Boyce and Bynum Directory of Services

Transcription

Directory of Services
General Laboratory Information
Specimen Collection and Preparation
Specimen Transportation
Anatomic Pathology Specimens
Cytology Specimens
Hemostasis/Thrombosis Specimens
Microbiology Specimens
Molecular Diagnostics Specimens
Critical Value Policies
Test List
Changed Test History
Index by Test Title
Index by Order Code
10/21/2016
Section 1
Section 2
Section 3
Section 4
Section 5
Section 6
Section 7
Section 8
Section 9
Section 10
Section 11
Section 12
Section 13
BBPL Directory of Services
Administration: Officers & Directors
Medical Director..................................................................................................... Michael D. Curry, MD, PhD
General Manager ....................................................................................................................... Richard Cotten
Director of Accounting ................................................................................................................. Roger Asbury
Director of Clinical Laboratory (Chemistry, Hematology, Immunology & Microbiology) William Thornton, PhD
Director of Corporate Compliance.............................................................................................. Cathy Thornton
Director of Corporate Development.................................................................................................. Joe Sanford
Director of Human Resources ............................................................................................................Kelly Poor
Director of Sales.... ......................................................................................................................Mark Williams
S1
Departmental Directory:
Accounts Payable
Anatomic Pathology/Transcription
Business Office
Billing Customer Service
Business Development
Chemistry
Client Services
Cytology
Data Management
Histology
Human Resources
Information Technology/Data Processing
Long-Term Care Operations Manager
Maintenance
Materials Management
Medical Director Assistant
Microbiology
Molecular Diagnostics
Patient Service Center Manager
Processing/Specimen Management
Safety & Education
Carol Samuels
Donna Wagner
Sheila Libbert
Ronald Holtkamp
Mark Williams
Amber Thompson
Cindy Kemper
Linda Wood
Steve Weaver
Debbie Grigery
Tad Reissing
Bev Hallowell
Danny Galbreath
Keith Fernandez
Mitzi McLaren
Joanne Reed
Pat Zeitlow
Joshua Windle
Diana Inman
Supplies
Licensure & Accreditations:
Clinical Laboratory Improvement Amendments (CLIA )
College of American Pathologists (CAP)
1-1
573-886-4612
573-886-4619
573-886-4618
573-886-4610
913-269-9227
573-886-4640
800-786-4602/ 573-886-4620
573-886-4698
573-886-4643
573-886-4677
573-886-4605
573-886-4524
573-219-6868
573-886-4675
573-886-4607
573-886-4608
573-886-4690
573-886-4689
573-886-4533
573-886-4663
573-886-4658
800-786-4602/ 573-886-4620
ID Numbers:
26D0652373
19446-01
Robert F. Cheek, M.D.
Jack D. Jones, M.D.
Associate Medical Director, Central Reference Laboratory
Laboratory Medical Director, Cooper County Hospital
Anatomic & Clinical Pathology
Dermatopathology
Associate Pathologist, Central Reference Laboratory
Adam T. Clapper, M.D.
Associate Pathologist, Boone Hospital Center
Laboratory Medical Director, Landmark Hospital
Lynn L. Kleopfer, M.D.
Associate Pathologist, Boone Hospital Center
Laboratory Medical Director, Samaritan Memorial Hospital
Cytopathology
Chadwick L. Linder, M.D.
Michael D. Curry, M.D., Ph.D.
Medical Director, Central Reference Laboratory
Molecular & Biochemistry Diagnostics
Grant Van Dyke Darkow, M.D.
Laboratory Medical Director, Boone Hospital Center
Laboratory Medical Director, Capital Region Medical Ctr
Paul J. McGowan, M.D.
Hematopathology
Leslie K. Miller, M.D.
Alberto A. Diaz-Arias, M.D.
James T. Edinger, M.D.
Laboratory Medical Director, St. Mary’s Hospital-Audrain,
Callaway County Hospital, Jefferson City Medical Group,
and Pershing Health System
R. Gideon Morrison, M.D.
Dermatopathology & Hematopathology
Laboratory Medical Director, Ozarks Medical Center
Maria L. Evans, M.D.
T. Bart Shaw, M.D.
Laboratory Medical Director, Northeast Regional Medical
Ctr.
Belinda R. Fender, M.D.
Associate Pathologist, Central Reference Laboratory &
Northeast Regional Med Center
Assoc. Professor-AT Still University, Kirksville
Hematopathology
Laboratory Medical Director, Fitzgibbon Hospital, Moberly
Regional Medical Center, Salem Memorial Hospital &
Texas County Memorial Hospital
Denise M. Tritz, M.D.
Laboratory Medical Director, St. Mary’s Hospital-Jefferson
City
Helena H. Wang, M.D.
Steven J. Haas, M.D.
Laboratory Medical Director, Lake Regional Health
System
Associate Pathologist, St. Mary’s Hospital-Jefferson City
Anatomic Pathology
Cytopathology
Lawrence D. Henry, M.D.
Laboratory Medical Director, Bothwell Regional
Health Center
Cytopathology, Anatomic & Forensic Pathology
1-2
S1
History:
Boyce & Bynum Pathology Laboratories, P.C. (BBPL) was founded in 1965 by John M. Boyce, MD and William R.
Bynum, MD. The vision was cast from a desire to better resource small hospital laboratories and to provide
affordable technology not available in this area. Boyce & Bynum has grown to a twenty (20) member professional
group with pathologists living in West Plains, Mexico, Sedalia, Jefferson City, and Columbia. We are a full-service
laboratory providing services in chemistry, hematology, microbiology, immunology, molecular diagnostics,
anatomic pathology, cytology and histology. Our main reference laboratory is located in Columbia, Missouri and is
supported by Patient Service Centers in Columbia, Fulton, Jefferson City, Moberly, Sedalia, Springfield, and
West Plains, Missouri, as well as, Oklahoma City, Oklahoma.
S1
Boyce & Bynum is proud of the following accomplishments:
Formulated the concept of “cluster labs” as early as 1965
Pioneer in the field of independent laboratory development
Greater than 45 years of pathology reference laboratory service
Long-standing tradition of excellence and commitment to physicians of mid-Missouri
Expansion of service; 52,000 square feet of laboratory space
Responsive to client needs with laboratory service tailored to a specific small marketplace
Boyce & Bynum offers a wide spectrum of professional knowledge to the hospitals and the outpatient community
served. In-house consultation and shared travel allows each hospital to receive full benefits of a multi-specialty
group. Because of this approach to providing professional services, Boyce & Bynum has been capable of assisting
hospital laboratories in both The Joint Commission and College of American Pathologists accreditations, as well as
providing routine pathology services to hospitals and medical staff. Boyce and Bynum currently serves an
outpatient community of 100,000+ and pathology service is provided to many hospitals in the central area of the
state between St. Louis and Kansas City.
SSM Health St. Mary's Hospital-Audrain, Mexico, Missouri
Boone Hospital Center, Columbia, Missouri
Bothwell Regional Health Center, Sedalia, Missouri
Callaway Community Hospital, Fulton, Missouri
Capital Region Medical Center, Jefferson City, Missouri
Carroll County Memorial Hospital, Carrollton, Missouri
Cooper County Memorial Hospital, Boonville, Missouri
Fitzgibbon Memorial Hospital, Marshall, Missouri
Jefferson City Medical Group, Jefferson City, Missouri
Lake Regional Health System, Osage Beach, Missouri
Moberly Regional Medical Center, Moberly, Missouri
Northeast Regional Medical Center, Kirksville, Missouri
Ozarks Medical Center, West Plains, Missouri
Pershing Memorial Hospital, Brookfield, Missouri
Salem Memorial Hospital, Salem, Missouri
Samaritan Hospital, Macon, Missouri
Scotland County Memorial Hospital, Memphis, Missouri
SSM Health St. Mary’s Hospital-Jefferson City, Missouri
Sullivan County Memorial Hospital, Milan, Missouri
Texas County Hospital, Houston, Missouri
University of Missouri Healthcare, Columbia, Missouri
Services:
Full service laboratory
Couriers - convenient pick-up
Connectivity services
Billing options
Drug Screen (NIDA) collection
Phlebotomy instruction
1-3
Interpretation of laboratory results and recommendations for follow-up testing
Client specific test panels
Reflexive testing
Test result call-backs
Continuous Quality Improvement program
Pre-inspection consultation
Technical consultation
Management consultation
Assistance with current and future regulatory compliance
Newsletter
Video library
Occupational health programs
S1
Our main focus is to provide referring physicians with accurate test reporting. Our skilled and experienced medical
technologists, along with state of the art technology and reagents, ensure that stringent quality control procedures are
enforced and maintained at all times. Boyce & Bynum Laboratories P.C. participates in the Proficiency Testing
Program from the College of American Pathologists (CAP), AAB and CytoQuest.
Clinically abnormal results, which may be significant, are reviewed by the Department Supervisor and a Pathologist
prior to reporting. Critical values are called immediately so patients may receive the necessary medical treatment as
soon as possible.
We are accredited by the College of American Pathologists and licensed by the Federal Government for the
Medicare program.
Most of the routine testing is performed at our central reference laboratory facility in Columbia, Missouri. Esoteric
testing is referred to ARUP (Associated Regional & University Pathologist in Salt Lake City, Utah), LabCorp
(Laboratory Corporation of America in Burlington, North Carolina) and to the University of Missouri – Columbia,
Missouri.
Client Services/Courier Network:
Boyce & Bynum’s Client Services Department will be the major source of information for you. Employees in
Client Services are trained to respond to client needs such as result inquiries, unlisted test information, technical
questions, and specimen requirements. Client Services operates on a work schedule conducive to client needs and
are available by calling a direct toll free number, 1-800-786-4602. Physician inquiries may be directed to our
pathologists if desired.
Boyce & Bynum will provide at no cost specimen containers, requisitions, Directory of Services with instructions
for processing specimens, specimen collection tubes, PAP supplies and courierbags.
Boyce & Bynum arranges for courier services to retrieve specimens from our clients through out our service area in
Missouri, Northern Arkansas, and Eastern Kansas. Pickups are arranged to accommodate the client needs. The
professional couriers are trained in proper handling and transportation of medical specimens in accordance with state
and federal regulations.
Connectivity Services:
Boyce & Bynum Pathology Laboratories understands the value of information system integration and has the
technology and resources to facilitate communications with a variety of applications and platforms. In addition to
interface solutions, BBPL’s Laboratory Information System also provides state of the art test ordering and result
reporting to our clients. Upon completion of testing, test results are reported to the client and are available 24/7 on
our secure web portal. For more information about BBPL’s connectivity services, contact your BBPL client support
representative.
1-4
Billing & CPT Coding:
Each month the client will receive an itemized invoice/statement which will indicate the date of service, patient
name, CPT code, test name, and test charge.
S1
CPT Coding: It is the responsibility of the client to determine correct CPT codes to use for billing. While this
catalog lists CPT codes in an effort to provide some guidance, CPT codes listed only reflect our interpretation of
CPT coding requirements and are not necessarily correct. The client should verify accuracy of codes listed, and
where multiple codes are listed, should select codes for tests actually performed on the specimen. Boyce & Bynum
Pathology Laboratories assumes no responsibility for billing errors due to reliance on CPT codes listed in this
catalog. For further reference, please consult the CPT Coding Manual published by the American Medical
Association.
Reflex Testing:
Boyce & Bynum Pathology Laboratories offers tests that reflex to additional follow-up tests when medically
appropriate. In many cases, BBPL offers components of reflex tests individually as well as together. Clients should
familiarize themselves with the reflex test offerings and make a decision whether to order a reflex test or an
individual component.
Continuous Quality Improvement Program:
Boyce & Bynum Pathology Laboratories has an extensive Continuous Quality Improvement (CQI) program. Our
program builds upon the concepts of quality control and quality assurance providing an opportunity to deliver
consistent, high-quality and cost-effective service to our clients. In addition, our CQI program enhances our ability
to meet and exceed the requirements of regulatory/accreditation agencies and provide quality service to our clients.
A core principle at Boyce & Bynum Pathology Laboratories is the continuous improvement of all processes and
services that support the care of patients. In addition, our CQI processes focus on meeting the needs of our clients, to
help them serve their patients.
The policies, processes, and procedures associated with the CQI program can be applied to all operations of
workflow (e.g., pre-analytical, analytical, and post-analytical). Performance is measured through surveys, audits,
proficiency testing, and constant monitoring of internal and external quality indicators. Data generated by these
quality measurements drives process improvement initiatives to seek resolutions to system-wide problems.
Boyce & Bynum participates in the Proficiency Testing Program from the College of American Pathologists (CAP),
AAB and CytoQuest. We conduct internal assessments and comparability studies to ensure the accuracy and
reliability of patient testing when an approved proficiency testing program is not available or additional quality
monitoring is desired.
Technical Assistance:
Technical assistance is available to clients of Boyce & Bynum Pathology Laboratories, P.C. We have many
qualified registered medical technologists available to provide this service. These individuals can assist with
problem solving and procedural advice on a requested basis.
BBPL Policies:
Business Continuity and Contingency Planning:
In the event of a disaster, Boyce & Bynum Pathology Laboratories, P.C. (BBPL) has a comprehensive contingency
plan in place to ensure that the impact on laboratory practice is minimized.
Compliance Policies:
Boyce & Bynum Pathology Laboratories, P.C. (BBPL) is committed to compliance with applicable laws and
regulations such as the Clinical Laboratory Improvement Amendments (CLIA). Regulatory agencies that oversee
our compliance include, but are not limited to, the Centers for Medicare and Medicaid Services (CMS), and the
Department of Transportation (DOT).
1-5
BBPL develops, implements, and maintains policies, processes, and procedures throughout our organization which
are designed to meet relevant requirements. We expect clients utilizing our services to ensure their own compliance
with patient confidentiality, diagnosis coding, anti-kick back statutes, professional courtesy, CPT-4 coding, CLIA
proficiency testing, and other similar regulatory requirements.
S1
Confidentiality of Results:
Boyce & Bynum Pathology Laboratories, P.C. (BBPL) is committed to maintaining confidentiality of patient
information. To ensure Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliance for
appropriate release of patient results, BBPL has adopted the following policies:
Phone Inquiry Policy—One of the following unique identifiers will be required:
BBPL accession ID number for specimen; or
Client account number from BBPL along with patient name; or
Client accession ID number interfaced to BBPL or
Identification by individual that he or she is, in fact, the “referring physician” identified on the requisition
form for the BBPL client.
Under federal regulations, we are only authorized to release results to ordering physicians or health-care providers
responsible for the individual patient’s care. We appreciate your assistance in helping BBPL preserve patient
confidentiality. Provision of appropriate identifiers will greatly assist prompt and accurate response to inquires and
reporting.
HIPAA Compliance:
Boyce & Bynum Pathology Laboratories, P.C. (BBPL) is fully committed to compliance with all privacy, security,
and electronic transaction code requirements of the Health Insurance Portability and Accountability Act of 1996
(HIPAA). All services provided by BBPL that involve joint efforts will be done in a manner which enables our
clients to be HIPAA and The College of American Pathologists (CAP) compliant.
Proficiency Testing:
Boyce & Bynum Pathology Laboratories, P.C. is a College of American Pathologists (CAP)-accredited, CLIAlicensed facility that voluntarily participates in many diverse external and internal proficiency testing programs. It is
BBPL’s expectation that clients utilizing our services will adhere to CLIA requirements for proficiency testing (42
CFR 493.801), including a prohibition on discussion about samples or results and sharing of proficiency testing
materials with BBPL during the active survey period. Referring of specimens is acceptable for comparison purposes
when outside of the active survey period or when an approved proficiency testing program is not available for a
given analyte.
Reportable Diseases:
BBPL endeavors to comply with laboratory reporting requirements for each state health department regarding
reportable diseases. We strive to cooperate with our clients so that we both comply with state regulation
1-6
Introduction:
The laboratory must have a written or electronic request for patient testing from an authorized person. The quality of
results from laboratory testing depends greatly on the proper collection and handling of the specimen submitted for
analysis. Correct patient preparation, specimen collection, specimen labeling, specimen packaging and
transportation are essential factors for quality results.
S2
Specific specimen requirements for each determination, including sample size, are provided in the BBPL Directory
of Services Test section. To avoid additional expense and inconvenience, please make sure that you have submitted
at least the quantity specified for the test requested.
Specimen Labeling:
All specimens submitted to Boyce and Bynum Pathology Laboratories, P.C. (BBPL) for testing must be
appropriately labeled. This requirement assures positive identification and optimum integrity of patient specimens
from the time of collection until testing is complete and results reported. The College of American Pathologists
requires that all specimens must be labeled with two (2) identifiers at the time of collection. Ideally, a name-number
system is desirable so that there are at least 2 person specific identifying items on each sample. Person-specific
identifiers may include accession number, patient’s first and last name or patient’s initials, unique identifying
number (e.g., medical record number), or date of birth. When insufficient or inconsistent identification is submitted,
BBPL may recommend that a new specimen be obtained if feasible.
Blood Components:
Different blood components are used depending on the test ordered. Specimen requirements will specify whether
serum, plasma, or whole blood should be submitted and how to obtain the specific component needed for testing.
Whole blood is obtained by collecting blood in a vacuum tube with an anticoagulant. To prevent clots from
forming, thorough mixing of blood with the anticoagulant is necessary. Gently invert tube (do not shake) four to
eight (4-8) times (depending on the specimen tube being used) immediately after collection. Do not freeze
unless specified for the specimen handling requirements.
Plasma is the liquid portion of the blood in which particulates such as platelets and fibrinogen, a clotting
protein, are present. Plasma normally appears as a hazy yellowish liquid and is obtained by centrifugation when
blood is drawn in a tube containing an anticoagulant. The tube should be gently inverted immediately at least
four to eight (4-8) times depending on the specimen tube used. Separate the cells within one-half hour by
centrifugation and transfer the plasma into a clean vial for delivery to the laboratory.
Serum is the cell-free portion of blood from which the fibrinogen and particulate components have been
separated in the process of clotting. Serum usually appears as a clear yellowish liquid and is obtained by
centrifugation after the blood clots. Draw a full 7 mL gel-barrier tube for each 2 mL of serum required. Special
processing techniques are explained in the section “Order of draw”.
Collection Tube Types/ Transport tubes:
BBPL provides special vacuum tubes, containers and transport tubes for collection and transport of specimens.
Vacuum tube stoppers are color-coded and each color has a corresponding use and/or additive. Check which tubes
need to be drawn in the BBPL Directory of Services by each test and profile. To provide the most accurate results, it
is necessary to use the indicated tube(s) for the requested test(s). The following are general guidelines for processing
the various vacuum tubes. More specific instructions are listed in the specific test requirement section. Be sure to
submit the specific blood component listed under "Preferred Specimen."
Order of draw:
To prevent contamination of tubes with additives from other tubes, it is important to draw tubes in a specific order
called “the order of the draw”. The sequence of collection of evacuated tubes in a multi-draw should be in this order:
2-1
Clear or WhiteTop Tube: Non-additive tube (no clot activator in tube). Waste tube. Fill before filling bluetop tube when using butterfly set.
Light Blue Top Tube: Contains sodium citrate as an anticoagulant. Fill completely and invert three to six (3-6)
times in order to facilitate mixing.
S2
Gel-Barrier Tube: Contains no anticoagulant and is to be used for the collection of serum. Also known as serum
separator tubes (SST) or gel separator tubes. A gel substance is present at the bottom of the tube, which upon
centrifugation moves upward to the serum clot interface. The gel then acts as a barrier between the serum and
the cells until the serum can be transferred for transport. Plastic gel-barrier tubes contain a clot activator.
Red Top Tube: Contains no anticoagulant and yields serum. Plastic red top tubes contain a clot activator.
Green Top Tube: Contains sodium or lithium heparin as an anticoagulant. After tube has been filled, invert eight
(8) times in order to facilitate mixing. Refer to specimen requirements for the type of heparin that is acceptable.
Lavender Top Tube:
Contains ethylenediamine-tetraacetic acid (EDTA) as an anticoagulant. Fill completely and invert eight (8)
times in order to facilitate mixing.
Yellow Top Tube: Contains ACD anticoagulant (type A or B). Refer to specimen requirements for the type of
ACD that is acceptable.
Gray Top Tube: Contains sodium fluoride as a preservative and potassium oxalate as an anticoagulant. After
tube has been filled with blood, immediately invert eight (8) times in order to facilitate mixing.
Please follow these instructions when using the gel-barrier tube:
1.
Collect blood specimen using the normal venipuncture technique. Fill tube completely. Invert the tube gently.
2.
Allow to stand at room temperature for 30 minutes to clot. Never allow serum to remain on cells more than two
hours before centrifugation as chemical changes may occur, which could render some results invalid.
3.
Check the centrifuge type. The type of centrifuge will determine how long tubes will need to be spun.
Fixed angle centrifuge – Gel-barrier tubes must be spun for 15 minutes. The gel will be on an angle when tube
is removed from the centrifuge.
Drucker Model 642E, electronically controlled horizontal centrifuge – Programmable run time is factory preset
to 10 minutes. Gel will be flat across the top of the cells.
4.
Remove from centrifuge. Barrier will have formed. Verify that the gel has formed a complete barrier.
5.
Allow tube to remain upright for a minimum of 15 minutes to allow gel barrier to adhere to plastic tube wall.
6.
If a complete barrier has not formed in the tube, transfer the clear serum to a plastic transport vial for transport
to the laboratory.
To obtain plasma or serum without using gel-barrier tubes, follow these instructions:
1.
Draw 12 mL of blood for each 5 mL serum or plasma needed. Collect in an appropriate collection tube.
2.
If serum is required, allow sample to clot for at least 30 minutes before centrifugation.
3.
Centrifuge all samples within 1 hour of collection at 2200-2500 RPM for 10 minutes.
4.
Pipet the serum or plasma into a clean plastic transport vial and attach the label. Do not transfer red cells to the
vial.
2-2
Royal Blue Top Tube: This tube is designed for collection of specimens for trace elements testing. Royal blue
top tubes are available with EDTA, heparin and without anticoagulant. Refer to individual tests for specific
requirements. Royal blue top tubes with EDTA should be drawn right before the lavender top tube and royal
blue top tubes with heparin should be drawn right before the green top tube. Royal blue top tubes with no
additive should be drawn before a gel-barrier tube or red top tube.
S2
Transport Tubes:
Standard plastic transport tube: These containers have been evaluated and are not known to cause analytical
interference in the associated assays. The tube’s threaded cap provides a leak-proof seal when screwed on
properly.
Amber Transport Tubes: Amber transport tubes are provided for specimens that require protection from light. If
amber tubes are unavailable, the standard transport tube should be completely wrapped in aluminum foil, top
and bottom and the patient’s name placed directly on the transport tube and on the outside aluminum foil.
Frozen Specimens:
Important Note for Frozen Specimens: For tests requiring frozen serum or plasma, remove the serum or plasma
from cells and transfer into a plastic transport vial. Specimens should be frozen as soon as possible after
centrifugation and separation. If more than one test is requested on a frozen specimen, please split the specimen
prior to freezing and submit separately. Indicate if specimen is plasma on transport tube and test request form (eg.
“Plasma, Sodium Citrate”, “Plasma, EDTA”). Do not freeze glass vacuum tubes.
Blood Smears:
To obtain the best possible specimens for leukocyte differentials, we request that blood smear slides be made at the
time of collection. By following this procedure, red cell morphology is preserved and the deterioration of platelets
and white cells is prevented. Blood smears may be made from either a fingerstick specimen or the blood drawn into
a lavender top tube. Clean slides must be used for making the smears. Contact your laboratory marketing
representative if you would like assistance in blood smear preparation.
Urine:
Random Urine: The normal composition of urine varies considerably during a 24-hour period. Most reference
values are based on analysis of the first urine voided in the morning. This specimen is preferred because it has a
more uniform volume and concentration, and its lower pH helps preserve the formed elements.
To reduce contamination, the specimen submitted for urinalysis should be a clean catch "midstream sample."
Submit a first morning specimen whenever possible. Urine for pregnancy testing should be a first morning voiding or
a random specimen with a specific gravity of at least 1.010. Note the time of collection of the specimen on the test
request form and on the label of the container.
If a frozen specimen is required, freeze the urine immediately after collection. Pack in dry ice for shipment to the
laboratory.
24-Hour Urine: Because proper collection and preservation of 24-hour urine specimens are essential for accurate
test results, patients should be carefully instructed in the correct procedure. Printed instructions for the patient are
available from the laboratory.
Note: For those analyses requiring the addition of 6N HC1, add the acid at the start of collection. Have the patient
collect each voiding in a smaller container and carefully pour the urine into the 24-hour container to avoid any
possible acid burns to the patient. Be sure to mix the urine thoroughly before removing the aliquot.
Follow these instructions if someone other than the patient is to collect the urine:
2-3
1.
Follow the physician’s directions regarding food, drink, or drugs before and during collection.
2.
During the collection period, place the 24-hour urine container provided by Boyce and Bynum in a refrigerator
or cool place, to prevent growth of microorganisms and possible decomposition of urine constituents.
3.
On the day of collection, have the patient empty his/her bladder in the morning into the toilet (not to be
included in the 24-hour collection). Write the date and time of this voiding on the container and label as the
“start” date and time.
4.
Collect the patient's next voiding and add it as soon as possible to the 24-hour container.
5.
Add all subsequent voidings to the container as in (4). The last sample collected during the 24-hour period
should be the first specimen voided the following morning at the same time as the previous morning's first
voiding. Record the date and time of this last voiding on the container and label as “finish”.
6.
Mix the contents of the container gently but thoroughly. Examine to ensure that the contents appear
homogeneous.
7.
Measure the total volume.
8.
Transfer the required aliquot to the screw-cap plastic urine containers provided by Boyce and Bynum. Add any
additional required preservative and mix well.
9.
Record the 24-hour urine total volume and hours of collection on the specimen container and on the test request
form before sending to the laboratory.
S2
10. Refrigerate the aliquot until it can be sent to the laboratory. For frozen specimens, freeze before packing in dry
ice for shipment.
If the patient is to collect the urine, give the patient the clean, labeled container provided by Boyce and Bynum,
and instruct him/her not to remove any preservatives (powder, liquid or tablet) that may be in the container. Alert
the patient that the preservatives are hazardous chemicals.
1.
The patient should follow their physician’s directions regarding food, drink, or drugs before and during
collection.
2.
Have the patient carry out steps 3-5 above and submit the 24-hour collection in the container.
Feces:
Carefully read the specimen requirements for special patient preparation and fecal specimen collection and handling.
Special containers and aliquot containers for the collection and processing of fecal specimens are supplied by Boyce
and Bynum Pathology Laboratories.
Guidelines for stool collection of timed specimens:
1.
Review special specimen requirements with the patient, such as collection duration and diet requirements or
restrictions.
2.
Collect timed specimens in a pre-weighed, well-sealed container. Do not collect in metal cans.
3.
Determine weight of total sample.
4.
Mix contents of timed sample well to obtain a homogeneous mixture.
5.
Transfer the required aliquot to a clean screw-cap plastic container and seal well.
2-4
6.
Record the total weight and collection time of the sample on both the sample container and the test request
form. Do not send the entire collection unless instructions for specific test indicate otherwise.
Common Causes of Unacceptable Specimens:
S2
Hemolysis: Hemolysis occurs when the membrane surrounding red blood cells is disrupted and hemoglobin and
other intracellular components escape into the serum or plasma.
Hemolyzed serum or plasma varies in color from faint pink to bright red, rather than the normal straw color.
Grossly or moderately hemolyzed specimens may be rejected and even slight hemolysis will alter certain test results.
Hyperbilirubinemia: Icteric serum or plasma varies in color from dark to bright yellow, rather than the normal
straw color. Icterus may affect certain determinations. Upon receipt of such specimens, we may request a new
sample to assure results of diagnostic value.
Turbidity (Lipemia): Turbid, cloudy, or milky serum (lipemic serum) may be produced by the presence of fatty
substances (lipids) in the blood. Bacterial contamination may also cause cloudy serum. Moderately or grossly
lipemic specimens may alter certain test results.
A recent meal produces transient lipemia; therefore, we recommend that patients fast 14-16 hours before a blood
specimen is obtained.
Radioisotope interference: Diagnostic procedures or therapy involving radioactive compounds may invalidate
radioisotope assays. Please obtain specimens for anticipated radioisotope assays before administering isotopes to
patient. Please indicate on the test request form if radioisotopes have been administered before specimen was
obtained.
2-5
Boyce & Bynum Pathology Laboratories, P.C. (BBPL) recognizes the importance of specimen integrity. Packing
methods and shipping guidelines are important in assuring quality patient care and maintaining result integrity by
providing for and achieving optimum environmental control during transit.
Specimen pickup and transport to BBPL are managed by BBPL’s Processing Department. In order to optimize
specimen integrity, BBPL provides supplies to clients to facilitate proper specimen collection and transport. BBPL
monitors the shipping regulations of medical specimens established by the International Air Transport Association
(IATA) and the Department of Transportation (DOT) to remain in compliance.
S3
Specimen Transportation Container Validation:
All specimen containers supplied by BBPL for specimen transport withstand stringent testing by the manufacturer to
ensure that they are well constructed and have secure lids that prevent leakage during transport. The manufacturer
states that the product complies with regulations and meets the shipping requirements of the Department of
Transportation‘s 49 CFR 178.605, Dangerous Goods Regulation and IATA DGR 6.3.5.
Basic infection control procedures must also be followed, including adherence to universal precautions protocols.
OSHA requires that blood and all body fluids be considered potentially infectious by those who handle them and
that appropriate engineering and work practice controls be implemented while handling the specimen(s).
49CFR 172.701 states that any person handling specimens for transport must be trained and certified to handle
medical specimens. The hospital, clinic or doctor’s office is considered the shipper of the package.
Caution: Be sure to tighten lids on tubes and close bags securely.
Packing and Transport of Specimens:
To ensure optimum testing conditions for a specimen that is sent to BBPL Laboratories as well as the safety for all
who package and transport the specimen, the client must determine two things:
1. Determine the type of specimen to be sent: Biological Substance, Category B (UN 3373) or Infection
Substance, Category A (UN 2814).
2. Determine the temperature at which the specimen must be maintained during transit, using instruction for each
individually listed test in the BBPL Directory of Services.
Containers that may be accepted, but should be avoided:
Glass tubes for refrigerated and ambient (room temperature) specimens
Tubes from an automated aliquot system with a pop-top type of cap
Syringes (where required). The syringe should be enclosed in a specimen transport bag and
placed in a small cardboard box or plastic container with tight fitting lid to protect the plunger
from accidental pushing. No needles should be attached.
Client-specific containers
BBPL shipment of specimens by ground or air transportation:
Ground Transportation
Category A and B specimens are regulated by the DOT.
Dedicated private or contracted carrier is defined as a motor vehicle used exclusively to transport biological
substances or biological products.
While other medical or laboratory related materials may also be transported in this vehicle, its purpose is
primarily for the transport of specimens.
Air Transportation
Charter, Commercial and Cargo aircraft are all used for the transportation of specimens to BBPL.
IATA regulations must be followed for all of the listed air transport options.
Regulations include procedures for Dry Ice, Category A versus Category B specimens, Markings/Labeling of
shipments, and any documentation guidelines.
3-1
If your shipment contains the following, the specimens can be packaged and transported in the courier bag or
routine flight box and be labeled as Category B, Biological Substance UN 3373:
Materials that do not contain infectious substances or are unlikely to cause disease in humans
Dried blood spots.
Environmental samples.
Substances transported for diagnostic or investigational purposes.
Materials that contain an infectious substance that is not in a form generally capable of causing permanent
disability or life threatening or fatal disease in otherwise healthy humans.
S3
Category B shipment must be packed as follows:
Leak proof primary receptacle not to exceed 500 mL containing the specimen. Adequate absorbent material in
the secondary packaging.
Leak proof secondary receptacle. A plastic leak proof bag is appropriate as secondary packaging. A biohazard
warning label should be present on the secondary packaging.
Primary and secondary receptacles must be capable of withstanding, without leakage, an internal pressure
producing a pressure differential of not less than 95kpa (13.8psi) in the range or -40˚ to 130˚ F (-40˚ to 55˚C).
Outer packaging (courier bag or flight box).
The maximum quantity per outer packaging for category B specimens must not exceed 4 L.
Packaging sample in appropriate temperature for specimen transport.
If your shipment contains the following, it must be packaged separately as a Category A, Infectious Substance
UN 2814 (Refer to list of Category A substances):
Infectious substance in a form capable of causing permanent disability or life threatening or fatal disease in
otherwise healthy humans.
Likely to contain Category A.
Characteristics of Category A.
Carries health risk to carrier, personnel, still unknown.
Package and transport per carrier’s specific instructions for Category A specimens. Complete the proper
Shippers Declaration form.
Dry Ice:
Class 9 Miscellaneous Dangerous Label will be used only when dry ice is included in the shipment. The
quantity of dry ice must be included on this label as ___kg. No more than 2.2 kg of dry ice is allowed per
shipping container.
When dry ice is used, care should be taken to allow enough space for carbon dioxide to escape as dry ice
dissipates.
3-2
Examples of Infectious Substances Included in
Category A in Any Form Unless Otherwise Indicated
UN 2814 Infectious Substances Affecting Humans
Bacillus anthracis (cultures only)
Brucella abortus (cultures only)
Brucella melitensis (cultures only)
Brucella suis (cultures only)
Burkholderia mallei - Pseudomonas mallei –
Glanders
(cultures only)
Burkholderia
pseudomallei
–
Pseudomonas
pseudomallei (cultures only)
Chlamydia psittaci - avian strains (cultures only)
Clostridium botulinum (cultures only)
Coccidioides immitis (cultures only)
Coxiella burnetii (cultures only)
Crimean-Congo hemorrhagic fever virus
Dengue virus (cultures only)
Eastern equine encephalitis virus (cultures only)
Escherichia coli, verotoxigenic (cultures only)
Ebola virus
Flexal virus
Francisella tularensis (cultures only)
Guanarito virus
Hantaan virus
Hantaviruses causing hemorrhagic fever with renal
syndrome
Hendra virus
Hepatitis B virus (cultures only
Herpes B virus (cultures only)
Human immunodeficiency virus (cultures only)
Highly pathogenic avian influenza virus (cultures
only)
Japanese Encephalitis virus (cultures only)
Junin virus
Kyasanur Forest disease virus
Lassa virus
Machupo virus
Marburg virus
Monkeypox virus
Mycobacterium tuberculosis (cultures only)
Nipah virus
Omsk hemorrhagic fever virus
Poliovirus (cultures only)
Rabies virus (cultures only)
Rickettsia prowazekii (cultures only)
Rickettsia rickettsii (cultures only)
Rift Valley fever virus (cultures only)
Russian spring-summer encephalitis virus (cultures
only)
Sabia virus
Shigella dysenteriae type 1 (cultures only)
Tick-borne encephalitis virus (cultures only)
Variola virus
Venezuelan equine encephalitis virus (cultures only)
West Nile virus (cultures only)
Yellow fever virus (cultures only)
Yersinia pestis (cultures only)
S3
UN 2900 Infectious Substances Affecting Animals
African swine fever virus (cultures only)
Avian paramyxovirus Type 1 – Velogenic Newcastle
disease virus (cultures only)
Classical swine fever virus (cultures only)
Foot and mouth disease virus (cultures only)
Lumpy skin disease virus (cultures only)
Mycoplasma
mycoides
Contagious
bovine
pleuropneumonia (cultures only)
Peste des petits ruminants virus (cultures only)
Rinderpest virus (cultures only)
Sheep-pox virus (cultures only)
Goatpox virus (cultures only)
Swine vesicular disease virus (cultures only)
Vesicular stomatitis virus (cultures only)
NOTE 1: The following list is not exhaustive.
Infectious substances, including those containing new
or emerging pathogens, which do not appear in the
following list but which meet the same criteria must
not be transported as a diagnostic specimen. In
addition, if there is doubt as to whether or not a
pathogen falls within this category it must not be
transported as a diagnostic specimen.
NOTE 2: In this table, the microorganisms indicated
in italics are bacteria, mycoplasmas, rickettsiae, or
fungi.
NOTE 3: Cultures are the result of a process by
which pathogens are intentionally propagated. This
definition does not include human or animal patient
samples.
NOTE 4: If a health authority list is available that
shows other pathogens regarded as Risk Group 4 this
should also be taken into account and the substances
should not be transported as diagnostic specimen.
3-3
Introduction:
Surgical, anatomical and consultative pathology services are available through pathologists associated with Boyce
and Bynum Pathology Laboratories, P.C. A request for diagnosis based upon histopathology should be viewed as a
request for consultation by another physician.
Our Histopathology Department also offers:
S4
Histochemical and immunochemical stains are available at an additional charge.
Results will be telephoned to you by the consulting pathologist if requested, in order to expedite patient care.
The patient’s previous tissue diagnoses are maintained in our computer files for correlation with the most recent
biopsy specimen.
Specimen Handling Routine:
Label each container with patient’s name, physician’s name and source of the specimen. Complete a
Histopathology Requisition and send with the specimen.
The requisition must contain pertinent clinical information including patient’s age, sex, clinical impression and
anatomical location of tissue.
If submitting multiple specimens, use a separate container for each specimen and clearly identify specimens
using A, B, C, D, etc., both on the specimen container and the requisition. Only one Histopathology
Requisition is needed for multiple specimens, however, each specimen MUST be separately identified.
Place each specimen in a tightly secured container with 10% neutral buffered formalin. Do not allow specimen
to dry out. Do not send specimen for routine handling in saline.
Use biohazard bags when transporting specimens.
Do not crush the specimen with forceps, hemostats, or other instruments. Avoid using cautery.
Do not force a large specimen into a small container – formalin must surround the specimen for proper fixation.
Use of a container of adequate size with an opening large enough to remove the tissue is important (tissues do
harden after being placed in the fixative).
4-1
Cytology SpecimenV
Introduction:
It is essential for clinicians to refer their gynecological and non-gynecological specimens to a facility which
provides the highest quality service. Accurate early detection of malignant, dysplastic, and infectious processes
depend upon the expertise of the professionals who participate in this important aspect of patient care.
Boyce and Bynum Pathology Laboratories, P.C. (BBPL) takes pride in performing Cytopathology services in
accordance with the requirements of the College of American Pathologists and other appropriate regulatory
agencies. Only the best cytotechnologists are employed and frequent continuing education and a comprehensive
Quality Assurance Program insure the highest level of competency.
S5
Comprehensive Approach to Cytopathology:
To insure that you and your patient receive full benefit of a cytologic screening for the detection of neoplasia and
pre-malignant changes, a comprehensive approach is utilized. The patient’s medical history and correlation of
findings with other cytological and histological results on file are considered before reporting the final
interpretation. We strive to provide prompt turnaround time and fax all findings of high-grade dysplasia or suspected
malignancy.
Specimen Collection – GYN:
Boyce and Bynum processes and reports GYN samples submitted in SurePath collection vials, ThinPrep vials or
conventional smears. Each slide and/or specimen container must be labeled with two (2) person specific identifiers.
Person specific identifiers may include: requisition number, patient’s first and last name, medical record number, or
date of birth. Glass slides need to be labeled on the frosted end in pencil.
SurePath Pap Test
Collection: Obtain an adequate sample using a broom-like detachable device. Insert the broom into the
endocervical canal, apply gentle pressure and rotate the broom in a clockwise direction five (5) times. Separate
the broom part of the device from the handle and place the broom into the collection vial. Cap the vial tightly
and shake. Label the specimen with the two (2) person specific identifiers and submit with a completed
Cytology test request form.
ThinPrep Pap Test
Collection: Obtain an adequate sample using a broom-like device. Insert the broom into the endocervical canal,
apply gentle pressure and rotate the broom in a clockwise direction five (5) times. Rinse the collection device in
the PreservCyt solution by rotating the device vigorously in the solution 10 times. Discard the collection device.
Cap the vial tightly. Label the specimen with two (2) person specific identifiers and submit with a completed
Cytology request form.
Conventional, one smear
One fixed smear using standard Pap collection methods. Spray slide immediately with cytology fixative. Do not
allow to air dry before fixation. The frosted end of the slide and the slide holder must be labeled with two (2)
person specific identifiers. Submit specimen with a completed Cytology test request form that includes clinical
history.
Cytopathology Reporting
(Cervical/Vaginal):
One critical aspect of quality assurance in cervical/vaginal cytology is communication of the cytopathologic finding
to the referring physician in unambiguous terms that have clinical relevance. In order to accomplish this, the
clinician must provide the lab with pertinent information when submitting a requisition with a cytology specimen.
Essential Patient Information:
1. The patient’s name and date of birth
2. Date of specimen collection
3. Source of material submitted (cervical, endo-cervical, vaginal)
4. Submitting physician’s name
Cytology Specimens
5-1
Essential Clinical Information:
1. Last menstrual period (LMP)
2. Hormonal status (e.g., post-menopausal, gravid)
3. Exogenous hormone therapy (including birth control pills, treatment for endocrine responsive malignancy,
estrogen creams)
4. Histories of abnormal cytology, systemic chemotherapy, gynecologic surgery, laser surgery, cryosurgery, or
electrocautery.
5. DES exposure
6. Patient’s risk status for cervical cancer
7. Other (non-GYN history of previous surgery, presence of other masses, etc.)
S5
GYN Cytology Reports include:
1.
2.
3.
4.
5.
6.
7.
8.
5-2
Specimen Type
•
Indicates Liquid based specimen vs. conventional pap smear
Case Number
•
In-house identification number
Clinical History
•
Information provided by clinician
•
Information stored in Boyce and Bynum’s Laboratory Information System
Statement of Adequacy
•
Satisfactory
•
Unsatisfactory
No cells present
Insufficient epithelial cells present for adequate cytological evaluation
Extensive cellular degeneration or improper fixation
Presence of lubricating material which compromises evaluation
Cell preparation too thick for adequate cytological evaluation
•
Unacceptable – Reason for rejection
No patient identification on slide or requisition
Slides broken or beyond repair upon receipt
Discrepancy between name of patient on specimen and name on requisition
Interpretation – Bethesda 2001 System
•
Negative for Intraepithelial Lesion or Malignancy
•
Atypical Squamous Cells of Undetermined Significance
•
Atypical Squamous Cells, Cannot Rule out High Grade Lesion
•
Atypical Glandular Cells –Endometrial or Endocervical in origin.
•
Low Grade Squamous Intraepithelial Lesion – Mild Dysplasia/CIN I
•
High Grade Squamous Intraepithelial Lesion –Moderate Dysplasia/CIN II
•
High Grade Squamous Intraepithelial Lesion –Severe Dysplasia/CIN III
•
High Grade Squamous Intraepithelial Lesion –CIS/CIN III
•
Squamous Cell Carcinoma
•
Adenocarcinoma
•
Adenocarcinoma in situ
Non-neoplastic findings:
•
Blood
•
Inflammation
•
Atrophy
•
Cellular changes consistent with herpes simplex virus
•
Trichomonas vaginalis
•
Fungal organisms consistent with Candida
Comments
•
False Negative Notification
•
Reflex Ancillary Testing
•
BD FocalPoint Slide Profiler, if applicable
Name of reviewing pathologist for cases with the following cellular changes
•
Reactive or reparative changes
Cytology Specimens
•
•
•
•
•
Atypical squamous cells
Dysplastic cellular changes
Malignant and suspicious cellular changes
Atypical glandular cell changes
Endometrial cells out of phase or present in a patient over 40
Follow-up Program:
Boyce and Bynum Pathology Laboratories, P.C. performs follow-up on cases of High Grade Squamous
Intraepithelial Lesion or suspected malignancy. This is important in maintaining the standard of quality which
Boyce and Bynum believes is vital to our cytology program.
S5
Our follow-up program:
•
Provides us with an opportunity to correlate our cytologic diagnosis with biopsy findings.
•
Confirms that physicians have received a report and were notified that additional follow-up
may be necessary.
Cytology Specimens
5-3
To produce valid results for hemostatis/thrombosis tests and factor assays, specimen integrity is crucial and must be
maintained. All specimens sent for testing must be collected and shipped in the following manner:
1. Obtain venous blood by clean venipuncture at a site away from an intravenous line. Avoid slow flowing draws
and/or traumatic venipunctures as either of these may result in an activated or clotted specimen. Do not use
needles smaller than 23 gauge. Do not leave the tourniquet on for an extended length of time before drawing the
sample.
2.
Draw a pilot waste tube (non-additive or light blue top tube), as a recommended procedure, before drawing
coagulation specimens in light blue-top vacuum tubes (3.2% buffered sodium citrate). Discard the pilot tube.
Note: Reference intervals have been established using 3.2% buffered sodium citrate.
3.
Fill light blue-top tubes as far as vacuum will allow and mix by gentle inversion (end over end) three to six
times. Exact ratio of nine parts blood to one part anticoagulant must be maintained. Inadequate filling of the
sample tube will alter this ratio and may lead to inaccurate results. The collection tube must be filled to at least
90% fill volume.
S6
Patients who have hematocrit values above 55% should have the anticoagulant adjusted to maintain the 9:1
ratio. Use the following formula to determine the amount of anticoagulant to use: C = (0.00185) (V) (100-H)
where:
C = mLs of anticoagulant
V = mL of whole blood
H = Hematocrit in %
When obtaining specimens from indwelling lines that may contain heparin, the line should be flushed with 5
mL of saline, and the first 5 mL of blood or 6 times the line volume (dead space volume of the catheter) should
be drawn off and discarded before the coagulation tube is filled. For those samples collected from a normal
saline lock (capped off venous port) twice the dead space volume of the catheter and extension set should be
discarded.
4.
Centrifuge the specimen at 1700 x g for 15 minutes (or at a speed and time required to consistently produce
platelet-poor plasma—platelet count less than 10,000/µL) Grossly hemolyzed specimens will be rejected.
5.
Immediately remove only the top two-thirds of the platelet-poor plasma from the specimen using a plastic
transfer pipet (use of glass transfer pipets may result in activation and/or clotting of the plasma). Place the
plasma in a properly labeled plastic transport tube and clearly mark the vial contents as Plasma. Glass vials will
be rejected.
6.
Immediately freeze the plasma in dry ice or a non-frost free freezer. Specimens may be stored at -20◦ C for up to
two weeks or at -70◦ C for up to six months. Specimens must remain frozen during storage and shipment. A
separate transport tube should be submitted for each assay requested. Specimens should be stored capped.
Coagulation samples should not be stored at refrigerated temperatures (2-8◦ C) or on ice. Room temperature
stabilities should be observed if a sample cannot be frozen immediately.
7.
Acceptable time delay and short-term storage for coagulation tests:
Prothrombin time (PT) specimens, uncentrifuged, centrifuged with plasma on top of cells, or centrifuged
with plasma separated from cells, should be kept at room temperature for no longer than 24 hours from the
time of collection.
Activated Partial Thromboplastin Time (aPTT) specimens (not drawn to monitor heparin therapy)
uncentrifuged with plasma on top of cells, or centrifuged with plasma separated from cells, should be kept at
room temperature for no longer than four hours from the time of collection.
Special coagulation tests have variable stabilities and should be stored in the manner as listed in the BBPL
Directory of Services for the individual test.
6-1
If testing cannot be performed within these times, platelet-poor plasma should be removed from the cells and
frozen at -20◦C for up to two weeks or at -70◦C for up to six months.
8.
All requests for coagulation assays should include a brief patient history and other pertinent clinical information
(e.g., medications, blood products, etc).
Note: Specimens containing heparin should not be used for coagulation studies. If possible, discontinue heparin
therapy before the draw to avoid contamination. Heparin interferes with most clotting assays.
S6
6-2
Introduction:
Proper collection and transportation of microbiology specimens is crucial to the quality and accuracy of results
reported. The successful isolation of potential pathogens from clinical specimens begins with proper collection
technique, collection container or media, storage and transportation temperature and timely delivery to the
laboratory. It is extremely important to refer to individual test orders within this document for more complete and
specific specimen collection and transportation requirements.
Specimen Collection Guidelines:
S7
1. Specimens should be taken when the patient is in the acute phase of the illness for best chance of bacterial
recovery. Whenever possible, specimens should be obtained before antibiotics or other antimicrobial agents have
been administered.
2. Specimens must be collected from a site representative of the infectious process, avoiding contamination from
indigenous flora. Employ proper technique for collection, and use appropriate supplies to maintain maximum
specimen integrity.
3. Adequate volume of specimens must be collected. Insufficient material may lead to false negative results. If AFB
and/or Fungal smears and cultures are ordered in addition to routine cultures, additional material should be collected
and submitted,
4. Specimens for culture should always be collected in sterile containers or on a sterile culture swab designed to
promote survival of disease agents suspected. DO NOT use swabs with wooden shafts or calcium alginate swabs as
these materials are caustic to microorganisms and will cause the specimen to be rejected for analysis.
5. Aspirates, fluid or tissue specimens are preferred over specimens collected on a swab and will likely yield
superior results
6. Containers must be tightly sealed to avoid spillage and contamination of the specimen.
7. The specimen must be accompanied by a test request form indicating the client number, the patient’s name, room
number, patient identification number, type of culture requested, source (site) of specimen is required, dates and
times of specimen collection and plating (if appropriate), physician’s name and any other useful information such as
suspected organism or antibiotics requested if other than what is routinely reported. The name on the specimen must
match the name on the requisition. The test(s) desired must be clearly marked on the test request form.
8. If unusual, infrequently encountered, or bioterrorism organisms are suspected this should be noted on the
requisition or the laboratory notified by phone.
Specimen Submission:
The integrity of specimens must be maintained during transport. To accomplish this, various media and
preservatives are provided. If the specimen is not properly submitted, results may not provide accurate clinical
information.
1. Respiratory, Body Fluid, and Tissue specimens for bacterial, fungus or mycobacteria should be transported in a
sterile 50 mL centrifuge tube or other sterile, screw-cap container. Twist the cap securely closed after placing the
specimen in the container. Refrigerate most specimens if transport to the laboratory will be delayed by one hour or
more. DO NOT refrigerate Blood Culture Bottles, CSF, Genital, Eye or Internal Ear specimens.
7-1
2. Urine specimens for culture should be refrigerated. For urine specimens which will not reach the Microbiology
Laboratory within four hours of collection a Urine Culture Kit may be used. The specimen preserved in the Urine
Culture Kit will remain stable for culture up to 72 hours while being transported to the laboratory. If urine is
collected via a catheter, this must be noted on the specimen and the test request form. Urine from a catheter
collection bag is not acceptable. Urine from an indwelling catheter must be obtained by sterile syringe from the
catheter tubing immediately after the bladder has emptied.
Client submitted plated specimens
1. All specimens must be plated as soon as possible onto the appropriate media as indicated by plating protocol.
Acid Fast specimens and fungus cultures will be plated at the Central Laboratory. Some clients prefer to plate
specimens to appropriate media and send the inoculated media to the laboratory. All media and reagents should be
brought to room temperature before inoculating. Culture plates, after inoculation, should be placed in the proper
atmospheric condition and at the proper temperature until transporting to the Central Laboratory. This will require
the availability of a 35°C, CO2 incubator. Most clients prefer to send the collected specimen to the laboratory to be
inoculated to media.
S7
2. All media for plating is kept at the Central Laboratory and is supplied to the clients upon request. Store media
under refrigeration and observe expiration dates. Thioglycolate Broth is kept at room temperature and should be
boiled and allowed to cool before being used. It is acceptable to boil a quantity at the beginning of the day for use
throughout the day. Only boil a tube once. If not used the same day, discard the tube.
Safety Precautions:
When sending specimens through the courier system, please tape or parafilm all plates securely and tape or parafilm
the lids of all tubes to prevent leakage. After plating, place all swabs and contaminated specimens into a biohazard
bag, keeping the specimen or plates separated from the test requisition.
Containers for Stool Specimens by Test Request:
Sterile leak-proof container
Rotavirus – submit frozen
Clostridium difficile toxin by PCR – submit refrigerated
NOTE: Raw stool may be placed in a clean dry leak-proof container and refrigerated for other tests performed in the
Microbiology Department, however there are different submission time limits for each test (some are less than 2
hours).
Cary Blair Transport Media Vial
Stool Culture
Yersinia Culture
Giardia Antigen
Cryptosporidium Antigen
Shiga Toxin 1 and 2 by EIA
Formalin & PVA vials
Formalin (pink top vial)
Ova & Parasites (submit BOTH Formalin & PVA vials)
Giardia Antigen
7-2
Cryptosporidium Antigen
Microsporidia Stain
Cryptosporidium, Cyclospora, Cystoisospora stain
PVA (blue top vial)
Ova & Parasites (submit BOTH Formalin & PVA vials)
Fecal Leukocytes
Stool Test Ordering Notes:
Culture for C diff is not offered and is not included in a Stool Culture order. To order C diff Toxin, order unit code
538100 – Clostridium difficile Toxin by PCR.
S7
If a Stool Culture and C diff Toxin are both needed, order unit code 402710 - Culture, Stool with Shiga Toxin 1 and
2 by EIA and unit code 538100 – Clostridium difficile Toxin by PCR.
Unit code 402710 - Culture, Stool with Shiga Toxin 1 Stool Culture w/Shiga Toxin 1 and 2 by EIA detects
Salmonella, Shigella, Campylobacter, and E. coli O157:H7. Culture for other pathogens must be ordered separately.
The Cryptosporidium Stain test is less sensitive than the Cryptosporidium Antigen test.
Unacceptable specimens (Criteria for Rejection):
Every effort will be made to perform all testing requested on a specimen. There are criteria, however, that would
cause a specimen to be subject to rejection. When any of these criteria are met, the client will be notified and a new
specimen requested. If the specimen is one that may not be easily recollected; i.e. tissue, CSF, etc., the client will be
notified and testing may proceed upon client request. In such cases, a note may be added to the result report
indicating that results may be adversely affected.
- Specimens not within guidelines for test transportation or storage time and temperature.
- Specimens not within guidelines for container (non-sterile, wrong container type, wrong preservative,
specimen in formalin or other preservatives that kill bacteria (such as SurePath, Histology and Cytology
containers), leaking container, swabs with wooden shafts, dried culture swabs, expired transport media, or
volumes that are not sufficient.
- Oropharyngeal contamination of Sputum:
Sputum specimens will be gram stained upon physician request and evaluated for oropharyngeal
contamination. Specimens that don’t meet the criteria may or may not be rejected according to
individual client agreements.
- Specimens not suitable for request such as Foley Cath Tip Culture, Urine Bag Culture
- Specimens not collected in a sterile container (with the exception of Stool).
- Unlabeled specimens
7-3
Introduction:
This department offers state of the art clinical diagnostic flow cytometry, image analysis and nucleic acid probe
technology. One or a combination of these techniques may be applied depending upon the diagnostic problem.
Flow cytometric analysis is used to evaluate the hematopoietic system by utilizing monoclonal antibodies to identify
and quantitate subpopulations of cells in peripheral blood, bone marrow and tissue such as lymph nodes and spleen.
