C. psittaci, IgM; C. pneumoniae, IgG; C. trachomatis, IgG,; C. psittaci, IgG. CPT codes 86631 x 3, 86632 x 3 CHLAMYDIA PNEUMONIAE CULTURE Order code CHLPC Container type See below. Specimen type See below. Preferred volume See below. Collection procedure Transtracheal aspirate, tracheal aspirate or washings sent in chlamydial or viral chlamydial transport media or sterile container. Dilute 1 part specimen and 1 part transport media. If specimen will arrive at performing laboratory within 48 hours of collection store and transport refrigerated. If receipt will be after 48 hours freeze specimen below - 70°C and ship frozen. Unacceptable conditions Specimens received in viral transport media or GenProbe tubes. Do not use wooden shaft swabs. Minimum volume 2 mL Alternate specimens Expectorate from a deep cough only when other specimens are not available. Also NP aspirate or swab in chlamydia transport media. Limitations Do not use wooden shaft swabs. Test schedule Mon-Sun Turnaround time 7-10 days Test includes Chlamydia pneumoniae Culture. CPT codes 87110, 87140 CHLAMYDIA TRACHOMATIS BY AMPLIFIED DETECTION (APTIMA) Order code CTAPT Container type APTIMA Combo 2 Assay Specimen kit or APTIMA Combo 2 Urine Collection kit. Specimen type See below. Preferred volume See below. Collection procedure Female endocervical or male urethral swab collected with the APTIMA Combo 2 Assay kit or female or male urine collected in the APTIMA 2 Urine collection kit. Specimen processing Transport all samples collected in the kits at room temperature. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection. Required patient info Source Stability - room temp Swabs-2 months, Urine in media-1 month, Urine not in media-not stable. Stability - refrigerated Swabs-2 months, Urine in media-1 month, Urine not in media-24 hours. Stability - frozen (-20°C) Swabs-3 months, Urine in media-3 months. Unacceptable conditions Eye, respiratory, or rectal swabs; endocervical and urethral swabs not collected in the Aptima Combo 2 media; and specimens collected and submitted with the white clearning swab, which is for preparatory cleaning. Minimum volume 2 mL for urine Test schedule Mon-Sat Turnaround time 1-3 days Test includes Chlamydia trachomatis by APTIMA; Chlamydia trachomatis by APTIMA, Status. CPT codes 87491 11/18/02 - 49 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CHLAMYDIA TRACHOMATIS BY DFA CHLORALHYDRATE, URINE CHLAMYDIA TRACHOMATIS BY DFA CHLAMYDIA TRACHOMATIS CULTURE Order code CHLAM.DFA Test is not recommended for urogenital or rectal specimens from prepubescent children or medicolegal specimens. Container type SYVA Microtrak Direct Specimen Test collection kit (slides). Specimen type Urogenital, rectal, conjunctival, or nasopharyngeal swabs Collection procedure Symptomatic patients only. Specimen processing Prepare and fix following directions. Transport at room temperature. Required patient info Specimen source. Stability - room temp Indefinitely if fixed Limitations Specific for C. trachomatis. Will not detect C. pneumoniae or C. psittaci. Test schedule Mon-Sat days Turnaround time 1-2 days Test includes Source; C. trachomatis By DFA; C. trachomatis By DFA, Status. CPT codes 87270 Notes No longer used at PAML for routine screening of urogenital specimens. CHLAM.SCR.EIA, CHL.DNA, or CH.LCR is recommended. Order code CHLAM This is the only recommended method in all medicolegal cases and for samples from prepubescent children. Container type Cotton/Dacron swab in FlexTrans. Specimen type Conjunctival, endocervical, urethral, rectal, or nasopharyngeal swabs. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Unacceptable conditions Urine Limitations Specific for C. trachomatis. Will not detect C. pneumoniae or C. psittaci. Test schedule Sun-Sat Turnaround time Preliminary-24 hours, Final-48 hours Test includes Source; C. trachomatis Culture; C. trachomatis Culture, Status. CPT codes 87110, 87140 x 2 CHLAMYDIA TRACHOMATIS BY DNA PROBE Order code CHL.DNA Test is not recommended for use in prepubescent children or medicolegal cases. Can only be performed with Gen-Probe collection kits. Container type Gen-Probe collection kit. Specimen type Swab from urogenital or conjunctival source Collection procedure Use separate kits for females and males. Specimen processing Store and transport at room temperature or refrigerated. Test within 7 days. Required patient info Specimen source. Stability - room temp 7 days Stability - refrigerated 7 days Unacceptable conditions Collection kits other than Gen-Probe. Limitations Specific for C. trachomatis. Will not detect C. pneumoniae or C. psittaci. PAML cannot perform CT/GC testing with HC Cervical Sampler specimens. Test schedule Mon-Sat Turnaround time 1-2 days Test includes Source; C. trachomatis/DNA Probe; C. trachomatis DNA/Probe, Status. CPT codes 87490 CHLAMYDIA TRACHOMATIS BY ELISA Order code CHLAM.SCR.EIA This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type MicroTrak II (Syva) chlamydia EIA transport media Specimen type Genital swab Specimen processing Female endocervical, male urethral, or ocular specimens collected in Microtrak II (Syva) chlamydia EIA transport media, other chlamydia or viral transport media, or multipurpose media (M4). Store and transport refrigerated. Do not freeze or send room temperature. Indicate the source of the specimen on the request. Required patient info Source of the specimen. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) unstable Unacceptable conditions Samples collected in GenProbe, LCx STD or Sanofi transport media ,wooden swabs or frozen. Alternate specimens Specimens collected in other chlamydia or viral transport media, or multipurpose media (M4). Limitations Do not freeze or send ambient. Test schedule Sun-Sat Turnaround time 2-5 days Test includes Source; Chlamydia by EIA. CPT codes 87320, 87270 if + Notes This test is capable of detecting any memeber of the genus Chlamydia. However, if C. psittaci or C. pneumoniae is suspected, it should be noted on the request form. Sensitivity of this test for detecting these species is unknown. CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHOEAE BY AMPLIFIED DETECTION (APTIMA) Order code CGAPT Container type APTIMA Combo 2 Assay Specimen kit or APTIMA Combo 2 Urine Collection kit. Specimen type See below. Preferred volume See below. Collection procedure Female endocervical or male urethral swab collected with the APTIMA Combo 2 Assay kit or female or male urine collected in the APTIMA 2 Urine collection kit. Specimen processing Transport all samples collected in the kits at room temperature. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection. Required patient info Source Stability - room temp Swabs-2 months, Urine in media-1 month, Urine not in media-not stable. Stability - refrigerated Swabs-2 months, Urine in media-1 month, Urine not in media-24 hours. Stability - frozen (-20°C) Swabs-3 months, Urine in media-3 months. Unacceptable conditions Eye, respiratory, or rectal swabs; endocervical and urethral swabs not collected in the Aptima Combo 2 media; and specimens collected and submitted with the white clearning swab, which is for preparatory cleaning. Minimum volume 2 mL for urine Test schedule Mon-Sat Turnaround time 1-3 days Test includes Chlamydia trachomatis/Neisseria gonorrhoeae by APTIMA; Chlamydia trachomatis/Neisseria gonorrhoeae by APTIMA, Status. CPT codes 87491, 87591 CHLORALHYDRATE Order code CHLORAL Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1 mL Test schedule Tue & Thu Turnaround time 4-6 days Test includes Chloralhydrate, µg/mL. CPT codes 82491 CHLORALHYDRATE, URINE Order code CHLORAL-U Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated or at room temperature. Turnaround time 10-15 days 11/18/02 - 50 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CHLORAMPHENICOL CHOLINESTERASE Test includes Chloralhydrate, Urine, µg/mL. CPT codes 82491 CHLORAMPHENICOL Order code CHLOR Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw peak level 1.5-3 hours after oral dose or 0.5-1.5 hours after infusion is complete. Draw trough level 0.5 hours before dose. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 days Stability - refrigerated 3 weeks Stability - frozen (-20°C) 3 weeks Minimum volume 0.8 mL Limitations Avoid use of serum separator tubes and gels. Test schedule Mon-Sat Turnaround time 3-5 days Test includes Chloramphenicol, µg/mL. Synonyms Chloromycetin CPT codes 82415 CHLORIDE Order code CL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Alternate specimens Lithium or ammonium heparin plasma. Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Chloride, mmol/L. CPT codes 82435 CHLORIDE, CSF Order code CL-CSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 2 mL Specimen processing Store and transport refrigerated. Stability - room temp 48 hours Stability - refrigerated 3 weeks Stability - frozen (-20°C) 4 months Unacceptable conditions Clotted specimens. Minimum volume 0.3 mL Limitations Hemolysis may falsely elevate value. Test schedule Sun-Sat Turnaround time 24 hours Test includes Chloride, CSF, mmol/L. Synonyms Chloride, CSF CPT codes 82438 CHLORIDE, FLUID Order code CHFLD Container type Red top tube (plain) or leakproof plastic container Specimen type Body fluid Preferred volume 2 mL Specimen processing Separate fluid from cells if necessary and put in separate plastic tube or leakproof plastic container. Store and transport refrigerated. Minimum volume 0.2 mL Test schedule Daily Turnaround time 24 hours Test includes Chloride, Fluid, mmol/L. CPT codes 82438 CHLORIDE, URINE (QUANTITATIVE) Order code CL-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 50 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 0.1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Time, h; Volume, mL; Chloride, Urine, mmol/24h. CPT codes 82436 CHLORIDE, URINE (RANDOM) Order code CL-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Minimum volume 0.1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Chloride, Urine, mmol/L. CPT codes 82436 CHLORPROMAZINE Order code THOR Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Collection procedure Draw 8-12 hours post dose. Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated. Stability - room temp 12 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 5 days Minimum volume 1.5 mL Alternate specimens Sodium fluoride/potassium oxalate plasma (grey top tube). Limitations Avoid the use of serum separator tubes and gels. Protect from light. Test schedule Sun, Tue, Thu Turnaround time 3-5 days Test includes Chlorpromazine, ng/mL. Synonyms Thorazine CPT codes 84022 CHOLESTEROL Order code CHO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 week Minimum volume 0.2 mL Limitations Oxalate, citrate or fluoride is not recommended. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Cholesterol, mg/dL. CPT codes 82465 CHOLINESTERASE Order code CHOL-PSEUDO Use this test to detect increased sensitivity to succinylcholines or to confirm acute organophosphate poisoning. Container type Brick top tube (SST or Corvac) 11/18/02 - 51 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CHOLINESTERASE, ACETYL-AMNIO CIMETIDINE Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum form cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 6 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 3 months Stability - frozen (-70°C) 6 months Unacceptable conditions Heparinized plasma or hemolyzed specimens. Minimum volume 0.2 mL Alternate specimens EDTA plasma (lavender top tube). Limitations Avoid repeat freeze-thaw cycles. Test schedule Daily Turnaround time 24 hours Test includes Cholinesterase, U/L. Synonyms Acetylcholinesterase; Serum of Non-specific This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 12 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, icteric or lipemic samples. Minimum volume 0.5 mL Test schedule Tue Turnaround time 2-9 days Test includes Chromogranin A, ng/mL. CPT codes 86316 CPT codes 82480 CHROMIUM Cholinesterase; Pseudocholinesterase CHOLINESTERASE, ACETYL-AMNIO Order code ACETO-AMNIO Specimen type Amniotic fluid. Preferred volume 1 mL Collection procedure Specimen from the 16-18 week gestation period of pregnancy is preferred. Gestational age is required on request form. Specimen processing Uncentrifuged amniotic fluid, store and transport refrigerated. Required patient info Gestational age. Stability - room temp 96 hours Stability - refrigerated 96 hours Minimum volume 0.1 mL Alternate specimens Amniotic fluid for the 14-21 week gestational period. Test schedule Wed Turnaround time 3-9 days Test includes Acetyl-Cholinesterase Amnio. CPT codes 82013 CHOLINESTERASE, RBC Order code CHOL-ASE RBC To confirm chronic organophosphate poisoning. Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 20 days Minimum volume 2.5 mL Alternate specimens 2 EDTA microtainers. Limitations Do not freeze. EDTA lavender top tube must be at least half-full. Test schedule Daily Turnaround time 24 hours Test includes Cholinesterase, Plasma, U/L; Cholinesterase, RBC, U/L. Synonyms True Cholinesterase; RBC Cholinesterase; Erythrocyte Cholinesterase; Acetycholinesterase, RBC CPT codes 82482, 82480 CHOLINESTERASE, RBC ONLY Order code RCHE Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport refrigerated. Unacceptable conditions Frozen, heparinized or hemolyzed specimens. Minimum volume 2.5 mL Test includes Cholinesterase, RBC, U/L. CPT codes 82482 CHOMOGRANIN A Order code CHROMA Order code CHROM.S This workpar is for serum specimens only. Container type Royal blue top tube (metal free plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Avoid the use of glass. Minimum volume 0.7 mL Limitations Do not allow serum to remain on the cells. Test schedule Tue Turnaround time 5-7 days Test includes Chromium, µg/L. CPT codes 82495 CHROMIUM, URINE (QUANTITATIVE) Order code CHROM-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 10 mL Collection procedure Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic uriine container. Adjust pH with 12N HCl (0.1 mL HCl /10 mL urine). Store and transport refrigerated. Required patient info Collection period, volume. Minimum volume 0.7 mL Test schedule Tue, Fri Turnaround time 12-14 days Test includes Time, h; Volume, mL; Chromium, Urine, ug/L; Chromium, Urine, ug/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Chromium, Urine, ug/gCr. CPT codes 82495 CHROMIUM, WHOLE BLOOD Order code CHROM Do not use the order code for sending serum or plasma specimens. Container type Royal blue top tube (metal free heparin) Specimen type Whole blood Preferred volume 2 mL Specimen processing Do not centrifuge tube. Send whole blood. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 1-3 days Test includes Chromium, Blood, µg/L. CPT codes 82495 CIMETIDINE Order code TAG Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. 11/18/02 - 52 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CITRATE, URINE CLOSTRIDIUM DIFFICILE TOXIN Minimum volume 0.5 mL Test schedule Mon, Fri Turnaround time 7-10 days Test includes Cimetidine, µg/mL. Synonyms Tagamet CPT codes 82491 CITRATE, URINE Order code CIT-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 4 mL Collection procedure Add 10 mL 6N HCl to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2 or less with 6N HCl. Record total volume. Store and transport refrigerated. Required patient info Collection period, volume. Stability - room temp unstable Stability - refrigerated 7 days Stability - frozen (-20°C) indefinitely Minimum volume 0.5mL Alternate specimens Acidified random urine samples-no reference range will be reported. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Time, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Citrate, Urine, mg/L; Citrate, Urine, mg/d. Synonyms Citric Acid CPT codes 82507 CLINICAL HEMATOLOGY INTERPRETATION, COMPREHENSIVE Order code CHICOM This workpar is to be used to request an interpretation by a pathologist or hematologist on comprehensive submitted specimens and/or test results. Test includes Reviewed material; Interpretation; Reviewed by; Comment. CPT codes 80502 CLINICAL HEMATOLOGY INTERPRETATION, LIMITED Order code CHILIM This workpar is to be used to request an interpretation by a pathologist or hematologist on limited submitted specimens and/or test results. Test includes Reviewed material; Interpretation; Reviewed by; Comment. CPT codes 80500 CLOMIPRAMINE & METABOLITE Order code CLOMIP Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 5 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 6 months Minimum volume 0.8 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. If gel separator is used, separate serum/plasma from the gel within 2 hours of collection. Do not refrigerate on gel separator. Test schedule Sun, Tue, Thu Turnaround time 3-5 days Test includes Clomipramine, ng/mL; Desmethylclomipramine, ng/mL; Total, ng/mL. Synonyms Anafranil CPT codes 80299 CLONAZEPAM Order code CLON Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 7 days Stability - refrigerated 7days Stability - frozen (-20°C) 2 months Minimum volume 1 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Clonazepam, ng/mL. Synonyms Clonopin CPT codes 80154 CLONIDINE Order code CLONIDINE Container type Red top tube (plain) Specimen type Serum Preferred volume 5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 7 days Minimum volume 2 mL Test schedule Mon, Thu Turnaround time 5-7 days Test includes Clonidine, ng/mL. Synonyms Catapres CPT codes 82542 CLORAZEPATE Order code TRAN Container type Red top tube (plain) Specimen type Serum Preferred volume 1.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Minimum volume 0.9 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Clorazepate, µg/mL. Synonyms Tranxene CPT codes 80154 CLOSTRIDIUM DIFFICILE TOXIN Order code CL-TOX Container type Clean, leakproof, wax-free container. Specimen type Fresh stool Preferred volume Walnut-sized portion Specimen processing Store and transport refrigerated. Required patient info Specimen source. Test schedule Sun-Sat days Turnaround time 48 hours Test includes Source; C. difficile Toxin; C. difficile Toxin, Status. Synonyms C. difficile Toxin; C-Diff CPT codes 87230 11/18/02 - 53 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CLOZAPINE COLD AGGLUTININS CLOZAPINE Order code CLOZAP Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or. Stability - room temp 1 day Stability - refrigerated 2 months Stability - frozen (-20°C) 2 months Minimum volume 0.6 mL Alternate specimens EDTA, sodium heparinized or sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Clozapine, ng/mL. Synonyms Clozaril CPT codes 80299 CO2 Order code CO2 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Centrifuge ASAP, keep upright and do not remove stopper. Store and transport refrigerated. Stability - refrigerated 1 day Minimum volume 0.2 mL Alternate specimens Serum (red top tube). Separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Place in separate plastic tube and cap immediately. Store and transport refrigerated. Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes C02, mmol/L. CPT codes 82374 COAGULATION PROFILE Order code COAG-BAT Container type Lavender top tube (EDTA), Blue top tube (buffered sodium citrate) and Smears. Specimen type EDTA whole blood and buffered sodium citrate whole blood and smears. Preferred volume Whole blood samples filled to capacity Collection procedure Bleeding Time procedure performed at any Patient Service Center. Specimen processing Two sodium citrated whole blood tubes filled to capacity. Two peripheral blood smears. Assays on nonheparinized patients must be performed within 4 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4°C or 22-24°C. Assays on specimens suspected to contain unfractionated heparin therapy kept at 2-4°C or 22-24°C should be centrifuged and the plasma removed from the cells within 1 hour of collection and tested within 4 hours of collection. Unacceptable conditions Severely hemolyzed, clotted, improperly filled tubes or specimens more than 4 hours old that have not been separated and frozen at -70°C. Minimum volume 3 mL blue top, 0.5 EDTA microtainer plus slides. Test schedule Daily-all shifts Turnaround time 24 hours Test includes Bleeding Time, min; PT, sec; PTT, sec; PLT, K/uL; Interpretation; Reviewed By. CPT codes 85002, 85025, 85610, 85730 Notes If time interval between drawing and testing exceeds 4 hours, centrifuge, separate plasma, recentrifuge, separate into plastic tube and freeze at -70°C. Store and transport frozen. COCCIDIODIES ANTIBODY BY CF Order code COCC.CF Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place is separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Alternate specimens CSF. Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Coccidiodies Antibody. CPT codes 86635 COCCIDIOIDES ANTIBODY PANEL, CSF Order code COC.AB-CSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 2 mL Specimen processing Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 1 year Unacceptable conditions Grossly bloody or hemolyzed specimens. Minimum volume 1 mL Test schedule Mon-Fri Turnaround time 5-7 days Test includes Coccidioides Antibody, CSF by CF, Titer; Coccidioides Antibody, IgG, IV; Coccidioides Antibody, IgM, IV; Coccidioides Antibody, CSF by ID. CPT codes 86635 x 4 COCCIDIOIDES ANTIBODY PROFILE Order code COCCIDIO.CF Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in two separate plastic tubes. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated, hemolyzed specimens or other body fluids. Minimum volume 1 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 4-6 days Test includes Coccidioides Antibody by CF, Titer; Coccidioides Antibody, IgG, IV; Coccidioides Antibody, IgM, IV; Coccidioides Antibody by ID. CPT codes 86635 x 4 CODEINE Order code COD Container type Red top tube (plain) Specimen type Serum Preferred volume 2mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Done By Arrangement Turnaround time 10-15 days Test includes Codeine, ng/mL. CPT codes 83925 COLD AGGLUTININS Order code COLD 11/18/02 - 54 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 COLORADO TICK FEVER IGG ANTIBODY COMPREHENSIVE METABOLIC PANEL Submit both serum and cells. Container type Red top tube (plain) Specimen type Serum and cells Collection procedure Draw one 10 mL red top tube. Allow blood to clot in 37°C incubator. Specimen processing After tube has clotted in the 37°C incubator, separate the serum from the cells. Store and transport the serum refrigerated. Store and transport the cells at room temperature. Unacceptable conditions Separator tubes (SST/Corvac). Minimum volume 0.5 mL serum Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Cold Agglutinins, Titer. CPT codes 86157 Notes Any Group O cells may be used in lieu of patient's cells. COLORADO TICK FEVER IGG ANTIBODY Order code COL.TICK Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.25 mL Test schedule Tue, Thu Turnaround time 3-5 days Test includes Colorado Tick Fever IgG Antibody, Titer. CPT codes 86790 COMPLEMENT C5 Specimen processing Separate plasma from cells and place in two separate plastic tubes and freeze. Store and transport frozen. Unacceptable conditions Citrated plasma samples. Minimum volume 0.5 mL Limitations Avoid freeze/thaw cycles. Test schedule Wed Turnaround time 4-10 days Test includes Complement C8, mg/L. Synonyms C8 Complement CPT codes 86160 COMPLEMENT C9 Order code C9 This test has not yet recived FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate plasma form cells and place in two separate plastic tubes and freeze. Store and transport frozen. Unacceptable conditions Citrated plasma samples. Minimum volume 0.5 mL Limitations Avoid freeze/thaw cycles. Test schedule Wed Turnaround time 4-10 days Test includes Complement C9, mg/L. Synonyms C9 Complement CPT codes 86160 Order code C5 This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in two separate plastic tubes and freeze. Store and transport frozen. Unacceptable conditions Citrated plasma samples. Minimum volume 0.5 mL Limitations Avoid freeze/thaw cycles. Test schedule Wed Turnaround time 4-10 days Test includes Complement C5, mg/L. Synonyms C5 Complement CPT codes 86160 COMPLEMENT SPLIT PRODUCT C3A COMPLEMENT C7 COMPREHENSIVE METABOLIC PANEL Order code C7 This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate plasma from the cells and place in two separate plastic tubes and freeze. Store and transport frozen. Unacceptable conditions Citrated plasma samples. Minimum volume 0.5 mL Limitations Avoid freeze/thaw cycles. Test schedule Wed Turnaround time 4-10 days Test includes Complement C7, mg/L. Synonyms C7 Complement CPT codes 86160 COMPLEMENT C8 Order code C8 This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Order code C3ASP This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type EDTA Futhan tubes. Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 2 mL Test schedule Wed Turnaround time 3-10 days Test includes Complement Split Product C3A, mg/L. Synonyms C3A Complement Split Product CPT codes 86160 Notes Futhan tubes are available from PAML supply department. Order code CMPA Container type Brick top tube (SST or Corvac) or Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Centrifuge ASAP, keep upright and keep capped. Store and transport refrigerated. If red top tube is collected, separate serum from cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Place in separate plastic tube and cap immediately. Store and transport refrigerated. Stability - refrigerated 1 day Unacceptable conditions EDTA, sodium citrate or sodium fluoride/oxalate plasma specimens. Minimum volume 0.5 mL Alternate specimens If plasma must be used, use lithium or ammonium heparin. Limitations Avoid hemolysis. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; BUN/Creatinine Ratio; Calcium, mg/dL; Total Protein, g/dL; Albumin, g/dL; Globulin, g/dL; A/G Ratio; Bilirubin, Total, mg/dL; Alkaline Phosphatase, U/L; ALT (SGPT), U/L; AST(SGOT), U/L; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap. 11/18/02 - 55 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CONSULT/REVIEW, FLUID CORTISOL (ACTH STIMULATION 30 MINUTE & 60 MINUTE) CPT codes 80053 Notes Hemolysis will cause elevated potassium values and minimal volumes will concentrate. Plasma is not recommended since fibrinogen will add to the protein being measured. CONSULT/REVIEW, FLUID Order code REVFL Container type Sterile plastic tube. Specimen type CSF Preferred volume 3 mL Specimen processing Store and transport refrigerated. Minimum volume 0.5 mL CSF or body fluid, or 2 cytospin slides. Alternate specimens Body fluid in EDTA (lavender top tube) or cytospin slides. Test schedule Mon-Fri days Turnaround time 2-4 days Test includes Fluid, Interpretation; Fluid, Reviewed By. CPT codes 80500 COOMBS, DIRECT Order code DCM Container type Lavender top tube (EDTA) and Red top tube (plain) Specimen type Serum and whole blood Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Stability - refrigerated 14 days Stability - frozen (-20°C) 6 months (serum) Minimum volume 0.5 mL serum and 0.5 mL cells Alternate specimens Oxalated, citrated or clotted whole blood, serum from freshly clotted blood or cord blood specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Direct Coombs. Synonyms DCM; Direct Coombs; Anti-Human Globulin CPT codes 86880 COOMBS, DIRECT & INDIRECT Order code DICM Container type Lavender top tube (EDTA) and Red top tube (plain) Specimen type Serum and whole blood Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Stability - refrigerated 14 days Stability - frozen (-20°C) 6 months (serum) Unacceptable conditions Hemolyzed, grossly icteric or grossly lipemic specimens. Minimum volume 1.5 mL serum and 0.5 mL cells Limitations Plasma should not be used for antibody identification. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Direct Coombs; Indirect Coombs. Synonyms Direct and Indirect Coombs CPT codes 86850, 86880 COOMBS, INDIRECT (ANTIBODY SCREEN) Order code ABS This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Black top tube (buffered sodium citrate) and Red top tube (plain) Specimen type Serum and whole blood Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Stability - refrigerated 14 days Stability - frozen (-20°C) 6 months (serum) Unacceptable conditions Hemolyzed, grossly icteric or grossly lipemic specimens. Minimum volume 1 mL serum and 0.5 mL cells Alternate specimens Citrated whole blood (blue top tube) or EDTA (lavender top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Indirect Coombs. Synonyms Indirect Coombs (ICM); Antibody Screen CPT codes 86850 Notes ABS "screen" can be done on serum only. However, a positive result requires cells also. That is ABS can be done on serum only if negative. Consequently, the utility of performing ABS on only serum is risky. COPPER Order code COPPER Container type Royal blue top tube (metal free plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells within 2 hours and place in separate plastic plastic tube. Store and transport refrigerated. Required patient info Age. Stability - room temp 48 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Serum or sodium heparinized plasma (plain red top or green top tube). Limitations There is diurnal variation, with highest levels of copper appearing in the morning. Test schedule Sun-Fri Turnaround time 1-3 days Test includes Copper, µg/dL. Synonyms Cu, Serum CPT codes 82525 COPPER, RBC Order code COPRBC This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Royal blue top tube (metal free heparin) Specimen type Whole blood Preferred volume 3 mL Specimen processing Store and transport refrigerated or at ambient temperature. Minimum volume 1 mL Test schedule Tue, Thu, Sat Turnaround time 3-6 days Test includes Copper, RBC, µg/L. CPT codes 82525 COPPER, URINE Order code COPPER.UR Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 10 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Avoid contact with metal or glass. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2-3 with 12N HCl (0.1 mL HCl/10 mL urine). Record total volume. Store and transport refrigerated or frozen. Required patient info Collection period, volume. Minimum volume 5 mL Alternate specimens Random urine specimens. Test schedule Tue, Thu, Sat Turnaround time 3-5 days Test includes Time, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Copper, Urine, µg/dL; Copper, Urine, µg/d; Copper, Urine, µg/gCr. CPT codes 82525 CORTISOL (ACTH STIMULATION 30 MINUTE & 60 MINUTE) Order code COR-STIM2 11/18/02 - 56 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CORTISOL (ACTH STIMULATION) COUMADIN Container type See component tests. Specimen type See component tests. Specimen processing Refer to COR-STIM for protocol. Stability - refrigerated 10 days Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Cortisol Baseline, µg/dL; Time Drawn; Cortisol, Post #1, µg/dL; Time Drawn; Cortisol, Post #2, µg/dL; Time Drawn. Synonyms ACTH Stimulation II CPT codes 80400, 82533 separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 10 days Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Cortisol, PM, µg/dL. CPT codes 82533 CORTISOL, FREE URINE Order code COR-STIM Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL for each timed sample Collection procedure Hypoadrenalism Screen: Draw cortisol immediately before and 1 hour after IV injection of 0.25 mg cosyntropin (synthetic ACTH). Procedure should be performed under physician or nurse supervision. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen. Stability - refrigerated 10 days Minimum volume 0.2 mL for each timed sample Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Cortisol Baseline, µg/dL; Time Drawn; Cortisol PostStim, µg/dL; Time Drawn. Synonyms ACTH Stimulation CPT codes 80400 Order code COR-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 5 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated or frozen. Required patient info Collection period and total volume. Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 2 mL Alternate specimens Specimen collected with 1 gm boric acid. Limitations Cross reactivity with prednisolone. Test schedule Mon, Wed, Fri evenings Turnaround time 1-3 days Test includes Time, h; Volume, mL; Cortisol, Urine, µg/24h. CPT codes 82530 CORTISOL (PAIRED SPECIMENS) CORTISOL, FREE URINE (RANDOM) CORTISOL (ACTH STIMULATION) Order code COR-2 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw in morning (8:00 AM) and afternoon (4:00 PM). Note times of drawing. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen. Stability - refrigerated 10 days Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Cortisol AM, µg/dL; Cortisol PM, µg/dL. CPT codes 82533 x 2 Order code COR-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 5 mL Collection procedure Collect a random urine specimen. Specimen processing Store and transport refrigerated or frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 2 mL Alternate specimens Specimen collected with 1 gm boric acid. Limitations Cross reactivity with prednisolone. Test schedule Mon, Wed, Fri evenings Turnaround time 1-3 days Test includes Cortisol, Urine Free, µg/dL. CPT codes 82530 CORTISOL AM COTININE Order code CORAM Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Prefer specimen be drawn at 8 AM. Must draw between 4:00 am and 3:59 pm. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 10 days Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Cortisol, AM, µg/dL. CPT codes 82533 CORTISOL PM Order code CORPM Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Prefer specimen be drawn at 4 PM. Must draw between 4:00 pm and 3:59 am. Specimen processing Separate serum from cells and place in Order code NIC Container type Leakproof plastic container. Specimen type Urine, random Preferred volume 30 mL Collection procedure Collect a random urine in leakproof plastic container. Specimen processing Aliquot 30 mL of a random urine specimen. Store and transport refrigerated. Test schedule Mon, Wed, Fri evenings Turnaround time 24 hours Test includes Cotinine. Synonyms Nicotine CPT codes 83887 COUMADIN Order code COUM Container type Green top tube (sodium heparin) Specimen type Plasma Preferred volume 3 mL Specimen processing Separate plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Test schedule Mon-Fri 11/18/02 - 57 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 COXSACKIE A9 VIRUS ANTIBODIES CREATININE Turnaround time 5-10 days Test includes Coumadin, µg/mL. Synonyms Warfarin CPT codes 80299 COXSACKIE A9 VIRUS ANTIBODIES Order code COXAAB Acute and convalescent samples advised. &&&& Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, urine, severely lipemic, contaminated or hemolyzed specimens. Minimum volume 0.3 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Coxsackie A9 Antibodies. CPT codes 86658 COXSACKIE B VIRUS ANTIBODY Minimum volume 0.2 mL Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes CK, U/L. Synonyms CPK; CK Total; Creatine Phosphokinase; Creatine Phosphokinase CPT codes 82550 CREATINE KINASE ISOENZYMES Order code ISOCK Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 weeks Unacceptable conditions Ambient specimens. Minimum volume 0.5 mL Alternate specimens Heparinized plasma (green top tube). Limitations Repeated freeze/thaw cycles destroy CK activity. Samples should be frozen at -20°C if the assay cannot be performed within 24 hours. Test schedule Sun-Sat Turnaround time 3-5 days CPT codes 82552, 82550 Order code COX B Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Required patient info Specimen source. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 6 weeks Unacceptable conditions Plasma specimens. Minimum volume 2 mL Test schedule Sun-Sat Turnaround time 8-12 days Test includes Source; Coxsackie B Antibody (Type 1), Titer; Coxsackie B Antibody (Type 2), Titer; Coxsackie B Antibody (Type 3), Titer; Coxsackie B Antibody (Type 4), Titer; Coxsackie B Antibody (Type 5), Titer; Coxsackie B Antibody (Type 6), Titer. CPT codes 86658 x 6 CREATINE KINASE-MB CREATINE Order code CREATINE-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 10 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container and freeze. Record total volume. Store and transport frozen. Required patient info Collection period and total volume. Unacceptable conditions Unfrozen specimens. Minimum volume 2 mL Test schedule Tue, Fri Turnaround time 3-5 days Test includes Collection Period, hrs; Volume, mLs; Creatine, Urine, mg/24h; Creatinine, Urine, g/24h. CPT codes 82540, 82570 Order code KREAT Container type Red top tube (plain) Specimen type Serum Preferred volume 5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Unacceptable conditions Samples at room temperature Minimum volume 2.5 mL Limitations Protect from light. Test schedule Varies Turnaround time 7-10 days Test includes Creatine. CPT codes 82540 CREATINE KINASE Order code CPK Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 1 month Unacceptable conditions Plasma specimens. Order code CKMB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells within 4 hours of collection and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 24 hours Stability - frozen (-20°C) 12 months Unacceptable conditions Plasma specimens. Minimum volume 0.3 mL Test schedule Sun-Sat and STAT Turnaround time 24 hours Test includes CK, Total, U/L; CK-MB, ng/mL; Relative Index (if appropriate). Synonyms Creatine Phosphokinase-MB Isoenzyme; Creatine Phosphokinase-MB Isoenzyme; CK.MB CPT codes 82550, 82552 CREATINE, URINE CREATININE Order code CRE Patient Prep Patient should be fasting 12-14 hours prior to collection. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. 11/18/02 - 58 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CREATININE CLEARANCE CREATININE, URINE (RANDOM) Stability - refrigerated 2 weeks Minimum volume 0.2 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Creatinine, mg/dL. CPT codes 82565 CREATININE CLEARANCE Order code CRE CL Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type Brick top tube (SST or Corvac) and 24-hour dark plastic urine container. Specimen type Serum and 24-hour urine collection Preferred volume 2 mL serum and 40 mL urine Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Separate serum from cells and place in separate plastic tube. Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated. Required patient info Height, weight, collection period and total volume. Minimum volume 0.2 mL serum and 1 mL urine Alternate specimens Frozen urine specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Height, in; Weight, lbs, Time, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/24hr; Creatinine Clearance, mL/min. CPT codes 82575 Notes MUST HAVE PATIENT'S HEIGHT, WEIGHT, COLLECTION TIME & the TOTAL VOLUME to calculate results. CREATININE CLEARANCE, 12HR Order code CRE CL.12 Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type Brick top tube (SST or Corvac) and 24-hour dark plastic urine container. Specimen type Serum and 12-hour urine collection Preferred volume 2 mL serum and 40 mL urine Collection procedure Collect a 12-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Separate serum from cells and place in separate plastic tube. 40 mL aliquot of a well-mixed 12-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated. Required patient info Height, weight, collection period and total volume. Minimum volume 0.2 mL serum & 1 mL urine Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Time, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/12hr; Creatinine Clearance, mL/min. CPT codes 82575 Notes MUST HAVE PATIENT'S HEIGHT, WEIGHT, COLLECTION TIME & the TOTAL VOLUME to calculate the results. CREATININE CLEARANCE, 48HR Order code CRCL48 Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type Brick top tube (SST or Corvac) and 24-hour dark plastic urine container. Specimen type Serum and 48 hour urine collection Preferred volume 40 mL urine and 2 mL serum. Collection procedure Collect a 48-hour urine collection in a 24-hour dark plastic urine container. Refrigerate during collection. Serum should be collected within 24 hours of urine collection start or finish. Specimen processing Aliquot 40 mL of a well-mixed 48-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Height, weight, collection period and total volume. Minimum volume 0.2 mL serum and 1 mL urine Test schedule Sun-Fri Turnaround time 24 hours Test includes Time, h; Volume, mL; Creatinine, Serum, mg/dL; Creatinine, Urine, g/48h; Creatinine Clearance, mL/min. CPT codes 82575 Notes PATIENT'S HEIGHT, WEIGHT, COLLECTION TIME and the TOTAL VOLUME ARE REQUIRED to calculate the results. CREATININE, AMNIOTIC FLUID Order code CRE.A Container type Sterile leakproof container. Specimen type Frozen amniotic fluid Collection procedure Amniotic fluid collected by amniocentesis. Specimen processing Do not centrifuge. Protect from light. Store and transport frozen. Required patient info Gestational age. Stability - refrigerated 1 week if refrigerated immediately after collection. Stability - frozen (-20°C) 2 months Minimum volume 0.2 mL Limitations Protect from light. Test schedule Mon-Fri days & STAT Turnaround time 1-3 days Test includes Creatinine, Amniotic Fluid, mg/dL. CPT codes 82570 CREATININE, FLUID Order code CRE.FLD Container type Green top tube (sodium heparin) Specimen type Body fluid Preferred volume 1 mL Specimen processing Separate fluid from cells and place in separate plastic tube if specimen is grossly bloody. Note type of fluid. Store and transport refrigerated. Required patient info Type of fluid. Minimum volume 0.2 mL Alternate specimens Specimens collected in plain red top tube. Test schedule Daily Turnaround time 24 hours Test includes Creatinine, Fluid, mg/dL. CPT codes 82570 CREATININE, URINE (QUANTITATIVE) Order code CRE-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time, & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 40 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and volume. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Time, h; Volume, mL; Creatinine, Urine, g/24h. CPT codes 82570 CREATININE, URINE (RANDOM) Order code CRE-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. 11/18/02 - 59 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CROSS-LINKED N-TELOPEPTIDES, URINE CRYPTOCOCCUS ANTIBODY Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Creatinine, Urine, mg/dL. CPT codes 82570 CROSS-LINKED N-TELOPEPTIDES, URINE Order code NTX Patient Prep Prefer second morning void specimen. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random or spot urine specimen. Prefer second morning void. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Stability - refrigerated 72 hours Stability - frozen (-20°C) Indefinitely Unacceptable conditions Blood specimens. Minimum volume 2 mL Test schedule Tue & Thu Turnaround time 3-6 days Test includes NTX, nmoL BCE/mmoL Creatinine. Synonyms NTX; Collagen Cross-Linked N-Telopeptides Type 1; N-Telopeptides of Type 1 Collagen CPT codes 82523, 82570 CRP Order code CRP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place separate in plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes CRP, mg/dL. Synonyms C reactive protein CPT codes 86140 CRYOFIBRINOGEN Order code CRF Container type Blue top tube (buffered sodium citrate) Specimen type Plasma Preferred volume 2 mL Specimen processing Immediately centrifuge at room temperature for 5 minutes, separate plasma from cells and place in separate plastic tube. Store and transport at room temperature. Unacceptable conditions Heparinized specimens. Alternate specimens EDTA plasma (lavender top tube). Test schedule Sun-Fri nights Turnaround time 72 hours Test includes Cryofibrinogen. CPT codes 82585 CRYOGLOBULIN Order code CRG Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Collection procedure Draw one 10 mL red top tube. Allow blood to clot in 37°C incubator. Specimen processing Centrifuge for 5 minutes and immediately place serum in separate plastic tube. Store and transport at room temperature. Required patient info Record time of collection. Test schedule Sun-Fri nights Turnaround time 72 hours Test includes Cryoglobulin. CPT codes 82595 CRYOGLOBULIN & CRYOFIBRINOGEN Order code CRG/CRF Container type See component tests Specimen type See component tests Preferred volume See component tests Specimen processing See component tests Required patient info See component tests Unacceptable conditions See component tests Alternate specimens See component tests Test schedule Sun-Fri nights Turnaround time 72 hours Test includes Cryoglobulin; Cryofibrinogen. CPT codes 82585, 82595 CRYOGLOBULIN, QUANTITATIVE, REFLEXIVE PANEL, IGA, IGM & IGG Order code CRYQ This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Patient Prep A fasting sample is preferred. Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Collection procedure Collect whole blood in prewarmed (37°C) syringe and keep at 37° C. Immediately after blood has been obtained, transfer sample to a prewarmed (37°C) plain red top tube and keep sample at 37°C until clotting is complete. Specimen processing Let clot for 1 hour at 37° C. Separate serum form cells using a 37° C centrifuge if possible. Transport and transport at ambient temperature. Stability - room temp 7 days Unacceptable conditions Refrigerated of frozen samples or frozen samples collected in SST tube. Minimum volume 3 mL Test schedule Sun-Sat Turnaround time 4-7 days Test includes Cryglobulin Screen , Quantitative; IgA, mg/dL; IgG, mg/dL; IgM, mg/dL. CPT codes 82595, 82784 x 3 if + CRYOGLOBULINS (FRACTIONATED) Order code CRG-FR Container type Red top tube (plain) and Lavender top tube (EDTA). Specimen type Serum and plasma Preferred volume 5 mL serum and 1 mL EDTA plasma Specimen processing Keep specimens at 37°C until after centrifugation and separation of cells. Separate serum and plasma from cells and place in separate plastic tube. Label specimens appropriately (serum and plasma). Store and transport at room temperature. Includes cryofibrinogen. Unacceptable conditions Serum separator tubes & gels. Minimum volume 2 mL Test schedule Mon-Fri Turnaround time 12-15 days Test includes Cryoglobulins. CPT codes 82595, 82585 Notes Includes cryofibrinogen. 2-day test time. CRYPTOCOCCUS ANTIBODY Order code CRYPTO.AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.3 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Cryptococcus Antibody, Titer. CPT codes 86641 11/18/02 - 60 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CRYPTOCOCCUS ANTIBODY, CSF CULTURE, AFB (NO SMEAR) CRYPTOCOCCUS ANTIBODY, CSF Order code CRYPTO.AB.CSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 1 mL Specimen processing Store and transport refrigerated. Minimum volume 0.3 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Cryptococcus Antibody, Titer. CPT codes 86641 CRYPTOCOCCUS ANTIGEN Order code CRYPTO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp unstable Stability - refrigerated 7 days Stability - frozen (-20°C) indefinitely Unacceptable conditions Specimens collected in anticoagulants. Minimum volume 0.5 mL Test schedule Sun-Fri Turnaround time 3-5 days Test includes Cryptococcus Antigen. CPT codes 87327 CRYPTOCOCCUS ANTIGEN, CSF Order code CRYPTO-CSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 1 mL Specimen processing Store and transport refrigerated. Required patient info Specimen source. Minimum volume 0.5 mL Test schedule Sun-Sat Turnaround time 24-48 hours Test includes Source; Cryptococcus Antigen, CSF; Cryptococcus Antigen, Status. CPT codes 86403 CRYSTALS, FLUID Order code CRYST Container type Green top tube (sodium heparin) Specimen type Synovial fluid Preferred volume 3 mL Specimen processing Store and transport refrigerated. Unacceptable conditions Oxalated, powdered EDTA or lithium heparinized specimens because they can cause artifacts. Minimum volume 1 mL Alternate specimens Samples collected with liquid EDTA. Test schedule Sun-Sat Turnaround time 24 hours Test includes Crystals; Crystals ID. CPT codes 89060 CSF PROFILE Order code CSF This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 3 mL Specimen processing Transport specimen immediately. Prefer specimen be transported refrigerated. Minimum volume 1.5 mL Limitations Fluids delayed more than 2 hours should be refrigerated to a maximum of 72 hours. Test schedule Sun-Sat and STAT Turnaround time 24 hours Test includes Tube Number; Xanthochromia: Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Monocytes, %; Histiocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100wbc; Note; Glucose, CSF, mg/dL; Protein, CSF, mg/dL; VDRL, CSF. Synonyms Spinal Fluid Profile CPT codes 89051, 82947, 83883, 86592 Notes Additional turn around time for VDRL and culture.`If three sterile tubes are collected, tube #1 should be sent for chemical & immunologic studies, tube #2 for microbiologic examination and tube #3 for total cell count and differential. CSF/SERUM IGG INDEX Order code IGG INDEX Container type Red top tube (plain) and CSF sterile plastic tube. Specimen type Serum and CSF Preferred volume 0.5 mL serum and 0.5 mL CSF Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Stability - refrigerated 3 days Stability - frozen (-20°C) 3 months Unacceptable conditions Specimen not analyzed immediately. Minimum volume 0.3 mL serum and 0.3 mL CSF Test schedule Daily Turnaround time 24 hours Test includes IgG, CSF, mg/dL; Albumin, CSF, mg/dL; IgG, Serum, mg/dL; Albumin, Serum, mg/dL; CSF/Serum Index. CPT codes 82784 x 2, 82040, 82042 CULTURE, AFB Order code AFB This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Preferred volume See below. Collection procedure Sputum: 6-10 mL early morning collection. Urine: Entire first morning void. Blood/Bone Marrow: 10 mL SPS (yellow top tube) drawn aseptically. Specimen processing Store and transport sputum and urine refrigerated. Store and transport blood at room temperature. Required patient info Specimen source. Unacceptable conditions 24-hour sputum or 24-hour urine or clotted blood specimen. Alternate specimens Blood/Bone marrow: heparinized or ACD whole blood (green or yellow top tubes). SPS tubes are preferred. Test schedule Sun-Sat Turnaround time AFB Smear-24 hours/Culture 6-8 weeks Test includes Source; Culture, AFB; Culture Status. Synonyms Acid Fast Culture CPT codes 87116, 87206, 87015 Notes For other specimen types please contact the client services department for instructions. For maximum diagnostic value submit early AM specimens on three consecutive days. SPS tubes are available from the PAML Supply Department. CULTURE, AFB (NO SMEAR) Order code CAFBNS This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Preferred volume See below. Collection procedure Sputum: 6-10 mL early morning collection. Urine: Entire first morning void. Blood/Bone Marrow: 10 mL SPS (yellow top tube) drawn aseptically. Specimen processing Store and transport sputum and urine refrigerated. Store and transport blood at room temperature. Required patient info Specimen source. Unacceptable conditions 24-hour sputum or 24-hour urine or clotted blood specimen. Alternate specimens Blood/Bone marrow: heparinized or ACD whole blood (green or yellow top tubes). SPS tubes are preferred. Test schedule Sun-Sat Turnaround time Culture 6-8 weeks Test includes Source; Culture, AFB; Culture Status. 11/18/02 - 61 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CULTURE, BETA STREP SCREEN CULTURE, EYE Synonyms Acid Fast Culture CPT codes 87116, 87015 Notes For other specimen types please contact the client services department for instructions. For maximum diagnostic value submit early AM specimens on three consecutive days. SPS tubes are available from the PAML Supply Department. Notes Guidelines for short samples: If 10-20 mL, inoculate anaerobic vial first with 1/2 the sample, then the aerobic vial with the remainder. If 8-10 mL, first inoculate the anaerobic vial with 3 mL and then inoculate the remainder into the aerobic vial. If less than 8 mL, inoculate the entire sample into the aerobic vial. CULTURE, BETA STREP SCREEN Order code CULT.FLD This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Sterile leakproof plastic container. Specimen type Spinal fuid Preferred volume 3mL Specimen processing CSF must be received within 2 hours of collection. Store and transport at room temperature. Required patient info Specimen source. Alternate specimens Peritoneal fluid, synovial fluid, etc. Test schedule Sun-Sat Turnaround time 48 hours Test includes Source; Gram Stain; Culture, Fluid; Culture Fluid, Status. Synonyms Body Fluid Culture CPT codes 87070, 87205, 87075 Order code BSS Container type Culturette. Specimen type Throat or vaginal/cervical swab Collection procedure Throat (Group A only): Swab posterior of pharynx, tonsils or other areas of inflammation. Avoid oral mucosa. Vaginal/Cervical (Group B only): Obtain specimen with sterile swab. Minimize contact with surrounding mucosa. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Test schedule Sun-Sat Turnaround time 24-48 hours Test includes Source; Culture, Beta Strep Screen; Beta Strep Screen, Status. Synonyms Beta Strep Screen Culture CPT codes 87081 Notes Specimens are screened for the presence of Beta Strep only. CULTURE, BLOOD Order code BLOOD This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blood culture vials. Specimen type Whole blood Collection procedure Clean site with 70% alcohol followed by 2% iodine. Label one aerobic (grey) blood culture bottle and one anaerobic (purple) blood culture bottle with patient name, date and time. Aseptically draw 20 mL of blood into syringe and inoculate each vial using the same needle with 10 mL of sample after preparing the top with an alcohol pad. Hold at room temperature or 37° C until shipment. NOTE: A second set of blood cultures SHOULD be drawn to provide the optimal volume of blood to recover pathogens and aid in the interpretation of growth. The second set should consist of two aerobic (grey) bottles. Four bottles are the maiximum per day. Required patient info Specimen source. Minimum volume See notes Test schedule Sun-Sat Turnaround time 5-7 days, Prelim 48 hours-positives called STAT Test includes Source; Culture, Blood; Culture, Blood, Status. Synonyms Blood Culture CPT codes 87040 Notes Guidelines for short samples: If 10-20 mL, inoculate anaerobic vial (purple) first with 1/2 of the sample, then the aerobic vial (grey) with the remainder. If 8-10 mL then inoculate anaerobic with 3 mL and the remainder into the aerobic vial. If less than 8 mL, inoculate entire sample into aerobic vial. CULTURE, BLOOD FUNGUS Order code CBF This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Aerobic and anaerobic blood culture bottles Specimen type Whole blood Preferred volume 20 mL Collection procedure Clean site with 70% alcohol followed by 2% iodine. Label an anaerobic and an aerobic blood culture bottle (available from PAML) with patient's name, date and time. Aseptically draw up to 20 mL blood into syringe and inoculate each vial using the same needle with 10 mL of sample after preparing the top with an alcohol pad. Maintain at room temperature or in a 37°C incubator until shipment. See comments for short samples. Required patient info Specimen source. Minimum volume See notes. Alternate specimens ACD (yellow-top tube). Test schedule Daily Turnaround time Final at 6 days Test includes Culture, Blood Fungus; Culture, Blood Fungus, Status. CPT codes 87103 CULTURE, BODY FLUID CULTURE, CAMPYLOBACTER SCREEN Order code CAMPY.SCR Supplies are available from the PAML Supply Department. Container type Sterile leakproof plastic container. Specimen type Stool Collection procedure Submit a walnut-sized portion of fresh stool in a sterile leakproof plastic container. If a delay of 2 hours or more in anticipated for the specimen to reach the lab, submit a portion of stool in a Cary-Blair transport tube or enteric transport media. Specimen processing Store and transport at room temperature. Unacceptable conditions Refrigerated specimen. Test schedule Daily Turnaround time 48 hours Test includes Source; Gram Stain; Campylobacter Screen; Campylobacter Screen, Status. CPT codes 87205, 87081 CULTURE, E COLI 0157 SCREEN Order code ECOLI.SCR Container type Sterile leakproof plastic container. Specimen type Fresh stool Preferred volume Walnut-sized portion Collection procedure If a delay of 2 hours or more is anticipated for the specimen to reach the lab, submit a portion of stool in a CaryBlair transport tube or enteric transport media. Specimen processing Store and transport at room temperature. Test includes Source; Gram Stain; E. coli 0157 Screen; E.coli 0157 Screen, Status. CPT codes 87205, 87081 Notes E.coli 0157 screening is included in a routine stool culture. CULTURE, EAR Order code CULT.EAR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Carey-Blair media. Specimen type Sterile swab Collection procedure Submit suppurative material from ear collected on sterile swab in Carey-Blair media. Specimen processing Store and transport at room temperature. Alternate specimens Culterette is acceptable if amount of discharge is sufficient. Test schedule Daily Turnaround time 48 hours Test includes Source; Gram Stain; Culture, Ear; Culture, Ear, Status. CPT codes 87205, 87070, 87075 CULTURE, EYE Order code CULT.EYE This test may reflex to additional tests depending upon the results of 11/18/02 - 62 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CULTURE, FECES CULTURE, GENITAL this test. An additional fee may be added. Container type Cary-Blair transport media or culturette. Specimen type Sterile swab Collection procedure Submit suppurative material from lower culde-sac or inner canthus, collected on sterile swab, in Cary-Blair media. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Alternate specimens Culturette is acceptable if amount of discharge is sufficient. Test schedule Sun-Sat Turnaround time 48 hours Test includes Source; Gram Stain; Culture, Eye; Culture, Eye, Status. Synonyms Eye Culture CPT codes 87205, 87070 CULTURE, FECES Order code FECES This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Leakproof plastic container. Specimen type Fresh stool Preferred volume Walnut-sized portion Collection procedure If delay of 2 hours or more is anticipated for the specimen to reach the laboratory, submit a portion of stool in a Cary-Blair transport tube or enteric transport media. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Limitations If Yersinia or Vibrio is suspected, please note on request form. Test schedule Sun-Sat Turnaround time 48 hours Test includes Source; Gram Stain; Culture, Feces; Culture, Feces, Status. Synonyms Feces Culture CPT codes 87205, 87045, 87046 x 2 Notes Routine culture for Salmonella, Shigella, Campylobacter and E. coli 0157. CULTURE, FECES (NO SMEAR) Order code CSTLNS This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Leakproof plastic container. Specimen type Fresh stool Preferred volume Walnut-sized portion Collection procedure If delay of 2 hours or more is anticipated for the specimen to reach the laboratory, submit a portion of stool in a Cary-Blair transport tube or enteric transport media. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Limitations If Yersinia or Vibrio is suspected, please note on request form. Test schedule Sun-Sat Turnaround time 48 hours Test includes Source; Culture, Feces; Culture, Feces, Status. Synonyms Feces Culture CPT codes 87045, 87046 x 2 Notes Routine culture for Salmonella, Shigella, Campylobacter and E. coli 0157. CULTURE, FUNGUS Order code FUNG This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure Nail and Skin: Nail scrapings should be from subsurface portion of infected nail. Skin should be taken from active border of lesion. Transport in sterile container. Hair for Dermatophytes: Submit hair, including base of shaft, in sterile container. Blood: 10 mL ACD (yellow top tube) drawn aseptically. Other specimens: Submit in sterile screw-cap container or Cary-Blair media. Specimen processing Store and transport at room temperature. Required patient info Specimen source and include pertinent clinical information. Limitations Certain sources such as genital and oral specimens should not be routinely cultured for fungus, but instead screened for yeast. Test schedule Sun-Sat Turnaround time 6 weeks Test includes Source; Fungus Stain; Culture, Fungus; Culture, Fungus, Status. Synonyms Fungus Culture CPT codes 87102 CULTURE, FUNGUS (NO SMEAR) Order code CFCNS This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure Nail and Skin: Nail scrapings should be from subsurface portion of infected nail. Skin should be taken from active border of lesion. Transport in sterile container. Hair for Dermatophytes: Submit hair, including base of shaft, in sterile container. Blood: 10 mL ACD (yellow top tube) drawn aseptically. Other specimens: Submit in sterile screw-cap container or Cary-Blair media. Specimen processing Store and transport at room temperature. Required patient info Specimen source and include pertinent clinical information. Limitations Certain sources such as genital and oral specimens should not be routinely cultured for fungus, but instead screened for yeast. Test schedule Sun-Sat Turnaround time 6 weeks Test includes Source; Culture, Fungus; Culture, Fungus, Status. Synonyms Fungus Culture CPT codes 87102 CULTURE, FUNGUS, SKIN, HAIR, NAILS Order code CFS This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Sterile leakproof plastic container. Preferred volume 2 x 2 mm Collection procedure Submit several 2 x 2 mm pieces of skin from active border of lesion in sterile leakproof plastic container. Specimen processing Store and transport at room temperature. Minimum volume 1 x 1 mm Test schedule Daily Turnaround time Up to 6 weeks Test includes Source; Fungus Skin, Hair, Nails Stain; Culture, Fungus, Skin, Hair, Nails; Culture Fungus, Skin, Hair, Nails, Status. CPT codes 87101, 87220 CULTURE, FUNGUS/YEAST (ID) Order code FUNG.ID This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Sab slant or sealed plate. Specimen type Isolated fungal colony Collection procedure Submit isolated fungal colony on Sab slant or sealed plate. Required patient info Specimen source. Test schedule Daily Turnaround time Up to 6 weeks Test includes Source; Fungus/Yeast ID; Fungus/Yeast ID, Status. CPT codes 87106 CULTURE, GENITAL Order code GEN This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Cary-Blair transport media or culturette. Specimen type Sterile swab Collection procedure Male: Collect urethral discharge or anterior 11/18/02 - 63 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CULTURE, LEGIONELLA CULTURE, URINE COLONY COUNT urethral scraping. Female: Cervical swab is preferred to urethral or vaginal swab. Dacron or calcium alginate swabs are recommended. Specimen processing Store and transport at room temperature, preferably within 8 hours of collection. Required patient info Specimen source. Limitations If testing for single pathogen only, such as N. gonorrhoeae, Group B strep or yeast, order as individual test. Test schedule Sun-Sat Turnaround time 48-72 hours Test includes Source; Gram Stain; Culture, Genital; Culture, Genital, Status. Synonyms Genital Culture CPT codes 87205, 87070 CULTURE, LEGIONELLA Order code LEGION Container type Sterile leakproof plastic container. Specimen type Pleural fluid, bronchial brushings/washings, transtrachael aspirate, sputum (least desirable specimen) or small piece of lung tissue. Preferred volume 3-5 mL Specimen processing Store and transport refrigerated. Required patient info Specimen source. Test schedule Sun-Sat Turnaround time Prelim-4 days/Final-7 days Test includes Source; Culture, Legionella; Culture, Legionella, Status Synonyms Legionella Culture CPT codes 87081 CULTURE, LOWER RESPIRATORY Order code CLRSP This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Sterile leakproof container. Specimen type Sputum Preferred volume 3 mL Collection procedure Sputum specimen should be collected early in the morning and be a deep, productive sample. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Unacceptable conditions Spit or saliva. Alternate specimens Bronch or BAL specimens. Test includes Source; Gram Stain; Culture, Lower Respiratory; Culture, Lower Respiratory, Status. CPT codes 87070, 87205 CULTURE, METHICILLIN RESISTANT STAPH AUREUS SCREEN Order code CMRSA This test screens only for the presence or absence of methicillin resistant Staph aureus; no other isolates are identified or reported. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below Specimen type See below Collection procedure Open wounds, ulcers or sinus tracts: obtain swab or aspirate of deep area, avoiding skin flora. Closed abscesses or fistulas: using needle and syringe, collect specimen by puncturing cleaned skin until needle penetrates abscess. Aspirate material and submit in syringe with needle removed. Place sterile cap on syringe. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Alternate specimens Cary-Blair transport media can also be used. Collect the specimen on a swab and insert it at least 2 inches into the Cary-Blair tube. Test schedule Sun-Sat Turnaround time 48 hours Test includes Source; Culture, Methicillin Resistant Staph aureus; Culture, Methicillin Resistant Staph aureus, Status. CPT codes 87081 CULTURE, NEISSERIA GONORRHOEAE Order code CGC Container type Culturette with Amies or Stuarts media. Specimen type Male: Collect urethral discharge or anterior urethral scraping. Female: Cervical specimen is preferred to urethral or vaginal swab. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Limitations Culturettes should be received in laboratory within 8 hours of collection. Test schedule Sun-Sat Turnaround time 48-72 hours Test includes Source; Gram Stain; Culture, Neisseria gonorrhoeae; Culture, Neisseria gonorrhoeae, Status. CPT codes 87081, 87205 Notes If delay in transportation is anticipated, inoculate directly to GC agar and incubate in 5% CO2 at 35°C. CULTURE, TISSUE Order code CULT.TISSUE This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Sterile leakproof plastic container. Specimen type Tissue Collection procedure Submit tissue specimen in sterile leakproof plastic container or collect the specimen and insert it at least 2 inches into a Cary-Blair tube. Do not allow tissue to dry. Specimen processing Store and transport at room temperature. Required patient info Indicate source. Test schedule Daily Turnaround time 48 hours Test includes Source; Gram Stain; Culture, Tissue; Culture, Tissue, Status. CPT codes 87070, 87205, 87075 CULTURE, UPPER RESPIRATORY Order code CURSP Specimens collected from the posterior pharynx and tonsilar area will be screened for Group A Streptococcus only and should be ordered as a strep screen. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Culterette Specimen type Sterile swab. Collection procedure Swab posterior pharynx, tonsils or other inflamed area with sterile culturette. For NP, gently insert nasopharyngeal (thin, wire-shafted) swab through the nostril until it touches the back of the nasopharynx. Leave the swab in place for 15-30 seconds to absorb specimen. Remove the swab and place it in transport media. NOTE: Collection is made easier if the wire is bent in a slight downward curve before inserting. If diphtheria or pertussis is suspected, contact the Microbiology Dept. for specific instructions. Required patient info Source. Test includes Source; Culture, Upper Respiratory; Culture, Upper Respiratory, Status. CPT codes 87070 CULTURE, URINE COLONY COUNT Order code CULT.CC This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Sterile leakproof plastic urine container. Specimen type Urine, random Collection procedure Aseptically collect urine. Morning first voided urine is preferred. Note time and method of collection (clean catch, straight cath, foley cath). Foley Catheter: Aspirate through disinfected tubing with a needle and syringe. Do not drain from bag. Place urine in a sterile container. Male Clean Catch: Draw foreskin back (hold in this position until specimen is obtained). Begin voiding, obtain midstream urine specimen in container. Female Clean Catch: Separate the folds of the vulva (hold in this position until urine is obtained). Wipe the opening from front to back with four wipes. Use wipe for one stroke only. Obtain mid-stream urine specimen in container. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Unacceptable conditions Specimens at room temperature for longer than 2 hours. Minimum volume 2-3 mL for fungal screen, full first morning void 11/18/02 - 64 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CULTURE, URINE COLONY COUNT (NO SMEAR) CYCLOSPORINE BY HPLC for TB Test schedule Sun-Sat Turnaround time 48 hours Test includes Source; Gram Stain; Culture, Urine; Culture, Urine, Status. Synonyms Urine Colony Count Culture CPT codes 87086, 87205 CULTURE, URINE COLONY COUNT (NO SMEAR) Order code CURNNS This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Sterile leakproof plastic urine container. Specimen type Urine, random Collection procedure Aseptically collect urine. Morning first voided urine is preferred. Note time and method of collection (clean catch, straight cath, foley cath). Foley Catheter: Aspirate through disinfected tubing with a needle and syringe. Do not drain from bag. Place urine in a sterile container. Male Clean Catch: Draw foreskin back (hold in this position until specimen is obtained). Begin voiding, obtain midstream urine specimen in container. Female Clean Catch: Separate the folds of the vulva (hold in this position until urine is obtained). Wipe the opening from front to back with four wipes. Use wipe for one stroke only. Obtain mid-stream urine specimen in container. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Unacceptable conditions Specimens at room temperature for longer than 2 hours. Minimum volume 2-3 mL for fungal screen, full first morning void for TB Test schedule Sun-Sat Turnaround time 48 hours Test includes Source; Culture, Urine; Culture, Urine, Status. Synonyms Urine Colony Count Culture CPT codes 87086 CULTURE, URINE ORGANISM ID Order code CORGUR Container type See below Specimen type See below Preferred volume See below Collection procedure Submit freshly isolated colonies on appropriate media (slant or plate) from urine culture. Test schedule Sun-Sat Turnaround time 24-48 hours Test includes Source; Culture, Organism ID, Urine; Culture Status. CPT codes 87088 CULTURE, WOUND Order code WOUND This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure Open wounds, ulcers or sinus tracts: Obtain swab or aspirate of deep area, avoiding skin flora. Closed abscesses or fistulas: Using needle and syringe, collect specimen by puncturing cleaned skin until needle penetrates abscess. Aspirate material and submit in syringe with needle removed. Place sterile cap on syringe. Specimen processing Store and transport at room temperature. Required patient info Specimen source; note if wound is superficial or deep. Alternate specimens Cary-Blair transport media can also be used. Collect the specimen on a swab and insert it at least 2 inches into the Cary-Blair tube. Test schedule Sun-Sat Turnaround time 48 hours Test includes Source; Gram Stain; Culture, Wound; Culture, Wound, Status. Synonyms Wound Culture CPT codes 87205, 87070 CULTURE, WOUND, DEEP Order code CWNDD This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See collection procedure. Collection procedure OPEN WOUND, ULCERS OR SINUS TRACTS: Obtain swab or aspirate of deep area, avoiding skin flora. CLOSED ABSCESSES, FISTULAS: Using needle and syringe collect specimen by puncturing cleaned skin until needle penetrates abscess. Aspirate material and submit in syringe with needle removed. Place sterile cap on syringe. Cary-Blair transport media can also be used. Collect the specimen on a swab and insert it at least 2 inches into the Cary-Blair tube. Specimen processing Store and transport at room temperature. Required patient info Indicate source. Test schedule Daily Turnaround time 48 hours Test includes Source; Gram Stain; Culture, Wound, Deep; Culture, Wound, Status. Synonyms Deep Wound Culture CPT codes 87070, 87075, 87205 CULTURE, YEAST SCREEN Order code YST-SCR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Cary-Blair transport media or culturette. Specimen type Sterile swab Specimen processing Store and transport at room temperature. Required patient info Specimen source. Test schedule Sun-Sat Turnaround time Up to 7 days Test includes Source; Gram Stain; Culture, Yeast Screen; Culture, Yeast Screen, Status. Synonyms Yeast Screen Culture CPT codes 87205, 87102 CULTURE, YERSINIA SCREEN Order code YERS.SCR Supplies are available from the PAML Supply Department. Container type Sterile leakproof plastic container. Specimen type Stool Collection procedure Submit a walnut-sized portion of fresh stool in a sterile leakproof plastic container. If a delay of 2 hours or more is anticipated for the specimen to reach the lab, submit a portion of stool in Cary-Blair transport tube or enteric transport media. Specimen processing Store and transport at room temperature. Unacceptable conditions Refrigerated specimen. Test schedule Daily Turnaround time 48 hours Test includes Souce; Yersinia Screen; Yersinia Screen, Status. CPT codes 87081 CYANIDE Order code CYANIDE Container type Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 7 mL Specimen processing Do not freeze or refrigerate. Store and transport at room temperature. Stability - room temp 2 days if tightly capped Unacceptable conditions Clotted or hemolyzed specimens. Minimum volume 4 mL Alternate specimens EDTA whole blood (lavender top tube). Test schedule Sun-Sat Turnaround time 3 days Test includes Cyanide, µg/dL. CPT codes 82600 CYCLOSPORINE BY HPLC Order code CYCLO.HPLC Preferred method for all transplant patients. Container type Lavender top tube (EDTA). If using Hemoguard EDTA tubes 2 tubes are needed. Specimen type Whole blood 11/18/02 - 65 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CYCLOSPORINE, TDX (HEART TRANSPLANT) CYTOGENETICS, CHROMOSOME ANALYSIS, BONE MARROW Preferred volume 5 mL Collection procedure Draw specimen just prior to next dose. Specimen processing Do not centrifuge or freeze specimen. Store and transport refrigerated. Required patient info Date and time of last dose. Stability - refrigerated 2 weeks Unacceptable conditions Clotted or hemolyzed specimen. Minimum volume 2.5 mL Alternate specimens Sodium heparinized whole blood (green top tube). Test schedule Sun-Fri, days Turnaround time 1-3 days Test includes Cyclosporine A, ng/mL. Synonyms Sandimmune CPT codes 80158 CYCLOSPORINE, TDX (HEART TRANSPLANT) Order code CYCLO.WB.TDX Container type Lavender top tube (EDTA) Specimen type Whole blood. Preferred volume 5 mL Collection procedure Draw 3 ml EDTA whole blood for transplant patients. Specimen processing Store and transport on wet ice or refrigerated. Required patient info Amount, date and time of dose and draw. Stability - refrigerated 1 month Minimum volume 1.5 mL Alternate specimens Heparinized whole blood (green top tube). Test schedule Daily Turnaround time 24 hours Test includes Cyclosporine TDX, ng/mL. CPT codes 80158 CYSTIC FIBROSIS MUTATIONS Order code CYMUT Container type Cheek brush samples or Lavender top tube (EDTA) or Yellow top tube (ACD A) Specimen type Cheek brush or whole blood Preferred volume Adult, 10 mL; Child, 5-7 mL; Baby, 1-3 mL Collection procedure See below. Specimen processing For cheek brush or blood specimens, store and transport at room temperature. Collection kits for cheekbrush samples available from PAML Supply Department. Required patient info DOB, race, if for screening or if there is a family history of cystic fibrosis. Alternate specimens Prenatal Amnio: Discard the first 2 mL, then collect 10 mL in 15 mL orange screw-top polypropylene tube, or submit 10-15 mg chorionic villi in media provided by Genzyme. Must call ahead to request special media from Genzyme. A maternal sample is required to rule out the presence of maternal cells in prenatal samples of uncultured amniotic fluid, CVS, or CVS cultures. Test schedule Mon, Wed, Fri Turnaround time 12-16 days Test includes 87 Mutation Cystic Fibrosis Analysis. CPT codes 83912, 83891, 83894, 83896 x 2, 83901 x 2, 83893 x 2 CYSTICERCUS ANTIBODY Order code CYSTICERCUS.AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.25 mL Test schedule Tue, Fri Turnaround time 2-5 days Test includes Cysticercus Antibody. CPT codes 86682 CYSTINE, URINE (QUANTITATIVE) Order code CYSTINE Container type 24-hour dark plastic urine container. Specimen type Frozen random or 24-hour urine collection Preferred volume 10 mL Collection procedure Collect a random or 24-hour urine in a 24hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen. Required patient info Collection period and total volume. Stability - room temp unstable Stability - refrigerated unstable Stability - frozen (-20°C) 1 month Unacceptable conditions pH LT 5 or GT 8 and samples with acid or other preservatives Minimum volume 5 mL Test schedule Mon, Wed, Fri Turnaround time 3-7 days Test includes Collection Period, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Cystine, Urine, mg/L; Cystine, Urine, mg/d; Cystine, Urine, mg/gCr. CPT codes 82131 Notes Patient should abstain from Vit C ingestion 48 hours prior to collection. CYTOGENETICS, CHROMOSOME ANALYSIS, AMNIOTIC FLUID Order code AFCYTO This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Specimen type Amniotic fluid Preferred volume 15 mL Specimen processing 15 mL amniotic fluid, unspun in a 15 mL centrifuge tube (Corning or Falcon or equivalent). Discard first 3 mLs drawn, do not centrifuge. Label all tubes with patient name and DOB. Store and transport at room temperature. Required patient info Date of Birth Stability - room temp 48 hours Stability - refrigerated 5 days Unacceptable conditions Frozen or spun samples. Minimum volume 5 mLs Alternate specimens Fluid from uterine saline infusion, cystic hygroma, fetal pleural fluid or urine. Test schedule Daily Turnaround time 6-8 days Test includes Chromosome Analysis, Amnioitc Fluid. Synonyms Cytogenetics, Amniotic Fluid CPT codes 88235, 88267, 88280, 88291 CYTOGENETICS, CHROMOSOME ANALYSIS, BONE MARROW Order code BMCYTO This test must be ordered on a paper requistion that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Specimen type Bone marrow aspirate Preferred volume 2 mLs Specimen processing 2 mLs bone marrow aspirate in sterile transport tube containing tissue culture media. Use sterile technique to transfer aspirate to tissue culture media as soon as possible. Store and transport at room temperature. Stability - room temp 3 days Stability - refrigerated 3 days Unacceptable conditions Frozen, placed in additive other than sodium heparin, in fixative, spun or clotted. Minimum volume 0.5 mL Alternate specimens Bone marrow core biopsy or bone marrow in sodium heparin vacutainer tube (green top tube). Test schedule Daily Turnaround time 3-10 days Test includes Chromosome Analysis, Bone Marrow. Synonyms Cytogenetics, Bone Marrow CPT codes 88237, 88280, 88264, 88291 11/18/02 - 66 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CYTOGENETICS, CHROMOSOME ANALYSIS, LEUKEMIA BLOOD CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TISSUE CYTOGENETICS, CHROMOSOME ANALYSIS, LEUKEMIA BLOOD Order code LBCYTO This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. Stability - room temp 2 days Stability - refrigerated 3 days Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin. Minimum volume 1 mL Alternate specimens Whole blood in tissue culture media containing sodium heparin. Test schedule Daily Turnaround time 3-10 days Test includes Chromosome Analysis, Leukemic Blood. Synonyms Cytogenetics, Leukemic Blood/Neoplastic Blood CPT codes 88237, 88280, 88264, 88291 CYTOGENETICS, CHROMOSOME ANALYSIS, PERIPHERAL BLOOD FAMILY Order code PBFAM This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. Stability - room temp 3 days Stability - refrigerated 4 days Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin. Minimum volume 1 mL Alternate specimens Whole blood in tissue culture media containing sodium heparin. Test schedule Daily Turnaround time 3-7 days Test includes Chromosome Analysis, Peripheral Blood Family. Synonyms Cytogenetics, Peripheral Blood Family Study CPT codes 88230, 88261, 88291 CYTOGENETICS, CHROMOSOME ANALYSIS, PERIPHERAL BLOOD HIGH RESOLUTION Order code HRPBCY This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. Stability - room temp 3 days Stability - refrigerated 4 days Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin. Minimum volume 1 mL Alternate specimens Whole blood in tissue culture media containing sodium heparin. Test schedule Daily Turnaround time 10-14 days Test includes Chromosome Analysis, Peripheral Blood High Resolution. Synonyms Cytogenetics, Peripheral Blood, High Resolution CPT codes 88289, 88262, 88230, 88280, 88291 CYTOGENETICS, CHROMOSOME ANALYSIS, PERIPHERAL BLOOD MOSAIC Order code MOPBCY This test must be ordered on a paper requistion that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. Stability - room temp 3 days Stability - refrigerated 4 days Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin. Minimum volume 1 mL Alternate specimens Whole blood in tissue culture media containing sodium heparin. Test schedule Daily Turnaround time 7-10 days Test includes Chromosome Analysis, Peripheral Blood Mosaic. Synonyms Cytogenetics, Peripheral Blood, Mosaicism CPT codes 88230, 88263, 88291, 88285 CYTOGENETICS, CHROMOSOME ANALYSIS, PERIPHERAL BLOOD ROUTINE Order code PBCYTO This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to addtional tests depending upon the results of this test. An addtional fee may be added. Container type Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. Stability - room temp 3 days Stability - refrigerated 4 days Unacceptable conditions Frozen, spun, clotted, or in additive other than sodium heparin. Minimum volume 0.5-1 (newborns only) Alternate specimens Whole blood in tissue culture media containing sodium heparin. Test schedule Daily Turnaround time 7-10 days Test includes Chromosome Analysis, Peripheral Blood Routine. Synonyms Cytogenetics, Peripheral Blood CPT codes 88230, 88262, 88280, 88291 CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TISSUE Order code STICYT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Specimen type Tissue biopsy in sterile tube with tissue culture media containing antibiotics. Preferred volume 5mm3 Specimen processing Tissue biopsy 5mm3 minimum in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Store and transport at room temperature. Stability - room temp 2 days Stability - refrigerated 3 days Unacceptable conditions Frozen, placed in fixative of any kind, or grossly contaminated with bateria and/or fungus. Minimum volume 5mm3 Alternate specimens Specimens in sterile saline. They are not 11/18/02 - 67 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TISSUE MOSIAC CYTOGENETICS, TISSUE CULTURE, SOLID TISSUE optimal. Test schedule Daily Turnaround time 7-21 days Test includes Chomosome Analysis, Solid Tissue. Synonyms Cytogenetics, Products of Conception; Cytogenetics, Solid Tissue CPT codes 88233, 88262, 88280, 88291 CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TISSUE MOSIAC Order code MOSTI This test must be ordered on a paper requistion that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additinal fee may be added. Specimen type Tissue biospy 5 mm3 in sterile tube with tissue culture media containing antibiotics. Preferred volume 5 mm3 Specimen processing Tissue biopsy 5 mm3 in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Store and transport at room temperature. Stability - room temp 2 days Stability - refrigerated 3 days Unacceptable conditions Frozen, placed in fixative of any kind or grossly contaminated with bacteria and/or fungus. Minimum volume 5 mm3 Alternate specimens Specimens in sterile saline. They are not optimal. Test schedule Daily Turnaround time 7-21 days Test includes Chromosome Analysis, Solid Tissue Mosiac. Synonyms Products of Conception R/O Mosaicism; Cytogenetics Solid Tissue R/O Mosaicism CPT codes 88233, 88263, 88291, 88295 CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TUMOR Order code STUCYT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Specimen type Solid tumor tissue 5mm3 in sterile tube with tissue culture media. Preferred volume 5mm3 Specimen processing Solid tumor tissue 5mm3 in sterile tube with tissue culture media. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Store and transport at room temperature. Stability - room temp 2 days Unacceptable conditions Frozen, placed in fixative of any kind or saline. Minimum volume 5mm3 Test schedule Daily Turnaround time 3-6 days Test includes Chromosome Analysis, Solid Tumor Tissue. Synonyms Cytogenetics, Solid Tumor CPT codes 88239, 88280, 88264, 88291 CYTOGENETICS, MOLECULAR ANALYSIS FRAGILE X Order code FRAXMO This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Container type Yellow top tube (ACD Type A) & Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 10-15 mLs ACD and 5 mLs sodium heparin Specimen processing Do not transfer from original draw tube. Store and transport at room temperature. Stability - room temp 3 days Stability - refrigerated 3 days Unacceptable conditions Frozen, clotted, spun or in additive other than ACD, NaHep or EDTA vacutainers or specimens that have been transferred from the original draw tubes. Minimum volume 5-10 mLs ACD and 1 mL sodium heparin Alternate specimens EDTA whole blood ( lavender top tube) for molecular analysis only. Turnaround time 2-3 weeks Test includes Molecular Analysis Fragile X and routine cytogenetic analysis. Synonyms Chromosome Analysis, Fragile X; Cytogenetic Analysis, Fragile X; Fragile X. CPT codes 83898 x 2, 83890, 83896, 83897, 83894, 83912 Notes If the patient has not had previous routine chromosome analysis, a 5 mL sodium heparinized whole blood (green top tube) must also be submitted when this test is ordered.`Cytogenetic analysis need not be performed if previously done or if there is already a documented family history (including confirmatory laboratory results) of fragile X syndrome. CYTOGENETICS, TISSUE CULTURE, AMNIOTIC FLUID Order code AFTC This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Specimen type Amniotic fluid Preferred volume 15 mL Specimen processing 15 mL amniotic fluid, unspun in a 15 mL centrifuge tube (Corning or Falcon or equivalent). Discard first 3 mLs drawn, do not centrifuge. Label all tubes with patient name and DOB. Store and transport at room temperature. Required patient info Date of birth Stability - room temp 48 hours Stability - refrigerated 5 days Unacceptable conditions Frozen or spun samples. Minimum volume 5 mLs Alternate specimens Fluid from uterine saline infusion, cystic hygroma, or fetal pleural fluid. Test schedule Daily Test includes Tissue Culture, Amniotic Fluid. Synonyms Amniotic Fluid Tissue Culture Only CPT codes 88235 CYTOGENETICS, TISSUE CULTURE, SOLID TISSUE Order code STITC This test must be ordered on a paper requistion that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Specimen type Tissue biopsy in sterile tube with tissue culture media containing antibiotics. Preferred volume 5 mm3 Specimen processing Tissue biopsy 5 mm3 minimum in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Store and transport at room temperature. Stability - room temp 2 days Stability - refrigerated 3 days Unacceptable conditions Frozen, placed in fixative of any kind or grossly comtaminated with bacteria and/or fungus. Minimum volume 5mm3 Alternate specimens Specimens shipped in sterile saline. They are not optimal. Test schedule Daily Test includes Tissue Culture, Solid Tissue. Synonyms Products of Conception Tissue Culture, Solid Tissue Culture CPT codes 88233 11/18/02 - 68 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 CYTOMEGALOVIRUS ANTIBODY, IGG D-DIMER, QUANTITATIVE CYTOMEGALOVIRUS ANTIBODY, IGG Order code CMV.IGG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes CMV Antibody, IgG, ISR. Synonyms CMV Antibody, IgG; CMV, IgG CPT codes 86644 CYTOMEGALOVIRUS ANTIBODY, IGG & IGM Order code CMV.IGG.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-3 days Test includes CMV Antibody, IgG, ISR; CMV Antibody, IgM, ISR. Synonyms CMV Antibody, IgG & IgM; CMV, IgG & IgM CPT codes 86644, 86645 CYTOMEGALOVIRUS ANTIBODY, IGG (PAIRED) Order code CMV.PAIRED Acute and convalescent specimens required. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Acute serum: Draw 1-2 weeks after onset of illness. Convalescent serum: Draw 2-3 weeks later. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport both specimens frozen or refrigerated. Unacceptable conditions Heat treated, hemolyzed, lipemic, or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Acute CMV, ISR; Date drawn; Convalescent CMV, ISR; Date drawn; % rise in Immune Status Ratio (ISR). Synonyms CMV Antibody, IgG (Paired) CPT codes 86644 x 2 CYTOMEGALOVIRUS ANTIBODY, IGM Order code CMV.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Lipemic, hemolyzed, heat treated or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes CMV Antibody, IgM, ISR. Synonyms CMV Antibody, IgM; CMV, IgM CPT codes 86645 CYTOMEGALOVIRUS BY PCR Order code CMVPCR Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Separate plasma from cells and place in sterile plastic tube and freeze. Store and transport frozen. Stability - room temp 30 minutes (except tissue) Stability - refrigerated 24 hours (except tissue) Stability - frozen (-20°C) 3 months Unacceptable conditions Non-sterile or leaking containers, serum, heparinized, frozen or clotted whole blood. Minimum volume 0.5 mL Alternate specimens 1 mL frozen CSF; refrigerated EDTA whole blood (buffy coat) (lavender top tube) or bone marrow; amniotic fluid, bone marrow, bronchoalveolar lavage or ocular fluid in a sterile, leakproof container frozen. Biopsy tissue, snap frozen or in multipurpose transport media (M4) or other viral transport media, frozen; or neonatal urine in a sterile, leakpoof container. Test schedule Sun-Sat Turnaround time 4-6 days Test includes Source; Cytomegalovirus by PCR. CPT codes 87496 CYTOMEGALOVIRUS DNA IN WHITE BLOOD CELLS Order code CMVDNA Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 7 mL Specimen processing Store and transport at room temperature up to 24 hours after collection or refrigerated up to 48 hours after collection. Stability - room temp 24 hours Stability - refrigerated 48 hours Unacceptable conditions EDTA, heparinized, frozen, clotted, less than 4 mL of whole blood and specimens stored longer than 48 hours. Minimum volume 4 mL Limitations Total storage time limit is 48 hours from collection. Test schedule Mon, Wed, Fri Turnaround time 48 hours Test includes Cytomegalovirus DNA by Hybrid Capture. Synonyms CMV DNA CPT codes 87496 Notes This is a rapid and sensitive molecular test to detect CMV DNA in human peripheral leukocytes. This test is indicated for use as an aid in diagnosing CMV infection in solid organ transplant, bone marrow transplant, HIV-positive, and other immunocompromised patients. CYTOMEGALOVIRUS VIRAL CULTURE Order code CMV.CULT Container type See below. Specimen type Nasopharyngeal and /or throat swab(s), or rectal swabs in FlexTrans, urine, tissue biopsy, BAL, bronchial brush or wash Specimen processing Store and transport refrigerated. Required patient info Specimen source. Test schedule Sun-Sat days Turnaround time Rapid Spin CMV results at 72 hours, preliminary culture results at 10 days, final culture results at 21 days. Test includes Source; CMV Viral Culture; CMV Viral Culture, Status. Synonyms CMV Viral Culture; Culture, CMV Viral CPT codes 87252, 87253, 87140 Notes Inculdes detection of CMV, HSV, VZV, adenovirus, influenza, RSV, parainfluenza and enterovirus. Includes shell-vial enhancement for rapid CMV detection on all sources. D-DIMER, QUANTITATIVE Order code XDIMQT Container type Blue top tube (buffered sodium citrate) Specimen type Plasma Preferred volume 1 mL Specimen processing Separate plasma from cells and centrifuge again. Place plasma in separate plastic tube. Store and transport on ice within 48 hours or freeze. Store and transport frozen. Stability - room temp 8 hours 11/18/02 - 69 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 D-XYLOSE (5 GRAM DOSE W/UA) DEXAMETHASONE (SUPPRESSION-3) Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Unacceptable conditions Severely hemolyzed, clotted or improperly filled tubes. Limitations Blood/anticoagulant volume is critical. Test schedule Sun-Sat & STAT Turnaround time 24 hours Test includes D-Dimer, Quantitative, µg/mL FEU. Synonyms D-Dimer; Dimer & Crosslinked Fibrin Degradation Product. CPT codes 85379 D-XYLOSE (5 GRAM DOSE W/UA) Order code XYLOSE.UR Patient Prep Refer to XYLOSE for all requirements. In addition a 5 hour timed urine is required. Have the patient void before the test begins. Pool and collect all urine for the next 5 hours in a dark plastic urine container. Refrigerate during the collection period and send refrigerated. Container type Brick top tube (SST or Corvac) and 24-hour dark plastic urine container. Specimen type Serum and timed urine Collection procedure Refer to XYLOSE and patient preparation instructions. Specimen processing Refer to XYLOSE and patient preparation instructions. Record collection time and total volume. Required patient info Collection period, total volume and dose. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Volume, mL; Dose, g; Xylose, Blood, 1 hour, mg/dL; Xylose, Blood, 2 hour, mg/dL; Xylose, Urine, g/5 h; % Excretion, %. Synonyms Xylose (5 gram dose w/ua) CPT codes 84620 x 2 D-XYLOSE (5 GRAM DOSE) Order code XYLOSE Patient Prep ADULTS: After midnight the patient is allowed nothing by mouth except water. Give patient 5 gram D-xylose dissolved in 240 mL of tap water. Follow immediately with an additional 250 mL of tap water. Note time. Patient is not allowed any further fluid or water and is kept in the area until the test is complete. Draw specimen 1 hr post dose. CHILDREN (10 kg to 9 years old): Fasting for 6 hours prior to the test. Give the patient 5 gram D-xylose dissolved in 120-150 mL of tap water. Note time. Draw patient 1 hour post dose. INFANTS (LT 10 kg body weight): Fasting for 4 hours prior to the test. Give the patient 5% solution of D-xylose at 10 mL/kg of body weight (equivalent to 0.5g/kg). 1 kg=2.2 lbs. Draw specimen 1 hour post dose. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Draw patient 1 hour post D-xylose dose. Specimen processing Separate serum or plasma from the cells and place in separate plastic tube. Store & transport refrigerated. Required patient info Record dose. Stability - refrigerated 3 days Stability - frozen (-20°C) Indefinitely Minimum volume 0.5 mL Alternate specimens NaF plasma (grey top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Dose, gms; Xylose, Blood, 1 hour, mg/dL. Synonyms Xylose (5 gram dose) CPT codes 84620 DANTRIUM Order code DANT Container type Lavender top tube (EDTA) Specimen type Plasma Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Alternate specimens EDTA whole blood or serum (lavender or red top tube). Limitations Protect from light. Test schedule Varies Turnaround time 7 days Test includes Dantrolene, µg/mL. Synonyms Dantrolene CPT codes 80299 DARKFIELD EXAMINATION Order code DARK Collection procedure Leptospira: 5-10 mL freshly collected urine. Treponemes: Fresh serous fluid slides. Fluid should be as free as possible of red blood cells. Slides must arrive in microbiology while moist. Alert client services that specimen for darkfield examination is to be collected. Required patient info Specimen source. Test schedule Sun-Sat Turnaround time Same day Test includes Source; Darkfield Exam; Darkfield Exam, Status. CPT codes 87166 Notes For specific collection instructions contact client services. DESIPRAMINE Order code DES Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Collection procedure Draw 10-14 hours post-dose. If a divided dose is given draw before morning dose. Specimen processing Separate serum from cells within 4 hours and place in separate polypropylene (not polystyrene) plastic tube. The 10 mL PAML labelled, cloudy plastic tubes with the plastic snap-on caps are polypropylene tubes. Store and transport refrigerated. Required patient info Time of dose and time drawn. Stability - refrigerated 2 weeks Minimum volume 2 mL Limitations SST and other gel-type tubes are not recommended because they may artifactually and randomly lower results. Test schedule Mon-Fri Turnaround time 1-3 days Test includes Desipramine, ng/mL. Synonyms Norpramin CPT codes 80160 DEXAMETHASONE (SUPPRESSION-2) Order code DST2 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL for each timed sample Collection procedure Draw cortisols at 8:00 AM the morning before and the morning after an 11:00 PM oral dose of 1.0 mg dexamethasone. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 10 days Minimum volume 0.2 mL for each timed sample Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Cortisol Pre-Suppression, µg/dL; Time Drawn; Cortisol Post-Suppression, µg/dL; Time Drawn. Synonyms Cortisol Suppression (2 samples) CPT codes 82533 x 2 Notes Hyperadrenalism Confirmation: Low dose dexamethasone suppression of pituitary ACTH production. DEXAMETHASONE (SUPPRESSION-3) Order code DST3 Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure REFER TO DST2 FOR PROTOCOL. Specimen processing Separate serum from cells and place each in separate plastic tubes and freeze. Label each specimen clearly. Store and transport frozen. 11/18/02 - 70 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 DEXAMETHASONE (SUPPRESSION-4) DIFFERENTIAL SLIDE REVIEW BY PATH Stability - room temp 8 hours Stability - refrigerated 10 days Minimum volume 0.2 ml each specimen Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Cortisol Pre-Suppression, µg/dL; Time Drawn; Cortisol Post-Suppression #1, µg/dL; Time Drawn; Cortisol Post-Suppresion #2, µg/dL; Time Drawn. CPT codes 82533 x 3 DEXAMETHASONE (SUPPRESSION-4) Order code DST4 Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL each specimen Collection procedure REFER TO DST2 FOR PROTOCOL. Specimen processing Separate serum from cells and place each in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 10 days Minimum volume 0.2 mL each specimen Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Cortisol Pre-Suppression, µg/dL; Time Drawn; Cortisol Post-Suppression #1, µg/dL; Time Drawn; Cortisol Post-Suppression #2, µg/dL; Time Drawn; Cortisol Post-Suppression #3, µg/dL; Time Drawn. CPT codes 82533 x 4 DEXAMETHASONE (SUPPRESSIONRANDOM) Order code DST1 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure See DST2 for protocol. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 10 days Minimum volume 0.2 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Cortisol, µg/dL. Synonyms Cortisol suppression (random) CPT codes 82533 DHEA Order code DHEA Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Collection procedure Prefer sample be collected during the morning hours. Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Patient's date of birth. Stability - refrigerated 7 days Stability - frozen (-20°C) 2 years Unacceptable conditions Lipemic specimens. Minimum volume 0.3 mL Alternate specimens EDTA or sodium heparinized plasma (lavender or green top tube). Test schedule Sun-Sat Turnaround time 3-6 days Test includes DHEA, ng/mL. Synonyms Dehydroepiandrosterone CPT codes 82626 DHEA, URINE Order code DHEA-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 50 mL Collection procedure Add 25 mL of 50% acetic acid to a 24-hour dark plastic urine container. Use 15 mL 50% acetic acid for children less than 5 years olds. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2-4. Store and transport refrigerated. Record total volume. Required patient info Total volume. Minimum volume 50 mL Test schedule Mon, Tue, Fri Turnaround time 5-10 days Test includes Collection Period, h; Volume, mL; DHEA, Urine, mg/24hr. Synonyms Dehydroepiandrosterone, Urine CPT codes 83593 DHEA-SO4 Order code DHEA-SO4 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 2 days Stability - frozen (-20°C) 2 months Minimum volume 1 mL Alternate specimens . Test schedule Mon-Sat evenings Turnaround time 1-3 days Test includes DHEA-SO4, ug/dL. Synonyms DHEA Sulfate; Dehydroepiandrosterone Sulfate; DHEA-S CPT codes 82627 DIAMOX Order code DIAMOX Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Serum separator tube & gels. Minimum volume 2 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Diamox, µg/mL. Synonyms Acetazolamide CPT codes 80299 DIAZEPAM Order code VALIUM Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Minimum volume 0.5 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Diazepam, µg/mL; Nordiazepam, µg/mL. Synonyms Valium CPT codes 80154 DIFFERENTIAL SLIDE REVIEW BY PATH Order code DIF.PATH Container type Lavender top tube (EDTA) and slides. Specimen type Blood smears, whole blood Preferred volume 2 smears, 5 mL whole blood 11/18/02 - 71 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 DIFFERENTIAL, MANUAL DIRECT EXAM, MISC Collection procedure Two peripheral blood smears; one stained and one unstained. Send a copy of autoheme results with slides. If autoheme results are not available include EDTA whole blood (lavender top tube). Specimen processing EDTA whole blood (lavender top tube) must be received within 12 hours of collection. Required patient info Autoheme results. Test schedule Mon-Fri, days Turnaround time 72 hours Test includes See CBC; Impression; Reviewed By. CPT codes 85060 DIFFERENTIAL, MANUAL Order code DIF.AD Container type Lavender top tube (EDTA) and Peripheral blood smears. Specimen type Whole blood and Peripheral blood smears Specimen processing Please send a copy of autoheme results with specimens. Prefer to receive specimen within 12 hours of collection. Test schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround time 24 hours Test includes Segs, %, Segs, Abs, K/µL; Bands, %; Bands, Abs, K/µL; Lymphocytes, %; Lymphocytes, Abs, K/µL; Variant Lymphocytes, %; Variant Lymphocytes, Abs, K/µL; Monocytes, %; Monocytes, Abs, K/µL; Eosinophils, %; Eosinophils, Abs, K/µL; Basophils, %; Basophils, Abs, K/µL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast, %; Other, %; NRBC, /100 WBC; Meg. Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted. CPT codes 85007 DIGITOXIN Order code DGTXN Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 5 days Stability - refrigerated 5 days Stability - frozen (-20°C) 2 -4 months Minimum volume 0.8 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalated plasma (green, lavender or black top tube). Limitations Aviod serum separator or gel-type tubes. Test schedule Sun-Sat Turnaround time 1-3 days Test includes Digitoxin, ng/mL. Synonyms Digitalis CPT codes 80299 Notes Brand names include: Crystodigin, Purodigin, Digifortis, Digiglusin, Digitora, Digitaline, Nativelle, Gitaligin, Myodigin and PilDigis. DIGOXIN Order code DIG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next dose. Note times of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Time of dose and time drawn. Stability - room temp 24 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Alternate specimens SST and other gel type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Digoxin, ng/mL. Synonyms Lanoxin CPT codes 80162 Notes Brand names include: Lanoxin, Acylanid, Cedilanid, CedilanidD, Davoxin, Deslanoslide, Lantoslide C and Saroxin. DIHYDROTESTOSTERONE Order code DHT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Patient's age and sex. Stability - room temp 2 days Stability - refrigerated 1 week Stability - frozen (-20°C) 2 years Minimum volume 1.1 mL Test schedule Wed, Fri Turnaround time 3-8 days Test includes Dihydrotestosterone, ng/dL. Synonyms DHT; 5-9-Dihydrotestosterone CPT codes 82651 DILUTE RUSSELL VIPER VENOM Order code ADRVVT Unable to test for lupus inhibitor with heparin inhibitor present. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2 mL Collection procedure Send normal patient control identically drawn and processed. Specimen processing Centrifuge and separate plasma and respin. Use plastic pipette and transfer platelet-poor plasma into two separate plastic tubes and freeze. Clearly label specimens. Store and transport frozen. Stability - refrigerated 4 hours Unacceptable conditions Unable to test for lupus inhibitor with heparin inhibitor present. Minimum volume 2 mL Test schedule Daily Turnaround time 1-3 days Test includes dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio. Synonyms DRVVT CPT codes 85613 DIPHTHERIA/TETANUS ANTIBODY Order code DIPTEN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Pre and Post (1 month) vaccine specimens are recommended and must be clearly labelled. Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma specimens and other body fluids. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon, Wed, Fri Turnaround time 3-7 days Test includes Diphtheria Antibody, IU/mL; Tetanus Antibody, IU/mL. CPT codes 86317 x 2 DIRECT EXAM, MISC Order code MISCDE Container type Sterile leakproof plastic container. Collection procedure Submit specimen in sterile leakproof plastic container or if appropriate in culturette. Specimen processing Store and transport refrigerated. 11/18/02 - 72 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 DISOPYRAMIDE DOXEPIN & METABOLITE Required patient info Indicate source. Test schedule Daily Turnaround time 24 hours Test includes Source; Direct Exam, Misc; Direct Exam, Status. CPT codes 87205 DISOPYRAMIDE Order code DISOP Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 4 days Stability - refrigerated 2 months Stability - frozen (-20°C) 2 months Minimum volume 0.5 mL Alternate specimens Heparin or EDTA plasma. Limitations Avoid the use of serum separator or gel tubes. Test schedule Sun-Sat Turnaround time 2-4 days Test includes Disopyramide, µg/mL. Synonyms Norpace CPT codes 80299 DISSEMINATED INTRAVASCULAR COAGULATION SCREEN Order code DICA Container type Lavender top tube (EDTA), 2 blue top tubes (citrated plasma) and 2 blood smears Collection procedure 3 mL EDTA whole blood (lavender top tube), 2 blood smears, and 2-5 mL citrated plasma (blue top tubes). Specimen processing Tests on nonheparinized patients must be performed within 4 hours of drawing. Transport uncentrifuged or centrifuged with plasma remaining on top of the cells at room temperature or refrigerated. Tests on specimens suspected of containing unfractionated heparin should be centrifuged, the plasma removed from the cells within 1 hour of drawing, kept at room temperature or refrigerated, and tested within 4 hours of drawing. If the interval before testing will exceed 4 hours for any type of patient, double-spin the plasma, put in separate plastic tube, and freeze at 70°C. Unacceptable conditions Severely hemolyzed or clotted samples, inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -70°C. Minimum volume 3 mL EDTA, 5 mL citrate, and 2 slides Test schedule Daily Turnaround time 1-2 days Test includes Protime, sec; Population Mean, sec; INR; PTT, sec; PTT Population Mean, sec; Fibrinogen, mg/dL; Thrombin Time, Patient, sec; Thrombin Time, Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/SO4 Mix, sec; D-Dimer, Quantitative; Fibrin Monomer; Fibrinolysis; Platelet Count, k/µL; RBC Morphology, DIC Comment. Synonyms DIC Screen CPT codes 85610, 85730, 85384, 85670 ,85379, 85366, 85390, 85595, 85008 DNA ANTIBODY DOUBLE STRANDED Order code DNA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Limitations Avoid repeat freeze/thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes DNA Double Strand (Crithidia). Synonyms Anti-DNA, Double Strand CPT codes 86225 DNA ANTIBODY DOUBLE STRANDED, IGG Order code DNA.DS.ELISA This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Sun-Sat Turnaround time 3-5 days Test includes DNA Ab (DS). Synonyms Anti-DNA, Double Stranded, IgG CPT codes 86225 Notes Positives by ELISA will be titered by IFA and the titer will also be reported. "None detected" correlates with a IFA titer of LT 1:10. DNA CONTENT/CELL CYCLE ANALYSIS, MISCELLANEOUS Order code DNAMIS Container type See below. Specimen type See below. Collection procedure Tumor tissue, fluids, blood, bone marrow or cell suspensions. 0.5 gram frozen tumor tissue; 0.5 gram fresh tumor tissue on saline-soaked gauze or in tissue media refrigerated; 10-100 mL fresh fluids refrigerated; 5 mL blood or bone marrow (heparin green top tube) at room temperature; cell suspensions fixed in 50% ethanol refirgerated; paraffin-embedded tissue block enriched with tumor at room temperature. Required patient info Source and clinical information Stability - room temp 48 hours for blood and bone marrow and 20 years for paraffin block Stability - refrigerated 24 hours for tissue and fluids Stability - frozen (-20°C) 1 month for tissue Unacceptable conditions No tumor in block, samples fixed in Bouin's solution, mercuric chloride containing fixatives or ethanolbased fixatives containing ethylene glycol, acetic acid and zinc chloride, decalcified samples, frozen samples that have thawed, hemolyzed or clotted blood or bone marrow samples. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Source; DNA Content; S-Phase Interpretation. CPT codes 88182 Notes Interpretive information, if available for tumor type and source will be sent separate with the histogram. DORIDEN Order code DOR Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Unacceptable conditions Serum separator tubes and gels. Minimum volume 0.5 mL Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). Test schedule Tue, Thu Turnaround time 2-4 days Test includes Doriden, µg/mL. Synonyms Glutethimide CPT codes 82980 DOXEPIN & METABOLITE Order code DOX Container type Red top tube (plain) Specimen type Serum 11/18/02 - 73 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 DOXYLAMINE ELECTROLYTES PANEL Preferred volume 4 mL Collection procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose. Specimen processing Separate serum from cells within 4 hours and place in separate polypropylene (not polystyrene) plastic tube. The 10 mL PAML labelled, cloudy plastic tubes with the plastic snap-on caps are polypropylene tubes. Store and transport refrigerated. Required patient info Date and time of dose and draw. Stability - refrigerated 2 weeks Minimum volume 2 mL Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with desmethyldoxepin. Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Doxepin, ng/mL; Desmethyldoxepin, ng/mL; Total Drug, ng/mL. Synonyms Sinequan; Adapin CPT codes 80166, 80299 DOXYLAMINE Order code DOXY Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Alternate specimens EDTA plasma (lavender top tube). Turnaround time 10-15 days Test includes Doxylamine, ng/mL. Synonyms Unisom CPT codes 82491 DYPHYLLINE Order code DYP Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 0.5 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Tue, Fri Turnaround time 3-6 days Test includes Dyphylline, µg/mL. Synonyms Neophylline CPT codes 82491 ECHINOCOCCUS ANTIBODY, IGG Order code ECHINO Acute and convalescent samples advised. This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon, Thu Turnaround time 3-6 days Test includes Echinococcus Antibody, IV. CPT codes 86682 ECHOVIRUS ANTIBODY Order code ECHO Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Required patient info Specimen source. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 6 weeks Unacceptable conditions Plasma specimens. Test schedule Sun-Sat Turnaround time 6-10 days Test includes Source; Echovirus Antibody, Type 6, Titer; Echovirus Antibody, Type 7, Titer; Echovirus Antibody, Type 9, Titer; Echovirus Antibody, Type 11, Titer; Echovirus Antibody, Type 30, Titer. CPT codes 86658 x 5 ECTOPIC PREGNANCY PANEL Order code ECTOPIC.PANEL Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 48 hours Unacceptable conditions Plasma samples and samples drawn on SST or other gel tubes and not separated immediately. Minimum volume 1 mL Test schedule Sun-Fri & STAT Test includes Progesterone, ng/mL; Beta HCG Quant, mIU/mL. CPT codes 84144, 84702 EHRLICHIA CHAFFEENSIS ANTIBODY, IGG & IGM Order code EHRLGM Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Stoe and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed samples. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Tue, Fri Turnaround time 2-6 days Test includes Ehrlichia chaffeensis, IgG Antibody; Ehrlichia chaffeensis, IgM Antibody. CPT codes 86666 x 2 ELECTROLYTES PANEL Order code EP Container type Brick top tube (SST or Corvac) or Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Centrifuge ASAP, keep upright and do not remove stopper. Avoid hemolysis. Store and transport refrigerated. If specimen is drawn in a red top tube, separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Put in separate plastic tube and cap immediately. Store and transport refrigerated. Stability - refrigerated 1day Minimum volume 0.5 mL Alternate specimens Lithium or ammonium heparin plasma. Limitations Avoid hemolysis. 11/18/02 - 74 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ELECTROLYTES, FECAL (NA,K) ELECTROPHORESIS, SCAN, URINE (RANDOM) Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L. CPT codes 80051 Notes Hemolysis will cause elevated potassium values and minimal volumes will concentrate. ELECTROLYTES, FECAL (NA,K) Order code LYTES.STOOL Container type Leakproof plastic container. Specimen type Stool, random or timed Preferred volume 5 grams Specimen processing Store and transport refrigerated. Required patient info Hours of collection if timed specimen. Unacceptable conditions Any specimen that is not liquid. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Sodium, Stool, mmol/L; Potassium, Stool, mmol/L. CPT codes 84295, 84132 ELECTROLYTES, FECAL (NA,K,CL) Order code STYLTE Specimen type Liquid stool, random or timed. Preferred volume 5 grams Specimen processing Store and transport frozen or refrigerated. Required patient info If timed indicate hours of collection. Stability - room temp 2 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Unacceptable conditions Non-liquid stool. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Sodium, Stool, mmol/L; Potassium, Stool, mmol/L; Chloride, Stool, mmol/L. CPT codes 84999 x 2, 82438 ELECTROPHORESIS, CITRATE GEL Order code CITGEL This procedure is used for the confirmation of abnormal hemoglobins identified on HPLC or cellulose acetate electrophoresis. Container type Lavender top tube (EDTA) and smears. Specimen type Whole blood and smears. Preferred volume 5 mL whole blood and 2 blood smears. Specimen processing Store and transport refrigerated. Stability - room temp 4 days Stability - refrigerated 2 weeks Unacceptable conditions Specimens held at room temperature for more than 4 days or refrigerated more than 2 weeks. Minimum volume 1 EDTA microtainer and 2 blood smears. Alternate specimens Heparinized (green top tube) or citrated (blue top tube) whole blood. Test schedule Varies-weekly Turnaround time 3-8 days Test includes Citrate Gel Electrophoresis, Interpretation; Citrate Gel Electrophoresis; Reviewed By. CPT codes 82664 ELECTROPHORESIS, CSF/OLIGOCLONAL BANDS Order code ELP-C Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 4 mL Specimen processing Prefer specimen be stored and transported refrigerated. Minimum volume 3 mL Test schedule Mon-Fri days Turnaround time 1-4 days Test includes Protein, CSF, mg/dL; Pre-albumin, %; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %; Interpretation. Synonyms Oligoclonal Bands; Protein Electrophoresis, CSF; ELP, CSF CPT codes 84165 Notes Includes Oligoclonal banding. ELECTROPHORESIS, FLUID Order code ELP.FLD Container type Leakproof plastic container. Specimen type Body Fluid Preferred volume 4 mL Specimen processing Store and transport refrigerated. Minimum volume 3 mL Test schedule Mon-Fri days Turnaround time 1-4 days Test includes Protein, Fld, g/dL; Albumin, Fld, g/dL; Alpha-1, Fld, g/dL, Alpha-2, Fld, g/dL; Beta-1, Fld, g/dL; Beta-2, Fld, g/dL; Gamma, Fld, g/dL; Albumin, Fld, %; Alpha-1, Fld, %; Alpha-2, Fld, %; Beta-1, Fld, %; Beta-2, Fld, %; Gamma, Fld, %; Interpretation. Synonyms Protein Electrophoresis, Fluid; ELP, Fluid CPT codes 84165 ELECTROPHORESIS, PROTEIN Order code ELP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Plasma specimens. Minimum volume 0.5 mL Limitations Avoid hemolysis Test schedule Mon-Fri days Turnaround time 1-4 days Test includes Protein, Serum, g/dL; Albumin, g/dL; Alpha-1, g/dL; Alpha-2, g/dL; Beta-1, g/dL; Beta-2, g/dL; Gamma, g/dL; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %; ELP, Interpretation; Monoclonal Peak. Synonyms Protein Electrophoresis; ELP CPT codes 84165 ELECTROPHORESIS, SCAN, URINE (QUANTITATIVE) Order code SCANUQ This workpar reports only the urine scan. Must be ordered with electrophoresIs, workpar PELPUQ. Container type 24-hour dark plastic urine container. Specimen type Urine Preferred volume 100 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerated during collection. Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 3 mL Alternate specimens Specimens that have been frozen for a short time. Test includes Collection Period, h; Volume, mL; ELP Scan, Urine; Protein, mg/24h; Albumin, mg/24h; Alpha-1, mg/24h; Alpha-2, mg/24h; Beta-1, mg/24h; Beta-2, mg/24h; Gamma, mg/24h; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %. CPT codes 84999 ELECTROPHORESIS, SCAN, URINE (RANDOM) Order code SCANUR This workpar reports only the urine scan. Must be ordered with electrophoresis, workpar PELPUR. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 100 mL Collection procedure Collect a random urine in a leakproof plastic urine container. Refrigerate during collection. Specimen processing Store and transport refrigerated. Minimum volume 3 mL 11/18/02 - 75 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ELECTROPHORESIS, URINE ENTAMOEBA HISTOLYTICA AB, IGG Alternate specimens Specimens that have been frozen for a short time. Test includes ELP Scan, Urine; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %. CPT codes 84165 ELECTROPHORESIS, URINE Order code ELP-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 100 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Stability - frozen (-20°C) Specimens that have been frozen for short period of time are acceptable. Minimum volume 3 mL Test schedule Mon-Fri days Turnaround time 1-4 days Test includes Collection Period, h; Volume, mL; Protein, Urine, Quant, mg/24h; Interpretation. Synonyms Protein Electrophoresis, Urine; Bence Jones Protein; ELP, Urine CPT codes 84165 ELECTROPHORESIS, URINE (RANDOM) Order code ELP-R Container type Sterile leakproof plastic container. Specimen type Urine, random Preferred volume 100 mL Collection procedure Collect a random urine in sterile leakproof plastic container. Refrigerate during collection. Specimen processing Store and transport refrigerated. Minimum volume 3 mL Alternate specimens Frozen specimens. Test schedule Mon-Fri days Turnaround time 1-4 days Test includes Electrophoresis, Urine, Random. Synonyms Bence Jones Protein, Urine CPT codes 84165 ENCAINIDE Order code ENC Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Unacceptable conditions Non-frozen specimens. Minimum volume 1 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Wed Turnaround time 3-5 days Test includes Encainide, ng/mL; ODE, ng/mL; MODE, ng/mL. Synonyms Enkaid CPT codes 82492 ENCEPHALITIS ANTIBODY, ST LOUIS Order code ENC.STLOUIS Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, hemolyzed or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Tue, Fri Turnaround time 3-5 days Test includes Encephalitis St Louis, Titer. Synonyms St Louis Encephalitis Antibody CPT codes 86653 ENCEPHALITIS ANTIBODY, WESTERN EQUINE Order code ENC.WEST Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, hemolyzed or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Tue, Fri Turnaround time 3-7 days Test includes Encephalitis Western Equine, Titer. Synonyms Western Equine Encephalitis Antibody CPT codes 86654 ENDOMYSIAL ANTIBODY, IGA (REFLEXIVE) Order code ENDOAB This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Endomysial Antibody, IgA, Screen; Endomysial Antibody, IgA, Titer. Synonyms Anti-Endomysial Ab, IgA CPT codes 83516 if negative, 83516 + 86256 if positive Notes Endomysial antibodies are screened using the ELISA tissue trans-glutaminase assay. All positive samples are titered by IFA. The endomysial antigen has been identified as the protein cross-linking enzyme known as tissue transglutaminase. ENTAMOEBA HISTOLYTICA AB, IGG Order code AM-AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labelled as such. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Severely lipemic, contaminated, heatinactivated, or hemolyzed samples. Avoid repeat freeze/thaw cycles. Minimum volume 0.5 mL Alternate specimens Plasma. Limitations Avoid repeated freeze/thaw cycles. 11/18/02 - 76 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ENTEROVIRUS DETECTION BY RT-PCR EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG Test schedule Tue, Fri Turnaround time 3-6 days Test includes Entamoeba histolytica Ab, IgG, IV. Synonyms Amebiasis; E. histolytica Antibody CPT codes 86753 ENTEROVIRUS DETECTION BY RT-PCR Order code ENTPCR Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Separate plasma from the cells and place in separate sterile plastic tube and freeze. Store and transport frozen. This a critical frozen specimen. Required patient info Source Stability - room temp less than 1 hour Stability - refrigerated 24 hours Stability - frozen (-20°C) 3 months Unacceptable conditions Nonfrozen samples, samples exposed to repeated freeze/thaw cycles, non-sterile or leaking containers, heparinized samples and hemolyzed samples. Minimum volume 600 µL Alternate specimens CSF frozen in sterile container. Test schedule Sun-Sat Turnaround time 3-6 days Test includes Source; Enterovirus Detection by RT-PCR. CPT codes 87798 EOSINOPHIL COUNT Order code EOS Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Prefer to receive specimen within 12 hours of collection. Store and transport refrigerated. Minimum volume 0.3 mL Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Eosinophils, K/µL. CPT codes 85048 EOSINOPHILS, SMEAR Order code NASAL Container type Slides Specimen type Nasal smear Specimen processing Swab of exudate rolled on glass slide. Carefully label slide. Store and transport at room temperature. Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Nasal smear, Eosinophils. CPT codes 89190 EOSINOPHILS, URINE Order code EOS.UR Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Minimum volume 5 mL Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Eosinophils, Urine, %.. CPT codes 89190 EPSTEIN BARR VIRUS ANTIBODY BY PCR Order code EBVPCR Container type Brick top tube (SST or Corvac) Specimen type Frozen serum or CSF Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Source Stability - room temp 4 hours (not tissue) Stability - refrigerated 3 days (not tissue) Stability - frozen (-20°C) 1 year (not tissue) Unacceptable conditions Nonsterile or leaking containers if tissue specimen. Heparinized, frozen or clotted whole blood. Tissues only in formalin or other preservatives, samples in Microtest M4. Minimum volume 0.25 mL Alternate specimens Tissue biopsy-fresh tissue, snap frozen on dry ice. Formalin fixed and/or paraffin embedded tissue at ambient temperature. Sterile technique is required for handling samples. Whole blood (lavender top tubes) sent refrigerated not frozen. Test schedule Tue, Thu, Sat Turnaround time 7-9 days Test includes Epstein Barr Virus by PCR. CPT codes 87798 EPSTEIN BARR VIRUS ANTIBODY PANEL Order code EBV.AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Capsid- Tue-Sat days; Early & Nuclear- Mon, Wed, Fri evenings Turnaround time 2-4 days Test includes EBV Capsid Antibody, IgG, ISR; EBV Capsid Antibody, IgM, ISR ; EBV Nuclear Antibody; EBV Early Antibody; Interpretation. Synonyms EBV Ab Panel CPT codes 86665 x 2, 86663, 86664 EPSTEIN BARR VIRUS ANTIBODY TO EARLY ANTIGEN, IGG Order code EBV.EARLY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon, Wed, Fri evenings Turnaround time 2-4 days Test includes Epstein Barr Virus Early Antibody, Titer. Synonyms EBV-EA, IgG CPT codes 86663 Notes This test detects IgG antibodies to the diffuse (D) and restricted (R) components of the EBV-EA complex. EPSTEIN BARR VIRUS ANTIBODY TO NUCLEAR ANTIGEN, IGG Order code EBV.NUC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon, Wed, Fri evenings Turnaround time 2-4 days Test includes Epstein Barr Virus, Nuclear Antibody, Titer. Synonyms EBV Nuclear Antigen CPT codes 86664 Notes This test detects antibodies to EBV-Nuclear antigen complex. EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG Order code EBV.VCA.IGG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in 11/18/02 - 77 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG & IGM ESTERASE, STAIN, CHLOROACETATE separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Epstein Barr Virus Antibody to Viral Capsid Antigen, IgG, ISR. Synonyms EBV Ab to VCA, IgG CPT codes 86665 EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG & IGM Order code EBV.IGG.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Epstein Barr Virus Antibody to Viral Capsid Antigen, IgG, ISR; Epstein Barr Virus Antibody to Viral Capsid Antigen, IgM, ISR. Synonyms EBV, IgG & IgM CPT codes 86665 x 2 Notes MonoTests are falsely negative in 80% of young children, 50% of older children and 15% of adults. Use this test to confirm EBV infection when the MonoTests are negative. EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG (PAIRED) Order code EBV.PAIRED Acute and convalescent specimens required. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Acute serum: Draw 1-2 weeks after onset of illness. Convalescent serum: Draw 2-3 weeks later. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen or refrigerated. Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Acute Epstein Barr Virus, ISR; Date drawn; Convalescent Epstein Barr Virus, ISR; Date drawn; % Rise in Immune Status Ratio (ISR). Synonyms EBV IgG (Paired) CPT codes 86665 x 2 EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGM Order code EBV.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Lipemic, hemolyzed, heat treated or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Epstein Barr Virus Capsid Antibody, IgM, ISR. Synonyms EBV, IgM CPT codes 86665 ERYTHROPOIETIN Order code ERY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Morning samples drawn between 7:30 am and 12 noon are preferred due to diurnal variation. Specimen processing Separate the serum from the cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Unacceptable conditions Hemolyzed, lipemic or EDTA plasma specimens. Avoid repeat freeze/thaw cycles. Minimum volume 0.5 mL Alternate specimens Heparin plasma (green top tube). Test schedule Mon-Sat Turnaround time 1-3 days Test includes Erythropoietin, mIU/mL. Synonyms EPO CPT codes 82668 ESTERASE STAIN, ACETATE Order code SS.NSE This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized whole blood (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and un-fixed. Specimen processing Protect from light, store and transport at room temperature. Alternate specimens EDTA and heparin slides. Limitations Protect from light. Test schedule Mon-Sat days Turnaround time 72 hours Test includes Esterase Stain, Acetate Source; Stain; Interpretation; Reviewed by. CPT codes 88319 Notes Alpha Naphthol Acetate Esterase. ESTERASE STAIN, COMBINED Order code SS.CE This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized whole blood (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and unfixed. Specimen processing Protect from light, store and transport at room temperature. Alternate specimens EDTA and heparin slides. Limitations Protect from light. Test schedule Mon-Sat days Turnaround time 72 hours Test includes Esterase Stain, Combined Source; Stain; Interpretation; Reviewed by. CPT codes 88319 x 2 Notes Includes specific esterase (Naphthol AS-D chloroacetate esterase) and non-specific esterase (Alpha-naphthyl acetate esterase). ESTERASE, STAIN, CHLOROACETATE Order code SS.SE This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized whole blood (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and unfixed. Specimen processing Protect from light, store and transport at room temperature. 11/18/02 - 78 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ESTRADIOL ESTROGENS, URINE (TOTAL) Alternate specimens EDTA and heparin slides. Limitations Protect from light. Test schedule Mon-Sat days Turnaround time 72 hours Test includes Esterase Stain, Chloroacetate Source; Stain; Interpretation;`Reviewed by. Synonyms Specific Esterase CPT codes 88319 Notes Naphthol AS-D Chloroacetate Esterase. ESTRADIOL Order code ESTRADIOL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport frozen or refrigerated. Stability - refrigerated 2 days Stability - frozen (-20°C) 2 months Minimum volume 1 mL Test schedule Mon-Sat Turnaround time 1-3 days Test includes Estradiol, pg/mL. CPT codes 82670 Notes Prior arrangements must be made for IVF candidates. ESTRADIOL, URINE (NON PREGNANT) Order code ESTRADIOL.U Container type 24-hour dark plastic urine container. Specimen type Frozen urine Preferred volume 5 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen. Required patient info Total volume. Stability - refrigerated 1 week Stability - frozen (-20°C) 2 years Unacceptable conditions Specimens preserved with NaOH or HCl. Minimum volume 1 mL Alternate specimens Specimens preserved with 10 grams of boric acid. Test schedule Wed Turnaround time 7-10 days Test includes Estradiol, Urine, µg/gCr; Creatinine, Urine, g/24h. CPT codes 82670 ESTRIOL, UNCONJUGATED Order code ESTRIOL This assay is for unconjugated/free Estriol Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 24 hours Stability - frozen (-20°C) 30 days Unacceptable conditions Grossly hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Mon-Fri days Turnaround time 2-5 days Test includes Estriol, Unconjugated, ng/mL. Synonyms Estriol, Free CPT codes 82677 ESTRIOL, URINE Order code EST-U Container type 24-hour dark plastic urine container. Specimen type Frozen urine Preferred volume 5 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen. Required patient info Collection period and total volume. Stability - refrigerated 3 days Stability - frozen (-20°C) 1 month Unacceptable conditions Non-frozen and specimens preserved with NaOH or HCl. Minimum volume 1 mL Alternate specimens Specimens preserved with 10 grams boric acid. Test schedule Varies Turnaround time 3 weeks Test includes Collection Period, h; Volume, mL; Estriol, Urine, µg/gCr. CPT codes 82677 ESTROGENS (FRACTIONATED) Order code ESTROGENS FRAC Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Sodium heparinized plasma (green top tube). Test schedule Sun-Sat Turnaround time 3-7 days Test includes Estradiol, pg/mL; Estrone, pg/mL; Estrogens, Total, pg/mL. CPT codes 82671 ESTROGENS, URINE (FRACTIONATED) Order code ESTRO.FRAC.U Container type 24-hour dark plastic urine container. Specimen type Frozen urine Preferred volume 5 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen. Required patient info Collection period and total volume. Stability - refrigerated 3 days Stability - frozen (-20°C) 1 month Unacceptable conditions Specimens preserved with NaOH or HCl. Minimum volume 1 mL Alternate specimens Specimens preserved with 10 grams of boric acid. Test schedule Wed Turnaround time 7-10 days Test includes Time, h; Volume, mL; Estrone, Urine, µg/gCr; Estradiol, Urine, µg/gCr; Estriol, Urine, µg/gCr; Creatinine, Urine, g/24h. CPT codes 82671 ESTROGENS, URINE (TOTAL) Order code ESTRO-U Container type 24-hour dark plastic urine container. Specimen type Frozen urine Preferred volume 5 mL Collection procedure Add 10 grams of boric acid to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated. Required patient info Total volume. Stability - refrigerated 1 week Stability - frozen (-20°C) 2 years Minimum volume 1 mL Test schedule Tue Turnaround time 7-10 days Test includes Collection Period, hrs; Volume, mL; Creatinine, Urine, g/24HR; Estrogens, Urine, µg/gCreat. CPT codes 82672 11/18/02 - 79 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ESTRONE FACTOR VII ESTRONE FACTOR IX Order code ESTRONE Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 3 months Minimum volume 0.25 mL Alternate specimens Sodium heparinized plasma (green top tube). Test schedule Sun-Sat Turnaround time 3-5 days Test includes Estrone, pg/mL. CPT codes 82679 Order code FAC9 Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Bloood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor IX, % Activity. Synonyms Christmas Factor CPT codes 85250 ETHOTOIN Order code ETHOTOIN Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 4 days Stability - refrigerated 4 days Stability - frozen (-20°C) 3 weeks Unacceptable conditions Serum separator tubes & gels. Minimum volume 0.8 mL Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes & gels. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Ethotoin, µg/mL. Synonyms Peganone CPT codes 80299 EUGLOBULIN LYSIS Order code EUGLO Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2 mL Collection procedure Blood/anticoagulant volume is critical. A normal control sample should be drawn and handled at the same time the patient is drawn. Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Put platelet-poor plasma into plastic tubes and freeze at -70°C. This must be done within 1 hour of collection. Clearly label specimens. Store and transport frozen. Minimum volume 1.5 mL Test schedule Sun-Sat days Turnaround time 24 hours Test includes Euglobulin Lysis, Patient, h; Euglobulin Lysis, Control, h. CPT codes 85360 FACTOR II Order code FAC2 Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL plasma Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor II, % Activity. CPT codes 85210 FACTOR V Order code FAC5 This is not the same test as Factor V Leiden. If Factor V Leiden is ordered the correct workpar is FVLPCR. It is utilized in association with APC resistance and venous thrombosis. This workpar is utilized to evaluate a prolonged PT. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two separate plastic tubes and freeze. Store and transport frozen. -OR- Transport whole blood on ice within 1 hr. Minimum volume 0.5 mL plasma Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor V, % Activity. CPT codes 85220 FACTOR V LEIDEN BY PCR Order code FVLPCR Due to the sensitivity of this test, submit the entire specimen in the original collection tube. Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated. Stability - room temp 72 hours Stability - refrigerated 5 days Stability - frozen (-20°C) Unstable Unacceptable conditions Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tubes. Minimum volume 1 mL or a full EDTA microtainer. Alternate specimens ACD whole blood or sodium citrated whole blood (yellow or blue top tube). Limitations Do not freeze. Test schedule Mon, Wed, Fri Turnaround time 2-5 days Test includes Factor V Leiden by PCR; Interpretation; Comment; Comment. CPT codes 83891, 83903, 83898, 83896 x 2, 83912 FACTOR VII Order code FAC7 Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL plasma 11/18/02 - 80 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 FACTOR VIII (COAGULANT ACTIVITY) FATTY ACID PROFILE, PEROXISOMAL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor VII, % Activity. CPT codes 85230 FACTOR VIII (COAGULANT ACTIVITY) Order code FAC8AS Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor VIII Coagulant Activity, %. Synonyms F8 Activity; F8 Coagulant Activity; F8 Assay; F8 Clotting Assay; F8c; Factor 8 Functional CPT codes 85240 Notes This is a functional test. It measures the amount of FVIII activity detected in a clot-based assay. FACTOR VIII INHIBITOR (QUANTITATIVE) Order code FAC8.INH Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume Two 2 mL frozen aliquots Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume Two 1 mL aliquots Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor VIII Inhibitor, B.U. CPT codes 85335 FACTOR X Order code FAC10 Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor X, % Activity. CPT codes 85260 FACTOR XI Order code FAC11 Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri Turnaround time 48 hours Test includes Factor XI, % Activity. CPT codes 85270 FACTOR XII Order code FAC12 Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor XII, % Activity. CPT codes 85280 FACTOR XIII Order code FAC13 Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes Factor XIII. CPT codes 85291 FAT STAIN (OIL RED O) Order code FAT.ST Container type Leakproof plastic urine container. Specimen type Urine, random. Preferred volume 5mL Collection procedure Collect a random urine. Specimen processing BAL: transport immediately at room temperature to the lab. Unanticoagulated specimens are specimens of choice. Urine: 5 mL urine, random collection. Store and transport refrigerated. Stability - room temp 3 hours Unacceptable conditions Grossly bloody specimen and specimens which are 3/4 or more mucous or specimens that have been unrefrigerated more than 3 hours. Minimum volume 1 mL Test schedule Mon-Sat Days Turnaround time 72 hours Test includes Source; Fat Stain Interpretation; Fat Stain Reviewed By. CPT codes 89125 FAT, STOOL Order code STL-FAT Container type Leakproof plastic container. Specimen type Stool, random Specimen processing Store and transport refrigerated. Required patient info Specimen source. Stability - refrigerated 12 hours Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Source; Fat, Stool; Fat, Stool, Status. Synonyms Fecal Fat, Qualitative CPT codes 89125 FATTY ACID PROFILE, PEROXISOMAL Order code FATTYA Patient Prep Patient must not consume any alcohol for 24 hours before the specimen is drawn. 11/18/02 - 81 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 FATTY ACIDS PROFILE, ESSENTIAL FERRITIN Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Patient's age, information regarding treatment, family history, and tentative diagnosis. Unacceptable conditions Serum separator or gel tubes. Minimum volume 0.5 mL Test schedule Mon, Wed, Fri Turnaround time 3-8 days Test includes C22:0, µmol/L; C24:0, µmol/L; C26:0, µmol/L; C24:0/C22:0, ratio; C26:0/C22:0, ratio; Pristanic Acid, µmol/L; Phytanic Acid, µmol/L; Pristanic Acid/Phytanic Acid Ratio, ratio. CPT codes 82726 FATTY ACIDS PROFILE, ESSENTIAL Order code FAP Patient Prep Patient should be fasting overnight (12-14 hours). Patient must not consume any alcohol for 24 hours before the specimen is drawn. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Patient's age and sex. Minimum volume 0.2 mL Test schedule Mon, Wed, Fri Turnaround time 3-8 days Test includes Fatty Acids Profile Essential. CPT codes 82544 FATTY ACIDS, FREE Order code FATTY Patient Prep Fasting specimen is preferred. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Collect on ice. Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp unstable Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Unacceptable conditions Non-frozen or heparinized specimens. Minimum volume 0.2 mL Alternate specimens EDTA, sodium citrate, fluoride/potassium oxalated or ammonium oxalated plasma (lavender, blue or black top tube). Test schedule Tue Turnaround time 5-10 days Test includes Fatty Acids, Free, mmol/L. CPT codes 82725 FEBRILE AGGLUTININ PROFILE Order code FEB This assay has been abandoned as a diagnostic tool because of poor sensitivity and specificity. Cultures for Salmonella are recommended, specific serologies are available for Brucella and Tularemia. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 1.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Typhoid H; Typhoid O; Paratyphoid A; Paratyphoid B; Brucella; Proteus OX19; Proteus OX2; Proteus OXK. CPT codes 86000 x 6 FECAL FAT EXCRETION (72 HR) Order code FAT Patient Prep A dietary fat intake of 50-150 grams/day should be maintained for at least 2 days before and during collection period. Container type Pre-weighed stool container. Specimen type Frozen stool Collection procedure Collect a 24, 48 or 72-hour stool in preweighed container. Specimen processing Transport 20 mL (20 g) of a well-mixed aliquot from the total collection frozen in a separate plastic container. Specimens larger than 500 mL (500 g) are unacceptable. (DOT and IATA shipping regulations prohibit specimens larger than 500 mL (500 g) from being shipped by air). Required patient info Hours of collection and sample weight. Stability - refrigerated 24 hours or less Stability - frozen (-20°C) 24 hours or more Unacceptable conditions Fecal specimens containing foreign material, in media or preservative or specimens larger than 500 mL (500 g). Minimum volume 20 grams Test schedule Sun-Sat Turnaround time 3-6 days Test includes Collection Period, hrs; Fecal Total Weight, grams; Fecal Fats, g/d. CPT codes 82710 FECAL LEUKOCYTE STAIN Order code FEC-LEUK Container type Leakproof plastic container. Specimen type Stool Preferred volume Walnut-sized portion Specimen processing Store and transport at room temperature. Required patient info Specimen source. Unacceptable conditions Swabs in Cary-Blair. Test schedule Sun-Sat Turnaround time 24 hours Test includes Source; Fecal Leukocyte Stain; Fecal Leukocyte Stain, Status. CPT codes 87205 FELBAMATE Order code FELBAMATE Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 1 month Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Alternate specimens EDTA, sodium heparinized or sodium fluoride/potassium oxalate plasma (lavender, green or gray top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Mon, Wed, Fri Turnaround time 2-5 days Test includes Felbamate, µg/mL. CPT codes 80299 FERRITIN Order code FERR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Ensure that complete clot formation has taken place prior to centrifugation. Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 10 days Unacceptable conditions Samples that have been at room temperature more than 8 hours. Minimum volume 0.3 mL Alternate specimens Sodium heparin plasma (green top tube). Test schedule Sun-Fri nights 11/18/02 - 82 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 FETAL FIBRONECTIN FISH Turnaround time 24 hours Test includes Ferritin, ng/mL. CPT codes 82728 FETAL FIBRONECTIN Order code FFN Container type See below Specimen type See below Preferred volume See below Collection procedure Cervicovaginal swab in transport tube with buffer. A special collection kit is required for collection. Specimen must be obtained prior to digital examination. Care must be taken not to contaminate the swab of cervicovaginal secretions with lubricants, soaps, or disinfectants. Specimen processing If testing will be done within 8 hours of collection, transport at room temperature. If not, they must be stored at refrigerated temperature and the assay completed within 3 days of collection. Stability - room temp 8 hours Stability - refrigerated 3 days Unacceptable conditions Cotton swabs and culturettes. Test schedule Sun-Sat Turnaround time Within 2 hours of receipt in SHMC Lab. Test includes Fetal Fibronectin. CPT codes 82731 Notes The required collection kit is available from the PAML supply department. FETAL HEMOGLOBIN F Order code FETALF Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 2 mL Specimen processing Store and transport refrigerated if test cannot be performed within 6 hours of collection. Required patient info Source Stability - refrigerated 5 days Minimum volume 0.5 mL Alternate specimens Sodium heparin or ACD (green or yellow top tube) whole blood. Test schedule Mon-Sat Turnaround time 24 hours Test includes Source; Fetal Hemoglobin F, %. Synonyms KB CPT codes 88180 FIBRIN MONOMER Test schedule Sun-Sat days Turnaround time 24 hours Test includes Fibrinogen, mg/dL. CPT codes 85384 Notes Fibrinogen is a quantitative measurement. The thrombin time is a qualitative test for how well fibrinogen functions. FIBRINOGEN TO THROMBIN TIME (REFLEXIVE) Order code FBRFLX This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen citrated plasma Preferred volume 2 mL Specimen processing Separate plasma from cells, centrifuge again, and place plasma in 2 separate plastic tubes. Transport on ice within 48 hours of collection or freeze. Store and transport frozen. Minimum volume 1 mL Test schedule Daily Turnaround time 24 hours Test includes Fibrinogen, sec; Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec. CPT codes 85384 Notes If the fibrinogen is abnormal, this test reflexes to a thrombin time, and an additional charge will be added. FIBRINOLYSIS Order code FIBLYS Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood. Preferred volume 5 mL Collection procedure Liquid blue top tube must be filled to capacity. Test must be performed within 6 hours of collection. Specimen processing Store and transport on wet ice. If time interval between drawing and testing exceeds 6 hours, centrifuge specimen, separate plasma from cells and place in separate plastic tube and freeze at -70°C. Unacceptable conditions Hemolyzed or clotted specimens or improperly filled liquid blue top tubes. Minimum volume 0.5 mL Test schedule Daily Turnaround time 24 hours Test includes Fibrinolysis. CPT codes 85390 Order code FIB.MONOMER Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2 mL Specimen processing Centrifuge immediately at 3000 rpm for 10 minutes. Separate plasma from cells and centrifuge again. Split platelet-poor plasma into 3 separate plastic tubes and freeze. Store and transport frozen on dry ice. Unacceptable conditions Avoid hemolysis. Minimum volume 1 mL Test schedule Daily Turnaround time 24 hours Test includes Fibrin Monomer. Synonyms Protamine Paracoagulation CPT codes 85366 FIBRONECTIN AGGREGATES, IGA FIBRINOGEN Order code FISHER This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Specimen type Paraffin-embedded tissue block or 3 micron sections Specimen processing Paraffin-embedded tissue block or 3 mircon sections cut on distilled water bath. Slides must be baked at 65 C overnight before hybridization. Also include an H & E slide. If you send the block, it will be cut at SHMC and returned to you. Store and transport at room temperature. Stability - room temp indefinitely Stability - refrigerated indefinitely Test schedule Weekly Order code FIBRINOGEN This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Separate plasma from cells and centrifuge again. Place plasma in separate plastic tube. Store and transport on ice within 48 hours or freeze. Store and transport frozen. Minimum volume 0.5 mL Limitations Blood/anticoagulant volume is critical. Order code FIBRON Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1 mL Test schedule Wed Turnaround time 2-10 days Test includes IgA Serum, mg/dL; Fibronectin Aggregrates, IgA, EIA Units. CPT codes 83520, 82784 FISH 11/18/02 - 83 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 FK 506 FLUOXETINE & NORFLUOXETINE Turnaround time 7 days Test includes FISH HER-2/NEU. Synonyms her-2/neu; FISH; C-erb-B-FISH CPT codes 88271 X 2, 88274, 88365 FK 506 Order code FK506 Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 1 mL Collection procedure Draw specimen 30 minutes before the next dose. Specimen processing Store and transport refrigerated. Stability - refrigerated 14 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Limitations Avoid repeat freeze/thaw cycles. Test schedule Sun-Sat & STAT Turnaround time 1-3 days Test includes FK 506, ng/mL. Synonyms Tacrolimus CPT codes 80197 FLECAINIDE Order code FLEC Container type Red top tube (plain) Specimen type Serum Preferred volume 1.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 2 days Stability - refrigerated 5 days Stability - frozen (-20°C) 1 month Unacceptable conditions SST tubes or gel separators. Minimum volume 0.8 mL Test schedule Mon-Sat Turnaround time 4-7 days Test includes Flecainide, µg/mL. Synonyms Tambocar CPT codes 80299 FLEXERIL Order code FLEXERIL Container type Red top tube (plain) Specimen type Serum Preferred volume 6 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature. Test includes Flexeril, ng/mL. Synonyms Cyclobenzaparine CPT codes 82491 FLUORESCENT PARASITE SMEAR Order code CRYSM Container type Sterile leakproof plastic container. Specimen type Stool Preferred volume Walnut-sized portion. Collection procedure Collect a walnut-sized portion of fresh stool in a sterile, leakproof plastic container. Specimen processing Submit within 1 hour or put in 10% formalin. Store and transport at room temperature. Minimum volume Pea-sized portion. Test schedule Daily Turnaround time 24 hours Test includes Fluorescent Parasite Smear; Report Status. CPT codes 87206 FLUORESCENT POLARIZATION, AMNIOTIC FLUID Order code FL.POLAR Container type Leakproof plastic container. Specimen type Amniotic fluid Preferred volume 1 mL Specimen processing Do not centrifuge. Store and transport refrigerated. Stability - room temp Unstable Stability - refrigerated 48 hours Stability - frozen (-20°C) Indefinitely Minimum volume 0.5 mL Test schedule Sun-Sat Turnaround time 2-3 days Test includes Fluorescence Polarization, mPOL. CPT codes 83663 Notes Amniocentesis fluid preferred. FLUORESCENT TREPONEMAL ANTIBODY Order code FTA.ARUP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions CSF, plasma, severely lipemic, hemolyzed, contaminated specimens or other body fluids. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Sun-Fri Turnaround time 3-6 days Test includes FTA, Serum, IgG. Synonyms FTA AB CPT codes 86781 FLUORIDE Order code FLUORIDE Container type Green top tube (sodium heparin) Specimen type Plasma Preferred volume 3 mL Specimen processing Immediately separate plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1.5 mL adult or 1.2 mL pediatric Test schedule Once a week Turnaround time 10 days Test includes Fluoride, µmol/L. CPT codes 82735 Notes 3-hr test time. FLUORIDE EXPOSURE BIOUPTAKE Order code FLUOR.EXP.U Container type Leakproof plastic urine container. Specimen type Urine Preferred volume 10 mL Collection procedure Pre-shift or end-of-shift urine collection. Specimen processing 10 mL aliquot of a random urine specimen. Store and transport refrigerated or at room temperature. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Creatinine, Urine, mg/L; Fluoride, Urine, mg/L; Fluoride, Urine, mg/g Cr. CPT codes 82735, 82570 FLUOXETINE & NORFLUOXETINE Order code FLUOX Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 12 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 5 days Minimum volume 1.5 mL Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). 11/18/02 - 84 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 FLUPHENAZINE FORMIC ACID, URINE Limitations Avoid the use of serum separator tubes and gels. Test schedule Mon, Wed, Fri Turnaround time 3-7 days Test includes Fluoxetine, ng/mL; Norfluoxetine, ng/mL. Synonyms Prozac CPT codes 80299 FLUPHENAZINE Order code FLUPHENAZINE Patient Prep Collect sample 8-12 hours after oral dose. Measure at least 2 weeks after initiating treatment. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 4 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Stability - room temp 2 days Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 2 mL Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). Limitations Protect from light. Avoid the use of serum separator tubes and gels. Avoid repeat freeze/thaw cycles. Test schedule Mon, Wed, Fri Turnaround time 3-10 days Test includes Fluphenazine, ng/mL. Synonyms Prolixin CPT codes 84022 FLURAZEPAM Order code DALMANE-Q Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Minimum volume 0.3 mL Alternate specimens EDTA, heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Daily Turnaround time 3-5 days Test includes Flurazepam, µg/mL. Synonyms Dalmane CPT codes 82491 FLUVOXAMINE Order code LUVOX Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature. Minimum volume 1 mL Test schedule Mon-Fri Turnaround time 4-6 days Test includes Fluvoxamine, ng/mL. Synonyms Luvox CPT codes 82491 FOLATE Order code FOLATE Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate 12 x 75 plastic tube and freeze. Store & transport frozen. Stability - room temp 8 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 2 weeks Unacceptable conditions Repeat freeze/thaw cycles. Minimum volume 0.5 mL Limitations Hemolysis significantly increases folate values due to the high folate concentrations in red blood cells. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Folate, ng/mL. Synonyms Folic Acid CPT codes 82746 FOLATE, RBC Order code FOL-R Container type Lavender top tube (EDTA) Specimen type Frozen EDTA whole blood and refrigerated whole blood. Specimen processing Sample should be mixed well and poured into a plastic transport tube before freezing. Store & transport appropriately depending on sample. Required patient info Hematocrit value if only frozen EDTA whole blood submitted. Stability - room temp 3 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Repeat freeze/thaw cycles. Alternate specimens Frozen EDTA whole blood and hematocrit value. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Folate-RBC, ng/mL. Synonyms Folic Acid, RBC CPT codes 82747 FOLLICLE STIMULATING HORMONE, PITUITARY Order code FSH Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 days Stability - refrigerated 14 days Stability - frozen (-20°C) 12 months Unacceptable conditions Hemolyzed specimens or specimens other than serum. Minimum volume 0.3 mL Test schedule Daily Turnaround time 24 hours Test includes FSH, mIU/mL. Synonyms Follicle Stimulating Hormone; Serum Follitropin; FSH CPT codes 83001 FORMIC ACID Order code FORM Container type Green top tube (sodium heparin) . Specimen type Heparinized plasma Preferred volume 2 mL Specimen processing Separate plasma from the cells and put in separate plastic tube. Store and transport refrigerated or ambient temperature. Unacceptable conditions Specimens collected in sodium fluoride (grey top tubes). Alternate specimens Serum. Turnaround time 10-15 days Test includes Formic Acid, Serum, µg/mL. Synonyms Formaldehyde CPT codes 83921 FORMIC ACID, URINE Order code FORM-U Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 5 mL Collection procedure Collect urine prior to the last shift of workweek. Specimen processing Aliquot 5 mL of a last shift of workweek urine 11/18/02 - 85 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 FREE T-3 GALACTOSE, URINE specimen. Store and transport refrigerated or at room temperature. Turnaround time 10-15 days Test includes Collection Period, hrs; Volume, mL; Creatinine, Urine, mg/L; Formic Acid, Urine, µg/mL; Formic Acid, Urine, mg/g Cr. Synonyms Formaldehyde, Urine CPT codes 83921, 82570 FREE T-3 Order code FT3 This test is not for Free T3 by Equilibrium Dialysis Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or freeze. Stability - refrigerated 7 days Stability - frozen (-20°C) 2 weeks Unacceptable conditions Grossly hemolyzed or grossly lipemic specimens. Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Free T3, pg/mL. Synonyms FT3; Free Triiodothyronine CPT codes 84481 FREE T-4 Order code FREE T4 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Minimum volume 0.5 mL Limitations Avoid repeat freeze-thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Free T4, ng/dL. Synonyms T4 Free CPT codes 84439 FREE T4 BY EQUILIBRIUM DIALYSIS Order code FREET4.EQUIL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 5 days Minimum volume 0.5 mL Limitations Serum is the only acceptable specimen. Test schedule Sun, Tue, Thu nights Turnaround time 2-4 days Test includes Free T4 by Equilibrium Dialysis, ng/dL. CPT codes 84437 FRUCTOSAMINE Order code FRUCT Represents average glucose concentration over a 1-3 week period. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Plasma specimens. Minimum volume 0.2 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Fructosamine, mmol/L. Synonyms Glycated Protein CPT codes 82985 FRUCTOSE, SEMEN Order code FRUCTOSE Container type Leakproof plastic container. Specimen type Frozen semen Preferred volume 0.5 mL Specimen processing Store and transport frozen. Required patient info Critical frozen. Stability - room temp unstable Stability - refrigerated 2 weeks Stability - frozen (-20°C) 2 years Minimum volume 0.3 mL Test schedule Thu Turnaround time 3-9 days Test includes Fructose, Semen, mg/dL. Synonyms Semen Fructose CPT codes 82757 FUNGAL ANTIBODY PROFILE Order code FUNGAL SER Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Blastomyces Antibody, Titer; Coccidioides Antibody, Titer; Histoplasma mycelia Antibody, Titer; Histoplasma Yeast Antibody, Titer; Aspergillus Antibody, Titer. CPT codes 86612, 86635, 86698 x 2, 86606 FUNGUS STAIN ONLY Order code FSM Only a fungal stain result will be provided. Specimen type Body fluid. Specimen processing Store and transport at room temperature. Required patient info Specimen source and pertinent clinical information. Alternate specimens Tissue or prepared slide. Test includes Source; Fungus Stain; Fungus Stain, Status. CPT codes 87205 GABAPENTIN Order code GABAP Container type Red top tube (plain) Specimen type Serum Preferred volume 1.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - room temp 5 days Stability - refrigerated 1 month Stability - frozen (-20°C) 2 months Unacceptable conditions Serum separator tubes and gels. Minimum volume 0.8 mL Alternate specimens Heparin, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender, grey top tube). Test schedule Mon-Fri Turnaround time 3-5 days Test includes Gabapentin, µg/mL. Synonyms Neurontin CPT codes 80299 GALACTOSE, URINE Order code GAL-U Container type Leakproof plastic urine container. Specimen type Frozen urine, random 11/18/02 - 86 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 GALACTOSIDASE, ALPHA GASTRIN, SAMPLE 2 Preferred volume 5 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 5 mL of a random urine collection. Store and transport frozen. Minimum volume 2 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Galactose, Urine. CPT codes 82760 Notes If positive TLC results are confirmed by enzymatic method. GALACTOSIDASE, ALPHA Order code GAL Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 0.5 mL Test schedule Fri Turnaround time 5-15 days Test includes Galactosidase, U/L. Synonyms Alpha Galactosidase CPT codes 82657 GAMMA GLUTAMYL TRANSFERASE Order code GGT Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Alternate specimens Heparinized, citrated or EDTA plasma (green, blue or lavender top tube). Limitations Avoid hemolysis. Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes GGT, U/L. Synonyms GGT CPT codes 82977 GASTRIC ANALYSIS, FRACTIONAL Order code GASTRIC.ANAL.FRAC Patient Prep Patient should be fasting at least 12 hours. Patient should not receive antacids, secretory drugs, alcohol or adrenocorticosteroids for 24 hours prior to test. Container type Leakproof sterile container. Specimen type Gastric contents Preferred volume 10 mL/per specimen Collection procedure Routinely 8 specimens: 4 basal specimens collected 15 minutes apart and 4 post-stimulation specimens collected 15 minutes apart. Label each specimen clearly. Specimen processing Label each specimen clearly. Store and transport refrigerated. Minimum volume 1 mL/per specimen Test schedule Mon-Fri, evenings Turnaround time 1-3 days Test includes Volume, mL; pH, pH Unit; TIT Acid, mmol/L; Acid Output, mmol for each specimen submitted; Basal Acid, mmol/Hr; Maximum Acid, mmol/Hr; Peak Acid, mmol/30min. CPT codes 82926 X 8 GASTRIC ANALYSIS, SINGLE Order code GASTRIC.ANAL.SINGLE Patient Prep See GASTRIC.ANAL.FRAC Container type Leakproof plastic container. Specimen type Gastric contents Preferred volume 10 mL Specimen processing Store and transport refrigerated. Minimum volume 1 mL Test schedule Mon-Fri evenings Turnaround time 1-2 days Test includes Volume, mL; pH, pH Unit; TIT Acid, mmol/L; Acid Output, mmol. CPT codes 82926 GASTRIC PH Order code GASTRIC.PH Container type Leakproof plastic container. Specimen type Gastric contents Preferred volume 5 mL Specimen processing Store and transport refrigerated. Minimum volume 1 mL Test schedule Mon-Fri nights Turnaround time 24 hours Test includes Gastric pH, pH units. CPT codes 83986 GASTRIN Order code GAS This workpar is to be used when A SINGLE GASTRIN TEST is ordered. Patient Prep Patient should fast at least 10 hours to determine an accurate basal level. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in a polypropylene tube and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 4 hours Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Gastrin, pg/mL. CPT codes 82941 Notes This order code is to be used when a single gastrin test is ordered. GASTRIN, SAMPLE 1 Order code GAS.S1 Use this workpar to order the first gastrin when multiple specimens are collected. Patient Prep Patient should fast at least 10 hours to determine an accurate basal level. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in polypropylene tube and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 4 hours Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Gastrin, #1, pg/mL; Gastrin, Time 1. CPT codes 82941 GASTRIN, SAMPLE 2 Order code GAS.S2 Use this workpar to order the second gastrin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in polypropylene tube and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 4 hours Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Gastrin, #2, pg/mL; Gastrin, Time 2. 11/18/02 - 87 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 GASTRIN, SAMPLE 3 GENERAL HEALTH CPT codes 82941 Notes This order code is to be used when 2 gastrin tests are ordered. GASTRIN, SAMPLE 3 Order code GAS.S3 Use this workpar to order the third gastrin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in polypropylene tube and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 4 hour Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 evenings Test includes Gastrin, #3, pg/mL; Gastrin, Time 3. CPT codes 82941 Notes This order code is to be used when 3 gastrin tests are ordered. GASTRIN, SAMPLE 4 Order code GAS.S4 Use this workpar to order the fourth gastrin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in polypropylene tube and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 4 hours Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Gastrin, #4, pg/mL; Gastrin, Time 4. CPT codes 82941 Notes This order code is to be used when 4 gastrin tests are ordered. GASTRIN, SAMPLE 5 Order code GAS.S5 Use this workpar to order the fifth gastrin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in polypropylene tube and freeze.` Stability - room temp 1 hour Stability - refrigerated 4 hours Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Gastrin, #5, pg/mL; Gastrin, Time 5. CPT codes 82941 Notes This order code is to be used when 5 gastrin tests are ordered. GASTRIN, SAMPLE 6 Order code GAS.S6 Use this workpar to order the sixth gastrin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in polypropylene and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 4 hours Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Gastrin, #6, pg/mL; Gastrin, Time 6. CPT codes 82941 Notes This order code is to be used when 6 gastrin tests are ordered. GASTRIN, SAMPLE 7 Order code GAS.S7 Use this workpar to order the seventh gastrin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in polypropylene tube and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 4 hours Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Gastrin, #7, pg/mL; Gastrin, Time 7. CPT codes 82941 Notes This order code is to be used when 7 gastrin tests are ordered. GASTRIN, SAMPLE 8 Order code GAS.S8 Use this workpar to order the eighth gastrin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 1 hour of collection, place in polypropylene and freeze. Store and transport frozen. Stability - room temp 1 hour Stability - refrigerated 4 hours Unacceptable conditions Lipemic or grossly hemolyzed specimens. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Gastrin, #8, pg/mL; Gastrin, Time 8. CPT codes 82941 Notes This order code is to be used when 8 gastrin tests are ordered. GENERAL HEALTH Order code GHPNA Container type Brick top tube (SST or Corvac) or Red top tube (plain), Lavender top tube (EDTA) and Blood smears. Specimen type Serum, whole blood and peripheral blood smears Preferred volume 3 mL serum, 5 mL EDTA whole blood and 2 smears Specimen processing Centrifuge ASAP, keep upright keep capped and transport refrigerated. If red top tube collected, separate serum from cells ASAP and handle anaerobically at all times. Place in separate plastic tube and cap immediately. Store and transport refrigerated. Store and transport whole blood refrigerated . Prefer to receive lavender top tube within 12 hours of collection. Stability - refrigerated 1 day Unacceptable conditions Plasma specimens. Minimum volume 1mL serum, 0.3 mL whole blood and 2 blood smears. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Comprehensive Metabolic Panel; CBC; TSH, µIU/mL. CPT codes 80050 Notes If delay in test performance is anticipated, slides are required. 11/18/02 - 88 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 GENERAL HEALTH PANEL (REFLEX) GIARDIA LAMBLIA ANTIGEN Appropriate comments are generated with report if sample integrity is compromised.`Hemolysis will cause elevated potassium values, minimal volumes will concentrate, and previously frozen serum may show a marked decrease in ALP values immediately upon thawing but will return to initial values. GENERAL HEALTH PANEL (REFLEX) Order code GHPNAR This test adds a Free T4 if the TSH is abnormal. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) or Red top tube (plain) and Lavender top tube (EDTA). Specimen type Serum, whole blood and peripheral blood smears Preferred volume 3 mL serum, 5 mL EDTA whole blood and 2 smears Specimen processing Centrifuge SST tube, keep upright, keep capped and transport refrigerated. If red top tube is collected, separate serum from cells ASAP and handle anaerobically at all times. Place in separate plastic tube, cap immediately and refrigerate. Store and transport whole blood refrigerated. Prefer to receive lavender top tube within 12 hours of collection. Stability - refrigerated Serum-1 day Unacceptable conditions Plasma specimens. Minimum volume 1 mL serum 0.3 mL EDTA whole blood and 2 blood smears. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Comprehensive Metabolic Panel; CBC; TSH (Reflex), µIU/mL. CPT codes 80050 Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity compromised.`Hemolysis will cause elevated potassium values, minimal volumes will concentrate and previously frozen serum may show a marked decrease in ALP values immediately upon thawing but will return to initial values. GENTAMICIN (PAIRED + CREAT) Order code GENT2 Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw trough sample within 1 hr of next dose and draw peak sample 1 hr after the IM dose or 1/2 hr after the IV infusion is complete. Note time of dose and times of drawing. Clearly label specimens. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Peak time, trough time. Minimum volume 0.2 mL Alternate specimens Plasma specimens. SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Test schedule Sun-Sat & STAT Turnaround time 24 hours Test includes Gentamicin, Trough, µg/mL; Gentamicin Time, Trough, h; Gentamicin, Peak, µg/mL; Gentamicin Time, Peak, h; Creatinine, mg/dL. Synonyms Garamycin, Paired CPT codes 80170 x 2, 82565 Notes Includes creatinine on trough sample. GENTAMICIN (SINGLE + CREAT) Order code GENT Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw trough sample within 1 hr of next dose or draw peak sample 1 hr after IM dose or 1/2 hr after the IV infusion is complete. Note times of dose and drawing. Clearly label specimens. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Time of dose and drawing. Minimum volume 0.2 mL Alternate specimens Plasma specimens. SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Test schedule Sun-Sat & STAT Turnaround time 24 hours Test includes Gentamicin, µg/mL; Creatinine, mg/dL. Synonyms Garamycin, Single CPT codes 80170, 82565 Notes Includes creatinine on trough sample. GENTAMICIN, PEAK Order code GENT.PK Includes creatinine. Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Note time of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimen. Store and transport refrigerated. Required patient info Time of dose and drawing. Minimum volume 0.2 mL Alternate specimens Plasma specimens. SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Test schedule Sun-Sat & STAT Turnaround time 24 hours Test includes Gentamicin, Peak, µg/mL; Creatinine, mg/dL. CPT codes 80170, 82565 GENTAMICIN, TROUGH Order code GENT.TR Includes creatinine. Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw trough specimen within 1 hour prior to next dose. Note time of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimen. Store and transport refrigerated. Required patient info Time of dose and drawing. Minimum volume 0.2 mL Alternate specimens Plasma specimens. SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Test schedule Sun-Sat & STAT Turnaround time 24 hours Test includes Gentamicin, Trough, µg/mL; Creatinine, mg/dL. CPT codes 80170, 82565 GIARDIA ANTIBODY, IGG, IGA & IGM Order code GIAAGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separte serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 3 days Stability - refrigerated 2 months Stability - frozen (-20°C) Indefinitely Unacceptable conditions Grossly hemolyzed specimens. Minimum volume 0.5 mL Test schedule Tue, Wed, Fri Turnaround time 3-6 days Test includes Giardia lamblia Antibody, IgG; Giardia lamblia Antibody, IgA; Giardia lamblia Antibody, IgM; Interpretation. CPT codes 86674 x 3 GIARDIA LAMBLIA ANTIGEN Order code GIARDIA.AG Container type 10% formalin, SAF, or Cary-Blair. Specimen type Fresh, frozen or preserved stool Preferred volume 1 mL 11/18/02 - 89 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 GLOMERULAR BASEMENT MEMBRANE ANTIBODY GLUCOSE TOLERANCE (2 HR) Collection procedure Stool should be fresh, frozen, or preserved in 10% formalin, SAF or in Cary-Blair transport media. Specimen processing Store and transport as appropriate for particular specimen. Required patient info Specimen source. Unacceptable conditions PVA fixed specimens. Minimum volume 100 µL Alternate specimens Rectal swabs are acceptable. Test schedule Mon-Sat Turnaround time 2-5 days Test includes Source; Giardia Lamblia Antigen; Giardia Lamblia Antigen, Status. CPT codes 87328 GLOMERULAR BASEMENT MEMBRANE ANTIBODY Order code GLBMAB Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 8 days Stability - frozen (-20°C) 6 months Unacceptable conditions Heat inactivated samples. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon, Wed, Fri Turnaround time 2-3 days Test includes Glomerular Basement Membrane Antibody, U/mL. Synonyms Anti-Glomerular Basement Membrane Ab CPT codes 83516 GLOMERULAR FILTRATION PROFILE Order code GFP24 Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type Brick top tube (SST or Corvac) and 24-hour dark plastic urine container. Specimen type Serum and 24-hour urine collection Preferred volume 2 mL serum and 100 mL urine Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Separate serum from cells and place in separate plastic tube. Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated. Required patient info Height, weight, collection period and total volume. Minimum volume 0.2 mL serum and 1 mL urine Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/24h; Protein, Urine, mg/24h; Protein/Creatinine Ratio; Creatinine Clearance mL/min. CPT codes 82575, 84155 Notes MUST HAVE PATIENT'S HEIGHT, WEIGHT, COLLECTION PERIOD AND THE TOTAL VOLUME TO CALCULATE THE RESULTS. GLOMERULAR FILTRATION PROFILE (12HR) Order code GFP.12 Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report collection time & total volume. There is no charge for this test. Container type Brick top tube (SST or Corvac) and 24-hour dark plastic urine container. Specimen type Serum and 12-hour urine collection Preferred volume 2 mL serum and 100 mL urine Collection procedure Collect a 12-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Separate serum from cells and place in separate plastic tube. Aliquot 100 mL of a well-mixed 12-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated. Required patient info Height, weight, collection period and total volume. Minimum volume 0.2 mL serum and 1 mL urine Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/12h; Protein, Urine, mg/12h; Protein/Creatinine Ratio; Creatinine Clearance, mL/min. CPT codes 82575, 84155 Notes MUST HAVE PATIENT'S HEIGHT, WEIGHT, COLLECTION PERIOD AND THE TOTAL VOLUME TO CALCULATE THE RESULTS. GLUCAGON Order code GLUC This is not a Glucagon Stimulation Test. Container type EDTA-withTrasylol or aprotinin added Specimen type Frozen EDTA-Trasylol or aprotinin plasma Preferred volume 1 mL Collection procedure Draw specimen into a pre-chilled EDTA tube. Immediately add 0.2 mL Trasylol or Aprotinin to 5 mL of blood. Specimen processing Separate plasma from the cells in a refrigerated centrifuge and place in separate plastic tube and freeze. Store and transport frozen. This is a critical frozen sample. Stability - room temp unacceptable Stability - refrigerated unacceptable Stability - frozen (-20°C) 3 months Unacceptable conditions Unfrozen specimens or specimens in glass tubes. Minimum volume 0.5 mL Test schedule Mon Turnaround time 3-9 days Test includes Glucagon, ng/L. CPT codes 82943 Notes Special collection procedure and Trasylol or aprotinin are available from PAML Supply Department. GLUCOSE CHALLENGE, PREGNANT (1HR) Order code GCT.PG This workpar is to be used as a screening test for gestational diabetes in pregnant patients only. Patient Prep Diet requirements are not necessary. Container type Brick top tube (SST or Corvac) Specimen type Serum or plasma Preferred volume 2 mL Collection procedure Collect specimen 1 hour after 50 gram glucose load. Specimen processing Separate serum or plasma from cells within 30 minutes and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks if separated from the cells within 30 minutes of collection. Minimum volume 0.3 mL Alternate specimens Fluoride/oxalate plasma (grey top tube)or fluoride/oxalate whole blood. Whole blood is stable for 24 hours at room temperature. Do not refrigerate whole blood. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Glucose-1 hr (PREG), mg/dL. CPT codes 82950 GLUCOSE TOLERANCE (2 HR) Order code GTOL2 This workpar is not to be used for pregnant patients. Use the workpar GTT3.PG for gestational diabetes study. Patient Prep GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams. Container type Brick top tube (SST or Corvac) Specimen type Serum or plasma Preferred volume 2 mL each specimen Collection procedure Draw fasting specimen just prior to 75 gram glucose load. Draw other specimen in 2 hours. Clearly label each specimen. 11/18/02 - 90 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 GLUCOSE TOLERANCE, PREGNANT (2HR) GLUCOSE, SPECIFIC Specimen processing Separate serum or plasma from cells within 30 minutes and place in separate plastic tube. Clearly label each specimen. Store and transport refrigerated. Stability - refrigerated 2 weeks if separated from the cells within 30 minutes of collection. Minimum volume 0.3 mL each specimen Alternate specimens Fluoride/oxalated plasma (grey top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Glucose, fasting, mg/dL; Glucose, 120 minutes, mg/dL. CPT codes 82950 Notes According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements. GLUCOSE TOLERANCE, PREGNANT (2HR) Order code GTT2PG This is one of the ADA options for the diagnosis of gestational diabetes in pregnant patients. However, it is not as well validated as the 3-hour GTT. It should not be confused with the 2-hour GTT used for nonpregnant adults in the diagnosis Type 2 diabetes. Patient Prep GLUCOSE DOSE: 75 grams. Container type Brick top tube (SST or Corvac) Specimen type Serum or plasma Preferred volume 2 mL each specimen Collection procedure Draw fasting specimen just prior to the 75 gram glucose load. Draw 1 hour and 2 hour post-dose specimens. Clearly label specimens. Specimen processing Separate serum or plasma from cells within 30 minutes of collection and place in separate plastic tube. Store and transport refrigerated. Stability - frozen (-20°C) 2 weeks if separated from the cells within 30 minutes of collection. Minimum volume 0.3 mL each specimen Alternate specimens Fluoride/oxalated plasma (grey top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Glucose, Fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 2 hr, mg/dL. CPT codes 82951 GLUCOSE TOLERANCE, PREGNANT (3HR) Order code GTT3.PG This is the recommended study for diagnosis of gestational diabetes in pregnant patients. Patient Prep GLUCOSE DOSE: 100 grams. Container type Brick top tube (SST or Corvac) Specimen type Serum or plasma Preferred volume 2 mL each specimen Collection procedure Draw fasting specimen just prior to 100 gram glucose load. Draw 1 hour, 2 hour and 3 hour post-dose specimens. Clearly label specimens. Specimen processing Separate serum or plasma from cells within 30 minutes of collection and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks if separated from the cells within 30 minutes of collection. Minimum volume 0.3 mL each specimen Alternate specimens Fluoride/oxalated plasma (grey top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Glucose-Preg, fasting, mg/dL; Glucose-Preg, 1 hour, mg/dL; Glucose-Preg, 2 hour, mg/dL; Glucose-Preg, 3 hour, mg/dL. CPT codes 82951, 82952 GLUCOSE, CSF Order code GLU-C Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 1 mL Specimen processing Store and transport refrigerated. Stability - room temp 2 hours Stability - refrigerated 72 hours Stability - frozen (-20°C) 2 weeks Minimum volume 0.2 mL Limitations Process immediately to avoid falsely low results. Test schedule Daily & STAT Turnaround time 24 hours Test includes Glucose, CSF, mg/dL. CPT codes 82945 GLUCOSE, FASTING Order code GLU This test may be used as the recommended screening test for diabetes. Container type Brick top tube (SST or Corvac) Specimen type Serum or plasma Preferred volume 2 mL Specimen processing Separate serum or plasma from cells within 30 minutes. Record fasting status. Store and transport refrigerated. Stability - refrigerated 2 weeks if separated from the cells within 30 minutes of collection. Minimum volume 0.3 mL Alternate specimens Fluoride/oxalate plasma (grey top tube) or fluoride/oxalate whole blood. Whole blood is stable for 24 hours at room temperature. Do not refrigerate whole blood. Test schedule Sun-Fri Nights and STAT Turnaround time 24 hours Test includes Glucose, mg/dL. CPT codes 82947 GLUCOSE, FLUID Order code GLU-FLD Container type Green top tube (sodium heparin) Specimen type Body fluid Preferred volume 1 mL Specimen processing Separate fluid from cells and place in separate plastic tube if specimen is grossly bloody. Note type of fluid. Store and transport refrigerated. Required patient info Type of body fluid. Minimum volume 0.2 mL Alternate specimens Fluid in a sterile container. Test schedule Daily Turnaround time 24 hours Test includes Glucose, Fluid, mg/dL. CPT codes 82945 GLUCOSE, RANDOM Order code GLURAN Container type Brick top tube (SST or Corvac) Specimen type Serum or plasma Preferred volume 2 mL Specimen processing Separate serum or plasma from cells within 30 minutes. Store and transport refrigerated. Stability - refrigerated 2 weeks if separated from the cells within 30 minutes of collection. Minimum volume 0.3 mL Alternate specimens Fluoride/oxalate plasma (grey top tube) or fluoride/oxalate whole blood. Whole blood is stable for 24 hours at room temperature. Do not refrigerate whole blood. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Glucose, Random, mg/dL. CPT codes 82947 GLUCOSE, SPECIFIC Order code GLU.SPECIFIC To be used only for an additional glucose specimen. Please be specific when recording the nature of the specimen. Container type Brick top tube (SST or Corvac) Specimen type Serum or plasma Preferred volume 2 mL Specimen processing Separate serum or plasma from cells within 30 minutes of collection and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks if separated from the cells within 30 minutes. Minimum volume 0.3 mL Alternate specimens Fluoride/oxalate plasma (grey top tube) or fluoride/oxalate whole blood. Whole blood is stable 24 hours at room temperature. Do not refrigerate whole blood. 11/18/02 - 91 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 GLUCOSE, URINE (QUALITATIVE) GLYCOALBUMIN Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Glucose, Specific, mg/dL. CPT codes 82947 GLUCOSE, URINE (QUALITATIVE) Order code GLC If patient is less than 3 years of age, order the workpar URED for urine reducing substances. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Mon-Sat days, Mon-Fri nights & STAT Turnaround time 24 hours Test includes Glucose, Urine, mg/dL. Synonyms Reducing Substances, Urine CPT codes 81005 GLUCOSE, URINE (QUANTITATIVE) Order code GLU-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this this test. Patient Prep Deliver to lab ASAP-results will be lowered as sample ages. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 40 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Glucose, Urine, mg/24h. CPT codes 82945 GLUCOSE, URINE (RANDOM) Order code GLU-R Container type Sterile leakproof plastic container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine in a sterile leakproof plastic container. Specimen processing Store and transport refrigerated. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Glucose, Urine, mg/dL. CPT codes 82945 GLUCOSE-6-PHOSPHATE DEHYDROGENASE Order code G6PD Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood and 2 peripheral smears Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Heparinized or clotted specimens. Minimum volume 0.5 mL Alternate specimens Lavender top tube (EDTA) and 2 smears. Limitations Tube must be at least half full. Test schedule Sun, Tue-Fri Turnaround time 48 hours Test includes Glucose-6-Phosphate Dehydrogenase. Synonyms G6PDH CPT codes 82955 Notes This test distinguishes normal from gross deficiency and should not be used to assess the degree of deficiency. GLUTAMIC ACID DECARBOXYLASE AB Order code GADAB This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - room temp 2 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma. Minimum volume 0.2 mL Test schedule Tue, Fri Turnaround time 3-9 days Test includes Glutamic Acid Decarboxylase Antibody, U/mL. CPT codes 83519 GLUTAMINES, CSF Order code GLUTAMINE Container type CSF sterile plastic tube. Specimen type Frozen CSF (cell-free) Preferred volume 1 mL Specimen processing CSF must be cell-free. Freeze immediately. Store and transport frozen. Minimum volume 0.5 mL Test schedule Varies Turnaround time 4-12 days Test includes Glutamine CSF. CPT codes 82131 GLUTEN SENSITIVITY PANEL (CELIAC) (REFLEXIVE) Order code GLUTEN This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in two separate plastic tubes and freeze. Store and transport frozen. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, hemolyzed, grossly lipemic or contaminated specimens. Minimum volume 2 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Gliadin Antibody, IgG, EU; Gliadin Antibody, IgA, EU; Reticulin Antibody, IgA Screen; Reticulin Antibody, IgA Titer; Endomysial Antibody, IgA Screen; Endomysial Antibody, IgA Titer. Synonyms Celiac Ab Panel CPT codes 83516 x 2, 86255 if negative, 86255 + 86256 if Reticulin is positive, 83516 + 86256 is Endomysial is positive GLYCOALBUMIN Order code GLYCOALBUMIN Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.2 mL 11/18/02 - 92 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 GLYCOHEMOGLOBIN HAPTOGLOBIN Alternate specimens EDTA plasma (lavender top tube). Test schedule Mon Turnaround time 3-10 days Test includes Glycoalbumin, %. Synonyms Glycosylated Albumin CPT codes 82985 GLYCOHEMOGLOBIN Order code GLHGB Represents average glucose concentration over a 6-8 week period. Container type Lavender top tube (EDTA) Specimen type Whole blood Specimen processing Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 2 weeks Minimum volume 1 mL Alternate specimens Sodium fluoride/potassium oxalate whole blood (grey top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Hgb A1c, %; Estimated Mean Whole Blood Glucose, mg/dL. Synonyms HGBA1C; Hemoglobin A1C CPT codes 83036 GM 1 ANTIBODY PANEL Order code GM1.AB This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 4 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Tue, Fri Turnaround time 7-9 days Test includes GM1 Antibody, IgG, EU/mL; GM1 Antibody, IgM, EU/mL; Asialo GM1 Antibody, IgG, EU/mL; Asialo GM1 Antibody, IgM, EU/mL. Synonyms Anti-GM1 Antibody Panel; Ganglioside-Monosialic Acid CPT codes 83520 x 4 GOLD Order code GOLD Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 0.5 mL Test schedule Mon Turnaround time 2-9 days Test includes Gold, µg/L. CPT codes 80172 GOLD, URINE Order code GOLD-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 10 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container with no preservative or metal cap or glued inserts. Specimen processing Aliquot 7 mL of a well-mixed 24-hour urine collection into a plastic container with no metal cap or glued inserts. Refrigerate within 4 hours of completion of collection. Record total volume and hours of collection. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 2 mL Test schedule Mon-Sat Turnaround time 3-5 days Test includes Collection Period, h; Volume, mL; Gold, units/specimen. CPT codes 80172 HAEMOPHILUS INFLUENZAE TYPE B ANTIBODY, IGG Order code H.INFB.AB This test is used to determine vaccine response. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure "Pre" and 30-day "Post" vaccination samples should be submitted together for testing. Post sample should be drawn 30 days after immunization. Clearly label tubes. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, hemolyzed, contaminated specimens or other body fluids. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon, Wed, Fri Turnaround time 3-9 days Test includes Haemophilus influenzae Type B Antibody, µg/mL. CPT codes 86317 HALOPERIDOL Order code HALDOL Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 2.5 mL Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Avoid repeat freeze/thaw cycles. Test schedule Mon, Wed, Fri Turnaround time 4-7 days Test includes Haloperidol, ng/mL. Synonyms Haldol CPT codes 80173 HAPTOGLOBIN Order code HAPTO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Collection procedure Fasting specimen. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 72 hours Stability - frozen (-20°C) 3 months Unacceptable conditions Hemolyzed, lipemic or plasma specimens. Minimum volume 0.3 mL Test schedule Daily Turnaround time 24 hours Test includes Haptoglobin, mg/dL. Synonyms HP; HPT; Hemoglobin-Binding Protein CPT codes 83010 11/18/02 - 93 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HDL HELICOBACTER PYLORI ANTIBODY, IGG, IGA & IGM HDL Order code HDL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Unacceptable conditions Heparinized plasma. Minimum volume 0.2 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes HDL, mg/dL; LDL (Calculated), mg/dL; LDL/HDL Ratio; CHO/HDL Ratio. Synonyms High Density Lipoprotein CPT codes 83718 HEAVY METALS (QUANTITATIVE) Order code HVY Container type Tan top tube (K- EDTA) Specimen type Whole blood Preferred volume 3 mL Specimen processing Store and transport refrigerated. Stability - room temp If the sample is drawn and stored in the appropriate container, the trace element values do not change with time. Minimum volume 1.5 mL Alternate specimens EDTA whole blood (lavender top tube). Test schedule Mon-Fri Turnaround time 3-9 days Test includes Arsenic, µg/L; Lead, µg/dL; Mercury, µg/L. CPT codes 82175, 83655, 83825 HEAVY METALS, URINE (QUANTITATIVE) Order code HVY-U Order the workpar "1TV" with this test. Enter the collection (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 50 mL Collection procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of the collection. Collect a 24-hour urine specimen. Use only SAGE, SSA jug from Fisher, GUARD, PSplitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated. Required patient info Collection period, pH and total volume. Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimen contaminated with blood or fecal material. Minimum volume 5 mL Alternate specimens May add 20 mL 6N HNO3 at end of collection. Shake well and let stand for 2 hours shaking every 15 minutes. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original plastic collection container and the procedure performed before it is aliquoted. Limitations See individual metals. Test schedule Sun, Tue, Thu Turnaround time 2-5 days Test includes Collection Period, h; Volume, mL; Lead, Urine, µg/L; Lead, Urine, µg/24h; Mercury, Urine, µg/L; Mercury, Urine, µg/24h; Arsenic, Urine, µg/L; Arsenic, Urine, µg/24h. CPT codes 83655, 83018 x 2 HEAVY METALS, URINE (RANDOM) Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 50 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 50 mL of a random urine specimen. Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated. Required patient info pH Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimens contaminated with blood or fecal materials. Minimum volume 5 mL Limitations See individual metals. Test schedule Sun, Tue, Thu Turnaround time 2-5 days Test includes Lead, Urine, µg/L; Mercury, Urine, µg/L; Arsenic, Urine, µg/L. CPT codes 83655, 83018 x 2 HEINZ BODY STAIN Order code HEINZ Container type Green top tube (lithium heparin) and peripheral blood slides. Specimen type Whole blood and 2 peripheral blood slides. Preferred volume 5 mL Specimen processing Must be tested within 12 hours of collection. Store and transport at room temperature. Unacceptable conditions Specimens more than 12 hours old. Minimum volume 0.5 mL whole blood or 1 microtainer and 2 slides. Alternate specimens EDTA (lavender top tube) whole blood and 2 peripheral blood slides. Test schedule Mon-Fri days Turnaround time 3-6 days Test includes Heinz Bodies, %; Heinz Bodies, Per Cell; Extracellular Heinz Bodies. CPT codes 85445 HELICOBACTER PYLORI ANTIBODY Order code HELICO.AB This test is qualitative and no quantitative interpretations should be made with respect to the index values. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Icteric, lipemic, hemolyzed or heat inactivated specimens. Minimum volume 0.3 mL Test schedule Mon-Fri evenings Turnaround time 1-3 days Test includes Helicobacter pylori Antibody, IgG, ISR. CPT codes 86677 HELICOBACTER PYLORI ANTIBODY, IGG, IGA & IGM Order code HPYAGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 3 days Stability - refrigerated 2 months Stability - frozen (-20°C) Indefinitely Unacceptable conditions All specimens other than serum. Minimum volume 1 mL Test schedule Tue-Sat Turnaround time 4-6 days Test includes Helicobacter pylori Antibody, IgG; Helicobacter pylori Antibody, IgM; Helicobacter pylori Antibody, IgA. CPT codes 86677 x 3 Order code HVY.RU 11/18/02 - 94 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HELICOBACTER PYLORI ANTIGEN, STOOL HEMOGLOBIN F, QUANTITATIVE HELICOBACTER PYLORI ANTIGEN, STOOL Order code HPSA Container type Leakproof plastic container. Specimen type Stool Preferred volume 1 gram or mL Collection procedure Collect fresh, unpreserved stool in a clean, leakproof container. Specimen processing Store and transport refrigerated if time to test is LT 48 hours, freeze if more that 48 hours. Minimum volume 1 gram or mL. Test schedule Mon, Wed, Fri Turnaround time 1-4 days Test includes Helicobacter pylori Antigen, Stool; Helicobacter pylori Antigen, Stool Status. CPT codes 87338 Notes Antimicrobials, proton pump inhibitors, and bismuth preparations can supress H. pylori, and ingestion of these prior to testing may give a false-negative result. Treatment with these compounds should be discontinued for 2 weeks prior to testing for H. plyori stool antigen. HELICOBACTOR PYLORI SCREEN Order code HELICO.SCR Specimen type Tissue Preferred volume 2 mm Collection procedure This test uses a commercially supplied kit. Submit gastric biopsy from sump of antrum. Insert 2 x 2 mm piece into media on the slide supplied in kit. Store and transport at room temperature as soon as possible. Minimum volume 1 x 1 mm Test schedule Daily Turnaround time 24 hours Test includes Helico Pylori Screen; Helico Pylori Screen, Status. CPT codes 87081 HELPER SUPPRESSOR RATIO Order code HELP.SUPP Container type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA). Specimen type Whole blood Preferred volume 7 mL ACD and 5 mL EDTA Specimen processing Transport at room temperature. Required patient info In accordance with the CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if sample will arrive after 24 hours. Minimum volume 5 mL ACD and 2.5 mL EDTA Limitations Specimens must be processed within 48 hours of collection. Test schedule Mon-Sat days (Sun by special request) Turnaround time 48 hours Test includes Source; WBC, K/µL; Lymphocytes, %; Lymph ABS, K/uL; CD4, %; CD4 ABS, /µL; CD8, %; CD8 ABS, /uL; CD4/CD8 Ratio, to 1.0; Interpretation; Reviewed By; Note; Note. Synonyms T4/T8; CD4/CD8 CPT codes 86360 HEMATOCRIT Order code HCT Container type Lavender top tube (EDTA) Specimen type EDTA whole blood Preferred volume 5 mL Specimen processing Prefer to receive specimens within 12 hours of collection. Store and transport refrigerated. Test schedule Daily-24 hours Turnaround time 24 hours Test includes Hematocrit, %. Synonyms Hct; PCV CPT codes 85014 Notes Microtainers must be filled to second mark. HEMOGLOBIN Order code HGB Container type Lavender top tube (EDTA) Specimen type EDTA whole blood Preferred volume 5 mL Specimen processing Prefer to receive specimen within 12 hours of collection. Store and transport refrigerated. Test schedule Daily-24 hours Turnaround time 24 hours Test includes Hemoglobin, g/dL. Synonyms Hgb CPT codes 85018 Notes Microtainers must be filled to second mark. HEMOGLOBIN & HEMATOCRIT Order code H&H Container type Lavender top tube (EDTA) Specimen type EDTA whole blood Preferred volume 5 mL Specimen processing Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated. Minimum volume 0.15 mL Test schedule Daily-24 hours Turnaround time 24 hours Test includes Hemoglobin, g/dL; Hematocrit, %. Synonyms H & H; Hgb & Hct CPT codes 85018, 85014 Notes Microtainers must be filled to second mark. HEMOGLOBIN & HEMATOCRIT, FLUID Order code H&H.FLD Container type Lavender top tube (EDTA) Specimen type Body fluid Preferred volume 5 mL Specimen processing Store and transport refrigerated immediately. Required patient info Indicate source. Unacceptable conditions Samples received without anticoagulant or clotted specimens. Specimens that have been at room temperature for 24 hours or more will be reported with a disclaimer. Minimum volume 0.25 mL Alternate specimens Heparinized fluid (green top tube). Test schedule Sun-Sat Turnaround time 24 hours Test includes Hemoglobin, Fluid, g/dL; Hematocrit, Fluid, %. CPT codes 85014, 85018 HEMOGLOBIN A2, QUANTITATIVE Order code A2 Order this test for the quantitation of Hemoglobin A2. Container type Lavender top tube (EDTA) Specimen type Whole blood and 2 fresh blood smears Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Hemolyzed specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 7 days Test includes Hemoglobin A2, %. Synonyms Quantitative A2 CPT codes 83021 HEMOGLOBIN F, QUANTITATIVE Order code HGBF Order this test for the quantitation of hemoglobin F. Do not use for differentiating fetal and maternal blood. Container type Lavender top tube (EDTA) Specimen type Whole blood and 2 fresh blood smears Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Hemolyzed specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 7 days Test includes Hemoglobin F, %. Synonyms Alkaline Denaturation; Fetal Hemoglobin CPT codes 83021 11/18/02 - 95 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HEMOGLOBIN S, QUANTITATIVE HEPARIN ASSAY HEMOGLOBIN S, QUANTITATIVE Order code HGBS Container type Lavender top tube (EDTA) Specimen type Whole blood and 2 fresh blood smears Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Hemolyzed specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 7 days Test includes Hemoglobin S, %. Synonyms Quantitative Hemoglobin S; Quantitative Hgb S; % HB S CPT codes 83021 HEMOGLOBIN, PLASMA (QUANTITATIVE) Order code HGB.PLASMA Container type Green top tube (sodium heparin) Specimen type Frozen heparinized plasma Preferred volume 1 mL Collection procedure Careful collection to avoid hemolysis is critical. Specimen processing Separate plasma from the cells. Spin plasma for an additional 10 minutes at 1600g. Carefully draw off the supernatant plasma with a transfer pipet and transfer it to a plastic tube and freeze. Store and transport frozen. Stability - frozen (-20°C) 3 weeks Unacceptable conditions Specimens drawn in anticoagulant other than heparin or EDTA and microtainers. Minimum volume 1 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Mon-Fri Turnaround time 24 hours Test includes Plasma Hemoglobin, mg/dL. Synonyms Plasma Hemoglobin CPT codes 83051 HEMOGLOBINOPATHY/THALASSEMIA PANEL (REFLEXIVE) Order code HGB.THAL.PANEL This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Lavender top tube (EDTA) Specimen type Whole blood and 2 fresh blood smears Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Hemolyzed specimens. Minimum volume 0.5 mL Test schedule Mon-Fri days Turnaround time 3-6 days Test includes Hgb A2, %; Hgb F, %; Hgb Other; Hgb S (Relative), %; ZPP/Heme Ratio, µmol/mol; Kleinhauer Betke Stain; Sickle Screen; Monoclonal C; Citrate Gel Electrophoresis; Monoclonal E; Cellulose Electrophoresis; Unstable Hgb; Slide Interpretation; Interpretation; Reviewed By. Synonyms Electrophoresis, Hemoglobin; Hemoglobin Electrophoresis; Hgb Electrophoresis CPT codes 83021 Notes This is a consultative evaluation in which the case will be evaluated, the appropriate tests performed and the results interpreted. It will always include the Hgb A2 and the Hgb F slide review or interpretive report. Additional charges will be made for additional testing. It may include cellulose acetate electrophoresis, citrate agar electrophoresis at pH 6.5 and appropriate monoclonal antibody (Hgb S), isoelectric focusing, Zinc Protoporphyrins, a test for hereditary persistance of fetal hemoglobin (Kleihauer-Betke), a test for unstable hemoglobin, and peripheral slide review. Very complicated hemoglobin abnormalities may be referred. Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated. Minimum volume 0.3 mL Test schedule Daily-24 hours Turnaround time 24 hours Test includes WBC, K/µL; RBC, M/µL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW. %; Platelet Count, K/µL. Synonyms Hemogram CPT codes 85027 Notes Appropriate comments are generated with reports if sample integrity is compromised. Microtainers must be filled to second mark. HEMOGRAM WITHOUT PLATELET, AUTOMATED Order code HEMGRM Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Prefer to receive specimen within 12 hours of collection. Prefer specimen be stored and transported refrigerated. Minimum volume 0.3 mL Test schedule Daily-24 hours Turnaround time 24 hours Test includes WBC, K/µL; RBC, M/µL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW, %. CPT codes 85021 Notes Appropriate comments are generated with reports if sample integrity is compromised. Microtainers must be filled to second mark. HEMOSIDERIN Order code HEMOSIDERIN Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 15 mL Collection procedure Collect a random urine specimen. Prefer early morning specimen. Specimen processing Aliquot 15 mL of a random urine specimen. Store and transport frozen. Stability - room temp 2 hours Minimum volume 12 mL Test schedule Daily Turnaround time 24 hours Test includes Hemosiderin. CPT codes 83070 HEPARIN ASSAY Order code HEPARIN Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume Two 1 mL aliquots Collection procedure Blood/anticoagulant volume is critical. Specimen processing Separate plasma from cells within 1 hour of collection and put in separate plastic tube and cap. Respin plasma for 10 minutes. Separate respun plasma into 2 plastic tubes, cap and freeze at -20°C or lower. Store and transport frozen. Required patient info Indicate type, dose, time of dose, heparin concentration and time specimen drawn. Stability - room temp 2 hours Stability - frozen (-20°C) 1 month Unacceptable conditions Specimens that aren't double spun, clotted or improper blood/anticoagulant volume. Minimum volume Two 0.5 mL aliquots Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Heparin Level, IU/mL. CPT codes 85520 Notes Inappropriate sample collection and handling may lead to the release of platelet factor 4 (PF4) which is a potent inhibitor of heparin. HEMOGRAM WITH PLATELET, AUTOMATED Order code AUT 11/18/02 - 96 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HEPARIN ASSOCIATED THROMBOCYTOPENIA HEPATITIS A, B, C + REFLEX C HEPARIN ASSOCIATED THROMBOCYTOPENIA Order code HAT This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 4 mL Collection procedure Draw 6 hours post heparin dose. Blood/anticoagulant volume is critical. Specimen processing Spin 10 minutes in refrigerated centrifuge at 3000 rpm. Separate into a plastic tube and respin. Separate into two plastic tubes and freeze at -70°C. Store and transport frozen. Required patient info Pretreatment platelet count, date heparin started, if stopped and when, if dosage increased to maintain therapeutic levels, platelet counts during therapy, type of heparin, and history of previous heparin exposure. Unacceptable conditions Hemolyzed, clotted and short specimens. Minimum volume 1.5 mL Test schedule Mon-Fri (Sat and Sun with Medical Director approval) Turnaround time 24 hours Test includes HIT. Synonyms Heparin Induced Thrombocytopenia; HIT; HAT; Heparin Induced Platelet Antibody CPT codes 85576 HEPATIC FUNCTION PANEL Order code HFPA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks when protected from light. Unacceptable conditions Plasma specimens. Minimum volume 1 mL Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Total Protein, g/dL; Albumin, g/dL; Bilirubin, Total, mg/dL; Bilirubin, Direct, mg/dL; Alkaline Phosphatase, U/L; AST(SGOT), U/L; ALT(SGPT), U/L. CPT codes 80076 HEPATITIS A DIAGNOSTIC PANEL Order code HAVABP This panel tests for anti-HAV Total and reflexes to anti-HAV IgM if the anti-HAV Total is reactive. The anti-HAV Total tests for IgG and IgM but does not differentiate between them and a reactive indicates either acute or remote past HAV infection. Anti-HAV IgM confirms acute HAV infection, however, if liver enzymes are normal and antiHAV IgM is persistently positive, long term persistence of anti-HAV IgM is suggested. For suspected acute hepatitis A infection order anti-HAV IgM. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Hepatitis A Virus Antibody, Total; Interpretation. CPT codes 86708 HEPATITIS A VIRUS ANTIBODY, IGM Order code HAVABM Order this assay when acute hepatitis A infection is suspected. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Hepatitis A Virus Antibody, IgM. CPT codes 86709 HEPATITIS A VIRUS ANTIBODY, TOTAL Order code HAVABT This assay tests for IgG and IgM antibodies but does not differentiate between them. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Hepatitis A Virus Antibody, Total. CPT codes 86708 HEPATITIS A, B, C Order code ABCHEP This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Alternate specimens Plasma. Test schedule Sun-Fri nights Turnaround time 24-48 hours Test includes Hepatitis A Virus Antibody, Total; Hepatitis A Virus Antibody, IgM; HBs Antigen Screen; HBs Antigen Confirmation; Hepatitis B Core Antibody, Total; Hepatitis B Core Antibody, IgM; Hepatitis C Antibody Screen; Interpretation. CPT codes 86708, 87340, 86704, 86803 Notes If the HAV Total is positive, it will reflex to HAV IgM, and an additional charge will be added. If the HB Core Total is positive, it will reflex to HB Core IgM, and an additional charge will be added. Only the HCV Screen will be done; it will not be confirmed. The HBsAG Confirmation will be done if the screen is reactive. HEPATITIS A, B, C + REFLEX C Order code ABCHPR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 1.5 mL Alternate specimens Plasma specimens. Test schedule Sun-Fri nights Turnaround time 24-48 hours Test includes Hepatitis A Virus Ab, Total; Hepatitis A Virus Ab, IgM; Hepatitis B Surface Ag Screen; Hepatitis B Surface Ag Confirmation; 11/18/02 - 97 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HEPATITIS B CORE ANTIBODY, IGM HEPATITIS B SURFACE ANTIGEN CONFIRMATION Hepatitis C Virus Ab Screen; Hepatitis C Virus Ab Confirmation; Interpretation. CPT codes 86708, 87340, 86704, 86803. Notes If the HAV Total is positive it will be reflexed to HAV IgM and an additional charge will be added. If the HBCAB Total is positive it will reflex to HBCAB IgM and an additional charge will be added. If the HCV Screen is positive it will be relexed for confirmation by RIBA III and an additional charge will be added. HEPATITIS B CORE ANTIBODY, IGM Order code HBCORE.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Hepatitis B Core Ab, IgM. Synonyms HB Core Antibody, IgM; Anti-HBC/IgM CPT codes 86705 HEPATITIS B CORE ANTIBODY, TOTAL Order code HBCORET This workpar does not reflex to IgM. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Hepatitis B Core Antibody, Total. CPT codes 86704 HEPATITIS B E ANTIBODY Order code ANTI-HBE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma specimens and heparinized patients may prouce false reactive results. Minimum volume 0.5 mL Limitations Heparinized patients may produce false reactive results. Test schedule Sun-Thu nights Turnaround time 48 hours Test includes Hepatitis Be Antibody. Synonyms HB E Antibody; Anti-HBe; HBeAb CPT codes 86707 HEPATITIS B E ANTIGEN Order code HBEAG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma and heparinized patients may produce false reactive results. Minimum volume 0.5 mL Limitations Heparinized patients may produce false reactive results. Test schedule Sun-Thu nights Turnaround time 48 hours Test includes HBeAg. Synonyms HB E Antigen; HBeAg CPT codes 87350 HEPATITIS B SURFACE ANTIBODY (QUANTITATIVE) Order code ANTI-HBS Recommended test for the evaluation of vaccine induced immunity. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Hepatitis B Surface Ab, mIU/mL. Synonyms HB Surface Ab, Quant; Anti-HBS; HBsAb; Anti-HBs; HBsAgAb; Hepatitis Bs Antibody CPT codes 86706 HEPATITIS B SURFACE ANTIGEN Order code HBSAG All repeatedly reactive results are confirmed by EIA neutralization. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.75 mL Alternate specimens Plasma specimens. Limitations Heparinized patients may produce false reactive results. Test schedule Sun-Fri nights and STAT with Medical Director approval Turnaround time 24-48 hours Test includes HBsAg Screen; HBsAg Confirmation. Synonyms HB Surface Antigen; HBsAg; HAA; Hepatitis Associated Antigen CPT codes 87340 HEPATITIS B SURFACE ANTIGEN CONFIRMATION Order code HBSAG.CONFIRM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.8 mL Alternate specimens Plasma specimens. Test schedule Sun-Fri nights Turnaround time 24-72 hours Test includes HBsAg Confirmation. Synonyms HB Surface Antigen Confirmation; HBsAg Confirmation CPT codes 87340 11/18/02 - 98 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HEPATITIS B VIRAL DNA, QUANTITATIVE HEPATITIS C VIRUS GENOTYPE BY PCR & PROBE HEPATITIS B VIRAL DNA, QUANTITATIVE Order code HBVDQ This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 1 mL Test schedule Mon, Thu Turnaround time 2-3 days Test includes Hepatitis B Viral DNA, Quantitative, copies/mL; Hepatitis B Viral DNA, Quantitative, Log 10. CPT codes 87517 HEPATITIS B VIRUS DNA BY PCR, QUALITATIVE Order code HBDQ This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen. Stability - frozen (-20°C) 1 week Unacceptable conditions Heparinized plasma. Minimum volume 0.3 mL Alternate specimens ACD or EDTA plasma (yellow or lavender top tube). Test schedule Mon-Sun Turnaround time 2-5 days Test includes Hepatitis B Virus DNA by PCR, Qualitative. CPT codes 87516 HEPATITIS C ANTIBODY Order code HEP-C This test is for the screen only. The confirmation is not done. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma specimens. Test schedule Sun-Fri nights Turnaround time 24-48 hours Test includes Anti-HCV. Synonyms Anti-Hepatitis C; HCV; Anti-HCV CPT codes 86803 HEPATITIS C ANTIBODY CONFIRMATION Order code HCV.CONF Order this test only on specimens that test reactive on the Hepatitis C Ab screen procedure. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 6 days Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma specimens. Limitations Avoid repeat freeze/thaw cycles. Test schedule Tue, Fri Turnaround time 4-6 days Test includes Hepatitis C Ab Confirmation (RIBA 3.0 Recombinant Immunoblot). CPT codes 86804 HEPATITIS C SCREEN ONLY Order code HCV.SCR.ONLY This is for Hepatitis C screen only. No confirmation will be done. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma specimens. Limitations This test is to be ordered for Anti-HCV only. No confirmation will be done. Test schedule Sun-Fri nights Turnaround time 24-48 hours Test includes Anti-HCV. Synonyms Anti-Hepatitis C; Anti-HCV; HCV CPT codes 86803 HEPATITIS C VIRUS ANTIBODY WITH CONFIRMATION (REFLEXIVE) Order code HEPCCN This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 6 days Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens Plasma specimens. Limitations Avoid repeat freeze/thaw cycles. Test schedule Screen, Sun-Fri nights; Confirmation, Tue & Fri Turnaround time 4-6 days Test includes Hepatitis C Virus Ab Screen; Hepatitis C Virus Ab Confirmation. CPT codes 86803 Notes If HCV is reactive it is confirmed by Recombinant Immunoblot (RIBA III). An additional charge will be added. HEPATITIS C VIRUS GENOTYPE BY PCR & PROBE Order code HCVGNT A positive HCV antibody test does not discriminate between past and active HCV infection. Active HCV infection should be established by HCV Qualitative PCR (test code: HCVLPC) before or concurrent with ordering this test. Qualitative PCR testing will be performed on specimens ordered for HCV genotyping when there is a lack of conclusive laboratory evidence of active HCV infection. Additional charges will apply. This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 2 mL Specimen processing Plasma must be separated from the cells within 6 hours of collection by centrifugation at 800-1600 x g for 20 minutes at room temperature. Aseptically transfer plasma to sterile polypropylene tube and freeze. Store and transport frozen. Avoid repeated freeze/thaw cycles. Stability - refrigerated 72 hours Stability - frozen (-20°C) Stable Unacceptable conditions Whole blood, heparinized, and unfrozen specimens. Minimum volume 1 mL Alternate specimens ACD plasma (yellow top tube) or serum (SST) 11/18/02 - 99 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HEPATITIS C VIRUS RNA BDNA WITH REFLEX TO PCR (REFLEXIVE) HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR WITH REFLEX TO QUALITATIVE (REFLEXIVE) or PPT tubes. Limitations Do not allow specimens to thaw. Test schedule Weekly Turnaround time 2-9 days Test includes Hepatitis C Virus by PCR and Probe; Interpretation; Comment; Comment. CPT codes 87902 HEPATITIS C VIRUS RNA BDNA WITH REFLEX TO PCR (REFLEXIVE) Order code HCVQTR This test will reflex to HCV by PCR, Qualitative if the bDNA result is "not detected". This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA aproved. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells within 4-6 hours of collection and place in sterile plastic tube and freeze. Store and transport frozen. Stability - refrigerated 48 hours Stability - frozen (-20°C) 1 month Stability - frozen (-70°C) indefinitely Minimum volume 1 mL Alternate specimens EDTA plasma (lavender top tube) or PPT tubes. Limitations Repeat freeze/thaw cycles. Test schedule bDNA-Wed; PCR-weekly Turnaround time 2-9 days Test includes Hepatitis C Virus Quantitative RNA by bDNA, IU/mL. CPT codes 87522 HEPATITIS C VIRUS RNA QUALITATIVE BY PCR, WITH REFLEX TO QUANTITATIVE (REFLEXIVE) Order code HCVQLR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. This test may reflex to a test that has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 5 mL Specimen processing Separate serum from cells within 6 hours of collection by centrifugation at 800-1600 x g for 20 minutes at room temperature. Aseptically transfer plasma to sertile polypropylene tube and freeze. Store and transport frozen. Stability - room temp 6 hours Stability - refrigerated 72 hours Stability - frozen (-20°C) indefinitely Unacceptable conditions Heparin, whole blood, specimens received at RT or refrigerated that exceed the stability limits. Minimum volume 1 mL Alternate specimens ACD plasma (yellow top tube), serum (SST tube) or PPT tubes. Limitations Avoid freeze/thaw cycles. Test schedule Weekly Turnaround time 4-9 days Test includes Hepatits C Virus Qualitative by PCR; Interpretation; Hepatitis C Virus RNA Quantitative by PCR; Interpretation; Note; Comment; Comment. CPT codes 87521 HEPATITIS C VIRUS RNA QUALITATIVE BY PCR Order code HCVLPC Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 5 mL Specimen processing Separate serum from cells within 6 hours of collection by centrifugation at 800-1600 x g for 20 minutes at room temperature. Aseptically transfer plasma to sterile polypropylene tube and freeze. Store and transport frozen. Stability - refrigerated 72 hours Stability - frozen (-20°C) Stable Unacceptable conditions Whole blood specimens, heparinized specimens and unfrozen specimens. Do not allow specimens to thaw. Minimum volume 1 mL Alternate specimens ACD plasma (yellow top tube) or serum (SST tube) or PPT tubes. Limitations Avoid freeze/thaw cycles. Test schedule Weekly Turnaround time 2-9 days Test includes Hepatitis C Virus Qualitative by PCR; Interpretation; Comment; Comment. Synonyms HCV by PCR, Qualitative; Hepatitis C (HCV) RNA Detection CPT codes 87521 HEPATITIS C VIRUS RNA QUALITATIVE PCR/ QUANTITATIVE/GENOTYPE (REFLEXIVE) Order code HCVLNG This test may reflex to additional tests depending upon the results of this test. (HCV Quant by PCR and then to the HCV Genotype if indicated). Additional fees may be added. This test may reflex to a test that has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 5 mL Specimen processing Separate serum from cells within 6 hours of collection by centrifugation at 800-1600 x g for 20 minutes at room temperature. Aseptically transfer plasma to sterile polypropylene tube and freeze. Store and transport frozen. Stability - refrigerated 72 hours Stability - frozen (-20°C) Stable Unacceptable conditions Whole blood specimens, heparinized specimens and unfrozen specimens. Do not allow specimens to thaw. Minimum volume 1 mL Alternate specimens ACD plasma (yellow top tube) or serum (SST tube) or PPT tubes. Limitations Avoid freeze/thaw cycles. Test schedule See individual tests Turnaround time 2-9 days Test includes Hepatitis C Virus RNA Qualitative by PCR; Interpretation; Hepatitis C Virus RNA Quantitative by PCR; Interpretation; Hepatitis C Virus Genotype; Interpretation; Note; Comment; Comment. CPT codes 87521 HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR WITH REFLEX TO QUALITATIVE (REFLEXIVE) Order code HCVQNR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. This test may reflex to a test that has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 5 mL Specimen processing Separate plasma from the cells within 6 hours of collection by centrifugation at 800-1600 x g for 20 minutes at room temperature . Aseptically transfer plasma to sterile polypropylene tube and freeze. Store and transport frozen. Stability - room temp 6 hours Stability - refrigerated 72 hours Stability - frozen (-20°C) indefinitely Unacceptable conditions Whole blood specimens, heparinized 11/18/02 - 100 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR HEPATITIS PANEL, ACUTE + REFLEX C specimens and specimens received at RT or refrigerated that exceed the stability limits. Minimum volume 1 mL Alternate specimens ACD plasma (yellow top tube), serum (SST tube) or PPT tubes. Limitations Avoid freeze/thaw cycles. Test schedule Weekly Turnaround time 4-9 days Test includes Hepatitis C Virus RNA Quantitative by PCR; Interpretation; Hepatitis C Virus RNA Qualitative by PCR; Interpretation; Note; Comment; Comment. CPT codes 87522 HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR Order code HCVTPC This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 5 mL Specimen processing Separate plasma from the cells within 6 hours of collection by centrifugation at 800-1600 x g for 20 minutes at room temperature . Aseptically transfer plasma to sterile polypropylene tube and freeze. Store and transport frozen. Stability - refrigerated 72 hours Stability - frozen (-20°C) Stable Unacceptable conditions Whole blood specimens, heparinized specimens and unfrozen specimens. Do not allow specimens to thaw. Minimum volume 1 mL Alternate specimens ACD plasma (yellow top tube) or serum (SST tube) or PPT tubes. Limitations Avoid freeze/thaw cycles. Test schedule Weekly Turnaround time 2-9 days Test includes Hepatitis C Virus RNA Quantitative by PCR; Comment; Comment. Synonyms Hepatitis C (HCV) RNA Viral Load CPT codes 87522 HEPATITIS C VIRUS RNA QUANTITATIVE EVALUATION BY BDNA 3.0 Order code HCVBDNA This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA aproved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells aseptically within 4-6 hours and place in sterile plastic tube and freeze. Store and transport frozen. Stability - refrigerated 48 hours Stability - frozen (-20°C) 1 month Stability - frozen (-70°C) indefinitely Minimum volume 0.3 mL Alternate specimens EDTA plasma (lavender top tube) or PPT (Plasma Preparation Tube) that is spun within 2 hours of collection and frozen. Limitations Avoid freeze/thaw cycles. Test schedule Wed days Turnaround time 2-9 days Test includes Hepatitis C Virus Quantitative RNA by bDNA, IU/mL. Synonyms HCV Viral Load; HCV Quant; HCV Branched Chain; HCV RNA Quantitative Evaluation by bDNA CPT codes 87522 Notes This test is useful to establish baseline viral load, predict therapeutic response, and guide duration of therapy. Quantitative HCV RNA tests are recommended only if active HCV infection has been confirmed, and should not be used to diagnose HCV infection. A negative result does not exclude low-level virema. This assay is for research use only. BDNA collection kits are avaliabe from the PAML Supply Department. HEPATITIS DELTA ANTIBODY Order code HEP-DEL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Stability - frozen (-20°C) Indefinitely Minimum volume 0.5 mL Alternate specimens Plasma. Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon, Thu Turnaround time 3-10 days Test includes Hepatitis Delta Antibody. Synonyms Delta Hepatitis Antibody CPT codes 86692 HEPATITIS DELTA ANTIGEN Order code HDAG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 5-7 days Stability - refrigerated 1 month Stability - frozen (-20°C) Indefinitely Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Varies Turnaround time 8-10 days Test includes Hepatitis Delta Antigen. Synonyms Delta Hepatitis Antigen CPT codes 87380 Notes All positive EIA results are confirmed with EIA neutralization. HEPATITIS PANEL, ACUTE Order code HEPACU Order this panel when the patient has clinical acute hepatitis of less than 6 months duration and the origin is unknown. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 1.5 mL Alternate specimens Plasma. Test schedule Sun-Fri nights Turnaround time 24-48 hours Test includes Hepatitis A Virus Antibody, IgM; Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis B Core Antibody, IgM; Hepatitis C Antibody; Interpretation. CPT codes 80074 HEPATITIS PANEL, ACUTE + REFLEX C Order code HEPACR Order this panel when the patient has clinical acute hepatitis of less than 6 months duration and the origin is unknown. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 1.5 mL Alternate specimens Plasma specimens. Test schedule Sun-Fri nights 11/18/02 - 101 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HEPATITIS PANEL, CHRONIC + REFLEX C HERPES SIMPLEX VIRUS CULTURE Turnaround time 24-48 hours Test includes Hepatitis A Virus Ab, IgM; Hepatitis B Surface Ag; Hepatitis B Surface Ag Confirmation; Hepatitis B Core Antibody, IgM; Hepatitis C Virus Ab Screen; Hepatitis C Virus Ab Confirmation; Interpretation. CPT codes 80074 Notes If the HCV Screen is positive, it will be reflexed for confirmation by RIBA III. An additional charge will be added. HEPATITIS PANEL, CHRONIC + REFLEX C Order code HEPCRR Order this panel when the patient has a history of hepatitis (more than 6 months prior to visit) of unknown origin, or when evaluating a patient with abnormal liver enzymes of unknown origin. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 1.5 mL Alternate specimens Plasma specimens. Test schedule Sun-Fri nights Turnaround time 24-48 hours Test includes Hepatitis A Virus Ab, Total; Hepatitis B Surface Ag Screen; Hepatitis B Surface Ag Confirmation; Hepatitis B Core Ab, Total; Hepatitis B Surface Ab, mIU/mL; Hepatitis C Virus Ab Screen; Hepatitis C Virus Ab Confirmation; Interpretation. CPT codes 86708, 87340, 86704, 86706, 86803. Notes If the HCV Screen is positive it will be reflexed for confirmation by RIBA III. An additional charge will be added. HEPATITIS PANEL, CHRONIC Order code HEPCHR Order this panel when the patient has a past history (greater then 6 months) of hepatitis of unknown origin, or when evaluating a patient for abnormal liver enzymes of unknown etiology. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Minimum volume 1.5 mL Alternate specimens Plasma. Test schedule Sun-Fri nights Turnaround time 24-48 hours Test includes Hepatitis A Virus Total; Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis B Core Antibody; Hepatitis B Surface Antibody, mIU/mL; Hepatitis C Antibody Screen; Interpretation. CPT codes 86708, 87340, 86704, 86706, 86803 HEPATITIS PANEL, HBV PROGNOSIS Order code HBCHR Order this panel when the patient is known to have chronic hepatitis B infection. This panel determines the degree of infectivity and monitors for the development of immunity. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 14 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma specimens. Minimum volume 1.5 mL Test schedule Sun-Fri nights Turnaround time 24-72 hours Test includes Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis Be Antigen; Hepatitis Be Antibody; Hepatitis B Surface Antibody, mIU/mL; Interpretation. CPT codes 87340, 87350, 86707, 86706 HEREDITARY HEMOCHROMATOSIS Order code HHCPCR Due to the sensitivity of this test, submit the entire specimen in the original collection tube. Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated. Stability - room temp 72 hours Stability - refrigerated 5 days Stability - frozen (-20°C) Unstable Unacceptable conditions Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tubes. Minimum volume 1 mL or a full EDTA microtainer Alternate specimens ACD whole blood or sodium citrated whole blood (yellow or blue top tube). Limitations Do not freeze. Test schedule Tue, Fri Turnaround time 2-9 days Test includes Hereditary Hemochromatosis Result; Genotype; Interpretation; Comment. CPT codes 83890, 83894, 83901 x 4, 83912 HERPES SIMPLEX CULTURE & TYPING Order code HSVCTP This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Cotton/Dacron swab in FlexTrans. Specimen type Cotton/Dacron swab of lesion Specimen processing Store and transport refrigerated. Required patient info Specimen source, and if patient is pregnant, date of delivery. Test schedule Sun-Sat Turnaround time Preliminary-48 hours; Final 7 days Test includes Source; HSV Culture; HSV Culture, Status. CPT codes 87252, 87274 Notes If Herpes simplex virus is isolated, the isolate will be typed as HSV 1 or 2. There will be an additional fee charged for the typing (HSV-TYPE). HERPES SIMPLEX VIRUS BY PCR Order code HSVPCR Container type See below. Specimen type See below. Preferred volume See below. Collection procedure 1 mL frozen CSF, serum, or EDTA plasma bronchoalveloar lavage frozen in a sterile container. Vesicle fluid should be collected on swabs and transported in multipurpose viral transport media (Microtest M4) frozen. Biopsy tissue, snap frozen and sent on dry ice or in multipurpose viral transport media frozen. Specimen processing Store and transport all specimens frozen. Required patient info Specimen source. Stability - room temp 30 minutes (except tissue) Stability - refrigerated 24 hours (except tissue) Stability - frozen (-20°C) 3 months Unacceptable conditions Unsterile or leaking containers and heparinized specimens. Minimum volume 0.5 mL CSF Test schedule Sun-Sat Turnaround time 3-5 days Test includes HSV Source; HSV by PCR. CPT codes 87529 HERPES SIMPLEX VIRUS CULTURE Order code HSV-CULT This is the culture method for detection of Herpes simplex virus only. Container type Cotton/Dacron swab in FlexTrans. 11/18/02 - 102 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HERPES SIMPLEX VIRUS I & II ANTIBODY INDEX HEXOSAMINIDASE A & TOTAL, LEUKOCYTE & SERUM Specimen type Cotton/Dacron swab of lesion Specimen processing Store and transport refrigerated. Required patient info Specimen source, and if patient is pregnant, date of delivery. Test schedule Sun-Sat days Turnaround time Preliminary-48 hours, Final-7 days Test includes Source; HSV Culture; HSV Culture, Status. Synonyms Culture, Herpes Virus; HSV Culture CPT codes 87252, 87274 HERPES SIMPLEX VIRUS I & II ANTIBODY INDEX Order code HERP.INDEX Container type Brick top tube (SST or Corvac) and CSF sterile plastic tube. Specimen type Serum and CSF Preferred volume 2 mL serum and 2 mL CSF Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Minimum volume 1 mL serum and 1 mL CSF Test schedule Mon-Sat Turnaround time 8-10 days Test includes Herpes simplex Antibody Index. CPT codes 86694 x 2, 86695 x 2 82040, 83883, 82784 x 2 HERPES SIMPLEX VIRUS I & II TYPESPECIFIC ANTIBODY, IGG Order code HERP I&II.IGG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Heat treated, hemolyzed, lipemic, or contaminated specimens. Minimum volume 0.5 mL Limitations If testing is delayed more than 7 days freeze. Test schedule Tue-Sat Turnaround time 1-4 days Test includes HSV I IgG Type-Specific Antibody, IV; HSV II IgG Type-Specific Antibody, IV. CPT codes 86696, 86695 HERPES SIMPLEX VIRUS I & II TYPESPECIFIC ANTIBODY, IGG (PAIRED) Order code HERP.PAIRED Acute and convalescent specimens required. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Acute serum: Draw 1-2 weeks after onset of illness. Convalescent serum: Draw 2-3 weeks later. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen or refrigerated. Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL each Test schedule Tue-Sat Turnaround time 1-4 days Test includes HSV, Acute Time Drawn; HSV, Conv Time Drawn; HSV I Type-Specific, IgG, Acute, IV; HSV I Type-Specific, IgG, Conv, IV; HSV I Type-Specific, IgG % Rise in IV; HSV II Type-Specific, IgG, Acute, IV; HSV II Type-Specific, IgG, Conv, IV; HSV II Type-Specific, IgG % Rise in IV. CPT codes 86695 x 2, 86696 x 2 HERPES SIMPLEX VIRUS IGM ANTIBODY Order code HSVIGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 5 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, lipemic, hemolyzed, heat treated, or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid multiple freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 1-3 days Test includes Herpes Simplex Virus IgM Antibody, OD. CPT codes 86694 HERPES SIMPLEX VIRUS TYPE-SPECIFIC I & II IGG & HERPES SIMPLEX VIRUS IGM ANTIBODY Order code HSGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 5 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, lipemic, contaminated, hemolyzed or heat inactivated specimens. Minimum volume 0.5 mL Limitations If testing is delayed more than 7 days, freeze specimen. Avoid multiple freeze/thaw cycles. Test schedule Tue-Sat Turnaround time 1-4 days Test includes Herpes Simplex Virus I IgG Type-Specific Antibody, IV; Herpes Simplex Virus II IgG Type-Specific Antibody, IV; Herpes Simplex Virus IgM Antibody, OD. CPT codes 86695, 86696, 86694 HEXOSAMINIDASE A & TOTAL, LEUKOCYTE Order code TAYSACHS.PREG This is the preferred test for pregnant females. Container type Yellow top tube (ACD Type A) Specimen type ACD whole blood Preferred volume 7 mL Collection procedure A Tay-Sachs disease prevention questionnaire must accompany request. These forms are available from PAML Client Services. Specimen processing Specimen must arrive within 48 hours of collection. Store and transport refrigerated. Test schedule Mon, Wed, Fri Turnaround time 4-10 days Test includes Hexosaminidase A & Total, Leukocyte. Synonyms Tay Sachs, Leukocyte CPT codes 83080 x 2 HEXOSAMINIDASE A & TOTAL, LEUKOCYTE & SERUM Order code TAYSACHS.COMP This is the preferred test to order for all Tay-Sachs testing. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) and yellow top tube (ACD Type A) Specimen type Frozen serum and ACD whole blood. Preferred volume 1 mL frozen serum and 7 mL ACD whole blood. Collection procedure A Tay-Sachs disease prevention questionnaire must accompany request. These forms are available from PAML Client Services. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Specimens must arrive within 48 hours of collection. Store and transport serum frozen. Store and transport whole blood refrigerated. Minimum volume 0.5 mL frozen serum and 7 mL ACD whole blood. Test schedule Mon, Wed, Fri Turnaround time 4-10 days Test includes Hexosaminidase A & Total Serum & Leukocyte. 11/18/02 - 103 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HEXOSAMINIDASE A & TOTAL, SERUM HISTONE ANTIBODY Synonyms Tay Sachs, Leukocyte and Serum CPT codes 83080 x 2 Notes The serum assay will be performed first on all specimens. If the serum results are abnormal the leukocyte testing will be performed and an additional charge added. Required patient info Patient's age and sex. Minimum volume 1.2 mL Test includes 3a-Diol G, Total & Free Testosterone. CPT codes 82154, 84403, 84402 HEXOSAMINIDASE A & TOTAL, SERUM Order code HIST This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Green top tube (sodium heparin) Specimen type Frozen whole blood Preferred volume 1 mL Specimen processing Freeze whole blood in separate plastic tube. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 weeks Unacceptable conditions Non-frozen specimens. Minimum volume 0.2 mL Alternate specimens EDTA frozen whole blood (lavender top tube). Test schedule Mon, Thu Turnaround time 4-10 days Test includes Histamine, nmol/L. CPT codes 83088 Order code TAYSACHS.SERUM This test will not be performed on pregnant female patients. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Patient Prep Patient should be fasting. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure A Tay-Sachs disease prevention questionnaire must accompany request. These forms are available thru PAML Client Services. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 0.5 mL Test schedule Mon, Wed, Fri Turnaround time 4-6 days Test includes Hexosaminidase A and Total, Serum. Synonyms Tay-Sachs, Serum; GM2 Gangliosidosis CPT codes 83080 Notes The preferred test to order for pregnant females is Hexosaminidase A & Total Hexosaminidase, Leukocytes. The preferred test to order for non-pregnant females is Hexosaminidase A & Total Hexosaminidase, Serum & Leukocytes. HIGH SENSITIVITY CRP Order code HSCRP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Very lipemic or turbid samples should be clarified by centrifugation. Test schedule Sun-Fri Turnaround time 24 hours Test includes High Sensitivity CRP, mg/dL. Synonyms hsCRP CPT codes 86141 HIGH SENSITIVITY CRP & CHOLESTEROL PROFILE Order code HSCRPP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 2 mL Test schedule Sun-Fri Turnaround time 24 hours Test includes High Sensitivity CRP, mg/dL; Cholesterol, mg/dL; HDL, mg/dL; Cholesterol/HDL Ratio; Risk. CPT codes 86141, 82465, 83718 HIRSUTISM PANEL Order code HIR 251 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. HISTAMINE HISTAMINE, URINE Order code HIST-U This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type 24-hour dark plastic urine container. Specimen type Frozen 24-hour or random urine collection. Preferred volume 5 mL Collection procedure Collect a 24-hour or random urine collection in a 24-hour dark plastic urine container. Specimen processing Aliquot 5 mL of a well-mixed 24-hour or random urine collection in a leakproof plastic urine container and freeze. Record total volume and collection period. Store and transport frozen. Required patient info Collection period and total volume. Stability - room temp unstable Stability - refrigerated unstable Stability - frozen (-20°C) 2 weeks Unacceptable conditions Non-frozen samples. Minimum volume 1 mL Alternate specimens Samples preserved with HCl if frozen immediately. Test schedule Mon, Thu Turnaround time 4-10 days Test includes Collection Period, h; Volume, mL; Creatinine, Urine, mg/dL; Histamine, Urine, nmol/L; Histamine, Urine, nmol/g. CPT codes 83088 HISTONE ANTIBODY Order code HISTONE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, hemolyzed or bacterially contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Histone Antibody (Hrana), Units. Synonyms Histone Reactive ANA; HRANA; Anti-Histone Reactive ANA CPT codes 86235 11/18/02 - 104 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HISTOPLASMA ANTIBODY HOMOCYSTINE, URINE HISTOPLASMA ANTIBODY Order code HISTO.CF Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 4-8 days Test includes Histoplasma Antibody Mycelial, Titer; Histoplasma Antibody Yeast, Titer. CPT codes 86698 x 2 HISTOPLASMA ANTIBODY PANEL Order code HISABP Acute and convalescent specimens advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and and convalescent samples must be labeled as such; parallel testing is preferred and convalescent smples must be recieved within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated samples. Minimum volume 0.5 mL Test schedule Mon-Sat Turnaround time 3-5 days Test includes Histoplasma Ab Mycelia, CF; Histoplasma Ab Yeast, CF; Histoplasma Ab, ID. CPT codes 86698 x 3 HISTOPLASMA ANTIGEN Order code HISTAG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Identify source if other than serum. Store and transport refrigerated. Alternate specimens Urine, CSF or BAL fluid. Test schedule Varies Turnaround time 9-12 days Test includes Histoplasma Antigen, Units. CPT codes 87385 HISTOPLASMA PRECIPITIN ANTIBODY Order code HISTO.AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma specimens. Minimum volume 0.25 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Histoplasma Precipitin Antibody. CPT codes 86698 HLA B27 Order code HLA B27 This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Yellow top tube (ACD Type A or B) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. Stability - room temp 48 hours Unacceptable conditions EDTA whole blood (lavender top tube), refrigerated or frozen specimens. Minimum volume 2 mL Alternate specimens Sodium or lithium heparin whole blood (green top tube). Limitations On Saturday specimens must arrive by 11 AM. Specimen should be received within 12 hours of drawing. Test schedule Mon-Sat days (on Saturday specimens must arrive by 11AM). Turnaround time 2-4 days Test includes HLA-B27. CPT codes 86812 Notes If result is indeterminate specimen will be sent to a reference laboratory for confirmation by microlymphocytotoxicity. A fee will be added. HOMOCYSTEINE, CARDIAC RISK Order code HOMCY Container type Lavender top tube (EDTA) Specimen type Plasma Preferred volume 1 mL Collection procedure Place tube on ice immediately after drawing. Specimen processing Separate plasma from cells within 1 hour of collection and put in separate plastic tube . Store and transport refrigerated. Stability - room temp 4 days Stability - refrigerated 10 days Stability - frozen (-20°C) 3 months Unacceptable conditions All other body fluids. Minimum volume 0.5 mL Alternate specimens Serum or heparinized plasma (red or green top tube). Specimens stored on ice for up to 2 hours before separation. Test schedule Mon-Fri Turnaround time 2-4 days Test includes Homocysteine, µmol/L. CPT codes 83090 HOMOCYSTINE, URINE Order code HOMO-U Patient Prep Patients should abstain from Vitamin C ingestion 48 hours prior to specimen collection. Container type 24-hour dark plastic urine container. Specimen type Frozen 24-hour urine collection Preferred volume 10 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen. Required patient info Collection period and total volume. Stability - room temp unstable Stability - refrigerated unstable Stability - frozen (-20°C) 1 month Unacceptable conditions Samples with acid or other preservatives or pH LT 5 or GT 8 are unacceptable. Minimum volume 5 mL Test schedule Mon, Wed, Fri Turnaround time 3-7 days Test includes Collection Period, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Homocystine, Urine, mg/L; Homocystine, Urine, mg/g Cr; Homocystine, Urine, mg/d. CPT codes 83090 11/18/02 - 105 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HOMOVANILLIC ACID & VANILLYLMANDELIC ACID, URINE HUMAN GROWTH HORMONE, SAMPLE 3 Notes Ascorbic acid interferes with this assay. Random samples are reported as HOMO/CREA Ratios. HOMOVANILLIC ACID & VANILLYLMANDELIC ACID, URINE Order code HVA Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 4 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Stability - room temp Unstable Stability - refrigerated 1 week Stability - frozen (-20°C) 2 weeks Minimum volume 3 mL Alternate specimens Samples that have been adjusted to pH 2-3 with 6M HCl. Test schedule Tue-Sun Turnaround time 3-5 days Test includes Collection Period, h; Volume, mL; HVA, mg/d; VMA, mg/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; HVA Interpretation. Synonyms HVA; 3-Methoxy-4-Hydroxy-Phenylacetic Acid CPT codes 83150, 84585, 82570 Notes The VMA/Creatinine ratio and HVA/Creatinine ratio are reported whenever the patient is under 18 years, the collection is random or other than 24 hours, or the urine volume is LT 400 mL/24 hours. HTLV I & II AB, WB Order code HTLVWB This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 60 days Stability - frozen (-20°C) 1 year Minimum volume 0.2 mL Test schedule Mon, Thu Turnaround time 3-5 days Test includes HTLV I & II Antibody, Western Blot. CPT codes 86689 x 2 HTLV I/II Order code HTLV12 Repeatedly reactive specimens will be sent out for confirmation by Western Blot and/or radioimmunoprecipitation assay (RIPA). This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Unacceptable conditions Saliva, urine or pleural fluid. Minimum volume 0.25 mL Alternate specimens EDTA or heparinized plasma (lavender or green top tube) . Test schedule Sun-Fri nights Turnaround time 24 hours Test includes HTLV I/II Antibody. CPT codes 86687 Use this workpar when A SINGLE HGH TEST is ordered. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, ng/mL. Synonyms HGH; Growth Hormone, Somatotropin CPT codes 83003 HUMAN GROWTH HORMONE, SAMPLE 1 Order code HGH.S1 Use this workpar to order the first HGH when multiple specimens are collected. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, #1, ng/mL; HGH, Time 1. CPT codes 83003 HUMAN GROWTH HORMONE, SAMPLE 2 Order code HGH.S2 Use this workpar to order the second HGH when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required patient info Medication. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, #2, ng/mL; HGH, Time 2. CPT codes 83003 HUMAN GROWTH HORMONE, SAMPLE 3 Order code HGH.S3 Use this workpar for ordering the third HGH when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required patient info Medication. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, #3, ng/mL; HGH, Time 3. CPT codes 83003 HUMAN GROWTH HORMONE Order code HGH 11/18/02 - 106 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HUMAN GROWTH HORMONE, SAMPLE 4 HUMAN IMMUNODEFICIENCY VIRUS-1 ANTIGEN HUMAN GROWTH HORMONE, SAMPLE 4 Order code HGH.S4 Use this workpar for ordering the fourth HGH when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required patient info Medication. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, #4, ng/mL; HGH, Time 4. CPT codes 83003 HUMAN GROWTH HORMONE, SAMPLE 5 Order code HGH.S5 Use this workpar for ordering the fifth HGH when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required patient info Medication. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, #5, ng/mL; HGH, Time 5. CPT codes 83003 HUMAN GROWTH HORMONE, SAMPLE 6 Order code HGH.S6 Use this workpar for ordering the sixth HGH when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required patient info Medication. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, #6, ng/mL; HGH, Time 6. CPT codes 83003 HUMAN GROWTH HORMONE, SAMPLE 7 Order code HGH.S7 Use this workpar for ordering the seventh HGH when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Medication. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, #7, ng/mL; HGH, Time 7. CPT codes 83003 HUMAN GROWTH HORMONE, SAMPLE 8 Order code HGH.S8 Use this workpar for ordering the eighth HGH when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required patient info Medication. Stability - refrigerated 24 hours Stability - frozen (-20°C) 2 months Unacceptable conditions Plasma, hemolyzed or lipemic specimens. Minimum volume 0.5 mL Test schedule Sun, Tue, Thu evenings Turnaround time 2-5 days Test includes HGH, #8, ng/mL; HGH, Time 8. CPT codes 83003 HUMAN IMMUNODEFICIENCY VIRUS DNA PCR Order code HIV.DNA.PCR This specimen must be received by PAML Sunday-Wednesday. It must be processed within 36 hours of collection by the testing laboratory. Container type Yellow top tube (ACD Type A or B) Specimen type Whole blood Preferred volume 10 mL Specimen processing Store and transport ambient temperature. Stability - room temp 36 hours Unacceptable conditions Frozen specimens. Minimum volume 2 mL Alternate specimens EDTA whole blood (lavender top tube). Test schedule Mon-Thu Turnaround time 3-6 days Test includes HIV DNA PCR. Synonyms HIV DNA PCR CPT codes 87535 HUMAN IMMUNODEFICIENCY VIRUS-1 & 2 (VIROLOGY SEROLOGY) Order code HIV12 Confirmation by HIV-1 Western Blot. If non-confirmable, sample will be held for 1 month in case the attending clinician wants the patient sample sent out for specific HIV-2 testing. The physician must contact Client Services if HIV-2 testing is required. A fee will be added dependent upon what tests must be done. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 week Stability - frozen (-20°C) 1 year Unacceptable conditions Multiple freeze/thaws or hemolyzed specimens. Minimum volume 0.1 mL Test schedule Sun-Fri nights Turnaround time 24+ hours Test includes HIV-1/HIV-2. Synonyms HIV-I/II; HIV-1/HIV-2; HIV1/2; HIV-1/HIV-2 Antibody CPT codes 86703 HUMAN IMMUNODEFICIENCY VIRUS-1 ANTIGEN Order code HIV.AG Container type Brick top tube (SST or Corvac) Specimen type Serum 11/18/02 - 107 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HUMAN IMMUNODEFICIENCY VIRUS-1 GENOTYPE PLUS [SPECIALTY] HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, IMMUNOBLOT Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 3 days Stability - refrigerated 7 days Unacceptable conditions Urine, saliva or pleural fluid specimens. Minimum volume 0.5 mL Alternate specimens Heparinized, EDTA, citrated or oxalated plasma (green, lavender, blue or grey top tube) . Test schedule Donors: Sun-Sat & STAT; Others: Sun-Fri nights Turnaround time 1-3 days Test includes HIV-1 Antigen (P24). Synonyms HIV-1 Ag; HIV-1 Antigen CPT codes 87390 HUMAN IMMUNODEFICIENCY VIRUS-1 GENOTYPE PLUS [SPECIALTY] Order code HIVGRS This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Separate plasma from cells and place in 2 separate plastic tubes within 4 hours of colllection and freeze. Record time of collection and freezing on container and request. Store and transport frozen. Ship within 24 hours of collection. Minimum volume 2 mL Alternate specimens ACD plasma (yellow top tube) or PPT tubes. Test schedule Tue-Sat Turnaround time 9-12 days Test includes HIV-1 Genotype Plus (Reverse Transcriptase and Protease Inhibitors). CPT codes 87901 HUMAN IMMUNODEFICIENCY VIRUS-1 ULTRAQUANT RNA Order code HIVUSP Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 5 mL Specimen processing Separate plasma from cells and place in 2 separate plastic tubes within 4 hours of collection and freeze. Record time of collection and freezing on container and request. Store and transport frozen. Stability - room temp 4 hours Stability - frozen (-20°C) 2 months Minimum volume 3 mL Test schedule Sun-Sat Turnaround time 4-7 days Test includes HIV-1 RNA UltraQuant, copies/mL; HIV-1 RNA (Log 10). CPT codes 87536 HUMAN IMMUNODEFICIENCY VIRUS-1 ULTRASENSITIVE RNA QUANTITATIVE EVALUATION BY BDNA Order code HIVBDNA Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 3 mL Specimen processing Within 4-6 hours of collection, separate the plasma from the cells by centrifugation at 1,000-1,200 x g for 10-15 minutes. Immediately transfer plasma to a plastic screw-cap tube and freeze. Store and transport frozen. Stability - refrigerated 6 hours (plasma) Stability - frozen (-20°C) 1 month Stability - frozen (-70°C) indefinitely Unacceptable conditions Serum or non-frozen samples more than 6 hours old, heparinized plasma and repeated freeze/thaw cycles. Minimum volume 2.5 mL Alternate specimens PPT (Plasma Preparation Tube) that has been spun within 2 hours of collection and frozen. Limitations Avoid freeze/thaw cycles. Test schedule Thu Turnaround time 2-6 days Test includes HIV-1, Ultrasensitive RNA bDNA, Copies/mL; Log10 value. Synonyms HIV Ultrasensitive RNA Quant; HIV Ultrasensitive by Signal Amplification; HIV Ultrasensitive Viral Load; HIV1Ultrasensitive RNA Quantitative Evaluation by bDNA CPT codes 87536 Notes This test should be used only for patients with documented HIV-1 infection. It is not intended for use as a screening test for HIV, or as a diagnostic test to establish the presence or absence of HIV-1 infection. The reference range is LT 75 HIV-1 RNA copies/mL. HIV-1 Antibody Screen & Western Blot confirmation are the usual methods for initial diagnosis of HIV-1 infection. BDNA collection kits are available from the PAML Supply Department. HUMAN IMMUNODEFICIENCY VIRUS-1, WESTERN BLOT Order code W.BLOT For confirmation of HIV-1 antibody, positive specimens only. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Test schedule Tue, Thu days Turnaround time 3-5 days Test includes HIV-1 Western Blot; Western Blot Interpretation; P17/18 Band; P24 Band; P31 Band; GP41 Band; P51 Band; P55 Band; P65/66 Band; GP120/160 Band. Synonyms HIV-1 & Western Blot CPT codes 86689 HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, ELISA Order code HIV2AB Repeatedly reactive specimens are confirmed by HIV-2 Western Blot and an additional charge will be added for this confirmation. The CDC recommends only specimens repeatedly reactive on combination HIV-1/2 EIA assays and negative or indeterminate on HIV-1 Western Blot be tested by HIV-2 ELISA. An exception to this is a person with a positive result by HIV-1 blot and risk factors for HIV-2 infection. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Alternate specimens Plasma. Test schedule Tue & Thu Turnaround time 2-6 days Test includes HIV-2 Antibody, ELISA. Synonyms HIV-2 Ab; HIV-2 Antibody CPT codes 86702 Notes This test screens for the presence of HIV-2 antibody. Serologic crossreaction between HIV-1 & HIV-2 can result in strongly positive HIV-1 specimens yielding positive HIV-2 ELISA results. HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, IMMUNOBLOT Order code HIV2WB This workpar is to be used only to order HIV-2 antibody by Immunoblot. There is a strong serologic crossreaction between HIV-1 and HIV-2. The CDC recommends only specimens repeatedly reactive on combination HIV-1/2 EIA assays, negative or indeterminate on HIV-1 Western blot and positive on HIV-2 EIA be tested by HIV-2 Immunoblot. This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) 11/18/02 - 108 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HUMAN PAPILLOMAVIRUS DNA PROBE & HIGH RISK HYDROXYPROLINE, URINE, TOTAL Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.25 mL Test schedule Once a week Turnaround time 7-10 days Test includes HIV-2 Antibody, Immunoblot. Synonyms HIV-2 Antibody, IB; HIV-2 Ab, IB CPT codes 86689 Notes This test may sometimes be used for a patient with a positive result by HIV-1 Blot and risk factors for HIV-2 infection. In this case the patients HIV-1 Western blot results (including the bands detected) must be sent with the request. HUMAN PAPILLOMAVIRUS DNA PROBE & HIGH RISK Order code HPVHR Container type See below Specimen type See below Collection procedure Cervical specimens collected & transported using Digene cervical sampler (brush) and specimen transport medium, or cervical & endocervical samples collectd using the ThinPrep Pap Test specimen transport media. Specimens must be transported in the proper transport media. Store and transport refrigerated. Indicate source. Required patient info Source Stability - room temp Digene-2 weeks; ThinPrep-3 weeks Stability - refrigerated 3 weeks Stability - frozen (-20°C) Digene-3 months; ThinPrep-do not freeze Unacceptable conditions Samples in EIA transport media, wooden swabs and male samples. Also samples collected using ThinPrep cannot be frozen. Minimum volume 4 mL of ThinPrep Pap Test solution remaining after the Pap test has been prepared. Limitations PAML cannot perform CT/GC testing with HC Cervical Sampler specimens. Test schedule Mon & Thu evening Turnaround time 3-5 days Test includes Source; High Risk HPV. Synonyms HPV DNA Probe & High Risk CPT codes 87621 HUMAN PAPILLOMAVIRUS DNA PROBE HIGH & LOW RISK Order code HPVHC Container type See below Specimen type See below Collection procedure Cervical specimens collected & transported using Digene cervical sampler (brush) and specimen transport medium, or cervical & endocervical sample collected using the ThinPrep Pap Test specimen transport media. Specimens must be transported in the proper transport media. Store and transport refrigerated. Indicate source. Required patient info Source Stability - room temp Digene-2 weeks; ThinPrep-3 weeks Stability - refrigerated 3 weeks Stability - frozen (-20°C) Digene-3 months; ThinPrep-do not freeze Unacceptable conditions Samples in EIA transport media, wooden swabs and male samples. Also samples collected using ThinPrep cannot be frozen. Minimum volume 4 mL of ThinPrep Pap Test solution remaining after the Pap test has been prepared. Limitations PAML cannot perform CT/GC testing with HC Cervical Sampler specimens. Test schedule Mon & Thu evening Turnaround time 3-5 days Test includes Source; High Risk Human Papillomavirus ; Low Risk Human Papillomavirus. Synonyms HPV DNA Probe, High & Low Risk CPT codes 87621 x 2 HUNTINGTON DISEASE DNA SCREEN Order code HUNDNA Given the likely impact of presymptomatic testing on life plans and insurability, patients should be adequately informed and counselled before this test is ordered and the results given. The Huntington Disease Society of America at 1-800-345-4372 can provide approved counseling program information or the Inland Northwest Genetics Clinic can provide information at 509-458-7225. Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 3 days Unacceptable conditions Heparinized samples. Minimum volume 2 mL Test schedule Once a week Turnaround time 3-4 weeks Test includes Huntington Disease DNA Screen. CPT codes 83891, 83898 x 2, 83894, 83912, 83896 x 2 Notes For further information on genetics testing call U of Washington at 206-598-6429. HYDROCODONE Order code HYDROCODONE Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Collection procedure Peak draw time is 90 minutes post dose. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Test schedule Mon, Tue, Wed, Thu, Fri Turnaround time 3-5 days Test includes Hydrocodone, ng/mL. CPT codes 83925 HYDROXYCHLOROQUININE Order code PLAQ Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Alternate specimens EDTA plasma (lavender top tube). Limitations Protect from light. Test schedule Varies Turnaround time 7-10 days Test includes Hydroxychloroquinine, µg/mL. Synonyms Plaquenil CPT codes 82101 HYDROXYPROLINE, URINE, TOTAL Order code HYDROXYPROLINE.T Patient Prep Patient should be on a low collagen diet. Container type 24-hour dark plastic urine container. Specimen type Frozen 24-hour urine collection Preferred volume 5 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume and collection time. Store and transport frozen. Required patient info Collection period and total volume. Stability - room temp unstable Stability - refrigerated unstable Stability - frozen (-20°C) 6 months Unacceptable conditions Non-frozen specimens. Minimum volume 3 mL Test schedule Wed Turnaround time 2-9 days Test includes Collection Period, h; Volume, mL; Hydroxyproline, Total, µmol/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d. CPT codes 83505 11/18/02 - 109 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 HYPERCOAGULATION CONSULTATION, BASIC (REFLEXIVE) IGF BINDING PROTEIN HYPERCOAGULATION CONSULTATION, BASIC (REFLEXIVE) Order code HYPERC This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Patient Prep Patient should be fasting. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 6-1 mL aliquots Specimen processing Centrifuge for 10 minutes at 3000 rpm. Transfer plasma with a plastic pipette to a plastic tube, and cap. Recentrifuge for 10 minutes. Separate the recentrifuged plasma into 6 plastic tubes, cap, and freeze. Store and transport frozen. Stability - refrigerated 2 hours Stability - frozen (-20°C) 30 days Unacceptable conditions Serum, EDTA, heparinized, clotted, hemolyzed, or short samples. Minimum volume 4 1-mL aliquots Test schedule Sat, Wed Turnaround time 2-4 days Test includes APC Resistance; Protein C Activity, %; Protein S Activity, %; Anti-thrombin III Activity, %; Anti-thrombin III Antigen, mg/dL; Protime, sec; Protime, Patient/Control Mix; Thrombin Time, Patient, sec; Thrombin Time, Patient/Ps Mix; PTT, Patient, sec; PTT, Control; PTT/Patient/Control Mix; PNP; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio; Hypercoagulation Consult, Basic Interpretation; Review. CPT codes 85307, 85303, 85306, 85300, 85301, 85610, 85730, 85670, 80500 HYPERCOAGULATION EXTENED PANEL (REFLEXIVE) Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 6-8 days Test includes Aspergillus fumigatus #1; Aspergillus fumigatus #6; Aureobasidium pullulans; Pigeon Serum; Micropolyspora faeni; Thermaoactinomyces vulgaris #1. Synonyms Hypersensitive Lung Disease Panel CPT codes 86331 x 6 HYPERTHYROID PROFILE Order code HYPERA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 days Unacceptable conditions Grossly hemolyzed, grossly lipemic or grossly icteric specimens. Minimum volume 2 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes FTI; T3 Uptake, %; Total T4, µg/dL; T3 by ICMA TBG Corrected, ng/dL. Synonyms Thyroid Profile (Hyper) CPT codes 84479, 84436, 84480 Order code HYPERP This test may reflex to additional tests depending upon the results of this test. An additional free may be added. Patient Prep Patient should be fasting. Container type 2 Blue top tubes (buffered sodium citrate), 1 Red top tube (plain), 2 Lavender top tubes (EDTA) Specimen type Frozen serum, frozen citrated plasma, EDTA whole blood and EDTA plasma. Preferred volume 6-1 mL aliquots of frozen citrated plasma, 2 mL frozen serum, 5 mL EDTA whole blood and 1 mL EDTA plasma Specimen processing Read thoroughly and follow all the following directions carefully: `1. 6 1-mL aliquots of frozen citrated plasma. Follow standard coagulation processing instructions. Store and transport frozen. `2. 2 mL frozen serum. Separate, store and transport frozen.`3. 5 mL EDTA whole blood submitted untouched in original tube`at room temperature. If delayed more than 72 hours, refrigerated.`4. 1 mL EDTA plasma. Put on ice immediately after drawing and separate within 1 hour of drawing and refrigerate. Stability - room temp See individual components Stability - refrigerated See individual components Stability - frozen (-20°C) See individual components Minimum volume See individual components Test schedule Varies Turnaround time Varies Test includes Homocysteine, Cardiac Risk, µmol/L; PT 20210 by PCR; Interp; Comment; Comment; Cardiolipin Ab, IgG, GPL; Cardiolipin Ab, IgM, MPL; APC Resistance; Protein C Activity, %; Protein S Activity, %; Anti-Thrombin III Activity, %; Anti-Thrombin III Antigen, mg/dL; PT, Patient, sec; PT, TP/CL Mix, sec; PTT, Patient, sec; PTT, Control, sec; PTT, PT/CT Mix; PNP; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio; Hypercoagualtion Consult Basic Interpretation; Hypercoagulation Reviewed By. CPT codes 85307, 85303, 85306, 85300, 85301, 85610, 85730, 85670, 80500, 83090, 86147 x 2, 83891, 83903, 83898, 83896 x 2, 83912 HYPOTHYROID PROFILE HYPERSENSITIVE PNEUMONITIS I Order code IGFBP3 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in Order code HLDP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Order code HYPOA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes FTI; T3 Uptake, %; Total T4, µg/dL; TSH, µIU/mL. Synonyms Thyroid Profile (Hypo) CPT codes 84479, 84436, 84443 IBUPROFEN Order code IBU Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw one hour after dosing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 5 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 6 months Unacceptable conditions Serum separator tubes and gels. Minimum volume 0.8 mL Alternate specimens Heparin, EDTA or sodium fluoride/potassium oxalate plasma. Test schedule Tue, Fri Turnaround time 3-5 days Test includes Ibuprofen, µg/mL. Synonyms Motrin CPT codes 80299 IGF BINDING PROTEIN 11/18/02 - 110 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 IMIPRAMINE & METABOLITE IMMUNOELECTROPHORESIS, URINE (RANDOM) separate plastic tube and freeze. Store and transport frozen or refrigerated. Required patient info Patient's age. Stability - room temp 24 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 1 year Unacceptable conditions EDTA or heparin plasma samples. Minimum volume 0.25 mL Test schedule Tue, Thu, Sat Turnaround time 3-5 days Test includes IGF Binding Protein-3, mg/L. Synonyms IGFBP-3; Somatomedin-C Binding Protein CPT codes 83519 IMIPRAMINE & METABOLITE Order code IMI Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Collection procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose. Specimen processing Separate serum from cells within 4 hours and place in separate polypropylene (not polystyrene) plastic tube. The 10 mL PAML labelled, cloudy plastic tubes with the plastic snap-on caps are polypropylene tubes. Store and transport refrigerated. Required patient info Date and time of dose and draw. Stability - refrigerated 2 weeks Minimum volume 2 mL Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Imipramine, ng/mL; Desipramine, ng/mL; Total Drug, ng/mL. Synonyms Tofranil CPT codes 80174, 80160 IMMUNE COMPLEX DETECTOR, CIRCULATING Order code CICDET Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells within 1 hour of collection and place in separate plastic tube and freeze. Store and transport frozen. Stability - frozen (-20°C) 2 months Minimum volume 2 mL Limitations Avoid freee/thaw cycles Test schedule Wed Turnaround time 3-8 days Test includes C1Q Binding Immune Complex, ugEq/mL; PEG Immune Complex Assay, ug/mL; Raji Cell Immune Complex, ugEq/mL; C3 Complement, mg/dL; C4 Complement, mg/dL. Synonyms Circulating Immune Complex CPT codes 86332 x 2, 86160 x 2 IMMUNE COMPLEX PROFILE I Order code IM-COM I Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Allow to clot for 2 hours, centrifuge. Separate serum from cells and place in two separate plastic tubes and freeze within 1 hour of centrifugation. Store and transport frozen. Unacceptable conditions Non-frozen specimens and specimens subjected to repeated freeze/thaw cycles. Minimum volume 0.5 mL per aliquot Test schedule Tue, Fri Turnaround time 5-10 days Test includes RAJI Cell Assay, µgE/mL; C1Q Binding, µgE/mL. CPT codes 86332 x 2 IMMUNO-SEROLOGICAL PANEL Order code IMMUNO.SERO.PAN Container type Red top tube and lavender top tube (EDTA). Specimen type Serum and whole blood Preferred volume 10 mL serum and 5 mL whole blood Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature. Test schedule Varies Turnaround time 7-10 days Test includes Immuno-Serological Panel. CPT codes 86038, 86225, 86235 x 8, 86800, 86376, 86256 x 9, 86430, 86160 x 2, 86147, 86784 x 3, 86318 x 4 IMMUNOELECTROPHORESIS Order code IEP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Patient's age. Unacceptable conditions Plasma specimens. Minimum volume 0.5 mL Test schedule Mon-Fri days Turnaround time 1-4 days Test includes See ELP; Immunofixation, Serum, Interpretation. Synonyms IEP, Serum; Immunofixation, Serum CPT codes 84165, 86334 Notes If ordering both serum and urine IEP, same day collection is recommended (order IEP.SU). Protein electrophoresis is included. IMMUNOELECTROPHORESIS, URINE Order code IEP-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 100 mL Collection procedure Collect a 24-hour urine collection in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection in a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 3 mL Alternate specimens Specimens that have been frozen for a short period of time. Test schedule Mon-Fri days Turnaround time 1-4 days Test includes Collection Period, h; Volume, mL; Protein, Urine, Quantative, mg/24h; ELP Urine, Interpretation; Immunofixation Interpretation, Urine. Synonyms IEP, Urine; Immunofixation, Urine CPT codes 84165, 86334 Notes If ordering both serum and urine IEP, same day collection is recommended (order IEP.SU). IMMUNOELECTROPHORESIS, URINE (RANDOM) Order code IEP-RU NOTE: If both serum and urine IEP are ordered, same day collection is recommended; order IEP.SU-R. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 100 mL Collection procedure Collect a random urine in a leakproof plastic urine container. Specimen processing Store and transport refrigerated. Minimum volume 3-5 mL Alternate specimens Specimens that have been frozen for a short time. Test schedule Mon-Fri days Turnaround time 1-4 days Test includes ELP Urine Interpretation; Immunofixation Urine 11/18/02 - 111 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 IMMUNOELECTROPHORESIS, URINE/SERUM IMMUNOGLOBULIN G, SUBCLASSES Interpretation. Synonyms Immunofixation, Urine Random CPT codes 84165, 86334 IMMUNOELECTROPHORESIS, URINE/SERUM Order code IEP.SU Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type Brick top tube (SST or Corvac) and 24-hour dark plastic urine container. Specimen type Serum and 24-hour urine collection. Preferred volume 2 mL serum, 100 mL urine Collection procedure See component tests. Specimen processing Record collection time and total volume. See component tests. Required patient info Collection period, total volume and patient's age. Unacceptable conditions See component tests. Minimum volume 0.5 mL serum, 3 mL urine Test schedule Mon-Fri days Turnaround time 1-4 days Test includes Collection Period, h; Volume, mL; ELP; Immunofixation, Serum, Interpretation; ELP, Urine; Immunofixation, Urine, Interpretation. Synonyms IEP, Serum and Urine; Immunofixation, Serum and Urine CPT codes 84165 x 2, 86334 x 2 Notes Same day collection for urine & serum is recommended when ordering this test. IMMUNOELECTROPHORESIS, URINE/SERUM (RANDOM) Order code IEP.SU-R NOTE: Same-day collection for urine and serum is recommended when ordering this test. Container type Brick top tube (SST or Corvac) and leakproof plastic urine container. Specimen type Serum and urine. Preferred volume 2 mL serum and 100 mL urine. Collection procedure Collect a random urine in a leakproof plastic urine container. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Required patient info Patient's age. Unacceptable conditions Plasma or hemolyzed specimens. Minimum volume 0.5 mL serum and 3 mL urine Test includes ELP, Serum; ELP, Serum, Interpretation; Monoclonal Peak; Immunofixation Serum Interpretation; ELP Urine Interpretation; Immunofixation Urine Interpretation. Synonyms Immunofixation, Urine/Serum (Random) CPT codes 84165 x 2, 86334 x 2 IMMUNOGLOBULIN A Order code IGA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Avoid repeat freeze-thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes IgA, mg/dL. Synonyms IgA CPT codes 82784 IMMUNOGLOBULIN A, FLUID Order code IGAFL Specimen type Body fluid. Preferred volume 1 mL Specimen processing Separate fluid from cells and place in separate plastic tube if specimen is grossly bloody. Note type of fluid. Store and transport refrigerated. Required patient info Type of fluid. Stability - refrigerated 1 week Stability - frozen (-20°C) 3 months Unacceptable conditions Avoid repeated freeze/thaw cycles. Minimum volume 0.3 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes IgA, Fluid, mg/dL. CPT codes 82784 IMMUNOGLOBULIN E Order code IGEB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 6 months Unacceptable conditions Urine or other body fluids. Minimum volume 0.5 mL Limitations Avoid repeat freeze/thaw cycles. Test schedule Mon-Fri evenings Turnaround time 24 hours Test includes IgE, kU/L. Synonyms IgE CPT codes 82785 IMMUNOGLOBULIN G Order code IGG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Avoid repeat freeze-thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes IgG, mg/dL. Synonyms IgG CPT codes 82784 IMMUNOGLOBULIN G, CSF Order code IGG-C Container type CSF sterile plastic tube. Specimen type Spinal fluid Preferred volume 0.5 mL Specimen processing Store and transport refrigerated. Stability - room temp Not acceptable if not analyzed immediately. Stability - refrigerated 3 days Stability - frozen (-20°C) 3 months Minimum volume 0.3 mL Test schedule Daily Turnaround time 24 hours Test includes IgG, CSF, mg/dL. Synonyms IgG, CSF CPT codes 82784 IMMUNOGLOBULIN G, SUBCLASSES Order code IGGSB Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube and freeze. Store and transport frozen. 