Lymphocyte Subset Analysis is requested to detect alteration in the immune system. A panel of T and B
lymphocyte monoclonal antibodies is utilized to quantitate the various subpopulations of circulating lymphocytes
that have characteristic membrane antigens. The relative and absolute numbers of T-helper, T-suppressor, Natural
Killer, Activated T, Total T and Total B lymphocytes are the most common ones evaluated. The relationships
among these subpopulations are frequently altered in patients with a variety of acquired or congenital
immunodeficiency states including many types of viral infections, autoimmune diseases and in patients receiving
immunosuppression therapy.
S8
Cell Lineage and Immunophenotyping of hematologic malignancies is necessary for accurate classification of both
acute and chronic leukemias and to establish monoclonality in suspected lymphoproliferative malignancies. A panel
of monoclonal antibodies to myeloid and lymphoid surface markers is utilized to identify the cells in question and
determine their degree of differentiation if possible.
Cell Cycle Kinetics and DNA Ploidy analysis can be performed by both flow cytometry and image analysis. The
presence of abnormal DNA content and/or increased proliferative activity have been shown to be unfavorable
prognostic factors for many neoplasms. The most commonly referred malignancies for study are of the breast,
colon, prostate, urinary bladder, lymph nodes, ovary, endometrium, kidney and thyroid.
Image Analysis is performed using special stains or labeled monoclonal antibodies in order to quantitate cellular
protein products, DNA or oncogenes. It offers the advantage of being able to visualize the tissue through a
microscope so that the results are known to be derived only from the neoplastic cells in question. The most
commonly performed tests currently are for estrogen receptor, progesterone receptor, and HER-2 neu.
Gene Rearrangement studies using nucleic acid probes is an essential technique for establishing monoclonality of
T cell lymphoproliferative processes and in some B cell processes that cannot be resolved by flow cytometry. Also,
many leukemias and lymphomas are characterized by specific chromosomal translocations, deletions, or breakage
that may be detected using gene rearrangement techniques.
8-1
Critical Values
Critical results are classified into one of the following three categories:
•
•
•
Category I Life Threatening Results
Category II Significantly Abnormal Results (non-life threatening)
Category III Client-Specific Abnormal Results
CATEGORY I
Life threatening results are communicated to the client (office, treating physician, physician on call, or pathologist on
call) as soon as confirmed by the testing laboratory. Category I critical results are communicated at any hour of the day
or night to a physician so that appropriate medical treatment decisions can progress.
CATEGORY I – CHEMISTRY CRITICAL VALUES
TEST
S9
LOW
HIGH
Glucose
< 40 mg/dL
> 600 mg/dL
Sodium
< 120 mEq/L
> 160 mEq/L
Potassium
< 2.7 mEq/L
> 6.5 mEq/L
Calcium
< 6.0 mg/dL
> 13.0 mg/dL
Phosphorus
< 1.0 mg/dL
Magnesium
< 0.7 mg/dL
> 4.5 mg/dL
Calcium, Ionized
< 0.90 mmol/L
> 1.50 mmol/L
CATEGORY I – HEMATOLOGY CRITICAL VALUES
TEST
LOW
WBC
< 2,000/mm3
Hemoglobin
< 6.0 g/dL
Platelet
< 20,000/mm3
HIGH
> 150,000/mm3
> 2,000,000/mm3
PT
> 5.0 INR
PTT
> 90.0 seconds
CATEGORY I – THERAPEUTIC DRUG CRITICAL VALUES
TEST
9-1
HIGH
Carbamazepine
> 20.0 µg/mL
Digoxin
> 4.0 ng/mL
Gentamicin
Trough > 2.5 µg/mL
Peak > 12.0 µg/mL
Lithium
> 3.0 mEq/L
Phenobarbital
> 60.0 µg/mL
Phenytoin
> 40.0 µg/mL
Phenytoin, Free
> 3.0 µg/mL
Theophylline
> 40.0 µg/mL
Valproic Acid
> 175.0 µg/mL
Vancomycin
Trough > 30.0 µg/Ml
Peak > 80.0 µg/mL
CATEGORY I – MICROBIOLOGY CRITICAL VALUES
TEST
Gram Stain or Bacterial Culture
CRITICAL RESULT
Positive result from: Blood, CSF, Sterile Body Fluid, normally Sterile Tissue,
Corneal Scrapings
Bacterial Culture
Presumptive identification from any site of: Bacillus anthracis, Brucella spp.,
Francisella tularensis, Vibrio cholera, Yersinia pestis, Burkholderia mallei or
pseudo mallei
India Ink Stain
Positive from CSF
Fungal Smear or Culture
Identification of: dimorphic fungus, or Cryptococcus neoformans from any
source
Fungal Smear or Culture
Corneal Scrapings
Mycobacterial Smear or Culture
Corneal Scrapings
Stool Culture
Presumptive identification of E.coli O157 in patients < 18 yr
Shiga Toxin
Positive in patients < 18 yr
RSV
Positive in patients < = 3 yr
CATEGORY II
Significantly Abnormal Results are non-life threatening, however may be abnormal enough in nature that the client
(office or treating physician) should be alerted to the results, especially if the reported results are not yet available to the
client. These results are communicated a) during normal business hours of the day the test result(s) are generated, or b) at
the beginning of the next business day if the test result(s) are generated during non-business hours.
CATEGORY II – CHEMISTRY ABNORMAL VALUES
TEST
HIGH
Glucose
400 – 600 mg/dL
Creatinine
> 8.0 mg/dL
BUN
> 80 mg/dL
CATEGORY II – HEMATOLOGY ABNORMAL VALUES
TEST
LOW
WBC
HIGH
> 50,000/mm3
Hemoglobin
6.0-7.0 g/dL
CATEGORY II – MICROBIOLOGY ABNORMAL VALUES
TEST
CRITICAL RESULT
Stool Culture
Presumptive growth of Salmonella, Shigella, or Yersinia
Ova & Parasites- Fecal
Presumptive or definitive E. histolytica
Mycobacterial Smear or Culture
Positive result from sites other than those designated for critical call
Surgical Wound (surgical center/ hospital)
Positive for Group A Strep
Rotavirus
Positive
Bacterial Culture
Presumptive Vancomycin Resistant Staph aureus
9-2
S9
CATEGORY III
Client-Specific Abnormal results are non-life threatening, client specific, critical results. These results are communicated
a) during normal business hours on the day the rest result(s) are generated or b) at the beginning of the next business day
if the rest result(s) are generated during non-business hours.
S9
9-3
S9
9-4
BBPL Test List
11-Deoxycortisol Quantitative
Order code: 80000
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells and transport in a plastic transport tube refrigerated. Frozen
serum is also acceptable.
Minimum specimen: 0.3 mL serum or plasma
Other acceptable: 1.0 mL plasma, green (sodium heparin) top tube. Remove plasma from cells and transfer to a plastic transport tube.
Unacceptable: Grossly hemolyzed specimens.
Transport temp: Refrigerated
Method: Quantitative High Performance Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 811600
CPT Code(s): 82634
Ref range: By report
Reported: 3-6 days
14-3-3 Protein Tau/Theta with Reflex to RT-QuIC Analysis, CSF
Order code: 80713
Preferred specimen: Collect CSF. The first 2 mL of CSF that flows from the tap should be discarded. Transfer 5 mL CSF to a plastic transport tube and
freeze immediately.
Minimum specimen: 2 mL
Notes: Test requires completed CJD Surveillance CTR Test Request Form. Please submit with test request form and specimen.
If 14-3-3 Protein or Tau is >=500 pg/mL, test will reflex to 14-3-3 Protein Tau/Theta by RT-QuIC at an additional charge and report
time may be extended.
Unacceptable: Specimens exposed to more than one freeze/thaw cycle.
Transport temp: Frozen
Method: Western Blot/Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Real-Time Quaking-Induced Conversion
Unit code: 833071
CPT Code(s): 84182, 86317
Reported: 8-18 days
S1
0
17-Hydroxycorticosteroids, Urine
Order code: 80020
Preferred specimen: 12.0 mL urine aliquot from a well-mixed 24-hour collection. Refrigerate 24-hour specimen during collection. Freeze urine aliquot
after completion of 24-hour collection.
Minimum specimen: 5.0 mL urine aliquot
Notes: Record total volume and hours of collection on both the urine container and test request form.
Other acceptable: Samples refrigerated with preservatives are acceptable. Mix well, add 1 g boric acid/100 mL urine, adjust pH (with boric acid) to
5.0-7.0 and freeze. Random specimens are acceptable, but are reported as mg/L and have no reference interval.
Unacceptable: Samples previously preserved with NaOH.
Method: Quantitative Colorimetry
Unit code: 820950
CPT Code(s): 83491
Ref range: 17-Hydroxycorticosteroids per gram of creatinine:
2.0-6.5 mg/g crt
17-Hydroxycorticosteroids:
4.0-14.0 mg/d
Reported: 4-8 days
17-Hydroxypregnenolone Quantitative, Serum or Plasma
Order code: 82980
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection, aliquot 0.5 mL serum into
two plastic transport tubes and freeze immediately.
Minimum specimen: 0.25 mL serum or plasma per tube
Notes: Separate specimens must be submitted when multiple tests are ordered.
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (sodium or lithium heparin) top tube. Remove plasma from cells ASAP or within 2 hours
of collection, aliquot 0.5 mL plasma into two plastic transport tubes and freeze immediately.
Unacceptable: Room temperature and refrigerated specimens.
Transport temp: CRITICAL FROZEN
Unit code: 820980
CPT Code(s): 84143
Reported: 2-5 days
10-1
Test List
17-Hydroxyprogesterone
Order code: 83251
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube.
Notes: Include patient's age on the test request form.
Other acceptable: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells and transfer to a plastic transport tube.
Method: Liquid Chromatography/Tandem Mass Spectometry
Unit code: 832551
CPT Code(s): 83498
Ref range: Adult Male:
27-199 ng/dL
Adult Female:
Follicular 15-70 ng/dL
Luteal 35-290 ng/dL
Reported: 3-6 days
17-Ketosteroids, Total, Urine
Order code: 80060
Preferred specimen: Two 4.0 mL urine aliquots from a well-mixed 24-hour urine collection in two separate transport tubes. Refrigerate 24hour specimen during collection. Record total volume and hours of collection on both the urine container and test request
form. Adequate refrigeration is the most important aspect of specimen preservation.
Minimum specimen: Two 3.0 mL urine aliquots
Notes: A large number of substances may interfere with this test. Decreases may be caused by carbamazepine, cephaloridine,
cephalothin, chlormerodrin, digoxin, glucose, metyrapone, promazine, propoxyphene, reserpine, and others. Increases may be
caused by acetone, acetophenide, ascorbic acid, chloramphenicol, chlorothiazide, chlorpromazine, cloxacillin, dexamethasone,
erythromycin, ethinamate, etryptamine, methicillin, methyprylon, morphine, oleandomycin, oxacillin, penicillin, phenaglycodol,
phenazopyridine, phenothiazine, piperidine, quinidine, secobarbital, spironolactone, and others.
Method: Quantitative Spectrophotometry
Unit code: 822950
CPT Code(s): 82570, 83586
Ref range: 17-Ketoseroids-per 24hr
Male:
0-11 months: 0.0-1.0 mg/d
1-5 years: 1.0-2.0 mg/d
6-10 years: 1.0-4.4 mg/d
11-12 years: 1.3-8.5 mg/d
13-16 years: 3.4-9.8 mg/d
17-50 years: 5.3-17.6 mg/d
51 years and older: 4.1-12.1 mg/d
Female:
0-11 months: 0.0-1.0 mg/d
1-5 years: 1.0-2.0 mg/d
6-10 years: 1.4-3.9 mg/d
11-12 years: 3.8-9.5 mg/d
13-16 years: 4.5-17.1 mg/d
17-50 years: 4.4-14.2 mg/d
51 years and older: 3.2-10.6 mg/d
S1
0
Reported: 2-6 days
18-Hydroxycorticosterone
Order code: 82952
Preferred specimen: 3.0 mL serum, red top or gel-barrier tube. Remove serum from cells within 1 hour of collection, transfer to a plastic transport
tube and freeze immediately. Separate specimens must be submitted when mutiple tests are ordered.
Other acceptable: 3.0 mL plasma, lavender (EDTA) or green (sodium heparin) top tube. Remove plasma from cells, transfer to a plastic transport
tube and freeze immediately.
Method: Quantitative Tandem Mass Spectrometry
Unit code: 820952
CPT Code(s): 82542
Reported: 6-13 days
Test List
10-2
5'Nucleotidase
Order code: 80070
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Allow specimen to clot completely at room temperature. Remove serum from cells ASAP
or within 2 hours of collection, transfer to a plastic transport tube and refrigerate.
Minimum specimen: 0.2 mL serum
Unacceptable: Room temperature specimens. Avoid hemolysis.
Method: Quantitative Enzymatic
Unit code: 828800
CPT Code(s): 83915
Ref range: 0-15 U/L
Reported: 2-3 days
5-a-Dihydrotestosterone
Order code: 82160
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection, transfer to a plastic
transport tube and freeze immediately. Specimen should be collected between 6-10 a.m.
Unacceptable: Hemolyzed or lipemic samples.
Unit code: 811950
CPT Code(s): 82542
Ref range: Males:
Premature: 100.0-530.0 pg/mL
Full Term: 50.0-600.0 pg/mL
1 week-6 months: 120.0-850.0 pg/mL
7 months-9 years: 0.0-49.9 pg/mL
10-19 years: 0.0-533.0 pg/mL
20 years and older: 106.0-719.0 pg/mL
Females:
Premature: 20.0-130.0 pg/mL
Full Term: 20.0-150.0 pg/mL
1 week-9 years: 0.0-49.9 pg/mL
10-19 years: 50.0-170.0 pg/mL
20 and older: 24.0-208.0 pg/mL
Reported: 2-5 days
S1
0
5-HIAA (5-Hydroxyindoleacetic Acid), Urine
Order code: 80080
Preferred specimen: 4.0 mL urine aliquot from a well-mixed 24-hour or random urine collection. Refrigerate 24-hour specimen during collection. Record
total volume and hours of collection on both the urine container and test request form.
Notes: Patient should abstain, if possible, from foods rich in serotonin (avocados, bananas, eggplant, pineapple, plums, tomatoes,
walnuts), medications, over-the-counter drugs, and herbal remedies for at least 72 hours prior to and during collection of urine.
Unit code: 819500
CPT Code(s): 83497
Ref range: 5-HIAA, Urine: 0.0-15.0 mg/d
The HIAA-to-creatinine ratio will be reported whenever the urine collection is random or other than 24 hours, or the urine volume is
less than 400 mL/24 hours.
5-HIAA, Urine: 0-14 mg/g crt
Reported: 2-5 days
68 KD
See: Heat Shock Protein 70 (68 kDa)
10-3
Test List
A/G Ratio
Order code: 1125
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube.
Other acceptable: 4 red top microtainer tubes
Method: Colorimetric, Calculation
Unit code: 101715
CPT Code(s): 82040, 84155
Ref range: Protein: 6.6-8.7 g/dL
Albumin: 3.5-5.2 g/dL
Globulin: 1.9-3.7 g/dL
A/G Ratio: Calculation
Reported: Within 24 hours
A1c
See: Glycohemoglobin A1c with Estimated Average Glucose
Abacavir Sensitivity
See: HLA-B5701 Genotyping
ABO Group and Rh Type
Order code: 5030
Preferred specimen: One 7 mL lavender (EDTA) top tube. If additional tests other than Blood Bank are ordered, requiring a lavender top tube (EDTA), a
separate tube should be collected for these tests.
Minimum specimen: 4.0 mL whole blood, lavender (EDTA) top tube
Notes: Specimen should be labeled with patient name, date of birth and collection date.
Method: Hemagglutination
Unit code: 300200
CPT Code(s): 86900, 86901
S1
0
Reported: 1-2 days
Absolute Eosinophil Count
See: Eosinophil Count, Absolute
Acanthamoeba and Naegleria Culture
Order code: 80048
Preferred specimen: Collect: Corneal scrapings or tissue, or vitreous fluid.
Place corneal scrapings or tissue, or vitreous fluid in 2 mL of Page's amoeba saline. Transport specimen to the laboratory within 24
hours of collection at room temperature. Page's amoeba saline is available through BBPL Client Services. Record specimen
source on test request form.
Notes: For CSF refer to Acanthamoeba and Naegleria Culture and Stains, CSF (order code 80081).
Unacceptable: Specimens in media or preservatives. Refrigerated or frozen specimens.
Transport temp: CRITICAL at room temperature
Method: Qualitative Culture/Microscopy
Unit code: 800480
CPT Code(s): 87081
Ref range: Negative
This culture will detect free-living amoeba such as Acanthamoeba species and Naegleria fowleri, but will NOT detect Balamuthia
mandrillaris.
Reported: 2-10 days
Test List
10-4
Acanthamoeba and Naegleria Culture and Stains, CSF
Order code: 80081
Preferred specimen: Collect CSF and transfer 1.0 mL CSF to a sterile transport tube. Transport to the laboratory within 24 hours of collection at room
temperature.
Minimum specimen: 0.5 mL CSF
Unacceptable: Frozen or refrigerated specimens. Specimens submitted in transport media. Formalinized specimens. Leaking or non-sterile
containers.
Transport temp: CRITICAL at room temperature
Method: Qualitative Culture/Microscopic Identification/Calcofluor Stain/Giemsa Stain
Unit code: 800481
CPT Code(s): 87081, 87206, 87207
Ref range: Negative
The stains will detect free-living amoeba such as Acanthamoeba species, Naegleria fowleri, and Balamuthia mandrillaris.
The culture will detect free-living amoeba such as Acanthamoeba species and Naegleria fowleri, but will NOT detect Balamuthia
mandrillaris.
Reported: 2-10 days
Accutane
See: Isotretinoin, Quantitative
ACE
See: Angiotensin Converting Enzyme
Acetaminophen
Order code: 80110
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube.
Unacceptable: Plasma. Specimens collected in separator tubes, sodium fluoride/potassium oxalate, or sodium citrate anticoagulants.
Method: Spectrophotometry
Unit code: 800500
S1
0
CPT Code(s): 80302
Ref range: 10-30 µg/mL
Critical values:
Post four-hour ingestion: greater than 150 µg/mL
Post 12-hour ingestion: greater than 40 µg/mL
Reported: 2-3 days
Acetone, Quantitative
Order code: 80140
Preferred specimen: 0.5 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection and
transfer to a plastic transport tube.
Other acceptable: 0.5 mL plasma, lavender (EDTA), green (sodium heparin) or gray (sodium fluoride/potassium oxalate) top tube. Remove plasma
from cells ASAP or within 2 hours of collection and transfer to a plastic transport tube.
Unacceptable: Whole blood. Plasma separator tubes or serum separator tubes.
Method: Quantitative Gas Chromatography
Unit code: 800650
CPT Code(s): 80320
Ref range: Therapeutic range not well established - Assay detection limit 5 mg/dL
Toxic range: Greater than 100 mg/dL
Reported: 2-3 days
10-5
Test List
Acetylcholine Receptor Antibody Panel
Order code: 80749
Preferred specimen: 2.0 mL serum, gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection and transfer to a plastic transport
tube.
Notes: Test includes:
Acetylcholine Receptor Binding Antibody
Acetylcholine Receptor Blocking Antibody
Acetylcholine Receptor Modulating Antibody
Unacceptable: Severely lipemic, contaminated, or hemolyzed specimens.
Method: Quantitative Radioimmunoassay/Semi-Quantitative Flow Cytometry
Unit code: 800749
CPT Code(s): 83516 (x2), 83519
Ref range: Acetylcholine Receptor Binding Antibody:
Negative: 0.0-0.4 nmol/L
Positive: 0.5 nmol/L or greater
Acetylcholine Receptor Blocking Antibody:
Negative: 0-26% blocking
Indeterminate: 27-41% blocking
Positive: 42% or greater blocking
Acetylcholine Receptor Modulating Antibody:
Negative: 0-45% modulation
Positive: 46% or greater modulation
Reported: 2-7 days
Acetylcholine Receptor Binding Antibody
Order code: 80160
tube.
Notes: Initial diagnostic testing for myasthenia gravis.
Unacceptable: Plasma. Severely lipemic, contaminated, or hemolyzed specimens.
Method: Quantitative Radioimmunoassay
S1
0
Unit code: 800750
CPT Code(s): 83519
Ref range: Negative: 0.0-0.4 nmol/L
Reported: 3-4 days
Acetylcholine Receptor Blocking Antibody
Order code: 80170
tube.
Notes: Initial diagnostic testing for myasthenia gravis.
Method: Semi-Quantitative Flow Cytometry
Unit code: 800800
CPT Code(s): 83516
Ref range: Negative: 0-26% blocking
Reported: 2-5 days
Test List
10-6
Acetylcholine Receptor Modulating Antibody
Order code: 80805
tube.
Notes: Assessment of clinical activity of and initial diagnostic testing for myasthenia gravis.
Method: Semi-Quantitative Flow Cytometry
Unit code: 800805
CPT Code(s): 83516
Ref range: Negative: 0-45% modulation
Reported: 2-7 days
Acetylcholinesterase and Fetal Hemoglobin, Amniotic Fluid
Order code: 80071
Preferred specimen: 2.0 mL amniotic fluid in a plastic transport tube.
Minimum specimen: 1.0 mL amniotic fluid
Notes: Please submit Patient History for Prenatal Cytogenetics form.The information on this form is required to perform prenatal
cytogenetic testing. Complete the form and submit with the test request form and specimen. Include the Amniotic Fluid AFP and
MoM results, if available.
Method: Qualitative Gel Electrophoresis/Radial Immunodiffusion
Unit code: 800701
CPT Code(s): 82013, 83033
Ref range: Acetylcholinesterase: Negative
Fetal Hemoglobin: Negative
Reported: 3-11 days
Acetylcholinesterase, RBC
See: Cholinesterase, RBC/Hgb Ratio
S1
0
Acetylcholinesterase, Serum
See: Cholinesterase, Serum
Acid Fast Bacilli, Culture with Stain
See: Culture, Acid Fast Bacilli, With Stain
10-7
Test List
Acid Fast Bacilli, Stain Only
Order code: 3360
Preferred specimen: See acceptable specimen types below. Indicate source on requisition.
Sputum:
1. A first morning, deep cough specimen is recommended.
2. If a series of 3 specimens is requested, collect specimens on 3 consecutive days at 8-24 hour intervals (24 hours when
possible).
3. Collect 5.0-10.0 mL specimen (Min 3.0 mL) in tightly sealed, sterile container.
4. Refrigerate.
Urine:
1. A first morning specimen is recommended. Minimum of 10.0 mL.
2. Collect specimen in tightly sealed, sterile container.
3. Refrigerate.
Body Fluids & Bronchial Washing:
1. Submit 5.0 mL specimen (Min 1.0 mL) in tightly sealed, sterile container.
2. Refrigerate.
Spinal Fluid:
1. Submit 2.0-3.0 mL CSF (Min 1.0 mL) in a sterile screw-cap tube. Collect a separate specimen for chemistry or hematology
testing if needed.
2. Submit at room temperature.
Tissue:
1. Send tissue sample in tightly sealed, sterile container.
2. Cover the tissue with sterile saline to prevent drying.
3. Keep at room temperature.
Wound Aspirates or Drainage:
1. Remove surface exudates by wiping with sterile saline or 70% alcohol. Collect fluid abscess material with a Luer tip syringe
and/or remove material from the leading edge of the wound aseptically. For open lesions/abscesses, aspirate, if possible, material
from under the margin of the lesion/abscess.
2. Note: Specimens submitted on swabs are not recommended. Please submit aspirate material, drainage fluid, or tissue for
optimal quality of results.
3. Note: When submitting a syringe, remove the needle prior to submission and cap with a sterile syringe tip cap.
4. Refrigerate.
Feces:
1. Submit a minimum of 1 g solid stool or 1.0-5.0 mL liquid stool in a clean leak-proof container.
2. Refrigerate.
Bone Marrow & Blood:
1. Submit 5.0 mL blood (Min 1.0 mL) or 2.0 mL bone marrow (Min 0.5 mL) in either yellow (SPS) top tube or lysis-centrifugation
tube.
Notes: Submit specimen in tightly sealed, sterile container.
Unacceptable: Specimens not stored at the proper temperature, blood or bone marrow not submitted in SPS or lysis-centrifugation tubes, or
specimens greater than 72 hours old.
Transport temp: Refrigerated: Sputum, Urine, Body Fluids, Bronchial Washing, Wound Aspirates or Drainage, Feces.
Room temperature: Spinal Fluid (CSF), Tissue, Bone Marrow, Blood.
Method: Fluorescent Stain
Unit code: 400200
CPT Code(s): 87206
Acid Labile Subunit (ALS)
Order code: 80089
Preferred specimen: 1.0 mL serum, gel-barrier tube. Remove serum from cells within 45 minutes of collection, transfer to a plastic transport tube and
freeze. Separate specimens must be submitted when multiple tests are ordered.
Method: Double Antibody Radioimmunoassay
Unit code: 800890
CPT Code(s): 83519
Reported: 3-17 days
Acid Phosphatase, Prostatic
See: Prostatic Acid Phosphatase
Test List
10-8
S1
0
Acid Phosphatase, Total
Order code: 80190
Preferred specimen: 1.5 mL serum, red top tube. Allow specimen to clot completely at room temperature. Remove serum from cells, transfer to a plastic
transport tube and freeze. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable: Plasma. Non-frozen or hemolyzed specimens.
Unit code: 800900
CPT Code(s): 84060
Ref range: 0.0-4.3 U/L
Reported: 2-3 days
ACTH
See: Adrenocorticotropic Hormone (ACTH)
Activated Protein C (APC) Resistance Profile
Order code: 80175
Preferred specimen: 1.5 mL platelet-poor plasma, light blue (sodium citrate) top tube. Transfer platelet-poor plasma into a plastic transport tube
and freeze immediately.
Minimum specimen: 1.0 mL platelet-poor plasma.
Unacceptable: Serum, nonfrozen, or hemolyzed samples.
Method: Clotting
Unit code: 801075
CPT Code(s): 85307
Ref range: 2.00 or greater
Reported: 2-5 days
S1
0
Acute Lymphocytic Leukemia (ALL) Panel by FISH
Order code: 32004
Preferred specimen: 10.0 mL whole blood, green (sodium heparin) top tube or 2.0 mL bone marrow aspirated in green (sodium heparin) top tube. For
optimal results specimen should be received in the laboratory within 24 hours of collection. Submit recent CBC report with test
request form.
Minimum specimen: 5.0 mL whole blood or 1.0 mL bone marrow
Notes: Test includes: BCR/ABL1/ASS t(9;22), CEP4, CEP10, CEP17, t(12;21) and MLL Rearrangement (11q23)
Unacceptable: Frozen, clotted or severely hemolyzed specimens.
Method: Fluorescence in situ Hybridization (FISH)
Unit code: 532004
CPT Code(s): 88374 (x4)
Reported: 3-6 days
Acute Myeloid Leukemia Panel by FISH
Order code: 32005
request form.
Notes: Test includes: CBFB inv(16), ETO/RUNX1 [t(8;21)], MLL Rearrangement (11q23), and PML/RARA t(15;17) with RARA breakapart.
Unit code: 532005
CPT Code(s): 88374 (x4)
Reported: 3-6 days
Acute Phase Reactant
See: C-Reactive Protein
10-9
Test List
Acute Promyelocyte Leukemia (APL) Panel by FISH
Order code: 32010
request form.
Notes: Test includes: PML/RARA, t(15;17)
Unit code: 532010
CPT Code(s): 88374
Reported: 3-6 days
Acylcarnitine Profile, Quant
Order code: 81078
Preferred specimen: 0.5 mL plasma, green (sodium heparin) top tube. Remove plasma from cells, transfer to a plastic transport tube and freeze
immediately. Separate specimens must be submitted when multiple test are ordered.
Minimum specimen: 0.1 mL plasma
Notes: Results of acylcarnitine profiling should be interpreted in the context of clinical presentation as well as other laboratory tests, which
may include urine organic acid analysis and molecular testing.
Unacceptable: Non frozen specimens. Grossly hemolyzed specimens. Specimen type other than frozen plasma.
Method: Flow Injection/Tandem Mass Spectrometry
Unit code: 801078
CPT Code(s): 82017
Reported: 6-8 days
ADAMTS13 Activity
Order code: 80108
Preferred specimen: 1.0 mL platelet-poor plasma, light blue (sodium citrate) top tube. Remove plasma from cells and transfer to a plastic transport
tube. Freeze immediately. Separate specimens must be submitted when multiple tests are ordered.
Minimum specimen: 0.5 mL platelet poor plasma.
Unacceptable: Serum or EDTA plasma, clotted or hemolyzed specimens. Nonfrozen specimens.
Method: Chromogenic Assay
Unit code: 801080
CPT Code(s): 85397
Ref range: Greater than or equal to 60 percent.
ADAMTS13 levels of less than 5 percent may be associated with either inherited (Upshaw-Schulman Syndrome) or acquired
thrombotic thrombocytopenic purpura (TTP).
Reported: 2-4 days
Adapin
See: Doxepin & Metabolite
Adenosine Deaminase, Pleural Fluid
Order code: 80109
Preferred specimen: 0.3 mL pleural fluid. Centrifuge specimen at room temperature. Transfer fluid to a plastic transport tube and freeze. Specimen must
remain frozen until received in testing laboratory.
Minimum specimen: 0.1 mL pleural fluid
Unacceptable: Whole blood. Bronchoalveolar lavage (BAL) specimens. Turbid specimens.
Unit code: 801095
CPT Code(s): 84311
Ref range: 0.0 - 9.4 U/L
Reported: 2-5 days
Test List
10-10
S1
0
Adenovirus 40-41 Antigens
Order code: 81105
Preferred specimen: 5 g aliquot of stool in a clean unpreserved stool transport vial, frozen.
Minimum specimen: 1 g stool
Unacceptable: Specimens in formalin, other preservatives, or diapers.
Method: Enzyme Immunoassay
Unit code: 801105
CPT Code(s): 87301
Ref range: Negative
Reported: 2-3 days
Adenovirus DNA, Qualitative Real-Time PCR
Order code: 39055
Preferred specimen: Nasopharyngeal swab in viral transport media.
Minimum specimen: 1 swab in transport media or 1 mL fluid/wash.
Other acceptable: Nasopharyngeal swab in sterile saline; nasal wash or bronchial lavage/wash in sterile container.
Unacceptable: Dry swabs, wooden swabs, or calcium alginate swabs. Specimens greater than 72 hours.
Method: Real-Time Polymerase Chain Reaction
Unit code: 539055
CPT Code(s): 87798
Ref range: Negative
Reported: 1-2 days
Adenovirus Group Antibodies, Quantitative
Order code: 81101
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube. Mark specimen as
"acute" or "convalescent". Acute and convalescent specimens must be submitted on separate test request forms.
Unacceptable: Hemolyzed, lipemic, and gross bacterial contaminated specimens.
Transport temp: Room temperature
S1
0
Method: Complement Fixation (CF)
Unit code: 801101
CPT Code(s): 86003
Ref range: Negative: <1:8
Reported: 5-7 days
ADH, Anti-Diuretic Hormone
See: Arginine Vasopressin
Adrenal 21-Hydroxylase Antibody
Order code: 80094
Preferred specimen: 1.0 mL serum, red top tube.
Unacceptable: Hemolyzed or room temperature specimens.
Method: Radioimmunoassay
Unit code: 800946
CPT Code(s): 83497
Ref range: Less than or equal to 1.0 U/mL
Addison's Disease: Greater than 1.0 U/mL
Reported: 3-11 days
Adrenaline & Noradrenaline
See: Catecholamines, Fractionated
10-11
Test List
Adrenocorticotropic Hormone (ACTH)
Order code: 80200
Preferred specimen: 1.0 mL plasma, lavender (EDTA) top tube. Collection tube must be siliconized glass or plastic. Remove plasma from cells
ASAP or within 2 hours of collection and transfer to a plastic transport tube. Freeze immediately.ediately
Unacceptable: Serum, tissue or urine. Heparinized plasma, grossly hemolyzed or lipemic specimens.
Method: Chemiluminescent Immunoassay
Unit code: 800950
CPT Code(s): 82024
Ref range: Male and female - 1 week-9 years: 5-46 pg/mL
Male and female - 10-18 years: 6-55 pg/mL
Female - 19 years and older: 6-58 pg/mL
Male - 19 years and older: 7-69 pg/mL
Reported: 2-3 days
Advil
See: Ibuprofen
AFB Culture With Stain
See: Culture, Acid Fast Bacilli, With Stain
AFB Stain Only
See: Acid Fast Bacilli, Stain Only
Afinitor
See: Everolimus
S1
0
AFP Serum
See: Alpha Fetoprotein, Tumor Marker, Serum
Maternal Serum Screen, Alpha Fetoprotein (Only)
Maternal Serum Screen, Alpha Fetoprotein, hCG, & Estriol
Maternal Serum Screen, Alpha Fetoprotein, hCG, Estriol, & Inhibin A
AFP-L3%
Preferred specimen: Alpha Fetoprotein, Total and L3 Percent
Agglutinins, Cold
See: Cold Agglutinins
Aggressive B-Cell Panel by FISH
Order code: 32001
request form.
Notes: Test includes: BCL2 Rearrangement, BCL6 Rearrangement, t(14;18), t(8;14), MYC Rearrangement.
Unit code: 532001
CPT Code(s): 88374 (x5)
Reported: 3-6 days
ALA
See: Aminolevulinic Acid, Urine
Test List
10-12
Alanine Aminotransferase (ALT)
Order code: 1110
Method: UV Absorbance
Unit code: 101810
CPT Code(s): 84460
Ref range: Male: <42 U/L
Female: <34 U/L
Albumin, 24 Hour Urine
See: Microalbumin, 24 Hour Urine
Albumin, Fluid
Order code: 1317
Preferred specimen: 1.0 mL body fluid in a plastic transport tube.
Minimum specimen: 0.5 mL fluid
Notes: Indicate source on test request form.
Method: Colorimetric
Unit code: 103173
CPT Code(s): 82042
Ref range: None established
Albumin, Serum
Order code: 1080
S1
0
Unit code: 101710
CPT Code(s): 82040
Ref range: 3.5-5.2 g/dL
Albumin/Creatinine Ratio, Urine
See: Microalbumin, Random Urine
Alcohol, Ethyl, Blood Legal
See: Ethanol, Blood, Qualitative Legal
Alcohol, Ethyl, Serum or Plasma
See: Ethanol, Serum or Plasma
Alcohol, Isopropyl
See: Isopropanol (Includes Acetone)
Alcohol, Methyl, Serum or Plasma
See: Methanol, Serum or Plasma
10-13
Test List
Alcohols
Order code: 80162
transfer to a tightly-capped plastic transport tube to minimize alcohol loss.
Notes: For medical purposes only.
Test includes: Acetone, Ethanol, Isopropanol, and Methanol.
Other acceptable: 2.0 mL plasma, lavender (EDTA) or gray (sodium fluoride/potassium oxalate) top tube. Remove plasma from cells ASAP or within
2 hours of collection and transfer to a tightly-capped plastic transport tube.
Unacceptable: Whole blood. Separator tubes or gels.
Unit code: 801602
CPT Code(s): 80320
Ref range: Isopropanol:
No therapeutic range - Test detection limit 5 mg/dL
Toxic: > 50 mg/dL
Ethanol:
Therapy for Methanol: 100 - 200 mg/dL
Toxic Level: Greater than 250 mg/dL
Acetone, Quantitative:
Methanol:
Toxic: Greater than 20 mg/dL
Reported: 2-3 days
Aldolase
Order code: 80400
Preferred specimen: 0.5 mL serum, red top tube or SST. Remove serum from cells immediately after coagulation (within 30 minutes) and transfer to a
plastic transport tube.
Notes: Not removing serum or plasma from cells results in aldolase levels 12% to 46% higher.
Other acceptable: 0.5 mL plasma, lavender (EDTA), green (sodium or lithium heparin), or light blue (sodium citrate) top tube. Remove plasma from
cells immediately and transfer to a plastic transport tube.
Unacceptable: Hemolyzed specimens.
Method: Kinetic
Unit code: 801800
CPT Code(s): 82085
Ref range: 1.2-7.6 units/L
Reported: 3-5 days
Aldosterone
Order code: 80410
Preferred specimen: 1.0 mL serum, red top tube or SST.
Notes: Remove serum or plasma from cells ASAP and transfer to a plastic transport tube. Record on test request form whether patient
was supine or upright when blood was drawn. Prior to blood collection, it is recommended that patient be ambulatory for at least 30
minutes, on a normal sodium diet, taken off medications for a least 3 weeks, and no isotopes administered within 24 hours.
Other acceptable: 1.0 mL plasma, lavender (EDTA) top tube.
Unacceptable: Gross hemolysis or lipemia, recently administered isotopes.
Unit code: 801850
CPT Code(s): 82088
Reported: 5-7 days
Test List
10-14
S1
0
Aldosterone, Urine
Order code: 80420
Preferred specimen: 4.0 mL urine aliquot from a well-mixed 24-hour urine collection. Refrigerate 24-hour specimen during collection. Specimens without
preservative must be aliquoted and frozen immediately after 24-hour collection is complete. Record total volume and hours of
collection on both the urine container and test request form.
Other acceptable: Preserved specimens with 1 g boric acid added per 100 mL of urine or with the pH adjusted to 2-4 with 6M HCl or 50 percent
acetic acid. Refrigerate preserved specimens.
Method: Quantitative Chemiluminescent Immunoassay
Unit code: 801900
CPT Code(s): 82088
Ref range: Aldosterone, Urine: 1.2-28.1 µg/d
Reported: 3-6 days
Aldosterone:Renin Ratio
Order code: 80855
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube and 1.0 mL plasma, lavender (EDTA) top tube. Remove serum from cells, transfer to a
plastic transport tube, label tube as "Serum Aldosterone"
Remove plasma from cells. transfer to a plastic transport tube, label tube as " Plasma Renin".
Freeze both specimens immediately. Submit separate frozen specimens when multiple tests are ordered.
Minimum specimen: 0.5 mL serum and 0.8 mL plasma
Notes: Collect blood mid morning, after the patient has been upright (sitting, standing, or walking) for at least two hours and seated for 5 to
15 minutes. Patients should be instructed to maintain an unrestricted dietary salt intake prior to testing. Washout of all interfering
antihypertensive medications may be considered in patients with mild hypertension, but is potentially problematic in others and
perhaps unnecessary in that medications with minimal effect on the ARR can be used in their place. The patient should not take
drugs that markedly affect the ARR for at least four weeks prior to blood collection. These drugs include:
Spironolactone, eplerenone, amiloride, and triamterene
Potassium-wasting diuretics
Products derived from liquorice root (eg, confectionary licorice, chewing tobacco)
Unit code: 801855
CPT Code(s): 82088, 84244
Ref range: 0-30 ng/dL per ng/mL/hour
Reported: 5-7 days
S1
0
ALK Rearrangement by FISH
Order code: 32007
Preferred specimen: Formalin-fixed, paraffin-embedded tissue block (0.2 cm³ piece of tissue) or 4 slides (4 micron thickness) from formalin-fixed
paraffin block.
Unacceptable: Paraffin-embedded tissue that has been decalcified.
Unit code: 532007
CPT Code(s): 88374
Reported: 3-6 days
Alkaline Phosphatase
Order code: 1085
Preferred specimen: 1.0 mL serum, SST or red top tube.
Unit code: 101720
CPT Code(s): 84075
Ref range: 40-129 U/L
10-15
Test List
Alkaline Phosphatase Isoenzymes
Order code: 80151
Preferred specimen: 2.0 mL serum, red top or gel-barrier tube. Remove serum from cells ASAP and transfer to a plastic transport tube. Patient should
be fasting overnight.
Notes: Test includes: Total Alkaline Phosphatase and Bone, Liver, and Intestinal isoenzymes.
Unacceptable: Plasma. Hemolyzed specimens.
Method: Electrophoresis
Unit code: 801951
CPT Code(s): 84075, 84080
Reported: 4-6 days
ALL Panel by FISH
See: Acute Lymphocytic Leukemia (ALL) Panel by FISH
Allergen Profile, Basic Food
Order code: 98018
Notes: Includes:
Immunoglobulin E (IgE)
Baker's Yeast
Barley
Beef
Chicken
Chocolate
Corn
Egg White
Milk
Oat
Orange
Peanut
Pork
Potato
Rye
Soybean
Tomato
Wheat
S1
0
Unacceptable: Plasma, severely hemolyzed or lipemic specimens.
Unit code: 98018
CPT Code(s): 82785, 86003 (x17)
Reported: 1-3 days
Allergen Profile, Central Missouri Inhalant
Order code: 98050
Notes: Includes:
Alternaria alternata
American Cockroach
Cat Dander
Cladosporium herbarum
Common Ragweed
Dermatophagoides farinae
Dermatophagoides pteronyssinus
Dog Dander
Elm Tree
June Grass (Kentucky)
Lamb's Quarter
Oak Tree
Perennial Rye Grass
Unit code: 98050
CPT Code(s): 82785, 86003 (x13)
Reported: 1-3 days
Test List
10-16
Allergen Profile, Common Adult Food
Order code: 98020
Preferred specimen: 1.2 mL serum, red topor gel-barrier tube.
Notes: Includes:
Cod Fish
Corn
Egg White
Milk
Peanut
Shrimp
Soybean
Walnut
Wheat
Unit code: 98020
CPT Code(s): 82785, 86003 (x9)
Reported: 1-3 days
Allergen Profile, Comprehensive
Order code: 98005
Notes: Includes:
Aspergillus fumigatus
Bermuda Grass
Cat Dander
Common Ragweed
Dog Dander
Elm Tree
English Plantain
Hormodendrum hordei
House Dust-Greer
House Dust-Stier
Johnson Grass
Lamb's Quarter
Maple Tree
Meadow Fescue
Mucor racemosus
Oak Tree
Orchard Grass
Penicillium chrysogenum
Perennial Rye Grass
Rough Marsh Elder
Sweet Vernal Grass
Timothy Grass
S1
0
Unit code: 98005
CPT Code(s): 82785, 86003 (x26)
Reported: 1-3 days
10-17
Test List
Allergen Profile, Comprehensive 2
Order code: 98006
Notes: Includes:
American Cockroach
Bahia Grass
Bermuda Grass
Birch Tree
Candida albicans
Cat Dander
Common Ragweed
Cottonwood Tree
Dog Dander
Duck Feathers
Elm Tree
English Plantain
Fusarium moniliforme
Goose Feathers
Helminthosporium halodes
Hormodendrum hordei
Johnson Grass
Lamb's Quarter
Maple Tree
Oak Tree
Pecan Tree
Phoma betae
Red Cedar Tree
Rhizopus nigricans
Rough Marsh Elder
Rough Pigweed
Russian Thistle
Sheep Sorrel
Stemphylium botryosum
White Ash Tree
S1
0
Unit code: 98006
CPT Code(s): 82785, 86003 (x36)
Reported: 1-3 days
Test List
10-18
Allergen Profile, Comprehensive 3
Order code: 98007
Notes: Includes:
Bermuda Grass
Birch Tree
Candida albicans
Cat Dander
Cocklebur
Cottonwood Tree
Dog Dander
Elm Tree
Giant Ragweed
Helminthosporium halodes
House Dust (Greer)
Lamb's Quarter
Maple Tree
Mountain Cedar Tree
Orchard Grass
Perennial Rye Grass
Redtop Grass
Rhizopus nigricans
Rough Marsh Elder
Rough Pigweed
Sheep Sorrel
Sycamore Tree
Timothy Grass
White Hickory Tree
Unit code: 98007
CPT Code(s): 82785, 86003 (x29)
Reported: 1-3 days
S1
0
Allergen Profile, Comprehensive Food
Order code: 98019
Notes: Includes:
Baker's Yeast
Barley
Beef
Chicken
Chocolate
Cod
Corn
Egg White
Lettuce
Malt
Milk
Oat
Orange
Peanut
Pork
Potato
Rye
Shrimp
Soybean
Strawberry
Tomato
Walnut
Wheat
Unit code: 98019
CPT Code(s): 82785, 86003 (x23)
Reported: 1-3 days
10-19
Test List
Allergen Profile, Food 12
Order code: 98022
Notes: Includes:
Clam
Cod
Corn
Egg White
Milk
Peanut
Scallop
Sesame Seed
Shrimp
Soybean
Walnut
Wheat
Unacceptable: Plasma. Hemolyzed, icteric, or lipemic specimens.
Unit code: 98022
CPT Code(s): 82785, 86003 (x12)
Reported: 1-3 days
Allergen Profile, Food 20
Order code: 98025
Notes: Includes:
Baker's Yeast
Barley
Cashew
Chicken Meat
Chocolate
Cod
Corn
Egg White
Milk
Oat
Orange
Peanut
Pork
Potato
Scallop
Shrimp
Soybean
Tomato
Walnut
Wheat
S1
0
Method: Chemiluminescent Immunoassay / Quantitative Immunocap Fluorescent Enzyme Immunoassay
Unit code: 98025
CPT Code(s): 82785, 86003 (x20)
Reported: 1-3 days
Allergen Profile, Grasses
Order code: 98045
Notes: Includes:
Bermuda Grass
Johnson Grass
Orchard Grass
Perennial Rye Grass
Timothy Grass
Unit code: 98045
CPT Code(s): 82785, 86003 (x6)
Reported: 1-3 days
Test List
10-20
Allergen Profile, Midwest Region
Order code: 98081
Notes: Includes:
Bermuda Grass
Birch Tree
Cat Dander
Common Ragweed
Dog Dander
Elm Tree
Johnson Grass
Maple Tree
Oak Tree
Orchard Grass
Rough Marsh Elder
Walnut Tree
Unit code: 98081
CPT Code(s): 82785, 86003 (x16)
Reported: 1-3 days
Allergen Profile, Molds
Order code: 98065
Notes: Includes:
Hormodendrum hordei
Mucor racemosus
S1
0
Unit code: 98065
CPT Code(s): 82785, 86003 (x5)
Reported: 1-3 days
Allergen Profile, Molds 6
Order code: 98066
Notes: Includes:
Immunglobulin E (IgE)
Candida albicans
Heminthosporium halodes
Unacceptable: Plasma. Severely hemolyzed or lipemic specimens.
Unit code: 98066
CPT Code(s): 82785, 86003 (x6)
Reported: 1-3 days
10-21
Test List
Allergen Profile, North Central
Order code: 98082
Notes: Includes:
Immunogobulin E (IgE)
Cat Dander
Common Ragweed
Dog Dander
Elm Tree
Hormodendrum hordei
House Dust-Stier
Lamb's Quarter
Oak Tree
Orchard Grass
Unit code: 98082
CPT Code(s): 82785, 86003 (x13)
Reported: 1-3 days
Allergen Profile, Nut 12
Order code: 98031
Notes: Includes:
Almond
Brazil Nut
Cashew
Chestnut
Coconut
Hazelnut
Macadamia Nut
Peanut
Pecan
Pistachio
Sesame Seed
Walnut
S1
0
Unit code: 98031
CPT Code(s): 82785, 86003 (x12)
Reported: 2-3 days
Allergen Profile, Nut Mix
Order code: 98030
Notes: Includes:
Almond
Coconut
Peanut
Pecan
Sesame Seed
Unit code: 98030
CPT Code(s): 82785, 86003 (x5)
Reported: 1-3 days
Test List
10-22
Allergen Profile, Pediatric
Order code: 98070
Notes: Includes:
Cat Dander
Dog Dander
Egg White
Hormodendrum hordei
House Dust-Stier
Milk
Unit code: 98070
CPT Code(s): 82785, 86003 (x9)
Reported: 1-3 days
Allergen Profile, Pediatric 2
Order code: 98072
Notes: Includes:
Baker's Yeast
Cat Dander
Common Ragweed
Corn
Dog Dander
Egg White
Hormodendrum hordei
Maple Tree
Milk
Orange
Peanut
Soybean
Wheat
S1
0
Unit code: 98072
CPT Code(s): 82785, 86003 (x15)
Reported: 1-3 days
Allergen Profile, Pediatric Food
Order code: 98071
Notes: Includes:
Egg White
Milk
Oat
Peanut
Soybean
Wheat
Unit code: 98071
CPT Code(s): 82785, 86003 (x6)
Reported: 1-3 days
10-23
Test List
Allergen Profile, Respiratory I
Order code: 98085
Notes: Includes:
American Cockroach
Bermuda Grass
Cat Dander
Common Ragweed
Cottonwood Tree
Dog Dander
Elm Tree
Maple Tree
Mountain Cedar Tree
Nettle Weed
Oak Tree
Russian Thistle
Sheep Sorrel
Timothy Grass
White Ash Tree
White Mulberry Tree
Unit code: 98085
CPT Code(s): 82785, 86003 (x22)
Reported: 1-3 days
Allergen Profile, Respiratory Region 8
Order code: 98086
S1
0
Notes: Includes:
American Cockroach
Bermuda Grass
Cat Dander
Common Ragweed
Cottonwood Tree
Dog Dander
Elm Tree
Maple Tree
Mountain Cedar Tree
Oak Tree
Pecan Tree
Rough Marsh Elder
Rough Pigweed
Russian Thistle
Sycamore Tree
Timothy Grass
Walnut Tree
White Ash Tree
White Mulberry Tree
Unit code: 98086
CPT Code(s): 82785, 86003 (x25)
Reported: 1-3 days
Test List
10-24
Allergen Profile, Trees
Order code: 98090
Notes: Includes:
Birch Tree
Elm Tree
Maple Tree
Oak Tree
Walnut Tree
Unit code: 98090
CPT Code(s): 82785, 86003 (x5)
Reported: 1-3 days
Allergen Profile, Weeds
Order code: 98095
Notes: Includes:
Common Ragweed
English Plantain
Lamb's Quarter
Rough Marsh Elder
Unit code: 98095
CPT Code(s): 82785, 86003 (x4)
Reported: 1-3 days
S1
0
Allergen, Almond
Order code: 98101
Unit code: 98101
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Alpha-Gal (galactose-alpha-1,3-galactose) IgE
Order code: 83943
Preferred specimen: 1.0 mL serum, plain red top or gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube. Transport at room
temperature. Also acceptable refrigerated or frozen.
Unacceptable: Hemolyzed, icteric, or lipemic specimens.
Method: Immunoassay
Unit code: 833943
CPT Code(s): 86003
Reported: 4-6 days
10-25
Test List
Allergen, American Cockroach
Order code: 98111
Unit code: 98111
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Anaheim Pepper
See: Allergen, Pepper C. annuum
Allergen, Apple
Order code: 94776
Preferred specimen: 0.25 mL serum, gel-barrier tube. Plus 0.1 mL serum for each additional allergen. Multiple specimen tubes should be avoided.
Remove serum from cells ASAP or within 2 hours of collection and transfer to a plastic transport tube.
Minimum specimen: 0.25 mL serum, plus 0.04 mL for each allergen ordered.
Unacceptable: Hemolyzed, icteric or lipemic specimens.
Method: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Unit code: 833934
CPT Code(s): 86003
Ref range: Less than 0.10 kU/L: No significant level detected
0.10-0.34 kU/L: Clinical relevance undetermined
0.35-0.70 kU/L: Low
0.71-3.50 kU/L: Moderate
3.51-17.50 kU/L: High
17.51 kU/L or greater: Very High
Reported: 2-3 days
Allergen, Avocado
Order code: 83964
Unit code: 833964
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Bahia Grass
Order code: 98130
Unit code: 98130
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-26
S1
0
Allergen, Bakers Yeast
Order code: 98131
Unit code: 98131
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Banana
Order code: 83969
Unit code: 833969
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Barley
Order code: 98135
S1
0
Unit code: 98135
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Basil IgE
Order code: 83974
Unit code: 833974
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-27
Test List
Allergen, Beef
Order code: 98145
Preferred specimen: 0.25 mL serum, red topor gel-barrier tube.
Unit code: 98145
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Bell Pepper/Paprika
Allergen, Bermuda Grass
Order code: 98150
Unit code: 98150
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Birch Tree
Order code: 98158
S1
0
Unit code: 98158
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Black Olive IgE
Order code: 83339
Unit code: 833993
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-28
Allergen, Black Pepper IgE
Order code: 83994
Unit code: 833994
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Blackberry IgE
Order code: 83990
Unit code: 833999
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Blue Mussel
Order code: 84008
Unit code: 834008
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Blueberry
Order code: 83409
Unit code: 834009
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-29
Test List
Allergen, Brazil Nut
Order code: 98166
Unit code: 98166
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Broccoli
Order code: 94778
Unit code: 833936
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Buckwheat IgE (Fagopyrum esculentum)
Order code: 84019
Unit code: 834019
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Butter Bean
See: Allergen, Lima Bean
Allergen, Cabbage
Order code: 84024
Unit code: 834024
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-30
S1
0
Allergen, Candida albicans
Order code: 98171
Unit code: 98171
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Cantaloupe
See: Allergen, Honeydew/Cantaloupe
Allergen, Capsicum annuum
Allergen, Carrot
Order code: 94780
Unit code: 833938
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
S1
0
Reported: 2-3 days
Allergen, Casein
Order code: 94779
Unit code: 833937
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Cashew Nut
Order code: 98178
Unit code: 98178
CPT Code(s): 86003
Reported: 1-3 days
10-31
Test List
Allergen, Cat Dander
Order code: 98181
Unit code: 98181
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Catfish IgE
Order code: 84044
Unit code: 834044
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Cayenne Pepper
Allergen, Celery
Order code: 84049
Unit code: 834049
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Cheddar Cheese
Order code: 84054
Unit code: 834054
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-32
S1
0
Allergen, Cherry IgE
Order code: 83405
Unit code: 834059
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Chestnut
Order code: 98186
Unit code: 98186
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Chicken Meat
Order code: 98187
S1
0
Unit code: 98187
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Chili Pepper
See: Allergen, Pepper C frutescens
Allergen, Chocolate
Order code: 98192
Unit code: 98192
CPT Code(s): 86003
Reported: 1-3 days
10-33
Test List
Allergen, Cinnamon
Order code: 84074
Unit code: 834074
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Clam
Order code: 98196
Unit code: 98196
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Clove IgE
Order code: 84081
Unit code: 834081
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 1-2 days
Allergen, Cocklebur
Order code: 98197
Unit code: 98197
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-34
S1
0
Allergen, Coconut
Order code: 98198
Unit code: 98198
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Cod
Order code: 98199
Unit code: 98199
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Coffee
Order code: 84089
S1
0
Unit code: 834089
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Common Ragweed
Order code: 98202
Unit code: 98202
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Corn
Order code: 98208
Unit code: 98208
CPT Code(s): 86003
Reported: 1-3 days
10-35
Test List
Allergen, Corn Pollen
Order code: 83368
Unit code: 833868
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Corn Smut
Order code: 83496
Preferred specimen: 0.5 mL serum, gel-barrier tube. Plus 0.1 mL serum for each additional allergen. Remove serum from cells ASAP or within 2 hours
of collection and transfer to a plastic transport tube.
Method: Quantitative Enzyme Immunoassay
Unit code: 834096
CPT Code(s): 86003
Reported: 4-6 days
Allergen, Cottonwood Tree
Order code: 98213
S1
0
Unit code: 98213
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Cow Hair & Dander
Order code: 83870
Unit code: 833870
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-36
Allergen, Crab
Order code: 83371
Unit code: 833871
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Cranberry IgE
Order code: 84099
Unit code: 834099
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Crayfish IgE
Order code: 83411
Unit code: 834101
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Cubanelle Pepper
10-37
Test List
Allergen, Cucumber IgE
Order code: 83419
Unit code: 834109
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Cumin Seed IgE
Order code: 84114
Preferred specimen: 0.5 mL serum, red top or gel-barrier tube. Plus 0.25 mL serum for each additional allergen. Multiple specimen tubes should be
avoided. Remove serum from cells and transfer to a plastic transport tube.
Minimum specimen: 0.5 mL serum, plus 0.1 mL for each additional allergen ordered.
Method: Quantitative Conventional RAST
Unit code: 834114
CPT Code(s): 86003
Reported: 4-7 days
Allergen, Dermatophagoides farinae
Order code: 98223
S1
0
Unit code: 98223
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Dermatophagoides pteronyssinus
Order code: 98225
Unit code: 98225
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Dog Dander
Order code: 98233
Unit code: 98233
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-38
Allergen, Drug, Sulfamethoxazole, IgE
Order code: 83483
Unacceptable: Hemolyzed, icteric, or lipemic specimens.
Method: Quantitative Conventional RAST
Unit code: 834835
CPT Code(s): 86003
Reported: 5-6 days
Allergen, Egg White
Order code: 98243
Unit code: 98243
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Egg Yolk
Order code: 98245
Unit code: 98245
S1
0
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Egg, Whole
Order code: 83933
Unit code: 833933
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Elm Tree
Order code: 98250
Unit code: 98250
CPT Code(s): 86003
Reported: 1-3 days
10-39
Test List
Allergen, English Plantain
Order code: 98253
Unit code: 98253
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Feather Mix
Order code: 94911
Notes: This assay provides a single qualitative (positive/negative) result only. It does not provide information on the amount of IgE specific
for any of the component allergens (goose, chicken, duck and turkey feathers).
Unit code: 94911
CPT Code(s): 86005
Reported: 2-3 days
Allergen, Feathers, Duck
Order code: 98263
S1
0
Unit code: 98263
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Feathers, Goose
Order code: 98264
Unit code: 98264
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Feathers, Parakeet (Budgerigar)
Order code: 83486
Unit code: 834863
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-40
Allergen, Fish Profile IgE
Order code: 94912
Notes: Allergens included: Codfish, Halibut, Mackerel, Salmon, Trout, and Tuna
Unit code: 94912
CPT Code(s): 86003 (x6)
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Garlic
Order code: 84149
Unit code: 834149
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Giant Ragweed
Order code: 98284
Unit code: 98284
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Ginger IgE
Order code: 83416
Unit code: 834164
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-41
Test List
Allergen, Gluten
Order code: 94782
Unit code: 833940
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Goat Epithelium IgE
Order code: 83471
Unit code: 834710
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Goldenrod Weed
Order code: 88320
Unit code: 838320
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: Reported 2-3 days
Allergen, Grape
Order code: 84174
Unit code: 834174
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-42
S1
0
Allergen, Grapefruit
Order code: 84179
Unit code: 834179
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Green Bean (String) IgE
Order code: 84184
Unit code: 834184
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Gulf Flounder IgE
Order code: 84144
Unit code: 834144
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Hackberry Tree IgE
Order code: 83514
Unit code: 835145
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-43
Test List
Allergen, Halibut
Order code: 84199
Unit code: 834199
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Hazelnut (Filbert)
Order code: 98303
Unit code: 98303
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Honey IgE
Order code: 84214
Unit code: 834214
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Honeybee Venom IgE
Order code: 83384
Unit code: 833854
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-44
S1
0
Allergen, Honeydew/Cantaloupe
Order code: 84219
Unit code: 834219
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Hops
Order code: 84220
Unit code: 834220
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Horse Hair/Dander
Order code: 83381
Unit code: 833881
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, House Dust Greer
Order code: 98314
Unit code: 98314
CPT Code(s): 86003
Reported: 1-3 days
10-45
Test List
Allergen, House Dust Stier
Order code: 98315
Unit code: 98315
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Jalapeno Pepper
Allergen, Johnson Grass
Order code: 98344
Unit code: 98344
CPT Code(s): 86003
Reported: 1-3 days
Allergen, June Grass (Kentucky)
Order code: 98347
S1
0
Unit code: 98347
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Kiwi
Order code: 83429
Unit code: 834229
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-46
Allergen, Kochia/Firebush
Order code: 83378
Unit code: 833878
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Lamb
Order code: 83423
Unit code: 834234
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Lambs Quarter
Order code: 98372
Unit code: 98372
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Lemon
Order code: 94783
Unit code: 833941
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-47
Test List
Allergen, Lettuce
Order code: 98378
Unit code: 98378
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Lima Bean/White Bean
Order code: 84244
Unit code: 834244
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Lime IgE
Order code: 82449
Unit code: 834249
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Lobster
Order code: 83425
Unit code: 834254
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-48
S1
0
Allergen, Macadamia Nut IgE
Order code: 84259
Unit code: 834259
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Mackerel
Order code: 84264
Unit code: 834264
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Malt
Order code: 98391
Unit code: 98391
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mango
Order code: 84269
Unit code: 834269
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-49
Test List
Allergen, Maple Tree
Order code: 98394
Unit code: 98394
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Meadow Fescue
Order code: 98399
Unit code: 98399
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Milk
Order code: 98402
Unit code: 98402
S1
0
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Alternaria alternata (tenuis)
Order code: 98106
Unit code: 98106
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Aspergillus fumigatus
Order code: 98120
Unit code: 98120
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-50
Allergen, Mold, Aspergillus niger IgE
Order code: 83492
Unit code: 834952
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Mold, Cephalosporium
Order code: 83498
Unit code: 834968
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Mold, Cladosporium herbarum
Order code: 98194
Unit code: 98194
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Epicoccum
Order code: 83497
Unit code: 834977
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-51
Test List
Allergen, Mold, Fusarium moniliforme
Order code: 98275
Unit code: 98275
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Helminthosporium halodes
Order code: 98304
Unit code: 98304
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Hormodendrum hordei
Order code: 98308
Unit code: 98308
S1
0
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Mucor racemosus
Order code: 98405
Unit code: 98405
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Penicillium chrysogenum (notatum)
Order code: 98459
Unit code: 98459
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-52
Allergen, Mold, Phoma betae
Order code: 98463
Unit code: 98463
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Rhizopus nigricans
Order code: 98515
Unit code: 98515
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mold, Stemphylium botryosum
Order code: 98560
Unit code: 98560
S1
0
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mountain Cedar Tree
Order code: 98403
Unit code: 98403
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Mugwort
Order code: 83898
Unit code: 833898
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-53
Test List
Allergen, Mushroom
Order code: 84279
Unit code: 834279
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Mustard
Order code: 84284
Unit code: 834284
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Navy Bean IgE
Order code: 84289
Unit code: 834289
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Nettle Weed
Order code: 98416
Unit code: 98416
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-54
S1
0
Allergen, Nutmeg IgE
Order code: 84294
Unit code: 834294
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 1-2 days
Allergen, Oak Tree
Order code: 98431
Unit code: 98431
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Oat
Order code: 98434
S1
0
Unit code: 98434
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Occupational, Latex IgE
Order code: 83932
Unit code: 833932
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-55
Test List
Allergen, Onion
Order code: 84304
Unit code: 834304
CPT Code(s): 86003
Reported: 2-3 days
Allergen, Orange
Order code: 98441
Unit code: 98441
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Orchard Grass
Order code: 98444
Unit code: 98444
S1
0
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Oregano IgE
Order code: 84309
Unit code: 834309
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-56
Allergen, Oyster
Order code: 84324
Unit code: 834324
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Paper Wasp
Order code: 83904
Unit code: 833904
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Parsley IgE
Order code: 83434
Unit code: 834334
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Pea
Order code: 84339
Unit code: 834339
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-57
Test List
Allergen, Peach
Order code: 83444
Unit code: 834344
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Peanut
Order code: 98456
Unit code: 98456
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Peanut Components IgE
Order code: 834346
Notes: Test methodology uses solid-phase immunoassays against the whole peanut allergen (f13) and 5 antigenic epitopes (Ara h1, Ara
h2, Ara h3, Ara h8, and Ara h9) and measures IgE antibody concentrations in patient serum. The binding of a specific IgE to an
immobilized allergen component is detected by the addition of a secondary fluorescence-labeled anti-human IgE antibody.
Unit code: 834346
CPT Code(s): 86003 (x6)
Ref range: Peanut, IgE:
Less than 0.10 kU/L: No significant level detected
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Severe Peanut Ara h 1: 0.09 kU/L or less
Mild Peanut Ara h 8 : 0.09 kU/L or less
Reported: 2-3 days
Test List
10-58
S1
0
Allergen, Pear
Order code: 84349
Unit code: 834349
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Pecan Nut
Order code: 98457
Unit code: 98457
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Pecan Tree
Order code: 98458
S1
0
Unit code: 98458
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Penicillin G (Major)
Order code: 84655
Unit code: 830000
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-59
Test List
Allergen, Penicillin V (Minor)
Order code: 83001
Unit code: 830001
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Pepper C. annuum IgE
Order code: 94777
Unit code: 833935
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Pepper C. frutescens IgE
Order code: 83459
Unit code: 834359
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Perennial Rye Grass
Order code: 98462
Unit code: 98462
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-60
S1
0
Allergen, Pine (Pinon) Nut
Order code: 84369
Unit code: 834369
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Pineapple
Order code: 83437
Unit code: 834374
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Pinto Bean
See: Allergen, Navy Bean IgE
Allergen, Pistachio
Order code: 98466
Unit code: 98466
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Plum
Order code: 84384
Unit code: 834384
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-61
Test List
Allergen, Poblano Pepper
Allergen, Pork
Order code: 98469
Unit code: 98469
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Potato
Order code: 98474
Unit code: 98474
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Pumpkin Seed IgE
Order code: 84394
Unit code: 834394
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 1-2 days
Allergen, Raspberry IgE
Order code: 83439
Unit code: 834399
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-62
S1
0
Allergen, Red Cedar Tree
Order code: 98512
Unit code: 98512
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Red Dye IgE
Order code: 83404
Unit code: 834404
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Red Snapper IgE
Order code: 84409
S1
0
Unit code: 834409
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Redtop Grass
Order code: 98513
Unit code: 98513
CPT Code(s): 86003
Reported: 1-3 days
10-63
Test List
Allergen, Rice
Order code: 84414
Unit code: 834414
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Rough Marsh Elder
Order code: 98518
Unit code: 98518
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Rough Pigweed
Order code: 98519
S1
0
Unit code: 98519
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Russian Thistle
Order code: 98522
Unit code: 98522
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Rye
Order code: 98526
Unit code: 98526
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-64
Allergen, Salmon
Order code: 83329
Unit code: 834429
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Scallop
Order code: 98532
Unit code: 98532
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Seafood Profile IgE
Order code: 94924
S1
0
Notes: Allergens included: Codfish/Whitefish, Crab, Lobster, Shrimp, and Tuna.
Unit code: 94924
CPT Code(s): 86003 (x5)
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Serrano Pepper
Allergen, Sesame Seed
Order code: 98535
Unit code: 98535
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Shallot
See: Allergen, Onion
10-65
Test List
Allergen, Sheep Epithelium
Order code: 83914
Unit code: 833914
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Sheep Sorrel
Order code: 98538
Unit code: 98538
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Shell Fish Profile IgE
Order code: 94926
Notes: Allergens included: Blue Mussel, Clam, Crab, Lobster, Oyster, Scallop, and Shrimp.
Unit code: 94926
CPT Code(s): 86003 (x7)
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Shrimp
Order code: 98542
Unit code: 98542
CPT Code(s): 86003
Reported: 1-3 days
Test List
10-66
S1
0
Allergen, Soybean
Order code: 98555
Unit code: 98555
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Spinach
Order code: 84444
Unit code: 834444
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Squid IgE
Order code: 84449
S1
0
Unit code: 834449
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Strawberry
Order code: 98563
Unit code: 98563
CPT Code(s): 86003
Reported: 1-3 days
10-67
Test List
Allergen, Sugar Cane IgE
Order code: 84459
Preferred specimen: 0.5 mL serum, gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube.
Unit code: 834459
CPT Code(s): 86003
Reported: 4-7 days
Allergen, Summer Squash IgE
Order code: 84464
Preferred specimen: 0.5 mL serum, plain red top or gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube. Transport
refrigerated. Room temperature and frozen specimens are also acceptable.
Method: Quantitative Conventional Rast
Unit code: 834464
CPT Code(s): 86003
Reported: 3-6 days
Allergen, Sunflower Seed IgE
Order code: 83469
S1
0
Unit code: 834469
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Sweet Potato IgE
Order code: 83474
Unit code: 834474
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-68
Allergen, Sweet Vernal Grass
Order code: 98571
Unit code: 98571
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Sycamore Tree
Order code: 98574
Unit code: 98574
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Tea
Order code: 83484
S1
0
Unit code: 834484
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Thyme IgE
Order code: 83489
Unit code: 834489
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-69
Test List
Allergen, Tilapia IgE
Order code: 84494
Unit code: 834494
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Timothy Grass
Order code: 98585
Unit code: 98585
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Tomato
Order code: 98592
S1
0
Unit code: 98592
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Trout
Order code: 83449
Unit code: 834499
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-70
Allergen, Tuna
Order code: 83450
Unit code: 834504
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Turkey
Order code: 84509
Unit code: 834509
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
S1
0
Allergen, Vanilla
Order code: 83451
Unit code: 834514
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Walnut
Order code: 98624
Unit code: 98624
CPT Code(s): 86003
Reported: 1-3 days
10-71
Test List
Allergen, Walnut Tree
Order code: 98625
Unit code: 98625
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Watermelon IgE
Order code: 83452
Unit code: 834524
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Wheat
Order code: 98632
S1
0
Unit code: 98632
CPT Code(s): 86003
Reported: 1-3 days
Allergen, Whey IgE
Order code: 84529
Unit code: 834529
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-72
Allergen, White Ash Tree
Order code: 98634
Unit code: 98634
CPT Code(s): 86003
Reported: 1-3 days
Allergen, White Hickory Tree
Order code: 98636
Unit code: 98636
CPT Code(s): 86003
Reported: 1-3 days
Allergen, White Mulberry Tree
Order code: 98638
Unit code: 98638
S1
0
CPT Code(s): 86003
Reported: 1-3 days
Allergen, White-Faced Hornet
Order code: 83925
Unit code: 833925
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
10-73
Test List
Allergen, Whitefish IgE
Order code: 83534
Unit code: 834534
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Yellow Jacket Venom
Order code: 83928
Unit code: 833928
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Allergen, Yellow-Faced Hornet
Order code: 83927
Unit code: 833927
CPT Code(s): 86003
0.35-0.70 kU/L: Low
3.51-17.50 kU/L: High
Reported: 2-3 days
Test List
10-74
S1
0
Allergens, Childhood Profile
Order code: 98073
Notes: Includes:
American Cockroach
Cat Dander
Cod
Dog Dander
Egg White
Milk
Peanut
Shrimp
Soybean
Walnut
Wheat
Unit code: 98073
CPT Code(s): 82785, 86003 (x15)
Reported: 1-3 days
Allergens, Stinging Insect Group
Order code: 83583
Notes: Includes:
Honeybee Venom
Paper Wasp
White-Faced Hornet
Yellow-Faced Hornet
Yellow Jacket Venom
S1
0
Method: ImmunoCAP®
Unit code: 94980
CPT Code(s): 86003 (x5)
Reported: 2-3 days
Allergens, Stinging Insect Group with IgE
Order code: 83584
Notes: Includes:
Honeybee Venom
Paper Wasp
White-Faced Hornet
Yellow-Faced Hornet
Yellow Jacket Venom
Method: ImmunoCAP®
Unit code: 94981
CPT Code(s): 82785, 86003 (x5)
Reported: 2-3 days
Almarytm
See: Flecainide
10-75
Test List
Alpha Fetoprotein (AFP Amniotic Fluid) with Reflex to Acetylcholinesterase and Fetal
Hemoglobin
Order code: 80342
Preferred specimen: 2.5 mL amniotic fluid in plastic transport tube.
Notes: Include gestational age at time of collection or estimated due date on the test request form. Please submit Patient History for
Prenatal Cytogenetics form. The information on this form is required to perform prenatal cytogenetic testing. Complete the form
and submit with the test request form and specimen. If the AFP (amniotic fluid) is elevated, then Acetylcholinesterase and Fetal
Hemoglobin will be added at an additional charge. Acetylcholinesterase testing requires an additional 3-11 days to be reported.
Unacceptable: Specimens contaminated with fetal blood.
Method: Chemiluminescent Immunoassay/Electrophoresis
Unit code: 801150
CPT Code(s): 82106
Reported: 4-5 days; Reflex 3-11 days
Alpha Fetoprotein, Maternal Serum
See: Maternal Serum, (AFP)
Maternal Serum, hCG & Estriol
Maternal Serum, hCG, Estriol & Inhibin
Alpha Fetoprotein, Total and L3 Percent
Order code: 81451
Preferred specimen: 1.0 mL serum, gel-barrier tube. Allow specimen to clot completely at room temperature. Remove serum from cells ASAP or within
2 hours of collection, transfer to a plastic transport tube and freeze.
Notes: The µTASWako method is used. Results obtained with different assay methods or kits cannot be used interchangeably.
Unacceptable: Plasma
Method: Quantitative Liquid Chromatography/Immunoassay
Unit code: 801451
CPT Code(s): 82107
S1
0
Ref range: Alpha Fetoprotein Total: 0-15 ng/mL
Alpha Fetoprotein L3 Percent: 0-9.9 percent
Reported: 2-6 days
Alpha Fetoprotein, Tumor Marker, Serum
Order code: 1230
Method: Electrochemiluminescence Immunoassay (ECLIA)
Unit code: 111008
CPT Code(s): 82105
Ref range: 0-8.7 ng/mL
Alpha Subunit of Pituitary Glycoprotein Hormones
Order code: 80202
Preferred specimen: 1.0 mL serum, red top tube or gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection, transfer to a plastic
transport tube and freeze immediately. Separate specimens must be submitted when multiple tests are ordered.
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (sodium heparin) top tube. Remove plasma from cells ASAP or within 2 hours of
collection, transfer to a plastic transport tube and freeze immediately.
Unacceptable: Hemolyzed or lipemic specimens.
Unit code: 802020
CPT Code(s): 83520
Ref range: Adult Male: 0.0-0.7 ng/mL
Adult Female: 0.0-1.4 ng/mL
Reported: 4-17 days
Test List
10-76
Alpha Thalassemia (HBA1 & HBA2) 7 Deletions
Order code: 82015
Preferred specimen: 3.0 mL whole blood, lavender (EDTA) or yellow (ACD Solution A or B) top tube.
Minimum specimen: 1.0 mL whole blood
Notes: Please submit completed Patient History for Hemoglobinopathy/Thalassemia Testing form with test request form and specimen.
Method: Polymerase Chain Reaction/Gel Electrophoresis
Unit code: 802015
CPT Code(s): 81257
Reported: 8-11 days
Alpha-1-Antitrypsin
Order code: 80090
Notes: Remove serum or plasma from cells ASAP. Overnight fasting is preferred.
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (sodium or lithium heparin) top tube.
Unacceptable: Chylous specimens.
Method: Immunologic
Unit code: 800050
CPT Code(s): 82103
Ref range: 90-200 mg/dL
Reported: 3-5 days
Alpha-1-Antitrypsin Phenotype
Order code: 80100
Preferred specimen: 2.0 mL serum, red top tube or SST. Remove serum from cells ASAP.
Notes: Overnight fasting is preferred.
Unacceptable: Hemolysis, specimens at room temperature.
S1
0
Method: Isoelectric Focusing/Immunologic
Unit code: 800000
CPT Code(s): 82104
Reported: 3-6 days
Alpha-1-Antitrypsin Quantitation and Genotype with Reflex to Phenotype
Order code: 80055
Preferred specimen: 3 mL serum, red top or gel-barrier tube and 7 mL whole blood, lavender (EDTA) top tube. Remove serum from cells and transfer to
two transport tubes (1.5 mL serum in each tube). Overnight fasting is preferred.
Minimum specimen: 0.6 mL serum in each of two tubes and 3 mL whole blood.
Notes: Genotyping tests for the two most common mutations, S and Z. Rare alleles, null or otherwise, are not detected by this assay. Test
may reflex to phenotyping if needed at an additional charge and report time may be extended.
Unacceptable: Chylous or hemolyzed serum. Serum at room temperature. Frozen whole blood. Buccal swabs.
Method: Immunologic/Multiplex Allele-Specific Polymerase Chain Reaction (PCR)/Gel Electrophoresis/Isoelectric focusing (IEF)
Unit code: 800055
CPT Code(s): 81332, 82103
Reported: 10-15 days
Alpha-1-Antitrypsin, Feces
Order code: 80051
Preferred specimen: 5 g aliquot of stool in a clean unpreserved stool transport vial.
Unacceptable: Specimens in media or preservatives.
Method: Quantitative Enzyme-Linked Immunoassay
Unit code: 800051
CPT Code(s): 82103
Ref range: 0.00-0.50 mg/g
Reported: 2-4 days
10-77
Test List
Alpha-2 Antiplasmin, Activity
Order code: 80011
Preferred specimen: 1.0 mL platelet-poor plasma, light blue (sodium citrate) top tube. Centrifuge the light blue top tube to obtain platelet-poor plasma.
Carefully remove the plasma without disturbing the cells using a plastic transfer pipette. Transfer the plasma into a plastic transport
tube and freeze.
Unacceptable: Serum or non-frozen or hemolyzed samples.
Unit code: 800100
CPT Code(s): 85410
Ref range: 18 years and older: 82-133%
Reported: 2-6 days
Alpha-2-Macroglobulin
Order code: 84087
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection and transfer to a plastic
transport tube.
Other acceptable: 1.0 mL CSF or pleural fluid (centrifuge and separate to remove cellular material).
Method: Nephelometry
Unit code: 800150
CPT Code(s): 83883
Reported: 2-6 days
Alprazolam
Order code: 86088
Preferred specimen: 2.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells within 2 hours of collection and transfer to
a plastic transport tube.
Notes: Timing of specimen collection: Pre-dose (trough) draw - At steady state concentration.
Other acceptable: 2.0 mL plasma, lavender (EDTA), green (sodium heparin), or gray (sodium fluoride/potassium oxalate) top tube. Remove plasma
from cells within 2 hours of collection and transfer to a plastic transport tube.
Unacceptable: Gel separator tubes, plasma or whole blood collected in light blue (sodium citrate) tubes.
Method: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Unit code: 842150
CPT Code(s): 80346
Ref range: Dose-Related Range:
Anxiety: 10-40 ng/mL (Dose: 1-4 mg/d)
Phobia & panic: 50-100 ng/mL (Dose: 6-9 mg/d)
Toxic: Greater than 100 ng/mL
Reported: 2-6 days
ALT (SGPT)
See: Alanine Aminotransferase
Test List
10-78
S1
0
Aluminum, Serum
Order code: 80460
Preferred specimen: 2.0 mL serum, royal blue (no additives) top tube. Remove serum from cells ASAP and transfer to a Trace Element-Free transport
tube. Do not allow serum to remain on cells.
Notes: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue
nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician)
prior to specimen collection.
Elevated results from noncertified trace element-free tubes may be due to contamination. Elevated concentrations of trace
elements in serum should be confirmed with a second specimen collected in a trace element-free tube, such as royal blue sterile
tube (no additive).
Unacceptable: Plasma. Separator tubes or gels and specimens that are not separated from the red cells or clot within 6 hours.
Method: Inductively Coupled Plasma/Mass Spectrometry
Unit code: 802050
CPT Code(s): 82108
Ref range: 0-15 µg/L
Serum aluminum greater than 50 µg/L is consistent with overload and may correlate with toxicity.
Reported: 2-5 days
Amantadine (Symmetrel)
Order code: 80515
Preferred specimen: 2.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube.
from cells and transfer to a plastic transport tube.
Unacceptable: Separator tubes.
Method: Gas Chromatography
Unit code: 802100
CPT Code(s): 80375
Reported: 4-11 days
S1
0
Ambenyl, Serum
See: Diphenhydramine
Amikacin, Peak
Order code: 80222
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells within 1 hour of collection and transfer to a
Notes: Draw 30 minutes following completion of drug infusion.
Other acceptable: 1.0 mL plasma, green (sodium heparin) top tube. Remove plasma from cells within 1 hour of collection and transfer to a plastic
transport tube.
Unacceptable: Citrate, EDTA, or oxalate/fluoride anticoagulants.
Method: Immunoassay
Unit code: 802202
CPT Code(s): 80150
Ref range: Optimal: 20.0-30.0 µg/mL
Toxic: 30.1 µg/mL or greater
Reported: Within 2-3 days
10-79
Test List
Amikacin, Random
Order code: 80470
Notes: Test is for random sampling.
transport tube.
Method: Immunoassay
Unit code: 802200
CPT Code(s): 80150
Ref range: Trough
Optimal: 4.0-8.0 µg/mL
Peak
Optimal: 20.0-30.0 µg/mL
Amikacin, Trough
Order code: 80221
Notes: Draw 5 to 90 minutes before next infusion.
transport tube.
Method: Immunoassay
Unit code: 802201
CPT Code(s): 80150
S1
0
Ref range: Optimal: 4.0-8.0 µg/mL
Amino Acid Quantitative, Plasma
Order code: 80480
Preferred specimen: 0.5 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells ASAP and avoid collecting buffy coat
material. Transfer plasma to a plastic transport tube and freeze ASAP. Separate specimens must be submitted when multiple test
are ordered.
Notes: Fasting specimens are preferred for adults. For infants and children draw specimen prior to feeding or 2-3 hours after a meal.
Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Please submit a completed Patient History for Biochemical Genetic Testing form with
test request form and specimen.
Method: Quantitative Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 800201
CPT Code(s): 82139
Reported: 3-6 days
Amino Acids Quantitative, Urine
Order code: 80490
Preferred specimen: 4.0 mL urine aliquot from a well-mixed random urine. As soon as possible after urine has been obtained, mix the collection well,
transfer the urine aliquot to a plastic transport container and freeze. Avoid dilute urine when possible. First morning urine is
preferred. Separate specimens must be submitted when multiple tests are ordered.
Notes: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Please submit a Patient History for Biochemical Genetic Testing form with the test
request form and specimen.
Unit code: 800249
CPT Code(s): 82139
Reported: 3-7 days
Test List
10-80
Aminolevulinic Acid (ALA), Urine
Order code: 80530
Preferred specimen: 4.0 mL urine aliquot from a well-mixed 24-hour or random urine collection. Refrigerate 24-hour specimen during collection. Protect
from light during collection, storage, and shipment. Submit specimen in an amber transport tube. Record total volume and hours
of collection on both the transport tube and test request form.
Notes: Patient should refrain from alcohol consumption 24 hours prior to specimen collection.
Specimen preservation with acid or base is discouraged and may cause assay interference. When collecting urine for additional
tests that require acid or base preservation, the ALA aliquot should be removed prior to the addition of the acid or base.
Unacceptable: Body fluids other than urine.
Method: Ion Exchange Chromatography/Spectrophotometry
Unit code: 802350
CPT Code(s): 82135
Ref range: Aminolevulinic Acid, Urine: 0-35 umol/L
Aminolevulinic Acid, Urine: 0-60 umol/d
Reported: 2-5 days
Aminophylline
See: Theophylline
Amiodarone & Metabolite
Order code: 80540
Other acceptable: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells within 2 hours of collection and transfer to a plastic transport
tube.
Unacceptable: Whole blood. Gel separator tubes, light blue (citrate) or yellow (SPS or ACD solution) tubes.
Unit code: 802400
S1
0
CPT Code(s): 80299
Ref range: Therapeutic Range:
Total (Amiodarone and Metabolite): 0.5-2.0 µg/mL
Toxic Level: Greater than 3.0 µg/mL
Reported: 2-5 days
Amitriptyline & Nortriptyline
Order code: 80550
Notes: Includes values for amitriptyline, nortriptyline, and total.
Other acceptable: 1.0 mL plasma, lavender (EDTA), green (sodium or lithium heparin), or gray (sodium fluoride/potassium oxalate) top tube. Remove
plasma from cells within 2 hours of collection and transfer to a plastic transport tube.
Unit code: 802450
CPT Code(s): 80335
Total drug: 95-250 ng/mL
Toxic: > 500 ng/mL
Reported: 2-6 days
10-81
Test List
AML/MDS Panel by FISH
Order code: 32009
request form.
Notes: Test includes: 5q, 7q, 13q, 20q, CEP8, MLL, BCR-ABL t(9;22), inv(16), t(8;21).
Unit code: 532009
Reported: 3-6 days
Ammonia, Plasma
Order code: 1043
Preferred specimen: 1.0 mL plasma, lavender (EDTA) top tube. Tube must be properly filled, mixed well, and placed on ice immediately after collection.
Plasma must be removed from cells and frozen within 15 minutes of collection. Patient should not clench fist during specimen
collection.
Minimum specimen: 0.5 mL frozen plasma
Notes: Separate specimen must be submitted when multiple tests are ordered.
Unacceptable: Grossly lipemic or hemolyzed EDTA plasma, nonfrozen plasma, serum specimens.
Method: Enzymatic
Unit code: 103005
CPT Code(s): 82140
Ref range: Male: 27-102 µg/dL
Female: 17-87 µg/dL
Amniotic Bilirubin Scan
Order code: 81171
Preferred specimen: 3.0 mL amniotic fluid in an amber plastic transport tube.
S1
0
Minimum specimen: 2.0 mL amniotic fluid.
Notes: Protect from light during collection, storage, and shipment.
Unacceptable: Specimens not protected from light.
Method: Spectrophotometry (Delta OD 450 nm)
Unit code: 804500
CPT Code(s): 82143
Ref range: Normal: 0.02 OD or less; depends on gestational age.
Reported: 2-3 days
Amoxapine & Metabolite
Order code: 80600
Notes: Test includes Amozapine and 8-Hydroxy Amoxapine.
Other acceptable: 2.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells within 2 hours of collection and transfer to a plastic
transport tube.
Unacceptable: Separator tubes or gels.
Method: Quantitative High Performance Liquid Chromatography
Unit code: 802750
CPT Code(s): 80335
Reported: 4-10 days
Test List
10-82
Amphetamine Confirmation, Quantitative, Urine
Order code: 81291
Preferred specimen: 20 mL random urine in a clean plastic urine container.
Minimum specimen: 10 mL urine
Notes: Order only for clinical or medical purposes; not for forensic use or pre-employment screen or random employee testing. No chain
of custody form required.
Method: Gas Chromatography/Mass Spectrometry (GS/MS)
Unit code: 812910
CPT Code(s): 80324
Reported: 7-10 days
Amphetamine, Serum or Plasma
See: Drugs of Abuse Confirmation/Quantitation - Amphetamine, Serum or Plasma
Amphetamines Confirmation, Quantitative, Urine
Order code: 27010
Preferred specimen: 5 mL fresh, unpreserved urine in a leak-proof, plastic urine container. No chain of custody form required for testing.
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compounds: Amphetamine,
Methamphetamine, MDMA, Methylpenidate, Phentermine.
Unacceptable: Preserved specimens.
Method: Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 270105
CPT Code(s): 80325, 80359, 80360
Reported: 2-4 days
S1
0
Amylase Isoenzyme
Order code: 80610
Preferred specimen: 1.0 mL serum, SST. Allow specimen to clot completely at room temperature. Remove serum from cells ASAP.
Notes: Salivary amylase is calculated as the difference between the total and pancreatic amylase.
Other acceptable: 1.0 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells ASAP.
Unacceptable: Body Fluids. Hemolyzed specimens.
Method: Enzymatic
Unit code: 802850
CPT Code(s): 82150 (x2)
Ref range: Pancreatic Amylase:
6-35 months: 2-28 U/L
3-6 years: 8-34 U/L
7-17 years: 9-39 U/L
18 years and older: 12-52 U/L
Salivary Amylase:
18 months and older: 9-86 U/L
Total Amylase:
3-90 days: 0- 30 U/L
3-6 months: 7-40 U/L
7-8 months: 7-57 U/L
9-11 months: 11-70 U/L
12-17 months: 11-79 U/L
18-35 months: 19-92 U/L
3-4 years: 26-106 U/L
5-12 years: 30-119 U/L
Reported: 2-3 days
10-83
Test List
Amylase, Fluid
Order code: 1533
Method: Enzymatic Colorimetric
Unit code: 103175
CPT Code(s): 82150
Amylase, Serum
Order code: 1300
Unit code: 103010
CPT Code(s): 82150
Amylase, Urine
Order code: 1495
Preferred specimen: 5.0 mL urine aliquot from a well-mixed 24 hour urine collection. Refrigerate during collection. No preservative.
Minimum specimen: 1.0 mL urine
Notes: Record the total volume and hours of collection on both the specimen container and the test request form.
Other acceptable: 5.0 mL random urine
Unit code: 102410
S1
0
CPT Code(s): 82150
Ref range: <17 U/hr
ANA
See: Anti-Nuclear Antibody
Anti-Nuclear Antibody (ANA) Profile
Anti-Nuclear Antibody with Reflex to ANA Profile
Anti-Nuclear Antibody (ANA) Comprehensive Profile
Anabolic Steroids, Urine Screen with Reflex to Confirmation
Order code: 80281
Preferred specimen: 4.0 mL random urine.
Notes: Test includes: Bolasterone, Boldenone, Clenbuterol, Clostebol Metabolite, Clostebol, Creatinine, Drostanolone Metabolite,
Epitestosterone, Fluoxymesterone, Methandienone Metabolite, Methandienone, Methenolone, Methyltestosterone, Nandrolone
Metabolite, Nandrolone, Norandrostenedione, Norethandrolone Metabolite, Norethandrolone, Norethindrone, Oxandrolone,
Oxymetholone Metabolite, Probenecid, Stanozolol Metabolite, Stanozolol, Testosterone/Epitestosterone Ratio, Testosterone,
Tetrahydrogestrinone, Trenbolone Metabolite, Turinabol. If this test detects the presence of any of the included steroids,
confirmation testing will be added at no additional charge and report time may be extended.
Method: Qualitative Colorimetry/High Performance Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 802861
CPT Code(s): 80302, 82570
Reported: 4-9 days
Anafranil
See: Clomipramine & Metabolite
Test List
10-84
Anaplasma Phagocytophilum (HGA) Antibodies, IgG & IgM
Order code: 80287
Unacceptable: Heat-inactivated, lipemic, hemolytic, icteric, turbid, or bacterially contaminated specimens.
Method: Indirect Fluorescent Antibody
Unit code: 802875
CPT Code(s): 86666 (x2)
Ref range: Anaplasma phagocytophilum (HGA) Antibody, IgG:
Less than 1:80 - No significant level of IgG antibodies to A. phagocytophilum detected.
Greater than or equal to 1:80 - Suggestive of a recent or past infection with A. phagocytophilum
Anaplasma phagocytophilum (HGA) Antibody, IgM:
Less than 1:16 - No significant level of IgM antibodies to A. phagocytophilum detected.
Greater than or equal to 1:16 - Suggestive of a current or recent infection with A. phagocytophilum.
Reported: 2-6 days
ANCA
See: Anti-Neutrophil Cytoplasmic Antibodies
Androstenedione
Order code: 80640
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells and transfer to plastic transport tube.
Unacceptable: Gross hemolysis, lipemia, or separator tubes or gels.
Unit code: 803150
CPT Code(s): 82157
Ref range: Age
0-30 d
1-6 m
7m-1y
2-5 y
6-8 y
9-14 y
15-60 y
61-80 y
>80 y
S1
0
Male ng/dL
Not Established
0-50
0-41
0-22
10-78
10-78
27-152
22-96
Not Established
Female ng/dL
Not Established
0-81
0-48
0-67
0-67
28-288
41-262
17-99
Not Established
Reported: 5-7 days
Anemia Profile
Order code: 90192
Preferred specimen: 2.0 mL serum, red top or gel-barrier tube and one lavender (EDTA) top tube, 3-4 mL whole blood.
Minimum specimen: 1.0 mL serum and 1.0 EDTA whole blood.
Unacceptable: Severely hemolyzed specimens, frozen or clotted whole blood. Lavender tube not filled with minimum volume.
Method: Spectrophotometry/Calculation/Chemilumninescent Immunoassay/Automated Hematology Analyzer
Unit code: 90192
CPT Code(s): 82550, 82728, 83540, 85025, 85045
10-85
Test List
Anemia Profile B
Order code: 94404
Preferred specimen: 3.0 mL serum, red top or gel-barrier tube and one lavender (EDTA) top tube, 3-4 mL whole blood. Remove serum from cells and
transfer to a plastic amber transport tube. Protect serum from light. Transport to laboratory within 48 hours.
Minimum specimen: 1.5 mL serum and 1.0 EDTA whole blood.
CBC with Automated Differential
Ferritin
Iron Binding Capacity
Reticulocyte Count
Vitamin B12/Folate
Unacceptable: Severely hemolyzed specimens, frozen or clotted whole blood. Lavender tube not filled with minimum volume.
Method: Spectrophotometry/Calculation/Chemilumninescent Immunoassay/Automated Hematology Analyzer
Unit code: 94404
CPT Code(s): 82607, 82728, 82746, 83540, 83550, 85025, 85045
Angiotensin Converting Enzyme (ACE)
Order code: 80660
Preferred specimen: 0.5 mL serum, red top tube or SST. Remove serum from cells ASAP and transfer to a plastic transport tube.
Notes: Stop administration of captopril, enalapril, or lisinopril for 12 hours prior to venipuncture (reduces ACE activity).
Unacceptable: Whole blood, EDTA or heparinized plasma, CSF, hemolyzed or icteric specimens. Captopril, enalapril, or lisinopril administration.
Method: Kinetic
Unit code: 803250
CPT Code(s): 82164
Ref range: 0-2 years: 18-95 units/L
3-14 years: 22-108 units/L
15 years or older: 14-82 units/L
Reported: 3-5 days
Angiotensin Converting Enzyme (ACE), CSF
Order code: 80321
Preferred specimen: 1.0 mL CSF. Transfer CSF to a plastic transport tube and freeze.
Unacceptable: Hemolyzed or xanthochromic specimens.
Unit code: 803251
CPT Code(s): 82164
Ref range: 0.0-2.5 U/L
Reported: 2-6 days
Angiotensin II
Order code: 80326
Preferred specimen: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP, transfer to a plastic transport tube and freeze. Keep
cold during centrifugation.
Unacceptable: Specimens received at room temperature. Hemolyzed specimens.
Method: Quantitative Immunoassay
Unit code: 803256
CPT Code(s): 82163
Reported: 5-19 days
Test List
10-86
S1
0
Ankylosing Spondylitis (HLA-B27) Genotyping
Order code: 80026
Notes: Aids in diagnosis of individuals with suspicious symptoms for ankylosing spondylitis or other related conditions. Counseling and
informed consent form recommended for genetic testing. Molecular Genetic Testing consent forms are available through BBPL
Client Services.
Unacceptable: Frozen whole blood.
Method: Polymerase Chain Reaction/Fluorescence Monitoring
Unit code: 803260
CPT Code(s): 81374
Ref range: Negative: The specimen is negative for HLA-B27.
Positive: The specimen is positive for HLA-B27.
Reported: 3-6 days
Anti-Cardiolipin Antibodies, IgG, IgM
See: Cardiolipin Antibodies, IgG, IgM
Anti-Cardiolipin Antibodies, IgG, IgM, IgA
See: Cardiolipin Antibodies, IgG, IgM, IgA
Anti-Cardiolipin Antibody, IgA
See: Cardiolipin Antibody, IgA
Anti-Cardiolipin Antibody, IgG
See: Cardiolipin Antibody, IgG
S1
0
Anti-Cardiolipin Antibody, IgM
See: Cardiolipin Antibody, IgM
Anti-Diuretic Hormone
Anti-DNA Antibody, Double Stranded
See: dsDNA Antibody, IgG
Anti-DNA Antibody, Single Stranded
See: ssDNA Antibody, IgG
Anti-DNase-B, Streptococcal Antibody
Order code: 80710
Unacceptable: Plasma or severely hemolyzed specimens.
Unit code: 812350
CPT Code(s): 86215
Ref range: 0-6 years: Less than 250 U/mL
7-17 years: Less than 310 U/mL
18 years and older: Less than 260 U/mL
Reported: 2-5 days
Anti-Extractable Nuclear Antigen, (ENA)
See: Sm/RNP Antibody IgG
10-87
Test List
Anti-GBM Antibody Panel
See: Glomerular Basement Membrane Antibody Panel
Anti-Glomerular Basement Membrane Antibody Panel
See: Glomerular Basement Membrane Antibody Panel
Anti-Histone Antibodies
Order code: 80765
Unacceptable: Hemolysis, icterus, lipemia, or bacterial contamination.
Method: Enzyme-Linked Immunosorbent Assay
Unit code: 819750
CPT Code(s): 83516
Ref range: Negative: <1.0 Units
Weak Positive: 1.0-1.5 Units
Moderate Positive: 1.6-2.5 Units
Strong Positive: >2.5 Units
Reported: 4-7 days
Anti-Infliximab Antibody
See: Infliximab (IFX) Concentration + IFX Antibody
Anti-Islet Cells
See: Islet Cell Antibody
Anti-Microsomal Antibodies
S1
0
See: Thyroid Peroxidase Antibodies
Anti-Mitochondrial Antibody
See: Mitochondrial M2 Antibody, IgG
Anti-Mullerian Hormone
Order code: 80305
Preferred specimen: 0.5 mL serum, red top tube or SST. Remove serum from cells within 2 hours of collection, transfer to a plastic transport tube and
freeze.
Unacceptable: Room temperature specimens. Hemolyzed or lipemic specimens.
Method: Quantitative Enzyme-Linked Immunosorbent Assay
Unit code: 803405
CPT Code(s): 83520
Ref range: Female:
0-16 years: 0.0-7.1 ng/mL
17-29 years: 0.85-14.24 ng/mL
30-39 years: 0.51-7.27 ng/mL
40-49 years: 0.00-6.21 ng/mL
50 years and older: 0.00-0.82 ng/mL
Male:
0-13 days: 15.50-48.10 ng/mL
14 days-11 months: 39.10-91.10 ng/mL
12 months-6 years: 48.00-83.20 ng/mL
7-8 years: 33.80-60.20 ng/mL
9-12 years: 6.1-60.7 ng/mL
13-16 years: 2.3-33.1 ng/mL
Adult males (17 and older): 1.50-18.35 ng/mL
Reported: 2-4 days
Test List
10-88
Anti-Neutrophil Cytoplasmic Antibodies
Order code: 5123
Notes: Includes Protease-3 Antibody (PR3) and Myeloperoxidase Antibody (MPO).
Unacceptable: Severely hemolyzed, lipemic, icteric, or contaminated samples.
Unit code: 360700
CPT Code(s): 83516 (x2)
Ref range: <4.0 EU/mL No antibody detected
4.0-5.9 EU/mL Inconclusive
>5.9 EU/mL Positive
Reported: 1-6 days
Anti-Nuclear Antibody (ANA)
Order code: 5100
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells ASAP and transfer to a plastic transport tube.
Notes: If screen is positive, a titer and pattern will be reported. Report time may be extended.
Unacceptable: Plasma or whole blood. Grossly contaminated, hemolyzed, lipemic, or icteric sera.
Method: Enzyme Immunoassay/Indirect Fluorescent Antibody (Hep-2)
Unit code: 350099
CPT Code(s): 86038
Ref range: None Detected
Reported: 1-7 days
Anti-Nuclear Antibody (ANA) Comprehensive Profile
Order code: 94093
S1
0
Anti-Nuclear Antibody
dsDNA Antibody, IgG
Sm/RNP Antibody, IgG
SSA (Ro) Antibody, IgG
SSB (La) Antibody, IgG
Scleroderma (Scl-70) Antibody, IgG
Jo-1 Antibody, IgG
If the Anti-Nuclear Antibody screen is positive, a titer and pattern will be reported.
Unacceptable: Plasma, severely hemolyzed, lipemic, or icteric specimens.
Unit code: 94093
CPT Code(s): 86038, 86225, 86235 (x5)
Ref range: See individual tests
Reported: 1-7 days
Anti-Nuclear Antibody (ANA) Profile
Order code: 5105
dsDNA Antibody, IgG
Jo-1 Antibody, IgG
Unit code: 350110
CPT Code(s): 86225, 86235 (x5)
Reported: 1-3 days
10-89
Test List
Anti-Nuclear Antibody with Reflex to ANA Profile
Order code: 5016
Notes: A positive ANA screen by EIA will be confirmed by IFA titer and pattern. If the titer is >= 1:160, the ANA Profile will be added at an
additional charge. Report time may be extended.
ANA Profile includes:
dsDNA Antibody, IgG
Jo-1 Antibody, IgG
Unacceptable: Plasma or whole blood. Grossly contamimated, hemolyzed, lipemic, or icteric sera.
Unit code: 350106
CPT Code(s): 86038
Ref range: None Detected
Reported: 1-7 days
Anti-Parietal Cell Antibody, IgG
See: Parietal Cell Antibody, IgG
Anti-Phospholipid Antibodies IgG, IgM, IgA
See: Cardiolipin Antibodies, IgG, IgM, IgA
Anti-Phospholipid Antibodies, IgG, IgM
See: Cardiolipin Antibodies, IgG, IgM
Anti-Phospholipid Antibody IgA
S1
0
See: Cardiolipin Antibody, IgA
Anti-Phospholipid Antibody IgG
See: Cardiolipin Antibody, IgG
Anti-Phospholipid Antibody IgM
See: Cardiolipin Antibody, IgM
Anti-Sjogrens Antibody
See: SSA (Ro) Antibody IgG
SSB (La) Antibody IgG
Anti-Streptolysin O
Order code: 5060
Unacceptable: Extremely lipemic specimens
Method: Immunoturbidimetric Assay
Unit code: 350150
CPT Code(s): 86060
Ref range: 0-14 years: 0-150 IU/mL
15 years and older: 0-200 IU/mL
Reported: 1-3 days
Anti-Striated Muscle Antibody
See: Striated Muscle Antibody, IgG with Reflex to Titer
Test List
10-90
Anti-Thyroglobulin Antibody
See: Thyroglobulin Antibody
Anti-Thyroid Microsomal Antibody
See: Thyroid Peroxidase Antibodies
Anti-Xa Heparin
See: Heparin Anti-Xa
Antibody ID
Order code: 5055
Unit code: 399003
CPT Code(s): 86870
Reported: 1-2 days
Antibody Screen, RBC with Reflex to Identification
Order code: 5040
separate tube should be collected for these tests. Specimen should be labeled with patient name, date of birth and collection date.
Notes: If Antibody Screen is positive, Antibody Identification, Titer and Antigen Typing may be performed at an additional charge.
S1
0
Unit code: 300300
CPT Code(s): 86850
Reported: 1-2 days
Antibody Titer
Order code: 5056
Unit code: 399004
CPT Code(s): 86886
Reported: 1-2 days
Antibody to Scl-70
See: Scleroderma (Scl-70) Antibody
10-91
Test List
Antidepressants Confirmation, Quantitative, Urine
Order code: 27012
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only.
Unit code: 270120
CPT Code(s): 80333, 80336, 80338
Reported: 2-4 days
Antigen Test, Red Blood Cell
Order code: 5052
Indicate specific RBC antigen(s) required and patient history on test request form.
Unit code: 399005
CPT Code(s): 86905
Reported: 1-2 days
Antipancreatic Islet Cells
See: Islet Cell Antibody
Antiphospholipid Syndrome Profile
Order code: 94555
Preferred specimen: 1.0 mL serum, SST. Remove serum from cells ASAP, transfer to a plastic transport tube and refrigerate.
and
6.0 mL platelet-poor plasma, three 3.5 mL light blue (3.2% sodium citrate) top tubes. Centrifuge immediately and remove the top
two-thirds of the plasma using a plastic transfer pipette, being careful not to disturb the cells. Transfer 2.0 mL plasma into 3
separate plastic transport tubes and freeze immediately.
Blue top tubes must be filled to completion to ensure a proper blood to anticoagulant ratio. Mix the tubes immediately by gentle
inversion at least 6 times to ensure adequate mixing of the anticoagulant with the blood. Separate specimens must be submitted
when multiple tests are ordered.
Minimum specimen: 0.6 mL serum and three 1.0 mL aliquots of platelet-poor plasma
Cardiolipin Antibodies, IgG, IgM
Lupus Anticoagulant (LA) Screen & Confirmatory
Unacceptable: Hemolyzed, icteric, lipemic, or clotted specimens. Whole blood, specimens contaminated with heparin, or specimens not stored at
the proper temperature.
Transport temp: Serum, refrigerated; Plasma, frozen
Method: Enzyme Immunoassay/Photo optic
Unit code: 94555
CPT Code(s): 85613, 85732, 86147 (x2)
Reported: 1-3 days
Antithrombin III, Functional
See: Antithrombin, Enzymatic (Activity)
Test List
10-92
S1
0
Antithrombin Panel (Antithrombin, Enzymatic & Antithrombin, Antigen)
Order code: 83305
Preferred specimen: 2.0 mL platelet-poor plasma, light blue (sodium citrate) top tube. Remove plasma from cells, transfer to a plastic transport tube and
freeze.
Minimum specimen: 1.0 mL platelet-poor plasma
Unacceptable: Serum. Nonfrozen or hemolyzed specimens.
Method: Chromogenic Assay/Microlatex Particle-Mediated Immunoassay
Unit code: 839305
CPT Code(s): 85300, 85301
Ref range: Antithrombin, Enzymatic Activity:
18 year or older: 76-128%
Antithrombin, Antigen:
82-136%
Reported: 2-3 days
Antithrombin, Enzymatic (Activity)
Order code: 83931
Preferred specimen: 1.5 mL platelet-poor plasma, light blue (sodium citrate) top tube. Remove the plasma from cells and transfer to a plastic transport
tube. Freeze immediately.
Minimum specimen: 1.0 mL platelet poor plasma.
Unacceptable: Serum, nonfrozen, or hemolyzed specimens.
Unit code: 839310
CPT Code(s): 85300
Ref range: 1-4 days: 39-87%
5-29 days: 41-93%
30-89 days: 48-108%
90-179 days: 73-121%
180-364 days: 84-124%
1-5 years: 82-139%
6 years: 90-131%
7-9 years: 90-135%
10-11 years: 90-134%
12-13 years: 90-132%
14-15 years: 90-131%
16-17 years: 87-131%
18 years and older: 76-128%
S1
0
Reported: 2-3 days
APL Panel by FISH
See: Acute Promyelocyte Leukemia (APL) Panel by FISH
APO E Genotype, Cardiovascular
See: Apolipoprotein E (APOE) 2 Mutations, Cardiovascular Risk
Apocard
See: Flecainide
Apolipoprotein A-1
Order code: 80343
Notes: Patient must be fasting 12-14 hours. Record patient's sex on test request form.
Other acceptable: 2.0 mL plasma, lavender (EDTA) or green (sodium or lithium heparin) top tube. Remove plasma from cells ASAP.
Unacceptable: Specimen from nonfasting patient.
Method: Immunologic
Unit code: 803430
CPT Code(s): 82172
Ref range: Male: 110-180 mg/dL
Female: 110-205 mg/dL
Reported: 3-5 days
10-93
Test List
Apolipoprotein A-1 & B
Order code: 83432
Notes: Patient must be fasting 12-14 hours. Record patient's sex on test request form.
Method: Immunologic
Unit code: 803432
CPT Code(s): 82172 (x2)
Ref range: Apolipoprotein A-1:
Male: 110-180 mg/dL
Female: 110-205 mg/dL
Apolipoprotein B:
Male: 0-79 mg/dL
Female: 0-79 mg/dL
Reported: 3-5 days
Apolipoprotein B
Order code: 80341
Notes: Patient must be fasting 12-14 hours.
Method: Immunologic
Unit code: 803431
CPT Code(s): 82172
Reported: 3-5 days
Apolipoprotein E (APOE) Genotyping, Alzheimer Disease Risk
Order code: 80349
Notes: Testing of fetal specimens or specimens from patients under the age of 18 years is not offered. Use to support a clinical diagnosis
of Alzheimer disease (AD) in symptomatic individuals. Use for AD risk assessment only. Genetic counseling and informed consent
are strongly recommended prior to ordering and post-test to discuss results.
Only the APOE alleles e2, e3 and e4 will be detected; rare alleles are not detected by this test. Diagnostic errors can occur due to
rare sequence variations.
Unacceptable: Plasma or serum. Heparinized specimens.
Unit code: 803439
CPT Code(s): 81401
Ref range: Homozygous apo e3 (e3/e3): This genotype is the most common (normal) genotype.
Reported: 3-8 days
Apolipoprotein E (APOE) Genotyping, Cardiovascular Risk
Order code: 80346
Notes: This test is not recommended for nonsymptomatic patients under 18 years of age. Use to confirm a diagnosis of type III
hyperlipoproteinemia for evaluation of premature coronary heart disease.
Only the e2, e3 and e4 variants will be detected. Rare isoforms of APOE will not be detected. If rare alleles are suspected,
phenotyping by isoelectric focusing may be indicated. Diagnostic errors can occur due to rare sequence variations.
Unit code: 803436
CPT Code(s): 81401
Ref range: Homozygous APOE e3 (e3/e3): This genotype is the most common (normal) genotype.
Reported: 3-8 days
Test List
10-94
S1
0
APTT
See: Partial Thromboplastin Time (PTT)
Aquaporin-4 Receptor Antibody
Order code: 80344
tube.
Notes: Test aids in evaluation of neuromyelitis optica (NMO) and NMO spectrum disorders.
Unacceptable: Contaminated, hemolyzed, icteric and lipemic specimens. Plasma, CSF, amniotic fluid, synovial fluid, peritoneal fluid, and ocular
fluid.
Method: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Unit code: 803445
CPT Code(s): 83516
Ref range: Negative: 2.9 U/mL or less
Positive: 3.0 U/mL or greater
Approximately 75% of patients with neuromyelitis optica (NMO) express antibodies to the aquaporin-4 (AQP4) receptor. Diagnosis
of NMO requires the presence of longitudinally extensive acute myelitis (lesions extending over 3 or more vertebral segments) and
optic neuritis. While absence of antibodies to the AQP4 receptor does not rule out the diagnosis of NMO, presence of this antibody
is diagnostic for NMO.