11/18/02 - 112 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 IMMUNOGLOBULIN M INFLUENZA A VIRUS ANTIBODY Required patient info Patient's age Stability - room temp 2 hours Stability - refrigerated 48 hours Stability - frozen (-20°C) 6 months Unacceptable conditions Plasma, lipemic, hemolyzed or microbially contaminated samples. Only one freeze/thaw cycle. Minimum volume 0.3 mL Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Immunoglobulin G Subclass 1, mg/dL; Immunoglobulin G Subclass 2, mg/dL; Immunoglobulin G Subclass 3, mg/dL; Immunoglobulin G Subclass 4, mg/dL. CPT codes 82787 x 4 IMMUNOGLOBULIN M Order code IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Avoid repeated freeze-thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes IgM, mg/dL. Synonyms IgM CPT codes 82784 IMMUNOGLOBULINS, A, G & M Order code AGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 1 mL Limitations Avoid repeat freeze-thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes IgA, mg/dL; IgG, mg/dL; IgM, mg/dL. Synonyms Quantitative Immunoglobulins; Immunoglobulin Profile CPT codes 82784 x 3 IMMUNOPHENOTYPING (LEUKEMIA/LYMPHOMA) Order code IPHEN The actual antibodies tested will vary for each patient. The fee will be dependent upon which particular antibodies are performed. Container type See below. Specimen type See below. Preferred volume See below. Collection procedure 14 mL ACD type A or B whole blood (yellow top tube), 5 mL EDTA whole blood (lavender top tube) and 2-4 peripheral blood smears. Maintain at room temperature. Specimen processing Store and transport at room temperature. Required patient info In accordance with CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if sample will arrive after 24 hours. Minimum volume 7 mL ACD and 2 mL EDTA Limitations Specimens must be processed within 48 hours of collection. Test schedule Mon-Sat days (Sun by special request) Turnaround time 72 hours Test includes Interpretation; Source; WBC, K/uL; Cell Type, %; Reviewed by; Note; CD1A, %; CD2, %; CD3, %; CD4, %; CD5, %; CD7, %; CD8, %; CD10, %; CD11B, %; CD11C, %; CD13, %; CD14 MO2, %; CD14 MY4, %; CD15, %; CD16, %;CD19, %; CD20, %; CD22, %; CD23, %; CD25, %; CD30, %; CD33, %; CD34, %; CD38, %; CD41, %; CD43, %; CD45, %; CD55, %; CD56, %; CD56 + CD16, %; CD57, %; CD59, %; CD61, %; CD62, %; CD62E, %; CD62P, %; CD64, %; CD71, %; CD90, %; CD103, %; CD117, %; CD138, %; HLA-DR, %; FMC7, %; IgD, %; IgG, %; IgM, %; Kappa, %; Lambda, %; MPO, %; TdT, %; Cyto CD3, %; Cyto CD22, %; BCL2, %; Cyclin D1, %; Multiple Drug Resistance, %; TCR Alpha/Beta, %; TCR Gamma/Delta, %; Glyco A, %; EMA, %; Cytokeratin, %; Additional Antibody, %; Additional Antibody, %; Additional Antibody, %; Additional Antibody, %; Additional Antibody, %; Additional Antibody, %, Additional Antibody, %; Additional Antibody, %; Additional Antibody, %; Additional Antibody, %. Synonyms Leukemia and Lymphoma Subsets; Leukemia and Lymphoma Phenotyping CPT codes This workpar uses billing only codes. Charges and coding will be dependent upon which antibody(s) are performed for each patient. The usual CPT code for each antibody is 88180. Notes Immunophenotyping also available on tissues, bone marrow, and body fluids. INDICANS, URINE (QUALITATIVE) Order code INDIC Container type Leakproof plastic urine container. Specimen type Frozen urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Alliquot 10 mL of a random urine specimeninto a leakproof plastic urine container and freeze. Store and transport frozen. Do not add preservatives. Minimum volume 6 mL Alternate specimens Refrigerated specimens. Test schedule Sun-Sat Turnaround time 2-4 days Test includes Indicans, Urine Qualitative. CPT codes 81005 INFLUENZA A & B VIRUS ANTIGEN Order code FLABAG Container type FlexTrans. Specimen type Throat and nasopharyngeal (NP) swabs, bronchial or nasal wash or BAL. Collection procedure Throat and nasopharyngeal (NP) swabs may be put in same FlexTrans tube. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Unacceptable conditions Sputum specimens. Test schedule Daily Turnaround time 24 hours Test includes Source; Influenza A and B Virus Antigen; Influenza A and B Virus Antigen Status. CPT codes 87400 x 2 Notes This procedure is done daily during the fall/winter respiratory season (Nov-May). This is the rapid EIA method for the detection of Influenza A and B Antigen. If the Flu A and B Antigen test is negative, a viral culture may be ordered to screen for other respiratory viruses. INFLUENZA A VIRUS ANTIBODY Order code FLU A Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Influenza A Virus Antibody, Titer. CPT codes 86710 11/18/02 - 113 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 INFLUENZA A VIRUS ANTIGEN INSULIN, SAMPLE 1 Notes This test is not intended to be a diagnostic tool for acute Influenza A infection. See the workpar FLUA.AG. INFLUENZA A VIRUS ANTIGEN Order code FLUA. AG Container type FlexTrans. Specimen type Throat and/or nasopharyngeal (NP) swabs, bronchial or nasal wash, or BAL Collection procedure Throat and nasopharyngeal (NP) swabs may be put in same FlexTrans tube. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Unacceptable conditions Sputum specimens. Test schedule Sun-Sat days Turnaround time 24 hours Test includes Source; Influenza A Antigen; Influenza A Antigen, Status. CPT codes 87400 Notes This procedure is done daily during the fall/winter respiratory season (Nov-May).`This is the rapid EIA method for the detection of Influenza A Antigen. If the Flu A Antigen test is negative, a viral culture may be ordered to screen for other respiratory viruses. INFLUENZA B VIRUS ANTIBODY Order code FLU B Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 dayw Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-6 days Test includes Influenza B Virus Antibody, Titer. CPT codes 86710 Notes This test is not intended to be a dignostic tool for acute Influenza B infection. See the workpar VIR.CULT.DFA. INFLUENZA B VIRUS ANTIGEN Order code FLUBAG Container type FlexTrans. Specimen type Throat and/or nasopharyngeal (NP) swabs, bronchial or nasal wash or BAL. Collection procedure Throat and nasopharyngeal (NP) swabs may be put in same FlexTrans tube. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Unacceptable conditions Sputum specimens. Test schedule Daily Turnaround time 24 hours Test includes Source; Influenza B Virus Antigen; Influenza B Virus Antigen Status. CPT codes 87400 Notes This procedure is done daily during the fall/winter respiratory season (Nov-May). This is the rapid EIA method for the detection of Influenza B Antigen. If the Flu B Antigen test is negative, a viral culture may be ordered to screen for other respiratory viruses. INSULIN ANTIBODY Order code INSULIN AB Patient Prep Draw from a fasting patient. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Unacceptable conditions Grossly hemolyzed specimens. Minimum volume 0.3 mL Test schedule Mon, Thu Turnaround time 5-7 days Test includes Insulin Antibody Pork, %; Insulin Antibody Beef, %; Insulin Antibody Human, %. CPT codes 86337 INSULIN ASSAY Order code INS Use this workpar to order a single INSULIN test. Patient Prep Patient should be fasting. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA, hemolysis and fluids other than serum. Minimum volume 1 mL Alternate specimens Heparin plasma (green top tube). Test schedule Mon-Fri Turnaround time 2-5 days Test includes Insulin, Fasting, µIU/mL. CPT codes 83525 INSULIN LIKE GROWTH FACTOR 1 Order code ILGF1 Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 18 months Unacceptable conditions All anitcoagulated specimens. Minimum volume 0.5 mL Test schedule Tue-Fri Turnaround time 4 days Test includes Insulin Like Growth Factor, ng/mL. Synonyms Somatomedin-C; Igf1 CPT codes 84305 INSULIN, FREE & TOTAL Order code INS.F&T Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA plasma or hemolyzed specimens. Minimum volume 1.1 mL Alternate specimens Sodium heparinized plasma (green top tube). Test schedule Mon, Thu Turnaround time 5-7 days Test includes Insulin, Free, uIU/mL; Insulin, Total, uIU/mL. Synonyms Free & Total Insulin CPT codes 83525, 83527 INSULIN, SAMPLE 1 Order code INS.S1 Use this workpar to order the first insulin when multiple specimens are collected. Patient Prep Patient should be fasting. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days 11/18/02 - 114 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 INSULIN, SAMPLE 2 IRON BINDING CAPACITY Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA, hemolysis and fluids other than serum. Minimum volume 1 mL Alternate specimens Heparin plasma (green top tube). Test schedule Mon-Fri Turnaround time 2-5 days Test includes Insulin, #1, µIU/mL; Insulin, Time 1. CPT codes 83525 INSULIN, SAMPLE 2 Order code INS.S2 Use this workpar to order the second insulin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA, hemolysis and fluids other than serum. Minimum volume 1 mL Alternate specimens Hepain plasma (green top tube). Test schedule Mon-Fri Turnaround time 2-5 days Test includes Insulin, #2, µIU/mL; Insulin, Time 2. CPT codes 83525 INSULIN, SAMPLE 3 Order code INS.S3 Use this workpar to order the third insulin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA, hemolysis and fluids other thatn serum. Minimum volume 1 mL Alternate specimens Heparin plasma (green top tube). Test schedule Mon-Fri Turnaround time 2-5 days Test includes Insulin, #3, µIU/mL; Insulin, Time 3. CPT codes 83525 INSULIN, SAMPLE 4 Order code INS.S4 Use this workpar to order the fourth insulin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA, hemolysis and fluids other than serum. Minimum volume 1 mL Alternate specimens Heparin plasma (green top tube). Test schedule Mon-Fri Turnaround time 2-5 days Test includes Insulin, #4, µIU/mL; Insulin, Time 4. CPT codes 83525 INSULIN, SAMPLE 5 Order code INS.S5 Use this workpar to order the fifth insulin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA, hemolysis and fluids other than serum. Minimum volume 1 mL Alternate specimens Heparin plasma (green top tube). Test schedule Mon-Fri Turnaround time 2-5 days Test includes Insulin, #5, µIU/mL; Insulin, Time 5. CPT codes 83525 INSULIN, SAMPLE 6 Order code INS.S6 Use this workpar to order the sixth insulin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum. Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA, hemolysis and fluids other than serum. Minimum volume 1 mL Alternate specimens Heparin plasma (green top tube). Test schedule Mon-Fri Turnaround time 2-5 days Test includes Insulin, #6, µIU/mL; Insulin, Time 6. CPT codes 83525 INSULIN, SAMPLE 7 Order code INS.S7 Use this workpar to order the seventh insulin when multiple specimens are collected. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Unacceptable conditions EDTA, hemolysis and fluids other than serum. Minimum volume 1 mL Alternate specimens Heparin plasma (green top tube). Test schedule Mon-Fri Turnaround time 2-5 days Test includes Insulin, #7, µIU/mL; Insulin, Time 7. CPT codes 83525 INTRINSIC FACTOR BLOCKING ANTIBODY Order code IBF Patient Prep For patients undergoing B12 therapy, wait 48 hours to one week prior to collecting specimen. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 2 months Minimum volume 0.3 mL Test schedule Mon, Wed, Fri Turnaround time 5-10 days Test includes Intrinsic Factor Blocking Antibody. CPT codes 86340 IRON BINDING CAPACITY Order code IBC 11/18/02 - 115 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 IRON STAIN JO-1 ANTIBODY Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure AM collection recommended. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 4 days Stability - refrigerated 1 week Unacceptable conditions Plasma specimens. Minimum volume 0.5 mL Limitations Avoid hemolysis. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Iron, µg/dL; Iron Binding Capacity, µg/dL; % Saturation, %. Synonyms TIBC CPT codes 83540, 83550 Preferred volume 10 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container with no preservative or metal caps or glued inserts. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container with no metal caps or glued inserts. Refrigerate within 4 hours of completion of collection.Record total volume and collection period. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 7 mL Test schedule Mon-Sat Turnaround time 2-5 days Test includes Collection Period, h; Volume, mL; Iron, Urine, ug/specimen Synonyms Fe, Urine CPT codes 83540 IRON STAIN ISOAGGLUTININ TITER, ANTI-A Order code FESTN Container type See below. Specimen type See below. Preferred volume See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips or slides, and/or 1 clot or biopsy in fixative. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Test schedule Mon-Sat Turnaround time 72 hours Test includes Source; Bone Marrow, Iron; Red Cell, Iron. CPT codes 88313 IRON, LIVER TISSUE Order code IRN.LVR Container type See below. Specimen type Tissue Preferred volume See below. Collection procedure A 2 mg piece of liver tissue is required for analysis. This is typically a piece of tissue from a 14-gauge needle biopsy at least 0.5 cm long. Submit specimen in a metal free snapcap vial available from PAML supply department. If other vial is used it should be plastic, rinsed with redistilled water and dried in clean air. Specimen processing Store and transport refrigerated. Required patient info Patient's age. Alternate specimens Paraffin block specimens if not more than one or two cuts have been made to it for slides. Test schedule Mon-Sat Turnaround time 7 days Test includes Iron (Liver Tissue), µg/g; Iron Index, µmol/g/yr. CPT codes 82190 IRON, TOTAL Order code IRN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Collection procedure Specimens should be collected in the morning from patients in a fasting state. Avoid hemolysis. Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 week Unacceptable conditions EDTA, oxalate or citrate plasma specimens. Minimum volume 0.3 mL Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Iron, µg/dL. Synonyms Fe CPT codes 83540 IRON, URINE Order code IRN-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Order code ANTIA Only valid for blood types B & O. Container type Red top tube (plain) Specimen type Serum and cells Preferred volume 5 mL serum and 2 mL cells Specimen processing Separate serum from cells and put each in separate plastic tube. Store and transport both tubes refrigerated or at room temperature. Required patient info Patient's blood type, age and diagnosis. Unacceptable conditions Serum separator tubes and gels. Minimum volume 5 mL serum and 1 ml cells Test schedule Mon-Sun Turnaround time 2-4 days Test includes Anti-A Titer. Synonyms Anti-A CPT codes 86886 ISOAGGLUTININ TITER, ANTI-B Order code ANTIB Only valid for blood types A & O. Container type Red top tube (plain) Specimen type Serum and cells Preferred volume 5 mL serum and 2 mL cells Specimen processing Separate serum from cells and place each in separate plastic tube. Store and transport both tubes refrigerated or at room temperature. Required patient info Patient's blood type, age and diagnosis. Unacceptable conditions Serum separator tubes and gels. Minimum volume 5 mL serum and 1 mL cells Test schedule Mon-Sun Turnaround time 2-4 days Test includes Anti-B. Synonyms Anti-B CPT codes 86886 ISONIAZID Order code ISON Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 4 mL Specimen processing Immediately separate serum from cells and place in separate plastic, foil-wrapped tube and freeze. Store and transport frozen. Minimum volume 0.5 mL Test schedule Varies Turnaround time 7-10 days Test includes Isoniazid, µg/mL. CPT codes 82491 JO-1 ANTIBODY Order code JO1.AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. 11/18/02 - 116 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 JOINT FLUID CHEM LACTIC ACID, CSF Stability - room temp 4 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma specimens or other body fluids. Minimum volume 0.5 mL Test schedule Tue, Thu, Sun Turnaround time 3-6 days Test includes JO-1, Units. CPT codes 86235 JOINT FLUID CHEM Order code JNT.SYN Container type Red top tube (plain), green top tube and lavender top tube (EDTA). Specimen type Synovial fluid. Preferred volume 6 mL Specimen processing Place 3 mL synovial fluid in red top tube and divide remainder in sodium heparinized tube (green top tube) and lavender top tube (EDTA). Transport immediately. Store and transport refrigerated. Minimum volume 1 mL in each tube. Test schedule Sun-Sat Turnaround time 24 hours Test includes Crystals; Crystal Identification; Specific Gravity; Fibrin. CPT codes 89051, 89060 KAPPA/LAMBDA LIGHT CHAIN RATIO Order code KAPPA.LAMBDA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum or plasma from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 72 hours Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma or lipemic specimens. Minimum volume 0.3 mL Test schedule Daily Turnaround time 24 hours Test includes Kappa Light Chain, mg/dL; Lambda Light Chain, mg/dL; Kappa/Lambda Ratio, Ratio. Synonyms K/LRatio CPT codes 83883 x 2 KELL ANTIGEN Order code KELL.AG Container type Red top tube (plain) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport refrigerated or at room temperature. Unacceptable conditions SST and other gel-type tubes. Alternate specimens EDTA whole blood (lavender top tube). Test schedule Varies Turnaround time 2-3 days Test includes Kell Antigen. CPT codes 86905 KETONES, URINE Order code KTN Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Alternate specimens Frozen specimens. Test schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround time 24 hours Test includes Ketones, Urine. Synonyms Acetone, Urine CPT codes 81005 KLEIHAUER BETKE (STAT ONLY) Order code KB This test can only be used to order a stat Kleihauer Betke. The correct workpar for all others is FETALF which is done by flow cytometry. Container type Lavender top tube (EDTA) Specimen type Whole blood and blood smears. Preferred volume 5 mL Collection procedure Maternal samples should be collected as soon after delivery as possible. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Stability - refrigerated 2 weeks Unacceptable conditions Frozen specimens. Minimum volume 1.5 mL Test schedule Daily Turnaround time 24 hours Test includes Source; Fetal Cells, %. Synonyms Fetal Hemoglobin; K-B CPT codes 85460 Notes Useful in determining the presence of fetal red blood cells in the maternal circulation. KOH WET MOUNT Order code KOH Container type See below. Specimen type See below. Preferred volume See below. Collection procedure Specify source of specimen and include any pertinent clinical information. Nail and Skin: Nail and skin scrapings should be from subsurface portion of the infected nail. Skin should be taken from active border of the lesion. Hair for dermatophytes: Place hair, including base of shaft, in sterile plastic container. Other specimens: submit in screw-capped leakproof plastic container or swab in culturette. Specimen processing Store and transport at room temperature. Test schedule Sun-Sat Turnaround time 24 hours Test includes Source; KOH Preparation. CPT codes 87220 LACTIC ACID, ARTERIAL Order code LACT.A Use this order code for arterial specimens only. Patient Prep Patient should be at complete rest. Container type Grey top tube (fluoride/oxalate) Specimen type Plasma Preferred volume 2 mL Collection procedure Draw arterial specimen. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Specimen processing Separate plasma from cells within 15 minutes and place in separate plastic tube. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Store and transport on ice or refrigerated. Stability - room temp 2 hours Unacceptable conditions Hemolyzed or serum specimen or specimen not separated from cells within 30 minutes Minimum volume 0.1 mL Limitations Values may elevate 20-50% after meals. Test schedule Daily Turnaround time 24 hours Test includes Lactic Acid, Arterial, mmol/L. Synonyms L-Lactate, Arterial; Lactate, Arterial CPT codes 83605 LACTIC ACID, CSF Order code LACT.CSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 0.2 mL Specimen processing Store and transport on ice or refrigerated. Minimum volume 0.1 mL Test schedule Daily 11/18/02 - 117 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 LACTIC ACID, VENOUS LD, CSF Turnaround time 24 hours Test includes Lactic Acid, CSF, mmol/L. Synonyms L-Lactate, CSF; Lactate, CSF CPT codes 83605 LACTIC ACID, VENOUS Order code LACT Use this order code for venous samples only. Patient Prep Patient should be at complete rest . Container type Grey top tube (fluoride/oxalate) Specimen type Plasma Preferred volume 2 mL Collection procedure Do not use stasis (tourniquet) or have patient pump their fist while drawing blood specimen. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Specimen processing Separate plasma from cells within 15 minutes and place in separate plastic tube. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Store and transport on ice or refrigerated. Stability - room temp 2 hours Unacceptable conditions Hemolyzed or serum specimen or specimen not separated from cells within 30 minutes. Minimum volume 0.1 mL Limitations Values may elevate 20-50% after meals. Test schedule Daily Turnaround time 24 hours Test includes Lactic Acid, Venous, mmol/L. Synonyms L-Lactate, Venous; Lactate, Venous CPT codes 83605 LACTOSE TOLERANCE Order code LACTOSE Patient Prep A. Mix 50 grams lactose (Lac-Tol) in 4 oz (120 cc) cool water. `B. For infants and children, give 2 grams lactose per kilo body weight. Container type Grey top tube (fluoride/oxalate) Specimen type Plasma Preferred volume 2 mL for each timed specimen Collection procedure Draw fasting, 30, 45, 60 and 90 minute samples for glucose levels. Note times of drawing. Specimen processing Separate plasma or serum from cells and place in separate plastic tube. If drawn in red top tubes separate within 45 minutes of collection. Clearly label specimens. Store and transport refrigerated. Alternate specimens Serum (red top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Dose, gms; Lactose Tolerance, Fasting, mg/dL; 30 minute, mg/dL; 45 minute, mg/dL; 60 minute, mg/dL; 90 minute, mg/dL. CPT codes 82951, 83952 x 2 LAMOTRIGINE Order code LAMTRI Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 5 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 6 months Minimum volume 0.6 mL Alternate specimens EDTA, heparinized, sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator or gel tubes. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Lamotrigine, ug/mL. CPT codes 80299 LAXATIVE SCREEN, STOOL Order code LAX.STOOL Container type Leakproof plastic container. Specimen type Frozen stool Preferred volume 20 mL Specimen processing Store and transport frozen. Minimum volume 1 gram Test schedule Varies Turnaround time 7-10 days Test includes Anthraquinones, mcg/g; Bisacodyl, mcg/g; Oxphenisatin, mcg/g; Phenolphthalein, mcg/g; Oils; Magnesium, mg/g; Phosphorus, mg/g stool. CPT codes 82489, 80103 LAXATIVE SCREEN, URINE Order code LAX Container type 24-hour dark plastic urine container. Specimen type Frozen urine, 24-hour or random Preferred volume 10 mL Collection procedure Collect a 24-hour or random urine specimen. Specimen processing Aliquot 10 mL of a 24-hour or random urine specimen. Store and transport frozen. Minimum volume 1 mL Test schedule Mon-Sat Turnaround time 2-5 days Test includes Laxative Screen (Phenolphthalein), Urine. Synonyms Phenolphthalein, Urine CPT codes 84999 LD Order code LDH Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Collection procedure Avoid hemolysis. Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport at room temperature. Stability - refrigerated 3 days Minimum volume 0.2 mL Alternate specimens EDTA or heparinized plasma (lavender or green top tube). Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes LD, U/L. Synonyms Lactate Dehydrogenase; LDH CPT codes 83615 Notes Frozen samples show decreased activity of isoenzymes LD4 and LD5 and thus a total LD activity that is decreased. LD ISOENZYMES BY ELECTROPHORESIS Order code LDI Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature. Stability - room temp 72 hours- no loss of activity in LD 2 or LD 3. Unacceptable conditions Hemolyzed, frozen or refrigerated specimens. Minimum volume 0.2 mL Test schedule Sun-Fri and STAT Turnaround time 24 hours Test includes LD, Total, U/L; LD1, %; LD2, %; LD3, %; LD4, %; LD5, %; LD1/LD2 Ratio. Synonyms LDH Isoenzymes By Electrophoresis CPT codes 83615, 83625 Notes Specimens must be in chemistry by 0800 to be run the same day. LD, CSF Order code LDSF Container type Sterile leakproof plastic container. Specimen type CSF Preferred volume 0.5 mL Specimen processing Store and transport immediately at room temperature. Minimum volume 0.2 mL Test schedule Daily 11/18/02 - 118 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 LD, FLUID LEAD, WHOLE BLOOD Turnaround time 24 hours Test includes LD, CSF, U/L. CPT codes 83615 LD, FLUID Order code LDH.FLD Container type Green top tube (sodium heparin) Specimen type Body fluid Preferred volume 1 mL Specimen processing Separate fluid from cells and place in separate plastic tube if specimen is grossly bloody. Note type of fluid. Store and transport at room temperature. Required patient info Type of fluid. Unacceptable conditions Frozen specimens. Minimum volume 0.2 mL Alternate specimens Specimens collected in plain red top tube or sterile container. Test schedule Daily Turnaround time 24 hours Test includes LD, Fluid, U/L. Synonyms LDH, Body Fluid CPT codes 83615 LDL CHOLESTEROL, DIRECT Order code DLDL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells within 4 hours and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 10 days Unacceptable conditions Grossly hemolyzed, icteric or frozen specimen. Minimum volume 0.3 mL Alternate specimens EDTA or sodium heparinized plasma (lavender or green top tube). Test schedule Sun-Fri Turnaround time 1-3 days Test includes LDL Cholesterol, Direct, mg/dL. Synonyms Direct LDL Cholesterol CPT codes 83721 LDL PARTICLE SIZE Order code LDLPS Patient Prep Patient must be fasting 12-14 hours. Nothing by mouth except water. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 2 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Test schedule Varies Turnaround time 2-3 weeks Test includes LDL Particle Size. CPT codes 83716, 82465, 83883 LEAD AND ZPP OSHA PROFILE Order code OSHAPR Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Frozen, hemolyzed or clotted samples and samples collected in citrate. Minimum volume 1 mL Alternate specimens Heparin whole blood (royal blue or green top tube). Test schedule Mon-Fri Turnaround time 2-4 days Test includes Lead, Blood, Industrial, µg/dL; Zinc Protoporphyrin, µmol/mol; ZPP-OSHA Calculation, µg/dL; Note. CPT codes 83655, 84203 LEAD, SERUM Order code LEAD.S Container type Royal blue top tube (metal free plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 0.5 mL Test schedule Sun-Fri Turnaround time 3-4 days Test includes Lead, Serum, mcg/dL. CPT codes 83655 Notes Whole blood is the preferred specimen for monitoring the uptake of inorganic lead. LEAD, URINE (QUANTITATIVE) Order code LEAD-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 50 mL Collection procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated. Required patient info pH, collection period and total volume. Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimens contaminated with blood or fecal materials. Minimum volume 5 mL Alternate specimens May add 20mL 6N HNO3 at end of collection. Shake well and let stand for 2 hours shaking every 15 minutes. Adjust pH to 2. Test schedule Tue-Thu Turnaround time 2-4 days Test includes Collection Period, h; Volume, mL; Lead, Urine, µg/L; Lead, Urine, µg/24h. Synonyms Pb, Urine CPT codes 83655 LEAD, URINE (RANDOM) Order code LEAD-RU Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 50 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 50 mL of a random urine specimen. Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated. Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimen contaminated with blood or fecal material. Minimum volume 5 mL Test schedule Tue-Thu Turnaround time 2-4 days Test includes Lead, Urine, µg/L. CPT codes 83655 LEAD, WHOLE BLOOD Order code LEAD This test cannot be done if royal blue top tubes with no additive are submitted. Container type Royal blue top tube (metal free heparin) Specimen type Whole blood 11/18/02 - 119 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 LEGIONELLA ANTIBODY, IGG/IGM/IGA LEUCINE AMINOPEPTIDASE Preferred volume 5 mL Specimen processing Store and transport refrigerated. Required patient info Birthdate Stability - room temp 48 hours Stability - refrigerated 2 weeks Unacceptable conditions Frozen or clotted specimen, specimen collected in oxalate anticoagulant, specimen separated from cells. Samples collected in royal blue top tubes with no additive. Minimum volume 0.5 mL Alternate specimens EDTA whole blood ( green or lavender top tube) or 2 EDTA microtainers (well-mixed). Limitations For specimens collected in microtainers contamination is possible. If value is elevated result will be reported with comment suggesting redraw in 5 mL EDTA vacutainer. Test schedule Sun-Fri Turnaround time 1-3 days Test includes Lead, Blood, µg/dL. Synonyms Pb, Whole Blood CPT codes 83655 LEGIONELLA ANTIBODY, IGG/IGM/IGA Test includes Legionella Antigen, Urine. CPT codes 87449 LEGIONELLA SMEAR OR TISSUE Order code LEG.SM Container type Sterile screw-capped plastic container. Specimen type Bronchial washings, bronchoalveolar lavage, pleural fluid, sputum or transtracheal aspirate Collection procedure A minimum of 5 slides must be prepared. Prepare the slides by placing 2 separate dime sized applications of the specimen on each slide. Allow slides to air dry. Specimen source must be on request. Specimen processing Transport specimen refrigerated. Smears prepared by client may be sent at room temperature. Required patient info Specimen source. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Legionella. CPT codes 87300 x 2 Notes For fresh lung tissue, a culture is recommended. Order code LEG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Draw acute sample within 1 week of onset and convalescent sample 4-6 weeks after onset. Specimen processing Separate serum from cells and place in separate plastic tube. Store and trasport refrigerated. Stability - room temp 8 hours Stability - refrigerated 48 hours Stability - frozen (-20°C) 6 months Unacceptable conditions Plasma, lipemic icteric, hemolyzed, heat inactivated sera or repeat freeze/thaw cycles. Minimum volume 0.5 mL Test schedule Tue, Fri Turnaround time 2-5 days Test includes Legionella Antibody, IgG/IgM/IgA, ODR. CPT codes 86713 Notes Serological detection of IgG/IgM/IgA antibodies to Legionella pneumophilia serogroups 1-6. LEISHMANIA ANTIBODY PANEL LEGIONELLA FA STAIN LEPTOSPIROSIS ANTIBODY Order code LEGION.FA Container type Sterile leakproof plastic container. Specimen type Tracheal, bronchial washings, sputum or other respiratory specimens Preferred volume 5-10 mL Specimen processing Store and transport refrigerated. Required patient info Specimen source. Minimum volume 2 mL Alternate specimens Two smears made from the specimen as you would prepare a gram stain, air dried and transported in a slide transport pack. Test schedule Mon, Wed, Fri Turnaround time 24-48 hours Test includes Source; Legionella FA Stain; Legionella FA Stain, Status. CPT codes 87278 LEGIONELLA PNEUMOPHILA ANTIGEN, URINE Order code LEGAGU Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 1 mL Collection procedure Collect a random urine in a leakproof plastic urine container. Specimen processing Store and transport refrigerated or frozen. Stability - room temp 24 hours or less Stability - refrigerated 14 days Stability - frozen (-70°C) 14 days or more Minimum volume 1 mL Test schedule Sun-Sat Turnaround time 3-5 days Order code LEISAB This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.25 mL Test schedule Tue, Thu Turnaround time 3-7 days Test includes Leishmania donovani Antibody, IgG; Leishmania donovani Antibody, IgM; Interpretation; Leishmania braziliensis Antibody, IgG; Leishmania braziliensis Antibody, IgM; Interpretation; Leishmania mexicana Antibody, IgG; Leishmania mexicana Antibody, IgM; Interpretation; Leishmania tropicalis Antibody, IgG; Leishmania tropicalis Antibody, IgM; Interpretation. CPT codes 86717 x 8 Order code LEPTOSPIROSIS Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Leptospira Antibody, Titer. CPT codes 86720 LEUCINE AMINOPEPTIDASE Order code LEUCINE Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 4 days Stability - refrigerated 1 week Stability - frozen (-20°C) 3 weeks Alternate specimens Frozen sodium heparinized, fluoride/oxalate, citrate or EDTA plasma (green, grey, blue or lavender top tube). Test schedule Tue, Thu Turnaround time 3-7 days Test includes Leucine Aminopeptidase, U/mL. 11/18/02 - 120 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 LEUKOCYTE ALKALINE PHOSPHATASE STAIN LIPID PROFILE Synonyms LAP CPT codes 83670 LEUKOCYTE ALKALINE PHOSPHATASE STAIN Order code SS.LAP This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Preferred volume See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips from non-anticoagulated blood & 3 mL EDTA (lavender top tube) If EDTA tube is not available please include CBC results from the day of collection. Specimen processing Protect from light, store and transport at room temperature. Unacceptable conditions Specimens not received within 12 hours of collection or EDTA smear. Test schedule Mon-Sat days Turnaround time 72 hours Test includes Source; Leukocyte Alkaline Phosphatase Stain; Interpretation; Reviewed by. Synonyms Cytochem Stain, Leukocyte Alkaline Phosphatase CPT codes 85540 Notes Slides processed with 8 hours of collection are optimal. LEVETIRACETAM Order code KEPPRA Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature. Minimum volume 0.1 mL Test schedule Mon-Fri Turnaround time 4-6 days Test includes Levetiracetam, µg/mL. Synonyms Keppra CPT codes 82491 LIBRIUM Order code LIB Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze within 2-4 hours of collection. Store and transport frozen. Minimum volume 1 mL Alternate specimens Frozen sodium heparinized, fluoride/oxalate or EDTA plasma (green, grey or lavender top tube). Limitations Protect from light. Avoid the use of serum separator tubes and gels. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Librium, µg/mL; Nordiazepam, µg/mL. Synonyms Chlordiazepoxide CPT codes 80154 x 2 LIDOCAINE Order code LIDOCN Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw 12 hours after initial dose and just prior to subsequent doses. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Unacceptable conditions Serum from SST or gel tubes. Minimum volume 0.3 mL Alternate specimens Heparin, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Test schedule Sun-Sat Turnaround time 1-2 days Test includes Lidocaine, µg/mL. Synonyms Xylocaine CPT codes 80176 LIPASE Order code LIPASE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Plasma specimens. Minimum volume 0.2 mL Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Lipase, U/L. CPT codes 83690 LIPASE, URINE Order code LIPU Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 5 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 5 mL of a random urine specimen. Store and transport refrigerated. Stability - room temp 7 days Stability - refrigerated 14 days Stability - frozen (-20°C) 2 months Test schedule Mon, Wed, Fri Turnaround time 7-9 days Test includes Lipase, Urine, U/L. CPT codes 83690 LIPID ASSOCIATED SIALIC ACID Order code LASA Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp unstable Stability - refrigerated unstable Stability - frozen (-20°C) 1 month Unacceptable conditions Non-frozen samples. Minimum volume 0.1 mL Limitations Samples lose up to 25% LASA in 24 hours if left at room temperature. Test schedule Wed Turnaround time 3-7 days Test includes LASA, mg/dL. Synonyms LASA CPT codes 84275 LIPID PROFILE Order code LIPID Patient Prep Patient should be fasting 12-14 hours prior to collection. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 week Unacceptable conditions Oxalate, citrate or fluoride plasma specimens. Minimum volume 1 mL Alternate specimens EDTA or heparinized plasma (lavender or green top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Cholesterol, mg/dL; Triglyceride, mg/dL; HDL, mg/dL; 11/18/02 - 121 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 LIPOPROTEIN (A) LSD LDL (Calculated), mg/dL; LDL/HDL Ratio; CHO/HDL Ratio. Synonyms Coronary Risk Profile; Lipid Screen; LDL (Calculated); Test includes Lithium, mmol/L. CPT codes 80178 CPT codes 80061 LORAZEPAM HDL/Lipid Profile LIPOPROTEIN (A) Order code LPA Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Collection procedure Patient should be fasting. Specimen processing Separate serum from cells within 2 hours of collection and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 48 hours Stability - frozen (-20°C) 3 months Minimum volume 0.3 mL Alternate specimens EDTA, sodium or lithium heparin plasma (lavender or green top tube). Test schedule Mon-Fri Turnaround time 2-4 days Test includes Lipoprotein (a), mg/dL. CPT codes 82172 LIPOPROTEIN ELECTROPHORESIS Order code LIPELP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 72 hours Stability - refrigerated 72 hours Unacceptable conditions Frozen specimens. Minimum volume 1 mL Limitations Do not freeze this specimen. Test schedule Mon-Sun Turnaround time 3-8 days Test includes Cholesterol, mg/dL; Triglyceride, mg/dL; Chylomicrons; Beta Lipoproteins, %; Pre Beta Lipoproteins, %; Alpha Lipoproteins, %; Appearance; Intrepretation. CPT codes 83715, 82465, 84478 LISTERIA AGGLUTININS Order code LIST Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Test schedule Varies Turnaround time 5-10 days Test includes Listeria Agglutinins. CPT codes 86171 LITHIUM Order code LI Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next dose. Note times of dose and drawing. Specimen processing Separate serum from cells within 4 hours and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) Indefinitely Unacceptable conditions Urine specimens. Minimum volume 0.2 mL Limitations Avoid the use of serum separator tubes and gels. Do not use any anticoagulant containing sodium or llithium. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Order code LOR Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated . Stability - room temp 12 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 2 weeks Minimum volume 1.2 mL Alternate specimens Sodium heparinized, fluoride/oxalate or EDTA plasma (green, grey or lavender top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Lorazepam, ng/mL. Synonyms Ativan CPT codes 80154 LOW MOLECULAR WEIGHT HEPARIN Order code LMW.HEPARIN Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume Two 1 mL aliquots Collection procedure Draw specimen 3-4 hours post LMWH dose. Blood/anticoagulant volume is critical. Specimen processing Separate plasma from cells within 1 hour of collection and put in separate plastic tube and cap. Respin plasma for 10 minutes. Separate respun plasma into 2 plastic tubes, cap and freeze at -20°C or lower. Store and transport frozen. Required patient info Indicate type, dose, concentration of LMWH and time specimen drawn. Stability - room temp 2 hours Stability - frozen (-20°C) 1 month Unacceptable conditions Specimens that are not double-spun, clotted or improper blood/anticoagulant volume. Minimum volume Two 0.5 mL aliquots Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Anti Xa, IU/mL. Synonyms Anti-Xa; LMWH Assay; Anti-Factor XA Assay CPT codes 85520 Notes Inappropriate sample collection or handling may lead to the release of platelet factor 4 (PF4), which is a potent inhibitor of heparin. LOXAPINE Order code LOX Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Collection procedure Draw peak levels 1-2 hrs post dose. Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Required patient info Note times of dose and drawing. Alternate specimens EDTA plasma (lavender top tube). Limitations Protect from light. Test schedule Tue, Thu Turnaround time 7-10 days Test includes Loxapine, ng/mL; 8-Hydroxy-Loxapine, ng/mL. Synonyms Loxitane; Daxoline CPT codes 82492 LSD Order code LSD Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Protect from light. Store and transport 11/18/02 - 122 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 LSD, URINE LYME (B. BURGDORFERI) ANTIBODY, IGG/IGM BY WESTERN BLOT refrigerated or at room temperature. Minimum volume 0.5 mL Limitations Protect from light. Avoid contact with glass. Test schedule Sun-Fri Turnaround time 3-5 days Test includes LSD, ng/mL. CPT codes 80101 LSD, URINE Order code LSD-U Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 20 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 20 mL of a random urine specimen. Protect from light. Store and transport refrigerated or at room temperature. Minimum volume 10 mL Limitations Protect from light. Avoid contact with glass. Test schedule Sun-Fri Turnaround time 3-5 days Test includes LSD, Urine, ng/mL. CPT codes 80101 LUPUS ANTICOAGULANT (REFLEXIVE) Order code LUPUS Unable to test for lupus inhibitor with heparin inhibitor present. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2 mL Collection procedure Send normal patient control identically drawn and processed. Specimen processing Centrifuge and separate plasma and respin. Use plastic pipette and transfer platelet-poor plasma into two separate plastic tubes and freeze. Clearly label specimens. Store and transport frozen. Stability - refrigerated 4 hours Unacceptable conditions Unable to test for lupus inhibitor with heparin inhibitor present. Minimum volume 2 mL Limitations Blood/anticoagulant volume is critical. Test schedule Daily Turnaround time 1-3 days Test includes Protime, Patient; PT, PT/Control Mix, sec; Thrombin Time, PT, sec; Thrombin Time, PT/PS Mix, sec; aPTT, Patient, sec; aPTT, Control Plasma, sec; aPTT, PT/Control Mix, sec; PNP, sec; dRVTT, sec; dRVTT Mix Ratio; dRVTT Confirm Ratio; dRVTT Confirm Mix Ratio. Synonyms Lupus Inhibitor; Lupus-like Inhibitor; Antiphospholipid Antibody CPT codes 85610, 85730, 85670 LUTEINIZING HORMONE Order code LH Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 14 days Stability - frozen (-20°C) 12 months Minimum volume 0.3 mL Test schedule Daily Turnaround time 24 hours Test includes LH, mIU/mL. Synonyms Lutropin; LH CPT codes 83002 LUTEINIZING HORMONE & FOLLICLE STIMULATING HORMONE Order code LH/FSH Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 14 days Stability - frozen (-20°C) 12 months Unacceptable conditions Hemolyzed specimen or specimen other than serum. Minimum volume 0.7 mL Test schedule Daily Turnaround time 24 hours Test includes LH, mIU/mL; FSH, mIU/mL. Synonyms Lutropin and Follitropin, Serum; LH and FSH CPT codes 83002, 83001 LYME (B. BURGDORFERI) ANTIBODY BY WB & ELISA Order code LYME.WB Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1 mL Test schedule ELISA-Mon, Wed evenings; WB-Fri Turnaround time 7 days Test includes B.burgdorferi Antibody, IgG/IgM, ODR; RPR. Synonyms Borrelia burgdorferi Antibody By WB & EIA; B. burgdorferi Antibody By WB & EIA CPT codes 86618, 86617 x 2 LYME (B. BURGDORFERI) ANTIBODY, CSF Order code LYMECF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 3 mL Specimen processing Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Contaminated specimens. Minimum volume 1 mL Limitations Avoid repeat freeze/thaw cycles. Test schedule Sun, Tue, Thu, Fri Turnaround time 4-7 days Test includes Lyme (B. burgodorferi) Anitbody, CSF, LIV. Synonyms B. burgdorferi Antibody, CSF CPT codes 86618 LYME (B. BURGDORFERI) ANTIBODY, IGG/IGM BY EIA Order code LYME This is a routine screening test for Lyme disease. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon, Wed evenings Turnaround time 2-4 days Test includes B. burgdorgeri Antibody, IgG/IgM, ODR; RPR. Synonyms B. burgdorferi Antibody; Borrelia burgdorferi Antibody CPT codes 86618 Notes If test is positive, an RPR is performed at no additional charge to rule out cross-reactivity. LYME (B. BURGDORFERI) ANTIBODY, IGG/IGM BY WESTERN BLOT Order code LYMCON Includes IgG and IgM. Container type Brick top tube (SST or Corvac) 11/18/02 - 123 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 LYME (B. BURGDORFERI) ANTIBODY, IGM MAGNESIUM, URINE (QUANTITATIVE) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1 mL Test schedule Fri Turnaround time 7 days Test includes B.Borgorferi Antibody by WB, IgG, B.Borgdorferi Antibody by WB, IgM; Interpretation for Lyme IgG by WB; Interpretation for Lyme IgM by WB. CPT codes 86617 x 2 Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions CSF and other body fluids. Minimum volume 1 mL Test schedule Mon, Thu Turnaround time 3-6 days Test includes Sulfated Gluconic Acid Paragloboside (SGPG) Antibody, IgM; Myelin-Associated Glycoprotein (MAG) Antibody, IgM. Synonyms Myelin-Associated Glycoprotein Anitbody, IgM; LYME (B. BURGDORFERI) ANTIBODY, IGM MAGNESIUM Order code LYME.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 1 week Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 6-9 days Test includes Lyme, IgM, Index. Synonyms B. burgdorferi, IgM; Borrelia burgdorferi, IgM CPT codes 86618 LYME (B. BURGDORFERI) BY PCR Order code LYMPCR Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Sterile technique is required for handling all samples. Separate serum from cells and place in separate sterile plastic tube and freeze. Store and transport frozen. Required patient info Source Stability - room temp 4 hours (except tissue) Stability - refrigerated 3 days (except tissue) Stability - frozen (-20°C) 1 year Unacceptable conditions Heparinized samples, non-sterile or leaking containers, frozen or clotted whole blood, and severely hemolyzed samples. Minimum volume 1 mL Alternate specimens 3-5 mm3 skin punch biopsy snap-frozen and sent on dry ice; 2 mL frozen CSF, synovial fluid or plasma. Test schedule Assay-Tue, Thu, Sat; DNA-Sun, Wed, Fri Turnaround time 3-7 days Test includes Source; Lyme by PCR. CPT codes 87476 LYSOZYME Order code MUR Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Alternate specimens CSF, tears, and other body fluids. Refrigerated specimens are acceptable. Test schedule Mon-Thu Turnaround time 4-7 days Test includes Lysozyme, ug/mL. Synonyms Muramidase CPT codes 85549 MAG ANTIBODY, IGM Order code MAGMAB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Sulfated Gluconic Acid Paragloboside (SGPG) CPT codes 83520 x 2 Order code MAG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.2 mL Limitations Avoid hemolysis. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Magnesium, mg/dL. Synonyms Mg CPT codes 83735 MAGNESIUM, FLUID Order code MAG.FLD Container type Green top tube (sodium heparin) Specimen type Body Fluid Preferred volume 0.5 mL Specimen processing Separate fluid from cells and place in separate plastic tube if specimen is grossly bloody. Note type of fluid. Store and transport refrigerated. Required patient info Type of fluid. Minimum volume 0.2 mL Alternate specimens Specimens collected in plain red top tube or sterile tube. Test schedule Daily Turnaround time 24 hours Test includes Magnesium, Fluid, mg/dL. Synonyms Mg, Fld CPT codes 83735 MAGNESIUM, RBC Order code MAG.RBC Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Wrap each tube in an insulating covering. Store and transport refrigerated or on wet ice if appropriate. Stability - refrigerated 7 days Unacceptable conditions Clotted, hemolyzed, frozen, ambient or heparinized whole blood specimens. Minimum volume 3 mL Alternate specimens K2 EDTA whole blood (tan top tube). Limitations Do not allow sample to freeze or reach room temperature. Test schedule Tue, Fri Turnaround time 2-9 days Test includes Magnesium, RBC, mmol/L. Synonyms Mg, RBC CPT codes 83735 MAGNESIUM, URINE (QUANTITATIVE) Order code MAG-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 25 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. 11/18/02 - 124 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 MAGNESIUM, URINE (RANDOM) MELANIN, URINE Specimen processing Aliquot 25 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1 with 6N HCl. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Magnesium, Urine, mg/24h. Synonyms Mg, Urine CPT codes 83735 MAGNESIUM, URINE (RANDOM) Order code MAG-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 25 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 25 mL of a random urine collection. Adjust pH to 1 with 6 N HCL. Store and transport refrigerated. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Magnesium, Urine, mg/dL. Synonyms Mg, Urine, Random CPT codes 83735 MANGANESE Order code MAN.S Container type Royal blue top tube (metal free plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 0.7 mL Limitations Do not allow the serum to sit on the cells and avoid the use of glass. Test schedule Tue, Thu, Sat Turnaround time 5-10 days Test includes Manganese, µg/L. Synonyms Mn CPT codes 83785 MANGANESE, BLOOD Order code MAN.BLD Container type Tan top tube (K-EDTA) Specimen type Whole blood Preferred volume 7 mL Specimen processing Store and transport refrigerated or at room temperature. Minimum volume 0.7 mL Alternate specimens EDTA whole blood (lavender top tube). Test schedule Varies Turnaround time 9-11 days Test includes Manganese, µg/L. Synonyms Mn, Blood CPT codes 83785 MANGANESE, URINE (QUANTITATIVE) Order code MAN-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 10 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container preserved with 12N HCL (0.1 mL HCL per 10 mL urine). Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 5 mL Test schedule Tue, Thu, Sat Turnaround time 5-10 days Test includes Collection Period, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Manganese, Urine, µg/L; Manganese, Urine, µg/d; Manganese, Urine, µg/gCr. Synonyms Mn, Urine CPT codes 83785 MAPROTILINE Order code LUD Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Test schedule Mon-Fri Turnaround time 3-7 days Test includes Maprotiline, ng/mL. Synonyms Ludiomil CPT codes 82491 MECONIUM DRUG & ALCOHOL SCREEN Order code MECALC This test screens for the following drugs: amphetamines, cocaine metabolite, cannabinoids (THC), opiates, PCP and alcohol. If the screening test is positive confirmation will be done. Container type Sterile leakproof plastic container. Specimen type Meconium Preferred volume 2 grams Collection procedure Recommend collecting all meconium from first passage until transitional stool. Specimen processing Store and transport refrigerated. Stability - room temp 14 days Stability - refrigerated 30 days Stability - frozen (-20°C) 1 year Unacceptable conditions Yellow stool specimens. Minimum volume 2 grams Test schedule Daily Turnaround time 1-3 days Test includes Meconium Drug & Alcohol Screen. CPT codes 80101 x 14 MECONIUM DRUG SCREEN Order code MEC This test screens for the following drugs: amphetamines, cocaine metabolite, cannabinoids (THC), opiates, and PCP. If the screening test is positive, confirmation will be done. Container type Sterile leakproof plastic container. Specimen type Meconium Preferred volume 2 grams Collection procedure Recommend collecting all meconium from first passage until transitional stool. Specimen processing Store and transport refrigerated. Stability - room temp 14 days Stability - refrigerated 30 days Stability - frozen (-20°C) 1 year Unacceptable conditions Yellow stool specimens. Minimum volume 2 grams Test includes Meconium Drug Screen. CPT codes 80101 x 5 MELANIN, URINE Order code MEL.SCR Container type Leakproof plastic urine container. Specimen type Frozen urine, random Preferred volume 20 mL Collection procedure Collect a random urine specimen. Refrigerate during collection. Specimen processing 20 mL aliquot of a random urine specimen. Protect from light. Store and transport frozen. Unacceptable conditions Specimen allowed to sit at room temperature over 2 hours. Minimum volume 8 mL 11/18/02 - 125 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 MENINGOENCEPHALITIS COMPREHENSIVE PANEL MERCURY, URINE (RANDOM) Limitations Protect from light. Test schedule Mon-Fri Turnaround time 2-4 days Test includes Melanin, Urine. CPT codes 81005 Notes All positives confirmed using nitroprusside. MENINGOENCEPHALITIS COMPREHENSIVE PANEL Minimum volume 1 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Test schedule Mon-Fri Turnaround time 3-5 days Test includes Mephobarbital, µg/mL. Synonyms Mebaral CPT codes 82205 Order code MENPAN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1.8 mL Test schedule Tue, Thu, Sat Turnaround time 3-5 days Test includes Adenovirus Antibody; California Encephalitis (La Crosse Virus) Antibody; Coxsackie Type A Antibody Panel; Coxsackie Type B Antibody Panel; Cytomegalovirus (CMV) IgG and IgM; Eastern Equine Encephalitis Antibody Panel; Echovirus Antibody Panel; Herpes SimplexVirus (HSV) 1/2, IgG and IgM Antibody Panel; Influenza Types A and B Antibody; Lymphocytic Choriomeningitis (LCM) Antibody; Measles (Rubeola) IgG and IgM Antibody Panel; Mumps Antibody Panel; St. Louis Encephalitis Virus Antibody; Varicella-Zoster Virus Antibody; Western Equine Encephalitis Antibody Panel. CPT codes 86727 x 2, 86765 x 2, 86735 x 2, 86644, 86645, 86652 x 2, 86651 x 2, 86653 x 2, 86654 x 2, 86603, 86171 x 2, 86658 x 17, 86171, 86696, 86694, 86695. MEPROBAMATE & CARISOPRODOL MEPERIDINE MERCURY, URINE (QUANTITATIVE) Order code MER Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Mon-Fri Turnaround time 5-7 days Test includes Meperidine, µg/mL; Normeperidine, µg/mL. Synonyms Demerol CPT codes 83925 MEPHENYTOIN & METABOLITE Order code MEPHE Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Unacceptable conditions Specimens drawn using serum separator tubes or gels. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Mephenytoin, mcg/mL; Normephenytoin, mcg/mL. Synonyms Mesantoin CPT codes 82492 MEPHOBARBITAL Order code MEBARAL Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 1 day Stability - refrigerated 10 days Stability - frozen (-20°C) 10 days Order code MEPROBAMATE Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 7 days Stability - refrigerated 1 month Stability - frozen (-20°C) 3 months Minimum volume 0.8 mL Alternate specimens Heparinized, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Meprobamate, µg/mL; Carisoprodol, µg/mL. Synonyms Equanil CPT codes 83805 Order code MERC-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 50 mL Collection procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Adjust pH to 2. Store and transport refrigerated. Required patient info pH, collection period and total volume. Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimens contaminated with blood or fecal materials. Minimum volume 5 mL Alternate specimens May add 20 mL 6N HNO3 at end of collection. Shake well and let stand for 2 hours shaking every 15 minutes. Adjust pH to 2. Limitations Urine volume increases with Dimercaprol and penicilliame when used to treat poisoning. Test schedule Sun, Tue, Thu Turnaround time 2-5 days Test includes Collection Period, h; Volume, mL; Mercury, Urine, µg/L; Mercury, Urine, µg/24h. Synonyms Hg, Urine CPT codes 83825 MERCURY, URINE (RANDOM) Order code MERC-RU Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 50 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 50 mL of a random urine specimen. 11/18/02 - 126 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 MERCURY, WHOLE BLOOD METHEMOGLOBIN (QUANTITATIVE) Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated. Required patient info pH Stability - room temp 72 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Specimens contaminated with blood or fecal material. Minimum volume 5 mL Test schedule Sun, Tue, Thu Turnaround time 2-4 days Test includes Mercury, Urine, µg/L. Synonyms Hg, Urine (Random) CPT codes 83825 MERCURY, WHOLE BLOOD Order code MERC Container type Tan top tube (K-EDTA) Specimen type Whole blood Preferred volume 3 mL Specimen processing Store and transport refrigerated or at room temperature. Minimum volume 1 mL Alternate specimens EDTA whole blood (lavender top tube). Test schedule Mon-Fri Turnaround time 3-7 days Test includes Mercury, µg/L. CPT codes 83825 Notes If sample is drawn and stored in the appropriate container, the trace element values do not change with time. METABOLIC SCREEN, URINE Order code METABOLIC.SCR Patient Prep Patient should collect the urine specimen after a meal. Container type Leakproof plastic urine container. Specimen type Frozen urine, random Preferred volume 10 mL Specimen processing 10 mL aliquot of a random urine specimen. Store and transport frozen. Required patient info Patient's age, presence of infection, diet and drugs. Minimum volume 10 mL Test schedule Tue, Fri Turnaround time 5-10 days Test includes Metabolic Screen. CPT codes 81002, 82009, 82448, 83864 pH to 1-3 and freeze. Record collection time and total volume. Store and transport frozen. Required patient info Collection period and total volume. Stability - refrigerated 48 hours if acidified Minimum volume 5 mL Alternate specimens 24-hour urine collected with 10 grams of boric acid, or 25 mL of 50% acetic acid and then pH to 1-4 with 6N HCl. Specimens may also be refrigerated during collection without a preservative and then pH adjusted to 1-4 with 6N HCl upon receipt. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Collection Period, h; Volume, mL; Metanephrines, mg/24h; Normetanephrine, mg/24h; Metanephrines, Total, mg/24h. CPT codes 83835 METANEPHRINES, TOTAL, URINE Order code MET Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type Frozen 24-hour urine collection Preferred volume 30 mL Collection procedure Add 25 mL 6N HCl to 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 30 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-3 with 6N HCl and freeze. Record collection time and total volume. Store and transport frozen. Required patient info Collection period and total volume. Stability - refrigerated 1 week Stability - frozen (-20°C) 1 month Unacceptable conditions Specimens not collected with acid. Minimum volume 5 mL Alternate specimens 24-hour urine collected with 10 grams of boric acid, or 25 mL of 50% acetic acid and then pH to 1-4 with 6N HCl. Specimens may also be refrigerated during collection without a preservative and then pH adjusted to 1-4 with 6N HCl upon receipt. Limitations False positives can be seen with stress. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Collection Period, h; Volume, mL; Metanephrines, Total Urine, mg/24h. CPT codes 83835 METALS (CADMIUM, MERCURY, TELLURIUM) METANEPHRINES, URINE (RANDOM) Order code METALS Use of this trace metal free tube is important to avoid specimen contamination. Container type Royal blue top tube (metal free heparin) Specimen type Whole blood Preferred volume 7 mL Collection procedure Recommend specimen be drawn at end of shift at end of patient's work week. Minimum volume 4 mL Test schedule Varies Turnaround time 5-10 days Test includes Cadmium, µg/L; Mercury, µg/L; Tellurium, µg/dL. CPT codes 82300, 83825, 83018 Order code MET-R Container type Leakproof plastic urine container. Specimen type Frozen urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine collection. Adjust pH to 1-3 with 6N HCl and freeze. Store and transport frozen. Stability - refrigerated 1 week Stability - frozen (-20°C) 1 month Minimum volume 5 mL Limitations False positives can be seen with stress. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Metanephrines, Urine, Random, mg/L. CPT codes 83835 METANEPHRINES (FRACTIONATED) METHEMOGLOBIN (QUANTITATIVE) Order code MET.FRAC Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type Frozen 24-hour urine collection Preferred volume 30 mL Collection procedure Add 25 mL 6N HCl to a 24-hour dark plastic urine container at the start of the collection. Refrigerate during collection. Specimen processing Aliquot 30 mL of a well-mixed preserved 24hour urine collection into a leakproof plastic urine container. Adjust Order code METHGB QUAN Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Collection procedure Fill EDTA lavender top tube completely. Specimen processing Do not remove stopper. Store and transport on wet ice. Stability - room temp 30 minutes; Stable 4 hours on wet ice. Unacceptable conditions Tube that has been opened or tube left at room temperature longer than 30 minutes or longer than 4 hours on ice. Minimum volume 0.5 mL 11/18/02 - 127 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 METHOTREXATE MEXILETINE Alternate specimens Sodium heparinized whole blood (green top tube). Test schedule Sun-Sat Turnaround time 24 hours Test includes Hemoglobin, g/dL; CO, %; Methemoglobin, %. Synonyms MetHb CPT codes 83050 METHOTREXATE Order code METHO Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Stability - room temp 4 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 6 months Unacceptable conditions Specimens collected in serum separator or other gel type tubes. Minimum volume 2 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube) Limitations Protect from light. Test schedule Sun-Sat Turnaround time 3-4 days Test includes Methotrexate, µmol/L. CPT codes 80299 METHSUXIMIDE Order code CELONTIN Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 5 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 month Minimum volume 0.8 mL Alternate specimens Heparinized, EDTA, or sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Methsuximide, µg/mL; Normethsuximide, µg/mL; Total, µg/mL. Synonyms Celontin CPT codes 83858 METHYLMALONIC ACID Order code MMA Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp unstable Stability - refrigerated 4 days Stability - frozen (-20°C) 1 month Unacceptable conditions Specimens received at room temperature. Minimum volume 1 mL Alternate specimens EDTA, heparin, sodium fluoride potassium oxalate or citated plasma (laveneder, green, grey or blue top tube). Test schedule Mon-Fri Turnaround time 3-5 days Test includes Methylmalonic Acid, µmol/L. CPT codes 83921 METHYLMALONIC ACID, URINE Order code MAUQ Container type 24-hour dark plastic urine container. Specimen type 24-hour or random urine collection. Preferred volume 2 mL Collection procedure Collect a 24-hour or random urine in a 24hour dark plastic urine container. Refrigerated during collection. Specimen processing Aliquot 2 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume and collection period. Store and transport frozen. Required patient info Collection Period and Volume. Stability - room temp unstable Stability - refrigerated 4 days Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Collection Period, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Methylmalonic Acid, Urine, µmol/L; Methylmalonic Acid, mmol/moLCr. CPT codes 83921 METHYLPHENIDATE Order code RIT Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 2 mL Collection procedure Collect 1-6 hours post dose. Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 1 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Methylphenidate, ng/mL; Methylphenidate Metabolite, ng/mL. Synonyms Ritalin CPT codes 82492 Notes Critical specimen must be frozen. METHYLPHENIDATE, URINE Order code RIT-U Container type Leakproof plastic urine container. Specimen type Frozen urine, timed Preferred volume 10 mL Collection procedure Collect a urine specimen 1-6 hours post dose Specimen processing Aliquot 10 mL of the urine specimen and freeze. Store and transport frozen. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Methylphenidate, Urine, ng/mL; Methylphenidate Metabolite, Urine, ng/mL. Synonyms Ritalin, Urine CPT codes 82492 MEXILETINE Order code MEXI Container type Red top tube (plain) Specimen type Serum Preferred volume 1.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 2 days Stability - refrigerated 5 days Stability - frozen (-20°C) 2 months Minimum volume 0.8 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Mexiletine, µg/mL. Synonyms Mexitil CPT codes 80299 11/18/02 - 128 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 MICROALBUMIN MOTOR & SENSORY NEUROPATHY EVALUATION MICROALBUMIN Order code M.ALB Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 10 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container with no preservative. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hours urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Unacceptable conditions Blood or other body fluids. Minimum volume 5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Microalbumin, Urine, mg/L; Microalbumin, Excretion Rate, µg/min; Microalbumin, 24 h Excretion, mg/24h. CPT codes 82043 MICROALBUMIN, URINE (RANDOM) Order code MALBR Container type Leakproof plastic urine container. Specimen type Urine Preferred volume 10 mL Collection procedure Collect a random urine in a leakproof plastic urine container. Specimen processing Store and transport refrigerated. Unacceptable conditions Blood or other body fluids. Minimum volume 5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Microalbumin, Urine, mg/L. CPT codes 82043 MICROSOMAL ANTIBODY LIVER/KIDNEY Order code MICRO.LK Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 1 week Stability - refrigerated 2 weeks Stability - frozen (-20°C) 2 months Minimum volume 0.4 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Microsomal Antibody Liver/Kidney. CPT codes 86376 MICROSPORIDIA STAIN Order code MICROSPORIDIA Container type Leakproof container containing 10% formalin. Specimen type Stool Preferred volume 5 grams Specimen processing Send promptly at room temperature. Required patient info Pertinent patient history, specimen source. Stability - room temp 2 hours unpreserved, preserved indefinitely Unacceptable conditions Unpreserved specimens delayed in transit and tissue. Test schedule Sun-Sat Turnaround time 3-5 days Test includes Microsporidia Source; Microsporidia Stain. CPT codes 87015, 87207 MITOCHONDRIAL ANTIBODIES Order code MA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Interfering substances include turbidity, hemolysis, visible bacterial growth and fluorescing drugs. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Mitochondrial Antibodies. Synonyms Anti-Mitochondrial Antibody CPT codes 86255 MOBAN Order code MOB Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Test schedule Varies Turnaround time 10-15 days Test includes Moban, ng/mL. Synonyms Molindone CPT codes 82542 MONONUCLEOSIS TEST Order code MON Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Unacceptable conditions Heparinized plasma specimens. Minimum volume 0.5 mL Alternate specimens EDTA or ACD plasma (lavender or yellow top tube). Limitations Avoid repeat freeze-thaw cycles. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Mononucleosis Test. Synonyms Mono Test CPT codes 86308 MORICIZINE Order code MOR Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 2 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Mon, Thu Turnaround time 3-7 days Test includes Moricizine, µg/mL. Synonyms Ethmozine CPT codes 82491 MOTOR & SENSORY NEUROPATHY EVALUATION Order code MOTSEN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 7 mL Specimen processing Separate serum from cells and place in 11/18/02 - 129 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 MULTIPLE SCLEROSIS COMPREHENSIVE PANEL MYCOPHENOLIC ACID separate plastic tube. Store and transport refrigerated. Minimum volume 4 mL Test schedule Varies Turnaround time Varies Test includes Anti-Neuronal Nuclear Antibody (ANNA); AsialoGM1 Antibody; GD1a Antibody; GD1b Antibody; GQ1b IgG Antibody; GM1 Antibody; Immunofixation Electrophoresis (IFE); MAG Antibody. CPT codes 83520 x 11, 86255, 86334 MULTIPLE SCLEROSIS COMPREHENSIVE PANEL Order code MS.COMP This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) and CSF sterile plastic tube Specimen type Frozen serum and Frozen CSF Preferred volume 1 mL serum, 2 mL CSF Collection procedure Serum should be drawn within 48 hours of CSF collection. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Place CSF in separate plastic tube and freeze. CSF should be free from contamination with blood. If CSF is bloody, centrifuge and separate supernatant from cells. Store and transport both specimens frozen. Specimens need to be assayed together for interpretation. Minimum volume 0.5 mL serum and 1.5 mL CSF Limitations Hemolysis is associated with falsely elevated levels of MBP in CSF. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes IgG, Serum, mg/dL; IgG, CSF, mg/dL; Albumin, Serum, mg/dL; Albumin, CSF, mg/dL; Albumin, Index, Ratio; CSF, IgG Synthesis, mg/d; IgG Index, Ratio; CSF, IgG/Albumin, Ratio; CSF Oligoclonal Bands; Myelin Basic Protein, ng/mL; MS Panel Interpretation. Synonyms MS Comprehensive Panel CPT codes 83873, 83916, 82040, 82784 x 2, 82042 MULTIPLE SCLEROSIS PANEL Order code MS Container type Brick top tube (SST or Corvac) and CSF sterile plastic tube. Specimen type Serum and CSF Preferred volume 1 mL serum, 4 mL CSF Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Minimum volume 0.3 mL serum, 3 ml CSF Test schedule Mon-Fri days Turnaround time 2-5 days Test includes ELP, Interpretation; IgG, CSF, mg,dL; Albumin, CSF mg/dL; IgG, Serum, mg/dL; Albumin, Serum, mg/dL; CSF/Serum Index, mg/dL. Synonyms MS Panel CPT codes 82784 x 2, 84165 x 2, 84155 x 2 MUMPS VIRUS ANTIBODY Order code MUMPS Acute and convalescent specimens advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Severely lipemic, icteric, hemolyzed or heat inactivated serum specimens. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Mumps Virus Antibody, IgG. CPT codes 86735 MUMPS VIRUS ANTIBODY, IGM Order code MUMPSM Acute and convalescent specimens advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon, Wed, Fri Turnaround time 3-6 days Test includes Mumps Virus Antibody, IgM, IV. CPT codes 86735 MYCOAVIUM CULTURE Order code MYCOAVIUM Container type Yellow top tube. Specimen type SPS whole blood Preferred volume 10 mL Collection procedure Disinfect site as for routine blood culture. Mix immediately after collection. Specimen processing Store and transport refrigerated or at room temperature. Alternate specimens Sodium heparinized whole blood (green top tube). Test schedule Daily Turnaround time 56 days Test includes Culture, Mycobacterial Blood. Synonyms Culture, Mycoavium CPT codes 87116 MYCOBACTERIUM TUBERCULOSIS SUSCEPTIBILITY Order code TBSUSC Specimen type Isolate of Mycobacterium Tuberculosis in a biohazard container meeting CDC requirements. Specimen processing Submit isolate of Mycobacterium tuberculosis packaged in a biohazard container meeting CDC requirements. Test schedule Daily Turnaround time 1-3 weeks Test includes Mycobacterium tuberculosis Susceptibility; Mycobacterium tuberculosis Susceptibility Status. Synonyms AFB Susceptibility; TB Susceptibility MYCOPHENOLIC ACID Order code MYCOPB Container type Lavender top tube (EDTA) Specimen type Plasma Preferred volume 4 mL Collection procedure For peak concentration, draw specimen within 1 hour after the administration of the last dose; for tough levels, draw specimen just before the administration of the next dose. Specimen processing Separate plasma from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Stability - room temp 1 day Stability - refrigerated 4 days Stability - frozen (-20°C) 11 months Unacceptable conditions Specimens drawns on gel or SST tubes or held at room temperature more than 1 day. Minimum volume 0.5 mL Alternate specimens Serum (red top tube). Test schedule Tue, Thu, Sat Turnaround time 1-3 days Test includes Mycophenolic Acid, µg/mL. Synonyms MPA CPT codes 80299 11/18/02 - 130 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 MYCOPLASMA ANTIBODY IGG, PAIRED MYELOPEROXIDASE ANTIBODY Order code MPNG2 Acute and convalescent specimens recommended. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Acute and convalescent specimens should be drawn 2-4 weeks apart. Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Minimum volume 0.5 mL each Test schedule Tue, Fri Turnaround time 3-5 days Test includes M. pneumoniae IgG Acute Antibody, Titer; Date Drawn; M. pneumoniae IgG Convalescent Antibody,Titer; Date Drawn; Interpretation. CPT codes 86738 x 2 leakproof container refrigerated. Transport ASAP after collection. If transport time will exceed 24 hours, freeze at -70°C and transport on dry ice. Required patient info Specimen source. Stability - room temp 8 hours Stability - refrigerated 24 hours Stability - frozen (-70°C) 1 month Unacceptable conditions Genital samples or samples in EIA transport media, Gen-Probe or LCX STD transport media, wood swabs, calcium alginate swabs, swabs in transport gel or dry swabs. Minimum volume 1 mL Test schedule Sun-Sat Turnaround time 23-31 days Test includes Source; M. pneumoniae, Preliminary; M. pneumoniae, Final. Synonyms Culture, Mycoplasma Pneumoniae CPT codes 87109 Notes M4 media is available from PAML Supply Department. MYCOPLASMA PNEUMONIAE ANTIBODY, IGG MYCOPLASMA PNEUMONIAE IGA ANTIBODY Order code MYCO Acute and convalescent samples drawn 4-6 weeks apart advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Tue, Fri Turnaround time 3-5 days Test includes Mycoplasma pneumoniae Antibody, IgG, Titer; Interpretation. CPT codes 86738 Order code MPA This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Tue-Sat Turnaround time 3-5 days Test includes Mycoplasma pneumoniae IgA Antibody, EIA Units. CPT codes 86738 MYCOPLASMA PNEUMONIAE ANTIBODY, IGG & IGM MYELIN BASIC PROTEIN MYCOPLASMA ANTIBODY IGG, PAIRED Order code MYCO.IGG.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1 mL Test schedule Tue, Fri Turnaround time 3-5 days Test includes Mycoplasma pneumoniae Antibody, IgG, Titer; Mycoplasma pneumoniae Antibody, IgM, Titer; Interpretation. CPT codes 86738 x 2 MYCOPLASMA PNEUMONIAE ANTIBODY, IGM Order code MYCO.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Tue, Fri Turnaround time 3-5 days Test includes Mycoplasma pneumoniae Antibody, IgM, Titer. CPT codes 86738 MYCOPLASMA PNEUMONIAE CULTURE Order code MYCO.CULT.PNEU Container type M4 Transport media, viral transport media, or sterile leakproof container. Specimen type Throat swab, sputum, respiratory sample, CSF, brain tissue, lung tissue, pericardial fluid, joint fluid or vesical swab. Preferred volume 1-3 mL respiratory sample or other fluid Specimen processing Transport swabs in M4 or other viral transport media refrigerated. Other fluid samples submit in sterile Order code MBP This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type CSF sterile plastic tube. Specimen type Frozen CSF Preferred volume 1 mL Specimen processing If CSF is bloody, centrifuge sample and separate supernatant from cells prior to freezing. Freeze in separate plastic tube. Store and transport frozen. Stability - room temp unstable Stability - refrigerated 1 week Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Myelin Basic Protein, ng/mL. CPT codes 83873 Notes Hemolysis is associated with falsely elevated levels of MBP in the CSF. CSF should be free from contamination with blood. MYELOPEROXIDASE ANTIBODY Order code MPO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Hemolyzed, lipemic, contaminated samples, other body fluids or repeat freeze/thaw cycles. Minimum volume 0.5 mL Test schedule Tue & Thu Turnaround time 2-6 days Test includes Myeloperoxidase Antibody, U/mL. 11/18/02 - 131 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 MYOGLOBIN NEISSERIA GONORRHOEAE BY AMPLIFIED DETECTION (APTIMA) Synonyms MPO Antibody CPT codes 83516 MYOGLOBIN Order code MYOGLOBIN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 week Unacceptable conditions Plasma specimens. Minimum volume 0.5 mL Test schedule Daily & STAT Turnaround time 1-3 days Test includes Myoglobin, ng/mL. Synonyms Mb CPT codes 83874 MYOGLOBIN SCREEN, URINE Order code MYOGLOBIN.SCR Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Adjust pH to 7 with 0.1M NaOH and freeze. Store and transport frozen. Stability - frozen (-20°C) 1 year Minimum volume 5 mL Test schedule Mon-Sat days/Mon-Fri nights Turnaround time 3-5 days Test includes Myoglobin Screen, Urine. CPT codes 83874 MYOGLOBIN, URINE (QUANTITATIVE) Order code MYOGLOBIN-U Container type 24-hour dark plastic urine container. Specimen type Urine, random or 24-hour collection Preferred volume 1 mL Collection procedure Collect a 24-hour or random urine in a 24hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 1 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Adjust pH to 8.0-9.0 with 10% sodium bicarbonate. Store and transport refrigerated or frozen. Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Test schedule Sun-Sat Turnaround time 5-7 days Test includes Myoglobin, Urine, mg/L. CPT codes 83874 NAPROXEN Order code NAP Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature. Minimum volume 0.2 mL Test schedule Mon, Wed, Fri Turnaround time 4-6 days Test includes Naproxen, µg/mL. Synonyms Naprosyn CPT codes 82491 NARCOLEPSY PANEL Order code NARC If patient is 0-4 years of age call before drawing the specimen. Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Collection procedure Draw patient for this study Mon-Thu only so that the stability limits are not exceeded by the time it reaches the reference laboratory. Specimen processing Sample must reach the laboratory within 24 hours of collection. Store and transport at room temperature or refrigerated. Stability - room temp 48 hours Stability - refrigerated 48 hours Unacceptable conditions Heparinized whole blood (green top tube). Minimum volume 5 mL Limitations Heparin inhibits PCR Test schedule Mon-Fri Turnaround time 3-5 days Test includes Narcolepsy Panel. Synonyms HLA- DR2; HLA DNA Panel CPT codes 83891, 83894 x 2, 83898 x 2, 83912 NARDIL Order code NAR Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 2 mL Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Nardil, ng/mL. Synonyms Phenelyzine CPT codes 82491 NEISSERIA GONORRHOEAE & CHLAMYDIA BY DNA Order code GC&CHL.DNA This test is not recommended for use in prepubescent children or medicolegal cases. Can only be peformed with Gen-Probe collection kits. Container type Gen-Probe collection kit. Specimen type Urogenital swab Collection procedure Use separate kits for females and males. Specimen processing Store and transport at room temperature or refrigerated. Test within 7 days. Required patient info Specimen source. Stability - room temp 7 days Stability - refrigerated 7 days Unacceptable conditions Collection kits other than Gen-Probe. Limitations PAML cannot perform CT/GC testing with HC Cervical Sampler specimens. Test schedule Mon-Sat days Turnaround time 1-2 days Test includes Source; GC/Chlamydia By DNA Probe; GC/Chlamydia By DNA Probe, Status. Synonyms Gonococcus & Chlamydia by DNA; GC & Chlamydia by DNA CPT codes 87490, 87590 NEISSERIA GONORRHOEAE ANTIBODY Order code GON-AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube . Store and transport refrigerated. Stability - room temp 3 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 4 years Minimum volume 0.2 mL Test schedule Mon, Tue, Wed, Thu Test includes Neisseria gonorrhoeae Antibody, CF, Titer. Synonyms Gonococcal Antibody CPT codes 86171 NEISSERIA GONORRHOEAE BY AMPLIFIED DETECTION (APTIMA) 11/18/02 - 132 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 NEISSERIA GONORRHOEAE BY DNA PROBE OCCULT BLOOD X 3 Order code GCAPT Container type APTIMA Combo 2 Assay Specimen kit or APTIMA Combo 2 Urine Collection kit. Specimen type See below. Preferred volume See below. Collection procedure Female endocervical or male urethral swab collected with the APTIMA Combo 2 Assay kit or female or male urine collected in the APTIMA 2 Urine collection kit. Specimen processing Transport all samples collected in the kits at room temperature. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection. Required patient info Source Stability - room temp Swabs-2 months, Urine in media-1 month, Urine not in media-not stable. Stability - refrigerated Swabs-2 months, Urine in media-1 month, Urine not in media-24 hours. Stability - frozen (-20°C) Swabs-3 months, Urine in media-3 months. Unacceptable conditions Eye, respiratory, or rectal swabs; endocervical and urethral swabs not collected in the Aptima Combo 2 media; and specimens collected and submitted with the white clearning swab, which is for preparatory cleaning. Minimum volume 2 mL for urine Test schedule Mon-Sat Turnaround time 1-3 days Test includes Neisseria gonorrhoeae by APTIMA; Neisseria gonorrhoeae by APTIMA, Status. CPT codes 87591 NEISSERIA GONORRHOEAE BY DNA PROBE Order code GC.DNA Can only be performed with Gen-Probe collection kits. Container type Gen-Probe collection kit. Specimen type Urogenital swab Collection procedure Use separate kits for males and females. Specimen processing Store and transport at room temperature refrigerated. Test within 7 days. Required patient info Specimen source. Stability - room temp 7 days Stability - refrigerated 7 days Unacceptable conditions Collection kits other than Gen-Probe. Limitations PAML cannot perform CT/GC testing with HC Cervical Sampler specimens. Test schedule Mon-Sat nights Turnaround time 3-5 days Test includes Source; N.gonorrhoeae/DNA Probe; N.gonorrhoeae/DNA Probe, Status. Synonyms Gonococcus by DNA; GC by DNA CPT codes 87590 NIACIN Order code NIACIN Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 2 mL Specimen processing Store and transport at room temperature. Test schedule Varies Turnaround time 2 weeks Test includes Niacin, µg/mL. CPT codes 84591 NIACIN, URINE Order code NIACIN.UR Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 5 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container with no preservative. Specimen processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Record total volume. Store and transport at room temperature. Required patient info Collection period and total volume. Test schedule Varies Test includes Collection Period, h; Volume, mL; Niacin, Urine, mg/24hr. CPT codes 84591 NORTRIPTYLINE Order code NOR Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Collection procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose. Specimen processing Separate serum from cells within 4 hours and place in separate polypropylene (not polystyrene) plastic tube. The 10 mL PAML labelled, cloudy plastic tubes with the plastic snap-on caps are polypropylene tubes. Store and transport refrigerated. Required patient info Date and time of dose and draw. Stability - refrigerated 2 weeks Minimum volume 2 mL Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with desmethyldoxepin. Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Nortriptyline, ng/mL. Synonyms Aventyl; Pamelor CPT codes 80182 OBSTETRIC PANEL Order code OB.PANEL Container type Lavender top tube (EDTA), Brick top tube (SST or Corvac), Black top tube (buffered sodium citrate) Specimen type Serum, EDTA whole blood, sodium citrate whole blood and peripheral blood smears. Preferred volume 6 mL serum, 5 mL EDTA whole blood, 5 mL sodium citrate whole blood, and slides. Specimen processing Store and transport all specimens except smears refrigerated. Prefer to receive specimen for CBC (lavender top tube) within 12 hours of collection. Test schedule Sun-Fri nights (CBC Sat-Sun) Turnaround time 24 hours Test includes CBC, ABO, RH, Antibody Screen, Hepatitis B Surface Antigen, RPR, Rubella, IgG. CPT codes 80055 OCCULT BLOOD Order code OC.BLD Container type Leakproof plastic container or Hemoccult packet. Specimen type Stool, random Specimen processing Special Hemoccult packet available from laboratory. If sending stool specimen, prefer that it be stored and transported refrigerated. Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Occult Blood. Synonyms Hemoccult; Guaiac CPT codes 82270 OCCULT BLOOD X 2 Order code OC.BLD2 Container type Leakproof plastic container or Hemoccult packet. Specimen type Stool, random Specimen processing Stool, 2 separate random collections. Special Hemoccult packets available from laboratory. If sending stool specimen, prefer that they be stored and transported refrigerated. Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Occult Blood x 2. Synonyms Hemoccult x 2; Guaiac x 2 CPT codes 82270 x 2 OCCULT BLOOD X 3 Order code OC.BLD3 Container type Leakproof plastic container or Hemoccult packet. Specimen type Stool, random Specimen processing Stool, 3 separate random collections. Special Hemoccult packets available from laboratory. If sending stool specimens, prefer that they be stored and transported refrigerated. Test schedule Mon-Sat days, Mon-Fri nights 11/18/02 - 133 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 OCCULT BLOOD, FLUID OSMOLALITY, URINE (QUANTITATIVE) Turnaround time 24 hours Test includes Occult Blood x 3. Synonyms Hemoccult x 3; Guaiac x 3 CPT codes 82270 x 3 OCCULT BLOOD, FLUID Order code OCB.FLD Container type Sterile leakproof plastic container. Specimen type Gastric contents. Specimen processing Store and transport at room temperature. Minimum volume 1 mL Alternate specimens Other fluid. Test schedule Daily Turnaround time 24 hours Test includes Occult Blood, Fluid. CPT codes 81002 OCCULT BLOOD, URINE Order code BLD Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Test schedule Mon-Sat days, Mon-Fri evenings and STAT Turnaround time 24 hours Test includes Hgb, Urine. Synonyms Hgb, Urine CPT codes 82273 OLANZAPINE Order code OLAN Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 2 days Stability - frozen (-20°C) 14 days Minimum volume 1 mL Alternate specimens Plasma. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Olanzapine, ng/mL. CPT codes 82491 OLIGOCLONAL BANDING Order code OLIBND Container type Brick top tube (SST or Corvac) and CSF sterile plastic tube Specimen type Serum and CSF Preferred volume 1 mL serium and 1.5 mL CSF Collection procedure Serum should be drawn within 48 hours of CSF collection. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Specimens to be assayed together for interpretation. Stability - room temp 48 hours Stability - refrigerated 8 days Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL serum and 0.7 mL CSF Test schedule Mon, Wed, Fri Turnaround time 4-6 days Test includes IgG, Serum, mg/dL; IgG, CSF, mg/dL; Albumin, Serum, mg/dL; Albumin, CSF, mg/dL; Albumin Index, Ratio; IgG Index; CSF IgG/Albumin Ratio, Ratio; CSF Oligoclonal Bands, Interpretation; CSF IgG Synthesis Rate, mg/d; Albumin, Serum, mg/dL. CPT codes 83916, 82040, 82784 x 2, 82042 ORGANIC ACIDS, URINE Order code ORGANIC.U Container type 24-hour dark plastic urine container. Specimen type Frozen aliquot of a 24-hour or random urine collection. Preferred volume 10 mL aliquot Collection procedure Collect a 24-hour or random urine in a 24hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen. Required patient info Collection period and total volume. Test schedule Mon, Thu Turnaround time 5-10 days Test includes Collection Period, h; Volume, mL; Organic Acids, Urine. CPT codes 83918 ORGANISM IDENTIFICATION Order code ORG.ID Collection procedure Freshly ISOLATED colonies on appropriate type of media (slant or plate). Indicated source of isolate. Required patient info Indicate source. Test schedule Daily Turnaround time 24-48 hours Test includes Source; Organism, ID; Organism, Status. CPT codes 87077 OSMOLALITY Order code OSMOLAL Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 1 week Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Osmolality, mOsm/kg. CPT codes 83930 OSMOLALITY, FECAL Order code FECOSM Container type Leakproof plastic container. Specimen type Frozen liquid stool Preferred volume 15 mL Specimen processing Put in separate plastic tube and freeze. Store and transport frozen. Unacceptable conditions Non-liquid stools. Minimum volume 15 mL Test schedule Mon-Sat Turnaround time 1-3 days Test includes Osmolality, Fecal, mosmol/kg. CPT codes 84999 OSMOLALITY, URINE (QUANTITATIVE) Order code OSMOLAL-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 40 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mLof a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Osmolality, Urine, mOsm/kg. CPT codes 83935 11/18/02 - 134 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 OSMOLALITY, URINE (RANDOM) PARAINFLUENZAE VIRUS ANTIBODY (1,2,3) OSMOLALITY, URINE (RANDOM) Order code OSMOLAL-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 40 mL Collection procedure Collect a random urine specimen. Specimen processing 40 mL aliquot of a random urine specimen. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 1 week Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Osmolality, Urine, mOsm/kg. CPT codes 83935 OSTEOCALCIN Order code OSTEOCALCIN This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Collection procedure Recommend this study be drawn between 811 am. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. This a critical frozen. Stability - room temp 2 hours Stability - refrigerated 4 hours Stability - frozen (-20°C) 1 year Unacceptable conditions Hemolyzed and non-frozen specimens. Minimum volume 0.3 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Sun, Wed Turnaround time 2-8 days Test includes Osteocalcin, ng/mL. Synonyms Bone GLA Protein CPT codes 83937 OVA AND PARASITES Order code O/P Container type Clean leakproof sterile container or preserved in PVA/formalin. Specimen type Fresh stool Preferred volume Walnut-sized portion Collection procedure Multiple specimens for ova and parasites must be collected at least 24 hours apart and each must be submitted immediately. If a delay of more than 2 hours is expected between collection and receipt in lab, the specimen must be put into a PVA/formalin transport vial. Date each container. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Unacceptable conditions Specimens containing barium. Test schedule Sun-Sat Turnaround time 24 hours Test includes Source; Ova & Parasites; Ova & Parasites, Status. Synonyms O&P CPT codes 87177, 88313 Notes If amoebic dysentery is suspected, transport immediately at room temperature. Recommended procedure is 3 separate specimens collected 24-48 hours apart. Supplies are available from the PAML supply department. OXALATE, URINE (QUANTITATIVE) Order code OXALATE-UR Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Patient Prep Patient should refrain from excessive Vitamin C intake at least 48 hours prior to the start of collection. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 25 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 25 ml of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-2 with 12N HCl. Note date and time pH is adjusted. Record collection time and total volume. Store and transport refrigerated or frozen.. Required patient info Collection period and total volume. Stability - room temp 2 days Stability - refrigerated 7 days Stability - frozen (-20°C) 7 days Minimum volume 5 mL Test schedule Daily Turnaround time 1-2 days Test includes Collection Period, h; Volume, mL; Oxalate, Urine, mg/24h. CPT codes 83945 Notes Specimen must sit 24 hours at room temperature after being acidified. OXALATE, URINE (RANDOM) Order code OXALATE.R Patient Prep Patient should refrain from excessive Vitamin C intake at least 48 hours prior to collection. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 25 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 25 mL of a random urine specimen. Adjust pH to 1-2 with 12N HCl. Note time and date pH is adjusted. Store and transport refrigerated or frozen. Stability - room temp 2 days Stability - refrigerated 7 days Stability - frozen (-20°C) 7 days Minimum volume 5 mL Test schedule Daily Turnaround time 24 hours Test includes Oxalate, Urine, mg/L. CPT codes 83945 OXCARBAZEPINE AS METABOLITE Order code OXCARB Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.2 mL Test schedule Mon-Fri Turnaround time 4-6 days Test includes Oxcarbazepine as metabolite, µg/mL. Synonyms 10-Hydroxycarbazepine; Trileptal CPT codes 82491 PANCREATIC POLYPEPTIDE Order code PAN POLY Patient Prep Prefer patient fast overnight. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 2 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 6 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 6 months Minimum volume 0.6 mL Test schedule Tue, Thu Turnaround time 5-10 days Test includes Pancreatic Polypeptide, pg/mL. CPT codes 83519 PARAINFLUENZAE VIRUS ANTIBODY (1,2,3) Order code PARA.INF.AB Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) 11/18/02 - 135 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PARASITE IDENTIFICATION, MACROSCOPIC PARVOVIRUS B19 ANTIBODY, IGG Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic or contaminated specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Parainfluenzae Virus 1 Antibody, Titer; Parainfluenzae Virus 2 Antibody, Titer; Parainfluenzae Virus 3 Antibody, Titer. CPT codes 86790 x 3 specific serologies are available for Brucella and Tularemia. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Paratyphoid B. CPT codes 86000 PAROXETINE Order code PARID Container type See below. Specimen type See below. Collection procedure Submit specimen in sterile capped container. Specimen processing Store and transport at room temperature. Test schedule Sun-Sat Turnaround time 24 hours Test includes Source; Parasite ID; Parasite ID, Status. CPT codes 87169 Order code PAROXETINE Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-6 days Test includes Paroxetine, ng/mL. Synonyms Paxil CPT codes 82491 PARATHYROID HORMONE, RELATED PROTEIN PAROXYSMAL NOCTURNAL HEMOGLOBINUREA PARASITE IDENTIFICATION, MACROSCOPIC Order code PTHRP Container type See below. Specimen type Frozen plasma Preferred volume 3 mL Collection procedure MUST BE DRAWN IN SPECIAL NICHOLS INSTITUTE PTH-RP COLLECTION TUBES. Draw specimen, gently invert twice, centrifuge in refrigerated centrifuge. Tubes available from PAML Supply Department. Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - frozen (-20°C) 1 month Unacceptable conditions Non-frozen specimens. Minimum volume 2 mL Test schedule Tue, Thu Turnaround time 3-9 days Test includes PTH-Related Protein, pmol/L. Synonyms PTH-RP CPT codes 83519 PARATYPHOID A Order code PTA This assay has been abandoned as a diagnostic tool because of poor sensitivity and specificity. Cultures for Salmonella are recommended, specific serologies are available for Brucella and Tularemia. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Paratyphoid A. CPT codes 86000 PARATYPHOID B Order code PTB This assay has been abandoned as a diagnostic tool because of poor sensitivity and specificity. Cultures for Salmonella are recommended, Order code PNH Container type See below Specimen type See below Preferred volume See below Collection procedure 14 mL ACD whole blood (yellow top tube), 5 mL EDTA whole blood (lavender top tube), and 2-4 peripheral blood smears. Maintain at room temperature. Specimen processing Store and transport at room temperature. Required patient info In accordance with CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if sample will arrive after 24 hours. Minimum volume 7 mL ACD whole blood and 2 mL EDTA whole blood Test schedule Mon-Sat, Sun by special request Turnaround time 72 hours Test includes PNH Interpretation; PNH Source; Reviewed By; Note; CD 14 MO2, %; CD16, %; CD45, %; CD55, %; CD59, %. CPT codes 88180 x 5 Notes Immunophenotyping is also available on tissues, bone marrow, and body fluids. PARVOVIRUS B19 ANTIBODY, IGG Order code PARVOG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport frozen or refrigerated. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 6 weeks Unacceptable conditions Heat inactivated, hyperlipemic or contaminated serum samples, CSF or plasma. Minimum volume 0.2 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Parvovirus B19 Antibody, IgG, IV. CPT codes 86747 Notes For diagnosis of acute infection, paired sera are advised. See workpar PARVGP. 11/18/02 - 136 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PARVOVIRUS B19 ANTIBODY, IGG & IGM PERPHENAZINE PARVOVIRUS B19 ANTIBODY, IGG & IGM Order code PRVOGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport frozen or refrigerated. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 6 weeks Unacceptable conditions Heat-inactivated, hyperlipemic or contaminated serum samples, CSF or plasma. Minimum volume 0.2 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Parvovirus B19 Antibody, IgG, IV; Parvovirus B19 Antibody, IgM IV. CPT codes 86747 x 2 Notes For diagnosis of acute infection, paired sera are advised. See workpar PARVGP. PARVOVIRUS B19 ANTIBODY, IGG & IGM PANEL Order code B19PAN Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 0.5 mL Test schedule Mon, Wed, Fri Turnaround time 4-6 days Test includes Parvovirus B19 Antibody, IgG; Parvovirus B19 Antibody, IgM; Interpretation; Parvovirus B19 DNA by PCR. CPT codes 86747 x 2, 87798 PARVOVIRUS B19 ANTIBODY, IGG (PAIRED) Order code PARVGP Acute and convalescent samples required. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL for each specimen. Specimen processing Separate serum from cells ASAP and place in separate plastic tubes and freeze. Clearly label as acute or convalescent. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 6 weeks Unacceptable conditions Heat inactivated, hyperlipemic or contaminated serum samples, CSF or plasma. Minimum volume 0.2 mL for each specimen. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Parvovirus B19 Antibody, IgG, Acute, IV; Date Drawn, Acute; Parvovirus B19 Antibody, IgG, Convalescent, IV; Date Drawn, Convalescent; % Change Immune Status Interpretation. CPT codes 86747 x 2 PARVOVIRUS B19 ANTIBODY, IGM Order code PARVOM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport frozen or refrigerated. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 6 weeks Unacceptable conditions Heat inactivated, hyperlipemic or contaminated serum samples, CSF or plasma. Minimum volume 0.2 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Parvovirus B19 Antibody, IgM, IV. CPT codes 86747 Notes For diagnosis of acute infection paired sera are advised. See workpar PARVMP. PARVOVIRUS B19 ANTIBODY, IGM (PAIRED) Order code PARVMP Acute and convalescent samples required. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL for each specimen. Specimen processing Separate serum from cells ASAP and place in separate plastic tubes and freeze. Clearly label as acute or convalescent. Store and tranpsort frozen. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 6 weeks Unacceptable conditions Heat inactivated, hyperlipemic or contaminated serum samples, CSF and plasma. Minimum volume 0.2 mL for each specimen. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Parvovirus B19 Antibody, IgM, Acute, IV; Date Drawn; Parvovirus B19 Antibody, IgM, Convalescent, IV; Date Drawn; % Change Immune Status Interpretation. CPT codes 86747 x 2 PERIODIC ACID SCHIFF Order code SS.PAS This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized whole blood (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unfixed and unstained. Specimen processing Protect from light, store and transport at room temperature. Limitations Protect from light. Test schedule Mon-Sat days Turnaround time 72 hours Test includes PAS Source; PAS Stain; PAS Interpretation; PAS Reviewed By. Synonyms Cytochem Stain, Periodic Acid Schiff CPT codes 88319 PEROXIDASE STAIN Order code SS.PER This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips or slides and 3 mL EDTA (lavender top tube) and/or sodium heparinized whole blood (green top tube). The slides should be air-dried, unstained and unfixed. Protect from light and maintain at room temperature. Specimen processing Store and transport at room temperature. Alternate specimens EDTA and heparin slides. Limitations Protect from light. Test schedule Mon-Sat days Turnaround time 72 hours Test includes Myeloperoxidase Source; Myeloperoxidase Stain; Myeloperoxidase Interpretation;, Myeloperoxidase Reviewed By. Synonyms Cytochem Stain, Peroxidase CPT codes 88319 PERPHENAZINE Order code PER Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum or plasma from cells and 11/18/02 - 137 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PH, FLUID PHENYTOIN place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Stability - room temp 2 days Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month (avoid repeat freeze/thaw cycles) Minimum volume 2 mL Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes or gels. Protect from light. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Perphenazine, ng/mL. Synonyms Tinlafar; Trilaxon CPT codes 84022 PH, FLUID Order code PHFLD Container type Red top tube (plain) or leakproof plastic container. Specimen type Body fluid Preferred volume 5 mL Specimen processing Specimen container should be tightly capped with minimal free air space. Avoid cell contamination if possible. Store and transport refrigerated or on ice. Minimum volume 1 mL Limitations Ideally specimen should be analyzed without delay. Test schedule Daily Turnaround time 24 hours Test includes pH, Fluid, pH Units. CPT codes 83986 PH, STOOL Order code STL.PH Container type Sterile leakproof plastic container Specimen type Stool, random Collection procedure Collect random stool in sterile leakproof plastic container. Specimen processing Store and transport refrigerated. Test schedule Mon-Sun Turnaround time 24 hours Test includes Source; pH, Stool; pH, Stool, Status. CPT codes 83986 PH, URINE Order code UPH Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Test schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround time 24 hours Test includes pH, Urine. CPT codes 81003 PHENOBARBITAL Order code PHB Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next dose. Note times of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Minimum volume 0.2 mL Alternate specimens Plasma specimens. SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Phenobarbital, µg/mL. Synonyms Luminal CPT codes 80184 PHENOLPHTHALEIN, STOOL Order code PHEN.STL Container type Sterile leakproof plastic container. Specimen type Frozen stool Preferred volume 1 gm Specimen processing Freeze stool specimen on dry ice. Store and transport frozen. Stability - frozen (-20°C) 1 week Stability - frozen (-70°C) 1 week Unacceptable conditions Specimen that has not been stored and transported frozen if testing is delayed more than 2 hours. Minimum volume 1 gm Test schedule Daily Turnaround time 24 hours Test includes Phenolphthalein. CPT codes 84999 PHENYLALANINE Order code PKU Recommend collection 7-10 days after leaving hospital. FOR WASHINGTON STATE RESIDENTS ONLY. Container type See below Specimen type See below Collection procedure Contact Supply Department for special filter paper collection kit. Follow collection instructions carefully. Do not package in airtight, leakproof plastic bags because the lack of air exchange in the inner environment of a sealed plastic bag causes heat buildup and moisture accumulation that can damage the dried blood spot test substances. Ship in a high quality bond envelope. Turnaround time 13-20 days Test includes PKU; Thyroid; CAH Screen; Hemoglobin. Synonyms PKU CPT codes 99001 PHENYLALANINE (QUANTITATIVE) Order code PHEN-Q Container type Green top tube (sodium heparin) Specimen type Frozen plasma Preferred volume 0.3 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp unstable Stability - refrigerated unstable Stability - frozen (-20°C) 1 month Unacceptable conditions Hemolyzed or serum samples. Minimum volume 0.25 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Phenylalanine, umol/L. CPT codes 84030 PHENYTOIN Order code DIL Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next oral dose or 2-4 hours after IV loading dose. Note times of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Alternate specimens EDTA, sodium heparinized, and sodium fluoride/potassium oxalated plasma (lavender, green or grey top tube). SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Phenytoin, µg/mL. 11/18/02 - 138 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PHENYTOIN, FREE & TOTAL PLATELET AGGREGATION (REFLEXIVE) Synonyms Dilantin CPT codes 80185 PHENYTOIN, FREE & TOTAL Order code DIL.FREE Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 2 mL Collection procedure Draw prior to next dose. Note times of dose and drawing. Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Note times of dose and drawing. Stability - refrigerated 7 days Unacceptable conditions Serum from SST tubes, urine or other body fluids. Minimum volume 1 mL Alternate specimens EDTA, sodium heparinized, sodium fluoride/potassium oxalated, citrated plasma (lavender, green, grey or blue top tube). Test schedule Mon, Wed, Fri Turnaround time 1-3 days Test includes Phenytoin, Free, µg/mL; Phenytoin, Total, µg/mL; % Free, %. Synonyms Dilantin, Free & Total CPT codes 80186, 80185 PHOSPHOLIPIDS Order code PHOSPHO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 month Minimum volume 0.5 mL Test schedule Sun-Sat Turnaround time 3-7 days Test includes Phospholipids, mg/dL. CPT codes 84311 PHOSPHORUS Order code PHO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 3 days on clot tube, 2 weeks separated. Minimum volume 0.2 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Phosphorus, mg/dL. CPT codes 84100 Notes Prolonged contact with the cell clot may results in elevated values. PHOSPHORUS, URINE (QUANTITATIVE) Order code PHO-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 40 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine collection. Adjust pH to less than 3 with 6N HCl. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Phosphorus, Urine, mg/24h. CPT codes 84105 PHOSPHORUS, URINE (RANDOM) Order code PHO-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 40 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 40 mL of a random urine collection. Adjust pH to less than 3 with 6 N HCl. Store and transport refrigerated. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Phosphorus, Urine, mg/dL. CPT codes 84105 PINWORM PREPARATION Order code PINW Container type See below. Specimen type See below. Collection procedure Pat the perianal area with the sticky side of clear scotch tape (non-frosted). Place the tape onto glass slide. The best specimen is obtained early in the morning. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Test schedule Sun-Sat days Turnaround time 24 hours Test includes Source; Pinworm Prep; Pinworm Prep, Status. CPT codes 87172 Notes Special kits are available from the PAML supply department for use at patient's homes. PLASMINOGEN Order code PLASMINOGEN Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2 mL Collection procedure Obtain venous blood by clean venipuncture. Draw a pilot (red top tube) first. Draw blue top tube (sodium citrate) filled to capacity. Collect on ice. Mix by gentle inversion. Specimen processing Immediately centrifuge the specimen at 1700xg for 15 minutes. Remove 2 mL platelet-poor plasma and put in plastic tubes. Do not use glass. Freeze at -20 C. Store and transport frozen. Follow specimen instructions exactly. Required patient info Request must include a brief patient history and pertinent clinical information. Unacceptable conditions Plasma from sodium fluoride, EDTA, or heparinezed tubes, serum, non-frozen or hemolyzed specimens. Minimum volume 0.5 mL Test schedule Sun-Sat Turnaround time 2-3 days Test includes Plasminogen, %. CPT codes 85420 PLATELET AGGREGATION (REFLEXIVE) Order code PLTAGG This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Patient Prep Patient should be aspirin free for 8-10 days prior to collection. Container type Lavender top tube (EDTA) and Blue top tube (buffered sodium citrate) Collection procedure 5 mL EDTA whole blood and 20 mL citrated whole blood (4 blue top tubes) and 2 smears. With a plastic 30 mL syringe and a 19-20 gauge needle, make a clean venipuncture. During blood withdrawal, release the tourniquet and draw back on the plunger slowly. Remove needle and fill tubes after removing stoppers (DO NOT USE VACUUM) and mix gently. Maintain at room temperature. Specimen processing Store and transport at room temperature. 11/18/02 - 139 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PLATELET ANTIBODY DETECTION (INDIRECT) POLIO VIRUS ANTIBODY Required patient info Include patient's drug history. Unacceptable conditions Specimens not received within 1 hour of drawing. Minimum volume 1 EDTA microtainer, 10 mL citrated whole blood (2 blue tops) and 2 smears Test schedule Mon-Fri days Turnaround time 3-4 days Test includes ADP (high dose), PAT, %; ADP (high dose), CTL, %; ADP (low dose), PAT, %; ADP (low dose), CTL, %; Adrenalin, PAT, %; Adrenalin, CTL, %; Collagen (high dose), PAT, %; Collagen, PATLAG (high dose), sec; Collagen (high dose), CTL, %; Collagen, CTLLAG (high dose), sec; Collagen (low dose), PAT, %; Collagen (low dose), CTL, %; Arachidonic Acid, PAT, %; Arachidonic Acid, CTL, %; Ristocetin (high dose), PAT, %; Ristocetin (high dose), CTL, %; Ristocetin (low dose), PAT, %; Ristocetin (low dose), CTL, %; PAT PRP/CTL PPP Mix, %; CTL PRP/PAT PPP Mix, %; Platelet Count, K/µL; Interpretation, Reviewed By. CPT codes 85576 x 8 Notes Testing must be scheduled with client services and specimen must be received within 1 hour of drawing. PLATELET ANTIBODY DETECTION (INDIRECT) Order code PLT.AB Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 48 hours Stability - frozen (-20°C) 1 month Unacceptable conditions Microbially contaminated, hemolyzed, lipemic or heat inactivated specimens. Minimum volume 1 mL Alternate specimens EDTA or ACD plasma (lavender or yellow top tube). Test schedule Mon-Fri Turnaround time 1-3 days Test includes Platelet Antibody Detection Indirect. CPT codes 86022 Notes Samples from babies less than 1 month old need to be from mother. PLATELET ASSOCIATED ANTIBODY, DIRECT Order code DPLT Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 10 mL Specimen processing Store and transport at room temperature. Submit specimen ASAP as specimen stability is patient-dependent and should not exceed 48 hours. This must be received at the performing laboratory within 48 hours of collection. It must be received at PAML on Monday thru Friday only to meet this criteria. Required amount of blood may be dependent on platelet count. Stability - room temp 48 hours Unacceptable conditions Samples over 48 hours old, clotted, refrigerated or frozen specimens. Minimum volume 3 mL Test schedule Sun-Sat Turnaround time 3-5 days Test includes Platelet Antibody, Direct, IgG; Platelet Antibody, Direct, IgM. Synonyms Anti-Platelet Antibody, Direct CPT codes 86023 x 2 PLATELET COUNT Order code PLT Container type Lavender top tube (EDTA) and Slides. Specimen type Whole blood and peripheral blood smears Preferred volume 5 mL Specimen processing Prefer to receive specimen within 12 hours. Store and transport whole blood specimen refrigerated. Test schedule Daily-24 hours Turnaround time 24 hours Test includes Platelet Count, K/µL. CPT codes 85595 PLATELET FUNCTION SCREEN Order code PFS Order only if sample can be received at SHMC Coagulation Department within 3 hours of collection. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. Sample must be received at performing laboratory within 3 hours of collection. Stability - room temp 4 hours Minimum volume 3 mL Test schedule Daily Turnaround time 24 hours Test includes Collagen/Epinephrine, sec; Collagen/ADP, sec. CPT codes 85576 PNEUMOCOCCAL ANTIBODY, IGG Order code PNEUAB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1.5 mL Collection procedure If pre and post-vaccine samples are collected, draw the post-vaccine sample 30 days post-vaccination. Store the pre-vaccine samples frozen and submit both samples together. Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store & transport refrigerated.`Pre and post samples can be submitted together or separately for testing. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens and other body fluids. Minimum volume 0.7 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Thu Turnaround time 3-5 days Test includes Pneumococcal Serotype 1, IgG, µg/mL; Pneumococcal Serotype 3, IgG, µg/mL; Pneumococcal Serotype 4, IgG, µg/mL; Pneumococcal Serotype 5, IgG, µg/mL; Pneumococcal Serotype 6B, IgG, µg/mL; Pneumoncoccal Serotype 7F, IgG, µg/mL; Pneumococcal Serotype 8, IgG, µg/mL; Pneumococcal Serotype 9N, IgG, µg/mL; Pneumococcal Serotype, 9V, IgG, µg/mL; Pneumococcal Serotype 12F, IgG, µg/mL; Pneumococcal Serotype 14, IgG, µg/mL; Pneumococcal Serotype 18C, IgG, µg/mL; Pneumococcal Serotype 19F, IgG, µg/mL; Pneumococcal Serotype 23F, IgG, µg/mL; Pneumococcal Serotype Interpretation. CPT codes 86317 x 14 PNEUMOCYSTIS FA STAIN Order code PNEUMO.FA Container type Sterile leakproof plastic container. Specimen type Sputum Specimen processing Store and transport at room temperature. Required patient info Specimen source. Minimum volume 5 mL fluid or slides Test schedule Sun-Sat Turnaround time 24 hours Test includes Source; Pneumocystis FA Stain; Pneumocystis FA, Status. CPT codes 87281 POLIO VIRUS ANTIBODY Order code POLIO.AB Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in 11/18/02 - 140 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 POLYCHLORINATED BIPHENYLS PORPHYRINS, FRACTIONATION (RBC) separate plastic tube. Clearly label specimens. Store and transport refrigerated. Required patient info Specimen source. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 6 weeks Unacceptable conditions Plasma specimens. Minimum volume 0.5 mL Test schedule Sun-Sat Turnaround time 5-7 days Test includes Source; Poliovirus Antibody, Type 1, Titer; Poliovirus Antibody, Type 2, Titer; Poliovirus Antibody, Type 3, Titer. CPT codes 86658 x 3 POLYCHLORINATED BIPHENYLS Order code PCB Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature or refrigerated. Unacceptable conditions Serum separator tubes and gels. Minimum volume 1&&&&mL Alternate specimens Plasma or whole blood. Test schedule Varies Turnaround time 6-10 days Test includes PCB, ug/L; Interpretation. Synonyms PCB CPT codes 82441 POLYMYOSITIS (PM-SCL) ANTIBODY Order code POLYMY This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.2 mL Test schedule 3 times a week Turnaround time 5-12 days Test includes Polymyositis (PM-SCL) Antibody. Synonyms PM-Scl Antibody CPT codes 86331 PORPHOBILINOGEN DEAMINASE, RBC Order code URO-1-SYN Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 3 mL Specimen processing Store and transport refrigerated or frozen. Stability - room temp unstable Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 1 mL Test schedule Wed Turnaround time 3-9 days Test includes Porphobilinogen Deaminase, RBC, mU/g Hgb. Synonyms Uroporphyrinogen-1-Synthetase CPT codes 82657 PORPHOBILINOGEN, URINE (QUANTITATIVE) Order code PBG Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Patient Prep 24-hour urine should be collected during a symptomatic episode of abdominal pain. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 100 mL Collection procedure Add 7.5g sodium carbonate to a 24-hour dark plastic urine container at the start of the collection. Protect from light. Refrigerate during collection. Specimen processing Adjust pH to 8-9 with 6N HCl or 5% NaOH. Aliquot of a well-mixed 24-hour urine collection into a leakproof plastic container. Protect from light. Record collection time and total volume. Store and transport refrigerated or frozen. Required patient info Collection period and total volume. Stability - refrigerated 3 days Stability - frozen (-20°C) 2 weeks Unacceptable conditions Specimen not protected from light. Minimum volume 10 mL Limitations Protect from light. Test schedule Tue, Thu days Turnaround time 2-5 days Test includes Collection Period, h; Volume, mL; Porphobilinogen, mg/24h. CPT codes 84110 PORPHOBILINOGEN, URINE (RANDOM) Order code PBG.R Patient Prep Random urine should be collected during or immediately after an episode of abdominal pain. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 100 mL Collection procedure Collect a random urine specimen. Specimen processing Add 0.5g sodium carbonate/100mL urine, pH to 8-9 with 6N HCl or 5% NaOH. Record pH. Protect from light. Store and transport refrigerated or frozen. Required patient info Protect from light. Stability - refrigerated 3 days Stability - frozen (-20°C) 2 weeks Unacceptable conditions Specimen not protected from light. Minimum volume 10 mL Limitations Protect from light. Test schedule Tue, Thu days Turnaround time 2-5 days Test includes Porphobilinogen, Urine, mg/L. CPT codes 84110 PORPHYRINS, FECAL Order code PORPST Container type Leakproof plastic container Specimen type Stool, random Preferred volume 5 grams Collection procedure Collect a random stool specimen. Protect from light. Specimen processing Aliquot 5 grams of the well-mixed specimen into a leakproof plastic container and freeze. Protect from light. Store and transport frozen. Stability - room temp Unstable Stability - refrigerated Unstable Stability - frozen (-20°C) 3 weeks Unacceptable conditions Specimens not protected from light, complete timed collections (24-72 hours) and liquid specimens. Minimum volume 1 gram Test schedule Thu Turnaround time 5-10 days Test includes Coprophyrin, Feces, nmol/g; Protophyrins, Feces, nmol/g, Interpretation. CPT codes 84126 PORPHYRINS, FRACTIONATION (RBC) Order code POR.RBC Patient Prep Patient must be fasting 12-14 hours. The patient should be off medications for at least a week if possible otherwise forward a list of medications with the specimen. Patient should abstain from alcohol for 24 hours. Container type Green top tube (sodium heparin) Specimen type See below. Preferred volume 5 mL Collection procedure Draw 5 mL blood into heparin tube. Place on wet ice immediately. Transfer to 12 mL graduated centrifuge tube. Centrifuge 10 min. at 2000 rpm. Record packed cell volume and the total volume of the specimen. Discard supernatant plasma. Wash 11/18/02 - 141 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PORPHYRINS, URINE (QUANTITATIVE) POTASSIUM, STOOL RBCs 2 times by resuspension in 5 mL cold 0.9% saline discarding supernatant after each washing. Resuspend RBCs to a volume of 5 mL with 0.9% saline and invert gently to mix. Specimen processing Transport washed RBC suspension frozen in plastic tube on dry ice. Required patient info Volume of packed cells and volume of RBC suspension (RBC's + saline). Stability - refrigerated 24 hours before washing cells. Unacceptable conditions No deviation from protocol is acceptable. Test schedule Mon-Fri Test includes Protoporphyrin, µg/dL; Coproporphyrin, µg/dL; Uroporphyrins, µg/dL; Heptacarboxylporphyrins, µg/dL; Hexacarboxylporphyrins, µg/dL; Pentacarboxylporphyrins, µg/dL. CPT codes 82492 PORPHYRINS, URINE (QUANTITATIVE) Order code POR Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 100 mL Collection procedure Add 7.5g sodium carbonate to a 24-hour dark plastic urine container at the start of the collection. Collect a 24-hour urine specimen. Protect from light. Refrigerate during collection. Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 8-9 with 5% NaOH. Protect from light. Record collection time and total volume. Store and transport refrigerated or frozen. Required patient info Collection period and total volume. Stability - refrigerated 3 days Unacceptable conditions Specimens not protected from light. Minimum volume 10 mL Limitations Drugs like dipyridamole can interfere with the porphyrin assay. Protect from light. Test schedule Mon, Wed, Fri, days Turnaround time 2-3 days Test includes Collection Period, h; Volume, mL; Uroporphyrin, µg/24h; Coproporphyrin, µg/24h. CPT codes 84120 PORPHYRINS, URINE (QUANTITATIVE) + PBG Order code POR.PBG Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 100 mL Collection procedure Add 7.5g sodium carbonate to a 24-hour dark plastic urine container at the start of the collection. Collect a 24-hour urine specimen. Protect from light. Refrigerate during collection. Specimen processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 8-9 with 6N HCl or 5% NaOH. Record collection time and total volume. Protect from light. Store and transport refrigerated or frozen. Required patient info Collection period and total volume. Stability - refrigerated 3 days Unacceptable conditions Specimens not protected from light. Minimum volume 10 mL Limitations Drugs like dipyridamole can interfere with the porphyrin assay. Protect from light. Test schedule Mon, Wed, Fri, days Turnaround time 2-3 days Test includes Time, h; Volume, mL; Uroporphyrin, µg/24h; Coproporphyrin, µg/24h; Porphobilinogen, ug/24h. CPT codes 84120, 84110 PORPHYRINS, URINE (RANDOM) Order code POR.R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 50 mL Collection procedure Collect a random urine specimen. Specimen processing Add 0.5g sodium carbonate/100mL urine, pH to 8-9 with 5% NaOH. Protect from light. Record pH. Store and transport refrigerated or frozen. Stability - refrigerated 3 days Unacceptable conditions Specimens not protected from light. Minimum volume 10 mL Limitations Drugs like dipyridamole can interfere with this assay. Protect from light. Test schedule Mon, Wed, Fri, days Turnaround time 2-3 days Test includes Uroporphyrin, µg/dL; Coproporphyrin, µg/dL. CPT codes 84120 PORPHYRINS, URINE (RANDOM) +PBG Order code POR.PBG.R Container type Leakproof plastic urine container Specimen type Urine, random Preferred volume 50 mL Collection procedure Collect a random urine specimen. Specimen processing Add 0.5g sodium carbonate/100 mL urine, pH to 8-9 with 6N HCl or 5% NaOH. Protect from light. Store and transport refrigerated or frozen. Stability - refrigerated 3 days Unacceptable conditions Specimens not protected from light. Minimum volume 10 mL Limitations Drugs like depyridamole can interfere with the porphyrin. Protect from light. Test schedule Mon, Wed, Fri, days Turnaround time 2-3 days Test includes Porphobilinogen, mg/L; Uroporphyrin, µg/dL; Coproporphyrin, µg/dL. CPT codes 84120, 84110 POTASSIUM Order code POT Hemolysis falsely elevates potassium values. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Collection procedure Avoid hemolysis. Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Minimum volume 0.2 mL Alternate specimens Lithium or ammonium heparin plasma (green top tube). Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Potassium, mmol/L. Synonyms K CPT codes 84132 POTASSIUM, FLUID Order code POTFLD Container type Red top tube (plain) or leakproof plastic container Specimen type Body fluid Preferred volume 2 mL Specimen processing Separate fluid from cells if necessary and place in separate plastic tube or leakproof plastic container. Store and transport refrigerated. Minimum volume 0.2 mL Test schedule Daily Turnaround time 24 hours Test includes Potassium, Fluid, mmol/L. CPT codes 84132 POTASSIUM, STOOL Order code KSTL Container type Sterile leakproof plastic container. Specimen type Stool, liquid Preferred volume 5 grams Collection procedure Collect random or timed LIQUID stool in sterile leakproof plastic container. If timed indicate hours of collection. 11/18/02 - 142 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 POTASSIUM, URINE (QUANTITATIVE) PRENATAL RISK QUAD SCREEN Specimen processing Store and transport refrigerated. Unacceptable conditions Any specimen that is not liquid. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Potassium, Stool, mmol/L. CPT codes 84132 POTASSIUM, URINE (QUANTITATIVE) Order code POT-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 40 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Potassium, Urine, mmol/24h. Synonyms K, Urine CPT codes 84133 POTASSIUM, URINE (RANDOM) Order code POT-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated or frozen. Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Potassium, Urine, mmol/L. Synonyms K, Urine, Random CPT codes 84133 PRE-ALBUMIN Order code PRE-ALB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells within 2 hours and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 3 months Minimum volume 0.3 mL Limitations Frozen specimens should be thawed only once. Lipemic or hemolyzed specimens. Test schedule Daily Turnaround time 24 hours Test includes Pre-Albumin, mg/dL. Synonyms Transthyretin CPT codes 84134 PREGNANCY TEST Order code PRG Container type Leakproof plastic urine container. Specimen type Random urine Preferred volume 1 mL Collection procedure The first morning specimen is preferred. Specimen processing Aliquot 1 mL of a random urine specimen. Store and transport refrigerated. Minimum volume 0.2 mL Limitations Sensitive to 25 mIU/mL. Test schedule Sun-Fri nights; Branches-STAT Turnaround time 24 hours Test includes Pregnancy Test, mIU/mL. CPT codes 84703 Notes This method is calibrated according to the WHO Third International Standard for Chorionic Gonadotropin (WHO 3rd IS 75/537). Pregnancy is detected 1 week after implantation or 4-5 days before first missed menses. PREGNANETRIOL, URINE Order code PREGNANETRIOL Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 50 mL Collection procedure Add 25 mL 50% acetic acid to a 24-hour dark plastic urine container. For children less than 5 years old add 15 mL of 50% acetic acid. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2-4. Record total volume. Store and transport refrigerated. Required patient info Total volume. Minimum volume 25 mL Test schedule Mon, Tue, Wed Turnaround time 3-5 days Test includes Collection Period, hrs; Volume, mL; Pregnanetriol, Urine, mg/24hr. CPT codes 84138 PRENATAL PROFILE Order code PRENAT Container type Black top tube (buffered sodium citrate) and Red top tube (plain) Specimen type Serum and whole blood Preferred volume 4 mL of each Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated. Stability - room temp 1 day Stability - refrigerated 2 weeks Stability - frozen (-20°C) 6 months (serum) Unacceptable conditions Frozen cells. Minimum volume 2 mL serum and cells Test schedule Sun-Fri nights Turnaround time 24 hours Test includes ABO; RH; Antibody Screen; RPR. CPT codes 86900, 86901, 86885 x 2, 86592 PRENATAL RISK ASSESSMENT PROFILE Order code PRS Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Collection procedure The optimum gestational age for prenatal screening is 16 weeks. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Gestational Age (wks), Gestational Age (days), Gestational Method, Ultrasound Date, Diabetic (y/n), Maternal Weight (lbs), Maternal DOB, Race, Date of LMP, Previous Downs (y/n), Previous NTD (y/n), Multiple Gestation (y/n). Stability - refrigerated 24 hours Unacceptable conditions Grossly hemolyzed or lipemic specimens. Minimum volume 1 mL Alternate specimens 2 mL frozen serum drawn at 14 thru 22 weeks gestation. Test schedule Daily Turnaround time 2-5 days Test includes Alpha-Feto Protein; Human Chorionic Gonadotropin Beta Subunit; Unconjugated Estriol. Synonyms PRS, Triple Screen; AFP/HCG/Estriol CPT codes 82105, 84702, 82677 PRENATAL RISK QUAD SCREEN Order code PRS4 Container type Brick top tube (SST or Corvac) 11/18/02 - 143 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PRIMIDONE PROPOXYPHENE Specimen type Frozen serum Preferred volume 2 mL Collection procedure The optimal gestational age for prenatal screening is 16 weeks. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Gestational Age (wks), Gestational Age (days), Gestational Method, Ultrasound Date, Diabetic (y/n), Maternal Weight (lbs), Maternal DOB, Race, Date of LMP, Previous Downs (y/n), Previous NTD (y/n), Multiple Gestation (y/n). Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 year Unacceptable conditions Grossly hemolyzed or lipemic specimens. Minimum volume 1 mL Alternate specimens 2 mL frozen serum drawn at 14-22 weeks gestation. Test schedule Mon-Fri Turnaround time 2-5 days Test includes Alpha-feto Protein; Human Chorionic Gonadotropin Beta Subunit; Uncojugated Estriol, Dimeric Inhibin-A. Synonyms PRS + Inhibin A; PRS, Quad Screen; AFP/HCG/Estriol/Inhibin-A CPT codes 82105, 84702, 82677, 86336 PRIMIDONE Order code PRM Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next dose. Notes times of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Unacceptable conditions Whole blood specimens. Minimum volume 0.2 mL Alternate specimens Heparin or EDTA plasma (green or lavender top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Phenobarbital, µg/mL; Primidone, µg/mL. Synonyms Mysoline CPT codes 80184, 80188 PROCAINAMIDE Order code PROC Container type Red top tube (plain) Specimen type Serum Preferred volume 0.5 mL Collection procedure Draw just prior to next dose. Note times of dose and drawing. Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Minimum volume 0.2 mL Alternate specimens Plasma specimens. Test schedule Daily and STAT Turnaround time 24 hours Test includes Procainamide, µg/mL; NAPA, µg/mL; Total Drug, µg/mL. Synonyms Pronestyl; NAPA and Procainamide CPT codes 80192 PROGESTERONE Order code PROGES Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 8 hours Stability - refrigerated 48 hours Stability - frozen (-20°C) 3 months Unacceptable conditions SST/gel tube specimes not handled as outlined. All plasma samples are unacceptable. Minimum volume 0.5 mL Alternate specimens Samples drawn on SST or other gel tubes with serum separated ASAP. Must be separated within 24 hours. Test schedule Sun-Fri & STAT Turnaround time 1-3 days Test includes Progesterone, ng/mL. CPT codes 84144 PROINSULIN Order code PROINSULIN Patient Prep Patient should be fasting. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 1.25 mL Collection procedure Draw in an ice-cooled EDTA tube. Specimen processing Separate plasma from cells in a refrigerated centrifuge and place in separate plastic tube and freeze. Store and transport frozen. Unacceptable conditions Severely hemolyzed, severely lipemic or unfrozen specimens. Minimum volume 0.75 mL Test schedule Tue, Thu Turnaround time 3-7 days Test includes Proinsulin, pmol/L. CPT codes 84206 PROLACTIN Order code PROLAC Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Collect specimen 3-4 hours after patient has awakened. Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 24 hours Stability - frozen (-20°C) 12 months Minimum volume 0.3 mL Alternate specimens EDTA or sodium heparinized plasma (lavender or green top tube). Test schedule Daily Turnaround time 24 hours Test includes Prolactin, ng/mL. Synonyms PRL CPT codes 84146 PROPAFENONE Order code PROPAFENONE Container type Red top tube (plain) Specimen type Serum Preferred volume 1.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 30 days Stability - frozen (-20°C) 30 days Minimum volume 0.8 mL Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Tue, Thu, Sat Turnaround time 3-5 days Test includes Propafenone, ug/mL. Synonyms Rhythmol CPT codes 80299 PROPOXYPHENE Order code DARVON Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Unacceptable conditions Serum separator tubes and gels. 11/18/02 - 144 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PROPRANOLOL PROTEIN C, ANTIGEN Minimum volume 2 mL Test schedule Mon-Sun Turnaround time 3-5 days Test includes Propoxyphene, µg/mL. Synonyms Darvon CPT codes 80299 PROPRANOLOL Order code IND Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1.5 mL Alternate specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Tue, Thu, Sat Turnaround time 3-5 days Test includes Propranolol, ng/mL. Synonyms Inderal CPT codes 80299 PROSTATIC SPECIFIC ANTIGEN Order code PSA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 14 days Minimum volume 0.5 mL Limitations Serum is the only acceptable specimen. Minimum detectable concentration is 0.01 ng/mL. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Prostatic Specific Antigen, ng/mL. Synonyms PSA CPT codes 84153 Notes TAT longer if dilutions required. PROSTATIC SPECIFIC ANTIGEN (WITH REFLEX) Order code PSAR This test reflexes to a free PSA if the total PSA is between 4.0-10.0 ng/mL. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. The Free PSA portion of this test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Minimum volume 0.5 mL Test schedule Sun-Fri for Total, Mon-Fri for Free Turnaround time 3-5 days Test includes Total Prostatic Specific Antigen, ng/mL; Free Prostatic Specific Antigen, ng/mL and Free/Total Prostatic Specific Antigen Ratio, % if the PSA is between 4.0-10.0 ng.mL. CPT codes 84153 and 84154 if Free PSA is required. Notes Minimum detectable concentration for Total PSA is 0.01 ng/mL and for Free PSA is 0.03 ng/mL. PROSTATIC SPECIFIC ANTIGEN ULTRASENSITIVE Order code PSAUS Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 hours Stability - refrigerated 17 days Stability - frozen (-20°C) 1 year Unacceptable conditions Specimens received at ambient temperature. Minimum volume 0.3 mL Test schedule Tue-Sat Turnaround time 3-5 days Test includes Prostatic Specific Antigen, Ultrasensitive, ng/mL. Synonyms PSA Ultrasensitive CPT codes 84153 PROSTATIC SPECIFIC ANTIGEN, FREE Order code FPSA This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and put in separate plastic tube . Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Plasma, grossly hemolyzed or lipemic specimens. Minimum volume 0.5 mL Limitations Minimum detectable concentration is 0.01 ng/mL for PSA and 0.03 ng/mL for the Free PSA. Test schedule Mon-Fri nights Turnaround time 3-5 days Test includes Total PSA, ng/mL; Free PSA, ng/mL; Free/Total PSA Ratio, %. Synonyms Free PSA CPT codes 84154, 84153 PROTEIN C + S ACTIVITY Order code PROT.C+S.FUNC Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Separate platelet-poor plasma and place in a separate plastic tube & freeze. Store and transport frozen. Unacceptable conditions Serum, EDTA, heparinized, hemolyzed or non-frozen specimens. Minimum volume 2 mL Test schedule Mon & Thu Turnaround time 1-4 days Test includes Protein C, Activity, %; Protein S, Activity, %. CPT codes 85303, 85306 PROTEIN C, ACTIVITY Order code PROCF Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2 mL Specimen processing Separate platelet-poor plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Unacceptable conditions Serum, hemolyzed, EDTA, heparinized or unfrozen specimens. Minimum volume 1 mL Test schedule Mon & Thu Turnaround time 1-4 days Test includes Protein C, Activity, %. CPT codes 85303 PROTEIN C, ANTIGEN Order code PROT.C Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume Two 1 mL aliquots Specimen processing Double spin plasma at 3000 rpm and separate into two aliquots of 1 mL each and place in separate plastic 11/18/02 - 145 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PROTEIN S, ACTIVITY PROTEIN, URINE (12 HR) tubes. Store and transport frozen. Required patient info Indicate if patient is receiving Coumadin (Warfarin); it may lower Protein C levels. Stability - room temp 8 hours Stability - frozen (-20°C) 1 month Minimum volume 1 mL Limitations Blood/anticoagulant volume is critical. Test schedule Mon, Thu Turnaround time 3-5 days Test includes Protein C Antigen, % concentration. CPT codes 85302 PROTEIN S, ACTIVITY Required patient info Indicate if patient is receiving Coumadin (Warfarin); it lowers Protein S levels. Stability - room temp 8 hours Stability - frozen (-20°C) 1 month Minimum volume Two 0.5 mL aliquots Limitations Blood/anticoagulant volume is critical. Test schedule Mon, Thu Turnaround time 3-5 days Test includes Protein S Antigen, Total, %. CPT codes 85305 PROTEIN, CSF Order code PROSF Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 2 mL Specimen processing Separate platelet-poor plasma from the cells and place in separate plastic tube and freeze. Store and transport frozen. Unacceptable conditions Serum, EDTA, heparinized, hemolyzed or unfrozen specimens. Minimum volume 1 mL Test schedule Mon & Thu Turnaround time 1-4 days Test includes Protein S, Activity, %. CPT codes 85306 Order code PRO-C Container type CSF leakproof sterile tube. Specimen type CSF Preferred volume 1 mL Specimen processing Store and transport refrigerated. Stability - room temp 2 hours Stability - refrigerated 72 hours Unacceptable conditions Specimen with cells or hemolyzed. Minimum volume 0.2 mL Limitations Results may be falsely elevated if specimen has cells or is hemolyzed. Test schedule Daily & STAT Turnaround time 24 hours Test includes Protein, CSF, mg/dL. CPT codes 84155 PROTEIN S, ANTIGEN PROTEIN, FLUID Order code PRO.S Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume Two 1 mL aliquots Specimen processing Double spin plasma at 3000 rpm and separate into two aliquots of 1 mL each and place in separate plastic tubes. Store and transport frozen. Required patient info Indicate if patient is receiving Coumadin (Warfarin); it lowers Protein S levels. Stability - room temp 8 hours Stability - frozen (-20°C) 1 month Minimum volume 1 mL Limitations Blood/anticoagulant volume is critical. Test schedule Mon, Thu Turnaround time 1-3 days Test includes Protein S Antigen Total, %; Protein S Antigen Free, %. CPT codes 85305, 85306 PROTEIN S, ANTIGEN FREE Order code PSFREE Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume Two 1 mL aliquots Specimen processing Double spin plasma at 3000 rpm and separate into two aliquots of 1 mL each and place in separate plastic tubes. Store and transport frozen. Required patient info Indicate if patient is receiving Coumadin (Warfarin); it lowers Protein S levels. Stability - room temp 8 hours Stability - frozen (-20°C) 1 month Minimum volume Two 0.5 mL aliquots Limitations Blood/anticoagulant volume is critical. Test schedule Mon, Thu Turnaround time 3-5 days Test includes Protien S Antigen Free, %. CPT codes 85306 PROTEIN S, ANTIGEN TOTAL Order code PSTOT Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume Two 1 mL aliquots Specimen processing Double spin plasam at 3000 rpm and separate into two aliquots of 1 mL each and place in separate plastic tubes. Store and transport frozen. Order code PRO-FLD Container type Green top tube (sodium heparin) Specimen type Body fluid Preferred volume 1 mL Specimen processing Separate fluid from cells and place in separate plastic tube if specimen is grossly bloody. Note type of fluid. Store and transport refrigerated. Required patient info Type of fluid. Minimum volume 0.2 mL Alternate specimens Specimens collected in plain red top tubes or sterile container. Test schedule Daily Turnaround time 24 hours Test includes Protein, Fluid, g/dL. CPT codes 84155 PROTEIN, TOTAL Order code PRO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Limitations Plasma is not recommended as fibrinogen will add to the protein being measured. If plasma must be used, heparinized plasma is the recommendation. Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Protein, Total, g/dL. CPT codes 84155 PROTEIN, URINE (12 HR) Order code PRO-U.12 Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume . There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 12-hour urine collection Preferred volume 40 mL Collection procedure Collect a 12-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mL of a well-mixed 12-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. 11/18/02 - 146 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PROTEIN, URINE (QUANTITATIVE) PROTEUS OX-K Required patient info Collection period and total volume. Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Protein, Urine, mg/12hr; Protein/Creatinine Ratio. CPT codes 84155, 82570 PROTEIN, URINE (QUANTITATIVE) Order code PRO-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume . There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 40 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 2 months Minimum volume 1 mL Alternate specimens Specimen can be frozen, however, do not allow to thaw and refreeze. Limitations Avoid freeze/thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Protein, Urine, mg/24h; Protein/Creatinine Ratio. CPT codes 84155, 82570 PROTEIN, URINE (RANDOM) Order code PRO-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 2 months Minimum volume 1 mL Alternate specimens Specimen can be frozen, however, do not allow to thaw and refreeze. Limitations Avoid freeze/thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Protein, Urine, mg/dL. CPT codes 84155 PROTEIN/CREATININE, URINE (RANDOM) Order code PRO-RU Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 1 week Stability - frozen (-20°C) 2 months Minimum volume 1 mL Alternate specimens Specimen can be frozen, however, do not allow to thaw and refreeze. Limitations Avoid freeze/thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Creatinine, Urine mg/dL; Protein, Urine, mg/dL; Protein/Creatinine Ratio. CPT codes 84155, 82570 PROTEINASE 3 ANTIBODY Order code PR3AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Hemolyzed, lipemic, contaminated samples, other body fluids; repeat freeze/thaw cycles. Minimum volume 0.5 mL Test schedule Tue & Thu Turnaround time 2-6 days Test includes Proteinase 3 Antibody, U/mL. Synonyms PR3 Antibody CPT codes 83516 PROTEUS OX-19 Order code O19 This assay has been abandoned because of poor sensitivity and specificity. Order specific Rickettsial antibodies for diagnosis. Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Acute should be drawn at onset of symptoms, convalescent in 2-4 weeks. Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Proteus OX-19. CPT codes 86000 PROTEUS OX-2 Order code OX2 This assay has been abandoned because of poor sensitivity and specificity. Order specific Rickettsial antibodies for diagnosis. Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Acute should be drawn at onset of symptoms, convalescent in 2-4 weeks. Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Proteus OX-2. CPT codes 86000 PROTEUS OX-K Order code OXK This assay has been abandoned because of poor sensitivity and specificity. Order specific Rickettsial antibodies for diagnosis. Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Acute should be drawn at onset of symptoms, convalescent in 2-4 weeks. Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport 11/18/02 - 147 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PROTHROMBIN 20210 BY PCR PSEUDOCHOLINESTERASE & DIBUCAINE refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Proteus OX-K, Titer. CPT codes 86000 PROTHROMBIN 20210 BY PCR Order code PROPCR Due to the sensitivity of this test, submit the entire specimen in the original collection tube. Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated. Do not freeze specimen. Stability - room temp 72 hours Stability - refrigerated 5 days Stability - frozen (-20°C) Unstable Unacceptable conditions Heparinized whole blood, serum, grossly hemolyzed specimens, frozen specimens, specimens over 5 days old and specimens in leaky containers. Also specimens not received in the original collection tubes. Minimum volume 1 mL or a full EDTA microtainer Alternate specimens Sodium citrate or ACD whole blood (blue or yellow top tube). Limitations Do not freeze specimen. Test schedule Tue, Thu Turnaround time 2-5 days Test includes Prothrombin Time 20210; Interpretation; Comment; Comment. CPT codes 83891, 83903, 83898, 83896 x 2, 83912 PROTIME Order code PT Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood Preferred volume 5 mL Specimen processing Liquid blue top tube filled to capacity. Must be performed within 24 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4°C or 22-24°C. Store and transport refrigerated. Stability - room temp 24 hours Unacceptable conditions Severely hemolyzed, clotted specimens of improperly filled liquid blue top tube or specimens older than 24 hours that have not been separated and stored at -70°C. Minimum volume 3 mL Test schedule Daily-all shifts Turnaround time 24 hours Test includes PT, patient, sec; PT, pop mean, sec; PT, INR. Synonyms Prothrombin Time; PT CPT codes 85610 Notes If time interval between drawing and testing exceeds 24 hours, centrifuge specimen, separate plasma, recentrifuge, separate into clean plastic tube and freeze at -70°C. Store and transport frozen. PROTIME MIXING STUDY Order code PTMIX Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood Preferred volume 5 mL Specimen processing Liquid blue top tube filled to capacity. Must be performed within 24 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4°C or 22-24°C. Store and transport refrigerated. Stability - room temp 24 hours Unacceptable conditions Severely hemolyzed, clotted specimens, improperly filled liquid blue top tube or specimens older than 24 hours that have not been separated and stored at -70°C. Minimum volume 3 mL Test schedule Daily-all shifts Turnaround time 24 hours Test includes Protime 1/1 Mix, sec; Protime, control plasma, sec. Synonyms Prothrombin Time Mixing Study; PT, 1/1 Mix CPT codes 85611 Notes If time interval between drawing and testing exceeds 24 hours, centrifuge specimen, separate plasma, recentrifuge, separate into clean plastic tube and freeze at -70°C. Store and transport frozen. PROTOPORPHYRIN FREE ERYTHROCYTE Order code PROTO Patient Prep Patient must be fasting 12-14 hours. The patient should be off medications for at least a week if possible otherwise forward a list of medications with the specimen. Patient should abstain from alcohol for 24 hours. Container type Green top tube (sodium heparin) Specimen type See below. Preferred volume 5 mL Collection procedure Draw 5 mL blood into heparin tube. Place on wet ice immediately. Transfer to 12 mL graduated centrifuge tube. Centrifuge 10 min. at 2000 rpm. Record packed cell volume and the total volume of the specimen. Discard supernatant plasma. Wash RBCs 2 times by resuspension in 5 mL cold 0.9% saline discarding supernatant after each washing. Resuspend RBCs to a volume of 5 mL with 0.9% saline and invert gently to mix. Specimen processing Transport washed RBC suspension frozen in plastic tube on dry ice. Required patient info Volume of packed cells and volume of RBC suspension (RBC's + saline). Stability - refrigerated 24 hours before washing cells. Unacceptable conditions No deviation from protocol is acceptable. Test schedule Mon-Sat Turnaround time 2-5 days Test includes Free Protoporphyrin, ug/dL; Zinc-Complexed Protoporphyrin, ug/dL. Synonyms Free Erythrocyte Protoporphyrin; FEP CPT codes 84202 x 2 PROTRIPTYLINE Order code PROT Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Stability - room temp 5 days Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 1 mL Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Sun, Tue, Thu Turnaround time 3-5 days Test includes Protriptyline, ng/mL. Synonyms Vivactil CPT codes 80299 PSEUDOCHOLINESTERASE & DIBUCAINE Order code PSEUDO-DIB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Specimen must be drawn prior to surgery or two days post. Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Required patient info Clinical information. Stability - room temp unstable Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months 11/18/02 - 148 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PTH, C-TERMINAL PURKINJE CELL CYTOPLASMIC ANTIBODY Unacceptable conditions Citrated, oxalated or fluoride preserved plasma samples, whole blood samples unseparated and samples drawn during surgery or in the recovery room. Alternate specimens EDTA or heparinized plasma (lavender or grren top tubes). Test schedule Mon-Fri Turnaround time 3-5 days Test includes Pseudocholinesterase, U/L; Dibucaine, %; Phenotype. CPT codes 82638 PTH, C-TERMINAL Order code C-PTH Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Minimum volume 0.7 mL Test schedule Tue, Thu, Sat Turnaround time 2-7 days Test includes Parathormone C-Terminal, pg/mL; Calcium, mg/dL. Synonyms C-PTH; Parathormone, C-Terminal; Parathyroid Hormone, C-Terminal CPT codes 83970, 82310 PTH, INTACT, WHOLE MOLECULE Order code INTACT.PTH Test of choice for evaluation of calcium and parathyroid disorders. Patient Prep Fasting specimen preferred. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 8 hours Stability - frozen (-20°C) 4 months Stability - frozen (-70°C) 11 months Minimum volume 1 mL Test schedule Mon-Sat, evenings Turnaround time 2-5 days Test includes PTH, Intact, pg/mL; Calcium, mg/dL. Synonyms Whole Molecule Parathyroid Hormone; Intact, PTH; PTH, Intact; Parathyroid Hormone, Intact (Whole Molecule) CPT codes 83970, 82310 PTH, INTACT, WHOLE MOLECULE, NO CALCIUM Order code PTHINC This assay is for the whole molecule (intact) PTH and no calcium is reported. Patient Prep Fasting specimen is preferred. Container type Lavender top tube (EDTA) Specimen type Frozen EDTA plasma Preferred volume 2 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 48 hours Minimum volume 1 mL Test schedule Mon-Sat evenings Turnaround time 2-5 days Test includes PTH, Intact, pg/mL. Synonyms Whole Molecule Parathyroid Hormone, No Calcium; Intact, PTH, No Calcium; PTH, Intact , No Calcium; Parathyroid Hormone, Intact (Whole Molecule), No Calcium. CPT codes 83970 PTT Order code PTT Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood Preferred volume 5 mL Specimen processing Liquid blue top tube filled to capacity. Assays on nonheparinized patients must be performed within 4 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4°C or 22-24°C. Assays on specimens suspected to contain unfractionated heparin therapy kept at 2-4°C or 22-24°C should be centrifuged and the plasma removed from the cells within 1 hour of collection and tested within 4 hours of collection. Unacceptable conditions Severely hemolyzed, clotted specimens, improperly filled liquid blue top tube or specimens more than 4 hours old that have not been separated and frozen at -70°C. Minimum volume 3 mL Test schedule Daily-all shifts Turnaround time 24 hours Test includes PTT patient, sec; PTT, pop mean, sec. Synonyms Partial Thromboplastin Time CPT codes 85730 Notes If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into clean plastic tube and freeze at -70°C. Store and transport frozen. PTT (PRESURGICAL) Order code PTT.SURG Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood Preferred volume 5 mL Specimen processing Liquid blue top tube filled to capacity. Must be performed within 4 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4°C or 22-24°C. Unacceptable conditions Severely hemolyzed, clotted specimens, improperly filled liquid blue top tube or specimens older than 4 hours that have not been separated and stored at -70°C. Minimum volume 3 mL Test schedule Daily-all shifts Turnaround time 24 hours Test includes PTT, sec; PTT, pop mean, sec. Synonyms Partial Thromboplastin Time CPT codes 85730 Notes If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into clean plastic tube and freeze at -70°C. Store and transport frozen. PTT MIXING STUDY Order code PTTMIX Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood Preferred volume 5 mL Specimen processing Liquid blue top tube filled to capacity. Assays on nonheparinized patients must be performed within 4 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of cells in an unopened tube kept at 2-4°C or 22-24°C. Assays on specimens suspected to contain unfractionated heparin therapy kept at 2-4°C or 22-24°C should be centrifuged and the plasma removed from the cells within 1 hour of collection and tested within 4 hours of collection. Unacceptable conditions Severely hemolyzed, clotted specimens, improperly filled liquid blue top tube or specimens more than 4 hours old that have not been separated and frozen at -70°C. Minimum volume 3 mL Test schedule Daily-all shifts Turnaround time 24 hours Test includes PTT Mixing Study, sec; PTT, Control Plasma, sec. Synonyms Partial Thromboplastin Time Mixing Study CPT codes 85732 Notes If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into clean plastic tube and freeze at -70°C. Store and transport frozen. PURKINJE CELL CYTOPLASMIC ANTIBODY Order code PUR Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. 11/18/02 - 149 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 PURKINJE CELL CYTOPLASMIC ANTIBODY, CSF RAPID STREP GROUP A SCREEN Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 2-4 days Test includes Purkinje Cell Cytoplasmic Antibody; Yo-Specific Purkinje Cell Cytoplasmic Antibody. Synonyms PCCA CPT codes 86255 PURKINJE CELL CYTOPLASMIC ANTIBODY, CSF Order code PURSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 1 mL Specimen processing Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 2-4 days Test includes Purkinje Cell Cytoplasmic Antibody, CSF; Yo-Specific Purkinje Cell Cytoplasmic Antibody, CSF. Synonyms PCCA, CSF CPT codes 86255 PYRUVATE KINASE SCREEN Order code PK.SCR Container type Lavender top tube (EDTA) Specimen type Whole blood and 2 peripheral blood slides Preferred volume 5 mL Specimen processing Store and transport whole blood refrigerated. Stability - refrigerated 20 days Minimum volume 0.5 mL Alternate specimens Heparinized whole blood (green top tube) or ACD whole blood (yellow top tube, ACD solution A). Test schedule Mon-Fri days Turnaround time 24 hours Test includes Pyruvate Kinase Screen. CPT codes 84220 Notes This procedure differentiates between normal and grossly deficient enzyme samples. Its usefulness in differentiating levels of partial deficiency has not been evaluated. Deficient results should be confirmed by quantitative assay. PYRUVIC ACID Order code PYRUVIC ACID Container type See below. Specimen type Frozen supernatant from whole blood Preferred volume 1 mL Collection procedure Draw whole blood in green or lavender top tube, immediately add 1 ml of whole blood to a chilled tube containing 2 mL of 8% perchloric acid. Mix well for 30 seconds and place in ice bath for 10 minutes. To prepare 8% perchloric acid: dilute 11.4 mL of 70% perchloric acid to 100 mL H2O. Specimen processing Centrifuge 10 minutes at 1500g. Separate supernatant and freeze in separate plastic tube. Store and transport frozen. Stability - room temp unstable Stability - refrigerated 1 hour Stability - frozen (-20°C) 6 months Unacceptable conditions If LT 1 mL of blood is added to collection tube, pH of the supernatant will be too low for testing to be done. Minimum volume 1 mL Test schedule Sun-Sat Turnaround time 3-5 days Test includes Pyruvic Acid, mmol/L. CPT codes 84210 QUINIDINE Order code QUIN Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next dose. Note times of dose and drawing. Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Minimum volume 0.2 mL Alternate specimens Plasma specimens. Test schedule Daily and STAT Turnaround time 24 hours Test includes Quinidine, µg/mL. Synonyms Cardioquin CPT codes 80194 RA TITER Order code RA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma. Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes RA, IU/mL. Synonyms Rheumatoid Factor CPT codes 86431 RA, SYNOVIAL FLUID Order code RA.SYN Container type Leakproof plastic container. Specimen type Synovial fluid Preferred volume 2 mL Specimen processing Store and transport refrigerated. Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes RA, Synovial Fluid. Synonyms Rheumatoid Factor, Synovial Fluid CPT codes 86431 RABIES ANTIBODY Order code RABIES This test is to be used only as an indication of response to preexposure vaccination. Any testing relating to clinical cases of human or animal rabies must be arranged through your respective State Health Department. Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Turnaround time 2 weeks Test includes Rabies Ab, Titer. CPT codes 86256 RAJI CELL ASSAY Order code RAJI Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Allow specimen to clot for 2 hours, centrifuge, aliquot serum in 2 separate plastic tubes and freeze immediately. Store and transport frozen. Stability - frozen (-20°C) 30 days Unacceptable conditions Non-frozen specimens and specimens exposed to repeated freeze/thaw cycles. Minimum volume 0.5 mL Test schedule Tue-Fri Turnaround time 3-7 days Test includes Raji Cell Assay, ugE/mL. CPT codes 86332 RAPID STREP GROUP A SCREEN Order code RSGA This is not a culture. 11/18/02 - 150 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 RAST-SINGLE ALLERGEN RENAL FUNCTION PANEL Container type Dry sterile test tube. Specimen type Throat swab collected on a dry sterile dacron-tipped swab. Specimen processing Store and transport refrigerated. Stability - refrigerated 72 hours Unacceptable conditions Specimens collected on calcium alginate swabs or collection systems containing charcoal, semisolid transport medium and our new Copan swab system. Test schedule Sun-Fri nights and STAT Turnaround time 24-48 hours Test includes Group A Strep Antigen. Synonyms Strep Screen, Rapid CPT codes 87430 Notes If you are using the Copan system you may use the swab but put it in a sterile dry red top tube not back into the transport media. If the RSGA test is to be followed up by a culture a second swab using the Copan system should be obtained. RAST-SINGLE ALLERGEN Order code RAST.SINGLE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Specify allergen. Minimum volume 0.5 mL Test schedule Varies-4 times weekly Turnaround time 3-5 days Test includes Rast Test. CPT codes 86003 RBC MORPHOLOGY Order code RMORPH Specimen type 2 peripheral blood smears Specimen processing Transport at room temperature. Unacceptable conditions Slides made from EDTA blood that is more than 12 hours old. Minimum volume 2 peripheral blood smears Alternate specimens EDTA whole blood (lavender top tube) if less than 12 hours old. Test schedule Daily Turnaround time 24 hours Test includes RBC Morphology. CPT codes 85008 RDS RISK PANEL Order code RDS If ordering STAT you must notify Client Services at 509-755-8999. When requesting cytogenetic studies do not freeze specimen. Store and transport entire specimen refrigerated. Specimen type Frozen amniotic fluid Preferred volume 5 mL Specimen processing Freeze 5 mL amniotic fluid collected by amniocentesis. Protect from light. Do not centrifuge. Store and transport frozen. When requesting cytogenetic studies do not freeze specimen. Store and transport entire specimen refrigerated. Stability - refrigerated 1 week Stability - frozen (-20°C) 2 months Unacceptable conditions Vaginal pool specimen contaminated with blood or mucous. Minimum volume 3 mL Alternate specimens Amniotic fluid collected by vaginal pool. Limitations Protect from light. Test schedule Mon-Fri days & STAT Turnaround time 1-3 days Test includes L/S Ratio; Phosphatidylglycerol; Creatinine, AF, mg/dL; Appearance; Color; RBC; Risk Comment; Comment. Synonyms Fetal Lung Maturity, L/S Ratio and PG (Phosphatidylglycerol). CPT codes 83661, 84081, 82570 RED CELL COUNT Order code RBC Container type Lavender top tube (EDTA) Specimen type EDTA whole blood Specimen processing Prefer to receive specimen within 12 hours of collection. Store and transport refrigerated. Test schedule Mon-Sat days, Mon-Fri evenings and STAT Turnaround time 24 hours Test includes RBC, M/µL. Synonyms RBC CPT codes 85041 RED CELL FRAGILITY Order code RBCFRG Draw Mon-Thu only. Specimens must reach PAML by 7:00 PM. Notify client services when sending specimens. See notes below. Container type Green top tube (sodium heparin) and Lavender top tube (EDTA). Specimen type See below. Collection procedure Two 5 mL tubes heparinized whole blood (green top tubes), one 5 mL EDTA whole blood (lavender top tube) and two slides from the patient plus two 5 mL tubes heparinized whole blood (green top tubes) from a normal control (unrelated person). Label clearly as CONTROL. Specimen processing Clearly label specimens. Store and transport at room temperature within 3 hours of collection. Unacceptable conditions Frozen specimens. Minimum volume 2 mL fresh heparinized blood and 2 slides. Limitations If a sample is more than 3 hours old, a comment will be added to the report stating "Results may be compromised due to age of sample". Test schedule Mon-Thu Turnaround time 3-5 days Test includes RBC Fragility, Fresh, Interp; RBC Fragility, Fresh, Reviewed By; Osmotic Fragility, Incubated, Interp; Osmotic Fragility, Incubated, Reviewed By. Synonyms Osmotic Fragility; Osmotic Lysis CPT codes 85557 Notes If a specimen will arrive at PAML after 7 PM; special arrangements must be made prior to drawing the sample. REDUCING SUBSTANCES, STOOL Order code STL.SUGAR Container type Leakproof plastic container. Specimen type Stool, random Specimen processing Transport in leakproof container. Store and transport refrigerated. Required patient info Specimen source. Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Source; Reducing Substances, Stool; Reducing Substances, Status. Synonyms Stool for sugar CPT codes 82947 REDUCING SUBSTANCES, URINE Order code URED False positives may result from large quantities of ascorbic acid, certain antibiotics and other drugs. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 1 mL Collection procedure Collect a random urine in a leakproof plastic urine container from a patient 3 years old or younger. Specimen processing Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Daily Turnaround time 24 hours Test includes Reducing Substances, Urine, mg/dL. CPT codes 81005 RENAL FUNCTION PANEL Order code RENALA Container type Brick top tube (SST or Corvac) or Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Centrifuge the specimen ASAP, keep the tube 11/18/02 - 151 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 RENIN, PLASMA RENIN, SAMPLE 5 upright and leave the tube capped. Store and transport refrigerated. Specimen can be collected using the following protocol: 2 mL serum (red top tube). Separate serum from the cells ASAP & handle anaerobically at all time to minimize exposure to air during collection, transfer and storage. Place in separate plastic tube and cap immediately. Store and transport refrigerated. Stability - refrigerated 1 day Unacceptable conditions EDTA, sodium citrate or sodium fluoride/oxalate plasma specimens. Minimum volume 0.5 mL Alternate specimens If plasma must be used, use lithium or ammonium heparin. Limitations Avoid hemolysis. Test schedule Sun-Fri Nights and STAT Turnaround time 24 hours Test includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; Calcium, mg/dL; Phosphorus, mg/dL; Albumin, g/dL; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L. CPT codes 80069 Notes Hemolysis will cause elevated potassium values, prolonged contact with the cell clot may cause elevated phosphorus values and minimal volumes will concentrate. RENIN, PLASMA Order code REN Use this workpar when A SINGLE RENIN TEST is ordered. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic collection site clearly on the label. Required patient info Note salt intake. Stability - room temp 6 hours Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Renin, ng/mL/h. Synonyms Renin, Activity CPT codes 84244 RENIN, SAMPLE 1 Order code REN.S1 Use this workpar to order the first renin when multiple specimens are collected. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Sample may be collected & centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hrs before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic collection site clearly on the label. Required patient info Note salt intake. Stability - room temp 6 hours Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Renin, #1, ng/mL/h; Renin, Site 1. CPT codes 84244 RENIN, SAMPLE 2 Order code REN.S2 Use this workpar to order the second renin specimen when multiple specimens are collected. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label. Required patient info Note salt intake. Stability - room temp 6 hours Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Renin, #2, ng/mL/h; Renin, Site 2. CPT codes 84244 RENIN, SAMPLE 3 Order code REN.S3 Use this workpar to order the third renin when multiple specimens are collected. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation.Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label. Required patient info Note salt intake. Stability - room temp 6 hours Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Renin, #3, ng/mL/h; Renin, Site 3. CPT codes 84244 RENIN, SAMPLE 4 Order code REN.S4 Use this workpar to order the fourth renin when multiple specimens are collected. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label. Required patient info Note salt intake. Stability - room temp 6 hours Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Renin, #4, ng/mL/h; Renin, Site 4. CPT codes 84244 RENIN, SAMPLE 5 Order code REN.S5 Use this workpar to order the fifth renin when multiple specimens are collected. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from the cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label. Required patient info Note salt intake. Stability - room temp 6 hours Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days 11/18/02 - 152 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 RENIN, SAMPLE 6 RETICULOCYTE COUNT, MANUAL Turnaround time 1-3 days Test includes Renin, #5, ng/mL/h; Renin, Site 5. CPT codes 84244 RENIN, SAMPLE 6 Order code REN.S6 Use this workpar to order the sixth renin when multiple specimens are collected. Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 4 mL Specimen processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. If collected during catheterization, indicate the anatomic site clearly on the label. Required patient info Note salt intake. Stability - room temp 6 hours Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 2.5 mL Test schedule Mon-Fri days Turnaround time 1-3 days Test includes Renin, #6, ng/mL/h; Renin, Site 6. CPT codes 84244 REPTILASE Order code REPTLS This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Separate plasma from cells, centrifuge again and place plasma in separate plastic tube and transport on ice within 48 hours or store and transport frozen. Minimum volume 0.5 mL Test schedule Daily Turnaround time 24 hours Test includes Reptilase, Patient, sec; Reptilase, Control, sec; Reptilase, Patient/Control Mix, sec. CPT codes 85635 RESPIRATORY SYNCYTIAL VIRUS ANTIBODY Order code RSV.AB Acute and Convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated specimens and urine. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-7 days Test includes RSV Antibody, Titer. Synonyms RSV Antibody CPT codes 86756 RESPIRATORY SYNCYTIAL VIRUS ANTIGEN Order code RSV This is the rapid EIA method for the detection of RSV antigen. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type FlexTrans. Specimen type Nasopharyngeal (NP) and/or throat swab, or nasal washing Collection procedure Both swabs may be placed in the same FlexTrans tube. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Test schedule Sun-Sat days; Mon-Fri evenings Turnaround time 24 hours Test includes Source; RSV Antigen; RSV Antigen , Status. Synonyms RSV CPT codes 87420 Notes The specimen may be cultured for other respiratory viruses if the RSV-EIA is negative. The ordering physician must initiate this by requesting RSV.ADD. An additional charge will be added. RESPIRATORY SYNCYTIAL VIRUS SCREEN & CULTURE Order code RSVSCC This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type FlexTrans Specimen type Nasopharyngeal (NP) and/or throat swab, or nasal washing or nasal aspirate. Specimen processing Store and transport refrigerated. Required patient info Specimen source. Test schedule Sun-Sat days Turnaround time EIA-24 hours; Culture-14 days Test includes Source; RSV Antigen; RSV Antigen, Status. CPT codes 87420 Notes If the EIA screening test for RSV is negative, a respiratory virus culture, (RSV.ADD) will automatically be set up to isolate other respiratory viruses that may be present. An additional fee will be charged for the culture. RETICULIN ANTIBODY, TOTAL, IGA, IGG & IGM Order code RETICULIN.AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells, place in separate plastic tube and refrigerate. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 5 days Stability - frozen (-20°C) 1 year Unacceptable conditions All samples drawn with anticoagulant. Minimum volume 0.1 mL Test schedule Sun-Fri Turnaround time 1-3 days Test includes Reticulin Antibody, Total A,G,M. CPT codes 86255 RETICULOCYTE COUNT Order code RTC Container type Lavender top tube (EDTA) Specimen type Whole blood Specimen processing Store and transport refrigerated. Stability - room temp 6 hours Stability - refrigerated 72 hours Minimum volume 1 mL EDTA whole blood or 1 microtainer (lavender) Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Reticulocytes, %; Reticulocytes, Absolute, K/µL; Reticulocytes, Corrected, %. Synonyms Retic CPT codes 85045 RETICULOCYTE COUNT, MANUAL Order code RETICM Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Store and transport refrigerated. Stability - room temp 6 hours Stability - refrigerated 72 hours Minimum volume 1 mL whole blood or 1 EDTA microtainer Test schedule Mon-Sat days Turnaround time 24 hours 11/18/02 - 153 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 RH FACTOR RPR Test includes Reticulocytes, %; Reticulocytes, Absolute, K/µL; Reticulocytes, Corrected, %. CPT codes 85044 RH FACTOR Order code RH Container type Black top tube (buffered sodium citrate) Specimen type Whole blood Specimen processing Store and transport refrigerated. Unacceptable conditions Frozen cells. Alternate specimens Buffered sodium citrate or EDTA plasma specimens (blue or lavender top tubes). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes RH. CPT codes 86901 RH-COMPLETE CDE Order code COMPRH Container type Red top tube and black top tube. Specimen type Serum and whole blood Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Turnaround time 3-5 days Test includes Complete RH. CPT codes 86906 RIBOSOMAL P ANTIBODY Order code RIBPAB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 5-7 days Test includes Ribosomal P Antibody. CPT codes 83520 RIFAMPIN Order code RIFAMPIN Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 2 mL Collection procedure Draw 2-4 hours post dose. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 1 mL Alternate specimens Plasma. Test schedule Fri Turnaround time 3-10 days Test includes Rifampin, µg/mL. Synonyms Rifamycin; Rifampicin CPT codes 82491 RISPERIDONE & METABOLITE Order code RISP Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or ambient temperature. Stability - room temp 7 days Stability - refrigerated 1 month Unacceptable conditions SST or other gel type tubes, or sodium citrate anticoagulant. Frozen whole blood. Minimum volume 2.2 mL Alternate specimens Heparin or EDTA plasma specimens. Limitations Avoid the use of serum separator or gel type tubes. Test schedule Tue, Thu, Sat Turnaround time 1-3 days Test includes Risperdone, ng/mL; OH-Resperidone, ng/mL; Total Risperidone , ng/mL. CPT codes 82542 RNP Order code RNP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Turbidity, marked hemolysis or visible bacterial growth may interfere with procedure. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes RNP, Units. CPT codes 86235 ROCKY MOUNTAIN SPOTTED FEVER Order code ROCKY MT Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed specimens. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Rocky Mountain Spotted Fever, IgG, IV; Rocky Mountain Spotted Fever, IgM, IV. Synonyms Rickettsia rickettsii CPT codes 86757 x 2 ROTAVIRUS Order code ROTAVIRUS Container type Clean, leakproof, wax-free container. Specimen type Stool, fresh Preferred volume Walnut-sized portion Specimen processing Store and transport refrigerated. Required patient info Specimen source. Unacceptable conditions Stool swabs and soiled diapers. Minimum volume "Pea-sized" sample Test schedule Mon-Sat Turnaround time 2-5 days Test includes Source; Rotavirus; Rotavirus, Status. CPT codes 87425 RPR Order code RPR This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes RPR. Synonyms VDRL; Rapid Plasma Reagin Test 11/18/02 - 154 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 RUBELLA & RPR SALMONELLA (WIDAL) AGGLUTININS CPT codes 86592 Notes Positive samples are automatically confirmed by TPPA at the Washington State Public Health Laboratory. Test includes Rubeola IgG, ISR. Synonyms Measles, IgG CPT codes 86765 RUBELLA & RPR RUBEOLA, IGM Order code RPR/RUB This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Rubella, IgG, IU/mL; RPR. CPT codes 86762, 86592 Notes Positive RPR samples are automatically confirmed by TPPA at the Washington State Public Health Laboratory. RUBELLA SCREEN, IGG Order code RUBELLA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Heat-treated, lipemic, or grossly hemolyzed specimens. Minimum volume 0.5 mL Alternate specimens EDTA, sodium citrated or heparinized plasma (lavender, black or green top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Rubella, IgG, IU/mL. CPT codes 86762 RUBELLA, IGM Order code RUBEM Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 1 year Unacceptable conditions Severely lipemic, icteric, contaminated or hemolyzed specimens. Minimum volume 0.2 mL Test schedule Tue-Sat days Turnaround time 3-5 days Test includes Rubella, IgM, Index. CPT codes 86762 Notes Rubella IgG should be used to test for immunity. RUBEOLA, IGG Order code RUBEOLA Recommend acute and convalescent samples drawn 3 to 4 weeks apart if recent measles infection suspected. Recommend single sample to screen for immunity. Recommend single sample for Rubeola IgM if acute measles infection suspected. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-5 days Order code RUBEOLA.IGM Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tubes. Clearly label specimens. Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Severely lipemic, heat-inactivated or hemolyzed specimens. Minimum volume 0.2 mL Test schedule Mon, Wed, Fri Turnaround time 5-7 days Test includes Rubeola, IgM, AU. Synonyms Measles Ab, IgM CPT codes 86765 Notes No established reference range for CSF. Rubeola IgG should be used to test for immunity. RUBEOLA-PAIRED SAMPLES Order code RUBEOLA2 Acute and convalescent samples required. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Rubeola IgG, Acute Antibody, ISR; Acute Date Drawn; Rubeola IgG, Conv Antibody, ISR; Conv Date Drawn; % Rise in ISR. Synonyms Measles (Paired Samples) CPT codes 86765 x 2 SALICYLATES Order code SAL Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 24 hours Minimum volume 0.2 mL Alternate specimens EDTA, sodium heparinized, sodium citrate or fluoride-oxalate plasma (lavender, green, blue or grey top tube) or 2 microtainers. Limitations If testing if delayed more than 24 hours freeze specimen. Test schedule Daily & STAT Turnaround time 24 hours Test includes Salicylates, µg/mL; Salicylates, mg/dL. Synonyms Salicylic Acid; Acetylsalicylic Acid; Aspirin CPT codes 80196 SALMONELLA (WIDAL) AGGLUTININS Order code SALMAG Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Draw acute and convalescent samples 1-3 weeks apart. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 0.5 mL Test schedule Mon-Fri 11/18/02 - 155 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 SCHLICHTER TEST SEROTONIN, BLOOD Turnaround time 2-5 days Test includes Salmonella O Paratyphoid A; Salmonella O Paratyphoid B; Salmonella O Group D (Typhoid O); Salmonella H Paratyphoid A; Salmonella H Paratyphoid B; Salmonella H Group D (Typhoid H). CPT codes 86000 x 6 SCHLICHTER TEST Order code SCHLIC Container type Red top tube (plain) Specimen type See below. Collection procedure 3 mL serum (red top tube) drawn at expected peak concentrations, 3 mL serum drawn just prior to next dose, and pure isolate of infecting organism. Clearly label specimens. Serum must be collected and stored asceptically. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimens. Store and transport serum frozen and culture at room temperature. Required patient info Specimen source, medication and time drawn. Minimum volume 1.5 mL serum for each specimen Test schedule Sun-Sat days Turnaround time 48-72 hours Test includes Source; Serum Inhibition; Serum Inhibition, Status. Synonyms Serum Cidal Test; Serum Inhibition, Peak & Trough CPT codes 87197 x 2 Notes To assess antibiotic maintenance of severely infected patients. Call laboratory prior to collection to ensure proper testing. SEDIMENTATION RATE Order code SED Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Test must be performed within 12 hours of collection. Store and transport refrigerated. Test schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround time 24 hours Test includes Sed Rate, mm/h. Synonyms ESR; Erythrocyte Sedimentation Rate CPT codes 85651 SELENIUM, SERUM Order code SEL.S Do not use this order code for whole blood specimens. Container type Royal blue top tube (metal free plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or ambient. Unacceptable conditions Specimens allowed to remain on the cells. Minimum volume 0.5 mL Test schedule Tue, Fri Turnaround time 3-5 days Test includes Selenium, Serum, µg/L. CPT codes 84255 Notes Do not use this workpar for whole blood specimens. SELENIUM, WHOLE BLOOD (QUANTITATIVE) Order code SEL Do not use this order code for sending serum or plasma specimens. Container type Royal blue top tube (metal free heparin) Specimen type Whole blood Preferred volume 4 mL Specimen processing Do not centrifuge. Send whole blood. Store and transport refrigerated. Minimum volume 2 mL Test schedule Sun-Fri Turnaround time 3-5 days Test includes Selenium, Blood, µg/L. CPT codes 84255 SEMEN EXAMINATION Order code SEMN Container type Clean leakproof glass container. Specimen type Semen, complete collection Specimen processing Collect complete semen specimen in a clean glass container. Deliver to laboratory within 1 hour of collection. Printed patient instructions are available upon request. Stability - room temp 1 hour Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24-48 hours Test includes Appearance; Viscosity; Sperm Concentration, M/mL; Volume, mL; Total Sperm Number, M; Liquefaction; Motility, %; Activity grade; Morphology, % Normal; Leukocytes; Comments; Reviewed By. CPT codes 89320 SEMEN MORPHOLOGY Order code SEMOPH Container type Clean leakproof glass container. Specimen type Semen, complete collection Specimen processing Collect complete semen specimen in a clean glass container. Deliver to laboratory within 1 hour of collection or prepare 2 smears on adhesive coated slides and spray immediately with cytology fixative. Printed patient instructions are available upon request. Test schedule Mon-Fri days Turnaround time 72 hours Test includes Morphology; Leukocytes; Comments; Reviewed By. CPT codes 89300 SEROTONIN Order code SEROT.S Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and freeze in separate plastic tube. Store and transport frozen. Stability - room temp Unstable Stability - refrigerated Unstable Unacceptable conditions Non-frozen specimens or specimens frozen in glass tubes. Minimum volume 0.6 mL Limitations Medication which may affect serotonin concentrations include reserpine, methyldopa, MAO inhibitors, lithium and morphine. Test schedule Mon, Wed, Fri Turnaround time 4-10 days Test includes Serotonin, ng/ml. CPT codes 84260 Notes In general EDTA whole blood (as compared to serum) transported with ascorbic acid preservative will give values most representative of blood concentrations. 95% of blood serotonin is typically found in platelets.. SEROTONIN, BLOOD Order code SEROT Container type Lavender top tube (EDTA) Specimen type Frozen whole blood Preferred volume 3 mL Specimen processing Transfer mixed EDTA whole blood to a plastic serotonin tube containing ascorbic acid. Mix thoroughly and freeze immediately. Store and transport frozen. Stability - room temp Unstable Stability - refrigerated Unstable Unacceptable conditions Non-frozen specimens or specimens frozen in glass tubes. Minimum volume 1 mL Alternate specimens 3 mL frozen EDTA/ascorbic whole blood (red/yellow speckled top serotonin tube). Transfer to plastic tube and freeze. Store and transport frozen. Limitations Medications which may affect serotonin concentration include reserpine, methyldopa, MAO inhibitors, lithium and morphine. Test schedule Mon, Wed, Fri Turnaround time 4-10 days Test includes Serotonin, ng/mL. Synonyms Hydroxytryplamine 11/18/02 - 156 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 SERTRALINE SMEAR, AFB CPT codes 84260 Notes Plastic ascorbic acid tubes are available from the PAML Supply Department. SERTRALINE Order code ZOLOFT Container type Red top tube (plain) Specimen type Serum Preferred volume 2.5 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 12 hours Stability - refrigerated 4 days Stability - frozen (-20°C) 1 month Minimum volume 1.5 mL Alternate specimens EDTA, sodium heparinized or sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Sun, Wed Turnaround time 3-5 days Test includes Sertraline, ng/mL. Synonyms Zoloft CPT codes 80299 SEX HORMONE BINDING GLOBULIN Order code SHBG Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Patient's age and sex. Stability - room temp unstable Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Minimum volume 0.3 mL Test schedule Sun-Sat Turnaround time 3-5 days Test includes Sex Hormone Binding Globulin, nmol/L. Synonyms Testosterone Binding Globulin, Estradiol Binding Globulin CPT codes 84270 SICKLE CELL SCREEN Order code SICKLE This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Lavender top tube (EDTA) Specimen type Whole blood and 2 peripheral blood smears Preferred volume 3 mL Specimen processing Store and transport at room temperature or refrigerated. Stability - refrigerated 7 days Stability - frozen (-20°C) 30 days Minimum volume 1 whole blood (EDTA microtainer) and 2 peripheral blood slides Alternate specimens Finger or heel stick specimens. Limitations Does not provide quantitaion of Hemoglobin S. Not suitable for child less than 6 months of age. Test schedule Sun-Sat days Turnaround time 24 hours Test includes Sickle Cell. CPT codes 85660 Notes All positive results are confirmed by HPLC. SILVER Order code SIL Container type Royal blue top tube (metal free heparin) Specimen type Whole blood Preferred volume 4 mL Specimen processing Protect from light. Store and transport refrigerated or at room temperature. Unacceptable conditions Specimens that are not protected from light. Minimum volume 0.5 mL Limitations Protect from light. Test schedule Tue, Thu Turnaround time 2-5 days Test includes Silver, µg/L. CPT codes 83788 SILVER, URINE Order code SILVER.U Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Protect from light. Store and transport refrigerated or at room temperature. Minimum volume 0.5 mL Limitations Protect from light. Test schedule Tue, Thu Turnaround time 2-5 days Test includes Silver, Urine, µg/L. CPT codes 83788 SIROLIMUS Order code RAPAMY Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 5 mL Specimen processing Strore and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) indefinitely Minimum volume 2 mL Test schedule Sun-Fri Turnaround time 3-5 days Test includes Sirolimus, ng/mL. Synonyms Rapamune; Rapamycin CPT codes 80299 SJOGRENS ANTIBODY Order code SJO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Turbidity, marked hemolysis or visible bacterial growth may interfere with procedure. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes SS-A, Units; SS-B, Units. Synonyms RO & LA Antibodies; Anti-RO; LA Antibodies; Anti- SSA & Anti-SSB Antibodies CPT codes 86235 SMEAR, AFB Order code AFB-SM Container type Air dried slides. Specimen type Sputum, broch wash, urine or other specimens. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Alternate specimens 6-10 mL fluid. Test schedule Sun-Sat days Turnaround time 24 hours Test includes Source; Smear, AFB; Smear, AFB, Status. CPT codes 87206 Notes If specimen is in microbiology by 1200, result available at 1600 same day. AFB smear is included with AFB culture and should not be ordered separately. 11/18/02 - 157 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 SMEAR, BLOOD PARASITES SPECIFIC GRAVITY SMEAR, BLOOD PARASITES Order code BLD-PARA Container type Lavender top tube (EDTA) Specimen type EDTA whole blood and 6 unstained peripheral blood smears Collection procedure The best time to obtain specimen is shortly after paroxysm. Another sample 10 hours later will assist in speciation. Specimen processing Store and transport at room temperature. Minimum volume 2 mL EDTA whole blood and 3 unstained smears Limitations Ideally specimens should be received within 12 hours. Test schedule Sun-Sat days for parasites; Mon-Fri days for ID Turnaround time 24-48 hours Test includes Malaria; Infected cells, %; Identification; Reviewed by. Synonyms Malaria Smear, Blood Parasites CPT codes 87207 Notes If symptoms persist or the clinical suspicion of malaria is high, the physician should be encouraged to repeat the test. In cases where fever follows classical paroxysms, another smear about 10 hours later when enough young asexual parasites have matured to the trophozoite stage make it easier to identify the species. The normal clearance time after treatment has begun is 48-72 hours. Positives will be forwarded to the Washington State DOH for confirmation of species identification. SMEAR, STAIN & INTERPRETATION Order code SMEAR Container type Clean glass slide. Collection procedure Place material to be stained on a clean glass slide. Air dry, do not fix. Place in slide mailer. Specimen processing Store and transport at room temperature. Required patient info Specimen source. Test schedule Sun-Sat Turnaround time 24 hours Test includes Source; Gram Stain; Gram Stain, Status. Synonyms Gram Stain (Smear, Stain & Interpretation) CPT codes 87205 Notes Gram stain is done on all appropriate specimens as part of routine culture. SODIUM Order code SOD Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Collection procedure Avoid hemolysis. Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Alternate specimens Lithium or ammonium heparin plasma (green top tube). Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Sodium, mmol/L. Synonyms Na CPT codes 84295 SODIUM & POTASSIUM Order code NA/K Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 week Minimum volume 0.2 mL Alternate specimens Lithium or ammonium heparinized plasma (green top tube). Test schedule Sun-Fri nights & STAT Turnaround time 24 hours Test includes Sodium, mmol/L; Potassium, mmol/L. CPT codes 84295, 84132 Notes Hemolysis will elevate potassium values and minimal volume specimens will concentrate upon exposure to air. SODIUM, FLUID Order code SODFLD Container type Red top tube (plain) or leakproof plastic container Specimen type Body fluid Preferred volume 2 mL Specimen processing Separate fluid from cells if necessary and place in separate plastic tube or leakproof plastic container. Store and transport refrigerated. Minimum volume 0.2 mL Test schedule Daily Turnaround time 24 hours Test includes Sodium, Fluid, mmol/L CPT codes 84295 SODIUM, STOOL Order code NASTL Container type Sterile leakproof plastic container. Specimen type Stool, liquid Preferred volume 5 grams Collection procedure Collect random or time LIQUID stool in leakproof sterile plastic container. If timed indicate hours of collection. Specimen processing Store and transport refrigerated. Unacceptable conditions Any specimen that is not liquid. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Sodium, Stool, mmol/L. CPT codes 84295 SODIUM, URINE (QUANTITATIVE) Order code SOD-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 40 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection in leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 2 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Sodium, Urine, mmol/24h. Synonyms Na, Urine CPT codes 84300 SODIUM, URINE (RANDOM) Order code SOD-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated or frozen. Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Sodium, Urine, mmol/L. Synonyms Na, Urine, Random CPT codes 84300 SPECIFIC GRAVITY Order code SPG Container type Leakproof plastic container. Specimen type Body fluid Preferred volume 1 mL 11/18/02 - 158 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 SPECIFIC GRAVITY, URINE STREPTOCOCCAL ANTIBODY (DNASE B) Specimen processing Prefer specimen be stored and transported refrigerated. Test schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround time 24 hours Test includes Specific Gravity. CPT codes 84315 SPECIFIC GRAVITY, URINE Order code SPGUD Container type Leakproof plastic urine container. Specimen type Urine, random Collection procedure Collect a random urine specimen. Specimen processing Aliquot 5 mL of a random urine specimen. Store and transport refrigerated. Test schedule Mon-Sun day, Mon-Fri nights Turnaround time 24 hours Test includes Specific Gravity, Urine. CPT codes 81005 SPERM ANTIBODIES Order code SPERM AB Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells within 4 hours and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 0.4 mL Test schedule Usually every 2 weeks-Wed Turnaround time 14-21 days Test includes Sperm Antibody, Serum. CPT codes 89325 SPERM ANTIBODIES-2 Order code SPERM AB-2 Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL for each patient Specimen processing Separate serum from cells within 4 hours and place in separate plastic tube and freeze. Clearly label each specimen. Store and transport frozen. Minimum volume 0.4 mL for each patient Test schedule Usually every 2 weeks-Wed Turnaround time 14-21 days Test includes Sperm Antibody, Serum Studies. CPT codes 89325 x 2 SPERM COUNT Order code SPM Container type Clean leakproof glass container. Specimen type Semen, complete collection. Specimen processing Collect complete semen specimen in a clean glass, leakproof container. Deliver to laboratory within 12 hours of collection. Printed patient instructions are available upon request. Stability - room temp 12 hours Test schedule Mon-Sat days, Mon-Fri nights Turnaround time 24 hours Test includes Sperm Count, mill/mL. CPT codes 89310 SS-A ANTIBODY Order code SSA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Turbidity, marked hemolysis or visible bacterial growth may interfere with procedure. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes SS-A Antibody, Units. Synonyms RO Antibody; Anti-SSA Antibody Anti-RO Antibody CPT codes 86235 SS-B ANTIBODY Order code SSB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Limitations Turbidity, marked hemolysis or visible bacterial growth may interfere with procedure. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes SS-B Antibody, Units. Synonyms LA Antibody; Anti-SSB Antibody; Anti-LA Antibody CPT codes 86235 SSDNA ANTIBODY, IGG Order code SSDNA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed samples. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Tue, Thu, Sat Turnaround time 3-5 days Test includes ssDNA Antibody, IgG, EU. Synonyms Anti-DNA, Single Strand; Anti-SS DNA Antibody CPT codes 86226 STONE ANALYSIS Order code STONEB Container type Dry container Specimen type Stone for analysis, renal, bladder or bile Collection procedure Submit stone (renal, bladder or bile) for analysis in DRY container. Stones less than 2 mg or sent on filter paper also be done. Required patient info Indicate source. Stability - room temp indefinitely Minimum volume 0.1 cubic mm Limitations Specimens stored in formalin or attached to adhesive tape will delay assay time. Test schedule Mon-Fri Turnaround time Dependent upon size of calculus(i) & constituents found; usually 3-5 days but may take up to 3 weeks. Test includes Stone Mass, mg; Stone Composition. Synonyms Stone Analysis; Kidney Stone; Calculi CPT codes 82365 STREPTOCOCCAL ANTIBODY (DNASE B) Order code STREPTO Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 ml Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma or severely hemolyzed specimens. Minimum volume 0.5 mL Test schedule Tue, Fri 11/18/02 - 159 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 STREPTOZYME TITER, REFLEX TO ASO SULINDAC Turnaround time 3-5 days Test includes Streptococcal Antibody-Dnase B. Synonyms Anti-Dnase B Antibody; Anti-Strep Dnase B Antibody; Dnase B Antibody CPT codes 86215 STREPTOZYME TITER, REFLEX TO ASO Order code STREP This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Streptozyme Titer, Units; ASO Titer, IU/mL. CPT codes 86063 STRIATED MUSCLE ANTIBODY, IGG (REFLEXIVE) Order code STRAB This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severely lipemic, contaminated or hemolyzed samples. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Striated Muscle Antibody, IgG Screen; Striated Muscle Antibody, IgG Titer. Synonyms Anti-Striated Muscle Antibody; Skeletal Muscle Antibody CPT codes 86255 if negative, 86255 + 86256 if positive SUCROSE LYSIS TEST Order code SUC This test may relex to additional tests depending upon the results of this test. An additional fee may be added. Container type Yellow top tube (ACD Type A or B), Blue top tube (buffered sodium citrate) and Red top tube (plain) Specimen type Frozen serum and frozen citrated plasma and the cells from both the serum and the citrated plasma tubes Preferred volume 5 mL serum and 2.5 mL plasma Specimen processing Separate serum and plasma from cells and place each in separate plastic tubes and freeze at -70°C and transport frozen. Put the cells from each tube in separate plastic tubes and store and transport at room temperature. Do not spin yellow top tube. Transport yellow top tube at room temperature. Unacceptable conditions EDTA (lavender top tube), heparin (green top tube) and serum from a brick top tube (SST or Corvac). Minimum volume 3 mL frozen serum,1 mL plasma and 1 mL packed cells Test schedule Mon-Sat days Turnaround time 24 hours Test includes Sucrose Lysis. Synonyms Sugar Water Test CPT codes 86940 Notes Positive results are confirmed by the Ham's Acid Hemolysis test at an additional charge. SUDAN BLACK B Order code SS.SBB This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized whole blood (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. Slides should be air-dried, unstained, and unfixed. Specimen processing Protect from light, store and transport at room temperature. Alternate specimens EDTA and heparin slides. Limitations Protect from light. Test schedule Mon-Sat days Turnaround time 72 hours Test includes Sudan Black B Source; Sudan Black B Stain; Sudan Black B Interp; Sudan Black B Reviewed By. Synonyms Cytochem Stain, Sudan Black B CPT codes 88319 SULFONAMIDES Order code SULFA Container type Red top tube (plain) Specimen type Serum Preferred volume 1 ml Collection procedure Draw peak specimen 2 hours post dose. Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Required patient info Sulfa medication. Stability - room temp 2 weeks Stability - refrigerated 2 weeks Stability - frozen (-20°C) 2 weeks Minimum volume 0.5 mL Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube). Test schedule Mon-Fri Turnaround time 3-5 days Test includes Sulfonamides, mg/dL. Synonyms Sulfa CPT codes 80299 SULFONYLUREA HYPOGLYCEMICS SCREEN Order code SULFONYLUREA Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Test schedule Mon, Wed, Fri Turnaround time 3-5days Test includes Chlorporpramide, mcg/mL; Tolazamide, mcg/mL; Tolbutamide, mcg/mL; Glyburide, mcg/mL; Glipizide, mcg/mL; Acetohexamide, mcg/mL. CPT codes 82492 SULINDAC Order code CLIND Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Trough levels are the most reproducible. Stability - room temp 3 days Minimum volume 0.2 mL Alternate specimens Heparin plasma (green top tube). Test schedule Varies Turnaround time 7-9 days Test includes Sulindac (Clinoril), µg/mL. 11/18/02 - 160 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 SYNOVIAL FLUID PROFILE TEICHOIC ACID ANTIBODY Synonyms Clinoril CPT codes 82491 SYNOVIAL FLUID PROFILE Order code JNT FLD Container type Red top tube (plain), Green top tube (sodium heparin) and Lavender top tube (EDTA) Specimen type Synovial Fluid Preferred volume 6 mL Specimen processing Place 1.5-2 mL in plain red top tube. Divide remaining fluid in heparinized (green top tube) and lavender top tube. Transport ASAP. Store & transport refrigerated. Minimum volume 1 mL each tube Test schedule Sun-Sat Turnaround time 24 hours Test includes Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Mononuclear Phagocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100WBC; Mesothelial Cells, /100WBC; Note; Reviewed By; Crystals, Synovial Fld; Crystals, ID; Specific Gravity; Fibrin; Note; Reviewed By. CPT codes 89051, 89060, 84315 Minimum volume 0.5 mL Limitations Avoid freeze-thaw cycles. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes T3 by ICMA TBG Corrected, ng/dL. Synonyms Total T3; T3 Total CPT codes 84480 T3 UPTAKE Order code T3UP Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 1 week Stability - frozen (-20°C) Indefinitely Minimum volume 0.3 mL Test schedule Sun-Fri Nights Turnaround time 24 hours Test includes T3 Uptake, %. CPT codes 84479 T & B CELL PANEL T3, FREE & TOTAL Order code T&B.SUB Container type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA). Specimen type Whole blood Preferred volume 7 mL ACD and 5 mL EDTA Specimen processing Store and transport at room temperature. Required patient info In accordance with CDC guidelines please provide the following patient infromation: WBC count and percent lymphocytes on the day of collection if sample will arrive after 24 hours. Minimum volume 5 mL ACD and 2.5 mL EDTA Limitations Samples must be processed within 48 hours of collection. Test schedule Mon-Sat days (Sun by special request) Turnaround time 48 hours Test includes Source; WBC, K/µL; Lymphocytes, %; Lymph Abs, K/µL; CD3, %; CD3 Abs, /µL; CD4, %; CD4 Abs, /µL; CD8, %; CD8 Abs, /µL; CD19, %; CD19 Abs, /µL; CD4/CD8 Ratio; Interpretation; Reviewed By; Note; Note. CPT codes 88180 x 4 Order code FREE&TOT.T3 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or frozen if transport will exceed 24 hours. Stability - refrigerated 2 days Unacceptable conditions Grossly hemolyzed, grossly lipemic or grossly icteric specimens. Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Free T3, pg/mL; T3 by ICMA TBG Corrected, ng/dL. CPT codes 84481, 84480 T3 (REVERSE) Order code T3REV This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 3 months Minimum volume 0.3 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Tue, Fri Turnaround time 4-9 days Test includes T3 (Reverse), pg/mL. Synonyms Reverse T3 CPT codes 84482 T3 BY ICMA Order code RT3 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 days T4 BY ICMA Order code T4 Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 4 days Stability - frozen (-20°C) 3 months Minimum volume 0.2 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes T4, µg/dL. Synonyms Thyroxine; T4 CPT codes 84436 TARACTAN Order code TAR Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Minimum volume 2 mL serum or plasma or 3.5 mL whole blood Alternate specimens EDTA plasma or EDTA whole blood (lavender top tube). Turnaround time 10-15 days Test includes Taractan, ng/mL. CPT codes 80299 TEICHOIC ACID ANTIBODY Order code TEICHOIC 11/18/02 - 161 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 TERMINAL DEOXYNUCLEATIDYL TRANSFERASE THALLIUM, BLOOD Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma samples. Minimum volume 0.5 mL Test schedule Mon, Thu Turnaround time 5-7 days Test includes Teichoic Acid Antibody, Titer. CPT codes 86329 TERMINAL DEOXYNUCLEATIDYL TRANSFERASE Order code SS.TDT This test may reflex to addtional tests depending upon the results of this test. An additional fee may be added. Container type See below. Specimen type See below. Collection procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized whole blood (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. Slides should be air dried, unstained and unfixed. Specimen processing Protect from light, store and transport at room temperature. Limitations It is preferable to run the test within 3 days of collection, but if stored properly the smears are good for two weeks. Protect from light. Test schedule Mon-Sat days Turnaround time 72 hours Test includes TDT Source; TDT Stain; TDT Interpretation; TDT Reviewed By. Synonyms Cytochemical Stain, TDT CPT codes 88342 TESTICULAR FUNCTION PROFILE Order code TFP Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Turnaround time 2-4 days Test includes FSH, mIU/mL; LH, mIU/mL; Testosterone, ng/dL. CPT codes 83002, 83001, 84403 TESTOSTERONE, FREE Order code TES.FR Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Indicate patient's sex. Stability - refrigerated 2 days Stability - frozen (-20°C) 2 months Minimum volume 0.5 mL Alternate specimens Heparinized plasma (green top tube). Test schedule Mon- Fri evenings Turnaround time 2-4 days Test includes Testosterone, Free, pg/mL. CPT codes 84402 TESTOSTERONE, TOTAL Order code TES Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport frozen. Required patient info Indicate patient's sex. Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Minimum volume 0.5 mL Alternate specimens Heparinized plasma (green top tube). Test schedule Mon-Fri days Turnaround time 2-5 days Test includes Testosterone, Total, ng/dL. CPT codes 84403 TESTOSTERONE, TOTAL & FREE Order code TES.FR&T Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Indicate patient's sex. Stability - refrigerated 2 days Stability - frozen (-20°C) 2 months Minimum volume 0.5 mL Alternate specimens Heparinized plasma (green top tube). Test schedule Total- Mon-Fri days; Free- Mon-Fri evenings Turnaround time 2-5 days Test includes Testosterone, Total, ng/dL; Testosterone, Free, pg/mL. CPT codes 84403, 84402 TESTOSTERONE, URINE (QUANTITATIVE) Order code TES-U Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 2 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Preserve urine with 1 gram boric acid/100 mL urine. Aliquot 2 mL of the preserved urine collection into a leakproof plastic urine container. Record total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Stability - room temp 2 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 1 mL Alternate specimens Samples previously preserved with HCL are acceptable if stored and transported refrigerated. Samples without preservative are acceptable if frozen immediately after collection. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Collection Period, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Testosterone, Urine, µg/d. CPT codes 84403 TESTOSTERONE, WEAKLY BINDING Order code TESTFW Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 7 days Stability - frozen (-20°C) 2 months Minimum volume 2 mL Test schedule Sunday Turnaround time 3-12 days Test includes Testosterone Free, ng/dL; Testosterone Bioavailable, ng/mL; Testosterone Total, ng/dL. CPT codes 84403, 84402, 82491 THALLIUM, BLOOD Order code THALLIUM Container type Tan top tube (K-EDTA) Specimen type K-EDTA whole blood Preferred volume 3 mL Specimen processing Store and transport refrigerated or at room temperature. Unacceptable conditions Frozen specimens. 11/18/02 - 162 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 THEOPHYLLINE THYROGLOBULIN (REFLEXIVE) Minimum volume 1 mL Alternate specimens EDTA whole blood (lavender top tube). Test schedule Mon-Fri Turnaround time 3-5 days Test includes Thallium, Blood, µg/L. CPT codes 83018 THEOPHYLLINE Order code THEO Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next oral dose. Note times of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Minimum volume 0.2 mL Alternate specimens Plasma specimens. SST and other gel-type tubes, however, they may artifactually, randomly lower results if not promptly centrifuged and separated. Test schedule Sun-Sat and STAT Turnaround time 24 hours Test includes Theophylline, µg/mL. Synonyms Aminophylline; Elixophyllin CPT codes 80198 THIOCYANATE Order code THIOCYANATE Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 6 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 3.5 mL Alternate specimens EDTA or heparinized plasma ( lavender or green top tube). Test schedule Mon-Fri, days Turnaround time 1-3 days Test includes Thiocyanate, mg/dL. CPT codes 84430 THIORIDAZINE & MESORIDAZINE Order code MELL Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Stability - room temp 5 days Stability - refrigerated 5 days Stability - frozen (-20°C) 5 days Minimum volume 1.5 mL Alternate specimens Heparinized, EDTA or sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Protect from light. Test schedule Mon, Wed, Frri Turnaround time 3-5 days Test includes Mesoridazine, µg/mL; Thioridazine, µg/mL. Synonyms Mellaril CPT codes 84022 THIOTHIXENE Order code NAVANE Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Do not freeze. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 5 days Unacceptable conditions Frozen specimens. Minimum volume 1.5 mL Alternate specimens EDTA, sodium heparinized or fluoride/potassium oxalated plasma (lavender, green or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Do not freeze. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Thiothixene, ng/mL. Synonyms Navane CPT codes 80299 THROMBIN TIME & FIBRINOGEN Order code TTFB This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen citrated plasma Preferred volume 2 mL Specimen processing Separate plasma from cells, centrifuge again, and place plasma in 2 separate plastic tubes. Transport on ice within 48 hours of collection or freeze. Store and transport frozen. Minimum volume 1 mL Test schedule Daily Turnaround time 24 hours Test includes Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec; Fibrinogen, mg/dL. CPT codes 85384, 85670 Notes Both thrombin time and the fibrinogen will be done regardless of the results. THROMBIN TIME (REFLEXIVE) Order code THROMBIN TIME Thrombin Time is a qualitative test for how well fibrinogen functions. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Plasma Preferred volume 1 mL Specimen processing Separate plasma from cells, centrifuge again, and place in separate plastic tube. Transport on ice within 48 hours or store and transport frozen. Minimum volume 0.5 mL Test includes Thrombin Time; Patient, sec; Control, sec; PT/CT Mix, sec; PT/PS Mix, sec. CPT codes 85670 THROMBIN TIME TO FIBRINOGEN (REFLEXIVE) Order code TTRFLX This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Blue top tube (buffered sodium citrate) Specimen type Frozen citrated plasma Preferred volume 2 mL Specimen processing Separate plasma from cells, centrifuge again, and place plasma in 2 separate plastic tubes. Transport on ice within 48 hours of collection or freeze. Store and transport frozen. Minimum volume 1 mL Test schedule Daily Turnaround time 24 hours Test includes Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec; Fibrinogen, mg/dL. CPT codes 85670 Notes If the thrombin time is abnormal, this test reflexes to a fibrinogen, and an additional charge will be added. THYROGLOBULIN (REFLEXIVE) Order code THYRO This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. 11/18/02 - 163 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 THYROGLOBULIN AUTOANTIBODIES TICK IDENTIFICATION Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from the cells and place in separate plastic tube. Store & transport refrigerated. Stability - refrigerated Thyroglobulin -7 days, Thyroglobulin Autoantibodies-2 days Stability - frozen (-20°C) both 1 month Unacceptable conditions Grossly hemolyzed, lipemic or plasma samples. Minimum volume 0.5 mL Limitations Unable to perform if autoantibodies are present. Test schedule Mon-Sat Turnaround time 1-3 days Test includes Thyroglobulin Autoantibodies, IU/mL; Thyroglobulin , ng/mL. CPT codes 86800 Notes If the thyroglbulin autoantibodies are negative, a thyroglobulin will be done. An additional fee will be added. THYROGLOBULIN AUTOANTIBODIES Order code TG.AB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 4 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 month Unacceptable conditions Grossly hemolyzed, lipemic and icteric specimens. Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 1-2 days Test includes Thyroglobulin Autoantibodies, IU/mL. CPT codes 86800 THYROID PEROXIDASE ANTIBODY Order code TPO.AB Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 4 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 month Unacceptable conditions Grossly hemolyzed, lipemic or icteric specimens. Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 1-2 days Test includes Thyroid Peroxidase Autoantibodies, IU/mL. Synonyms Anti-TPO; TPO AB CPT codes 86376 THYROID PROFILE Order code BTB Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 4 days Stability - frozen (-20°C) 3 months Minimum volume 0.3 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes FTI; T3 Uptake, %; Total T4, µg/dL. CPT codes 84479, 84436 Notes Client may phone in request for TSH or T3 by ICMA if thyroid results indicate additional testing necessary. THYROID STIMULATING IMMUNOGLOBULINS Order code LATS Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 week Unacceptable conditions Grossly hemolyzed, clotted, cloudy or contaminated specimens. Minimum volume 0.3 mL Test schedule Thu Turnaround time 3-7 days Test includes Thyroid Stimulating Immunoglobulins, % of control. Synonyms TSI; LATS; Long Acting Thyroid Stimulator CPT codes 84445 THYROTROPIN BINDING INHIBITORY IMMUNOGLOBULIN Order code TBII Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 days Stability - refrigerated 1 week Stability - frozen (-20°C) 1 month Minimum volume 0.2 mL Test schedule Mon, Wed, Fri Turnaround time 5-10 days Test includes TBII, %. Synonyms TBII CPT codes 83519 THYROXINE BINDING GLOBULIN Order code TBG Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated unstable Stability - frozen (-20°C) 1 month Minimum volume 0.3 mL Test schedule Sun-Sat Turnaround time 3-9 days Test includes Thyroxine Binding Globulin, µg/mL. Synonyms TBG CPT codes 84442 TIAGABINE Order code TIAGA Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Collection procedure Draw just prior to dosing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 2 mL Test schedule Mon-Fri Turnaround time 4-6 days Test includes Tiagabine, ng/mL. Synonyms Gabitril CPT codes 82542 TICK IDENTIFICATION Order code TICK.ID Container type See below Specimen type See below Specimen processing Send tick to specimen to be identified in a plastic vial. Test schedule Varies 11/18/02 - 164 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 TOBRAMYCIN (PAIRED + CREAT) TOPIRMATE Turnaround time Varies Test includes Tick Identification. CPT codes 87168 TOBRAMYCIN (PAIRED + CREAT) Order code TOB2 Includes creatinine on trough specimen. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw trough specimen within 1 hour prior to next dose. Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimens. Specimen processing Separate serum or plasma from cells and place each in separate plastic tube and freeze. Clearly label specimens. Store and transport frozen. Required patient info Trough and peak specimen, dates and times of dose and draw. Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Alternate specimens EDTA plasma (lavender top tube) or 1 microtainer for each specimen. Test schedule Daily & STAT Turnaround time 24 hours Test includes Tobramycin, Trough, µg/mL; Tobramycin, Peak, µg/mL; Creatinine, mg/dL. Synonyms Nebcin CPT codes 80200 x 2, 82565 TOBRAMYCIN (SINGLE + CREAT) Order code TOB Includes creatinine if a trough specimen. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw trough specimen within 1 hour prior to next dose. Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimen. Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. Required patient info Trough or peak specimen, date and time of dose and draw. Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Alternate specimens EDTA plasma (lavender top tube) or 1 microtainer. Test schedule Daily & STAT Turnaround time 24 hours Test includes Tobramycin, µg/mL; Creatinine, mg/dL. Synonyms Nebcin CPT codes 80200, 82565 TOBRAMYCIN, PEAK Order code TOB.PK Includes creatinine. Container type Red top tube (plain) Specimen type Frozen serum. Preferred volume 1 mL Collection procedure Draw peak 1 hour after IM dose or 1/2 hour after IV infusion completed. Note time of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. Required patient info Time of dose and drawing. Stability - refrigerated 24 hours Minimum volume 0.5 mL Alternate specimens EDTA plasma (lavender top tube) or 1 microtainer. Test schedule Daily & STAT Turnaround time 24 hours Test includes Tobramycin, Peak, µg/mL; Creatinine, mg/dL. CPT codes 80200, 82565 TOBRAMYCIN, TROUGH Order code TOB.TR Includes creatinine. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw trough within 1 hour prior to next dose. Note time of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. Required patient info Time of dose and drawing. Stability - refrigerated 24 hours Minimum volume 0.5 mL Alternate specimens EDTA plasma (lavender top tube) or 1 microtainer. Test schedule Daily & STAT Turnaround time 24 hours Test includes Tobramycin, Trough, µg/mL; Creatinine, mg/dL. CPT codes 80200, 82565 TOCAINIDE Order code TOC Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport at room temperature or refrigerated. Unacceptable conditions Specimens collected in serum separator or gel type tubes. Test schedule Varies Turnaround time Varies Test includes Tocainide, mcg/mL. Synonyms Tonocard CPT codes 82491 TOPIRAMATE BY FPIA Order code TOPFPN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Draw peak level 2 hours post oral dose. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or room temperature. Minimum volume 0.1 mL Alternate specimens Plasma. Test schedule Mon, Wed Turnaround time 3-5 days Test includes Topiramate, µg/mL. CPT codes 80201 TOPIRAMATE BY GC Order code TOPGCN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Draw peak level 2 hours post oral dose. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or room temperature. Minimum volume 0.5 mL Alternate specimens Plasma. Test schedule Varies Turnaround time 5-10 days Test includes Topiramate, µg/mL. CPT codes 80201 TOPIRMATE Order code TOPARP Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells ASAP and place in 11/18/02 - 165 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 TORCH TEST, IGG TOXOPLASMA ANTIBODY, IGG & IGM separate plastic tube and freeze. Store and transport frozen. Stability - room temp 1 day Stability - refrigerated 2 days Stability - frozen (-20°C) 2 weeks Unacceptable conditions Specimens that have been at room temperature more than 48 hours. Minimum volume 0.4 mL Alternate specimens Heparinized plasma (green top tube). Test schedule Mon-Fri Turnaround time 3-5 days Test includes Topirmate, µg/mL. CPT codes 80201 TORCH TEST, IGG Order code TORCH.IGG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 1 mL Test schedule Tue-Sat Turnaround time 1-4 days Test includes CMV IgG Antibody, ISR; HSV I IgG Type-Specific Antibody, IV; HSV II IgG Type-Specific Antibody, IV; Rubella IgG Antibody, IU/mL; Toxoplasma IgG Antibody, ISR; Torch Interpretation. CPT codes 80090 Notes To determine prenatal exposure to one of the TORCH agents the Torch IgM panel is recommended. TORCH TEST, IGG & IGM Order code TORGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 1 year Unacceptable conditions Severely lipemic, icteric, contaminated, hemolyzed or heat inactivated samples. Minimum volume 2 mL Test schedule Tue-Sat Turnaround time 3-5 days Test includes CMV Antibody, IgG, ISR; HSV I Type-Specific Antibody, IgG, IV; HSV II Type-Specific Antibody, IgG, IV; Rubella Antibody, IgG, IU/mL; T.gondii Antibody, IgG, ISR, CMV Antibody, IgM, ISR; HSV Antibody, IgM, OD; Rubella Antibody, IgM, Index; T.gondii Antibody, IgM, ISR; Torch Interpretation. CPT codes 86645, 86694, 86778, 86762, 80090. TORCH TEST, IGM Order code TORM Acute and convalescent specimens advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 2 days Stability - frozen (-20°C) 1 year Unacceptable conditions Severely lipemic, icteric, contaminated, hemolyzed or heat inactivated samples. Minimum volume 1 mL Test schedule Tue-Sat Turnaround time 3-5 days Test includes CMV Antibody, IgM, ISR; Herpes Simplex Virus Antibody, IgM, OD; Rubella, IgM, Index; T. gondii Antibody, IgM, ISR; Torch Interpretation. CPT codes 86694, 86762, 86778, 86645 TOXOCARA ANTIBODY Order code TOXOC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions CSF or other body fluids. Minimum volume 0.1 mL Test schedule Tue, Thu Turnaround time 5-7 days Test includes Toxocara Antibody. CPT codes 86682 TOXOCARIASIS ANTIBODY [SPECIALTY] Order code TOXOCARA This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Minimum volume 1 mL Test schedule Tue-Sat Turnaround time 4-6 days Test includes Toxocariasis, IgG, SD; Toxocariasis, IgM, SD; Toxocariasis, IgA, SD. CPT codes 86682 x 3 TOXOPLASMA ANTIBODY INDEX Order code TOXO.INDEX Container type Brick top tube (SST or Corvac) and CSF sterile plastic tube. Specimen type Serum and CSF Preferred volume 2 mL serum and 2 mL CSF Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport both specimens refrigerated or at room temperature. Minimum volume 1 mL serum and 1 mL CSF Test schedule Mon-Fri Turnaround time 7-9 days Test includes Toxoplasma Antibody Index. CPT codes 86777 x 2, 82040, 83883, 82784 x 2 TOXOPLASMA ANTIBODY, IGG Order code TOXO.IGG Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Toxoplasma gondii Antibody, IgG, ISR. CPT codes 86777 TOXOPLASMA ANTIBODY, IGG & IGM Order code TOXO.IGG.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Lipemic, hemolyzed, heat treated or contaminated specimens. Minimum volume 0.5 mL 11/18/02 - 166 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 TOXOPLASMA ANTIBODY, IGG (PAIRED) TRH STIMULATION (4 SAMPLES) Test schedule Tue-Sat days Turnaround time 1-3 days Test includes Toxoplasma gondii Antibody, IgG, ISR; Toxoplasma gondii Antibody, IgM, ISR. CPT codes 86777, 86778 TOXOPLASMA ANTIBODY, IGG (PAIRED) Order code TOXO.PAIRED Acute and convalescent specimens required. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Acute serum: Draw 1-2 weeks after onset of illness. Convalescent serum: Draw 2-3 weeks later. Specimen processing Separate serum from cells and place in separate plastic tubes and freeze. Clearly label specimens. Store and transport frozen or refrigerated. Unacceptable conditions Heat treated, hemolyzed, lipemic or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Acute Toxoplasma, ISR; Date drawn; Convalescent Toxoplasma, ISR; Date drawn; % Rise in Immune Status Ratio (ISR). CPT codes 86777 x 2 TOXOPLASMA ANTIBODY, IGG, CSF Order code TOXO.CSF Container type CSF sterile plastic tube Specimen type CSF Preferred volume 1 mL Specimen processing Store and transport refrigerated. Stability - room temp 4 hours Stability - refrigerated 48 hours Stability - frozen (-20°C) 1 year Minimum volume 0.2 mL Limitations No established reference range for CSF. Test schedule Mon-Sat Turnaround time 3-5 days Test includes Toxoplasma Antibody, IgG, IU/mL. CPT codes 86777 TOXOPLASMA ANTIBODY, IGM Order code TOXO.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable conditions Lipemic, hemolyzed, heat treated or contaminated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Toxoplasma gondii Antibody, IgM, ISR. CPT codes 86778 TP-PA Order code TPPA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from the cells and place in separate plastic tube. Store and transport refrigerated or ambient temperature. Test schedule VDRL- Mon & Thu; TP-PA- Tue & Fri Turnaround time 10-15 days Test includes VDRL; TP-PA. CPT codes 99001 TRANSFERRIN Order code TRANSFERRIN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 0.5 mL Specimen processing Separate serum from cells within 2 hours and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 3 days Stability - frozen (-20°C) 3 months. Unacceptable conditions Plasma samples not recommended. Minimum volume 0.3 mL Limitations Specimen not hemolyzed or lipemic are preferred for nephelometry method. Increased values may be seen with estrogens, oral contraceptives. Decreased values may be seen with asparaginase, dextran, corticotropin, corticosteroids, testosterone. Avoid repeat freeze/thaw cycles. Test schedule Daily Turnaround time 24 hours Test includes Transferrin, mg/dL. Synonyms Siderophilin CPT codes 84466 TRAZODONE Order code TRAZ Container type Red top tube (plain) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Alternate specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube). Limitations Avoid the use of serum separator tubes and gels. Test schedule Mon, Wed, Fri Turnaround time 3-5 days Test includes Trazodone, µg/mL Synonyms Desyrel CPT codes 80299 TRH STIMULATION (3 SAMPLES) Order code TRH3 This is a hospital short stay procedure and test duration is approximately 2 hours. Patient Prep Patient should be fasting and off any thyroid therapy for 24 hours prior to test. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Take vital signs. Insert heparin lock. Draw baseline TSH. Have patient empty bladder. With patient in supine position inject 500 mcg of TRH(Thypinone) IV as a bolus over a period of 15-30 seconds. Monitor blood pressure frequently over the first 15 minutes or until a clear trend downward is seen. Draw TSH levels at 30 and 60 minutes after injection is complete. Specimen processing Separate serum from cells and place in separate plastic tubes for each draw. Clearly label all specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL for each specimen Test schedule Sun-Fri nights Turnaround time 1-2 days Test includes Baseline TSH, µIU/mL; Post TRH TSH (30 minutes), µIU/mL; Post TRH TSH (60 minutes), µIU/mL. CPT codes 84443 x 3 Notes The typical normal response is an increase of 5 to 10 fold above the baseline at 30 minutes. Hyperthyroidism-less than normal response. Primary hypothyroidism has high baseline and exaggerated response. Hypothalamic hypothyroid may have peak delayed, pituitary insufficiency may have response lower than normal. TRH STIMULATION (4 SAMPLES) Order code TRH4 This is a hospital short stay procedure and test duration is approxiamtely 2 hours. Patient Prep Patient should be fasting and off any thyroid therapy 11/18/02 - 167 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 TRICHINELLA ANTIBODY TRIMIPRAMINE & METABOLITE for 24 hours prior to the test. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Collection procedure Take vital signs. Insert heparin lock. Draw baseline TSH. Have patient empty bladder. With patient in supine position inject 500 mcg of TRH(Thypinone) IV as a bolus over a period of 15-30 seconds. Monitor blood pressure frequently over the first 15 minutes or until a clear trend downward is seen. Draw TSH levels at 30, 45, and 60 minutes after injection is complete. Specimen processing Separate serum from cells and place in separate plastic tube for each timed specimen. Clearly label all specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL for each specimen. Test schedule Sun-Fri nights Turnaround time 1-2 days Test includes Baseline TSH, µIU/mL; Post TRH TSH (30 minutes), µIU/mL; Post TSH TRH (45 minutes), µIU/mL; Post TRH TSH (60 minutes), µIU/mL. CPT codes 84443 x 4 Notes Patients with "hypothalamic hypothyroidism" show a rise that is normal in magnitude but with a delayed peak at 45 minutes, or a value at 60 minutes greater than at 30 minutes. Patients who are hyperthyroid due to pituitary insufficiency have a response lower than normal. Stability - refrigerated 2 weeks Stability - frozen (-20°C) 4 months Unacceptable conditions Serum separator or gel tubes. Minimum volume 0.5 mL Limitations Separator or gel tubes may artifactually, randomly lower results. Test schedule Daily-STAT ONLY Turnaround time STAT only Test includes Tricyclics, Total, ng/mL. Synonyms TCA, Total; Tricyclic Antidepressants, Total CPT codes 80299 TRICHINELLA ANTIBODY Order code TRIG No normals for non-fasting specimens. Patient Prep Patient should be fasting 12- 14 hours prior to collection. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Collection procedure 12-14 hour fasting is acceptable. Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 0.2 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Triglycerides, mg/dL. CPT codes 84478 Order code TRICH Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 0.5 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Minimum volume 0.2 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Trichinella Antibody. CPT codes 86784 TRICHROME STAIN Order code TRICHROM Supplies available from PAML Supply Department. Container type Sterile leakproof plastic container. Specimen type Stool Collection procedure Submit a walnut-sized portion of fresh stool in a sterile leakproof plastic container and refrigerate. Specimen processing Store and transport refrigerated. If stool if fixed in PVA store and transport at room temperature. Unacceptable conditions Specimens fixed in formalin. Minimum volume Pea-sized stool. Test schedule Daily Turnaround time 24 hours Test includes Source; Trichrome Stain; Trichrome Stain, Status. CPT codes 88312 TRICYCLICS, TOTAL Order code TRICYCLIC.TOTAL This order code is to be used only when the physician needs a stat Tricyclic performed. Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw 10-14 hours post-dose. If a divided dose is given draw before morning dose. Specimen processing Separate serum from cells within 4 hours and place in separate polypropylene (not polystyrene) plastic tube and freeze. The 10 mL PAML labelled, cloudy plastic tubes with the plastic snap-on caps are polypropylene tubes. Store and transport frozen. Stability - room temp 4 hours TRIFLUOPERAZINE (QUANTITATIVE) Order code TRI Container type Red top tube (plain) Specimen type Serum Preferred volume 4 mL Specimen processing Separate serum from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Minimum volume 2 mL Test schedule Mon-Fri Turnaround time 3-7 days Test includes Trifluoperazine, ng/mL. Synonyms Stelazine CPT codes 84022 TRIGLYCERIDES TRIMETHOPRIM Order code TRIMETHOPRIM Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1.5 mL Collection procedure Sample for peak level should be drawn 30 minutes after completion of infusion of an intravenous dose or 60 minutes after intramuscular or oral dose. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Drug dosage and time of dose and drawing. Minimum volume 0.5 mL Alternate specimens Frozen EDTA plasma (lavender top tube). Test schedule Mon-Sat Turnaround time 3-5 days Test includes Trimethoprim, µg/mL. Synonyms Bactrim; Septra CPT codes 82491 TRIMIPRAMINE & METABOLITE Order code TRIMIP Container type Red top tube (plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Unacceptable conditions Specimens collected using serurm 11/18/02 - 168 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 TROPONIN-I TULAREMIA ANTIBODY separator or gel type tubes. Limitations Protect from light. Test schedule Mon-Fri Turnaround time 4-6 days Test includes Trimipramine, ng/mL; Trimipramine Metabolite, ng/mL. Synonyms Surmontil CPT codes 82492 TROPONIN-I Order code TROPONIN Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic container. Store and transport refrigerated. Stability - refrigerated 3 days Stability - frozen (-20°C) 8 weeks Unacceptable conditions Specimens containing fibrin and all other fluid specimens. Minimum volume 0.5 mL Alternate specimens Plasma. Limitations Multiple specimens from a given patient should be of the same specimen type. Test schedule Daily & STAT Turnaround time 1-3 days Test includes Troponin-I, ng/mL. CPT codes 84484 TRYPSIN (QUANTITATIVE) Order code TRYPS Container type Leakproof plastic container. Specimen type Frozen stool Preferred volume 2 grams Specimen processing Freeze within 4 hours of collection. Store and transport frozen. Stability - refrigerated 4 hours Stability - frozen (-20°C) 1 week Unacceptable conditions Specimen contaminated with urine or not frozen within 4 hours. Minimum volume 1 gram Alternate specimens Duodenal Fluid. Test schedule Mon-Fri, days Turnaround time 1-3 days Test includes Trypsin, Quant. CPT codes 83520 TRYPSIN-LIKE IMMUNOREACTIVITY Order code TRYPSN Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 2 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 3 months Minimum volume 0.3 mL Alternate specimens Frozen EDTA or heparinized plasma (lavender or green top tube). Test schedule Tue, Fri Turnaround time 3-8 days Test includes Trypsinogen, ng/mL. Synonyms Trypsinogen CPT codes 83519 TRYPTASE Order code TRYPT Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 48 hours Stability - refrigerated 72 hours Stability - frozen (-20°C) 1 month Minimum volume 0.5 mL Test schedule Wed Turnaround time 2-9 days Test includes Tryptase, µg/mL. CPT codes 83520 TSH Order code TSH Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes TSH, µIU/mL. Synonyms Thyroid Stimulating Hormone CPT codes 84443 TSH (WITH REFLEX) Order code TSH.R This test reflexes to a Free T4 if TSH is abnormal. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 5 days Stability - frozen (-20°C) 3 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes TSH, µIU/mL; Free T4, µg/dL if TSH is abnormal. CPT codes 84443 TSH RECEPTOR ANTIBODY Order code TSH.RAB Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 24 hours Stability - frozen (-20°C) 3 months Unacceptable conditions Plasma samples. Minimum volume 0.15 mL Test schedule Mon, Thu Turnaround time 3-10 days Test includes TSH Receptor Antibody, %. Synonyms Thyroid Stimulating Hormone Receptor Antibody CPT codes 83519 TULAREMIA ANTIBODY Order code TULAREMIA Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 2 weeks Stability - frozen (-20°C) 1 year Unacceptable conditions Severely lipemic, contaminated or hemolyzed samples. Minimum volume 0.5 mL 11/18/02 - 169 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 TYPHOID H UREAPLASMA/MYCOPLASMA CULTURE Limitations Avoid repeated freeze/thaw cycles. Test schedule Mon-Sat Turnaround time 1-3 days Test includes Tularemia Antibody, Titer. CPT codes 86668 TYPHOID H Order code TYH This assay has been abandoned as a diagnostic tool because of poor sensitivity and specificity. Cultures for Salmonella are recommended, specific serologies are available for Brucella and Tularemia. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 ml Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Typhoid H. CPT codes 86000 TYPHOID O Order code TYO This assay has been abandoned as a diagnostic tool because of poor sensitivity and specificity. Cultures for Salmonella are recommended, specific serologies are available for Brucella and Tularemia. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 0.5 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Typhoid O. CPT codes 86000 UNSTABLE HEMOGLOBIN Order code UN.HEM Container type Lavender top tube (EDTA) Specimen type Whole blood and 2 blood smears Preferred volume 5 mL Specimen processing Store and transport at room temperature or refrigerated. Stability - room temp 48 hours Stability - refrigerated 1 week Minimum volume 0.5 mL (microtainer) and 2 blood smears Test schedule Mon-Fri days Turnaround time 24 hours Test includes Unstable Hemoglobin. Synonyms Hemoglobin, Unstable CPT codes 83068 Notes Samples with Hemoglobin F levels above 4% will give false positive results. UREA CLEARANCE Order code URCL Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type Brick top tube (SST or Corvac) and 24-hour dark plastic urine container. Specimen type Serum and 24-hour urine collection Preferred volume 2 mL serum and 40 mL urine Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Collect serum at the same time as urine collection. Specimen processing Separate serum from cells and place in separate plastic tube. Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport both specimens refrigerated. Required patient info Height, weight, collection period and total volume. Stability - refrigerated Serum-2 weeks Unacceptable conditions Plasma with anticoagulants containing ammonium ions. Minimum volume 0.5 mL serum and 1 mL urine Alternate specimens Frozen urine specimens, EDTA or sodium heparin plasma (lavender or green top tubes). Test schedule Mon-Fri Turnaround time 24 hours Test includes BUN, mg/dL; Urea, Urine, g/24 hours; Urea Clearance, mL/min/1.73 m2. CPT codes 84520, 84540 UREA, URINE (QUANTITATIVE) Order code UREA-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection Preferred volume 40 mL Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Urea, Urine, g/24h. CPT codes 84540 UREA, URINE (RANDOM) Order code UREA-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Minimum volume 1 mL Alternate specimens Frozen specimens. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Urea, Urine, mg/dL. Synonyms Urea Nitrogen, Urine (Random). CPT codes 84540 UREAPLASMA/MYCOPLASMA CULTURE Order code UMC Container type See below. Specimen type See below. Preferred volume See below. Collection procedure Urine, urethral swab, cervical swab, semen, or biopsy tissue in M-4 or Ureaplasma transport media. For neonates, use CSF, tracheal, or NP aspirate or swab in M-4 or Ureaplasma transport media. Use a leakproof, sterile container if media is not available. M-4 transport media is available from the PAML Supply Department. Specimen processing If transport time will exceed 24 hours, freeze sample at -70°C and transport on dry ice. Required patient info Specimen source. Stability - room temp 8 hours Stability - refrigerated 24 hours Stability - frozen (-70°C) 1 month Unacceptable conditions Specimens in EIA or GenProbe or LCx transport media, dry swabs and swab in Staurt's or Amies transport media (culturette). Test schedule Daily 11/18/02 - 170 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 URIC ACID URINALYSIS, MICROSCOPIC ONLY Turnaround time 2-7 days Test includes Source; Culture, Prelim; Culture, Final. CPT codes 87109 URIC ACID Order code UCA Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 1 day Unacceptable conditions EDTA, fluoride or oxalate plasma specimens. Minimum volume 0.2 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Uric Acid, mg/dL. CPT codes 84550 URIC ACID, FLUID Order code UCASYN Container type Green top tube (sodium heparin) Specimen type Body fluid Preferred volume 1mL Specimen processing Separate fluid from cells and place in separate plastic tube if specimen is grossly bloody. Note type of fluid. Store and transport refrigerated. Required patient info Type of fluid. Minimum volume 0.2 mL Alternate specimens Specimens collected in plain red top tube or sterile container. Test schedule Daily Turnaround time 24 hours Test includes Uric Acid, Fluid, mg/dL. CPT codes 84560 URIC ACID, URINE (QUANTITATIVE) Order code UCA-U Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 40 mL aliquot Collection procedure Collect a 24-hour urine in a 24-hour dark plastic urine container containing 10 mL of 5% NaOH.. Maintain specimen at room temperature during collection. At the end of collection adjust pH to greater than 7 with 5% NaOH. Specimen processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Store and transport at room temperature. Required patient info Collection period and total volume. Unacceptable conditions Frozen or acidified specimens. Minimum volume 1 mL Alternate specimens 24-hour urine collection refrigerated during collection, storage and transport and then pH adjusted to GT 7 with 5% NaOH. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL; Uric Acid, Urine, mg/24h. CPT codes 84560 URIC ACID, URINE (RANDOM) Order code UCA-R Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport at room temperature. Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Uric Acid, Urine, mg/dL. CPT codes 84560 URINALYSIS Order code UA Microscopic performed only if indicated. This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing 10 mL aliquot of a random urine specimen. Store and transport refrigerated. Protect from light. Unacceptable conditions Specimens that have been at room temperature longer than 2 hours. Minimum volume 2 mL Limitations Microscopic exam performed only if indicated. Protect from light. Test schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround time 24 hours Test includes Collection Method; Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen Screen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase. CPT codes 81001 URINALYSIS WITH MICROSCOPIC Order code UAM Microscopic exam performed regardless of dip stick results. Container type Sterile leakproof plastic container. Specimen type Urine Preferred volume 10 mL Collection procedure Collect a random urine in a sterile leakproof plastic container. Specimen processing Store and transport refrigerated. Unacceptable conditions Specimens that have been at room temperature longer than 2 hours. Minimum volume 2 mL Test schedule Mon-Sat days/Mon-Fri nights & STAT Turnaround time 24 hours Test includes Urinalysis; Urine Microscopic. CPT codes 81001 URINALYSIS, DIPSTICK Order code DPS Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing 10 mL aliquot of a random urine specimen. Protect from light. Store and transport refrigerated. Stability - room temp 2 hours Unacceptable conditions Specimens that have been at room temperature longer than 2 hours. Minimum volume 2 mL Limitations Protect from light. Test schedule Sun-Sat all shifts and STAT Turnaround time 24 hours Test includes Collection Method; Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen Screen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase. CPT codes 81003 URINALYSIS, MICROSCOPIC ONLY Order code UAMIC Do not add the comment "culture if indicated" on the order for this workpar. Container type Leakproof plastic urine container Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. 11/18/02 - 171 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 URINARY MICROALBUMIN CREATININE RATIO VANCOMYCIN, PEAK Unacceptable conditions Specimens that have been at room temperature longer than 2 hours. Minimum volume 2 mL Test schedule Mon-Sun days/Mon-Fri Nights & STAT Turnaround time 24 hours Test includes WBC, /hpf; RBC, /hpf; Epithelial Cells; Bacteria, /hpf; Casts, /lpf; Crystals, /hpf; Crystals, Abnormal, /lpf; Other. CPT codes 81015 URINARY MICROALBUMIN CREATININE RATIO Order code UA.A/C.RATIO Container type 24-hour dark plastic urine container. Specimen type 24-hour, random or first morning urine collection Preferred volume 40 mL Collection procedure 40 mL aliqout of first morning, random or 24hour urine collection in a leakproof container. Refrigerate during collection. Specimen processing Store and transport refrigerated. Stability - refrigerated 2 weeks Minimum volume 6 mL Test schedule Sun-Fri nights Turnaround time 1-3 days Test includes Urine Microalbumin/Creatinine Ratio, mg/g. Synonyms Microalbumin/Creatinine Ratio, Urine CPT codes 82043, 82570 URINE TIME & VOLUME Order code 1TV This test is to be ordered on all timed urines. Enter the period (collection time) in hours. Enter the volume in mLs. The final report will include both of these tests. Required patient info Collection period and total volume. Test schedule S-F nights Turnaround time 24 hours Test includes Collection Period, h; Volume, mL. CPT codes 81050 Notes Do not order this test for random urines. Collection time and urine volume MUST be entered at the time this test is ordered. There is no fee for this test. UROBILINOGEN, URINE (QUALITATIVE) Order code UROB Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine specimen. Specimen processing Aliquot 10 mL of a random urine specimen. Protect from light. Store and transport refrigerated. Unacceptable conditions Specimen not protected from light. Minimum volume 0.5 mL Alternate specimens Frozen specimens. Limitations Protect from light. Test schedule Daily Turnaround time 24 hours Test includes Urobilinogen, Urine, mg/dL. CPT codes 84578 VALPROIC ACID Order code VALPROIC Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next dose. Note times of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required patient info Note times of dose and drawing. Minimum volume 0.3 mL Test schedule Sun-Fri nights and STAT Turnaround time 24 hours Test includes Valproic Acid, µg/mL. Synonyms Depakene; Depakote; Divalproex CPT codes 80164 VALPROIC ACID, FREE Order code VALPROIC.FREE Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Minimum volume 1 mL Test schedule Mon-Fri Turnaround time 3-5 days Test includes Valproic Acid, Free, µg/mL. CPT codes 80164 VANCOMYCIN Order code VAN Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw trough specimen within 15 minutes prior to infusion. Draw peak specimen 1 hour after IV infusion completed. Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Required patient info Trough or peak specimen, date and time of dose & draw. Stability - room temp 8 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Alternate specimens EDTA plasma (lavender top tube) or 1 microtainer. Test schedule Daily & STAT Turnaround time 24 hours Test includes Vancomycin, µg/mL. Synonyms Vancocin CPT codes 80202 VANCOMYCIN (PEAK & TROUGH) Order code VAN2 Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw trough specimen within 15 minutes prior to infusion. Draw peak specimen 1 hour after IV infusion completed. Clearly label specimens. Specimen processing Separate serum or plasma from cells and place each in separate plastic tube and freeze. Clearly label specimens. Store and transport on frozen. Required patient info Trough and peak specimens, dates and times of dose and draw. Stability - room temp 8 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Minimum volume 0.3 mL Alternate specimens EDTA plasma (lavender top tube) or 1 microtainer for each specimen. Test schedule Daily & STAT Turnaround time 24 hours Test includes Vancomycin, Trough, µg/mL; Vancomycin, Peak, µg/mL. Synonyms Vancocin CPT codes 80202 x 2 VANCOMYCIN, PEAK Order code VAN.PK Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw peak 1 hour after IV infusion is completed. Note time of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. Required patient info Time of dose and drawing. Stability - room temp 8 hours 11/18/02 - 172 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 VANCOMYCIN, TROUGH VARICELLA-ZOSTER, IGM Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Minimum volume 0.3 mL Test schedule Daily & STAT Turnaround time 24 hours Test includes Vancomycin, Peak, µg/mL. CPT codes 80202 VANCOMYCIN, TROUGH Order code VAN.TR Container type Red top tube (plain) Specimen type Frozen serum Preferred volume 1 mL Collection procedure Draw trough within 15 minutes prior to infusion. Note time of dose and drawing. Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Store and transport frozen. Required patient info Time of dose and drawing. Stability - room temp 8 hours Stability - refrigerated 24 hours Stability - frozen (-20°C) 1 month Minimum volume 0.3 mL Test schedule Daily & STAT Turnaround time 24 hours Test includes Vancomycin, Trough, µg/mL. CPT codes 80202 VANILLYLMANDELIC ACID, URINE (QUANTITATIVE) Order code VMA Order the workpar "1TV" with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Patient Prep There are no diet restrictions. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 50 mL Collection procedure Add 25 mL 6N HCl to a 24-hour dark plastic urine container at the start of the collection. Collect a 24-hour urine specimen. This may be added at the end of the collection period. Use 5 mL 6N HCl for toddlers and 2 mL 6N HCl for babies. Refrigerate during collection. Specimen processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2 with 6N HCl. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Stability - refrigerated 30 days if acidified Alternate specimens 24-hours urine collected with 25 mL of 50% acetic acid or 10 grams of boric acid or refrigerated during collection, storage and transport without preservative and then pH to 2 with 6N HCl. Toddlers use 5 mL of 50% acetic acid or 2 grams of boric acid. Babies use 2 mL 50% acetic acid or 1 gram of boric acid. Test schedule Mon, Wed, Fri, days Turnaround time 2-5 days Test includes Collection Period, h; Volume, mL; VMA, Urine, µg/mg Cr. Synonyms 3-methoxy-4-hydroxymendelic acid; VMA CPT codes 84585 VANILLYLMANDELIC ACID, URINE (RANDOM) Order code VMA-R Includes creatinine. Container type Leakproof plastic urine container. Specimen type Urine, random Preferred volume 10 mL Collection procedure Collect a random urine in a leakproof plastic urine container. Specimen processing Adjust pH to 2 with 6N HCl. Store and transport refrigerated or at room temperature. Minimum volume 10 mL Test schedule Mon, Wed, Fri days Turnaround time 2-5 days Test includes Creatinine, Urine, mg/dL; VMA, Urine, µg/mg Cr. Synonyms VMA CPT codes 84585 VARICELLA-ZOSTER ANTIBODY, IGG Order code VZA Test is intended to assess an individual's immune status to VZV prior to administration of VZA vaccine. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Icteric, hemolyzed or heat inactivated specimens. Minimum volume 0.5 mL Test schedule Tue-Sat days Turnaround time 1-4 days Test includes Varicella-zoster Antibody, IgG, ISR. Synonyms Herpes Zoster Antibody, IgG; VZA; Herpes Zoster, IgG CPT codes 86787 VARICELLA-ZOSTER VIRUS BY PCR Order code VZVPCR Specimen type Frozen CSF, ocular specimen, vesicle fluid or tissue biopsy Preferred volume 1 mL Specimen processing Put CSF in sterile plastic tube and freeze. Put ocular specimen, vesicle fluid, or tissue biopsy in multipurpose viral transplant media and freeze. Store and transport frozen. Snap freeze tissue immediately and transport on dry ice. Required patient info Source Stability - room temp 4 hours (exept tissue) Stability - refrigerated 24 hours (except tissue) Stability - frozen (-20°C) 3 months Unacceptable conditions Non-sterile or leaking containers or heparinized samples. Minimum volume 0.25 mL Test schedule Mon, Wed, Fri; Turnaround time 3-7 days Test includes Source; Varicella-Zoster Virus by PCR. CPT codes 87798 VARICELLA-ZOSTER VIRUS CULTURE & DFA STAIN Order code VZV.SCR Not an appropriate test for oral or genital specimens. Container type FlexTrans. Specimen type Cotton/Dacron swab of lesion Specimen processing Store and transport refrigerated. Required patient info Specimen source. Limitations Not an appropriate test for oral or genital specimens. Test schedule Sun-Sat days Turnaround time DFA results at 24 hours, rapid spin results at 5 days, final results at 14 days. Test includes Source; DFA; VZA Screen & Culture; VZA Screen & Culture, Status. Synonyms VZA Rapid Screen CPT codes 87252, 87140 x 2, 87207 x 2 Notes This test includes shell-vial enhancement for rapid VZV detection. Test will detect and differentiate between Herpes simplex virus and Varicella-zoster virus. For oral or genital specimens order VIR-CULT or HSV-CULT. VARICELLA-ZOSTER, IGM Order code VZA.IGM Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 48 hours Stability - refrigerated LT 5 days 11/18/02 - 173 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 VASOACTIVE INTESTINAL POLYPEPTIDE VISCOSITY Stability - frozen (-20°C) 1 year Unacceptable conditions Hemolyzed, lipemic or icteric specimens. Minimum volume 0.5 mL Limitations Avoid repeat freeze/thaw cycles. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Varicella-Zoster Antibody, IgM, ISR. Synonyms VZA, IgM CPT codes 86787 VASOACTIVE INTESTINAL POLYPEPTIDE Order code VIP Do not request on a patient who has recently received radioactive material. Patient Prep Patient should be fasting. Container type Lavender top tube (EDTA) Specimen type Frozen EDTA plasma Preferred volume 3 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Minimum volume 1 mL Test schedule Mon, Wed Turnaround time 4-10 days Test includes VIP, pg/mL. Synonyms VIP CPT codes 84586 VDRL, CSF Order code VDRL.CSF Container type CSF sterile plastic tube. Specimen type CSF Preferred volume 1 mL Specimen processing Centrifuge and decant spinal fluid. Store and transport refrigerated. Stability - room temp 24 hours Stability - refrigerated 7 days Stability - frozen (-20°C) 1 year Unacceptable conditions Spinal fluid visibly contaminated or containing gross blood. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes VDRL, CSF. Synonyms RPR, CSF CPT codes 86592 VENOUS ACID BASE PROFILE Order code AC/BASE Container type Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 1 mL Specimen processing Immerse tube completely in ice water. Test must be performed within 4 hours of collection. Store and transport on ice water. Required patient info Patient's temperature. Unacceptable conditions Specimen exposed to air or not kept on ice. Minimum volume 0.2 mL Test schedule Daily & STAT Turnaround time 24 hours Test includes pH; pCO2, mmHG; pO2, mmHG; 02 Content, vol%; O2 Saturation, Venous, %; HCO3, mmol/L; Base Excess, mmol/L; Base Deficit, mmol/L; Hemoglobin, Venous, g/dL; CO Hemoglobin, %; Met Hemoglobin, %; 02, %; Additional Data. Synonyms Venous Blood Gases CPT codes 82803 VERAPAMIL Order code VER Container type Red top tube (plain) Specimen type Serum Preferred volume 5 mL Collection procedure Suggest peak specimen be drawn 1-2 hours post dose. Specimen processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Required patient info Indicate if specimen is serum or plasma. Unacceptable conditions Severely hemolyzed specimens or serum separator tube and gels. Minimum volume 2 mL Alternate specimens Sodium heparinized plasma (green top tube). Test schedule Mon-Fri Turnaround time 3-5 days Test includes Verapamil, ng/mL; Norverapamil, ng/mL. Synonyms Calan; Isoptin CPT codes 80299 VIRAL CULTURE Order code VIR-CULT Container type See below. Specimen type Nasopharyngeal, throat or rectal swabs in FlexTrans, urine, stool, tissue Bx, CSF, BAL and bronchial brush or wash Specimen processing Store and transport refrigerated. Required patient info Specimen source. Test schedule Sun-Sat days Turnaround time Shell vial CMV results at 72 hours, preliminary culture results at 10 days, final culture report at 14 days. Test includes Source; Viral Culture; Viral Culture, Status. Synonyms Culture, Viral CPT codes 87252, 87253, 87140 Notes This culture is for the detection of common viruses, including HSV, CMV, VZV, adenovirus, influenza, RSV, parainfluenza, and enterovirus. Testing includes shell-vial enhancement for rapid CMV detection on appropriate sources. VIRAL CULTURE & DFA STAIN FOR RESPIRATORY VIRUSES Order code VIR.CULT.DFA If DFA for CMV is required, it must be specifically requested. Container type See below. Specimen type Nasopharyngeal and/or throat swab(s) in FlexTrans, BAL, bronchial brush or wash Specimen processing Store and transport refrigerated. Required patient info Specimen source. Unacceptable conditions Sputum specimens. Alternate specimens Esophogeal and gastric biopsies are appropriate for CMV by DFA. Test schedule Sun-Sat days Turnaround time DFA results at 24 hours, preliminary culture results at 10 days, final culture results at 14 days. Test includes Source; DFA; Viral Culture; Viral Culture, Status. CPT codes 87252, 87253, 87206 x 2, 87140 Notes Includes routine direct fluorescent antibody stain of cells in FlexTrans for Influenza A & B, Adenovirus, RSV and Parainfluenza types 1,2, & 3. VIRAL CULTURE (BUFFY COAT) Order code BUFFY Container type Green top tube (sodium heparin) Specimen type Whole blood Preferred volume 15 mL Specimen processing Freshly collected sodium heparinized whole blood. Store and transport at room temperature. Required patient info Specimen source. Stability - room temp 24 hours Minimum volume 3 mL Alternate specimens Lavender top tube (EDTA). Test schedule Sun-Sat days Turnaround time Shell vial CMV results at 72 hours, preliminary culture report at 10 days, final culture report at 14 days. Test includes Source; Buffy Coat Culture; Buffy Coat Culture, Status. CPT codes 87252, 87015, 87206 x 2 VISCOSITY Order code VISC Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 3 mL 11/18/02 - 174 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 VISCOSITY, FLUID VITAMIN C, PLASMA Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 4 days Minimum volume 1.5 mL Limitations The presence of cryoglobulin will enhance the viscosity of serum. Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Viscosity, cP. CPT codes 85810 Notes This assay does not distinguish beteen thiamine and its phosphate esters. VITAMIN B-1, WHOLE BLOOD Order code VISCFL Container type Green top tube (lithium heparin) Specimen type Body fluid Preferred volume 3 mL Specimen processing Store and transport refrigerated. Stability - room temp 8 hours Stability - refrigerated 4 days Unacceptable conditions Clotted specimens. Minimum volume 3 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Viscosity, Fluid. CPT codes 85810 Order code VIT B-1.BLD Container type Lavender top tube (EDTA) Specimen type Frozen whole blood Preferred volume 3 mL Specimen processing Freeze in separate plastic tube. Protect from light. Store and transport frozen. Stability - room temp Unstable Stability - refrigerated Unstable Stability - frozen (-20°C) 6 months Unacceptable conditions Non-frozen specimens, or specimens received in glass vacutainer tubes. Minimum volume 1 mL Alternate specimens Sodium heparinized whole blood (green top tube). Limitations Protect from light. Test schedule Mon, Wed Turnaround time 5-7 days Test includes Vitamin B-1, Whole Blood, ug/dL. Synonyms Thiamine CPT codes 84425 Notes This assay does not distinguish between thiamine and its phosphate esters. VITAMIN A VITAMIN B-6 VISCOSITY, FLUID Order code VIT A Patient Prep Patient should fast overnight (12 hours) and should not consume alcohol 1 day prior to blood draw. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Stability - room temp Unstable Stability - refrigerated 1 month Stability - frozen (-20°C) 1 year Minimum volume 0.3 mL Alternate specimens Frozen heparinized plasma (green top tube). Limitations Protect from light. Test schedule Sun, Tue-Sat Turnaround time 3-5 days Test includes Retinol, mg/L; Retinyl Palmitate, mg/L; Interpretation. Synonyms Retinol CPT codes 84590 Notes This assay does not include other Vitamin A metabolites such as retinaldehyde and retinoic acid. VITAMIN B-1 THIAMINE (PLASMA) Order code VIT B-1 THIAM The whole blood assay is preferred over plasma (which is more light sensitive). Separate specimens must be submitted when multiple tests are ordered. Container type Green top tube (sodium heparin) Specimen type Frozen plasma Preferred volume 3 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Stability - room temp Unstable Stability - refrigerated Unstable Stability - frozen (-20°C) 6 months Unacceptable conditions Non-frozen specimens , those not protected from light and frozen glass tubes. Minimum volume 1 mL Alternate specimens EDTA plasma (lavender top tube). Limitations Protect from light. Test schedule Mon, Wed Turnaround time 5-10 days Test includes Vitamin B-1, Plasma, ug/dL. Synonyms Thiamine CPT codes 84425 Order code VIT B-6 Container type Lavender top tube (EDTA) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Stability - room temp Unstable Stability - refrigerated Unstable Stability - frozen (-20°C) 2 months Stability - frozen (-70°C) 10 days Unacceptable conditions Non-frozen specimens and specimens frozen in glass tubes. Minimum volume 0.2 mL Limitations Protect from light. Test schedule Mon, Thu Turnaround time 4-10 days Test includes Vitamin B-6, ng/mL. Synonyms Pyridoxal phosphate CPT codes 84207 Notes This assay does not distinguish between pyridoxine, pyridoxamine and pyridoxal forms, and does not detect pyridoxic acid. VITAMIN C, PLASMA Order code VIT.C Container type See below. Specimen type See below. Preferred volume 2 mL Collection procedure 4 mL heparinized plasma (green top tube) added to each of two special tubes containing 40 mg oxalic acid; mix and freeze. Special collection tubes are available from PAML Supply Department. Specimen processing Store and transport frozen. This is a critical frozen. Separate samples must be submitted when multiple tests are ordered. Stability - room temp Unstable Stability - refrigerated Unstable Stability - frozen (-20°C) 2 months Unacceptable conditions Non-frozen specimens and specimens frozen in glass tubes. Test schedule Wed Turnaround time 4-9 days Test includes Vitamin C, Plasma, mg/dL. Synonyms Ascorbic Acid CPT codes 82180 Notes Vitamin C concentrations between 0.2-0.4 mg/dL indicate risk 11/18/02 - 175 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 VITAMIN D (1,25-DIHYDROXY) VON WILLEBRAND PANEL of deficiency. Concentrations LT 0.2 mg/dL consistent with deficiency. VITAMIN D (1,25-DIHYDROXY) Order code VIT D This test has not yet received FDA approval and is considered for research use only. Medicare does not pay for tests that are not FDA approved. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 3 days Stability - refrigerated 3 days Stability - frozen (-20°C) 6 months Minimum volume 0.8 mL Alternate specimens EDTA plasma (lavender top tube). Test schedule Sun-Sat Turnaround time 4-6 days Test includes Vitamin D (1,25-OH), pg/mL. Synonyms 1,25-Dihydroxy CPT codes 82652 VITAMIN D, 25-HYDROXY Order code VDOH Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - refrigerated 10 days Stability - frozen (-20°C) 7 months Minimum volume 0.25 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Sun-Fri nights Turnaround time 1-3 days Test includes Vitamin D, 25-Hydroxy, ng/mL. CPT codes 82306 VITAMIN E Order code VITAE Patient Prep Patient should fast overnight (12 hours) and should not consume alcohol for 1 day prior to blood draw. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 1 mL Specimen processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Stability - refrigerated 1 month Stability - frozen (-20°C) 1 year Minimum volume 0.3 mL Alternate specimens Frozen heparinized plasma (green top tube). Limitations Avoid hemolysis. Protect from light. Test schedule Sun, Tue-Sat Turnaround time 3-5 days Test includes Alpha-Tocopherol, mg/L; Gamma-Tocopherol, mg/L. Synonyms Alpha-Tocopherol; Tocopherol CPT codes 84446 VITAMIN K1 Order code VITK1 Patient Prep Fasting sample is preferred. The patient should not consume alcohol for 1 day prior to the blood draw. Container type Brick top tube (SST or Corvac) Specimen type Frozen serum Preferred volume 5 mL Specimen processing Separate serum from cells and place in separate plastic tube, protect from light and freeze. Store and transport frozen. This is a critical frozen specimen. Stability - room temp unstable Stability - refrigerated 1 month Stability - frozen (-20°C) 6 months Minimum volume 1.5 mL Alternate specimens EDTA plasma (lavender top tube). Limitations Protect from light and avoid hemolysis. Test schedule Mon, Tue, Thu Turnaround time 2-9 days Test includes Vitamin K1, ng/mL. CPT codes 84597 VON WILLEBRAND FACTOR ACTIVITY Order code VON Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 48 hours Test includes VWF Activity (Ristocetin Cofactor), %. Synonyms VW Factor; VW Factor Activity; Ristocetin Cofactor CPT codes 85245 Notes This is a functional test. It detects the ability of the VWF to aggregate platelets in the presence of ristocetin. VON WILLEBRAND FACTOR ANTIGEN Order code FAC8AG Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Promptly centrifuge and separate plasma, then centrifuge again. Separate plasma into two plastic tubes and freeze. Store and transport frozen. Minimum volume 0.5 mL Alternate specimens Whole blood if transported on ice within 1 hour. Limitations Blood/anticoagulant volume is critical. Test schedule Mon-Fri days Turnaround time 72 hours Test includes Von Willebrand Factor Antigen, % Synonyms F8-Related Antigen; VW Antigen; FAC8 Antigen; Factor 8 Antigen; Factor VIII-related Antigen CPT codes 85246 Notes This is a quantitative test. It detects the amount of VWF antigen immunologically. VON WILLEBRAND MULTIMERIC Order code VON.MULTI Container type Blue top tube (buffered sodium citrate) Specimen type Frozen plasma Preferred volume 1 mL Specimen processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Stability - room temp 4 hours Stability - refrigerated 8 hours Stability - frozen (-20°C) 2 weeks Unacceptable conditions Specimens received in glass tube or frozen in glass tube. Minimum volume 0.5 mL Test schedule Wed Turnaround time 5-10 days Test includes Von Willebrand Multimeric. Synonyms VWF Multimer CPT codes 85247 VON WILLEBRAND PANEL Order code VONP Container type Blue top tube (buffered sodium citrate) Specimen type Whole blood Preferred volume 5 mL Collection procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours from time of specimen collection. 11/18/02 - 176 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 WEIL FELIX AGGLUTININS ZINC, URINE (QUANTITATIVE) Specimen processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into two clear plastic tubes (2 aliquots) and freeze at -70C. Unacceptable conditions Severely hemolyzed, clotted specimens, inappropriately filled liquid blue top tubes or specimens more than 4 hours old that has not been separated and frozen at -70C. Minimum volume 3 mL Test schedule Mon-Fri days Turnaround time 72 hours Test includes Factor VIII, %; Von Willebrand Factor Antigen, %; Von Willebrand Factor Activity, %. CPT codes 85240, 85246, 85245 WEIL FELIX AGGLUTININS Order code WEIL This assay has been abandoned because of poor sensitivity and specificity. Order specific Rickettsial antibodies for diagnosis. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 2 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 1 day Stability - refrigerated 5 days Stability - frozen (-20°C) 6 months Minimum volume 1 mL Test schedule Sun-Fri nights Turnaround time 24 hours Test includes Proteus OX19; Proteus OX2; Proteus OXK. Synonyms Rickettsial Disease Agglutinins CPT codes 86000 x 3 WET MOUNT Order code WET-MNT Container type Culturette. Specimen type Urogenital discharge or oral thrush Specimen processing Store and transport at room temperature. Alternate specimens Specimen can also be submitted in a small amount of sterile saline. Test schedule Sun-Sat days Test includes Source; WBC; Epitheal Cells; Bacteria; Clue Cells; Yeast; Trichomonas. CPT codes 87210 WHITE CELL COUNT Order code WBC Container type Lavender top tube (EDTA) Specimen type Whole blood Specimen processing Prefer to receive specimen within 12 hours of collection. Store and transport refrigerated. Test schedule Daily-24 hours Turnaround time 24 hours Test includes WBC, K/µL. Synonyms WBC CPT codes 85048 YERSINIA ANTIBODY PANEL Order code YER Acute and convalescent samples advised. Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Stability - room temp 2 days Stability - refrigerated 14 days Stability - frozen (-20°C) 1 year Unacceptable conditions Plasma, severly lipemic or contaminated samples. Minimum volume 0.5 mL Limitations Avoid repeated freeze/thaw cycles. Test schedule Tue Turnaround time 4-6 days Test includes Yersinia Panel: Type 3, Titer; Type 8, Titer; Type 9, Titer; Pseudo-TB, Titer. CPT codes 86793 x 4 Notes Does not include Y. pestis ZARONTIN Order code ETH Container type Red top tube (plain) Specimen type Serum Preferred volume 1 mL Collection procedure Draw just prior to next dose. Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Stability - room temp 7 days Stability - refrigerated 7 days Stability - frozen (-20°C) 1 month Minimum volume 0.3 mL Alternate specimens EDTA or heparin plasma (lavender or green top tube). Test schedule Sun-Sat Turnaround time 1-2 days Test includes Zarontin, µg/mL. Synonyms Ethosuximide CPT codes 80168 ZINC Order code ZINC Patient Prep Early morning fasting specimen recommended. Container type Royal blue top tube (metal free plain) Specimen type Serum Preferred volume 3 mL Specimen processing Separate serum from cells within 1 hour and place in separate plastic tube. Store and transport refrigerated. Required patient info Fasting/non-fasting. Stability - room temp 48 hours Stability - refrigerated 2 weeks Stability - frozen (-20°C) 3 months Unacceptable conditions Serum left in contact with RBC's longer than 1 hour or hemolyzed specimen. Minimum volume 1 mL Alternate specimens Serum (plain red top tube) separated within 1 hour. Limitations There is a circadian variation with peak levels of zinc at approximately 0900 and 1800 hours. Serum zinc levels decrease post-prandially. Avoid hemostasis. Test schedule Sun-Fri, days Turnaround time 1-3 days Test includes Zinc, µg/dL. Synonyms Zn CPT codes 84630 Notes Fasting values below 60 µg/dL may represent deficient zinc status. ZINC PROTOPORPHYRINS Order code EP-SCR Container type Lavender top tube (EDTA) Specimen type Whole blood Preferred volume 1 mL Specimen processing Store and transport refrigerated. Stability - refrigerated 7 days Unacceptable conditions Hemolyzed specimens. Minimum volume 0.5 mL (1 microtainer) Alternate specimens Sodium heparinized or citrated whole blood (green, royal blue metal free heparin or blue top tube). Test schedule Mon-Fri Turnaround time 24-48 hours Test includes Zinc Protoporphyrins, µmol/mol. Synonyms ZPP CPT codes 84203 ZINC, URINE (QUANTITATIVE) Order code ZINCUQ Order the workpar "1TV" with this test. Enter the collection time 11/18/02 - 177 - PAML Test Directory 1.800.541.7891 509.755.8600 Fax 509.921.7107 ZONISAMIDE ZONISAMIDE (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container type 24-hour dark plastic urine container. Specimen type 24-hour urine collection. Preferred volume 10 mL Collection procedure Collect a 24-hour urine specimen in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Add 12M HCl (0.1 mL HCl/10 mL urine) at end of collection. Record collection time and total volume. Store and transport refrigerated. Required patient info Collection period and total volume. Unacceptable conditions . Minimum volume 5 mL Test schedule Tue, Thu, Sat Turnaround time 3-5 days Test includes Collection Period, h; Volume, mL; Zinc, Urine, µg/dL; Zinc, Urine, µg/d; Creatinine, Urine, mg/d; Zinc, Urine, µg/gCr. Synonyms Zn, Urine CPT codes 84630 ZONISAMIDE Order code ZON Container type Brick top tube (SST or Corvac) Specimen type Serum Preferred volume 1 mL Specimen processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Test schedule Mon-Fri Turnaround time 3-5 days Test includes Zonisamide, mcg/mL. CPT codes 82491 11/18/02 - 178 -
Related documents