Reported: 2-7 days
Arava
See: Leflunomide Metabolite
Arginine Vasopressin Hormone
Order code: 80920
Preferred specimen: 6.0 mL plasma, three 5 mL lavender (EDTA) top tubes. Remove plasma from cells ASAP, transfer into two plastic transport tubes
and freeze immediately. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable: Nonfrozen specimens.
S1
0
Unit code: 803300
CPT Code(s): 84588
Ref range: 0.0-6.9 pg/mL
Reported: 4-12 days
Aroclors
See: Polychlorinated Biphenyls Screen with Reflex to Confirmation
Arsenic Analysis, Hair
Order code: 83551
Preferred specimen: Collect a pencil-thick segment of hair. Bundle, cut at roots, wrap with twist tie at root end. Transfer 500 mg hair to a Trace ElementFree Transport tube.
Minimum specimen: 500 mg hair
Notes: Exposure Monitoring/Investigation; not for clinical diagnostic purposes.
Transport temp: Room temperature. Refrigerated or frozen also acceptable.
Method: Quantitative Inductively Coupled Plasma/Mass Spectrometry
Unit code: 803551
CPT Code(s): 82175
Reported: 8-15 days
10-95
Test List
Arsenic, Blood
Order code: 80950
Preferred specimen: 7 mL whole blood, royal blue (K EDTA) or (Na EDTA) top tube, in the original collection tube at room temperature or refrigerated
2
2
is also acceptable.
Notes: Diet, medication, and nutritional supplements may introduce interfering substances. Patient should be encouraged to discontinue
and avoid shellfish and seafood for 48 to 72 hours.
Elevated results from noncertified trace element-free collection tubes may be due to contamination. Elevated concentrations of
trace elements in blood should be confirmed with a second specimen collected in a tube designed for trace element
determinations, such as a royal blue (Na EDTA) tube.
2
Unacceptable: Heparin anticoagulant or frozen specimens.
Unit code: 803500
CPT Code(s): 82175
Ref range: 0.0-13.0 µg/L
Potentially toxic ranges for blood arsenic: greater than or equal to 600 µg/L.
Blood arsenic is for the detection of recent exposure poisoning only. Blood arsenic levels in healthy subjects vary considerably with
exposure to arsenic in the diet and the environment. A 24-hour urine arsenic is useful for the detection of chronic exposure.
Reported: 2-4 days
Arsenic, Urine with Reflex to Fractionated
Order code: 80980
Preferred specimen: 8.0 mL urine aliquot from a well-mixed 24-hour or random collection. Specimen must be collected in a plastic container and should
be refrigerated during collection. Submit urine in two trace element-free transport tubes. Do not use acid preservative. Record total
volume and hours of collection on both the urine container and test request form.
Minimum specimen: 2.0 mL urine aliquot.
nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician), and
avoid shellfish and seafood for 48 to 72 hours. High concentrations of iodine may interfere with elemental testing. Abstinence from
iodine-containing medications or contrast agents for at least 1 month prior to collecting specimens for elemental testing is
recommended.
If total arsenic concentration is between 35-2000 µg/L, then Arsenic, Fractionated, will be added to determine the proportion of
organic, inorganic, and methylated species. Additional charges may apply and report time may be extended. It may be appropriate
to request fractionation for specimens with a total arsenic greater than 30 µg/gCRT despite a total arsenic concentration less than
35 µg/L. If low-level chronic poisoning is suspected, the µg/gCRT ratio may be a more sensitive indicator of arsenic exposure than
the total arsenic concentration.
Unacceptable: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies).
Acid preserved urine. Specimens contaminated with blood or fecal material. Specimens transported in non-trace element transport
tubes.
Method: Quantitative High Pressure Liquid Chromatography/Quantitative Inductively Coupled Plasma-Mass Spectrometry
Unit code: 803650
CPT Code(s): 82175
Ref range: Arsenic, Urine: 0-35.0 µg/L
Arsenic, Urine (24-hour): 0-50.0 µg/d
Arsenic per gram of creatinine: Less than 30 µg/gCRT
Reported: 2-6 days
Artane
See: Trihexyphenidyl
Arthritic Series
Order code: 94504
Preferred specimen: 3.0 mL serum, red top tube or SST, and 1 lavender top tube (EDTA whole blood).
Minimum specimen: See individual tests.
Anti-Streptolysin O
Rheumatoid Factor
Sedimentation Rate
Uric Acid
Unacceptable: See individual tests.
Method: See individual tests.
Unit code: 94504
CPT Code(s): 84550, 85651, 86038, 86060, 86431
Ref range: See individual tests.
Reported: 1-7 days
Test List
10-96
S1
0
Arthritic Series I
Order code: 5310
Anti-Streptolysin O
C-Reactive Protein
Rheumatoid Factor
Uric Acid
Unit code: 94500
CPT Code(s): 84550, 86038, 86060, 86140, 86430
Reported: 1-7 days
Arthritic Series II
Order code: 5311
Preferred specimen: 3.0 mL serum, red top tube or SST and 1 lavender top tube (EDTA whole blood).
Anti-Streptolysin O
C-Reactive Protein
Rheumatoid Factor
Sedimentation Rate
Uric Acid
Unit code: 94501
CPT Code(s): 84550, 85651, 86038, 86060, 86140, 86431
Reported: 1-7 days
S1
0
Arthritis Panel
Order code: 94505
Preferred specimen: 3.0 mL serum, red top tube or SST and 1 lavender (EDTA) top tube, 3.0 mL whole blood.
Minimum specimen: 1.5 mL serum and 1.0 mL EDTA whole blood
Rheumatoid Factor
Sedimentation Rate
Uric Acid
Unacceptable: Extremely lipemic serum.
Unit code: 94505
CPT Code(s): 84550, 85651, 86038, 86431
Reported: 1-7 days
Arylsulfatase A Deficiency, Leukocytes
Order code: 81000
Preferred specimen: 15.0 mL whole blood, yellow (ACD Solution A or B) top tubes. Refrigerate specimen after collection and transport to the laboratory
within 24 hours of collection. Transport specimen on cool pack. Do not allow sample to freeze.
Notes: Collect specimens Monday through Thursday only. Specimens must be received in the laboratory within 24 hours of collection.
Unacceptable: Frozen or grossly hemolyzed specimens. Specimens not received in laboratory within 24 hours of collection.
Method: Ezymatic activity with p-nitrocatechol sulfate
Unit code: 803750
CPT Code(s): 82657
Ref range: 25.0-90.0 nmol/hour/mg protein
Reported: Within 10 days
10-97
Test List
Ascorbic Acid
See: Vitamin C, Plasma
Asendin, Serum
See: Amoxapine
ASO
See: Anti-Streptolysin O
Aspartate Aminotransferase (AST)
Order code: 1105
Preferred specimen: 1.0 mL serum, SST or red top tube
Method: UV Absorbance
Unit code: 101800
CPT Code(s): 84450
Ref range: Male: <40 U/L
Female: <32 U/L
Aspergillus Antibodies by Immunodiffusion
Order code: 81010
Preferred specimen: 0.5 mL serum, red top tube or SST. Remove serum from cells ASAP or within 2 hours of collection and transfer to a plastic
transport tube.
Notes: This test uses culture filtrates of Aspergillus fumigatus, Aspergillus flavus, Aspergillus niger, and Aspergillus terreus.
Unacceptable: Body fluids
S1
0
Method: Qualitative Immunodiffusion
Unit code: 803800
CPT Code(s): 86606
Ref range: None detected
In general, immunodiffusion measures IgG and a positive result may suggest past infection. The test is positive in about 90% of
sera from patients with aspergilloma and 50-70% of patients with allergic bronchopulmonary aspergillosis. A negative test (none
detected) does not exclude aspergillosis.
Reported: 3-5 days
Aspergillus Galactomannan Antigen, Serum
Order code: 80385
Preferred specimen: 2.0 mL serum, red top or gel-barrier tube. Remove serum from cells within 2 hours of collection, transfer to a plastic transport tube
and freeze.
Unacceptable: Plasma. Hemolyzed specimens.
Method: Semi-quantitative Enzyme Immunoassay
Unit code: 803805
CPT Code(s): 87305
Ref range: Aspergillus Galactomannan Antigen, Serum: Negative
Aspergillus Galactomannan Index: By report
Negative results do not exclude the diagnosis of invasive aspergillosis. A single positive test result (index equal to or greater than
0.5) should be clinically correlated by testing a separate serum specimen because many agents (e.g. foods, antibiotics) may crossreact with the test. If invasive aspergillosis is suspected in high-risk patients, serial sampling is recommended.
Reported: 2-3 days
Aspirin
See: Salicylate
AST (SGOT)
See: Aspartate Aminotransferase (AST)
Test List
10-98
AST-To-Platelet Ratio Index (APRI)
Order code: 1089
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube and one lavender (EDTA) top tube.
Minimum specimen: 0.5 mL serum and 1.0 mL EDTA whole blood (lavender tube) or 250 uL EDTA whole blood (microtainer tube)
Notes: In a meta-analysis of 40 studies, investigators concluded that an APRI cuttoff of 1.0 had a sensitivity of 76% and specificity of 72%
for predicting cirrhosis. Similarly, an APRI cutoff of 0.7 had a sensitivity of 77% and specificity of 72% for predicting significant
hepatic fibrosis.
Unacceptable: Frozen, clotted, or grossly hemolyzed EDTA whole blood. Lavender tube not filled with minimum volume.
Method: Kinetic/Automated Hematology Analyzer
Unit code: 101899
Ativan
See: Lorazepam
Aventyl
See: Nortriptyline
B-Cell CD20
See: CD20 - B Cells
B-Cell Clonality Screening by PCR
Order code: 81624
Preferred specimen: 5.0 mL whole blood, lavender top tube or 3.0 mL bone marrow (EDTA). Transport refrigerated.
Or fresh tissue (100 mg or 0.5-2.0 cm³) transferred to a sterile container and frozen immediately.
Or FFPE tumor tissue, formalin fix (10% neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Ship in
cooled container during summer months. Transport tissue block at room temperature or refrigerated. Tissue block will be returned
after testing. Tissue transport kits are available through BBPL Client Services for transporting tissue (frozen or paraffin block).
Minimum specimen: 1.0 mL whole blood, bone marrow, CSF or pleural fluid.
S1
0
Notes: Record source on test request form.
Testing includes pathologist's interpretation.
Other acceptable: 3.0 mL CSF or pleural fluid is also acceptable but will be performed with disclaimer. Indicate on test
request form to perform with disclaimer. Transport refrigerated.
Unacceptable: Frozen whole blood or bone marrow. Clotted or grossly hemolyzed specimens.
FFPE tumor tissue: Specimens fixed/processed in alternative fixatives or heavy metal fixatives (B-4 or
B-5) or tissue sections on slides. Decalcified specimens.
Transport temp: Whole blood or Bone marrow: Refrigerated
Fresh tissue: Frozen on dry ice.
FFPE tumor tissue: Room temperature or refrigerated.
Method: Polymerase Chain Reaction/Capillary Electrophoresis
Unit code: 816214
CPT Code(s): 81261, 81264, G0452
Reported: 6-8 days
B12, Vitamin
See: Vitamin B12
10-99
Test List
Babesia microti Antibodies, IgG & IgM
Order code: 82599
Notes: Acute and convalescent specimens must be labeled as such; parallel testing is preferred and convalescent specimens must be
received within 30 days from receipt of the acute specimens. Please mark specimens plainly as "acute" or "convalescent".
Unacceptable: CSF. Lipemic, hemolyzed, or bacterially contaminated specimens.
Unit code: 825990
CPT Code(s): 86753 (x2)
Ref range: Babesia microti Antibody, IgG by IFA:
< 1:16 Negative - No significant level of detectable Babesia IgG antibody.
1:16 Equivocal - Repeat testing in 10-14 days may be helpful.
> 1:16 Positive - IgG antibody to Babesia detected, which may indicate a current or past infection.
Babesia microti Antibody, IgM by IFA:
< 1:20 Negative - No significant level of detectable Babesia IgM antibody.
1:20 Equivocal - Repeat testing in 10-14 days may be helpful.
> 1:20 Positive - IgM antibody to Babesia detected, which may indicate a current or recent infection.
Reported: 2-6 days
Bacterial Antigens
Order code: 81055
Notes: Test includes: Qualitative determination of the presence of antigens of H influenzae, S pneumoniae, N meningitidis, a limited
number to serogroups, and group B Streptococcus.
Unacceptable: Hemolyzed, lipemic, or gross bacterial contaminated specimens.
Method: Latex agglutination (LA)
Unit code: 804000
CPT Code(s): 87802, 87899 (x3)
Ref range: Negative
Limitations: Test may be negative in early meningitis. Does not replace Gram stain and culture. The sensitivity of the tests vary
from 50% to 100% depending on the specificity of the antibody and the concentration of antigen in the specimen. This test was
most useful for the detection of serious H influenzae infection. Because of the availability of vaccine, this test is of extremely limited
value.
Reported: 2-5 days
Bacterial Antigens, Urine or CSF
Order code: 80448
Preferred specimen: 10 mL random urine in a sterile plastic urine container or 1 mL CSF in a sterile plastic tube.
Minimum specimen: 10 mL urine or 0.6 mL CSF
Notes: Assay will detect bacterial antigens in urine and CSF specimens. Per the College of American Pathologists (CAP) guidelines, a
reflex culture will be performed if not initially requested for antigen-negative CSF specimens. If a reflex culture is added, report time
may be extended.
May be negative in early meningitis. Does not replace Gram stain and culture. The sensitivity of the tests vary from 50% to 100%
depending on the specificity of the antibody and the concentration of antigen in the specimen. This test was most useful for the
detection of serious H influenzae infection. Because of the availability of vaccine, this test is of extremely limited value. Testing is
not recommended for persons who have received the Streptococcus pneumoniae vaccine within the previous five days (falsepositive reaction).
Unacceptable: Gross bacterial contamination. Room temperature or frozen specimens.
Method: Latex Agglutination (LA); Immunochromatographic Membrane Assay (S pneumoniae only); Bacterial Culture for negative CSF
specimens.
Unit code: 804048
CPT Code(s): 87802, 87899 (x3)
Reported: 3-5 days
Bactrim
See: Sulfonamides (Sulfas)
Banzel
See: Rufinamide
Test List
10-100
S1
0
Barbiturate Confirmation, Quantitative, Urine
Order code: 81292
Test includes: Amobarbital, Secobarbital, Butalbital, Pentobarbital, and Phenobarbital.
Unit code: 812912
CPT Code(s): 80345
Reported: 3-5 days
Barbiturates Confirmation, Quantitative, Urine
Order code: 27013
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compounds: Butalbital,
Phenobarbital, Secobarbital.
Unit code: 270135
CPT Code(s): 80345
Reported: 2-4 days
Barbiturates Detection, Serum or Plasma
Order code: 81080
Preferred specimen: 2.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells ASAP and transfer to a plastic transport
tube.
S1
0
Other acceptable: 2.0 mL plasma, lavender (EDTA) or green (sodium or lithium heparin) top tube. Remove plasma from cells ASAP and transfer to a
Method: Gas Chromatography (GC)
Unit code: 804200
CPT Code(s): 82205
Reported: 2-5 days
Barbiturates Screen Only, Urine
Order code: 25210
Method: Immunoassay
Unit code: 265210
Reported: 1-2 days
10-101
Test List
Bartonella henselae Antibodies, IgG & IgM
Order code: 85255
Preferred specimen: 1.0 mL serum, SST or red top tube. Remove serum from cells ASAP or within 2 hours of collection and transfer to a plastic
transport tube.
received within 30 days from receipt of the acute specimens. Please mark specimens plainly as "acute" or "convalescent."
Unit code: 836325
CPT Code(s): 86611 (x2)
Ref range: Bartonella henselae Antibody, IgG by IFA:
<1:64 Negative - No significant level of Bartonella henselae IgG antibody detected.
1:64-1:128 Equivocal - Questionable presence of Bartonella henselae IgG antibody detected. Repeat testing in 10-14 days may be
helpful.
>=1:256 Positive - Presence of IgG antibody to Bartonella henselae detected, suggestive of current or past infection.
Bartonella henselae Antibody, IgM by IFA:
<1:16 Negative - No significant level of Bartonella henselae IgM antibody detected.
>=1:16 Positive - Presence of IgM antibody to Bartonella henselae detected, suggestive of current or recent infection.
Reported: 2-9 days
Bartonella henselae Antibody, IgG
Order code: 85254
transport tube.
Method: Semi-Quantitative Indirect Fluorescent Antibody
Unit code: 836324
CPT Code(s): 86611
Ref range: <1:64 Negative - No significant level of Bartonella henselae IgG antibody detected.
1:64-1:128 Equivocal - Questionable presence of Bartonella henselae IgG antibody detected. Repeat testing in 10-14 days may
be helpful.
>= 1:256 Positive - Presence of IgG antibody to Bartonella henselae detected, suggestive of current or past infection.
Reported: 2-9 days
Bartonella henselae Antibody, IgM
Order code: 85256
transport tube.
Unit code: 836326
CPT Code(s): 86611
Ref range: < 1:16 Negative - No significant level of Bartonella henselae IgM antibody detected.
>= 1:16 Positive - Presence of IgM antibody to Bartonella henselae detected, suggestive of current or recent infection.
Reported: 2-9 days
Test List
10-102
S1
0
Bartonella quintana Antibodies, IgG & IgM
Order code: 80426
Preferred specimen: 1.0 mL serum, SST. Remove serum from cells ASAP.
Notes: Parallel testing is preferred and convalescent samples must be received within 30 days from receipt of acute samples. Please label
samples as acute or convalescent.
Unit code: 804260
CPT Code(s): 86611 (x2)
Ref range: Bartonella quintana Antibody, IgG:
< 1:64 Negative - No significant level of Bartonella quintana IgG antibody detected.
1:64-1:128 Equivocal - Questionable presence of Bartonella quintana IgG antibody detected. Repeat testing in 10-14 days may be
helpful.
>= 1:256 Positive - Presence of IgG antibody to Bartonella quintana detected, suggestive of current or past infection.
Bartonella quintana Antibody, IgM:
< 1:16 Negative - No significant level of Bartonella quintana IgM antibody detected.
>= 1:16 Positive - Presence of IgM antibody to Bartonella quintana detected, suggestive of current or recent infection.
Reported: 2-9 days
Bartonella Species by PCR, Whole Blood
Order code: 80465
Preferred specimen: 1.0 mL whole blood, lavender (EDTA) top tube.
Notes: Specimen source is required. Do not freeze specimen.
Unacceptable: Plasma or heparinized specimens. Frozen specimens.
Method: Polymerase Chain Reaction
Unit code: 804265
CPT Code(s): 87471
Reported: 2-6 days
S1
0
Basic Metabolic Panel (BMP)
Order code: 1137
BUN
Calcium
Carbon Dioxide
Chloride
Creatinine
Glucose
Potassium
Sodium
Glomerular Filtration Rate
Method: See individual tests
Unit code: 90127
CPT Code(s): 80048
Ref range: ADULT:
BUN
Calcium
Carbon Dioxide
Chloride
Creatinine - Male
- Female
Glucose
Potassium
Sodium
6-20 mg/dL
8.6-10.2 mg/dL
22-29 mmol/L
98-107 mmol/L
0.70-1.20 mg/dL
0.50-0.90 mg/dL
70-99 mg/dL
3.5-5.1 mmol/L
136-145 mmol/L
BCL1
See: IGH/CCND1, t(11;14) by FISH
BCL6 Rearrangement
See: Chromosome Analysis, FISH-Interphase
10-103
Test List
BCR-ABL Major (p210) Quantitative by PCR
Order code: 50110
Preferred specimen: 5.0 mL whole blood, lavender (EDTA), yellow (ACD solution A), light blue (sodium citrate), or green (sodium or lithium heparin) top
tube. Refrigerate immediately after collection. Specimen should be received in laboratory within 24 hours of collection.
Minimum specimen: 1.0 mL whole blood or bone marrow
Notes: Testing includes pathologist's interpretation.
Other acceptable: 3.0 mL bone marrow (EDTA)
Unit code: 550110
CPT Code(s): 81206, G0452
Reported: 2-7 days
BCR-ABL Minor (p190) Quantitative by PCR
Order code: 84903
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) top tube or 3.0 mL bone marrow (EDTA). Specimen must be received in the
laboratory within 24 hours of collection due to liability of RNA.
Minimum specimen: 1.0 mL whole blood or bone marrow.
Notes: Order in cases of Philadelphia chromosome positive (Ph+) lymphoblastic leukemia to quantify the BCR-ABL1 p190 fusion form. For
CML, use BCR-ABL Major (p210).
Unacceptable: Serum or plasma. Specimens collected in anticoagulants other than EDTA. Severely hemolyzed specimens. Frozen or clotted
specimens.
Method: Quantitative Reverse Transcription Polymerase Chain Reaction
Unit code: 804903
CPT Code(s): 81207
Reported: 6-8 days
BCR-ABL, Major (p210) Qualitative by PCR
Order code: 50100
Preferred specimen: 5.0 mL whole blood, lavender (EDTA), yellow (ACD solution A), light blue (sodium citrate), or green (sodium or lithium heparin) top
tube. Refrigerate immediately after collection. Specimen should be received in laboratory within 24 hours of collection.
Other acceptable: 3.0 mL bone marrow (EDTA)
Unit code: 550100
CPT Code(s): 81206, G0452
Reported: 2-7 days
BCR-ABL1 Kinase Domain Mutation Analysis
Order code: 80427
Preferred specimen: 5.0 mL whole blood or 2.0 mL bone marrow, lavender (EDTA) top or yellow (ACD) top tube. TIME SENSITIVE. Specimen must be
received in the laboratory same day as collected. Do not freeze.
Notes: Mutations within the BCR-ABL1 kinase domain in imatinib-treated chronic myeloid leukemia are the main mechanism of acquired
resistance. The early detection of mutations should provide clinical benefit by allowing early intervention. Candidates for the BCRABL1 kinase domain mutation analysis include:
Patients who fail to respond to imatinib therapy
Patients with significant increase in BCR-ABL1 levels as detected by the quantitative BCR-ABL1 assay
Patients with a loss of cytogenetic or hematologic response
Patients in accelerated phase/blast crisis
Unacceptable: Frozen specimens or clotted blood.
Method: Polymerase Chain Reaction (PCR); Direct Sequencing; Capillary Electrophoresis
Unit code: 804275
CPT Code(s): 81170
Benadryl
Test List
10-104
S1
0
Bence Jones Protein
See: Protein Electrophoresis, Urine
Benzene Quantitation, Whole Blood
Order code: 84295
Preferred specimen: 2.0 mL whole blood, gray (potassium oxalate/sodium fluoride) or lavender (EDTA) top tube.
Unacceptable: Room temperature specimens.
Unit code: 804295
CPT Code(s): 84600
Reported: 4-7 days
Benzodiazepine Confirmation, Quantitative, Urine
Order code: 82914
Test includes: Nordiazepam, Oxazepam, and OH-Alprazolam.
Unit code: 812914
CPT Code(s): 80346
Reported: 5-7 days
Benzodiazepines Confirmation, Quantitative, Urine
S1
0
Order code: 27014
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compounds: Alprazolam,
Hydroxyalprazolam, Clonazepam, Diazepam, Nordiazepam, Temazepam and Lorazepam.
Unit code: 270145
CPT Code(s): 80346
Reported: 2-4 days
Benzodiazepines Screen Only, Urine
Order code: 25220
Method: Immunoassay
Unit code: 265220
Reported: 1-2 days
Benzodiazepines, Serum or Plasma
See: Drugs of Abuse Confirmation/Quantitation - Benzodiazepines, Serum or Plasma
Benzol
See: Benzene Quantitation, Whole Blood
10-105
Test List
Benztropine
Order code: 81120
Unacceptable: Separator tubes or gels
Method: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Unit code: 804350
CPT Code(s): 80375
Reported: 4-11 days
Beryllium, Serum or Plasma
Order code: 84370
Preferred specimen: 2.0 mL serum, royal blue (trace metal-free; no additive) top tube or red top tube. Remove serum from cells and transfer to a Trace
Element-Free transport tube.
Other acceptable: 2.0 mL plasma, royal blue (trace metal-free; EDTA) top tube. Remove plasma from cells and transfer to a Trace Element-Free
transport tube.
Unit code: 804370
CPT Code(s): 83018
Reported: 4-11 days
Beta 2-Glycoprotein 1 Antibodies, IgG, IgM, IgA
Order code: 80397
S1
0
Unit code: 803927
CPT Code(s): 86146 (x3)
Ref range: B2-Glycoprotein 1 Antibody, IgG: 0-20 GPI IgG units
B2-Glycoprotein 1 Antibody, IgM: 0-32 GPI IgM units
B2-Glycoprotein 1 Antibody, IgA: 0-25 GPI IgA units
Beta Streptococcus Culture, Genital
See: Culture, Group B Screen
Beta Streptococcus Culture, Throat
See: Culture, Beta Strep,Throat
Beta-2 Glycoprotein 1 Antibodies, IgG & IgM
Order code: 80392
Unacceptable: Plasma or other body fluids.
Unit code: 803926
CPT Code(s): 86146 (x2)
Ref range: Beta-2 Glycoprotein 1 Antibody, IgG
Negative: 0-20 U
Positive: 21 U or greater
Beta-2 Glycoprotein 1 Antibody, IgM
Negative: 0-20 U
Positive: 21 U or greater
Reported: 3-6 days
Test List
10-106
Beta-2 Microglobulin
Order code: 1231
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (lithium heparin) top tube.
Unit code: 112350
CPT Code(s): 82232
Ref range: 0.8-2.2 mg/L
Reported: 1-3 days
Beta-2 Transferrin
Order code: 80433
Preferred specimen: 2.0 mL serum, red top or gel-barrier tube, and 2.0 mL aural or nasal fluid in a sterile container without preservative. Remove serum
from cells ASAP or within 2 hours of collection and transfer to a plastic transport tube. Do not freeze specimens.
Minimum specimen: 0.5 ml serum and 1.0 mL aural or nasal fluid.
Unacceptable: Plasma or frozen specimens.
Method: Qualitative Immunofixation Electrophoresis
Unit code: 804380
CPT Code(s): 86334, 86335
Detection of a beta-2 transferrin band by IFE is diagnostic for the presence of cerebrospinal fluid (CSF). This test is useful in the
differential diagnosis for CSF otorrhea or CSF rhinorrhea. Beta-2 transferrin is not detected by this methodology in normal serum,
tears, saliva, sputum, nasal, or aural fluid.
Reported: 2-5 days
Beta-hCG, Qualitative, Pregnancy, Serum
See: Human Chorionic Gonadotropin (Beta-hCG), Qualitative, Pregnancy, Serum
S1
0
Beta-hCG, Quantitative Tumor Marker
Order code: 1378
Unit code: 111018
CPT Code(s): 84702
Ref range: Males: 0-2 mIU/mL
Females: 0-1 mIU/mL
Beta-hCG, Quantitative, Serum (Females)
See: Human Chorionic Gonadotropin (Beta-hCG), Quantitative, Serum (Females)
Beta-Hydroxybutyric Acid
Order code: 80396
Preferred specimen: 1.0 mL serum, red top tube or SST. Allow serum specimen to clot at room temperature, then remove serum from cells and transfer
to a plastic transport tube and refrigerate.
plasma from cells and transfer to a plastic transport tube and refrigerate.
Unit code: 803965
CPT Code(s): 82010
Ref range: 0.0-3.0 mg/dL
Reported: 2-4 days
Betapace
See: Sotalol
10-107
Test List
Bicarbonate (HCO3), Urine
Order code: 80425
Preferred specimen: 4.0 mL aliquot from a random urine collection. Immediately upon collection, mix and remove aliquot into a plastic transport tube. Do
not expose to air. Freeze urine aliquot.
Unacceptable: Nonfrozen specimens
Method: Enzymatic
Unit code: 804255
CPT Code(s): 82374
Ref range: Not defined
Reported: 2-3 days
Bile Acids, Fractionated & Total
Order code: 81150
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells and transfer to a plastic transport tube.
Notes: Patient should be fasting a minimum of eight hours prior to specimen collection.
Unit code: 804400
CPT Code(s): 83789
Ref range: 7 years and older:
Cholic acid (CA) 0-1.9 µmol/L
Chenodeoxycholic acid (CDC) 0-3.4 µmol/L
Deoxycholic acid (DCA) 0-2.5 µmol/L
Ursodeoxycholic acid (UDC) 0-1.0 µmol/L
Total 0-7.0 µmol/L
Reported: 2-7 days
Bile Acids, Total
Order code: 80440
Preferred specimen: 1.0 mL serum, red top tube or SST. Allow specimen to clot completely at room temperature before separating from cells. Remove
serum from cells and transfer to a plastic transport tube.
Notes: Patient must be fasting a minimum of eight hours prior to collection.
Unacceptable: Heparinized or hemolyzed specimens. Body fluids.
Method: Enzymatic
Unit code: 804405
CPT Code(s): 82239
Ref range: 0-10 µmol/L
Reported: 2-3 days
Bilirubin, Direct
Order code: 1091
Method: Diazo Method
Unit code: 101740
CPT Code(s): 82248
Ref range: Adult: <0.4 mg/dL
Bilirubin, Direct, Pediatric
See: Bilirubin, Direct
Test List
10-108
S1
0
Bilirubin, Fractionated
Order code: 1340
Unit code: 101760
CPT Code(s): 82247, 82248
Ref range: ADULT:
Total:
<1.2 mg/dL
Direct:
<0.4 mg/dL
Indirect: <0.8 mg/dL
Bilirubin, Fractionated, Pediatric
Order code: 1350
Preferred specimen: 0.2 mL serum, two full amber colored microtainer tubes with serum separator gel (gold top) or two full red top microtainers. If
specimen will not be received in lab within 2 hours, centrifuge and remove serum from cells.
Minimum specimen: 0.1 mL serum, one full microtainer tube.
Notes: Protect specimen from light by using amber colored tubes or wrapping in foil.
Method: Colorimetry-Diazo Method
Unit code: 103040
CPT Code(s): 82247, 82248
Ref range: Total Bilirubin:
Up to 24 hours
24 to 48 hours
3 to 5 days
After 1 month
Direct Bilirubin:
Up to 1 month
2 months to 14 years
15 years or older
<8.0 mg/dL
<11.5 mg/dL
<12.0 mg/dL
0.2-1.2 mg/dL
<0.6 mg/dL
<0.2 mg/dL
<0.4 mg/dL
S1
0
Bilirubin, Total
Order code: 1090
Unit code: 101730
CPT Code(s): 82247
Ref range: <1.2 mg/dL
Bilirubin, Total and Direct
Order code: 1341
Unit code: 101770
CPT Code(s): 82247, 82248
Ref range: Adult:
Total: <1.2 mg/dL
Direct: <0.4 mg/dL
10-109
Test List
Bilirubin, Total, Pediatric
Order code: 1351
Preferred specimen: 0.2 mL serum, two full amber colored microtainer tubes with serum separator gel (gold top) or two full red top microtainers. If
specimen will not be received in lab within 2 hours, centrifuge and remove serum from cells.
Minimum specimen: 0.1 mL serum, one full microtainer tube.
Notes: Protect specimen from light by using amber colored tubes or wrapping in foil.
Unit code: 103030
CPT Code(s): 82247
Ref range: Full term:
Up to 24 hours:
24 to 48 hours:
3-5 days:
After 1 month:
<8.0 mg/dL
<11.5 mg/dL
<12.0 mg/dL
0.2-1.2 mg/dL
Bismuth, Blood
Order code: 80455
Preferred specimen: 7.0 mL whole blood, royal blue (K EDTA) or (Na EDTA) top tube, in the original collection tube at room temperature or
2
refrigerated is also acceptable. 2
2
Unacceptable: Heparin anticoagulant. Frozen specimens.
Method: Inductively Coupled Plasma/Mass Spectrophometry
Unit code: 804551
CPT Code(s): 83018
Reported: 2-6 days
BK Virus, Quantitative by PCR
Order code: 80581
Preferred specimen: 1.0 mL serum, gel-barrier tube.
Minimum specimen: 0.5 mL serum, plasma, whole blood, or urine.
Notes: Specimen source is required. Please indicate source on the test request form.
1.0 mL whole blood, lavender or pink top tube.
1.0 mL random urine.
Unacceptable: Heparinized or clotted specimens. Do not freeze whole blood specimens.
Method: Quantitative Real-Time Polymerase Chain Reaction
Unit code: 804581
CPT Code(s): 87799
Ref range: Not detected.
The quantitative range of this assay is 2.6-8.6 log copies/mL (390-390,000,000 copies/mL).
A negative result (less than 2.6 log copies/mL or less than 390 copies/mL) does not rule out the presence of PCR inhibitors in the
patient specimen or BK virus DNA concentrations below the level of detection of the assay. Inhibition may also lead to
underestimation of viral quantitation.
Reported: 2-4 days
Bladder Tumor Associated Antigen (BTA)
Order code: 1278
Preferred specimen: 2.0 mL voided urine or urine from a catheterized patient. Use a clean urine cup without preservatives or fixatives. Do not collect or
store urine in paper or foam cups.
Unacceptable: Urine collected or stored in paper or foam cups.
Method: Qualitative Immunoassay
Unit code: 804590
CPT Code(s): 86294
Ref range: Positive: Bladder tumor associated antigen detected.
Negative: Bladder tumor associated antigen not detected.
Reported: 2-6 days
Test List
10-110
S1
0
Bladder Tumor Detection Panel
Order code: 35142
Preferred specimen: Fresh urine collected into a sterile specimen container. Immediately after collection, add 60 mL of the voided urine into a Urine
Specimen Preservative container (contains 30 mL PreservCyt Solution). Secure the lid tightly and refrigerate ASAP. Urine
preservative transport kits with handling instructions are available through BBPL Client Services.
Notes: Test includes: Urine Cytology, UroVysion, and p16.
Other acceptable: Fresh urine (min: 60 mL) in a sterile specimen container mixed with urine cytology fixative (alcohol based-i.e. Cytorich). Add equal
volume of fixative to urine (1:1 ratio). Urine must be fixed immediately after collection and refrigerated.
Unacceptable: Urine specimens with no fixative added.
Method: Fluorescence in situ Hybridization/Immunohistochemistry
Unit code: 535142
CPT Code(s): 88112, 88121, 88342
Reported: 2-7 days
Blastomyces Antibodies by CF & ID
Order code: 81180
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells ASAP and transfer to a plastic transport tube. Parallel testing is
preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Please mark
specimens plainly as "acute" or "convalescent".
Unacceptable: Severely lipemic or contaminated specimens.
Method: Semi-Quantitative Complement Fixation/Qualitative Immunodiffusion
Unit code: 804600
CPT Code(s): 86612 (x2)
Ref range: Blastomyces Antibody by CF: <1:8
Blastomyces Antibody by ID: None detected
Reported: 3-5 days
S1
0
Blastomyces dermatitidis Antigen
Order code: 84601
Preferred specimen: 2.0 mL random urine in a clean plastic urine container. Or 2.0 mL serum, red top or gel-barrier tube, or plasma, green (sodium or
lithium heparin) top tube. Remove serum or plasma from cells and transfer to a plastic transport tube.
Minimum specimen: 1.0 mL urine, serum, plasma, CSF or BAL
Other acceptable: 2.0 mL CSF or BAL
Unacceptable: EDTA plasma
Unit code: 804601
CPT Code(s): 87449
Reported: 4-6 days
Blood Culture
See: Culture, Blood
Blood Group and Rh Type
See: ABO and Rh
BMP
See: Basic Metabolic Panel
Body Fluid Crystals
See: Crystals, Body Fluid
Body Fluid Culture
See: Culture, Body Fluid
10-111
Test List
Bone Specific Alkaline Phosphatase
Order code: 80495
Preferred specimen: 0.5 mL serum, SST.
Other acceptable: 0.5 mL plasma, green (sodium or lithium heparin) top tube.
Unacceptable: Urine. Grossly hemolyzed specimens.
Unit code: 804695
CPT Code(s): 84080
Ref range: Female:
6 months-2 years: 33.4-145.3 µg/L
3-6 years: 32.9-108.6 µg/L
7-9 years: 36.3-159.4 µg/L
10-12 years: 44.2-163.3 µg/L
13-15 years: 14.8-136.2 µg/L
16-17 years: 10.5-44.8 µg/L
Premenopausal: 4.5-16.9 µg/L
Postmenopausal: 7.0-22.4 µg/L
Male:
6 months-2 years: 31.6-122.6 µg/L
3-6 years: 31.3-103.4 µg/L
7-9 years: 48.6-140.4 µg/L
10-12 years: 48.8-155.5 µg/L
13-15 years: 27.8-210.9 µg/L
16-17 years: 15.3-126.8 µg/L
18-24 years: 10.0-28.8 µg/L
25 years and older: 6.5-20.1 µg/L
Reported: 2-3 days
Bordetella pertussis Antibodies, IgG, IgM, IgA, Serum
Order code: 81205
Unacceptable: Hemoysis, lipemia, or gross bacterial contamination.
Method: Enzyme-linked Immunosorbent Assay
S1
0
Unit code: 804700
CPT Code(s): 86615 (x3)
Ref range: Bordetella pertussis Antibody, IgG:
Negative <0.95 Index
Equivocal 0.95-1.04 Index
Positive >1.04 Index
Bordetella pertussis Antibody, IgM
Negative <1.0 Index
Borderline 1.0-1.1 Index
Positive >1.1 Index
Bordetella pertussis Antibody, IgA
Negative <1.0 Index
Borderline 1.0-1.1 Index
Positive >1.1 Index
Reported: 4-8 days
Bordetella pertussis DNA, Qualitative Real-Time PCR
Order code: 39070
Minimum specimen: 1 nasopharyngeal swab
Other acceptable: Nasopharyngeal swab in non-nutritive, sterile media (i.e. saline); Nasopharyngeal swab in sterile tube without media.
Unit code: 539070
CPT Code(s): 87798
Ref range: Negative
Reported: 1-2 days
Test List
10-112
Bordetella pertussis, Culture
Order code: 81200
Preferred specimen: Collect two nasopharyngeal specimens using swabs provided in the Pertussis Collection Kit available through BBPL Client
Services. Place the first specimen swab in the Regan-Lowe semi-solid transport media and immerse the second specimen
swab in the tube containing saline. Immerse the swabs completely in the media, cut off the excess shaft, and place the cap on
securely. Leave the swabs immersed in the transport media and refrigerate immediately. Transport to the laboratory on cool packs
within 24 hours of collection.
Unacceptable: Inappropriate specimen transport device, cotton swabs, or frozen specimens.
Method: Bacteriologic culture techniques
Unit code: 804750
CPT Code(s): 99000
Ref range: Negative for Bordetella pertussis.
Preliminary: As soon as positive detected
Final: Negative at 7 days
Bordetella pertussis/parapertussis by PCR
Order code: 80475
Preferred specimen: Collect respiratory specimen; aspirate, bronchoalveolar lavage (BAL), sputum or swab. Transfer 2.0 mL fluid specimen to a sterile
container or viral transport media. Place swabs in viral transport media. Viral transport media is available through BBPL Client
Services or online using the BBPL Electronic Supply Order Form. Record specimen source on test request form.
Minimum specimen: 0.5 mL respiratory specimens
Notes: CDC recommended test for the diagnosis of pertussis.
Unacceptable: Calcium-alginate swabs.
Method: Qualitative Polymerase Chain Reaction
Unit code: 804705
CPT Code(s): 87798 (x2)
Reported: 2-5 days
Borrelia burgdorferi Antibodies, IgG & IgM
S1
0
Order code: 2600
Preferred specimen: 1.0 serum, red top tube or SST. Remove serum from cells and transfer to a plastic transport tube.
Unacceptable: Plasma, contaminated specimens or severely lipemic or hemolyzed specimens.
Method: Enzyme-Linked Immunosorbent Assay (ELISA)
Unit code: 352001
CPT Code(s): 86618
Ref range: <0.91 LI Negative - Antibody to Borrelia burgdorferi not detected.
0.91-1.09 LI Equivocal - Suggest repeat testing in 2 weeks or testing with supplemental assay such as a Western Blot test.
>1.09 LI Positive - Antibody to Borrelia burgdorferi detected.
Reported: 1-4 days
Borrelia burgdorferi Antibodies, IgG & IgM by Western Blot
Order code: 82512
Notes: Per CDC guidelines, if ELISA test result is NEGATIVE, Western blot should not be performed.
Unacceptable: CSF or plasma. Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Method: Western Blot
Unit code: 825125
CPT Code(s): 86617 (x2)
Ref range: Borrelia burgdorferi Antibody, IgG by Western Blot: Negative
IgG: For this assay, a positive result is reported when any 5 or more of the following 10 bands are present: 18, 23, 28, 30, 39, 41,
45, 58, 66, or 93 kDa. All other banding patterns are reported as negative.
Borrelia burgdorferi Antibody, IgM by Western Blot: Negative
IgM: For this assay, a positive result is reported when any 2 or more of the following bands are present: 23, 39, or 41 kDa. All other
banding patterns are reported as negative.
Reported: 2-3 days
10-113
Test List
Borrelia burgdorferi Antibodies, Total (CSF)
Order code: 84051
Preferred specimen: 3.0 mL CSF.
Unacceptable: Contaminated or heat-inactivated specimens.
Unit code: 824950
CPT Code(s): 86618
Ref range: 0.99 LIV or less: Negative - Antibody to Borrelia burgdorferi not detected.
1.00-1.20 LIV: Equivocal - Repeat testing in 10-14 days may be helpful.
1.21 LIV or greater: Positive - Probable presence of antibody to Borrelia burgdorferi detected.
Reported: 2-4 days
Borrelia burgdorferi Antibodies, Total by ELISA with Reflex to IgG & IgM Western Blot
Order code: 2602
Notes: If the ELISA result is >0.90, Western Blot will be added at an additional charge.
Unacceptable: Plasma, severely lipemic, contaminated, heat-inactivated, or hemolyzed specimens.
Method: Enzyme-Linked Immunosorbent Assay/Western Blot
Unit code: 352002
CPT Code(s): 86618
Ref range: Borrelia burgdorferi Antibodies, Total by ELISA:
<0.91 LI Negative - Antibody to Borrelia burgdorferi not detected.
0.91-1.09 LI Equivocal - Suggest repeat testing in 2 weeks or testing with supplemental assay such as a Western Blot test.
>1.09 LI Positive - Antibody to Borrelia burgdorferi detected.
Borrelia burgdorferi Antibody, IgG by Western Blot:
Negative
IgG Positive: Any five of the following 10 bands: 18, 23, 28, 30, 39, 41, 45, 58, 66, or 93 kDa.
IgG Negative: Any pattern that does not meet the IgG-positive criteria.
Borrelia burgdorferi Antibody, IgM by Western Blot:
Negative
IgM Positive: Any two of the following three bands: 23, 39, 41 kDa.
IgM Negative: Any pattern that does not meet the IgM-positive criteria
S1
0
Reported: 1-4 days
Borrelia Species by PCR
Order code: 84875
Preferred specimen: 1.0 mL serum (SST) or EDTA plasma (lavender top tube). Remove serum or plasma from cells, transfer to a plastic transport tube
and freeze.
Minimum specimen: 0.5 mL serum, plasma, CSF, or synovial fluid.
Notes: Specimen source is required.
Other acceptable: 1.0 mL CSF or synovial fluid in a sterile container or tissue in a sterile container. Freeze immediately.
Unacceptable: Heparinized specimens.
Unit code: 804875
CPT Code(s): 87476
Reported: 2-5 days
BRAF Mutation Analysis
Order code: 32025
paraffin block.
Notes: If specimen is for Melanoma, please indicate on test request form.
Method: Polymerase Chain Reaction (PCR)
Unit code: 532025
CPT Code(s): 81210, 88381, G0452
Reported: 5-7 days
Test List
10-114
Breast Cancer Prognostic Profile
Order code: 35601
Preferred specimen: Formalin-fixed, paraffin-embedded tissue block. Tumor tissue is to be placed in 10% neutral buffered formalin as soon as possible,
no later than 1 hour after removal from patient. Fixative duration: Minimum 6 hours, not to exceed 72 hours. Time from tissue
acquisition to fixation and fixation duration should be recorded on test request form. Transport at room temperature and protect
tissue block from excessive heat. Ship refrigerated during summer months. Surgical pathology report should be included with
specimen. For multiple samples, submit a separate test request form with each sample.
Minimum specimen: 1 block with tumor
ERA/PRA Receptor Assay, Paraffin Block
HER-2/neu Analysis
Ki67 (MIB1), Breast, Immunohistochemistry
Unacceptable: Specimens fixed in any other fixative than 10% neutral buffered formalin, decalcified specimens, cytology samples fixed in alcohol,
biopsies fixed for less than 6 hours or greater than 72 hours, samples where fixation was delayed for more than 1 hour. Paraffin
block with no tumor tissue remaining.
Method: Image Analysis
Immunohistochemistry and FISH
Unit code: 535601
CPT Code(s): 88361 (x4), 88367, 88374
Reported: 3-7 days
Breast Carcinoma Associated Antigen
See: CA 27.29
Bromide, Serum
Order code: 81215
Notes: Submit the following information with the order:
1. Dose - List drug amount and include the units of measure
2. Route - List the route of administration (IV, oral, etc.)
3. Dose Frequency - Indicate how often the dose is administered (per day, per week, as needed, etc.)
4. Type of Draw - Indicate the type of blood draw (Peak, Trough, Random, etc.)
S1
0
Other acceptable: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP or within 2 hours of collection and transfer to a plastic
transport tube.
Unit code: 805000
CPT Code(s): 80299
Sedation: 10-50 mg/dL (values greater than 50 mg/dL may be associated with mild toxicity)
Epilepsy seizure control: 75-150 mg/dL (many patients will exhibit toxic symptoms within this range)
Greater than 150 mg/dL: May be associated with debilitating toxicity
Greater than 300 mg/dL: May be fatal
Reported: 2-6 days
Bronchial Washings Culture
See: Culture, Lower Respiratory Tract
Brucella Antibody (Total) by Agglutination
Order code: 5190
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells ASAP or within 2 hours of collection.
Notes: Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Please
label specimens as "acute" or "convalescent".
Unacceptable: Severely lipemic, hemolyzed, contaminated or heat in-activated specimens.
Method: Bacterial Agglutination
Unit code: 805051
CPT Code(s): 86622
Ref range: <1:20 Negative
Reported: 3-5 days
10-115
Test List
Brucella Antibody IgG, EIA
Order code: 80552
Unacceptable: Hemolyzed, lipemic, or grossly contaminated specimens.
Unit code: 805052
CPT Code(s): 86622
Ref range: Negative
Reported: 3-7 days
Brucella Antibody IgM, EIA
Order code: 80553
Unacceptable: Hemolyzed, lipemic, or grossly contaminated specimens.
Unit code: 805053
CPT Code(s): 86622
Ref range: Negative
Reported: 3-7 days
Brufen
See: Ibuprofen
BTA
See: Bladder Tumor Associated Antigen
Bullous Pemphigoid Antigens (180 kDa & 230 kDa), IgG
Order code: 80509
Notes: Please submit Immunodermatology Required Clinical Information Form (Serum) with test request form and specimen.
Method: Enzyme Linked Immunosorbent Assay
Unit code: 805090
CPT Code(s): 83516 (x2)
Reported: 4-12 days
BUN
See: Urea Nitrogen
Test List
10-116
S1
0
Buprenorphine and Metabolites, Serum or Plasma, Quantitative
Order code: 81237
Notes: Drugs covered: Buprenorphine and Norpbuprenorphine
Positive cutoff: 1 ng/mL
For medical purposes only; not valid for forensic use.
Other acceptable: 2.0 mL plasma, gray (sodium fluoride/potassium oxalate), green (sodium heparin), or lavender (EDTA) top tube. Remove plasma
Unacceptable: Separator tubes or gels. Plasma or whole blood collected in light blue (sodium citrate) top tube. Hemolyzed specimens.
Unit code: 812873
CPT Code(s): 80348
Reported: 2-6 days
Buprenorphine Confirmation, Quantitative, Urine
Order code: 27040
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compounds: Burprenorphine,
Norbuprenorphine.
Unit code: 270400
Reported: 2-4 days
S1
0
Bupropion
Order code: 81216
Preferred specimen: 2.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection,
transfer to a plastic transport tube and freeze.
Separate specimens must be submitted when multiple tests are ordered.
Submit the following information with the order:
4. Type of Draw - Indicate the type of blood draw (Peak, Trough, Random, etc.
Other acceptable: 2.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP or within 2 hours of collection, transfer to a plastic
transport tube and freeze.
Unacceptable: Whole blood. Gel separator tubes, light blue (citrate) or yellow (SPS or ACD solution) tubes. Non-frozen specimens.
Unit code: 805100
CPT Code(s): 80338
Ref range: Therapeutic Range: 50-100 ng/mL
Toxic Level: Greater than 400 ng/mL
The therapeutic range is based on serum pre-dose (trough) draw at steady-state concentration. Toxic concentrations may cause
mental confusion, cardiac abnormalities and seizures. Concentrations below 25 ng/mL may have no effect. This method does not
quantify the major metabolite, hydroxybupropion.
Reported: 2-6 days
10-117
Test List
Burkitt Lymphoma Panel by FISH
Order code: 32040
request form.
Notes: Includes: IGH/MYC t(8;14) and MYC Rearrangement
Unit code: 532040
CPT Code(s): 88374 (x2)
Reported: 2-5 days
Butalbital
Order code: 81232
Other acceptable: 1.0 mL plasma, lavender (EDTA), green (sodium or lithium heparin), or gray (sodium fluoride/potassium oxalate) top tube.
Remove plasma from cells within 2 hours of collection.
Method: Quantitative Gas Chromatography-Mass Spectrometry
Unit code: 805200
CPT Code(s): 80345
Ref range: Therapeutic Range: 1-10 µg/mL
Toxic: > 30 µg/mL
Reported: 2-6 days
S1
0
C DIFF
See: Clostridium difficile Toxin B by PCR
C-Peptide
Order code: 1352
Preferred specimen: 0.5 mL serum, red top or gel-barrier tube. Remove serum from cells, transfer to a plastic transport tube and freeze.
Unit code: 103500
CPT Code(s): 84681
Ref range: 1.10 - 4.40 ng/mL
C-Reactive Protein (CRP)
Order code: 5070
Other acceptable: 1.0 mL plasma, green (lithium heparin) top tube.
Method: Immunoturbidimetric
Unit code: 350300
CPT Code(s): 86140
Ref range: <0.50 mg/dL
Test List
10-118
C-Reactive Protein (CRP), High Sensitivity
Order code: 1422
Other acceptable: 1.0 mL plasma, green (lithium heparin) top tube.
Unit code: 114220
CPT Code(s): 86141
C-Telopeptide, Beta-Cross-Linked, Serum
Order code: 80525
Preferred specimen: 1.0 mL serum, gel-barrier tube. Allow specimen to sit for 15-20 minutes at room temperature for proper clot formation. Centrifuge
and remove serum from cells ASAP or within 2 hours of collection. Transfer serum to a plastic transport tube and freeze.
Notes: For patients receiving therapy with high biotin doses (e.g. greater than 5 mg/day), specimen should not be drawn until at least 8
hours after the last biotin administration.
Other acceptable: 1.0 mL plasma, pink (K EDTA) or green (lithium heparin) top tube. Remove plasma from cells, transfer to a plastic transport tube
2
and freeze.
Method: Electrochemiluminescent Immunoassay
Unit code: 805255
CPT Code(s): 82523
Ref range: Female:
6 months-6 years: 500-1800 pg/mL
7-9 years: 566-1690 pg/mL
10-12 years: 503-2077 pg/mL
13-15 years: 160-1590 pg/mL
16-17 years: 167-933 pg/mL
18-29 years: 64-640 pg/mL
30-39 years: 60-650 pg/mL
40-49 years: 40-465 pg/mL
Postmenopausal: 104-1008 pg/mL
S1
0
Male:
6 months-6 years: 500-1700 pg/mL
7-9 years: 522-1682 pg/mL
10-12 years: 553-2071 pg/mL
13-15 years: 485-2468 pg/mL
16-17 years: 276-1546 pg/mL
18-29 years: 87-1200 pg/mL
30-39 years: 70-780 pg/mL
40-49 years: 60-700 pg/mL
50-69 years: 40-840 pg/mL
70 years or greater: 52-847 pg/mL
Reported: 2-5 days
C1 Complement, Functional
See: Complement C1, Functional
C1 Esterase Inhibitor Functional
Order code: 81250
Notes: Remove serum or plasma from cells ASAP, transfer to a plastic transport tube and freeze. Separate specimens must be submitted
Other acceptable: 0.5 mL plasma, lavender (EDTA) or pink (K EDTA) top tube.
2
Unacceptable: Nonfrozen specimens
Unit code: 805450
CPT Code(s): 86161
Ref range: 68% or greater: Normal
41-67%: Indeterminate
40% or less: Abnormal
Reported: 2-5 days
10-119
Test List
C1 Esterase Inhibitor Panel
Order code: 81270
Preferred specimen: 2.0 mL serum, SST. Remove serum from cells ASAP. Aliquot 1.0 mL serum into 2 separate transport tubes. Freeze one serum
tube and transport frozen (CRITICAL FROZEN). Transport the other serum tube refrigerated.
Minimum specimen: 0.4 mL frozen serum and 0.5 mL refrigerated serum.
C3
C4
C1 Esterase Inhibitor Total
Transport temp: One frozen specimen (CRITICAL FROZEN) and one refrigerated specimen.
Unit code: 805301
CPT Code(s): 86160 (x2), 86161
Ref range: C3: 90-180 mg/dL
C4: 10-40 mg/dL
C1 Esterase Inhibitor Total: 21-39 mg/dL
Reported: 2-5 days
C1 Esterase Inhibitor Total
Order code: 85555
Preferred specimen: 1.0 mL serum, SST. Remove serum from cells ASAP, transfer to a plastic transport tube and freeze immediately.
Unit code: 805350
CPT Code(s): 86160
Reported: 2-5 days
C1Q Binding Immune Complex Detection
See: Immune Complex C1Q
S1
0
C1Q Complement
See: Complement C1Q
C2 Complement
See: Complement C2
C3 & C4 Complement
See: Complement C3 & C4
C3 Complement
See: Complement C3
C4 Complement
See: Complement C4
C5 Complement
See: Complement C5
Test List
10-120
CA 125
See: Cancer Antigen 125
CA 15-3
See: Cancer Antigen-Breast (CA 15-3)
CA 19-9
See: Cancer Antigen-GI (CA 19-9)
CA 27.29
See: Cancer Antigen 27.29
Cadmium, Blood
Order code: 81283
Preferred specimen: 7.0 mL whole blood, royal blue (K2EDTA) or (Na2EDTA) top tube, in the original collection tube (preferred) at room temperature or
refrigerated is also acceptable.
nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician) prior to
specimen collection.
determinations, such as a royal blue Na EDTA tube.
2
S1
0
Unit code: 805600
CPT Code(s): 82300
Reported: 2-4 days
Cadmium, Urine
Order code: 80561
Preferred specimen: 8.0 mL urine aliquot from a well-mixed 24-hour or random urine collection. Specimen must be collected in a plastic container and
refrigerated during the collection period. Submit urine in two Trace Element-Free transport tubes. Do not use acid preservative.
Record total volume and hours of collection on both the urine container and test request form.
nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician) prior to
High concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast
agents for at least 1 month prior to collecting specimens for elemental testing is recommended.
Unacceptable: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies) or
acid preserved urine.
Unit code: 805610
CPT Code(s): 82300
Ref range: Cadmium, Urine - per volume: 0.0-2.6 µg/L
Cadmium, Urine - per 24-hour: 0.0-3.3 µg/d
Cadmium, Urine - ratio to CRT: 0.0-3.0 µg/g crt
Reported: 2-4 days
10-121
Test List
Caffeine
Order code: 81285
plasma from cells ASAP or within 6 hours of collection and transfer to a plastic transport tube.
Unacceptable: Citrated plasma. Serum separator tubes or gels.
Method: Quantitative Enzyme Multiplied Immunoassay Technique
Unit code: 805650
CPT Code(s): 80299
Ref range: Therapeutic Range: 8-20 µg/mL
Toxic: Greater than 20 µg/mL
Reported: 2-6 days
Calan
See: Verapamil
Calcitonin, Serum
Order code: 81310
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells, transfer to a plastic transport tube and freeze immediately.
Notes: Patient should be fasting. Record on test request form if calcium infusion or pentagastrin injection tests are part of the patient
preparation.
Values obtained with different assay methods should not be used interchangeably in serial testing. It is recommended that only one
assay method be used consistently to monitor each patient's course of therapy.
Unacceptable: Lipemia, gross hemolysis, nonfrozen specimens or plasma.
S1
0
Method: Immunochemiluminometric Assay
Unit code: 805700
CPT Code(s): 82308
Ref range: Male: 0.0-8.4 pg/mL
Female: 0.0-5.0 pg/mL
Reported: 3-5 days
Calcium, Ionized
Order code: 1032
Preferred specimen: Collect one 5 mL serum gel-barrier tube. Centrifuge with stopper in place within 1 hour of collection. Do not open the tube or split
the specimen. Do not expose the specimen to air during collection or transport process. Transport the original gel-barrier
collection tube refrigerated. Do not freeze or ship on dry ice. Separate specimens must be submitted when multiple tests are
ordered.
Unacceptable: Plasma, specimens exposed to air, hemolyzed or frozen specimens.
Method: Ion Selective Electrode
Unit code: 103520
CPT Code(s): 82330
Ref range: 1.11-1.40 mmol/L
Calcium, Serum
Order code: 1055
Method: Photometric
Unit code: 101670
CPT Code(s): 82310
Test List
10-122
Calcium, Urine
Order code: 1060
Preferred specimen: 5.0 mL urine aliquot from a well-mixed 24-hour or random urine collection. Refrigerate 24-hour specimen during collection. No
preservatives required. Record total volume and hours of collection on both the urine container and test request form.
Method: Photometric
Unit code: 102430
CPT Code(s): 82340
Ref range: Calcium Diet:
Low to average 50-150 mg/day
Average (800 mg/d) 100-300 mg/day
Calcium/Creatinine Ratio, Urine
Order code: 1061
Preferred specimen: 5.0 mL random urine with no preservatives.
Method: Photometric
Unit code: 102431
CPT Code(s): 82340, 82570
Ref range: <0.14
Calculi (Urinary) Analysis
See: Stone (Calculi) Analysis
Calprotectin, Fecal
Order code: 80583
Preferred specimen: 5 g random stool in a clean unpreserved stool transport container.
S1
0
Minimum specimen: 1 g of stool
Unacceptable: Stool specimen in media or preservatives.
Unit code: 805830
CPT Code(s): 83993
Ref range: 50 µg/g or less: Normal
51-120 µg/g: Borderline elevated, test should be re-evaluated in 4-6 weeks.
121 µg/g or greater: Abnormal
Reported: 2-4 days
CALR (Calreticulin) Exon 9 Mutation Analysis by PCR
Order code: 85840
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) or 3.0 mL bone marrow (EDTA). Do not freeze.
Notes: This mutation is helpful for the diagnosis and subclassification of myeloproliferative neoplasms in patients who lack JAK2
mutations.
Unacceptable: Serum. Specimens collected in anticoagulants other than EDTA. Clotted or grossly hemolyzed specimens.
Unit code: 805840
CPT Code(s): 81219
Reported: 3-8 days
10-123
Test List
Campylobacter jejuni Antibody, IgG
Order code: 80584
Preferred specimen: 1.0 mL serum, SST. Remove serum from cells ASAP and transfer to a plastic transport tube.
Unacceptable: Hemolyzed, icteric, lipemic, contaminated, or heat-inactivated specimens.
Unit code: 805845
CPT Code(s): 86625
Ref range: Less than 1:320 Negative - No significant level of Campylobacter jejuni IgG antibody detected.
Greater than or equal to 1:320 Positive - IgG antibody to Campylobacter jejuni detected, suggestive of current or past infection.
Reported: 2-9 days
Campylobacter, Culture, Stool
See: Culture, Stool with Shiga Toxin 1 and 2 by EIA
Cancer Antigen 125 (Ovarian Cancer)
Order code: 1273
Unit code: 111045
CPT Code(s): 86304
Ref range: 0-35 U/mL
Cancer Antigen 27.29
Order code: 1729
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells, transfer to a plastic transport tube and refrigerate. Freeze serum if
specimen will not be received in laboratory within 48 hours of collection.
S1
0
Unit code: 111049
CPT Code(s): 86300
Cancer Antigen-Breast (CA 15-3)
Order code: 81370
Preferred specimen: 1.0 mL serum, SST. Allow specimen to clot completely at room temperature. Remove serum from cells ASAP or within 2 hours of
collection and transfer to a plastic transport tube.
Method: Electrochemiluminescent Immunoassay
The Roche Modular E170 CA 15-3 electrochemiluminescent immunoassay is used. Results obtained with different methods or kits
cannot be used interchangeably. The CA 15-3 assay is used to aid in the management of Stage II and III breast cancer patients.
Serial testing for patient CA 15-3 assay values should be used in conjunction with other clinical methods for monitoring breast
cancer.
Unit code: 805900
CPT Code(s): 86300
Reported: 2-3 days
Test List
10-124
Cancer Antigen-GI (CA 19-9)
Order code: 1249
Preferred specimen: 1.0 mL serum, SST. Allow specimen to clot completely at room temperature. Remove serum from cells within 2 hours of collection,
transfer to a plastic transport tube and freeze.
Other acceptable: 1.0 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells within 2 hours of collection, transfer to a
plastic transport tube and freeze.
Unacceptable: Body fluid, specimens collected in EDTA or sodium citrate.
Unit code: 111040
CPT Code(s): 86301
Reported: 1-4 days
Candida albicans Antibodies, IgG, IgM, IgA by ELISA
Order code: 80592
tube.
Unit code: 805952
CPT Code(s): 86628 (x3)
Ref range: Candida Antibody, IgG:
0.89 EV or less: Negative - No significant level of detectable Candida albicans antibody.
0.90-0.99 EV: Equivocal - Questionable presence of antibodies. Repeat testing in 10-14 days may be helpful.
1.00 EV or greater: Positive - Antibody to Candida albicans detected, which may indicate a current or past infection.
Candida Antibody, IgM:
Candida Antibody, IgA:
S1
0
The best evidence for current infection is a significant change on two appropriately timed specimens where both tests are done in
the same laboratory at the same time. However, low levels of IgM antibodies may occasionally persist for more than 12 months
post-infection.
Reported: 2-9 days
Candida Antibody by Immunodiffusion
Order code: 81335
Unacceptable: Body fluids.
Unit code: 805950
CPT Code(s): 86628
Reported: 3-5 days
Candida Species Culture
See: Fungal Culture
Candida species DNA Probe
Order code: 36010
Preferred specimen: Collect vaginal fluid specimen using BD Affirm VPIII Ambient Temperature Transport System. Specimens must be collected and
transported in the manufacturer's test specific swab kits. BD Affirm VPIII Transport System is available through BBPL Client
Services or online using the BBPL Electronic Supply Order Form.
Unacceptable: Swabs submitted in media other than BD Affirm VPIII Ambient Temperature Transport System.
Method: Nucleic Acid Probe
Unit code: 536010
CPT Code(s): 87480
Ref range: Negative
Reported: 1-3 days
10-125
Test List
Cannabinoid Confirmation, Quantitative, Urine
Order code: 81303
Unit code: 813103
CPT Code(s): 80349
Reported: 5-10 days
Cannabinoids (9-carboxy-THC), Serum or Plasma
See: Drugs of Abuse Confirmation/Quantitation - Cannabinoids (9-carboxy-THC), Serum or Plasma
Cannabinoids (THC) Confirmation, Quantitative, Urine
Order code: 27015
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compounds: THC-COOH.
Unit code: 270155
CPT Code(s): 80349
Reported: 2-4 days
Cannabinoids (THC) Screen Only, Urine
Order code: 25230
S1
0
Method: Immunoassay
Unit code: 265230
Reported: 1-2 days
Cannabinoids, Synthetic, Confirmation/Quantitative, Urine
Order code: 27016
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compounds: JWH-018, JWH073 butanoic,JWH-073 hydroxybutyl, JWH-210.
Unit code: 270160
Reported: 2-4 days
Test List
10-126
Carbamazepine Epoxide & Total
Order code: 80935
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells within 2 hours of collection.
Notes: Obtain trough specimen after steady-state is achieved (3-5 days). Draw within one hour prior to next dose. The epoxide half-life is
6-10 hours.
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (sodium or lithium heparin) top tube. Remove plasma from cells within 2 hours of
collection.
Method: Quantitative Liquid Chromatography-Tandem Mass Spectrometry/Quantitative EMIT Immunoassay
Unit code: 813650
CPT Code(s): 80156, 80299
Ref range: Carbamazepine-10, 11 Epoxide:
Therapeutic Range: Not well established
Total Carbamazepine:
Therapeutic Range: 4.0-12.0 µg/mL
Reported: 2-6 days
Carbamazepine, Free & Total
Order code: 85575
Notes: Timing of specimen collection: Pre-dose (trough) draw - At a steady state concentration.
Unacceptable: Whole blood. Citrated plasma. Tubes that contain liquid anticoagulant or serum separator tubes or gels.
Method: Quantitative Enzyme Multiplied Immunoassay Technique
Unit code: 838650
S1
0
CPT Code(s): 80156, 80157
Ref range: Carbamazepine, Total:
Toxic Range: Greater than 15.0 µg/mL
Free Carbamazepine:
Toxic Range: Greater than 3.8 µg/mL
Percent Free Carbamazepine:
8.0-35.0%
Reported: 2-6 days
Carbamazepine, Total
Order code: 1200
Red top tube: Remove serum from cells within 2 hours of collection and transfer to a plastic transport tube.
Separator tube (SST): Centrifuge within 2 hours of collection and transport SST refrigerated within 48 hours or transfer serum to a
Other acceptable: 0.5 mL plasma, green (sodium or lithium heparin) or lavender (EDTA) top tube. Remove plasma from cells within 2 hours of
Method: Cloned Enzyme Donor Immunoassay (CEDIA)
Unit code: 110010
CPT Code(s): 80156
Ref range: Therapeutic: 4-10 µg/mL
Potentially Toxic: >20.0 µg/mL
Carbidopa and Levodopa Quantitative
See: Sinemet
10-127
Test List
Carbidopa and Levodopa, Quantitative (Sinemet)
Order code: 85415
Preferred specimen: 2.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells within 2 hours of collection, transfer to a
plastic transport tube and freeze. Separate specimens must be submitted when multiple tests are ordered.
Other acceptable: 2.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells within 2 hours of collection, transfer to plastic transport tube
and freeze.
Unacceptable: Separator tubes or gels. Unfrozen specimens.
Unit code: 837400
CPT Code(s): 80375
Reported: 3-10 days
Carbon Dioxide
Order code: 1040
Other acceptable: 4 red top microtainer tubes.
Method: Absorbance
Unit code: 101650
CPT Code(s): 82374
Ref range: 22-29 mmol/L
Carbon Monoxide, Blood
See: Carboxyhemoglobin, Blood
Carboxyhemoglobin, Blood
Order code: 81400
Preferred specimen: 7.0 mL whole blood, green (sodium or lithium heparin) top tube or lavender (EDTA) top tube. Refrigerate immediately after
collection. Submit original full, unopened tube. Do not centrifuge or remove cap. Sampling time is end of shift (last two hours of
exposure) for industrial exposure monitoring.
Unacceptable: Clotted specimens.
Method: Co-oximetry
Unit code: 806200
CPT Code(s): 82375
Ref range: Environmental exposure: nonsmoker: <2.0%, smoker: <9.0%
Occupational exposure: BEI® (sampling time is end of shift): 3.5%
Reported: 3-5 days
Carcinoembryonic Antigen
See: CEA
Carcinoembryonic Antigen (CEA)
Order code: 1275
Unit code: 111050
CPT Code(s): 82378
Test List
10-128
S1
0
Cardiolipin Antibodies, IgG, IgM
Order code: 2076
Unacceptable: Plasma and other body fluids. Hemolyzed, icteric, or lipemic specimens.
Unit code: 202706
CPT Code(s): 86147 (x2)
Ref range: Cardiolipin Antibody, IgG:
<10.0 GPL: Negative
10.0-11.9 GPL: Equivocal
>or= 12.0 GPL: Positive
Cardiolipin Antibody, IgM:
<10.0 MPL: Negative
10.0-11.9 MPL: Equivocal
>or= 12.0 MPL: Positive
Reported: 1-5 days
Cardiolipin Antibodies, IgG, IgM, IgA
Order code: 2027
Unacceptable: Plasma and other body fluids. Hemolyzed, icteric, or lipemic specimens.
Unit code: 202705
CPT Code(s): 86147 (x3)
Ref range: Cardiolipin Antibody, IgG:
<10.0 GPL: Negative
Cardiolipin Antibody, IgM:
<10.0 MPL: Negative
S1
0
Cardiolipin Antibody, IgA:
<8.0 APL: Negative
8.0-9.9 APL: Equivocal
>or= 10.0 APL: Positive
Reported: 1-5 days
Cardiolipin Antibody, IgA
Order code: 2072
Unacceptable: Plasma. Bacterially contaminated specimens, grossly hemolyzed, icteric, or lipemic specimens.
Unit code: 202702
CPT Code(s): 86147
Ref range: <8.0 APL: Negative
8.0-9.9 APL: Equivocal
>or= 10.0 APL: Positive
Reported: 1-5 days
Cardiolipin Antibody, IgG
Order code: 2070
Unit code: 202700
CPT Code(s): 86147
Ref range: <10.0 GPL: Negative
Reported: 1-5 days
10-129
Test List
Cardiolipin Antibody, IgM
Order code: 2074
Unit code: 202704
CPT Code(s): 86147
Ref range: <10.0 MPL: Negative
Reported: 1-5 days
Carisoprodol & Meprobamate
Order code: 86430
tube.
Unacceptable: Whole blood. Gel separator tubes, light blue (citrate) or yellow (SPS or ACD solution) top tubes.
Method: Quantitative Gas Chromatography/Mass Spectrometry
Unit code: 806430
CPT Code(s): 80369
Ref range: Carisoprodol: Less than 8.0 µg/mL
Toxic: Greater than or equal to 8.0 µg/mL
Meprobamate: 5.0-20.0 µg/mL
Toxic: Greater than 40.0 µg/mL
S1
0
Reported: 2-5 days
Carisoprodol Confirmation, Quantitative, Urine
Order code: 27050
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compound: Carisoprodol.
Unit code: 270500
Reported: 2-4 days
Carnitine, Free
Order code: 80451
Preferred specimen: 0.5 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells, transfer to a plastic transport tube and
freeze ASAP.
Minimum specimen: 0.2 mL plasma or serum
Other acceptable: 0.5 mL serum, red top tube.
Unacceptable: Refrigerated or room temperature specimens. Avoid hemolysis.
Method: Tandem Mass Spectrophotometry
Unit code: 806451
CPT Code(s): 83789
Ref range: 1-31 days: 15-55 µmol/L
32 days-12 months: 29-61 µmol/L
13 months-6 years: 25-55 µmol/L
7 years-20 years: 22-63 µmol/L
21 years or older: 25-60 µmol/L
Reported: 2-5 days
Test List
10-130
Carnitine, Total
Order code: 81415
freeze ASAP.
Notes: Separate samples must be submitted when multiple tests are ordered.
Method: Tandem Mass Spectrometry
Unit code: 806450
CPT Code(s): 83789
Ref range: 1-31 days: 21-83 µmol/L
Reported: 2-5 days
Carnitine, Total and Free
Order code: 80452
freeze ASAP. Separate specimens must be submitted when multiple tests are ordered.
Method: Tandem Mass Spectrophotometry
Unit code: 806452
CPT Code(s): 83789 (x2)
Ref range: Carnitine, Total:
1-31 days: 21-83 µmol/L
S1
0
Carnitine, Free:
1-31 days: 15-55 µmol/L
Reported: 2-5 days
Carotene, Total
Order code: 81420
Preferred specimen: 2.0 mL serum, red top tube or SST. Remove serum from cells within 1 hour of collection, transfer to a plastic amber transport tube
and freeze immediately. Protect from light during collection, storage, and shipping. Separate specimens must be submitted when
multiple tests are ordered.
Notes: Fasting specimen preferred.
Unacceptable: Room temperature or refrigerated specimens. Icteric or hemolyzed specimens, and specimens not protected from light. Any
specimen other than serum.
Unit code: 806500
CPT Code(s): 82380
Ref range: 60-200 µg/dL
Reported: 2-4 days
Cat Scratch Disease, Antibodies Panel
See: Bartonella Henselae
Catapres
See: Clonidine
10-131
Test List
Catecholamines Fractionated, Urine Free
Order code: 81450
Preferred specimen: 4.0 mL urine aliquot from a well-mixed 24-hour or random urine collection. Refrigerate 24-hour specimen during collection.
Thoroughly mix entire collection (24-hr or random) in one container before aliquoting specimen. Record total volume and hours of
collection on both the urine container and test request form. Patient should abstain from medications for 72 hours prior to
collection.
Minimum specimen: 2.5 mL aliquot from a well-mixed 24-hour or random urine collection.
Notes: Refrigeration is the most important aspect of specimen preservation. Preservation can be enhanced by adjusting the pH to 2-3 by
adding 6M HCL acid or sulfamic acid prior to transport. Catecholamines are not stable above pH 7. A pH less than 2 can cause
assay interference.
Unacceptable: Specimens at room temperature. Specimens preserved with boric acid or acetic acid. Specimens with pH greater than 7.
Unit code: 806650
CPT Code(s): 82384
Reported: 2-5 days
Catecholamines, Fractionated and Vanillylmandelic Acid, Urine
Order code: 80665
collection on both the urine container and test request form. Patient should abstain from medications for 72 hours prior to
collection.
Unacceptable: Specimens at room temperature. Specimens preserved with boric acid or acetic acid. Specimens with pH greater than 7.
Unit code: 806655
CPT Code(s): 82384, 84585
Reported: 2-5 days
Catecholamines, Fractionated, Plasma
Order code: 81440
Preferred specimen: 4.0 mL plasma, green (sodium or lithium heparin) top tube. Collect on ice. Specimen should be centrifuged and plasma removed
from cells and frozen within one hour after collection. Transport frozen plasma in a plastic transport tube.
Minimum specimen: 2.1 mL frozen heparinized plasma
Notes: Patient should be calm and in a supine position for 30 minutes prior to collection.
Medications which may interfere with catecholamines and metabolites include amphetamines and amphetamine-like compounds,
appetite suppressants, bromocriptine, buspirone, caffeine, carbidopa-levodopa (Sinemet®), clonidine, dexamethasone, diuretics (in
doses sufficient to deplete sodium), ethanol, isoproterenol, labetalol, methyldopa (Aldomet®), MAO inhibitors, nicotine, nose drops,
propafenone (Rythmol), reserpine, theophylline, tricyclic antidepressants, and vasodilators. The effects of drugs on catecholamine
results may not be predictable.
For optimum results, patient should be supine with venous catheter in place for 30 minutes prior to collection. "Upright" ranges
typically show norepinephrine up to 700 pg/mL, epinephrine up to 900 pg/mL, and dopamine essentially unchanged.
Children, particularly those under 2 years of age, often show an elevated catecholamine response to stress.
Unacceptable: EDTA plasma, serum, or urine.
Method: High Performance Liquid Chromatography
Unit code: 806600
CPT Code(s): 82384
Reported: 2-5 days
Test List
10-132
S1
0
Order code: 2255
Preferred specimen: One 3-4 mL lavender (EDTA) top tube. If specimen will not be received in laboratory within 24 hours, send two unstained blood
smears with EDTA tube. Refrigerate EDTA tube if specimen will not be received in laboratory within 24 hours of collection.
Stability: Room temperature 24 hours, refrigerated 48 hours.
Minimum specimen: 1.0 mL EDTA whole blood (lavender tube) or 250 uL (microtainer tube)
Notes: Test includes: WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, RDW, Platelet count, and Automated Differential.
Other acceptable: If platelet clumping is a problem, submit both EDTA and sodium citrate (blue top) tubes.
Unacceptable: Frozen, clotted, or grossly hemolyzed specimens. Tubes not filled with minimum volume.
Method: Automated Hematology Analyzer
Unit code: 94200
CPT Code(s): 85025
Ref range: ADULT:
WBC
RBC
Hgb
Hct
MCV
MCH
MCHC
RDW-CV
Platelet
Neut %
Lymph %
Mono %
Eos %
Baso %
Neut Abs#
Lymph Abs#
Mono Abs#
Eos Abs#
Baso Abs #
M/F 4.0-12.0 thou/cumm
Male 3.8-5.8 mil/cumm
Female 3.9-5.2 mil/cumm
Male 12.0-18.0 gm/dL
Female 11.5-16.0 gm/dL
Male 37.0-53.0%
Female 34.5-46.5%
M/F 80-100 fL
M/F 28.0-34.0 pg
M/F 30.0-36.0 gm/dL
M/F 11.3-14.7%
M/F 130-400 thou/cumm
M/F 39-79%
M/F 16-50 %
M/F 0-11%
M/F 0-6.8%
M/F 0-1.5%
M/F 0-0.9 thou/cumm
M/F 0-0.6 thou/cumm
M/F 0-0.5 thou/cumm
CBC without Differential
S1
0
Order code: 2225
Preferred specimen: One 3-4 mL lavender (EDTA) top tube. Refrigerate EDTA tube if specimen will not be received in laboratory within 24 hours of
collection.
Notes: Test includes: WBC, RBC, Hgb, Hct, MCV, MCH, MCHC. RDW, and Platelet count.
Other acceptable: If platelet clumping is a problem, submit both EDTA and sodium citrate (blue top) tubes.
Unit code: 200400
CPT Code(s): 85027
Ref range: Adult:
WBC M/F 4.0-12.0 thou/cumm
RBC Male 3.8-5.8 mil/cumm, Female 3.9-5.2 mil/cumm
Hgb Male 12.0-18.0 gm/dL, Female 11.5-16.0 gm/dL
Hct Male 37.0-53.0%, Female 34.5-46.5%
MCV M/F 80-100 fL
MCH M/F 28.0-34.0 pg
MCHC M/F 30.0-36.0 gm/dL
RDW M/F 11.3-14.7%
Platelet M/F 130-400 thou/cumm
CCND1 FISH
CCP
See: Cyclic Citrullinated Peptide Antibody, IgG
10-133
Test List
CD20 - B Cells
Order code: 35421
Preferred specimen: Whole Blood: 5.0 mL whole blood, lavender (EDTA) top tube and/or yellow (ACD solution A) top tube.
Bone Marrow: 2.0 mL bone marrow submitted in a green top tube (sodium heparin). After specimen is well mixed with
anticoagulant, add equal amount of RPMI to the tube and invert to mix. Label specimen as bone marrow.
Tissue: Fresh tissue submitted in 10-15 mL RPMI.
Specimens must be received within 48 hours of collection. Do not freeze specimens.
Unacceptable: Fixed or frozen specimens.
Method: Flow Cytometry
Unit code: 535421
CPT Code(s): 88184, 88185 (x2), 88187
Reported: 1-3 days
CD4
See: Lymphocyte Subsets, T-Cell CD4/CD8
Lymphocyte Subsets, Immunodeficiency Panel
CD57 NK Cells
Order code: 35458
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) top tube and 5.0 mL yellow (ACD solution A) top tube. Maintain specimens at room
temperature. Do not freeze whole blood. Specimens must be received in laboratory within 48 hours of collection.
Notes: Used to monitor the CD57 lymphocyte subset in patients with chronic Lyme disease.
Other acceptable: 5.0 mL yellow (ACD solution A) top tube with copy of same draw CBC and differential.
Unacceptable: Refrigerated or frozen whole blood. Clotted or hemolyzed specimens.
Unit code: 535458
CPT Code(s): 86356, 86357
S1
0
Reported: 1-3 days
CDIFF
See: Clostridium difficile Toxin B by PCR
CEBPA Mutation Detection
Order code: 86685
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) top tube or 3.0 mL bone marrow (EDTA).
Notes: Initial test for prognostication of CN-AML.Testing includes pathologist's interpretation.
Unacceptable: Serum or plasma. Frozen or clotted specimens. Specimens collected in anticoagulants other than EDTA. Severely hemolyzed
specimens.
Method: Polymerase Chain Reaction/Sequencing
Unit code: 806685
CPT Code(s): 81479, G0452
Test List
10-134
Celiac Disease Antibody Profile I
Order code: 94604
Immunoglobulin A
Gliadin Antibodies, IgA & IgG
Tissue Transglutaminase Antibody, IgA with Reflex to Endomysial Antibody, IgA Titer
Unacceptable: Plasma and other body fluids. Hemolyzed, icteric, grossly lipemic, or contaminated specimens.
Method: Enzyme-Linked Immunosorbent Assay/Indirect Fluorescent Antibody/Nephelometry
Unit code: 94604
CPT Code(s): 82784, 83516 (x3)
Reported: 2-5 days
Celiac Disease Antibody Profile II
Order code: 94608
Immunoglobulin A
Gliadin Antibody, IgG
Tissue Transglutaminase Antibody, IgG
Method: Enzyme-Linked Immunosorbent Assay/Nephelometry
Unit code: 94608
CPT Code(s): 82784, 83516 (x2)
Reported: 2-5 days
S1
0
Celiac Disease Antibody Screen with Reflex
Order code: 94607
Immunoglobulin A
Gliadin Antibody, IgA
Tissue Transglutaminase Antibody, IgA with Reflex to Endomysial Antibody, IgA Titer
Unit code: 94607
CPT Code(s): 82784, 83516 (x2)
Reported: 2-5 days
Celiac Disease Comprehensive Antibody Profile
Order code: 94606
Immunoglobulin A, Serum
Gliadin Antibodies, IgA & IgG
Tissue Transglutaminase Antibody, IgG
Tissue Transglutaminase Antibody, IgA with Reflex to Endomysial Antibody IgA Titer
Unacceptable: Plasma or other body fluids. Hemolyzed, icteric, grossly lipemic, or contaminated specimens.
Unit code: 94606
CPT Code(s): 82784, 83516 (x4)
Reported: 2-5 days
10-135
Test List
Cell Count and Differential, Body Fluid
Order code: 2075
Preferred specimen: 1.0 mL body fluid in green (sodium heparin) top tube.
Minimum specimen: 0.2 mL body fluid
Notes: Indicate source on test request form and specimen container.
Other acceptable: 1.0 mL body fluid in lavender (EDTA) top tube.
Unacceptable: Frozen specimens.
Transport temp: Refrigerated. Transport to lab same day as collected. DO NOT FREEZE.
Method: Microscopic examination
Unit code: 201500
CPT Code(s): 89051
Ref range: WBC: 10-200 cumm
RBC: 0-10 cumm
Segs: 0-25%
Monos: 75-100%
Cell Count and Differential, CSF
Order code: 2720
Preferred specimen: 0.5 mL CSF is sterile screw-top container.
Notes: Deliver to laboratory ASAP, refrigerated. Do not freeze. Generally performed on tube #3 or #4 of the collection.
Unacceptable: Frozen specimens. Counts on clotted specimens may be inaccurate.
Method: Hemocytometer/Microscopic
Unit code: 201700
CPT Code(s): 89051
Ref range: WBC: 0-10 cu mm
RBC: 0 cu mm
Segs: 0%
Monos: 0%
S1
0
CellCept
See: Mycophenolic Acid and Metabolite
Celontin
See: Methsuximide & Normethsuximide
Centromere Antibody
Order code: 5130
Unacceptable: Grossly hemolyzed, lipemic, or icteric specimens.
Method: Indirect Fluorescent Antibody (IFA)
Unit code: 350130
CPT Code(s): 86039
Ref range: <1:80
Reported: 2-4 days
Centromere IgG
See: Centromere Antibody
Cerebral Spinal Fluid Culture
See: Culture, CSF
Cerebral Spinal Fluid, Cell Count & Differential
See: Cell Count & Differential, CSF
Test List
10-136
Cerebral Spinal Fluid, Glucose
See: Glucose, CSF
Cerebral Spinal Fluid, IgG Synthesis & Index
See: CSF Protein Analysis
Cerebral Spinal Fluid, Protein, Total
See: Protein, Total, CSF
Certican
See: Everolimus
Ceruloplasmin
Order code: 81470
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells within 45 minutes of collection and transfer to a plastic
transport tube.
Other acceptable: 1.0 mL plasma, green (lithium heparin) top tube. Remove plasma from cells within 45 minutes of collection and transfer to a plastic
transport tube.
Method: Immunologic
Unit code: 806800
CPT Code(s): 82390
Ref range: Male
0-30 days: Not Established
1-6 months: 11.0-31.0 mg/dL
7 months-12 months: 18.0-35.0 mg/dL
>12 years: 16.0-31.0 mg/dL
Female
0-30 days: Not Established
1-6 months: 11.0-31.0 mg/dL
>6 months: 19.0-39.0 mg/dL
S1
0
Reported: 3-5 days
CH50 Complement
See: Complement Total, CH50
CHIC2, 4q12 Deletion (FIP1L1 and PDGFRA Fusion), FISH
Order code: 86840
Preferred specimen: Submit only one of the following specimens:
10.0 mL whole blood, green (sodium heparin) top tube. Invert tube several times to mix blood.
or
2.0 mL bone marrow green (sodium heparin) top tube. Invert tube several times to mix bone marrow.
Please submit a Cytogenetics Hematologic Disorders Request form with the specimen. Forms are available through BBPL Client
Services. Include the specimen source and diagnosis codes on the test request form.
Unacceptable: Clotted blood or bone marrow. Anticoagulants other than sodium heparin (green top) are not recommended and are harmful to the
viability of the cells.
Unit code: 806840
CPT Code(s): 88271 (x3), 88275 (x2), 88291
10-137
Test List
Chlamydia Antibody Panel, IgG & IgM by IFA
Order code: 81525
received within 30 days from receipt of acute specimens. Please mark specimens plainly as "acute" or "convalescent."
Unacceptable: Hyperlipemic, hemolyzed, or contaminated serum.
Unit code: 806850
CPT Code(s): 86631 (x3), 86632 (x3)
Ref range: < 1:64 C. pneumoniae IgG
< 1:64 C. psittaci IgG
< 1:64 C. trachomatis IgG
< 1:20 C. pneumoniae IgM
< 1:20 C. psittaci IgM
< 1:20 C. trachomatis IgM
Reported: 2-5 days
Chlamydia Antibody Panel, IgG by IFA
Order code: 81510
received within 30 days from receipt of the acute specimens. Please mark specimen plainly as "acute" or "convalescent".
Unacceptable: Hyperlipemic, hemolyzed, or contaminated sera.
Unit code: 807150
CPT Code(s): 86631
Ref range: < 1:64 C. trachomatis IgG.
< 1:64 C. pneumoniae IgG.
< 1:64 C. psittaci IgG.
Reported: 2-4 days
Chlamydia trachomatis and Neisseria gonorrhoeae Panel, NAA
Order code: 3520
Preferred specimen: APTIMA® vaginal swab, APTIMA® unisex swab (for endocervical and male urethral specimens) or PreservCyt (ThinPrep) liquid
Pap specimen. Directions for specimen collection and handling are provided on the APTIMA® collection kits. APTIMA® kits are
available through BBPL Client Services or online using the BBPL Electronic Supply Order Form.
Minimum specimen: One APTIMA® swab or tube. 1.0 mL ThinPrep or SurePath, 1.0 mL viral transport media, or 2.0 mL neat urine. One dry swab in
sterile container.
Notes: Specimen Stability:
APTIMA® swab specimens: 60 days at room temperature or refrigerated, 12 months frozen (-20°C to -70°C).
Urine specimen in APTIMA® tube: 30 days at room temperature or refrigerated, 12 months frozen (-20°C to -70°C).
Neat urine in collection cup: 24 hours at room temperature or refrigerated.
Pap media specimen: Preservcyt, 30 days at room temperature or refrigerated; SurePath, 29 days at room temperature or
refrigerated.
Viral transport media: 2 days at room temperature, 3 days refrigerated.
Other acceptable: SurePath liquid Pap specimen, endocervical/urethral swab in viral transport media, APTIMA® urine tube or neat urine in sterile
urine cup. Dry swab in sterile container.
Unacceptable: Probetec specimens, swabs in saline, specimens not within defined limits of stability.
Method: Nucleic Acid Amplification (NAA)
Unit code: 95540
CPT Code(s): 87491, 87591
Ref range: Negative
Reported: 1-4 days
Test List
10-138
S1
0
Chlamydia trachomatis, NAA
Order code: 3380
Preferred specimen: APTIMA® vaginal swab, APTIMA® unisex swab (for endocervical and male urethral specimens) or PreservCyt (ThinPrep) liquid
sterile container.
refrigerated.
Unit code: 536001
CPT Code(s): 87491
Ref range: Negative
Reported: 1-4 days
Chloracol
See: Chloramphenicol
Chloramphenicol
Order code: 81530
Other acceptable: 1.0 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells within 2 hours of collection and transfer to a
S1
0
Method: High-Pressure Liquid Chromatography with Ultraviolet Detection
Unit code: 807301
CPT Code(s): 80342
Ref range: 10.0-20.0 µgmL
Reported: 4-5 days
Chlordiazepoxide
See: Librium & Nordiazepam
Chloride, Fecal
Order code: 81551
Preferred specimen: 5 g aliquot of liquid random stool in a clean unpreserved stool transport container.
Minimum specimen: 1 g liquid stool
Notes: Stool must be liquid. Do not add saline or water to liquefy sample.
Unacceptable: Formed or viscous stool.
Method: Ion-Selective Electrode
Unit code: 807400
CPT Code(s): 82438
Ref range: Not established
Reported: 2-3 days
10-139
Test List
Chloride, Fluid
Order code: 80745
Preferred specimen: 1.0 mL fluid (CSF, drain, pancreatic, pericardial, peritoneal/ascites or pleural fluid). Centrifuge to remove cellular material and
transfer to a plastic transport tube. Specimen source must be provided on the test request form.
Unacceptable: Specimen types other than those listed. Specimens too viscous to be aspirated by instrument. Specimens containing sodium
fluoride/potassium oxalate as anticoagulants.
Method: Quantitative Ion-Selective Electrode
Unit code: 807452
CPT Code(s): 82438
Reported: 2-3 days
Chloride, Serum
Order code: 1035
Method: Potentiometry
Unit code: 101640
CPT Code(s): 82435
Ref range: 98-107 mmol/L
Chloride, Urine
Order code: 1053
S1
0
Unit code: 102468
CPT Code(s): 82436
Ref range: 110-250 mmol/day
Chlorpromazine
Order code: 85650
Preferred specimen: 2.0 mL serum, red top tube. Remove serum from cells within 2 hours of collection.
Other acceptable: 2.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells within 2 hours of collection.
Also acceptable (avoid if possible): Serum separator tube or plasma separator tubes stored at room temperature if removed from
the gel within 6 hours or serum or plasma in a gel separator tube stored refrigerated if removed from the gel within 2 hours.
Unacceptable: Whole blood. Light blue (citrate) or yellow (SPS or ACD solution) tubes.
Unit code: 839250
CPT Code(s): 80342
Ref range: Adult (12 years and older):
Therapeutic Range: 50-300 ng/mL
Child (0-11 years):
Therapeutic Range: 30-80 ng/mL
Reported: 2-6 days
Test List
10-140
Cholesterol, Fluid
Order code: 1318
Unit code: 103178
CPT Code(s): 84311
Cholesterol, LDL, Direct
See: LDL Cholesterol, Direct Serum
Cholesterol, LDL, Low Density Lipoprotein
See: Lipid Profile
Cholesterol, Total
Order code: 1095
Unit code: 101780
CPT Code(s): 82465
Ref range: Adult: <200 mg/dL
S1
0
Cholinesterase, Dibucaine Inhibition
See: Pseudocholinesterase, Dibucaine Inhibition
Cholinesterase, RBC/Hgb Ratio
Order code: 81570
Preferred specimen: 3.0 mL whole blood, lavender (EDTA) top tube. Do not freeze or place cells directly on cool packs when shipping.
Unacceptable: Frozen, clotted, or hemolyzed specimens. Specimens collected in green top tubes (sodium or lithium heparin).
Method: Enzymatic
Unit code: 807700
CPT Code(s): 82482
Ref range: 25-52 U/g Hb
Reported: 2-5 days
Cholinesterase, Serum
Order code: 1385
Unit code: 103060
CPT Code(s): 82480
Chorionic Gonadotropin, (Beta-hCG) Quantitative, Serum (Females)
See: Human Chorionic Gonadotropin, (B-hCG) Quantitative
10-141
Test List
Chromatin Antibody, IgG
Order code: 80755
tube.
Unacceptable: Urine or plasma. Contaminated, heat-inactivated, severely hemolyzed, icteric, or lipemic specimens.
Unit code: 807755
CPT Code(s): 83516
Ref range: Negative: 19 Units or less
Moderate Positive: 20-60 Units
Strong Positive: 61 Units or greater
Reported: 2-5 days
Chromium, Serum
Order code: 81600
Preferred specimen: 2.0 mL serum, royal blue (no additive) top tube. Remove serum from cells and transfer to a Trace Element-Free transport tube
ASAP. Do not allow serum to remain on cells.
tube (no additive).
Unacceptable: Separator tubes or gels or specimens that are not separated from the red cells or clot within 6 hours.
Unit code: 808150
CPT Code(s): 82495
Ref range: Less than or equal to 5.0 µg/L
Reported: 2-5 days
Chromium, Urine
Order code: 80812
should be refrigerated during collection period. Submit urine in two Trace Element-Free Transport Tubes. Record total volume and
hours of collection on both the urine container and test request form.
avoid shellfish and seafood for 48 to 72 hours.
Unit code: 808152
CPT Code(s): 82495
Ref range: Chromium, Urine - per volume: 0.0-5.0 µg/L
Chromium, Urine - 24-hour: 0.0-6.0 µg/d
Chromium, Urine - ratio to CRT: No reference interval (µg/g crt)
Reported: 2-6 days
Chromogranin A
Order code: 80770
Unacceptable: Grossly hemolyzed specimens, non-EDTA or nonheparinzed plasma.
Unit code: 807760
CPT Code(s): 86316
Ref range: 0-5 nmol/L
Reported: 4-8 days
Test List
10-142
S1
0
Chromosome Analysis, Adult ALL Panel by FISH
See: Acute Lymphocytic Leukemia (ALL) Panel by FISH, Adult
Chromosome Analysis, Aggressive Lymphoma Panel by FISH
See: Lymphoma (Aggressive) Panel by FISH
Chromosome Analysis, Amniotic Fluid
Order code: 81617
Preferred specimen: 30.0 mL amniotic fluid in a sterile container. Do not refrigerate or freeze. TIME SENSITIVE. Specimen must be received in the
laboratory within 24 hours of collection.
Notes: Please submit Patient History for Prenatal Cytogenetics form. The information on this form is required to perform prenatal
cytogenetic testing. Complete the form and submit with the test request form and specimen. Include clinical indication.
Unacceptable: Frozen or bloody specimens.
Method: Giemsa-Band Analysis
Unit code: 807800
CPT Code(s): 88235, 88269, 88291
Reported: 7-14 days
Chromosome Analysis, Blood
Order code: 81615
Preferred specimen: 5.0 mL whole blood, green (sodium heparin) top tube. Do not freeze or expose to extreme temperatures. TIME SENSITIVE.
Specimen must be received in the laboratory within 24 hours of collection. Transport refrigerated.
Notes: Order this test when assessing congenital abnormalities. Please submit a Patient History for Pediatric/Adult Cytogenetic
(Chromosome) Studies form. The information on this form is required to perform cytogenetic (chromosome) studies. Complete the
form and submit with the test request form and specimen. Include clinical indication.
Unacceptable: Frozen or clotted specimens.
S1
0
Unit code: 807950
CPT Code(s): 88230, 88262, 88291
Reported: 4-11 days
Chromosome Analysis, Blood, with Reflex to Genomic Microarray
Order code: 87951
Preferred specimen: 5.0 mL whole blood, green (sodium heparin) top tube. Do not freeze or expose to extreme temperatures. TIME SENSITIVE.
Specimen must be received in the laboratory within 24 hours of collection. Transport refrigerated.
Notes: Please submit a Patient History for Pediatric/Adult Cytogenetic (Chromosome) Studies form. The information on this form is
required to perform cytogenetic (chromosome) studies. Complete the form and submit with the test request form and specimen.
Include clinical indication. When the result of Chromosome Analysis is "normal," then Genomic Microarray testing will be added at
an additional charge and report time may be extended.
Method: Giemsa Band/Genomic Microarray (Oligo-SNP Array)
Unit code: 807951
CPT Code(s): 88230, 88262, 88291
Reported: 11-19 days; additional days required for microarray testing
10-143
Test List
Chromosome Analysis, Bone Marrow
Order code: 80915
Preferred specimen: Collect non-diluted bone marrow aspirate in a heparinized syringe. Transfer 3.0 mL bone marrow to a green (sodium heparin) top
tube. Do not freeze or expose to extreme temperatures. TIME SENSITIVE. Specimen must be received in laboratory within 24
hours of collection. Transport refrigerated.
Minimum specimen: 0.5 mL bone marrow
Notes: Although bone marrow is the recommended sample type for hematological disorder studies, blood can be substituted if bone
marrow cannot be obtained. Refer to Chromosome Analysis, Leukemic Blood (order code 81616).
Unit code: 807915
CPT Code(s): 88237, 88264, 88291
Reported: 4-11 days
Chromosome Analysis, FISH-Interphase
Order code: 80722
Preferred specimen: 5.0 mL whole blood, green (sodium heparin) top tube or 3.0 mL non-diluted bone marrow aspirate collected in a heparinized
syringe and transferred to a green (sodium heparin) top tube. TIME SENSITIVE. Specimen must be received in laboratory within
24 hours of collection. Transport refrigerated.
Notes: Please submit Patient History for Pediatric/Adult Cytogenetic (Chromosome) Studies form. The information on this form is required
to perform cytogenetic (chromosome) testing. Complete the form and submit with the test request form and specimen. Record the
names of the probes needed for testing on the test request form. A Molecular Cytogenetics (FISH) Probe menu is available
through BBPL Client Services. Testing will not be performed until probe and diagnosis are provided; absence of this
information will delay turnaround time.
Other acceptable: Other specimen types may be acceptable, contact BBPL Client Services for specific specimen collection and transportation
instructions.
Unacceptable: Frozen, clotted, or paraffin-embedded specimens.
Unit code: 807922
CPT Code(s): 88271, 88275, 88291
S1
0
Reported: 5-11 days
Chromosome Analysis, FISH-Metaphase
Order code: 80723
Preferred specimen: 5.0 mL whole blood, green (sodium heparin) top tube or 3.0 mL bone marrow transferred into a green (sodium heparin) top tube.
TIME SENSITIVE. Specimen must be received in laboratory within 24 hours of collection. Transport refrigerated.
Notes: It is recommended that all FISH studies be done in conjunction with routine cytogenetic analysis. If FISH only is requested, please
submit a copy of previous cytogenetics report. Please submit Patient History for Pediatric/Adult Cytogenetic (Chromosome)
Studies form. The information on this form is required to perform cytogenetic (chromosome) testing. Complete the form and submit
with the test request form and specimen. Testing will not be performed until probe and diagnosis are provided; absence of
this information will delay turnaround time.
Unit code: 807923
CPT Code(s): 88271, 88273, 88291
Reported: 4-11 days
Chromosome Analysis, Fragile X
See: Fragile X (FMR1) Diagnostic
Test List
10-144
Chromosome Analysis, Leukemia Blood
Order code: 81616
Preferred specimen: 5.0 mL whole blood, green (sodium heparin) top tube. TIME SENSITIVE. Specimen must be received in laboratory within 24 hours
of collection. Transport refrigerated.
Unit code: 808000
CPT Code(s): 88237, 88264, 88291
Reported: 5-11 days
Chromosome Analysis, Lymph Node
See: Chromosome Analysis, Oncology
Chromosome Analysis, MDS Panel by FISH
See: Myelodysplastic Syndrome (MDS) by FISH
Chromosome Analysis, Oncology
Order code: 80910
Preferred specimen: 10 mm biopsy tissue in a sterile, screw-top container filled with tissue transport medium at room temperature or any specimen type
for oncology studies other than peripheral blood, bone marrow, and solid tumors. Thaw media prior to tissue inoculation. Tissue
culture transport media is available through BBPL Client Services or online using the BBPL Electronic Supply Order Form. If
cytogenetics tissue media is not available, collect in plain RPMI, Hanks solution, saline, or ringers. Do not place tissue in formalin.
Do not freeze specimen.
Notes: TIME SENSITIVE. Specimen must be received in laboratory within 24 hours of collection.
Other acceptable: Pleural or other body fluid: 5.0 mL in a green (sodium heparin) top tube at room temperature. Transport fluid in original collection
tube.
Unacceptable: Frozen specimens. Tissue submitted in formalin.
S1
0
Unit code: 807910
CPT Code(s): 88237, 88264, 88291
Reported: 4-11 days
Chromosome Analysis, Prenatal FISH
Order code: 80785
Preferred specimen: 30.0 mL amniotic fluid in a sterile conical plastic screw-top tube. Do not refrigerate or freeze. TIME SENSITIVE. Specimen must be
received in the laboratory within 24 hours of collection.
Notes: It is recommended that all FISH studies be done in conjunction with routine cytogenetic analysis. Please submit Patient History for
Prenatal Cytogenetics form. The information on this form is required to perform prenatal cytogenetic testing. Complete the form
and submit with the test request form and specimen. Counseling and informed consent are recommended for genetic testing.
Cytogenetic Testing consent forms are available through BBPL Client Services.
Fluorescence in situ hybridization (FISH) is performed for aneuploidy of chromosomes X, Y, 13, 18, and 21.
Unacceptable: Frozen or bloody specimens.
Unit code: 807805
CPT Code(s): 88271 (x5), 88275 (x5), 88291
Reported: 2-4 days
10-145
Test List
Chromosome Analysis, Products of Conception
Order code: 80781
Preferred specimen: Products of conception (minimum 5 mg) in a sterile, screw-top container filled with tissue transport medium at room temperature.
Thaw media prior to tissue inoculation. Tissue culture transport media is available through BBPL Client Services or online using the
BBPL Electronic Supply Order Form. If cytogentics tissue media is not available, collect in plain RPMI, Hanks solution, sterile
saline, or ringers. If autopsy is ordered, facia lata, diaphragm, tendon, skin, tissue from internal organs (if fresh), chest wall
cartilage (particularly if macerated) or placenta from fetal side should be submitted; if no autopsy is performed, placenta from fetal
side is preferred (e.g. villi). Umbilical cord or achiles tendon is also acceptable. Do not place products of conception in formalin or
freeze the specimen. TIME SENSITIVE. Specimen must be received in laboratory within 24 hours of collection.
cytogenetic testing. Complete the form and submit with the test request form and specimen. If specimen collection time is greater
than 72 hours, testing may be compromised. Every attempt will be made to culture the specimen.
Unacceptable: Frozen specimens. Intact fetus. Specimens preserved in formalin. Specimens consisting of maternal tissue (decidua) only.
Autolyzed or contaminated specimens.
Unit code: 807810
CPT Code(s): 88233, 88262, 88291
Chromosome Analysis, Products of Conception, with Reflex to Genomic Microarray
Order code: 80811
Preferred specimen: Products of conception (minimum 5 mg) in a sterile, screw-top container filled with tissue transport medium at room temperature.
Thaw media prior to tissue inoculation. Tissue culture transport media is available through BBPL Client Services or online using the
BBPL Electronic Supply Order Form. If cytogentics tissue media is not available, collect in plain RPMI, Hanks solution, sterile
saline, or ringers. If autopsy is ordered, facia lata, diaphragm, tendon, skin, tissue from internal organs (if fresh), chest wall
cartilage (particularly if macerated) or placenta from fetal side should be submitted; if no autopsy is performed, placenta from fetal
side is preferred (e.g. villi). Umbilical cord or achiles tendon is also acceptable. Do not place products of conception in formalin or
freeze the specimen. TIME SENSITIVE.Specimen must be received in laboratory within 24 hours of collection.
cytogenetic testing. Complete the form and submit with the test request form and specimen. If specimen collection time is greater
than 72 hours, testing may be compromised. Every attempt will be made to culture the specimen.
When the result of Chromosome Analysis is either "no growth" or "normal," then Genomic Microarray testing will be added at an
additional charge and report time may be extended.
Unacceptable: Frozen specimens. Intact fetus. Specimens preserved in formalin. Specimens consisting of maternal tissue (decidua) only.
Autolyzed or contaminated specimens.
Method: Giemsa Band/Genomic Microarray (Oligo-SNP Array)
S1
0
Unit code: 807811
CPT Code(s): 88233, 88262, 88291
Reported: 15-22 days; additional days required for microarray testing
Chromosome Analysis, Skin Biopsy
Order code: 80905
Preferred specimen: 4 mm skin biopsy in a sterile, screw-top container filled with tissue transport medium at room temperature. Thaw media prior to
tissue inoculation. Tissue culture transport media is available through BBPL Client Services or online using the BBPL Electronic
Supply Order Form. If cytogenetics tissue media is not available, collect in plain RPMI, Hanks solution, saline, or ringers. Do not
place tissue in formalin. Do not freeze specimen. TIME SENSITIVE. Specimen must be received in laboratory within 24 hours of
collection.
Notes: Please submit Patient History for Pediatric/Adult Cytogenetic (Chromosome) Studies form. The information on this form is required
to perform cytogenetic (chromosome) testing. Complete the form and submit with the test request form and specimen.
Unacceptable: Frozen specimens. Specimens preserved in formalin.
Unit code: 807905
CPT Code(s): 88233, 88262, 88291
Ref range: Normal male: 46, XY
Normal female: 46, XX
Test List
10-146
Chromosome Analysis, Solid Tumor
Order code: 81590
Preferred specimen: 10 mm solid tumor biopsy in a sterile, screw-top container filled with tissue transport medium at room temperature. Thaw media
prior to tissue inoculation. Tissue culture transport media is available through BBPL Client Services or online using the BBPL
Electronic Supply Order Form. If cytogenetics tissue media is not available, collect in plain RPMI, Hanks solution, saline, or
ringers. Do not place tissue in formalin. Do not freeze specimen. TIME SENSITIVE. Specimen must be received in laboratory
Minimum specimen: 5 mm solid tumor biopsy
Unacceptable: Frozen specimens. Specimens preserved in formalin.
Unit code: 807900
CPT Code(s): 88239, 88264, 88291
Chronic Lymphocytic Leukemia (CLL) Panel by FISH
Order code: 32045
request form.
Notes: Test includes: Deletion 11q (ATM), Deletion 13q/Monosomy 13, Deletion 17p (TP53), Deletion 6q, IGH/CCND1 t(11;14), IGH/BCL2
t(14;18), Trisomy12, and D13S319 (LAMP1).
Unit code: 532045
CPT Code(s): 88367, 88374 (x5)
Reported: 3-6 days
S1
0
Chronic Myelogenous Leukemia (CML), BCR/ABL by FISH
Order code: 32048
request form.
Notes: Test includes: BCR/ABL1/ASS, t(9;22)
Unit code: 532048
CPT Code(s): 88377
Reported: 2-5 days
Chronic Urticaria Index
Order code: 80816
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells ASAP, transfer to a plastic transport tube
and freeze immediately. Separate specimens must be submitted when multiple tests are ordered.
Notes: Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw. Patients taking prednisone should be
off their medication for 2 weeks prior to draw.
Unacceptable: Specimens other than serum. Contaminated, grossly hemolyzed, or lipemic specimens. Room temperature specimens
Method: Semi-Quantitative Ex Vivo Challenge/Cell Culture/Quantitative Enzyme-Linked Immunosorbent Assay
Unit code: 808165
CPT Code(s): 86352
Ref range: 10 Units or less
A value of greater than 10 Units suggests the presence of basophil stimulating autoantibodies.
Reported: 3-7 days
10-147
Test List
Chylomicron Screen, Body Fluid
Order code: 80833
Preferred specimen: 1.0 mL body fluid in a plastic transport tube. Do not freeze.
Minimum specimen: 0.2 mL body fluid
Unacceptable: Frozen specimens. Plasma, serum or whole blood.
Unit code: 808330
CPT Code(s): 82664
Ref range: Absent
Reported: 2-9 days
Citrate, Urine
Order code: 81650
Preferred specimen: 4.0 mL urine aliquot from a well-mixed 24-hour or random collection. Refrigerate 24-hour specimen during collection. Adjust pH to
less than or equal to 2 by adding 6M HCL. Record total volume and hours of collection on both the urine container and test request
form.
Other acceptable: Specimens previously preserved with boric acid.
Method: Enzymatic
Unit code: 808350
CPT Code(s): 82507
Ref range: 18 years and older: 320-1240 mg/d
Reference interval for random urine has not been established.
Reported: 2-3 days
Citric Acid, Urine
See: Citrate, Urine
S1
0
CK Isoenzymes
See: Creatine Kinase (CK) Isoenzymes
CK Total
See: CPK, Creatine Kinase
CK Total & MB
See: Creatine Kinase, Total & MB
CLL Panel by FISH
See: Chronic Lymphocytic Leukemia (CLL) Panel by FISH
Clomipramine & Metabolite
Order code: 82505
tube.
Unit code: 808460
CPT Code(s): 80335
Total clomipramine and norclomipramine: 220-500 ng/mL
Toxic: > 900 ng/mL
Reported: 2-6 days
Test List
10-148
Clonazepam
Order code: 81660
tube.
Notes: Collect specimen immediately prior to next dose unless specified otherwise.
Other acceptable: 4.0 mL plasma, green (sodium or lithium heparin) or lavender (EDTA) top tube. Remove plasma from cells ASAP and transfer to a
Unit code: 808400
CPT Code(s): 80346
Ref range: Therapeutic: 15-60 ng/mL
Reported: 3-5 days
Clonidine
Order code: 81655
Unit code: 808450
CPT Code(s): 80375
Reported: 4-10 days
Clopidogrel CYP2C19
S1
0
Order code: 80846
Preferred specimen: 7.0 mL whole blood, lavender (EDTA) or yellow (ACD solution A or B) top tube.
Minimum specimen: 3.0 mL whole blood or 2 buccal swabs
Notes: This assay detects poor metabolizer CYP2C19 alleles *2, *3, as well as the ultrametabolizer allele, *17. Other rare alleles are not
detected by this assay. Metabolism of drugs including clopidogrel (Plavix®)may also be influenced by race, ethnicity, diet, and/or
other medications. Results must be interpreted in the context of other test results and clinical findings. This test result does not rule
out the possibility of variant alleles in other drug metabolism pathways that may impact drug efficacy and/or toxicity.
Other acceptable: Buccal swab kit. Follow the instructions provided in the buccal swab kit for collecting swabs. Buccal swab kits are available through
BBPL Client Services.
Unacceptable: Frozen or hemolyzed specimens. Only one buccal swab or wet buccal swab.
Method: Polymerase Chain Reaction/Detection Primer Extension
Unit code: 808465
CPT Code(s): 81225
Reported: 9-12 days
Clorazepate (Tranxene)
Order code: 85800
tube.
Notes: Specimen should be collected prior to next dose unless otherwise noted.
Unit code: 840250
CPT Code(s): 80346
Ref range: Therapeutic: 0.5-2.0 µg/mL (reported as nordiazepam)
Reported: 3-7 days
10-149
Test List
Clostridium difficile Toxin by PCR
Order code: 53810
Preferred specimen: Fresh, unpreserved, liquid or soft stool specimen in a dry, sterile screw-top container.
Minimum specimen: 0.5 mL liquid stool or 1 g soft stool.
Other acceptable: Stool placed in Cary Blair transport media. Collect stool specimen in a clean, dry container. Immediately after collection, transfer
the stool specimen to Cary Blair medium using sterile swab or applicator, adding up to the fill line on the Cary Blair vial label. Mix
vial well.
Stool in Para-Pak Clean or Para-Pak C&S vials is acceptable if collected and submitted according to package instructions.
Frozen raw stool is acceptable but results will be reported with a disclaimer.
Unacceptable: Dried formed stool or stool in formalin or preservative other than Cary Blair.
Method: Real-Time Polymerase Chain Reaction (PCR)
Unit code: 538100
CPT Code(s): 87493
Ref range: Not Detected
Reported: 1-2 days
Clozapine (Clozaril)
Order code: 88475
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (sodium or lithium heparin) top tube. Remove plasma from cells and transfer to a plastic
transport tube.
Unacceptable: Serum separator tubes or gels.
Unit code: 808475
CPT Code(s): 80159
Ref range: Clozapine: 350-650 ng/mL
Norclozapine: Not established.
Patients dosed with 400 mg clozapine daily for four weeks were most likely to exhibit a therapeutic effect when the sum
of clozapine and norclozapine concentrations was at least 450 ng/mL.
Reported: 3-6 days
S1
0
CML Panel by FISH
See: Chronic Myelogenous Leukemia (CML), BCR/ABL by FISH
CMP
See: Comprehensive Metabolic Panel
CMV
See: Culture, Cytomegalovirus
Cytomegalovirus, Qualitative PCR
Cytomegalovirus, Quantitative PCR
Cytomegalovirus Antibody, IgG
Cytomegalovirus Antibody, IgM
Cytomegalovirus Antibody, IgG & IgM
CO, Blood
See: Carbon Monoxide, Blood
CO2
See: Carbon Dioxide
Test List
10-150
Cobalt, Blood
Order code: 80970
Preferred specimen: 7.0 mL whole blood, royal blue (K EDTA or Na EDTA) top tube, in the original collection tube at room temperature or refrigerated
2
2
is also acceptable.
2
Method: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Unit code: 809730
CPT Code(s): 83018
Reported: 2-6 days
Cobalt, Serum or Plasma
Order code: 80973
Preferred specimen: 2.0 mL serum, royal blue (no additive) top tube. Remove serum from cells ASAP and transfer to a Trace Element-Free transport
tube (no additive).
Other acceptable: 2.0 mL plasma, royal blue (EDTA) top tube. Remove plasma from cells ASAP and transfer to a Trace Element-Free transport tube.
Do not allow plasma to remain on cells.
Unacceptable: Separator tubes or gels and specimens that are not separated from the red cells, or clot, within 6 hours.
Unit code: 809731
S1
0
CPT Code(s): 83018
Ref range: Less than or equal to 1.0 µg/L
Serum or plasma cobalt testing is intended to detect potentially toxic exposure and is the preferred method for evaluating metal ion
release from metal-on-metal joint arthroplasty.
Reported: 2-6 days
Cobalt, Urine
Order code: 80975
Preferred specimen: 8.0 mL urine aliquot from a well-mixed 24-hour collection or random urine. Specimen must be collected in a plastic container and
should be refrigerated during collection period. Submit urine in two Trace Element-Free transport tubes. Do not add acid
preservative. Record total volume and hours of collection on the both the urine container and test request form.
Unacceptable: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies).
Acid preserved urine. Specimens contaminated with blood or fecal material. Specimens transported in non-trace element free
transport tubes.
Unit code: 809735
CPT Code(s): 83018
Ref range: Cobalt, Urine - per volume: 0.1-2.0 µg/L
Cobalt, Urine - per 24h: 0.1-2.0 µg/g
Cobalt, Urine - ratio to CRT: No reference interval (µg/g crt)
Reported: 2-6 days
Cocaine & Metabolites, Serum or Plasma
See: Drugs of Abuse Confirmation/Quantitation - Cocaine & Metabolites, Serum or Plasma
10-151
Test List
Cocaine Confirmation, Quantitative, Urine
Order code: 82918
Test includes: Cocaine Metabolite and Benzoylecgonine.
Unit code: 812918
CPT Code(s): 80353
Reported: 3-5 days
Cocaine Confirmation, Quantitative, Urine
Order code: 27017
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compound: Cocaine metabolite
(benzoylecgonine).
Unit code: 270175
CPT Code(s): 80353
Reported: 2-4 days
Cocaine Screen Only, Urine
Order code: 25240
S1
0
Method: Immunoassay
Unit code: 265240
Reported: 1-2 days
Coccidioides Antibodies, IgG & IgM
Order code: 81740
transport tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Please mark specimens plainly as "acute" or "convalescent".
Minimum specimen: 0.15 mL serum or CSF
Other acceptable: 2.0 mL CSF
Unacceptable: Contaminated, hemolyzed, or severely lipemic specimens.
Method: Semi-Quanitative Enzyme-Linked Immunosorbent Assay
Unit code: 809800
CPT Code(s): 86635 (x2)
Ref range: Coccidioides Ab, IgG:
0.9 IV or less: Negative - No significant level of Coccidioides IgG antibody detected.
1.0-1.4 IV: Equivocal - Questionable presence of Coccidioides IgG antibody detected. Repeat testing in 10-14 days may be helpful.
1.5 IV or greater: Positive - Presence of IgG antibody to Coccidioides detected, suggestive of current or past infection.
Coccidioides Ab, IgM:
0.9 IV or less: Negative - No significant level of Coccidioides IgM antibody detected.
1.0-1.4 IV: Equivocal - Questionable presence of Coccidioides IgM antibody detected. Repeat testing in 10-14 days may be helpful.
1.5 IV or greater: Positive - Presence of IgM antibody to Coccidioides detected, suggestive of current or recent infection.
Reported: 2-6 days
Codeine
See: Drug Confirmation, Quantitation Opiates, Serum or Plasma
Test List
10-152
Coenzyme Q10, Total
Order code: 89860
Preferred specimen: 1.0 mL plasma, green (sodium or lithium heparin) top tube. Collect blood in chilled green top tube. Immediately centrifuge
specimen. Remove plasma from cells within 45 minutes of collection, transfer to a plastic amber transport tube and freeze. Protect
from light during collection, storage, and shipment. If amber tubes are not available wrap transport tube with aluminum foil to
protect from light. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable: Use of EDTA anticoagulant. Specimens not protected from light. Plasma not frozen within 24 hours of collection.
Method: High-Pressure Liquid Chromatography (HPLC) with Electrochemical Detection
Unit code: 809860
CPT Code(s): 82542
Ref range: 0.37-2.20 µg/mL
Reported: 3-5 days
Cogentin
See: Benztropine
Cold Agglutinins
Order code: 80994
Preferred specimen: 1.0 mL serum, red top tube or SST. Keep vacutainer tube in warm water (37ºC) until serum is removed from cells. Refrigeration of
specimen before separation of serum from cells will adversely affect test results.
Unacceptable: Refrigerated whole blood. Plasma or CSF. Severely hemolyzed, lipemic, or contaminated specimens.
Unit code: 809940
CPT Code(s): 86157
Ref range: < 1:32 Negative
Reported: 3-8 days
S1
0
Collagen C Telopeptide
See: C-Telopeptide, Beta-Cross-Linked, Serum
Collagen Cross Linked N-Telopeptide (NTx), Urine
Order code: 82884
Preferred specimen: 1.0 mL urine aliquot from a well-mixed second morning void or 24-hour collection. Refrigerate 24-hour specimen during collection.
Collect without preservative. Freeze aliquot in a plastic transport tube.
Notes: For monitoring therapy, a baseline sample should be collected prior to initiation of therapy. Subsequent samples for comparison
should be collected at the same time of day as the baseline sample.
Unacceptable: Samples contaminated with blood or having extensive hemolysis.
Unit code: 828840
CPT Code(s): 82523
Reported: 2-5 days
Colon Cancer Gene Panel, Somatic
Order code: 89945
Preferred specimen: Tissue: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat.
Resections: 8 unstained 5-micron slides (minimum 5 slides).
Small biopsies: 15 unstained 5-micron slides (minimum 10 slides).
Transport block and/or slides at room temperature in a tissue transport kit available through BBPL Client Services. Ship in cooled
container during summer months. Include surgical pathology report with the test request form and specimen.
Notes: This panel will detect hot spot mutations in KRAS, BRAF, PIK3CA and NRAS genes. Indicated for individuals with metastatic
colorectal cancer to guide treatment with anti-EGFR monoclonal antibodies.
Unacceptable: Less than 10 percent tumor. Specimens fixed/processed in alternative fixatives (alcohol, Prefer) or heavy metal fixatives.
Decalcified specimens.
Method: Mass Spectrometry
Unit code: 809945
CPT Code(s): 81210, 81275, 81276, 81311, 81404, 88381
Reported: 8-11 days
10-153
Test List
Complement Activity, Total, CH50
Order code: 81810
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tubes. Allow blood to clot for one hour at room temperature. Remove
serum from cells ASAP or within 2 hours of collection. Transfer serum to a plastic transport tube and freeze.
Unacceptable: Specimens left to clot at 2-8 C. Specimens exposed to repeated freeze/thaw cycles. Nonfrozen specimens. Separator tubes.
Unit code: 810200
CPT Code(s): 86162
Ref range: 60-144 CAE Units
Reported: 2-3 days
Complement C1, Functional
Order code: 81048
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube. Allow blood to clot at room temperature for 20-60 minutes. Remove
serum from cells, transfer to a plastic transport tube and freeze on dry ice or at -70ºC within 2 hours.
Unacceptable: Plasma. Thawed specimens. Separator tubes or gels.
Method: Hemolytic Assay
Unit code: 810048
CPT Code(s): 86161
Complement C1Q
Order code: 81620
Preferred specimen: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP, transfer to a plastic transport tube and freeze.
S1
0
Unacceptable: Grossly hemolyzed, hyperlipemic, or room temperature specimens. Serum or non-EDTA plasma.
Method: Radial Immunodiffusion
Unit code: 809950
CPT Code(s): 86160
Ref range: 109-242 µg/mL
For the C1q Binding assay, refer to order code 81280. The C1q Binding assay detects circulating immune complexes. The
Complement Component 1q Level assay quantifies the active fraction component, C1q, of the C1 complement protein complex.
Reported: 6-11 days
Complement C2
Order code: 81770
Preferred specimen: 1.0 mL serum, SST. Allow to clot for one hour at room temperature. Remove serum from cells ASAP, transfer to a plastic transport
tube and freeze.
Notes: Separate specimens must be submitted when multiple tests are ordered. Plasma specimens are not recommended.
Unacceptable: Specimens left to clot at 2-8 C. Specimens subjected to repeated freeze/thaw cycles. Nonfrozen specimens.
Unit code: 810050
CPT Code(s): 86160
Reported: 6-11 days
Test List
10-154
Complement C3
Order code: 1395
Unacceptable: Extremely lipemic specimens.
Unit code: 112400
CPT Code(s): 86160
Reported: 1-2 days
Complement C3 & C4
Order code: 1401
Unit code: 112430
CPT Code(s): 86160 (x2)
Ref range: C3: 90-180 mg/dL
C4: 10-40 mg/dL
Reported: 1-2 days
Complement C4
Order code: 1400
S1
0
Unit code: 112410
CPT Code(s): 86160
Reported: 1-2 days
Complement C5
Order code: 81790
Preferred specimen: 1.0 mL serum, SST. Allow blood to clot for one hour at room temperature. Remove serum from cells wtihiin 2 hours after collection,
transfer to a plastic transport tube and freeze immediately.
Notes: Separate specimens must be submitted when multiple tests are ordered. Plasma samples are not recommended.
Unacceptable: Specimens left to clot at refrigerated temperature. Specimens subjected to repeated freeze/thaw cycles. Nonfrozen specimens.
Unit code: 810150
CPT Code(s): 86160
Reported: 4-9 days
Order code: 80155
serum from cells, transfer to a plastic transport tube and freeze on dry ice or at -70ºC within 2 hours of draw.
Notes: Separate specimens must be submitted when multiple test are ordered.
Unacceptable: Separator tubes or gels. Nonfrozen specimens.
Method: Quantitative Hemolytic Assay
Unit code: 810155
CPT Code(s): 86161
Reported: 5-29 days
10-155
Test List
Order code: 81160
Unit code: 810160
CPT Code(s): 86161
Reported: 5-29 days
Order code: 81016
Unit code: 810165
CPT Code(s): 86161
Reported: 5-29 days
Order code: 81017
S1
0
Method: Quantitative Hemolytic Assay
Unit code: 810170
CPT Code(s): 86161
Reported: 5-29 days
Complete Blood Count
See: CBC with Automated Differential
Complete HNPP Evaluation
Order code: 81229
Notes: Test includes PMP22 DNA Sequencing and PMP22 Duplication/Deletion DNA. Complete the patient billing information on the test
request form and include a photo copy (front and back) of all relevant insurance cards.
Method: Multiplex Ligation-dependent Probe Amplification, Polymerase ChainReaction (PCR) and DNA Sequencing
Unit code: 810229
Ref range: No duplications/deletions detected, no sequence variation detected.
Test List
10-156
Compliance Drug Panel I, Urine
Order code: 26601
Notes: Please indicate currently prescribed medications. This panel is designed for pain management/medication monitoring and should
be used for medical purposes only. It includes specimen validity testing and will detect the presence of prescribed and illicit drugs.
Quantitative results will be reported and may be used to make a definitive diagnosis.
Reported compounds: Amphetamine, Methamphetamine, MDMA, Methylphenidate, Phentermine, Alprazolam, Clonazepam,
Diazepam, Nordiazepam, Temazepam, Lorazepam, THC, Cocaine, Methadone, Carisoprodol, Meprobamate, Buprenorphine,
Fentanyl, Norfentanyl, Meperidine, Tapentadol, Tramadol, Morphine, Oxymorphone, Noroxymorphone, Hydromorphone, Codeine,
Oxycodone, Hydrocodone, Norhydrocodone, Ketamine, 6-MAM (Heroin), PCP.
Unit code: 266010
CPT Code(s): 80325, 80346, 80349, 80353, 80354, 80356, 80357, 80358, 80359, 80360, 80361, 80363, 80365, 80369, 80372, 80373, 83992
Reported: 2-4 days
Compliance Drug Panel II, Urine
Order code: 26605
Notes: Please indicate currently prescribed medications. This panel is designed for pain management/medication monitoring and should
be used for medical purposes only. It includes specimen validity testing and will detect the presence of prescribed and illicit drugs.
Quantitative results will be reported and may be used to make a definitive diagnosis.
Reported compounds: Amphetamine, Methamphetamine, MDMA, Methylphenidate, Phentermine, Alprazolam, Clonazepam,
Diazepam, Nordiazepam, Temazepam, Lorazepam, Cocaine, Methadone, Carisoprodol, Meprobamate, Buprenorphine, Fentanyl,
Meperidine, Tapentadol, Tramadol, Morphine, Oxymorphone, Noroxymorphone, Hydromorphone, Codeine, Oxycodone,
Hydrocodone, Norhydrocodone, Ketamine, 6-MAM (Heroin), PCP.
Unit code: 266015
CPT Code(s): 80325, 80346, 80353, 80354, 80356, 80357, 80358, 80359, 80360, 80361, 80363, 80365, 80369, 80372, 80373, 83992
S1
0
Reported: 1-2 days
Compound S
See: 11-Deoxycortisol Quantitative
Comprehensive Food Allergy Panel, IgG4
Order code: 83015
IgG4 Baker's yeast
IgG4 Barley, whole grain
IgG4 Beef
IgG4 Casein
IgG4 Chicken
IgG4 Chocolate/Cocoa
IgG4 Codfish
IgG4 Corn
IgG4 Egg white
IgG4 Lettuce
IgG4 Malt
IgG4 Oat
IgG4 Orange
IgG4 Peanut
IgG4 Pork
IgG4 Potato, white
IgG4 Rye
IgG4 Soybean
IgG4 Tomato
IgG4 Wheat
Method: Enzyme-Linked Immunoassay
Unit code: 835115
CPT Code(s): 86001 (x20)
Reported: 5-9 days
10-157
Test List
Comprehensive Metabolic Panel (CMP)
Order code: 1128
Albumin
BUN
Calcium
Carbon Dioxide
Chloride
Creatinine
Glucose
Sodium
Potassium
SGOT (AST)
SGPT (ALT)
Total Bilirubin
Total Protein
Unit code: 90128
CPT Code(s): 80053
Ref range: ADULT:
Albumin
BUN
Calcium
Carbon Dioxide
Chloride
Creatinine - Male
- Female
Glucose
Potassium
SGOT (AST) - Male
- Female
SGPT (ALT) - Male
- Female
Sodium
Total Bilirubin
Total Protein
3.5-5.2 g/dL
40-129 U/L
6-20 mg/dL
8.6-10.2 mg/dL
22-29 mmol/L
98-107 mmol/L
0.70-1.20 mg/dL
0.50-0.90 mg/dL
70-99 mg/dL
3.5-5.1 mmol/L
< 40 U/L
< 32 U/L
< 42 U/L
< 34 U/L
136-145 mmol/L
< 1.2 mg/dL
6.6-8.7 g/dL
S1
0
Connexin 26 (GJB2), Sequencing
Order code: 81024
Notes: Diagnostic testing for GJB2-related nonsyndromic hearing loss. Carrier screening for GJB2-related nonsyndromic hearing
loss. Please submit a Patient History for Hearing Loss form. The information on this form is required to perform hearing loss
testing. Complete the form and submit with the test request form and specimen.
Unit code: 810240
CPT Code(s): 81252
Connexin 30 (GJB6) 2 Deletions
Order code: 81242
Notes: Diagnostic testing for GJB6-related nonsyndromic hearing loss. Carrier screening for GJB6-related nonsyndromic hearing
loss. Mutations Tested: 309kb del(GJB6-D13S1830), previously reported as 342kb, and 232kb del(GJB6-D13S1854).
Please submit Patient History for Hearing Loss form. The information on this form is required to perform hearing loss testing.
Complete the form and submit with the test request form and specimen.
Method: Polymerase Chain Reaction/Capillary Gel Electrophoresis
Unit code: 810242
CPT Code(s): 81254
Reported: 3-8 days
Test List
10-158
Coombs, Direct
Order code: 5050
separate tube should be collected for these tests. Specimen should be labeled with patient name, date of birth and collection date.
Notes: If the Direct Coombs is positive, Anti-IgG and Anticomplement will be performed at an additional charge.
Unit code: 300400
CPT Code(s): 86880
Ref range: Negative
Reported: 1-2 days
Copper, Serum or Plasma
Order code: 81820
Preferred specimen: 2.0 mL serum, royal blue (no additive) top tube. Remove serum from cells ASAP and transfer to a Trace Element-Free transport
tube (no additive).
Other acceptable: 2.0 mL plasma, royal blue (EDTA) top tube. Remove plasma from cells ASAP and transfer to a Trace Element-Free transport tube.
Do not allow plasma to remain on cells.
Unacceptable: Separator tubes or gels and specimens that are not separated from the red cells, or clot, within 6 hours.
Unit code: 810300
CPT Code(s): 82525
Ref range: 0 -10 years:
Male: 75-153 µg/dL
11 years-12 years:
Male: 64-132 µg/dL
S1
0
13 years-18 years:
Male: 57-129 µg/dL
19 years and older :
Male: 70-140 µg/dL
Reported: 2-3 days
Copper, Urine
Order code: 81830
should be refrigerated during collection. Submit urine in two Trace Element-Free transport tubes. Do not add acid preservative.
Record total volume and collection time on both the sample container and test request form.
Unacceptable: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media or acid preserved urine.
Unit code: 810350
CPT Code(s): 82525
Ref range: Copper, Urine 0.2-8.0 µg/dL
Copper, Urine (24-hour) 3-50 µg/d
Reported: 2-4 days
Cordarone
See: Amiodorone & Metabolite
Corneal Culture
See: Culture, Eye
10-159
Test List
Cortisol Stimulation Test (Response to ACTH)
Order code: 1236
Notes: Draw baseline specimen prior to ACTH injection. ACTH injection to be administered by physician. Draw blood 30 and 60
minutes after injection. Label tubes clearly with collection times.
Unit code: 111071
CPT Code(s): 82533 (x3)
Cortisol Urine Free
Order code: 81840
Preferred specimen: 4.0 mL urine aliquot from a well-mixed 24-hour or random collection. Refrigerate 24-hour specimen during collection period. Do not
add acid or preservatives. Record total volume and hours of collection on both the urine container and test request form.
Unacceptable: Room temperature specimens. Acidified specimens or specimens with preservatives.
Unit code: 810450
CPT Code(s): 82530
Ref range: Cortisol, Urine Free - per 24h (µg/24h):
Male:
3-8 years: Less than or equal to 18 µg/24h
18 years and older: Less than or equal to 60 µg/24h
Female:
18 years and older: Less than or equal to 45 µg/24h
Cortisol, Urine Free - ratio to CRT (µg/g CRT):
Male:
Prepubertal: Less than 25 µg/g CRT
18 years and older: Less than 32 µg/g CRT
Female:
Prepubertal: Less than 25 µg/g CRT
18 years and older: Less than 24 µg/g CRT
Pregnancy: Less than 59 µg/g CRT
S1
0
Reported: 2-5 days
Cortisol, Free, Serum
Order code: 81449
and freeze.
Notes: Recommended collection times are 8-10 a.m. or 4-6 p.m. Indicate time of collection on test request form and specimen tube.
Other acceptable: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells within 2 hours of collection, transfer to a plastic transport
tube and freeze.
Unacceptable: Grossly hemolyzed, icteric or heparinized specimens.
Method: Equilibrium Dialysis/Quantitative High Performance Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 810449
CPT Code(s): 82530
Ref range: 0-17 years: Not established
18 years of age or older:
8-10 a.m. collection: 0.21-1.04 µg/dL
4-6 p.m. collection: 0.10-0.63 µg/dL
Reported: 4-7 days
Test List
10-160
Cortisol, Saliva
Order code: 81044
Preferred specimen: Collect saliva using a plain cotton swab. Swab must be completely saturated to ensure sufficient volume for testing. Transfer
saturated swab to the plain (non-citric acid) cotton Salivette collection device. Follow the collection instructions provided with the
Salivette collection device. Record the time of collection on the test request form and on the Salivette transport container. Salivette
collection device is available through BBPL Client Services or online using the BBPL Electronic Supply Order Form.
Do not collect specimen within 60 minutes after eating a meal, within 12 hours after consuming alcohol, immediately after brushing
teeth or after any activity that may cause gums to bleed. Rinse mouth thoroughly with water 10 minutes before specimen
collection. Recommended collection time is between 11:00 p.m. and 1:00 a.m.
Notes: Bovine hormones normally present in dairy products can cross-react with anti-cortisol antibodies and cause false results. Acidic or
high sugar foods can compromise assay performance by lowering sample pH and influencing bacterial growth. Samples with pH
values greater than 9.0 or less than 3.5 must be recollected.
Unacceptable: Specimens not collected using the Salivette® collection device. Specimens visibly contaminated with blood, mucus, food particles
or cellular debris. Sodium azide preservative. Specimens with pH values greater than 9.0 or less than 3.5 must be recollected.
Unit code: 810448
CPT Code(s): 82533
For a collection at 2300 hr, the normal cortisol concentration is less than 0.112 µg/dL. Patients with Cushing's Syndrome have
concentrations of 0.112 µg/dL or greater.
Reported: 2-5 days
Cortisol, Serum
Order code: 1234
Unit code: 111070
CPT Code(s): 82533
Ref range: 8:00 am Cortisol: 5-23 µg/dL
4:00 pm Cortisol: 3-16 µg/dL
S1
0
Cotinine Confirmation, Quantitative, Urine
Order code: 27060
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compound: Cotinine (nicotine
metabolite).
Unit code: 270600
Reported: 2-4 days
Cotinine Screen Only, Urine
Order code: 25250
Notes: This is a screening test only. Cotinine cutoff is 300 ng/mL.
Method: Immunoassay
Unit code: 265250
CPT Code(s): 80302
Reported: 1-2 days
10-161
Test List
Cotinine Screen with Reflex to Confirmation/Quantitation, Urine
Order code: 25252
Notes: If the screening test is positive, confirmation/quantitation testing for Cotinine will be added at an additional charge.
Method: Screen by Immunoassay; Confirmation by Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 265252
CPT Code(s): 80302
Reported: Screen: 1-2 days; Confirmation 2-4 days
Cotinine Screen, Urine CRL COC
Order code: 81049
Preferred specimen: 60 mL random urine in a plastic urine drug screen bottle with tamper evident tape. CRL chain of custody documentation is
required.
Method: Immunoassay/Gas Chromatography-Mass Spectrometry (GC/MS)
Unit code: 810490
CPT Code(s): 83887
Reported: 2-7 days
Coxiella burnetii (Q-Fever) Antibodies, IgG and IgM, Phase I and II with Reflex to Titer
Order code: 85106
tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Please mark specimen plainly as "acute" and "convalescent".
Notes: For IgG or IgM testing, if any Phase I or Phase II screening result is Indeterminate or Positive, then titer(s) will be added at an
additional charge and report time may be extended.
S1
0
Unit code: 810560
CPT Code(s): 86638 (x4)
Ref range: C. burnetii (Q-Fever) Ab, Phase I IgG: Negative C. burnetii (Q-Fever) Ab, Phase II IgG: NegativeC. burnetii (Q-Fever) Ab, Phase I
IgM: NegativeC. burnetii (Q-Fever) Ab, Phase II IgM: Negative
Reported: 2-7 days
Coxiella burnetii (Q-Fever) Antibody IgG, Phase I and II with Reflex to Titer
Order code: 85105
tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Please mark specimen plainly as "acute" and "convalescent".
Notes: If either C. burnetii Abs IgG Phase I and/or Phase II result is indeterminate or positive, then titer(s) will be added at an additional
charge and report time may be extended.
Unit code: 810555
CPT Code(s): 86638 (x2)
Ref range: C. burnetii (Q-Fever) Ab, Phase I IgG: Negative
C. burnetii (Q-Fever) Ab, Phase II IgG: Negative
Interpretive Data:
Single phase II IgG titers of 1:256 and greater are considered evidence of C. burnetii infection at some time prior to the date of the
serum specimen. Phase I antibody titers of 1:16 and greater are consistent with chronic infection or convalescent phase of Q-fever.
Reported: 2-7 days
Test List
10-162
Coxsackie A9 Virus Antibodies by CF
Order code: 81850
Notes: Acute and convalescent specimens should be labeled as such; parallel testing is preferred and convalescent specimens must be
received within 30 days from receipt of the acute specimens. Please mark specimen plainly as "acute" or "convalescent".
Unacceptable: Severely lipemic, hemolyzed, or contaminated specimens.
Method: Complement Fixation
Unit code: 810500
CPT Code(s): 86658
Ref range: <1:8
Reported: 2-4 days
Coxsackie B Virus Antibodies
Order code: 81860
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells within 2 hours of collection and transfer to a plastic transport tube.
Minimum specimen: 0.3 mL serum or CSF
mark specimens plainly as "acute" or "convalescent".
Other acceptable: 1.0 mL CSF
Method: Semi-Quantitative Serum Neutralization
Unit code: 810550
CPT Code(s): 86658 (x6)
Ref range: Coxsackie B1: Less than 1:10
Coxsackie B2: Less than 1:10
Single positive antibody titers of greater than or equal to 1:80 may indicate past or current infection. Seroconversion or an increase
in titers between acute and convalescent sera of at least fourfold is considered strong evidence of current or recent infection.
S1
0
Reported: 7-10 days
CPK Isoenzymes
See: Creatine Kinase (CK) Isoenzymes
CPK, Creatine Kinase
Order code: 1120
Method: UV Test
Unit code: 101840
CPT Code(s): 82550
Ref range: Male: 39-308 U/L
Female: 26-192 U/L
CPK, Total & MB
See: Creatine Kinase, Total & MB
10-163
Test List
CPK, Total with reflex to CK-MB
Order code: 1119
Method: UV Test
Unit code: 101841
CPT Code(s): 82550
Female: 26-192 U/L
Creatine Kinase
See: CPK, Creatine Kinase
Creatine Kinase (CK) Isoenzymes
Order code: 81068
Notes: This test will detect CK macroenzymes.
Unacceptable: Plasma or room temperature specimens.
Method: Quantitative Enzymatic/Electrophoresis
Unit code: 810680
CPT Code(s): 82550, 82552
Ref range: CK-MM: 96-100%
CK-MB: 0-4%
CK-BB: 0%
CK-Macro Type I: 0%
CK-Macro Type II: 0%
Reported: 3-4 days
Creatine Kinase, Total & MB
Order code: 1589
Transport temp: Refrigerated. Ship frozen if not sent to lab same day as collected.
Method: Electrochemiluminescence Immunoassay (ECLIA) and Kinetic
Unit code: 114201
CPT Code(s): 82550, 82553
Ref range: Creatine Kinase, Total:
Male:
39-308 U/L
Female: 26-192 U/L
Creatine Kinase, MB:
<6.70 ng/mL
Relative % Index:
0.0-3.0 %
Creatinine Clearance
Order code: 1455
Preferred specimen: 1.0 mL serum, red top tube or SST and 5.0 mL urine aliquot from a well-mixed 24-hour urine collection. Refrigerate 24-hour urine
specimen during collection. No preservative required. Record urine total volume and hours of collection on both the urine container
and test request form.
Minimum specimen: 0.5 mL serum and 1.0 mL urine aliquot
Method: Photometric and Calculation
Unit code: 102459
CPT Code(s): 82575
Ref range: Creatinine, Serum:
Adult Male: 0.70-1.20 mg/dL
Adult Female: 0.50-0.90 mg/dL
Creatinine, Urine Excretion:
Adult Male: 1040-2350 mg/day
Adult Female: 740-1570 mg/day
Clearance: 75-151 mL/min
Test List
10-164
S1
0
Creatinine, Serum
Order code: 1015
Notes: Includes:
Creatinine
Method: Photometric
Unit code: 101610
CPT Code(s): 82565
Ref range: Adult:
Male: 0.70-1.20 mg/dL
Female: 0.50-0.90 mg/dL
Creatinine, Urine
Order code: 1020
Method: Photometric
Unit code: 102450
CPT Code(s): 82570
Ref range: Male:
Excretion: 1040-2350 mg/day
Female:
Excretion: 740-1570 mg/day
CREST Antibody
S1
0
See: Centromere Antibody
Crohn Disease Prognostic Panel
Order code: 81075
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells ASAP or within 2 hours of collection.
Unit code: 810705
CPT Code(s): 83516 (x3), 86671
Ref range: Saccharomyces cerevisiae Antibody (gASCA), IgG:
0-44 Units: Negative
45-50 Units: Equivocal
51 Units or greater: Positive
Laminaribioside Carbohydrate Antibody (ALCA), IgG:
Mannobioside Carbohydrate Antibody (AMCA), IgG :
Chitobioside Carbohydrate Antibody (ACCA), IgA:
If only one of the four markers in the Crohn Disease Prognostic Panel is positive, clinical specificity is at least 85 percent. If all four
markers are negative and inflammatory bowel disease (IBD) is suspected, testing for ANCA by IFA is recommended to confirm or
exclude the possibility of ulcerative colitis (UC).
Reported: 2-9 days
CRP
See: C-Reactive Protein
C-Reactive Protein, High Sensitivity
10-165
Test List
Cryofibrinogen, Qualitative, Plasma
Order code: 5270
Preferred specimen: 3.0 mL plasma, light blue (sodium citrate) top tube. Blood specimen must be drawn in a prewarmed tube and kept at 37ºC until
centrifuged. Remove plasma from cells immediately and transfer into a transport tube. Keep plasma at room temperature. Fasting
specimen is recommended.
Other acceptable: 3.0 mL plasma, lavender (EDTA) or gray (sodium fluoride) top tube.
Unacceptable: Refrigerated or frozen specimens, heparinized, lipemic, or grossly hemolyzed specimens.
Method: Cold precipitation
Unit code: 350750
CPT Code(s): 82585
Ref range: Negative
Cryoglobulin, Qualitative with Reflex to IFE
Order code: 5265
Preferred specimen: 4.0 mL serum, red top tube. Blood specimen must be drawn in a prewarmed tube and kept at 37ºC until clotting is complete. Let
clot for 1 hour at 37ºC. Remove serum from cells immediately after centrifugation. Transfer serum into a transport tube and
maintain at room temperature. Fasting specimen is recommended.
Notes: If cyoglobulins are present, then serum IFE will be added at an additional charge.
Unacceptable: Refrigerated or frozen specimens, separator tubes, lipemic or grossly hemolyzed specimens.
Unit code: 350705
CPT Code(s): 82595
Ref range: Negative
Reported: 1-3 days
Cryoglobulins, Qualitative, Serum
Order code: 5260
Preferred specimen: 4.0 mL serum, red top tube. Blood specimen must be drawn in a prewarmed tube and kept at 37ºC until clotting is complete. Let
clot for 1 hour at 37ºC. Remove serum from cells immediately after centrifugation. Transfer serum into a transport tube and
maintain at room temperature. Fasting specimen is recommended.
Unacceptable: Refrigerated or frozen specimens, separator tubes, lipemic or grossly hemolyzed specimens.
Unit code: 350700
CPT Code(s): 82595
Ref range: Negative
Cryptococcus Antigen, CSF
Order code: 81076
Preferred specimen: 1.0 mL CSF in a sterile plastic screw-cap container.
Notes: A titer is performed on all positive specimens.
Unit code: 810760
CPT Code(s): 87327
Ref range: Negative
Reported: 2-3 days
Test List
10-166
S1
0
Cryptococcus Antigen, Serum
Order code: 81900
Unacceptable: Specimens collected in anticoagulants are unacceptable.
Unit code: 810750
CPT Code(s): 87327
Ref range: Negative
Positive specimens are titered.
Reported: 2-3 days
Cryptococcus, India Ink Prep
See: Fungal Stain, CSF
Cryptosporidium Antigen-EIA
Order code: 3469
Preferred specimen: Stool placed in 10% formalin or Cary Blair transport media.
Collect stool specimen in a clean, dry container. Immediately after collection, transfer the stool specimen to formalin or Cary Blair
medium, adding up to the fill line on the transport vial label. Mix vial well. Stool specimen preserved in formalin or Cary Blair
medium is stable for 7 days stored at room temperature.
Minimum specimen: 0.5 mL liquid stool or 1 g solid (pea-sized) stool.
Other acceptable: Fresh stool specimen in a clean, plastic screw-cap container is acceptable only if the specimen will be received in the testing
laboratory within 2 hours of collection. Transport refrigerated.
Unacceptable: Stool specimens preserved in PVA medium or multiple specimens (more than one in 24 hours).
Unit code: 401050
CPT Code(s): 87328
Ref range: Negative
Reported: 1-3 days
S1
0
Cryptosporidium Stain
See: Parasitology Stain by Acid-Fast
Cryptosporidium, Cystoisospora, Cyclospora Stain
Crystals, Body Fluid
Order code: 2055
Preferred specimen: 1.0 mL synovial fluid in green (sodium heparin) top tube.
Minimum specimen: 2 drops of fluid
Notes: Indicate source on test request form and specimen container.
Unacceptable: Frozen samples. Do not collect in oxalate, powdered EDTA or lithium heparin anticoagulants.
Transport temp: Room temperature. Refrigerate if sample will not arrive in lab within 48 hours after collection.
Method: Polarized Microscopy
Unit code: 201480
CPT Code(s): 89060
Ref range: None Seen
Crystodigin
See: Digitoxin
CSF Culture
See: Culture, CSF
CSF Glucose
See: Glucose, CSF
10-167
Test List
CSF IgG Index
See: CSF Protein Analysis
CSF Protein Analysis
Order code: 1700
Preferred specimen: 1.0 mL CSF and 1.0 mL serum, SST or red top tube
Minimum specimen: 0.5 mL CSF and 0.5 mL serum
Unacceptable: Extremely lipemic serum specimen
Unit code: 112700
CPT Code(s): 82040, 82042, 82784 (x2)
Ref range: IgG CSF:
Albumin CSF:
IgG Serum:
Albumin Serum:
Albumin Index:
IgG Index:
IgG Synthesis Rate:
1.0-3.0 mg/dL
10.0-30.0 mg/dL
700-1600 mg/dL
3500-5200 mg/dL
<9.00
0.30-0.60
<3.30 mg/day
Reported: 1-2 days
CSF, Cell Count & Differential
See: Cell Count & Differential, CSF
CSF, Protein, Total
See: Protein, Total, CSF
CT (Chlamydia trachomatis)
See: Chlamydia trachomatis, NAA
S1
0
CT/GC NAA
See: Chlamydia trachomatis & Neisseria gonorrhoeae Panel, NAA
CTx
See: C-Telopeptide, Beta-Cross-Linked, Serum
Test List
10-168
Culture, Acid Fast Bacilli, with Stain
Order code: 3020
Preferred specimen: See acceptable specimen types below. Submit specimen in tightly sealed sterile container. Indicate source on test request form.
Sputum:
1. A first morning, deep cough specimen is recommended.
2. If a series of 3 specimens is requested, collect specimens on 3 consecutive days at 8-24 hour intervals (24 hours when
possible).
3. Collect 5.0-10.0 mL specimen (Min 3.0 mL) in tightly sealed, sterile container.
4. Refrigerate.
Urine:
1. A first morning specimen is recommended. Minimum of 10.0 mL.
2. Collect specimen in tightly sealed, sterile container.
3. Refrigerate.
Body Fluids & Bronchial Washing:
1. Submit 5.0 mL specimen (Min 1.0 mL) in tightly sealed, sterile container.
2. Refrigerate.
Spinal Fluid:
1. Submit 2.0-3.0 mL CSF (Min 1.0 mL) in a sterile screw-cap tube. Collect a separate specimen for chemistry and hematology
testing if needed.
2. Submit at room temperature.
Tissue:
1. Send tissue specimen in tightly sealed, sterile container.
2. Cover the tissue with sterile saline to prevent drying.
Wound Aspirates or Drainage:
1. Remove surface exudates by wiping with sterile saline or 70% alcohol. Collect fluid abscess material with a Luer tip syringe
and/or remove material from the leading edge of the wound aseptically. For open lesions/abscesses, aspirate, if possible, material
from under the margin of the lesion/abscess.
2. Note: Specimens submitted on swabs are not recommended. Please submit aspirate material, drainage fluid, or tissue for
optimal quality of results.
3. Note: When submitting a syringe, remove the needle prior to submission and cap with a sterile syringe tip cap.
4. Refrigerate.
Feces:
1. Submit a minimum of 1 g solid stool or 1.0-5.0 mL liquid stool in a clean leak-proof container.
2. Refrigerate.
Bone Marrow & Blood:
1. Submit 5.0 mL blood (Min 1.0 mL) or 2.0 mL bone marrow (Min 0.5 mL) in either yellow (SPS) top tube or lysis-centrifugation
tube.
Notes: Please indicate on test request form when the presence of M. genavense, M. haemophilum, M. marinum, or M. xenopi is
suspected, as special procedures are required for isolation of these species. Culture is incubated for 8 weeks before determined to
be negative. CPT code 87015 for Concentration will be added at an additional charge for body fluid, respiratory, stool, tissue, and
urine specimens.
S1
0
Unacceptable: Specimens not stored at the proper temperature, blood or bone marrow not submitted in SPS or lysis-centrifugation tubes, or
specimens greater than 72 hours old.
Transport temp: Refrigerated: Sputum, Urine, Body Fluids, Bronchial Washing, Wound Aspirates or Drainage, Feces.
Room temperature: Spinal Fluid (CSF), Tissue, Bone Marrow, Blood.
Method: Fluorescent stain. Mycobacterial culture technique.
Unit code: 400000
CPT Code(s): 87116, 87206
Ref range: No Acid Fast Bacilli
Reported: Stain: Within 24 hours; Culture: Within 8 weeks
Culture, Beta Strep, Genital
See: Culture, Group B Screen
Culture, Beta Strep, Throat
Order code: 3070
Preferred specimen: Collect throat specimen using a sterile culture swab. Depress tongue with a sterile tongue blade and vigorously swab over each
tonsillar area and the posterior pharynx while rotating the swab. Swab over any area with visual pus. Avoid touching cheeks, teeth,
lips, palate and tongue.
Notes: If Group A Strep Rapid Antigen is requested, order 3069.
Unacceptable: Swab with wooden shaft, dried swab, specimen greater than 72 hours old.
Unit code: 400300
CPT Code(s): 87081
Ref range: Negative for Beta Strep
10-169
Test List
Culture, Blood
Order code: 3080
Preferred specimen: 1. Blood cultures are to be drawn into BacT/Alert culture bottles, available through BBPL Client Services or online using the BBPL
Electronic Supply Order Form. All bottles should be kept at room temperature before and after collection. Always use sterile
techniques with specimen collection.
Sterilize the top of the blood culture bottles with alcohol and allow to air dry before injecting the blood into the bottle.
2. Adult Collection: Two bottles should be collected per draw - one aerobic with blue cap and one anaerobic with purple cap.
Aerobic Media: 40 mL Tryptic Soy Agar supplemented with CO2 and SPS. Aseptically add 5-10 mL of blood to bottle - notice
gradations on side of bottle.
Anaerobic Media: 40 mL Tryptic Soy Agar supplemented with SPS, reducing agents and oxygen-free nitrogen. Aseptically add 510 mL of blood to bottle - notice gradations on side of bottle.
DO NOT OVERFILL.
3. Pediatric Collection: Pediatric bottles have a yellow cap. Each bottle contains 20 mL of BHI broth supplemented with pyridoxine.
Add 1-4 mL of blood to each bottle. Only one bottle is needed for each pediatric draw.
Notes: Identification and susceptibility tests will be performed if indicated, at an additional charge.
Unacceptable: Clotted specimens or specimens not collected in proper culture media.
Transport temp: Ambient
Method: Bacteriologic Culture Techniques/BacT/Alert 3-D
Unit code: 400500
CPT Code(s): 87040
Culture, Body Fluid
Order code: 3095
Preferred specimen: Aspirated body fluid: Transport in a sterile leak-proof container, yellow top SPS vacutainer tube, or sterile capped syringe without
needle. Submit to laboratory ASAP at room temperature.
Peritoneal dialysate fluid: If specimen will arrive in laboratory within 12 hours of collection, transport refrigerated in a sterile leakpoof container. If specimen transport time will be greater than 12 hours from time of collection, submit specimen in Blood Culture
bottles. Sterilize top of bottle with alcohol and allow to air dry. Aseptically inject 10 mL fluid into a SA (blue-cap aerobic bottle) and
10 mL fluid into a SN (dark purple-cap anaerobic bottle) and transport at room temperature within 24 hours.
Notes: A Gram Stain Smear (order code 3420) must be ordered separately, if desired.
Identification and susceptibility tests will be performed if indicated, at an additional charge.
Other acceptable: Large volume body fluid specimens (10 mL or more) may be submitted in blood culture bottles. Sterilize top of blood culture bottle
with alcohol, allow to air dry. Aseptically inject 5-10 mL of fluid into a SA (blue-cap aerobic bottle) and 5-10 mL of fluid into a SN
(dark purple-cap anaerobic bottle). Transport specimen at room temperature within 24 hours.
Unacceptable: Specimen in non-sterile container, syringe with needle, or green, purple, or blue top vacutainer tube. Specimen
submitted on dried culture swab or wooden shaft swab. Frozen specimen.
Transport temp: Room temperature: Body fluid and any fluid in blood culture bottles
Refrigerated: Peritoneal fluid <12 hours old
S1
0
Method: Bacteriologic Culture, Aerobic and Anaerobic.
Unit code: 400600
CPT Code(s): 87070, 87075
Ref range: No growth
Fluid sumitted in blood culture bottles - within 5 days.
Broth will be held for 7 days. If the broth grows, an amended report will be issued; otherwise, no further report will be sent.
Culture, Bronchial Alveolar Lavage (BAL)
Culture, Bronchial Alveolar Lavage (BAL), and Gram Stain
See: Culture, Lower Respiratory Tract, and Gram Stain
Culture, Bronchial Washings
Culture, Candida
See: Fungal Culture
Test List
10-170
Culture, CSF
Order code: 3100
Preferred specimen: Collect CSF in sterile screw-cap or snap-cap tubes. Collect 4.0-5.0 mL for adults and 0.5-1.0 mL for children. Transport to the
laboratory in the collection tube as soon as possible. Do not refrigerate. If only one tube is collected, send to the Microbiology
laboratory first. If more than one tube is obtained, the second or third collection tube should be sent to the Microbiology laboratory
for culture.
Minimum specimen: 1.0 mL CSF for adults
Notes: CSF culture does not include a gram stain. If gram stain is needed order 3420 Gram Stain Smear.
Unit code: 401100
CPT Code(s): 87070
Reported: Negative cultures within 72 hours.
Note: Broth will be held for 7 days. If the broth grows, an amended report will be issued; otherwise, no further report will be sent.
Culture, Cytomegalovirus
Order code: 81685
Preferred specimen: Collect 5.0 mL whole blood, lavender (EDTA) top tube.
Minimum specimen: 1.0 mL whole blood, 0.5 mL fluid.
Notes: Cytomegalovirus by PCR is a more sensitive method for the detection of CMV viremia and central nervous system infections,
especially in the immunocompromised patient.
Other acceptable: Bronchoalveolar lavage (BAL) or urine. Transfer 2.0 mL fluid to a sterile container or viral transport media.
Or throat swab or tissue placed in viral transport media.
Indicate source on test request form.
Unacceptable: Stool, rectal swab, and CSF specimens. Whole blood in viral transport media. Calcium alginate, eSwab, dry, or wood swabs.
Frozen specimens.
Transport temp: Refrigerated. Do not freeze.
Method: Cell Culture/Immunofluorescence
Unit code: 808500
CPT Code(s): 87254
Ref range: Culture negative for CMV by early antigen test.
Reported: 2-6 days
S1
0
Culture, Dialysate Fluid
Culture, Ear
Order code: 3120
Preferred specimen: Collect ear drainage using a sterile culture transport swab. Do not refrigerate. Transport swab can maintain organism viability up
to 72 hours.
Unacceptable: Dried culture swab.
Unit code: 401200
CPT Code(s): 87070
Culture, Environmental
Order code: 3400
Preferred specimen: Sterile culture swab of an environmental source. Please specify the environmental source of the specimen on the test request
form.
Unacceptable: Specimens greater than 72 hours old.
Unit code: 401300
CPT Code(s): 87070
10-171
Test List
Culture, Eye
Order code: 3140
Preferred specimen: Collect eye culture using sterile culture transport swab. Corneal scrapings should be collected using a sterile corneal spatula and
placed directly on appropriate culture media or placed on a sterile culture transport swab. Do not refrigerate. Transport swab can
maintain organism viability up 72 hours.
Unit code: 401400
CPT Code(s): 87070
Culture, Fungal
See: Fungal Culture
Culture, Fungal and Stain
See: Fungal Culture and Stain
Culture, Fungal and Stain, Blood
See: Fungal Culture and Stain, Blood
Culture, Fungal and Stain, Skin, Hair or Nails
See: Fungal Culture and Stain, Skin, Hair or Nails
Culture, Fungal, Blood
See: Fungal Culture, Blood
S1
0
Culture, Fungal, Skin, Hair or Nails
See: Fungal Culture, Skin, Hair or Nails
Culture, Gardnerella
Order code: 3720
Preferred specimen: Use a sterile Culture swab to collect genital specimen. Send specimen to the laboratory as soon as possible.
Unacceptable: Dried culture swab
Unit code: 401800
CPT Code(s): 87081
Ref range: No Gardnerella Isolated
Culture, Genital
Order code: 3180
Preferred specimen: Vaginal, cervical, urethral or penile secretions: Collect specimen using a sterile culture transport swab. Transport swab can
maintain organism viability up to 72 hours.
Semen or IUD: Submit in sterile sealed container. Transport ASAP within 24 hours of collection.
Do not refrigerate specimens. Record source on test request form.
Notes: Identification and susceptibility tests will be performed if indicated, at an additional charge. IUD specimens will be cultured for
aerobes and for anaerobes at an additional charge.
Unit code: 402000
CPT Code(s): 87070
Reported: IUD specimens reported after 5 days. All other specimens reported within 72 hours.
Test List
10-172
Culture, Group B Streptococcus
Order code: 3060
Preferred specimen: Collect both a vaginal and rectal specimen. Using a swab from a culturette container with either Amies or Stuarts media without
charcoal, swab the lower vagina (vaginal introitus), followed by the rectum (ie, insert swab through the anal sphincter) using the
same swab. Move swab from side to side, or rotate the swab at the collection site, allowing several seconds for absorption of
organisms by the swab. Alternately, two swabs may be used, one for vaginal and one for rectal - use a double swab culturette.
Place the swab/swabs back into the culturette and transport to the laboratory at room temperature as soon as possible. NOTE that
cervical specimens are not recommended and a speculum should not be used for collection. Record source of specimen on test
request form.
Notes: Patient should be checked for Group B Strep during their third trimester of pregnancy.
Other acceptable: Sterile culture swabs may be submitted in Todd Hewitt Broth available through BBPL Client Services. Broth may be incubated 3537°C for 18-24 hours prior to transport - no longer. If broth has been incubated prior to transport, please record length of incubation
on broth tube.
Unacceptable: Dried culture swabs. Swabs with wooden shafts. Specimen greater than 72 hours old.
Unit code: 400400
CPT Code(s): 87081
Culture, Group B Streptococcus with Sensitivities
Order code: 3061
Preferred specimen: Collect both a vaginal and rectal specimen. Using a swab from a culturette container with either Amies or Stuarts media without
charcoal, swab the lower vagina (vaginal introitus), followed by the rectum (ie, insert swab through the anal sphincter) using the
same swab. Move swab from side to side, or rotate the swab at the collection site, allowing several seconds for absorption of
organisms by the swab. Alternately, two swabs may be used, one for vaginal and one for rectal - use a double swab culturette.
Place the swab/swabs back into the culturette and transport to the laboratory at room temperature as soon as possible. NOTE that
cervical specimens are not recommended and a speculum should not be used for collection. Record source of specimen on test
request form.
Notes: Sensitivities will be performed on Group B Streptococcus isolate at an additional charge. Some patients may be allergic to
penicillins and susceptibility testing of the organism is indicated. Patient should be checked for Group B Strep during their third
trimester of pregnancy.
Other acceptable: Sterile culture swabs may be submitted in Todd Hewitt Broth available through BBPL Client Services. Broth may be incubated 3537°C for 18-24 hours prior to transport - no longer. If broth has been incubated prior to transport, please record length of incubation
on broth tube.
Unacceptable: Dried culture swabs. Swabs with wooden shafts. Specimen greater than 72 hours old.
S1
0
Unit code: 400410
CPT Code(s): 87081
Culture, Joint Fluid
Culture, Knee Fluid
Culture, Legionella Species
Order code: 83842
Preferred specimen: Respiratory tract secretions, aspirates, BAL, tissues, fluids, sputum, or abscess material, or pericardial fluid. Transport fluids in a
sterile container frozen. Place tissue on gauze moistened with sterile non-bacteriostatic saline to prevent drying and transport in a
sterile container frozen. Source of specimen is preferred.
Minimum specimen: 0.5 mL fluids
Other acceptable: Whole blood in SPS tube, refrigerated. Send immediately to laboratory.
Unacceptable: Urine, stool, wounds, or other culture material from non-respiratory sites. Dry specimens. Specimens in preservatives or viral
transport medium.
Method: Culture/Identification
Unit code: 823800
CPT Code(s): 87081
Ref range: Culture negative for Legionella species.
Reported: Positives are reported as soon as detected.
Final: Negative at 8 days
10-173
Test List
Culture, Lower Respiratory Tract
Order code: 3240
Preferred specimen: Collect lower respiratory specimen: Sputum, tracheal aspirate, bronchial wash, bronchial alveolar lavage (BAL), or transtracheal
aspirate.
For sputum, carefully instruct the patient to cough deeply (not to spit) into a sterile screw-top container. The first morning specimen
is best (no 24 hour collection).
Transport at least 5 mL of sputum or fluid in a tightly sealed container.
Notes: It is strongly recommended that a gram stain be performed on all expectorated sputum specimens to determine their acceptability
for culture. Please order Culture, Lower Respiratory Tract, and Gram Stain (order code 3241) unless a gram stain has already
been performed by the client at the time of collection. Identification and susceptibility tests will be performed if indicated, at an
additional charge.
Agents such as Bordetella pertussis, Chlamydia pneumoniae , Corynebacterium diphtheriae, Legionella pneumophila, Mycoplasma
pneumoniae, and Acid-Fast Bacilli (Mycobacterium tuberculosis), and Fungus require special laboratory measures for isolation and
therefore require separate orders for each specific agent.
Unacceptable: Swabs. Specimens received after 72 hours of collection. Multiple specimens (more than one in 24 hours) or frozen specimens.
Unit code: 402600
CPT Code(s): 87070
Culture, Lower Respiratory Tract, and Gram Stain
Order code: 3241
Preferred specimen: Collect lower respiratory specimen: Sputum, tracheal aspirate, bronchial wash, bronchial alveolar lavage (BAL), or transtracheal
aspirate.
For sputum, carefully instruct the patient to cough deeply (not to spit) into a sterile screw-top container. The first morning specimen
is best (no 24 hour collection).
Transport at least 5 mL of sputum or fluid in a tightly sealed container.
Agents such as Bordetella pertussis, Chlamydia pneumoniae , Corynebacterium diphtheriae, Legionella pneumophila, Mycoplasma
pneumoniae, and Acid-Fast Bacilli (Mycobacterium tuberculosis), and Fungus require special laboratory measures for isolation and
therefore require separate orders for each specific agent.
Unacceptable: Specimens submitted on swabs. Specimens received after 72 hours of collection. Multiple specimens (more than one in 24 hours)
or frozen specimens.
Method: Bacteriologic culture techniques/Gram Stain
Unit code: 402601
CPT Code(s): 87070, 87205
S1
0
Culture, Nasopharyngeal
Order code: 3220
Preferred specimen: Routine Nasal: Use a sterile culture transport swab to swab the anterior nares only.
Nasopharynx: Using a naso-pharyngeal swab, collect the specimen by passing through the nose into the nasopharynx. Allow swab
to remain for a few seconds and carefully withdraw. Place naso-pharyngeal swab into transport tube.
Do not refrigerate. Swabs can maintain organism viability up 72 hours.
Notes: If only interested in MRSA, order 3204 MRSA Culture.
Unit code: 402200
CPT Code(s): 87070
Culture, Neisseria gonorrhoeae (GC) Only
Order code: 3160
Preferred specimen: Urethral, vaginal, cervical, rectal, throat, conjunctiva, or prostatic fluid. Collect specimen using sterile Culture Swab in Liquid
Stuarts Media or in e-Swab Transport System. Do not refrigerate. Transport as soon as possible; within 24 hours is
recommended.
Please record specific body site on the test request form.
Other acceptable: Sterile Culture Swab in Liquid or Gel Amies Media with or without Charcoal.
Unacceptable: Dried Culture Swab, wooden shaft swab, frozen specimen, expired transport media, specimen greater than 72 hours old.
Unit code: 401900
CPT Code(s): 87081
Culture, Peritoneal Fluid
Test List
10-174
Culture, Pleural Fluid
Culture, Sputum
Culture, Sputum, and Gram Stain
Culture, Stool with Shiga Toxin 1 and 2 by EIA
Order code: 3260
Preferred specimen: Stool placed in Cary Blair transport media.
Collect stool specimen in a clean, dry container. Immediately after collection, transfer the stool specimen to Cary Blair medium,
adding up to the fill line on the Cary Blair vial label. Mix vial well. Stool specimen preserved in Cary Blair medium is stable for 72
hours refrigerated. If multiple specimens are indicated, collect on three separate days. Record the collection date and time on each
specimen vial. Cary Blair media is available through BBPL Client Services or online using the BBPL Electronic Supply Order Form.
Minimum specimen: 1.0 mL liquid stool or 1 g solid (pea-sized) formed stool.
Notes: Culture detects Salmonella, Shigella, Campylobacter, and E. Coli O157:H7 organisms. Routine stool culture includes Shiga Toxin
1 and 2 testing. Cultures for other pathogens must be ordered separately. Do not order stool culture for detection of Clostridium
difficile toxin, instead order 53810 Clostridium difficile Toxin by PCR.
laboratory within 24 hours of collection. Transport refrigerated. For acceptable specimens for infants, contact the BBPL
Microbiology department.
Unacceptable: Multiple specimens (more than one in 24 hours), specimens in inappropriate transport media (O&P preservatives), unpreserved
stool specimens received at room temperature, frozen specimens, dried culture swabs or wooden shaft swabs.
Method: Bacteriologic Culture Techniques and Enzyme Immunoassay
Unit code: 402710
CPT Code(s): 87045, 87046, 87427 (x2)
S1
0
Culture, Synovial Fluid
Culture, Throat, Routine
Order code: 3280
Preferred specimen: Collect throat specimen using a sterile culture swab. Depress tongue with a sterile tongue blade and vigorously swab over each
tonsillar area and the posterior pharynx while rotating the swab. Swab over any area with visual pus. Avoid touching cheeks, teeth,
lips, palate and tongue.
Unacceptable: Swab with wooden shaft, dried swab, specimen greater than 72 hours old.
Unit code: 402800
CPT Code(s): 87070
Ref range: Normal Flora
Culture, Tissue
Order code: 3340
Preferred specimen: Send tissue sample in tightly sealed sterile container. Cover the tissue with sterile saline to prevent drying. Send to laboratory
ASAP at room temperature.
Unacceptable: Tissue specimens in formalin.
Method: Bacteriologic Culture, Aerobic and Anaerobic
Unit code: 403300
CPT Code(s): 87070, 87075, 87176
Reported: Within 48 hours.
Note: Broth will be held for 7 days. If the broth grows, an amended report will be issued; otherwise, no further report will be sent.
Culture, Tracheal Aspirate
10-175
Test List
Culture, Tracheal Aspirate, and Gram Stain
Culture, Transtracheal Aspirate
Culture, Transtracheal Aspirate, and Gram Stain
Culture, Urine, Routine
Order code: 3300
Preferred specimen: Collect urine (clean catch, catheter, cystoscopic, or suprapubic) into a sterile screw-top container. Transfer the urine into a 9.5 mL
yellow top Vacuette transport tube with preservative. Optimal fill: 9.5 mL (top of the product label); Minimal fill: 4.0 mL. Invert 6-8
times to mix. Transport to the laboratory as soon as possible. Store and transport at room temperature.
For a clean catch urine and in-and-out (straight cath) urine, the patient's urethral and/or vaginal area must be thoroughly cleansed
before collection. Allow the first few milliliters of urine to pass before collecting the midstream urine into a sterile container. For
indwelling cath urine collection, use alcohol to disinfect the port or line and obtain specimen from the catheter line. Do not collect
from the catheter bag. Note on the test request form if the urine is a clean catch, straight cath or foley cath specimen.
Minimum specimen: 4.0 mL urine in 9.5 mL yellow top Vacuette tube with preservative or
0.5 mL urine in sterile cup without preservative
Notes: If culture is positive, CPT code(s) 87088 (each isolate) will be added with an additional charge. Identification will be performed at
an additional charge (CPT code(s): 87077 or 87147). Antibiotic susceptibilities are only performed when appropriate (CPT code(s):
87184 or 87185 or 87186).
Other acceptable: Unpreserved urine in a sterile screw-top container. Store and transport refrigerated.
Gray top urine transport tube with boric acid preservative filled with urine to the fill line (4 mL). Store and transport at room
temperature.
Unacceptable: Urine from a catheter bag or Foley catheter tip. Delay in transport to laboratory: greater than 24 hours for unpreserved refrigerated
urine or greater than 72 hours for room temperature preserved urine. Specimens in non-sterile container or expired transport
container. Frozen specimens.
Transport temp: Unpreserved urine refrigerated
Preserved urine at room temperature
Method: Semi-Quantitative Bacteriologic Culture Techniques
Unit code: 402900
CPT Code(s): 87086
S1
0
Ref range: No Growth
Reported: Negative cultures within 2 days
Culture, Viral
See: Viral Culture, Non-Respiratory
Viral Culture, Respiratory
Culture, Wound
Order code: 3320
Preferred specimen: Aspirate, drainage or purulent material properly obtained from an abscess, lesion or wound and submitted in a sterile syringe
without needle, or on a sterile single or double swab. Note that aspirated material is superior to a swab, and that a double swab is
superior to a single swab.
When anaerobes are suspected, such as with deep wounds, collection with an e-Swab Anaerobic Transport System tube is
preferred.
When collecting surface wound cultures, decontaminate the surrounding skin prior to collecting the specimen.
Please record specific wound body site on the test request form.
Stability: Specimens submitted in a sterile syringe or container are stable for 24 hours at room temperature. Swabs are stable for
72 hours at room temperature.
Minimum specimen: 0.5 mL or 0.5 gram aspirated material or swab saturated with material
Unacceptable: Dried culture swab, wooden shaft swab, frozen specimen, expired transport media.
Transport temp: Room temperature.
Note: Refrigerated specimens are not recommended for recovery of some fastidious organisms such as Neisseria spp.
Method: Bacteriologic culture techniques, Aerobic and Anaerobic
Unit code: 403000
CPT Code(s): 87070, 87075
Reported: No Growth cultures are reported at 48 hours. Note: Broth will be held for 7 days. If growth appears in broth after 48 hours, an
amended report will be issued; otherwise, no further report will be sent.
Test List
10-176
Culture, Yeast Screen
Order code: 3740
Preferred specimen: Collect specimen using a sterile culture transport swab. Transport to laboratory as soon as possible. Transport swab can maintain
organism viability up 72 hours.
Notes: The Screen reports only presence or absence of yeast. If identification of yeast is desired, order appropriate Fungal Culture code.
Unit code: 403100
CPT Code(s): 87081
Culture, Yersinia
Order code: 3760
Preferred specimen: Stool placed in Cary Blair transport media.
adding up to the fill line on the Cary Blair vial label. Mix vial well. Stool specimen preserved in Cary Blair medium is stable for 72
hours refrigerated.
Minimum specimen: 1.0 mL liquid stool or 1 g solid (pea-sized) formed stool.
Notes: If multiple stool specimens are indicated, collect on three separate days. Record the collection date and time on each specimen
vial.
Unacceptable: Multiple specimens (more than one in 24 hours), specimens in inappropriate transport media (O&P preservatives), unpreserved
stool specmens received at room temperature, frozen specimens, dried culture swabs or wooden shaft swabs.
Unit code: 403200
CPT Code(s): 87046
Ref range: No Yersinia species isolated.
S1
0
Cyanide, Blood
Order code: 81930
Preferred specimen: 4.0 mL whole blood, green (sodium or lithium heparin) top tube, in original collection tube.
Notes: Do not refrigerate or freeze specimen.
Other acceptable: 4.0 mL whole blood, lavender (EDTA) top tube, in original collection tube. May also transfer whole blood to a plastic transport tube.
Unacceptable: Serum or plasma, clotted or hemolyzed specimens, frozen or refrigerated specimens.
Method: Quantitative Colorimetric
Unit code: 810950
CPT Code(s): 82600
Ref range: Non-smokers: Less than 20 µg/dL
Smokers: Less than 40 µg/dL
Toxic Level: Greater than 100 µg/dL
Cyanide poisoning can cause hypoxia, dizziness, weakness and mental and motor impairment. Elevated cyanide concentrations
rarely indicate toxicity for patients on nitroprusside therapy. Thiocyanate should be monitored in patients on nitroprusside therapy
for potential toxicity
No laboratory test is available to assess cyanide toxicity in a patient who is on nitroprusside therapy; this test should not be
ordered when the patient is on nitroprusside. However, thiocyanate toxicity may occur with long-term nitroprusside use (longer than
seven to 14 days with normal renal function and three to six days with renal impairment at greater than 2 µg/kg/min infusion rates).
Thiocyanate levels may be monitored on an every other day basis to assess potential thiocyanate toxicity and to indicate possible
adjustments in dosage.
Reported: 2-6 days
Cyclic AMP, Urine
Order code: 81144
Preferred specimen: 10.0 mL random urine in a clean plastic urine container. Freeze immediately after collection and maintain frozen. Separate
specimens must be submitted when multiple tests are ordered.
Notes: Do not administer isotopes 48 hours prior to and during collection.
Unacceptable: Nonfrozen specimens. Recently administered radioisotopes.
Unit code: 811043
CPT Code(s): 82030, 82570
Reported: 4-9 days
10-177
Test List
Cyclic Citrullinated Peptide Antibody, IgG
Order code: 5032
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (lithium heparin) top tube.
Unacceptable: Severely hemolyzed, lipemic, or heat-inactivated specimens.
Unit code: 350320
CPT Code(s): 86200
Ref range: Negative: 0-5.0 U/mL
Positive: >5.0 U/mL
Reported: 1-5 days
Cyclin D
Cyclospora Stain
Cyclosporine A
Order code: 81126
Minimum specimen: 0.25 mL EDTA whole blood.
Notes: Pre-dose (trough) levels should be drawn.
Unacceptable: Serum, plasma, clotted specimens, and specimens left at room temperature for longer than 24 hours.
Unit code: 811256
CPT Code(s): 80158
S1
0
Ref range: Therapeutic Range: 100-400 ng/mL
Kidney transplant (in combination with Everolimus):
1 month post-transplant: 100-200 ng/mL
2-3 months post-transplant: 75-150 ng/mL
Heart transplant:
Up to 3 months post-transplant: 350-525 ng/mL
4 months and older post-transplant: 145-350 ng/mL
Liver transplant:
290-525 ng/mL
Toxic value:
Greater than 700 ng/mL
The general therapeutic range for cyclosporine A is 100-400 ng/mL. The optimal therapeutic range for a given patient may differ
from this suggested range based on the indication for therapy, treatment phase (initiation or maintenance), use in combination with
other drugs, time of specimen collection relative to prior dose, type of transplanted organ, and/or the therapeutic approach of the
transplant center.
Reported: 2-3 days
Cystatin C
Order code: 81129
Preferred specimen: 1.0 mL serum, SST. Allow specimen to clot completely at room temperature. Remove serum from cells ASAP or within 2 hours of
Method: Quantitative Nephelometry
Unit code: 811290
CPT Code(s): 82610
Ref range: 0-3 months: 0.8-2.3 mg/L
4-11 months: 0.7-1.5 mg/L
1-17 years: 0.5-1.3 mg/L
18 years and older: 0.5-1.0 mg/L
Reported: 2-3 days
Test List
10-178
Cystic Fibrosis Mutation Screening
Order code: 36995
Preferred specimen: 5.0 mL whole blood, lavender (EDTA), light blue (sodium citrate), or yellow (ACD Solution A or B) top tube. Transport whole blood
refrigerated. Frozen is also acceptable.
Notes: Separate samples should be submitted when multiple test are ordered.
Other acceptable: Liquid Based PAP Media
Unacceptable: Samples collected in heparin anticoagulant.
Method: Multiplex PCR with Multiplex Electrochemical Detection
Unit code: 536995
CPT Code(s): 81220
Ref range: None detected.
Reported: 1-7 days
Cystine, Urine-Quantitative
Order code: 82000
Preferred specimen: 8.0 mL urine aliquot from a well-mixed 24-hour or other timed urine collection. Refrigerate 24-hour specimen during collection
period. Immediately after completion of collection, mix urine well, aliquot urine into a plastic transport tube and freeze. Record total
volume and hours of collection on both the urine container and test request form. Avoid dilute urine when possible. Separate
specimens must be submitted when multiple tests are ordered.
Notes: Clinical information (age, gender, diet, drug therapy, and family history) is needed for appropriate interpretation. A Patient History
for Biochemical Genetic Testing form along with test request form must be submitted with specimen.
Other acceptable: Other timed urine collections.
Unacceptable: Room temperature or refrigerated specimens.
Unit code: 811400
CPT Code(s): 82131
Ref range: 0-2 months: 14-573 umol/g CRT
3-8 months: 28-461 umol/g CRT
9 months-2 years: 34-186 umol/g CRT
3-12 years: 26-98 umol/g CRT
13 years and older: 12-81 umol/g CRT
S1
0
Reported: 4-8 days
Cystoisospora Stain
See: Parasitology Stain By Acid-Fast
Cytochrome P450 2C9, CYP2C9 - 2 Variants
Order code: 81146
Notes: Order to assess genetic risk of abnormal drug metabolism for drugs metabolized by CYP2D9. May aid in drug selection and dose
planning for drugs metabolized by CYP2D9.
Other acceptable: For other acceptable specimens contact BBPL Client Services department.
Unit code: 811446
Reported: 6-11 days
Cytogenomic SNP Microarray
Order code: 87952
Preferred specimen: 5.0 mL whole blood, green (sodium heparin) or lavender (EDTA). Peripheral blood required.
Notes: A Genomic Microarray Patient Clinical Information form must be submitted with the test request form and specimen.
Method: Genomic Microarray (Oligo-SNP Array)
Unit code: 807952
CPT Code(s): 81229
Reported: 11-15 days (Results requiring the completion of FISH testing may exceed the standard TAT)
10-179
Test List
Cytology, Anal Pap Test
Order code: 4880
Preferred specimen: Anal sample collected in SurePath collection vial.
Collection: Moisten a Dacron swab with water (not lubricant) and insert approximately 1.5 to 2 inches into the anal canal. Rotate
the swab in a spiral motion and apply some pressure to the wall of the anus as the swab is removed. Place the Dacron swab head
in a SurePath collection vial. Cap the vial tightly.
Notes: Use of lubricants to collect sample may render the specimen as unsatisfactory. The frosted end of the microscopic slide(s) or
collection vial must be labeled with two (2) person specific identifiers.
Submit specimen with a completed Cytology test request form.
Other acceptable: Anal swab sample spread on a glass microscopic slide(s). Immediately fix slide(s) with cytologic spray fixative or place in slide
holder pre-filled with 95% alcohol.
Unacceptable: Specimens improperly labeled.
Specimens submitted in expired collection reagent.
Specimens collected by cotton swab or swab with wooden shaft.
Method: Routine Cytopathologic Evaluation
Unit code: 604880
CPT Code(s): 88112
Reported: 2-3 days
Cytology, Breast Secretion
Order code: 4125
Preferred specimen: Direct collection of nipple secretion on a glass microscopic slide (single-end frosted).
Collection: Gently grip subareolar area and nipple with thumb and forefinger to produce pea size drop of secretion. Touch clean
slide to the nipple. Immediately fix slide with cytologic spray fixative or place in slide holder pre-filled with 95% alcohol.
Notes: The frosted end of slide must be labeled with two (2) person specific identifiers and specimen site (include left or right). Submit
specimen with a completed Cytology test request form.
Unacceptable: Slide with improper identification.
Slide with improper fixative.
Unit code: 604125
CPT Code(s): 88104
Reported: 2-3 days
Cytology, Bronchial Washings and Brushings
S1
0
Order code: 4175
Preferred specimen: Washings: Submit with an equal volume of cytology fixative. Print patients name and specimen site on the container and complete
a Cytology requisition.
Brushings: Prepare slides by rolling material on a slide. Fix immediately with spray fixative. The brush(es) used to prepare slides
may also be swished in a container of fixative to dislodge additional material and send to the laboratory.
Notes: Label the slides and the containers with two (2) person specific identifiers and specimen source. Submit specimen with a
completed Cytology test request form that includes clinicial history.
Other acceptable: Fluid without cytology fixative. Must refrigerate and ship refrigerated.
Unacceptable: Improper identification, fixation, or 24 hr specimen.
Transport temp: Room temperature fixed. Refrigerated unfixed.
Unit code: 604175
CPT Code(s): 88112
Reported: 1-3 days
Cytology, Conventional Pap Smear (1 slide)
Order code: 4015
Preferred specimen: One fixed smear using standard PAP collection methods.
Spray slide immediately with cytology fixative. Do not allow to air dry before fixation.
Notes: The frosted end of the slide and slide holder must be labeled with two (2) person specific identifiers.
Submit specimen with a completed Cytology test request form that includes clinical history.
Slides broken in transit.
Unit code: 604015
Ref range: See laboratory report.
Cytology, CSF
See: Cytology, Non-Gyn Miscellaneous
Test List
10-180
Cytology, Fine Needle Aspiration (FNA)
Order code: 4400
Preferred specimen: Collection: FNA collection kits are available through BBPL Client Services or online using the BBPL Electronic Supply Order
Form. Refer to Fine Needle Aspiration (FNA) Specimen Collection for detailed instructions.
Specimen: Aspirated cellular material from lesions/masses of all body sites submitted for evaluation and detection of malignant
diseases. Fine needle aspirations should include the following three components for optimal cytologic results.Two fixed slides:
Place one small drop of specimen on a glass side. Take a second glass slide and smear the drop of material. Immediately place
both slides in plastic container with cytology fixative.
Two air dried slides: Place one small drop of specimen on a glass slide. Take a second glass slide and smear the drop of
material. Allow both slides to dry. Place air dried slides in plastic cytology transport container.
Remaining Fluid: The remaining fluid is submitted in a cytology container with equal amount of CytoRich fixative. After the direct
smears have been prepared, the needle is removed from the syringe. The syringe is used to draw up the cytology fixative fluid and
then expel the remaining specimen into the cytology container. The lid must be placed on tightly for shipping to the laboratory.
Notes: The frosted end of the microscopic slides and collection containers must be labeled with two (2) person specific identifiers and
detailed specimen information (e.g., left breast or right breast). Submit specimen with a completed Cytology requisition.
Unacceptable: Syringes with or without needles.
Specimens improperly labeled.
Unit code: 604400
CPT Code(s): 88173
Reported: 1-3 days
Cytology, Fluid
Order code: 4080
Preferred specimen: Submit fluid with an equal volume of cytology fixative.
Notes: The specimen must be labeled with two (2) person specific identifiers and specimen source. Submit specimen with a completed
Cytology test request form that includes clinicial history.
Other acceptable: Fluid without cytology fixative. Must refrigerate and ship refrigerated.
Unacceptable: Improper identification, fixation, or 24 hr specimen.
Transport temp: Ambient fixed, Refrigerated unfixed
Unit code: 604080
CPT Code(s): 88112
S1
0
Reported: 1-3 days
Cytology, Non-Gyn Miscellaneous
Order code: 4100
Preferred specimen: Submit fluid (3-5 mL) with an equal volume of cytology fixative. Cytology fixative is available through BBPL Client Services or
online using BBPL Electronic Supply Order Form. Record the source on the test request form.
Minimum specimen: 1 mL fluid
Other acceptable: Fluid without cytology fixative if refrigerated.
Unacceptable: Syringes with or without needles. Specimens improperly labeled.
Transport temp: Room temperature fixed
Refrigerated unfixed
Unit code: 604100
CPT Code(s): 88112
Reported: 1-3 days
Cytology, Sputum
Order code: 4050
Preferred specimen: Submit sputum (early morning deep cough specimen preferred) with an equal volume of cytology fixative.
Unit code: 604050
CPT Code(s): 88112
Reported: 1-3 days
10-181
Test List
Cytology, SurePath Imaging Pap Test
Order code: 4546
Preferred specimen: Gynecological sample collected in SurePath collection fluid.
Collection: Obtain an adequate sample using a broom-like detachable device. Insert the broom into the endocervical canal, apply
gentle pressure and rotate the broom in a clockwise direction five (5) times. Separate the broom part of the device from the handle
and place the broom into the collection vial. Cap the vial tightly and shake. The specimen must be labeled with two (2) person
specific identifiers and submitted with a completed Cytology test request form.
Minimum specimen: 10 mL preservative with specimen and collection device.
Unacceptable: Specimens not collected in a SurePath collection vial.
Specimens more than 28 days old from collection date.
Method: Routine Cytopathologic Evaluation with Computer-Assisted Pre-Screen
Unit code: 604544
Cytology, SurePath Imaging Pap Test with Chlamydia/Gonorrhoeae and Reflex to
HPV when ASC
Order code: 4567
Notes: Test includes SurePath Pap test with Chlamydia trachomatis and Neisseria gonorrhoeae and will reflex to High Risk HPV testing
when cytologic specimen is interpreted with Atypical Squamous Cells.
Method: Pap Test: Routine Cytopathologic Evaluation with Computer-Assisted Pre-Screen
Chlamydia trachomatis and Neisseria gonorrhoeae: Nucleic Acid Amplification (NAA)
HPV: Nucleic Acid Amplification (NAA)
Unit code: 604567
S1
0
CPT Code(s): 87491, 87591
Cytology, SurePath Imaging Pap Test with Chlamydia/Gonorrhoeae
Order code: 4566
Notes: Test includes SurePath Pap test and Chlamydia trachomatis and Neisseria gonorrhoeae.
Chlamydia trachomatis and Neisseria gonorrhoeae: Nucleic Acid Amplification Test (NAAT)
Unit code: 604566
CPT Code(s): 87491, 87591
Test List
10-182
Cytology, SurePath Imaging Pap Test with HPV
Order code: 4560
Notes: Test includes SurePath Pap test and Human Papillomavirus (HPV), High Risk.
Unit code: 604560
CPT Code(s): 87624
Cytology, SurePath Imaging Pap Test with HPV and Chlamydia/Gonorrhoeae
Order code: 4565
Notes: Test includes SurePath Pap test with Human Papillomavirus (HPV), High Risk, and Chlamydia trachomatis and Neisseria
gonorrhoeae.
S1
0
Unit code: 604565
CPT Code(s): 87491, 87591, 87624
Cytology, SurePath Imaging Pap Test with HPV, Reflex to Genotypes
Order code: 4594
Notes: Test includes SurePath Pap test and Human Papillomavirus (HPV), High Risk. If HPV High Risk testing is positive, Genotypes 16
and 18/45 will be added at an additional charge.
Unit code: 604594
CPT Code(s): 87624
10-183
Test List
Cytology, SurePath Imaging Pap Test with Reflex to HPV when ASC
Order code: 4555
Notes: Specimen will be reflexed to High Risk HPV testing when cytologic specimen is interpreted with Atypical Squamous Cells.
Unit code: 604555
Cytology, SurePath Imaging Pap Test with Reflex to HPV when ASC/LSIL
Order code: 4551
Notes: Specimen will be reflexed to High Risk HPV testing when cytologic specimen is interpreted with Atypical Squamous Cells or as
Low Grade Squamous Intraepithelial Lesion.
Unit code: 604551
S1
0
Cytology, SurePath Imaging Pap Test with Reflex when ASC, Reflex to HPV
Genotypes
Order code: 4593
Notes: Specimen will be reflexed to High Risk HPV testing when cytologic specimen is interpreted with Atypical Squamous Cells. If HPV
High Risk is positive, Genotypes 16 and 18/45 will be added. Additional charges apply.
Unit code: 604593
Test List
10-184
Cytology, SurePath Pap Test
Order code: 4575
Unit code: 604575
Cytology, SurePath Pap Test with Chlamydia/Gonorrhoeae
Order code: 4579
Notes: Test includes SurePath Pap test and Chlamydia trachomatis and Neisseria gonorrhoeae.
Method: Pap Test: Routine Cytopathologic Evaluation
Chlamydia trachomatis and Neisseria gonorrhoeae: Nucleic Acid Amplification Test (NAAT)
Unit code: 604579
CPT Code(s): 87491, 87591
S1
0
Cytology, SurePath Pap Test with Chlamydia/Gonorrhoeae and Reflex to HPV when
ASC
Order code: 4580
Notes: Test includes SurePath Pap test with Chlamydia trachomatis and Neisseria gonorrhoeae and will reflex to High Risk HPV testing
Unit code: 604580
CPT Code(s): 87491, 87591
10-185
Test List
Cytology, SurePath Pap Test with HPV
Order code: 4576
Notes: Test includes SurePath Pap test and Human Papillomavirus (HPV), High Risk.
Unit code: 604576
CPT Code(s): 87624
Cytology, SurePath Pap Test with HPV and Chlamydia/Gonorrhoeae
Order code: 4581
Notes: Test includes SurePath Pap test with Human Papillomavirus (HPV), High Risk, and Chlamydia trachomatis and Neisseria
gonorrhoeae.
S1
0
Unit code: 604581
CPT Code(s): 87491, 87591, 87624
Cytology, SurePath Pap Test with HPV, Reflex to Genotypes
Order code: 4596
Notes: Test includes SurePath Pap test and Human Papillomavirus (HPV), High Risk. If HPV High Risk testing is positive, Genotypes 16
Unit code: 604596
Test List
10-186
Cytology, SurePath Pap Test with Reflex to HPV when ASC
Order code: 4577
Unit code: 604577
Cytology, SurePath Pap Test with Reflex to HPV when ASC, Reflex to HPV Genotypes
Order code: 4595
Unit code: 604595
S1
0
Cytology, SurePath Pap Test with Reflex to HPV when ASC/LSIL
Order code: 4578
Unit code: 604578
10-187
Test List
Cytology, ThinPrep Imaging Pap Test
Order code: 4545
Preferred specimen: Gynecological sample collected in ThinPrep collection fluid.
Collection: Obtain an adequate sample using a broom-like device. Insert the broom into the endocervical canal, apply gentle
pressure and rotate the broom in a clockwise direction five (5) times. Rinse the collection device in the PreservCyt solution by
rotating the device vigorously in the solution 10 times. Discard the collection device. Cap the vial tightly. The specimen must be
labeled with two (2) person specific identifiers and submitted with a completed Cytology test request form.
Unacceptable: Specimens not collected in a ThinPrep collection vial.
Method: Routine Cytopathologic Evaluation with Computer-Assisted Pre-Screen
Unit code: 604545
Cytology, ThinPrep Imaging Pap Test with Chlamydia/Gonorrhoeae
Order code: 4574
Notes: Test includes ThinPrep Pap test and Chlamydia trachomatis and Neisseria gonorrhoeae.
Unit code: 604574
CPT Code(s): 87491, 87591
Cytology, ThinPrep Imaging Pap Test with Chlamydia/Gonorrhoeae and Reflex to HPV
when ASC
Order code: 4572
Notes: Test includes ThinPrep Pap test with Chlamydia trachomatis and Neisseria gonorrhoeae and will reflex to High Risk HPV testing
Unit code: 604572
CPT Code(s): 87491, 87591
Test List
10-188
S1
0
Cytology, ThinPrep Imaging Pap Test with HPV
Order code: 4570
Notes: Test includes ThinPrep Pap test and Human Papillomavirus (HPV), High Risk.
Unit code: 604570
CPT Code(s): 87624
Cytology, ThinPrep Imaging Pap Test with HPV and Chlamydia/Gonorrhoeae
Order code: 4573
Notes: Test includes ThinPrep Pap test with Human Papillomavirus (HPV), High Risk, and Chlamydia trachomatis and Neisseria
gonorrhoeae.
Unit code: 604573
S1
0
CPT Code(s): 87491, 87591, 87624
Cytology, ThinPrep Imaging Pap Test with HPV, Reflex to Genotpyes
Order code: 4591
Notes: Test includes ThinPrep Pap test and Human Papillomavirus (HPV), High Risk. If HPV High Risk testing is positive, Genotypes 16
Unit code: 604591
CPT Code(s): 87624
10-189
Test List
Cytology, ThinPrep Imaging Pap Test with Reflex to HPV when ASC
Order code: 4549
Unit code: 604549
Cytology, ThinPrep Imaging Pap Test with Reflex to HPV when ASC, Reflex to HPV
Genotypes
Order code: 4589
Unit code: 604589
S1
0
Cytology, ThinPrep Imaging Pap Test with Reflex to HPV when ASC/LSIL
Order code: 4571
Unit code: 604571
Cytology, ThinPrep Pap Test
Order code: 4582
Unit code: 604582
Test List
10-190
Cytology, ThinPrep Pap Test with Chlamydia/Gonorrhoeae
Order code: 4588
Notes: Test includes ThinPrep Pap test and Chlamydia trachomatis and Neisseria gonorrhoeae.
Unit code: 604588
CPT Code(s): 87491, 87591
Cytology, ThinPrep Pap Test with HPV
Order code: 4584
Notes: Test includes ThinPrep Pap test and Human Papillomavirus (HPV), High Risk.
Unit code: 604584
CPT Code(s): 87624
S1
0
Cytology, ThinPrep Pap Test with HPV and Chlamydia/Gonorrhoeae
Order code: 4587
Notes: Test includes ThinPrep Pap test with Human Papillomavirus (HPV), High Risk, and Chlamydia trachomatis and Neisseria
gonorrhoeae.
Unit code: 604587
CPT Code(s): 87491, 87591, 87624
Reported: Wthin 7 days
10-191
Test List
Cytology, ThinPrep Pap Test with HPV, Reflex to Genotypes
Order code: 4592
Notes: Test includes ThinPrep Pap test and Human Papillomavirus (HPV), High Risk. If HPV High Risk testing is positive, Genotypes 16
Unit code: 604592
Cytology, ThinPrep Pap Test with Reflex to HPV when ASC
Order code: 4583
Unit code: 604583
Cytology, ThinPrep Pap Test with Reflex to HPV when ASC, Reflex to HPV Genotypes
S1
0
Order code: 4590
Unit code: 604590
Test List
10-192
Cytology, ThinPrep Pap Test with Reflex to HPV when ASC/LSIL
Order code: 4585
Unit code: 604585
Cytology, Thyroid, Fine Needle Aspiration (FNA)
Order code: 4405
Preferred specimen: Collection: Thyroid FNA Collection Kits and requistions are available through BBPL Client Services or online using the BBPL
Electronic Supply Order Form. Refer to Fine Needle Aspiration (FNA) Specimen Collection for detailed instructions.
Specimen: Aspirated cellular material from thyroid lesions/cysts submitted for evaluation and detection of malignant diseases.
Fine needle aspirations should include the following three components for optimal cytologic results:
Two fixed slides: Place one small drop of specimen on a glass side. Take a second glass slide and smear the drop of material.
Immediately place both slides in plastic container with cytology fixative.
Remaining Fluid: The remaining fluid is submitted in a cytology container with equal amount of CytoRich fixative. After the direct
smears have been prepared, the needle is removed from the syringe. The syringe is used to draw up the cytology fixative fluid and
then expel the remaining specimen into the cytology container. The lid must be placed on tightly for shipping to the laboratory.
detailed
specimen information (e.g., left upper lobe, thyroid). Submit specimen with a completed Cytology requisition.
S1
0
Reporting: The Bethesda System for Thyroid Cytopathology
Unit code: 604405
CPT Code(s): 88173
Reported: 1-3 days
Cytology, Thyroid, Fine Needle Aspiration (FNA) with Reflex to ThyGenX/ThyraMIR
Order code: 4410
Preferred specimen: Collection: Thyroid FNA Collection Kits and requisitions are available through BBPL Client Services or online using the BBPL
Electronic Supply Order Form. Refer to Thyroid, Fine Needle Aspiration (FNA) with Reflex to ThyGenX/ThyraMIR Specimen
Collection for detailed instructions.
Specimen: Aspirated cellular material from thyroid lesions/cysts submitted for evaluation and detection of malignant diseases.
Fine needle aspirations should include the following four components for optimal cytologic results:
Two fixed slides: Place one small drop of specimen on a glass side. Take a second glass slide and smear the drop of material.
Immediately place both slides in plastic container with cytology fixative.
ThyGenX/ThyraMIR sample: After each pass, place 2 drops of aspirated material in the RNA Retain® vial. Screw top back on
vial and invert 2-3 times.
Remaining fluid: Remove the syringe and expel the remaining specimen into the 20 mL cytology collection container. Use the
syringe to draw up the CytoRich fixative washing the syringe 2-3 times.
detailed specimen information (e.g., left upper lobe, thyroid). Submit specimen with a completed Cytology requisition.
Reporting: The Bethesda System for Thyroid Cytopathology
Unit code: 604410
CPT Code(s): 88173
10-193
Test List
Cytology, Urine
Order code: 4075
Preferred specimen: 30 mL of fresh urine, bladder washing, or urethral drainage submitted in a 90 mL specimen container with an equal volume of
cytology fixative (30 mL CytoRich). Transport at room temperature. Voided urine should be collected sometime after the first
morning urination or 3-4 hours after the patient has last urinated. Cells held overnight in the bladder may be degraded, making
them difficult to analyze in the laboratory.
Other acceptable: Urine without cytology fixative that has been refrigerated.
24-hour urine collection (for kidney diagnostics).
Transport temp: Urine with fixative: Room temperature
Urine without fixative: Refrigerated
Unit code: 604075
CPT Code(s): 88112
Reported: 1-3 days
Cytology, Urine with Reflex to UroVysion
Order code: 4070
Preferred specimen: 60 mL fresh urine collected into a sterile specimen container. Voided urine should be collected sometime after the first morning
urination or 3-4 hours after the patient has last urinated. Cells held overnight in the bladder may be degraded, making them difficult
to analyze in the laboratory.
Immediately after collection, add 60 mL of the voided urine into a Urine Specimen Preservative container (contains 30 mL
PreservCyt Solution). Secure the lid tightly and refrigerate ASAP. Urine preservative transport kits with handling instructions are
available through BBPL Client Services.
The specimen must be labeled with two (2) person specific identifiers and submitted with a completed Cytology test request form.
Notes: Urine Cytology will be reflexed to UroVysion when the cytologic specimen is interpreted as Negative for Malignancy.
Other acceptable: Fresh urine (min: 60 mL) in a sterile specimen container mixed with urine cytology fixative (alcohol based). Add equal volume of
fixative to urine (1:1 ratio). Urine must be fixed immediately after collection and refrigerated.
Unacceptable: Specimens without fixative.
S1
0
Method: Urine Cytology: Routine Cytopathologic Evaluation
UroVysion: Fluorescence in situ Hybridization
Unit code: 604070
CPT Code(s): 88112
Reported: 2-7 days
Cytomegalovirus Antibody, IgG
Order code: 3533
Unacceptable: Severely hemolyzed, lipemic, icteric, contaminated or heat-inactivated specimens.
Unit code: 353030
CPT Code(s): 86644
Ref range: <0.80 IV: Negative - No IgG antibody to CMV detected.
0.80-0.99 IV: Equivocal - Suggest repeat testing in 10-14 days.
>0.99 IV: Positive - IgG antibody to CMV detected indicative of current or past infection.
Reported: 1-3 days
Test List
10-194
Cytomegalovirus Antibody, IgG & IgM
Order code: 3539
Unit code: 353029
CPT Code(s): 86644, 86645
Ref range: Cytomegalovirus Antibody IgG:
<0.80 IV: Negative - No IgG antibody to CMV detected.
>0.99 IV: Positive - IgG antibody to CMV detected indicative of current or past infection.
Cytomegalovirus Antibody IgM:
<0.90 IV: Negative - No IgM antibody to CMV detected.
>1.09 IV: Positive - IgM antibody to CMV detected indicative of current or past infection.
Reported: 1-3 days
Cytomegalovirus Antibody, IgM
Order code: 3531
Unit code: 353031
CPT Code(s): 86645
Ref range: <0.90 IV: Negative - No IgM antibody to CMV detected.
>1.09 IV: Positive - IgM antibody to CMV detected indicative of current or past infection.
Reported: 1-3 days
S1
0
Cytomegalovirus, Qualitative PCR
Order code: 38150
Preferred specimen: 1.0 mL plasma, lavender (EDTA) or light blue (sodium citrate) top tube. Remove plasma from cells within 6 hours after collection,
transfer to a plastic transport tube and freeze. Separate specimens must be submitted when multiple tests are ordered. Indicate
Minimum specimen: 0.5 mL plasma or CSF.
Other acceptable: 1.0 mL CSF in a sterile container, frozen.
Unacceptable: Serum, whole blood, heparinized plasma, or bone marrow.
Unit code: 538150
CPT Code(s): 87497
Reported: 1-7 days
Cytomegalovirus, Quantitative PCR
Order code: 38155
Preferred specimen: 1.0 mL plasma, lavender (EDTA) or light blue (sodium citrate) top tube. Remove plasma from cells within 6 hours after collection,
transfer to a plastic transport tube and freeze. Separate specimens must be submitted when multiple tests are ordered. Indicate
Minimum specimen: 0.5 mL plasma or CSF.
Other acceptable: 1.0 mL CSF in a sterile container, frozen.
Unacceptable: Serum, whole blood, heparinized plasma, or bone marrow.
Unit code: 538155
CPT Code(s): 87497
Reported: 1-7 days
Cytoplasmic Neutrophil Antibodies, Serum
10-195
Test List
D-Dimer
Order code: 2272
Preferred specimen: 2.0 mL platelet-poor plasma, light blue (3.2% sodium citrate) top tube. Light blue top tube must be completely filled to ensure
proper blood to anticoagulant ratio (9:1). Mix tube immediately by gentle inversion. Remove plasma from cells ASAP, transfer into
a plastic transport tube and freeze. Separate specimens must be submitted when multiple test are ordered.
Other acceptable: 3.2% sodium citrate whole blood or plasma at room temperature or refrigerated. Specimens must be received in the laboratory
Unacceptable: Serum. Specimens collected in anticoagulants other than 3.2% sodium citrate. Frozen whole blood or any non-frozen specimen
greater than 24 hours old.
Method: Latex Enhanced Immunoassay
Unit code: 202720
CPT Code(s): 85379
Ref range: <230 ng/mL
Dantrium
See: Dantrolene
Dapotum
See: Fluphenazine
Datril
See: Acetaminophen
Dehydroepiandrosterone (DHEA)
Order code: 82130
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection and transfer to a plastic
transport tube.
S1
0
Unit code: 811750
CPT Code(s): 82626
Ref range: Age (years) Range (ng/dL)
0-5
0-67
6-7
0-110
8-10
0-185
11-12
0-201
13-14
0-318
15-16
39-481
17-19
40-491
>19
31-701
Reported: 5-9 days
Dehydroepiandrosterone (DHEA) Sulfate
Order code: 1118
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells ASAP, transfer to a plastic transport tube and freeze.
Unacceptable: Plasma or hemolyzed specimens.
Unit code: 111080
CPT Code(s): 82627
Ref range: By report; varies by age and sex
Reported: 1-3 days
Delta-Aminolevulinic Acid
See: Aminolevulinic Acid
Demerol
See: Meperidine and Metabolite
Test List
10-196
Deoxycortisol
See: 11-Deoxycortisol Quantitative
Deoxypyridinoline Crosslinks
Order code: 81106
Preferred specimen: 3.5 mL aliquot from a well-mixed, first morning urine in a plastic transport tube, frozen.
Unit code: 811605
CPT Code(s): 82523
Ref range: Deoxypyridinoline:
Adult Male: 2.3-8.7 nmol/mmol
Premenopausal Adult Female: 3.1-8.7 nmol/mmol
The target value for treated postmenopausal adult females is the same as the premenopausal reference interval.
Reported: 2-9 days
Depakene
See: Valproic Acid, Total
Depakote
See: Valproic Acid, Total
Desipramine
Order code: 82120
S1
0
Other acceptable: 1.0 mL plasma, lavender ( EDTA) top tube. Remove plasma from cells ASAP or within 2 hours of collection and transfer to a plastic
transport tube.
Unacceptable: Whole blood. Gel separator tubes, light blue (sodium citrate) or yellow (SPS or ACD solution) tubes.
Unit code: 811700
CPT Code(s): 80353
Reported: 2-6 days
Desmethylclomipramine
Desmethylmethsuximide
See: Methsuximide & Normethsuximide
Desyrel
See: Trazodone
10-197
Test List
Dexamethasone
Order code: 87110
Preferred specimen: 3.0 mL serum, red top tube or SST. Remove serum from cells within 1 hour of collection, transfer to a plastic transport tube and
freeze. Separate specimens must be submitted when multiple test are ordered.
Other acceptable: 3.0 mL plasma, lavender (EDTA) or green (lithium or sodium heparin) top tube. Remove plasma from cells within 1 hour of
collection, transfer to a plastic transport tube and freeze.
Method: HPLC Tandem Mass spectrometry
Unit code: 811710
CPT Code(s): 80375
Ref range: Adult Baseline: less than 30 ng/dL
8:00 AM sample following 1 mg Dexamethasone, previous evening: 140-295 ng/dL
8:00 AM sample following 8 mg Dexamethasone, (4 x 2 mg doses) previous day: 1600-2850 ng/dL
Reported: 3-9 days
DHEA
See: Dehydroepiandrosterone (DHEA)
DHEA-S
See: Dehydroepiandrosterone (DHEA) Sulfate
Diazepam & Nordiazepam
Order code: 85920
Notes: Test includes: Diazepam and Nordiazepam.
Unacceptable: Gel separator tubes. Plasma or whole blood collected in light blue (sodium citrate) tubes.
S1
0
Unit code: 840950
CPT Code(s): 80346
Ref range: Diazepam: 200-1000 ng/mL - Based on normal dosage amounts.
Nordiazepam: 100-1500 ng/mL - Based on normal dosage amounts.
Toxic: Great than 2500 ng/mL
Reported: 2-6 days
Differential, Manual
Order code: 2035
Preferred specimen: One well-mixed lavender (EDTA) top tube and two unstained whole blood smears. Smears should be prepared within 4-6 hours
after specimen is collected.
Minimum specimen: One EDTA tube 1/2 full or two whole blood smears
Other acceptable: Lavender top microtainer (EDTA) with 0.5 mL blood.
Unacceptable: Clotted or frozen specimens.
Method: Microscopic Examination
Unit code: 94250
CPT Code(s): 85007
Ref range: Segs: 39-79%
Bands: 0-12%
Lymphs: 20-52%
Monos: 0-10%
Eos: 0-6%
Baso: 0-2%
Digitaline
See: Digitoxin
Test List
10-198
Digitoxin
Order code: 82150
Notes: This test will not measure digoxin (Lanoxin, Digitek); order 1150 for digoxin testing.
tube.
Method: Quantitative CEDIA Immunoassay
Unit code: 811900
CPT Code(s): 80299
Ref range: Therapeutic Range: 10.0-30.0 ng/mL
Toxic: Greater than 45.0 ng/mL
Reported: 2-5 days
Digoxin
Order code: 1150
Notes: Collect 6-8 hours after last oral dose.
Method: Kinetic Interaction of Microparticles in Solution (KIMS)
Unit code: 110020
CPT Code(s): 80162
Ref range: Therapeutic: 0.5-2.0 ng/mL
Potentially Toxic: >4.0 ng/mL
S1
0
Dihydrotestosterone
See: 5-a-Dihydrotestosterone
Dihydrotestosterone (DHT), Free
Order code: 81194
and freeze.
Other acceptable: 3.0 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells within 4 hours of collection, transfer to a
Unacceptable: EDTA plasma, grossly hemolyzed, icteric or lipemic specimens.
Method: Equilibrium Dialysis, High-performance Liquid Chromatography/Tandem Mass Spectrometry (HPLC/MS-MS)
Unit code: 811945
CPT Code(s): 84999
Dilantin
See: Phenytoin Serum
Phenytoin Free
10-199
Test List
Dilute Russell Viper Venom Time (dRVVT) with Reflex to dRVVT 1:1 Mix &
Confirmation
Order code: 81196
freeze immediately. Separate specimens must be submitted when multiple tests are ordered.
Notes: If dRVVT is elevated, then dRVVT 1:1 mix will be added. If the dRVVT 1:1 mix is elevated, then the dRVVT confirmation test will be
added. Additional charges apply.
Unacceptable: Serum, EDTA plasma, or hemolyzed specimens.
Method: Electromagnetic Mechanical Clot Detection
Unit code: 811960
CPT Code(s): 85613
Ref range: Dilute Russell Viper Venom Time (dRVVT): 33-44 seconds
Dilute Russell Viper Venom (dRVVT) 1:1 Mix (performed if dRVVT > 44 seconds): 33-44 seconds
Dilute Russell Viper Venom Time (dRVVT) Confirmation Test (performed if dRVVT 1:1 Mix > 44 seconds): Negative
Reported: 2-3 days
Diphenhydramine
Order code: 82170
Unit code: 812050
CPT Code(s): 80375
Reported: 4-7 days
Diphtheria & Tetanus Antibodies, IgG
Order code: 82101
transport tube.
Notes: "Pre" and "post" vaccination specimens should be submitted for testing. "Post" specimens should be drawn 30 days after
immunization. Mark specimens clearly as "Pre-Vaccine" or "Post-Vaccine". If shipped separately, "post" specimen must be
received within 60 days of "pre" specimen.
Method: Quantitative Multiplex Bead Assay
Unit code: 812101
CPT Code(s): 86317 (x2)
Ref range: Antibody concentrations of >0.1 IU/mL are usually considered protective for diphtheria or tetanus.
Reported: 2-3 days
Diphtheria Antitoxoid, Serum
Order code: 82180
transport tube.
Notes: "Pre" and "post" vaccination specimens must be submitted together for testing. "Post" specimens should be drawn 30 days after
immunization.
Mark specimens clearly as "pre-vaccine" or "post-vaccine" . If shipped separately, post specimen must be received within 60 days
of "pre" specimen.
Method: Semi-Quantitative Multi-Analyte Fluorescent Detection
Unit code: 812100
CPT Code(s): 86317
Ref range: Antibody concentration of > 0.1 IU/mL is usually considered protective.
Reported: 2-5 days
Direct Antiglobulin Test (DAT)
See: Coombs, Direct
Test List
10-200
S1
0
Direct Bilirubin
See: Bilirubin, Direct
Direct Coombs
See: Coombs, Direct
Disopyramide
Order code: 82190
transport tube.
Method: Quantitative Enzyme Multiplied Immunoassay
Unit code: 812200
CPT Code(s): 80299
Ref range: Therapeutic Range: 2.0-6.0 µg/mL
Reported: 2-6 days
Diuretic Hormone
S1
0
Diuretic Survey, Urine
Order code: 81223
Preferred specimen: 10.0 mL random urine with no preservatives.
Method: Qualitative High Performance Liquid Chromatography/Ultraviolet Detection
Unit code: 812230
CPT Code(s): 80377
Reported: 6-15 days
DNA, Double Stranded, Antibody
See: dsDNA Antibody, IgG
DNA, Single-Stranded, Antibody
See: ssDNA Antibody, IgG
10-201
Test List
Doxepin & Metabolite
Order code: 82220
tube.
Unit code: 812450
CPT Code(s): 80335
Total (Doxepin & Nordoxepin): 100-300 ng/mL
Reported: 2-6 days
DPD 5-Fluorouracil Toxicity
Order code: 81247
Notes: This procedure will only detect the presence of the wild type or mutant allele for the DPD IVS14+1G>A mutation.
Unacceptable: Hemolyzed or frozen specimens.
Method: Polymerase Chain Reaction (PCR); Restriction Enzyme Digestion; Gel Electrophoresis
Unit code: 812470
CPT Code(s): 81400
Dramamine
S1
0
Drsmethylclomipramine
Drug Abuse Screen 10 UMC COC
Order code: 81275
Preferred specimen: 50 mL random urine specimen in a clean plastic container.
Notes: UMC Chain of Custody requisition is required for testing.
Includes:
Amphetamines
Barbituates
Benzodiazepines
Cannabinoids
Cocaine
Methadone
Methaqualone
Opiates
PCP
Propoxyphene
Unit code: 812705
CPT Code(s): 80301
Reported: 2-7 days
Test List
10-202
Order code: 82755
Includes:
Amphetamines
Barbituates
Benzodiazepines
Cannabinoids
Cocaine
Ethanol
Ketamine
Meprobamate
Methadone
Merperidine
Opiates
Oxycodone
Propoxyphene
Tramadol
Unit code: 812755
CPT Code(s): 80301, 80302 (x2)
Reported: 2-7 days
Order code: 82228
Includes:
Amphetamines
Cannabinoids
Cocaine
Opiates
Phencyclidine-PCP
Unit code: 812550
S1
0
CPT Code(s): 80301
Reported: 2-7 days
Order code: 82229
Includes:
Amphetamines
Barbituates
Benzodiazepines
Cannabinoids
Cocaine
Opiates
Phencyclidine-PCP
Unit code: 812600
CPT Code(s): 80301
Reported: 2-7 days
10-203
Test List
Drug Abuse Screen 8 UMC
Order code: 82230
Notes: For clinical (medical) or forensic purposes. UMMC Chain of Custody requisition is required for forensic testing.
Includes:
Amphetamines
Barbituates
Benzodiazepines
Cannabinoids
Cocaine
Ethanol
Opiates
Phencyclidine-PCP
Unit code: 812650
CPT Code(s): 80301
Reported: 2-7 days
Drug Confirmation, Single Analyte, Urine
Preferred specimen: 50 mL random urine specimen in a clean plastic container. For clinical (medical) or forensic purposes. UMMC Chain of Custody
requisition is required for forensic testing.
Unit code: 812900
Drug Confirmation/Quantitation - Fentanyl & Metabolite, Serum or Plasma
Order code: 82525
S1
0
Unacceptable: Whole blood. Gel separator tubes or light blue (sodium citrate) top tubes.
Unit code: 812520
CPT Code(s): 80354
Drugs covered: fentanyl and metabolite (norfentanyl).
Positive cutoff:
Fentanyl 0.1 ng/mL
Norfentanyl 0.1 ng/mL
Reported: 2-5 days
Test List
10-204
Drug Confirmation/Quantitation - Methadone & Metabolite, Serum or Plasma
Order code: 84205
Notes: Drugs covered: methadone and EDDP (methadone metabolite).
Positive cutoff:
Methadone 10 ng/mL
EDDP 10 ng/mL
Unacceptable: Serum separator tubes or gels. Plasma or whole blood collected in light blue (sodium citrate) top tubes.
Unit code: 826350
CPT Code(s): 80358
Reported: 2-5 days
Drug Confirmation/Quantitation - Opiates, Serum or Plasma
Order code: 81252
Notes: Drugs covered: codeine, morphine, 6-acetylmorphine, hydrocodone, hydromorphone, oxycodone and oxymorphone. All drugs
covered are the non-glucuronidated (free) form.
Positive cutoff:
Codeine 2 ng/mL
Morphine 2 ng/mL
6-acetylmorphine 2 ng/mL
Hydrocodone 2 ng/mL
Hydromorphone 2 ng/mL
Oxycodone 2 ng/mL
Oxymorphone 2 ng/mL
S1
0
Unacceptable: Separator tubes or gels. Plasma or whole blood collected in light blue (sodium citrate) top tube.
Unit code: 812525
CPT Code(s): 80361
Reported: 2-5 days
Drug Detection Panel by High-Resolution Time-of-Flight Mass Spectrometry, Umbilical
Cord Tissue
Order code: 81306
Preferred specimen: Collect at least 6 inches of umbilical cord (approximately the length of an adult hand). Drain and discard any blood. Rinse the
exterior of the cord segment with normal saline or sterile water. Pat the cord dry and place in container for transport.
Minimum specimen: 6 inches of umbilical cord
Notes: Testing is for medical purposes only.
Drugs covered: Opioids, Stimulants, Sedative-hypnotics, Cannabinoids (11-nor-9-carboxy-THC), and Phencyclidine (PCP).
Detection of drugs in umbilical cord tissue is intended to reflect maternal drug use during pregnancy. The pattern and frequency of
drug(s) used by the mother cannot be determined by this test. A negative result does not exclude the possibility that a mother used
drugs during pregnancy. Detection of drugs in umbilical cord tissue depends on extent of maternal drug use, as well as drug
stability, unique characteristics of drug deposition in umbilical cord tissue, and the performance of the analytical method. Drugs
administered during labor and delivery may be detected. Detection of drugs in umbilical cord tissue does not insinuate impairment
and may not affect outcomes for the infant.
Unacceptable: Cords soaking in blood or other fluid. Tissue that is obviously decomposed.
Method: Qualitative Liquid Chromatography-Time of Flight Mass Spectrometry/Qualitative Enzyme-Linked Immunosorbent Assay.
Unit code: 813066
CPT Code(s): 80301, 80304 (x2)
Reported: 2-4 days
10-205
Test List
Drug Profile, Blood (8 Drugs)
Preferred specimen: 7.0 mL whole blood, gray (sodium fluoride) top tubes.
Notes: Testing includes Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids, Cocaine and metabolite, Opiates, Oxycodone, and
Phencyclidine. If specimen is positive, confirmation testing will be performed at no addtional charge. Order only for medical
purposes, not for forensic use or workplace testing.
Other acceptable: 7.0 mL whole blood, lavender (EDTA) or green (sodium or lithium heparin) top tube.
Unacceptable: Serum, plasma, or clotted blood.
Method: Immunoassay/Mass Spectrometry
Unit code: 812603
Reported: 7-9 days
Drug Profile, Serum (10 Drugs) Screen with Reflex to Confirmation
Order code: 82604
a plastic transport tube. No chain of custody required. Profile is designed for clinical drug monitoring and is not intended for
workplace drug testing or forensic use.
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids, Cocaine, Methadone, Opiates,
Oxycodone/Oxymorphone, Phencyclidine, and Propoxyphene. If the screen is positive, confirmation testing will be performed.
Method: Initial screen by Immunoassay; Confirmation by Gas Chromatography/Mass Spectrometry
Unit code: 812604
CPT Code(s): 80301
Reported: 9-13 days
Drug Screen (DOT) 5 Panel with 6-am and Ecstasy CRL COC
Order code: 82556
Preferred specimen: 60 mL random urine in a plastic urine drug screen bottle with tamper evident tape. CRL Federal drug testing chain of
custody documentation is required. Follow standardize collection procedures for the Federally regulated Drug Testing program.
Urine collection must take place in a collection site meeting the requirements for DOT testing. Refer to the BBPL Patient Service
Center Locator for a drug collection site.
Minimum specimen: 20 mL
Notes: Test includes: Amphetamine, Cocaine, Marijuana, Opiates, Phencyclidine (PCP), 6-Acetylmorphine and Ecstasy. Urine test results
are evaluated by a Medical Review Officer (MRO).
Unit code: 812556
CPT Code(s): 80301
Reported: 2-7 days
Drug Screen 7 with Alcohol, Reflex to Confirmation, Urine
Order code: 26525
Notes: Test includes: Alcohol (Ethanol), Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids (THC), Cocaine, Opiates, and
Phencyclidine (PCP).
This is a screening test for medical purposes only; not valid for forensic use. Confirmatory/Quantitative testing will be performed on
any positive drugs/drug classes detected (except for alcohol) at an additional charge.
Unit code: 265025
Reported: 1-2 days
Test List
10-206
S1
0
Drug Screen 7 with Alcohol, Urine
Order code: 26520
Notes: Test includes: Alcohol (Ethanol), Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids (THC), Cocaine, Opiates, and
This is a screening test only. Testing is for medical purposes and not valid for forensic use. For workplace drug testing programs,
preliminary positive results should be confirmed by an alternate method.
Method: Immunoassay
Unit code: 265020
CPT Code(s): 80301
Reported: 1-2 days
Drug Screen 8 with Reflex Confirmation, Whole Blood
Order code: 81261
Preferred specimen: 7.0 mL whole blood, gray (sodium fluoride/potassium fluoride), green (sodium or lithium heparin) or lavender (EDTA) top tube.
Notes: Testing includes Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids, Cocaine and metabolites, Opiates, Oxycodone,
and Phencyclidine. If specimen is positive, confirmation testing will be performed at an additional charge. Order only for medical
purposes, not for forensic use or workplace testing.
Unacceptable: Serum, plasma, or clotted blood.
Method: Screen by Immunoassay; Confirmation by Chromatography/Mass Spectrometry
Unit code: 812614
Reported: 5-8 days
Drug Screen 8 with Reflex to Confirmation, Urine
Order code: 26516
S1
0
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids (THC), Cocaine, Methadone, Opiates, and
any positive drugs/drug classes detected at an additional charge.
Unit code: 265016
CPT Code(s): 80301
Reported: 1-2 days
Drug Screen 8, Urine
Order code: 26505
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids (THC), Cocaine, Methadone, Opiates, and
Method: Immunoassay
Unit code: 265005
CPT Code(s): 80301
Reported: 1-2 days
10-207
Test List
Drug Screen 9 with Reflex to Confirmation, Urine
Order code: 26536
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids (THC), Cocaine, Methadone, Opiates, Oxycodone,
and Phencyclidine (PCP).
any positive drugs/drug classes detected at an additional charge.
Unit code: 265036
CPT Code(s): 80301
Reported: Screen: 1-2 days; Confirmation 2-4 days
Drug Screen 9, Urine
Order code: 26530
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids (THC), Cocaine, Methadone, Opiates, Oxycodone,
Method: Immunoassay
Unit code: 265030
CPT Code(s): 80301
Reported: 1-2 days
Drug Screen Bath Salts, Urine CRL COC
Order code: 82631
required.
Unit code: 812631
CPT Code(s): 80371
Reported: 2-7 days
Drug Screen K2 (Synthetic Cannabis) CRL COC
Order code: 82632
required.
Notes: Screens for the following metabolites: AM-2201, JWH-018, JWH-073, JWH-081, JWH-122, JWH-210, AKB48, 5-F-AKB48, BB-22,
ADB-PINACA, ADBICA, JWH-203, AM694, AB-CHMINACA, JWH-250, RCS-4, JWH-019, MAM-2201, UR-144, XLR-11, PB-22, 5F-PB-22, AB-PINACA, 5-F-AB, JWH-200, JWH-398, RCS-8, and AB-FUBINACA
Unit code: 812632
CPT Code(s): 80302
Reported: 2-7 days
Test List
10-208
S1
0
Drug Screen, Comprehensive UMC
Order code: 82235
Notes: For clinical (medical) or forensic purposes. UMC Chain of Custody requisition is required for forensic testing. This screen involves
an exhaustive approach to qualitative identification and is designed to identify several hundred drug compounds and their
metabolites. The drugs listed below do not represent a complete list, but rather, the broad categories of drugs screened.
Amines/Stimulants:
Amphetamine
Methamphetamine
Caffeine
Ephedrine
Chlorpheniramine
Tripelennamine
Phenylpropanolamine Phentermine
Cocaine
Diethylpropion
Barbiturates:
Amobarbital
Butabarbital
Secobarbital
Barbital
Pentobarbital
Butalbital
Phenobarbital
Narcotics:
Morphine
Meperidine
Methadone
Hydrocodone
Dihydrocodeine
Codeine
Pentazocine
Oxycodone
Propoxyphene
Hydromorphone
Antidepressants:
Amitriptyline
Imipramine
Doxepin
Loxapine
Cyclobenzaprine
Nortriptyline
Desipramine
Amoxapine
Trazodone
Sedatives/Hypnotics/Tranquilizers:
Chlordiazepoxide
Meprobamate
Flurazepam
Methaqualone
Glutethimide
Carisoprodol
Diphenhydramine
Hydroxyzine
Pyrilamine
Temazepam
Diazepam
Lorazepam
Oxazepam
Ethchlorvynol
Chlorazepate
Doxylamine
Methyprylon
Phenothiazines (includes Thioridazine,
Chlorpromazine, Trifluoperazine, Triflupromazine, etc.)
S1
0
Unit code: 812800
CPT Code(s): 80301, 80377
Reported: 2-7 days
Drug Screen, Meconium
Order code: 82241
Preferred specimen: All meconium (blackish material) from newborn's first excretion in leak-proof container.
Minimum specimen: 1.0 g meconium
Notes: Includes: Amphetamines, Barbiturates, Cannabinoids (Marijuana), Cocaine, and Opiates.
Method: Immunoassay/Gas Chromatography/Mass Spectrometry
Unit code: 813060
CPT Code(s): 80301
Reported: 3-5 days
Drug Screen-10 Panel + Alcohol CRL COC
Order code: 82718
required.
Notes: Test includes: Alcohol, Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Methaqualone, Opiates,
Phencyclidine (PCP), and Propoxyphene.
Unit code: 812718
CPT Code(s): 80301
Reported: 2-7 days
10-209
Test List
Drug Screen-10 Panel + MDMA/Oxycodone CRL COC
Order code: 82717
required.
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ectasy, Marijuana, Methadone, Methaqualone, Opiates,
Oxycodone, Phencyclidine, and Propoxyphene.
Unit code: 812717
CPT Code(s): 80301
Reported: 2-7 days
Drug Screen-10 Panel CRL COC
Order code: 81276
required.
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Methaqualone, Opiates,
Phencyclidine and (PCP), Propoxyphene.
Unit code: 812706
CPT Code(s): 80301
Reported: 2-7 days
Order code: 81278
required.
Notes: Test includes: Amitriptyline/Nortriptyline, Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Opiates,
Oxycodone, Phencyclidine, and Propoxyphene.
S1
0
Unit code: 812708
CPT Code(s): 80301, 80335
Reported: 2-7 days
Order code: 82714
required.
Notes: Test includes: Alcohol, Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ketamine, Marijuana, Meprobamate, Merperidine,
Methadone, Opiates, Oxycodone, and Phencyclidine (PCP).
Unit code: 812714
CPT Code(s): 80301, 80302 (x3)
Reported: 2-7 days
Order code: 81697
required.
Notes: Test includes: Alcohol, Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ketamine, Marijuana, Meperidine, Meprobamate,
Methadone, Opiates, Oxycodone, Propoxyphene, and Tramadol.
Transport temp: Room Temperature
Unit code: 812697
CPT Code(s): 80301, 80357, 80373
Reported: 2-7 days
Test List
10-210
Order code: 81277
required.
Notes: Test includes: Alcohol, Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Fentanyl, Ketamine/Norketamines, Marijuana,
Meperidine, Meprobamate, Methadone, Opiates, Oxycodone/Oxymorphone, Phencyclidine (PCP), Propoxyphene, and Tramadol.
Unit code: 812707
CPT Code(s): 80301, 80357, 80373
Reported: 2-7 days
Order code: 81254
required.
Notes: Test includes: Amphetamine, Cocaine, Marijuana, Opiates, and Phencyclidine (PCP).
Unit code: 812549
CPT Code(s): 80301
Reported: 2-7 days
Drug Screen-7 Panel + Fentanyl & Oxycodone CRL COC
Order code: 82658
required.
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Fentanyl, Opiates,
Oxycodone/Oxymorphone, Propoxyphene (PCP), and THC-50
S1
0
Unit code: 812658
CPT Code(s): 80301, 80302
Reported: 1-5 days
Order code: 81264
required.
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Opiates, and Phencyclidine (PCP).
Unit code: 812649
CPT Code(s): 80301
Reported: 2-7 days
Drug Screen-8 Panel + Ecstasy CRL COC
Order code: 81298
required.
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Marijuana, Opiates, Phencyclidine (PCP),
and Propoxyphene.
Unit code: 812698
CPT Code(s): 80301
Reported: 2-7 days
10-211
Test List
Order code: 81265
required.
Notes: Test includes: Alcohol, Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Opiates, and Phencyclidine (PCP).
Unit code: 812656
CPT Code(s): 80301
Reported: 2-7 days
Drug Screen-9 Drugs (Includes Alcohol, Ecstasy, Oxycodone) CRL COC
Order code: 82648
required.
Notes: Test includes: Alcohol, Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Marijuana, Opiates, Oxycodone,
Unit code: 812648
CPT Code(s): 80301
Reported: 2-7 days
Drug Screen-9 Panel + Alcohol CRL COC
Order code: 82646
required.
Notes: Test includes: Alcohol, Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Opiates, Phencyclidine
(PCP), and Propoxyphene.
S1
0
Unit code: 812646
CPT Code(s): 80301
Reported: 2-7 days
Drug Screen-9 Panel + Oxycodone CRL COC
Order code: 82647
required.
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Opiates,
Oxycodone, Phencyclidine (PCP), and Propoxyphene.
Unit code: 812647
CPT Code(s): 80301
Reported: 2-7 days
Order code: 81299
required.
Notes: Test includes: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Opiates, Phencyclidine (PCP), and
Propoxyphene.
Unit code: 812699
CPT Code(s): 80301
Reported: 2-7 days
Test List
10-212
Drugs of Abuse 9 Panel Screen, Plasma or Serum - Immunoassay Screen with Reflex
to Mass Spectrometry Confirmation/Quantitation
Order code: 88500
Preferred specimen: 4.0 mL plasma, gray (sodium fluoride/potassium oxalate) top tube. Remove plasma from cells ASAP or within 2 hours of collection.
Plasma is preferred over serum. Cocaine and cocaethylene are more stable in fluoride-preserved plasma than serum.
Notes: Drugs Covered and Cutoff Concentrations:
Amphetamines: Screen 30 ng/mL
Barbiturates: Screen 75 ng/mL
Benzodiazepines: Screen 75 ng/mL
Buprenorphine: Screen 1 ng/mL
Cannabinoids: Screen 30 ng/mL
Cocaine: Screen 30 ng/mL
Methadone: Screen 40 ng/mL
Methamphetamine: Screen 30 ng/mL
Opiates: Screen 30 ng/mL
Oxycodone: Screen 30 ng/mL
Phencyclidine: Screen 15 ng/mL
Drugs/Drug classes reported as "Positive" are automatically reflexed to mass spectrometry confirmation/quantitation. An
unconfirmed positive immunoassay screen result may be useful for medical purposes but does not meet forensic standards. The
absence of expected drug(s) and/or drug metabolite(s) may indicate non-compliance, inappropriate timing of specimen collection
relative to drug administration, poor drug absorption, or limitations of testing. The concentration at which the screening test can
detect a drug or metabolite varies within a drug class. Specimens for which drugs or drug classes are detected by the screen are
automatically reflexed to a second, more specific technology (GC/MS and/or LC-MS/MS). The concentration value must be greater
than or equal to the cutoff to be reported as positive. Confirmation testing will be added at an additional charge.
For medical puposes only; not valid for forensic use.
Other acceptable: 4.0 mL serum, red top tube. Do not collect in gel-barrier tube. Also plasma from lavender (EDTA) or green (sodium heparin) top
tube.
Method: Qualitative Enzyme-Linked Immunosorbent Assay/Gas Chromatography-Mass Spectrometry/Quantitative Liquid ChromatographyTandem Mass Spectrometry
Unit code: 812850
CPT Code(s): 80301
Reported: Screen: 2-3 days
Confirmation: 1-4 days
S1
0
Drugs of Abuse Confirmation/Quantitation - Amphetamine, Serum or Plasma
Order code: 81286
Notes: Drugs covered: Amphetamine, Methamphetamine, Methylenedioxyamphetamine (MDMA), Methylenedioxymethamphetamine
(Ecstasy, MDA), and Methylenedioxyethylamphetamine (Eve, MDA).
Positive cutoff:
Amphetamine 20 ng/mL
Methamphetamine 20 ng/mL
Methylenedioxyamphetamine (MDA) 20 ng/dL
Methylenedioxymethamphetamine (Ecstasy, MDA) 20 ng/dL
Methylenedioxyethylamphetamine (Eve, MDEA) 20 ng/dL
Unit code: 812861
CPT Code(s): 80324
Reported: 2-9 days
10-213
Test List
Drugs of Abuse Confirmation/Quantitation - Barbiturates, Serum or Plasma
Order code: 82866
Preferred specimen: 3.5 mL plasma, gray (sodium fluoride/potassium oxalate), lavender (EDTA), or green (sodium lithium) top tube. Remove plasma
Notes: Drugs covered: butalbital, amobarbital, pentobarbital, secobarbital, and phenobarbital.
Positive cutoff:
Butalbital 50 ng/mL
Amobarbital 50 ng/mL
Pentobarbital 50 ng/mL
Secobarbital 50 ng/mL
Phenobarbital 50 ng/mL
Other acceptable: 3.5 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection and
Unit code: 812866
CPT Code(s): 80345
Reported: 2-5 days
Drugs of Abuse Confirmation/Quantitation - Benzodiazepines, Serum or Plasma
Order code: 82870
Notes: Drugs covered: Alprazolam, alpha-hydroxyalprazolam, clonazepam, chlordiazepoxide, 7-aminoclonazepam, diazepam, lorazepam,
midazolam, nordiazepam, oxazepam, and temazepam.
Positive cutoff:
Alprazolam 5 ng/mL
Alpha-hydroxyalprazolam 5 ng/mL
Clonazepam 5 ng/mL
Chlordiazepoxide 20 ng/mL
7-aminoclonazepam 5 ng/mL
Diazepam 5 ng/mL
Lorazepam 20 ng/mL
Midazolam 20 ng/mL
Nordiazepam 20 ng/mL
Oxazepam 20 ng/mL
Temazepam 20 ng/mL
Unit code: 812871
CPT Code(s): 80347
Reported: 2-6 days
Drugs of Abuse Confirmation/Quantitation - Cannabinoids (THC Metabolite), Serum or
Plasma
Order code: 81287
Notes: Drugs covered: 11-Nor-9-carboxy-THC
The drug analyte detected in this assay, 9-carboxy THC, is a metabolite of delta-9-tetrahydrocannabinol (THC). Detection of 9carboxy THC suggests use of, or exposure to, a product containing THC. This test cannot distinguish between prescribed or nonprescribed forms of THC, nor can it distinguish between active or passive use. The plasma half-life for 9-carboxy THC metabolite
is estimated to range from 4-12 hours.
Other acceptable: 1.0 mL plasma, lavender (EDTA), green (sodium lithium), or gray (sodium fluoride/potassium oxalate) top tube. Remove plasma
Unit code: 812876
CPT Code(s): 80349
Reported: 2-5 days
Test List
10-214
S1
0
Drugs of Abuse Confirmation/Quantitation - Cocaine Metabolite (Benzoylecgonine),
Serum or Plasma
Order code: 81745
Notes: Drugs covered: benzoylecgonine
Other acceptable: 3.5 mL plasma, lavender (EDTA), green (sodium lithium), or gray (sodium fluoride/potassium oxalate) top tube. Remove plasma
Method: Quantitative Gas Chromatography/Mass Spectrometry/Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Unit code: 809750
CPT Code(s): 80353
Reported: 2-5 days
Drugs of Abuse Confirmation/Quantitation - Phencyclidine, Serum or Plasma
Order code: 82185
Notes: Drugs covered: phencyclidine (PCP).
The concentration value must be greater than or equal to the cutoff to be reported as positive
Unit code: 812886
S1
0
CPT Code(s): 83992
Reported: 2-9 days
Drugs of Abuse Confirmation/Quantitation - Propoxyphene & Metabolite, Serum or
Plasma
Order code: 83265
Notes: Drugs covered: Propoxyphene and metabolite (norpropoxyphene - qualitative only)
Positive cutoff:
Propoxyphene: 10 ng/mL
Norpropoxyphene: 10 ng/mL
Unit code: 812930
CPT Code(s): 80367
Reported: 2-9 days
10-215
Test List
dsDNA Antibody, IgG
Order code: 5202
Unit code: 350115
CPT Code(s): 86225
Ref range: <25.0 IU/mL Negative
25.0-34.9 IU/mL Inconclusive
35.0-99.9 IU/mL Weakly Positive
100-200 IU/mL Moderately Positive
>200 IU/mL Strongly Positive
Reported: 1-3 days
EBV
See: Epstein-Barr Virus Antibody to Early Antigen
Epstein-Barr Virus Antibody to Nuclear Antigen
Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgM
Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgG
Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgG & IgM
Epstein-Barr Virus Comprehensive Profile
Epstein-Barr Virus, Qualitative PCR
Echinococcus Antibody, IgG
Order code: 82260
mark specimens plainly as "acute" or "convalescent".
Unit code: 813300
CPT Code(s): 86682
Ref range: 0.00-0.89 IV: Negative - No significant level of Echinococcus IgG antibody detected.
0.90-1.09 IV: Equivocal - Questionable presence of Echinococcus IgG antibody detected. Repeat testing in 10-14 days may be
helpful.
1.10 IV or greater: Positive - Presence of IgG antibody to Echinococcus detected, suggestive of current or past infection.
Reported: 2-6 days
Echovirus Antibodies, Types 6, 7, 9, 11, 30
Order code: 82270
Preferred specimen: 3.0 mL serum, SST or red top tube. Remove serum from cells ASAP and transfer to a plastic transport tube.
Minimum specimen: 1.0 ml serum
Notes: 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 acute samples. Please mark samples plainly as "acute" or "convalescent".
Unacceptable: Plasma samples.
Method: Serum Neutralization Assay
Unit code: 813350
CPT Code(s): 86658 (x5)
Ref range: Echovirus 6: Less than 1:10
Echovirus 7: Less than 1:10
Reported: 7-10 days
Ecrinal
See: Flecainide
EGFR by FISH
See: Epidermal Growth Factor Receptor (EGFR) by FISH
Test List
10-216
S1
0
EGFR by PCR
See: Epidermal Growth Factor Receptor (EGFR) Mutation Analysis by PCR
EGFR Mutation Analysis (PCR) with Reflex to ALK Rearrangement (FISH)
Order code: 35959
Preferred specimen: Formalin-fixed, paraffin-embedded (FFPE) tissue block containing greater than 25% tumor or five 7-micron thick sections in labeled
container, and one H&E reference slide.
Notes: If EGFR Mutation is reported as Not Detected, then ALK Rearrangement testing will be performed at an additional charge.
Other acceptable: Five precut, unstained slides from paraffin block in 7-micron thick sections and one H&E reference slide.
Unacceptable: Tumor block containing insufficient tumor tissue.
Method: Real-Time Polymerase Chain Reaction/Fluorescence in situ Hybridization
Unit code: 535959
CPT Code(s): 81235, G0452
Reported: 7-14 days
Ehrlichia and Anaplasma Species by PCR
Order code: 81366
Notes: This test detects and speciates Anaplasma phagocytophilum; Ehrlichia chaffeensis; E. ewingii/E. canis; E. muris-like. The nucleic
acid detected from E. ewingii and E. canis cannot be differentiated by this test. A result of "Detected" for E. ewingii/canis indicates
the presence of either of these two organisms in the specimen.
Unit code: 813366
CPT Code(s): 87798 (x4)
A negative result does not rule out the presence of PCR inhibitors in the patient specimen or test-specific nucleic acid in
concentrations below the level of detection by this test..
S1
0
Reported: 2-4 days
Ehrlichia Antibody Panel
Order code: 85136
Notes: Test includes: Ehrlichia chaffeensis IgG titer; Ehrlichia chaffeensis IgM titer; human granulocytic ehrlichiosis (HGE), IgG and IgM;
human monocytic ehrlichiosis (HME), IgG and IgM.
Unacceptable: Hemolyzed or lipemic specimens, gross bacterial contamination.
Method: Indirect Fluorescent Antibody (IFA)
Unit code: 813365
CPT Code(s): 86666 (x4)
Reported: 5-7 days
Ehrlichia chaffeensis Antibody, IgG
Order code: 82345
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells ASAP or within two hours of collection and transfer to a plastic
transport tube.
received within 30 days from receipt of the acute samples. Please mark sample plainly as "acute" or "convalescent".
Unit code: 813800
CPT Code(s): 86666
Ref range: < 1:64 Negative-No significant level of Ehrlichia chaffeensis IgG antibody detected.
1:64-1:128 Equivocal-Questionable presence of Ehrlichia chaffeensis IgG antibody detected. Repeat testing in 10-14 days may
be helpful.
>= 1:256 Positive-Presence of IgG antibody to Ehrlichia chaffeensis detected, suggestive of current or past infection.
Reported: 2-6 days
10-217
Test List
Ehrlichia chaffeensis Antibody, IgM
Order code: 81381
transport tube.
received within 30 days from receipt of the acute samples. Please mark sample plainly as "acute" or "convalescent".
Unit code: 813801
CPT Code(s): 86666
Ref range: < 1:16 Negative-No significant level of Ehrlichia chaffeensis IgM antibody detected.
>= 1:16 Positive-Presence of IgM antibody to Ehrlichia chaffeensis detected, suggestive of current or recent infection.
Reported: 2-6 days
Ehrlichia chaffeensis, DNA PCR
Order code: 81361
Unacceptable: Gross specimen contamination
Unit code: 813361
CPT Code(s): 87798
Ref range: Negative
Reported: 4-7 days
Elatrol
See: Amitriptyline & Nortriptyline
S1
0
Elavil, Amitriptyline & Nortriptyline, Serum
Electrolyte Panel, Serum
Order code: 1028
Preferred specimen: 1.0 mL serum, SST or red top tube. Remove serum from cells ASAP; avoid hemolysis.
Carbon Dioxide
Chloride
Potassium
Sodium
Method: Potentiometry/Absorbance
Unit code: 90060
CPT Code(s): 80051
Ref range: Carbon Dioxide
Chloride
Potassium
Sodium
22-29 mmol/L
98-107 mmol/L
3.5-5.1 mmol/L
136-145 mmol/L
Electrolytes, Fecal
Order code: 81377
Preferred specimen: 5 g aliquot from well-mixed 24-hour or random stool in a clean unpreserved stool transport container. Stool must be liquid.
Minimum specimen: 1 g liquid stool
Notes: Stool must be liquid. Do not add saline or water to liquefy sample.
Method: Ion-Selective Electrode
Unit code: 813377
CPT Code(s): 82438, 84302, 84999
Ref range: Not established
Reported: 2-3 days
Test List
10-218
Electrolytes, Urine
Order code: 1054
Notes: Includes: Chloride, Potassium, Sodium
Unit code: 102465
CPT Code(s): 82436, 84133, 84300
Ref range: Chloride
Potassium
Sodium
40-220 mmol/day
25-125 mmol/day
110-250 mmol/day
Electrophoresis, Lipoprotein
See: Lipoprotein Electrophoresis
Electrophoresis, Protein
See: Protein Electrophoresis, CSF
Protein Electrophoresis, Serum
Protein Electrophoresis, Urine
Elixophylin
See: Theophylline
Emeside
See: Ethosuximide
S1
0
EML4-ALK
See: ALK Rearrangement by FISH
ENA
See: Sm/RNP Antibody, IgG
Endep
Endomysial Antibody, IgG
Order code: 81356
Preferred specimen: 1.0 mL serum, SST. Remove serum from cells ASAP or within 2 hours of collection and transfer to a plastic transport tube.
Unacceptable: Contaminated specimens
Unit code: 813565
CPT Code(s): 86256
Ref range: Less than 1:10
Reported: 2-9 days
10-219
Test List
Entamoeba histolytica (amebiasis) Antibody, IgG
Order code: 80590
Preferred specimen: 1.0 mL serum, SST. Remove serum from cells ASAP or within 2 hour of collection and transfer to a plastic transport tube.
Notes: Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens.
Mark specimens plainly as "acute" or "convalescent".
Unacceptable: Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Unit code: 802650
CPT Code(s): 86753
Ref range: 0.79 IV or less: Negative - No significant level of detectable E. histolytica IgG antibody.
0.80-1.19 IV: Equivocal - Repeat testing in 10-14 days may be helpful.
1.20 IV or greater: Positive - IgG antibody to E. histolytica detected, suggestive of a current or past infection.
Seroconversion between acute and convalescent sera is considered strong evidence of recent infection. The best evidence for
infection is a significant change on two appropriately timed specimens where both tests are done at the same time.
Reported: 2-6 days
Enterobius Vermicularis (Pinworm) Identification
Order code: 2345
Preferred specimen: Pinworm paddle. Gently press the sticky side of the paddle over the perianal surface. Specimen should be collected between 9
p.m. and midnight or immediately after arising in the morning.
Other acceptable: Clear cellophane scotch tape. Gently press the sticky side of the tape over the perianal surface, attach the sticky side of the tape to
a glass slide, and submit in a slide holder or mailer.
Unacceptable: Do not use opaque or frosted (scotch) tape or slides. Do not submit on coverslips or place stool on tape or paddle. Stool
specimens will not be processed.
Method: Microscopic Exam
Unit code: 401920
CPT Code(s): 87172
Ref range: No Enterobius vermicularis identified.
Reported: 1-2 days
Enterovirus Antibody Panel
Order code: 82310
Coxsackie B Virus Antibodies
Poliovirus Antibodies
Unacceptable: Plasma, contaminated, hemolyzed, or severly lipemic specimens.
Method: Semi-Quantitative Serum Neutralization
Unit code: 813601
CPT Code(s): 86658 (x9)
Ref range: Coxsackie B1: Less than 1:10
Poliovirus Antibodies:
Less than 1:10: No detectable poliovirus antibodies.
1:10 or greater: Antibody to poliovirus detected, which may represent prior immunization or current or past infection.
Reported: 7-10 days
Test List
10-220
S1
0
Enterovirus Detection by RT-PCR
Order code: 81602
Preferred specimen: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells, transfer to a plastic transport tube and freeze.
Minimum specimen: 0.5 mL plasma, serum or CSF.
Notes: Specimen source is required.
Other acceptable: 1.0 mL serum, gel-barrier tube. Remove serum from cells, transfer to a plastic transport tube and freeze.
Or 1.0 mL CSF in a sterile container, frozen.
Or nasopharyngeal swab in viral transport media.
Method: Qualitative Reverse Transcription Polymerase Chain Reaction
Unit code: 813602
CPT Code(s): 87498
Reported: 2-3 days
Eosinophil Count-Absolute
Order code: 2125
Preferred specimen: One 3-4 mL lavender top tube (EDTA).
Unit code: 201340
CPT Code(s): 85048
Ref range: 0-450/cumm
Eosinophilia Panel by FISH
S1
0
Order code: 32085
request form.
Notes: Test includes: F1P1L1/PDGFRA (4q12 deletion), FGFR1 Rearrangement (8p21), and PDGFRB Rearrangement (5q33).
Unit code: 532085
CPT Code(s): 88374 (x3)
Reported: 2-5 days
Eosinophils, Urine
Order code: 2530
Preferred specimen: 10 mL urine aliquot from a well-mixed random collection.
Minimum specimen: 5 mL urine aliquot
Unacceptable: Frozen samples or urine collected in preservative.
Method: Wrights Stain/Microscopy
Unit code: 250490
CPT Code(s): 89050
Ref range: None Seen
Epidermal Growth Factor Receptor (EGFR) by FISH
Order code: 35957
paraffin block.
Unacceptable: Paraffin-embedded tissue that has been decalcified.
Unit code: 535957
CPT Code(s): 88367, 88374
Reported: 3-4 days
10-221
Test List
Epidermal Growth Factor Receptor (EGFR) Mutation Analysis by PCR
Order code: 35958
Preferred specimen: Formalin-fixed, paraffin-embedded (FFPE) tissue block containing greater than 25% tumor or five 7-micron thick sections in labeled
container, and one H&E reference slide.
Other acceptable: Five precut, unstained slides from paraffin block in 7-micron thick sections and one H&E reference slide.
Unit code: 535958
CPT Code(s): 81235, G0452
Epstein-Barr Virus Antibody to Early Antigen
Order code: 5354
Unacceptable: Grossly hemolyzed, lipemic, icteric, or contaminated specimens.
Method: Enzyme-linked Immunosorbant Assay
Unit code: 353054
CPT Code(s): 86663
Ref range: Negative: < 0.91
Equivoval: 0.91-1.09
Positive: >1.09
Reported: 1-3 days
Epstein-Barr Virus Antibody to Nuclear Antigen
Order code: 5353
S1
0
Unit code: 353053
CPT Code(s): 86664
Positive: >1.09
Reported: 1-3 days
Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgG
Order code: 5350
Unit code: 353050
CPT Code(s): 86665
Positive: >1.09
Reported: 1-3 days
Test List
10-222
Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgG & IgM
Order code: 5352
Unit code: 353052
CPT Code(s): 86665 (x2)
Positive: >1.09
Reported: 1-3 days
Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgM
Order code: 5351
Unit code: 353051
CPT Code(s): 86665
Positive: >1.09
Reported: 1-3 days
Epstein-Barr Virus Comprehensive Profile
Order code: 5345
Viral Capsid Antigen, IgG
Viral Capsid, Antigen, IgM
Early Antigen Antibody
Nuclear Antigen Antibody
S1
0
Method: Enzyme-linked Immunosorbent Assay
Unit code: 353045
CPT Code(s): 86663, 86664, 86665 (x2)
Positive: >1.09
Reported: 1-3 days
Epstein-Barr Virus, Qualitative PCR
Order code: 38170
Preferred specimen: 1.0 mL serum, red top tube or SST, or plasma, lavender (EDTA) top tube. Remove serum or plasma from cells, transfer to a plastic
transport tube and freeze. Separate specimens must be submitted when multiple tests are ordered. Indicate source on test request
form.
Minimum specimen: 0.25 mL serum, plasma, or CSF.
Other acceptable: 1.0 mL CSF in sterile container, frozen.
Unacceptable: Whole blood, heparinzed plasma, or bone marrow.
Method: Polmerase Chain Reaction
Unit code: 538170
CPT Code(s): 87799
Reported: 1-7 days
Equagesic
See: Meprobamate
Equanil
See: Meprobamate
10-223
Test List
ERA/PRA Receptor Assay, Paraffin Block
Order code: 35210
Minimum specimen: 1 block with tumor
Estrogen Receptor
Progesterone Receptor
Pathologist review for presence of malignant cells.
Method: Image Analysis
Unit code: 535210
CPT Code(s): 88361 (x2)
Reported: 3-7 days
Erythrocyte Porphyrin (EP), Whole Blood
Order code: 81387
Preferred specimen: 1.0 mL whole blood, royal blue (Na EDTA) or lavender (EDTA) top tube. Protect from light within 1 hour of collection and during
2 completely in aluminum foil or transfer whole blood to a plastic amber transport tube.
storage and shipping. Wrap the tube
Notes: Use royal blue (Na EDTA) tube when also testing for lead.
2
Unacceptable: Specimens not collected in EDTA. Clotted specimens. Specimens not protected from light will be reported with disclaimer.
Method: Extraction/Fluorometry
Unit code: 813875
CPT Code(s): 84202
Ref range: 0-35 µg/dL
Reported: 2-5 days
S1
0
Erythropoietin
Order code: 1184
Unacceptable: EDTA plasma or hemolyzed specimens.
Unit code: 111084
CPT Code(s): 82668
Ref range: 4-20 mIU/mL
Reported: 1-4 days
Eskalith
See: Lithium
Test List
10-224
Estradiol
Order code: 1284
Unit code: 111085
CPT Code(s): 82670
Ref range: Female:
Follicular phase: 26.7-156.0 pg/mL
Ovulation phase: 48.1-314.0 pg/mL
Luteal phase: 33.1-298.0 pg/mL
Postmenopausal: <5.0-49.9 pg/mL
Pregnant women:
1st trimester : 154.0-3065.0
2nd trimester: 1561.0-18950.0
3rd trimester: 10030.0->30000.0
Male: 27.1-52.2 pg/mL
Estradiol, Sensitive
Order code: 81391
Unacceptable: Grossly lipemic specimens.
Transport temp: Refrigerate
Unit code: 813951
CPT Code(s): 82670
Reported: 6-9 days
Estriol, Serum
S1
0
Order code: 81425
Notes: Patient gestational age required. Avoid repeated freeze/thaw cycles.
Unit code: 814025
CPT Code(s): 82677
Ref range: Based on gestational age:
25 weeks: 1.9 - 6.7 ng/mL
26 weeks: 2.0 - 7.3 ng/mL
27-29 weeks: 2.1 - 9.1 ng/mL
30-31 weeks: 2.4 - 10.6 ng/mL
32-37 weeks: 2.6 - 16.7 ng/mL
Nonpregnant Female: Less than 0.08 ng/mL
Male: Less than 0.16 ng/mL
Reported: 2-3 days
Estrogen & Progesterone Receptor Assay
See: ERA/PRA Receptor Assay
10-225
Test List
Estrogens, Fractionated by Tandem Mass Spectrometry
Order code: 82410
Preferred specimen: 0.5 mL serum, SST. Remove serum from cells within 2 hours of collection and transfer to a plastic transport tube.
Notes: Recommended test for evaluating endogenous estrogen status in postmenopausal women, men, or children.
Test Includes:
Estradiol
Estrone
Estrogens Total Calculation
Unit code: 814101
CPT Code(s): 82671
Reported: 2-5 days
Estrogens, Total
Order code: 81421
Notes: Patient must avoid having radioisotope scan prior to collection of specimen.
Other acceptable: 2.8 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells and transfer to a plastic transport tube.
Unacceptable: Gross hemolysis or lipemia, recent isotopic scan, icteric specimen.
Method: Radioimmunoassay (RIA)
Unit code: 814201
CPT Code(s): 82672
Reported: 5-7 days
Estrone, by Tandem Mass Spectrometry
Order code: 83445
Notes: Remove serum or plasma from cells within 2 hours of collection and transfer to a plastic transport tube.
Unit code: 814301
CPT Code(s): 82679
Reported: 2-5 days
Ethanol, Blood, Legal CRL COC
Order code: 80163
Preferred specimen: 4.0 mL whole blood, gray (sodium fluoride/potassium oxalate) or lavender (EDTA) top tube. Do not prepare venipuncture site with
alcohol. Submit original tube unopened, secured with tamper evident seal, with CRL chain of custody.
Minimum specimen: 2.0 mL whole blood or serum
Notes: CRL chain of custody form must be completed and submitted with specimen. If the screen is positive, confirmation and
quantitation of results will be performed by gas chromatography
Other acceptable: 4.0 mL serum, red top tube. Do not collect in gel-barrier tube. Submit original tube unopened, secured with tamper evident seal,
with CRL chain of custody.
Unit code: 801603
CPT Code(s): 82055
Reported: 2-7 days
Test List
10-226
S1
0
Ethanol, Serum or Plasma
Order code: 1215
Preferred specimen: 2.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells immediately after collection and transfer to
a tightly-capped plastic transport tube to minimize alcohol loss.
Other acceptable: 2.0 mL plasma, gray (sodium fluoride/potassium oxalate), lavender (EDTA), or green (sodium heparin) top tube. Remove plasma
from cells immediately after collection and transfer to a tightly-capped plastic transport tube. Do not freeze whole blood.
Unacceptable: Whole blood. Separator tubes or gels.
Method: Quantitative Gas Chromatography/Enzymatic
Unit code: 801600
CPT Code(s): 80320
Ref range: Normal Range: Not established
Therapeutic Range: (Therapy for methanol toxicity): 100-200 mg/dL
Toxic concentrations may cause inebriation, CNS depression, respiratory depression, mental and motor impairment and liver
damage. In children, ethanol ingestion may cause hypoglycemia.
Reported: 2-3 days
Ethanol, Urine
Order code: 81438
Preferred specimen: 5.0 mL random urine in a plastic urine container.
Notes: A positive urine alcohol is only indicative of recent use and cannot be used to determine impairment. This test should be restricted
to monitoring patients in drug treatment programs where any alcohol use is prohibited.
Method: Enzymatic; gas chromatography (GC) quantitation (if positive by initial test)
Unit code: 814380
CPT Code(s): 80301
Ref range: Negative (cutoff = 0.020%)
Reported: 3-5 days
S1
0
Ethanol, Urine, Qualitative
Order code: 26526
Notes: Testing is for medical purposes and not valid for forensic use.
Method: Immunoassay
Unit code: 265260
Ref range: Negative (cutoff <20 mg/dL)
Reported: 1-2 days
Ethosuximide
Order code: 86180
transport tube.
Unit code: 842500
CPT Code(s): 80168
Ref range: Therapeutic range: 40-100 µg/mL
The therapeutic range is based on serum pre-dose (trough) draw at steady-state concentration. Toxic concentrations may cause
dizziness, drowsiness and anorexia. The incidence of adverse reactions is low; however, life-threatening agranulocytosis and fatal
pancytopenia have been reported.
Reported: 2-6 days
10-227
Test List
Ethotoin
Order code: 82450
transport tube.
Unit code: 814350
CPT Code(s): 80339
Ref range: Dose-Related Range: 5-50 µg/mL Dose (Adult): 1-3 g/d
Reported: 2-6 days
Ethyl Glucuronide and Ethyl Sulfate Alcohol Screen, Urine CRL COC
Order code: 81499
required.
Unit code: 814399
Reported: 2-7 days
Ethyl Glucuronide, Urine-Screen with Reflex to Confirmation
Order code: 81439
Preferred specimen: 4.0 mL random urine with no additives or preservatives. Transport in a plastic transport tube or urine container. No chain of
custody form required.
Notes: Initial test to identify recent ethanol exposure (within 1 - 4 days after ingestion).
Ethyl glucuronide is a direct metabolite of ethanol and can be detected up to 80 hours in urine after ethanol ingestion. The cutoff for
positive by immunoassay is set at 500 ng/mL. A positive result will be confirmed by liquid chromatography tandem mass
spectrometry (LC-MS/MS) and report time may be extended.
Method: Qualitative Enzyme Immunoassay/Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Unit code: 814397
CPT Code(s): 80302
Reported: 2-5 days
Ethylene Glycol
Order code: 82455
Unit code: 814400
CPT Code(s): 82693
Ref range: No therapeutic range - Limit of detection 5 mg/dL
Potentially toxic: > 20 mg/dL
Toxic concentrations may cause intoxication, CNS depression, metabolic acidosis, renal damage and hypocalcemia. Ethylene
glycol is extremely toxic. Ingestion can be fatal if patients do not receive immediate medical treatment.
Reported: 2-5 days
Etrafon
See: Perphenazine
Test List
10-228
S1
0
Everolimus
Order code: 84460
Notes: Pre-dose (trough) levels should be drawn.
Unacceptable: Serum or plasma. Specimens left at room temperature for longer than 24 hours. Clotted specimens.
Unit code: 814460
CPT Code(s): 80299
Ref range: Kidney transplant (in combinaion with Cyclosporine):
3-8 ng/mL
Liver Transplant (in combination with Tacrolimus):
3-8 ng/mL
Toxic Value:
Greater than 15 ug/mL
Reported: 2-3 days
Eye Culture
See: Culture, Eye
Ezogabine and Metabolite
Order code: 81447
Preferred specimen: 1.0 mL plasma, green (sodium or lithium heparin) or lavender (EDTA) top tube. Remove plasma from cells ASAP, transfer to a
plastic transport tube and freeze immediately.
Unacceptable: Unfrozen specimens.
Unit code: 814470
CPT Code(s): 80339
S1
0
Factor II, Activity (Prothrombin)
Order code: 82480
freeze.
Method: Clotting
Unit code: 808900
CPT Code(s): 85210
5-29 days: 33-93%
30-89 days: 34-102%
90-179 days: 45-105%
180-364 days: 60-116%
1-5 years: 71-116%
6 years: 67-107%
7-9 years: 78-125%
10-11 years: 78-120%
12-13 years: 72-123%
14-15 years: 75-135%
16-17 years: 77-130%
Reported: 2-5 days
Factor II, Mutation
See: Prothrombin Gene Mutation
10-229
Test List
Factor IX Activity with Reflex to Bethesda Quantitative, Factor IX
Order code: 80851
Preferred specimen: 6.0 mL platelet-poor plasma collected in three 3.15 mL light blue (sodium citrate) top tubes. Remove plasma from cells, transfer 3.0
mL plasma aliquots into 2 separate transport tubes and freeze. Separate specimens must be submitted when multiple tests are
ordered.
Minimum specimen: Two 2.0 mL aliquots of platelet-poor plasma.
Notes: If Factor IX activity is 20 percent or less, then Bethesda Quantitative, Factor IX will be added at an additional charge and report
time may be extended.
Unacceptable: Serum. Non-frozen or hemolyzed specimens.
Unit code: 808951
CPT Code(s): 85250
Ref range: Factor IX, Activity:
1-4 days: 15-91%
5-29 days: 15-91%
30-89 days: 21-81%
90-179 days: 21-113%
180-364 days: 36-136%
1-5 years: 47-104%
6 years: 63-89%
7-9 years: 70-133%
10-11 years: 72-149%
12-13 years: 73-152%
14-15 years: 80-161%
16-17 years: 86-176%
Bethesda Quantitative, Factor IX
0.4 BU or less
Reported: 2-4 days
Factor IX, Activity
Order code: 82490
freeze. Separate specimens must be submitted when multiple tests are ordered.
Notes: Order to diagnose factor IX deficiency (hemophilia B) and monitor factor IX replacement therapy.
S1
0
Method: Clotting
Unit code: 808950
CPT Code(s): 85250
5-29 days: 15-91%
30-89 days: 21-81%
90-179 days: 21-113%
180-364 days: 36-136%
1-5 years: 47-104%
6 years: 63-89%
7-9 years: 70-133%
10-11 years: 72-149%
12-13 years: 73-152%
14-15 years: 80-161%
16-17 years: 86-176%
Reported: 2-4 days
Factor V Leiden Mutation (G1691A)
Order code: 36481
Preferred specimen: 5.0 mL whole blood collected in lavender (EDTA), light blue (sodium citrate) or yellow (ACD Solution A or B) top tube.
Notes: Separate samples should be submitted when multiple tests are ordered.
Other acceptable: Liquid Based Pap Media
Unacceptable: Heparin anticoagulant, severely hemolyzed specimens.
Unit code: 536481
CPT Code(s): 81241
Reported: 1-7 days
Test List
10-230
Factor V, Activity
Order code: 82510
freeze.
Method: Clotting
Unit code: 809000
CPT Code(s): 85220
5-29 days: 45-145%
30-89 days: 62-134%
90-179 days: 48-132%
180-364 days: 55-127%
1-5 years: 79-127%
6 years: 63-116%
7-9 years: 69-132%
10-11 years: 66-136%
12-13 years: 66-135%
14-15 years: 61-129%
16-17 years: 65-131%
Reported: 2-4 days
Factor VII, Activity
Order code: 82520
freeze.
Method: Clotting
Unit code: 809050
CPT Code(s): 85230
S1
0
5-29 days: 35-143%
30-89 days: 42-138%
90-179 days: 39-143%
180-364 days: 47-127%
1-5 years: 55-116%
6 years: 52-120%
7-9 years: 67-145%
10-11 years: 71-163%
12-13 years: 78-160%
14-15 years: 74-180%
16-17 years: 63-163%
Reported: 2-4 days
Factor VIII Activity Flex to Bethesda Quantitative
Order code: 82540
Preferred specimen: Two 3.0 mL aliquots of platelet-poor plasma, light blue (sodium citrate) top tubes. Remove plasma from cells, aliquot into 2
separate transport tubes and freeze. Separate specimens must be submitted when multiple tests are ordered.
Minimum specimen: Two 2.0 mL aliquots of platelet-poor plasma
Notes: For hemophiliacs: note dose, date, and time of last factor VIII concentrate infusion.
If Factor VIII activity is 20% or less, then Bethesda Quantitative, Factor VIII will be added. Additional charges apply.
Method: Clotting
Unit code: 809602
CPT Code(s): 85240
Ref range: Factor VIII, Activity:
0-6 years: 56-191%
7-9 years: 76-199%
10-11 years: 80-209%
12-13 years: 72-198%
14-15 years: 69-237%
16-17 years: 63-221%
Bethesda Quantitative, Factor VIII:
0.5 BU or less
Reported: 2-4 days
10-231
Test List
Factor VIII Quantitation, Antigen
Order code: 80909
Preferred specimen: 2.0 mL platelet-poor plasma, light blue (3.2% sodium citrate) top tube. Blue top tube must be filled to completion to ensure proper
blood to anticoagulant ratio. Mix the tube immediately by gentle inversion at least 6 times. Centrifuge immediately and remove the
top two-thirds of the plasma using a plastic transfer pipette, being careful not to disturb the cells. Transfer plasma into a plastic
transport tube and freeze immediately. Separate specimens must be submitted when multiple tests are ordered. Do not draw from
an arm with a heparin lock or heparinized catheter.
Notes: Quantitates the amount of factor VIII protein; not a measure of von Willebrand factor antigen (previously called FVIII-related
antigen).
Unacceptable: Gross hemolysis, clotted whole blood, non-frozen specimens.
Unit code: 809095
CPT Code(s): 83520
Ref range: 50-160 %
Reported: 5-10 days
Factor VIII, Activity
Order code: 2815
Preferred specimen: 2.0 mL platelet-poor plasma, light blue (3.2% sodium citrate) top tube filled to completion to ensure proper blood to anticoagulant
ratio. Mix tube immediately by gentle inversion at least 6 times. Centrifuge immediately and remove only the top two-thirds of the
plasma using a plastic transfer pipette, being careful not to disturb the cells. Transfer the plasma to a plastic transport tube and
freeze immediately.
Unacceptable: Serum, clotted or non-frozen specimens. Hemolyzed or lipemic specimens, or contamination with heparin.
Method: Photo optic
Unit code: 202815
CPT Code(s): 85240
Ref range: 50-150%
Reported: 1-3 days
Factor X, Activity
Order code: 82560
freeze.
Method: Clotting
Unit code: 809150
CPT Code(s): 85260
5-29 days: 19-79%
30-89 days: 31-87%
90-179 days: 35-107%
180-364 days: 38-118%
1-5 years: 58-116%
6 years: 55-101%
7-9 years: 74-130%
10-11 years: 70-134%
12-13 years: 69-133%
14-15 years: 63-146%
16-17 years: 74-146%
Reported: 2-4 days
Test List
10-232
S1
0
Factor XI, Activity
Order code: 82565
freeze.
Method: Clotting
Unit code: 809250
CPT Code(s): 85270
5-29 days: 23-87%
30-89 days: 27-79%
90-179 days: 41-97%
180-364 days: 38-134%
1-5 years: 56-150%
6 years: 52-120%
7-9 years: 70-138%
10-11 years: 66-137%
12-13 years: 68-138%
14-15 years: 57-129%
16-17 years: 65-159%
Reported: 2-4 days
Factor XII, Activity
Order code: 82570
freeze.
Method: Clotting
Unit code: 809300
CPT Code(s): 85280
S1
0
Ref range: 58-166%
Reported: 2-4 days
Factor XIII Activity
Order code: 89355
Preferred specimen: 2.0 mL plasma, light blue (sodium citrate) top tube. Remove plasma from cells and place 1.0 mL into two separate transport tubes
and FREEZE. Submit separate specimens when multiple tests are ordered.
Method: Chrom
Unit code: 809355
CPT Code(s): 85290
Ref range: 60-150%
Reported: 3-8 days
Factor XIII, Qualitative, with Reflex to Factor XIII 1:1 Mix
Order code: 82575
Preferred specimen: 2.0 mL platelet-poor plasma, light blue (sodium citrate) top tube. Remove plasma from cells ASAP, transfer to a plastic transport
tube and freeze. Separate specimens must be submitted when multiple tests are ordered.
Notes: This is a qualitative screening test; clot lysis only occurs in specimens with severe factor XIII deficiency (less than 1% of normal
activity). Severe deficiency may be inherited or acquired (typically due to a factor XIII antibody). If clot lysis occurs in the initial
testing, then Factor XIII 1:1 mix will be added where the test is repeated using a 1:1 mix of patient plasma and pooled normal
plasma to distinguish between FXIII deficiency and a FXIII inhibitor. Additional charges apply.
False-positive results (lysis) can be caused by heparin (therapy with unfractionated or low molecular weight heparin or
contamination from a line), decreased or abnormal fibrinogen, increased fibrinolysis (inherited or acquired fibrinolytic disorders),
fibrinolytic drugs, or other factors that affect clot structure or stability.
Method: Qualitative Solubility
Unit code: 809351
CPT Code(s): 85291
Ref range: Factor XIII, Qualitative: No lysis within 24 hours.
Reported: 3-4 days
10-233
Test List
Fat, Fecal
See: Fecal Fat Qualitative
Fecal Fat Quantitative
Fatty Acids-Free
Order code: 82580
Preferred specimen: 1.0 mL serum, gel-barrier tube. Collect on ice. Allow specimen to clot completely on ice. Remove serum from cells, transfer to a
plastic transport tube and freeze immediately.
Notes: Overnight fasting specimen is preferred.
Serum or plasma must be removed from cells and frozen ASAP, otherwise, lipase continues to break down triglycerides, giving rise
to elevated levels of nonesterified (free) fatty acids. Separate specimens must be submitted when multiple tests are ordered.
Other acceptable: 1.0 mL plasma, lavender (EDTA), gray (sodium fluoride/potassium oxalate), or light blue (sodium citrate) top tube.
Unacceptable: Non-frozen or heparinzed specimens.
Unit code: 814500
CPT Code(s): 82725
Ref range: 0-5 months: less than or equal to 0.73 mmol/L
6 months-1 year: less than or equal to 0.99 mmol/L
2-17 years: less than or equal to 1.78 mmol/L
18 years or older: less than or equal to 0.78 mmol/L
Reported: 2-5 days
Febrile Antibodies Identification Panel
Order code: 81454
transport tube.
Please mark specimen plainly as "acute" or "convalescent".
Unacceptable: Contaminated or heat-inactivated specimens.
Method: Semi-Quantitative Agglutination/Semi-Quantitative Indirect Fluorescent Antibody/Qualitative Immunoblot
S1
0
Unit code: 814540
CPT Code(s): 86622, 86757 (x4), 86768 (x5)
Ref range: Brucella Antibody (Total):
<1:20 Negative
Rickettsia rickettsii (Rocky Mountain Spotted Fever) Antibody, IgG:
Less than 1:64: Negative - No significant level of Rickettsia rickettsii Antibody, IgG detected.
1:64 - 1:128: Low Positive - Presence of Rickettsia rickettsii Antibody, IgG detected, suggestive of current or past infection.
1:256 or greater: Positive - Presence of Rickettsia rickettsii Antibody, IgG suggestive of recent or current infection
Rickettsia rickettsii (Rocky Mountain Spotted Fever) Antibody, IgM:
Less than 1:64: Negative - No significant level of Rickettsia rickettsii Antibody, IgM detected.
1:64 or greater: Positive - Presence of Rickettsia rickettsii Antibody, IgM detected, which may indicate a current or recent infection;
however, low levels of IgM antibodies may occasionally persist for more than 12 months post-infection.
Rickettsia typhi (Typhus Fever) Antibody, IgG by IFA:
< 1:64 Negative - No significant level of Rickettsia typhi IgG antibody detected.
1:64 - 1:128 Equivocal - Questionable presence of Rickettsia typhi IgG antibody detected. Repeat testing in 10-14 days may be
helpful.
1:256 Positive - Presence of IgG antibody to Rickettsia typhi detected, suggestive of current or past infection.
Rickettsia typhi (Typhus Fever) Antibody, IgM by IFA:
< 1:64 Negative - No significant level of Rickettsia typhi IgM antibody detected.
1:64 Positive - Presence of IgM antibody to Rickettsia typhi detected, suggestive of recent infection.
Salmonella typhi and paratyphi Antibodies:
Negative
Reported: 2-5 days
Fecal Fat, Qualitative
Order code: 2135
Preferred specimen: 2 g solid stool or 1.0 mL liquid stool. Collection container should be free of oil residue.
Minimum specimen: 1 g solid stool or 0.5 mL liquid stool.
Notes: Patient should not ingest mineral oil or castor oil within 72 hours of collection. Barium procedures should be avoided prior to
collection.
Unacceptable: Specimens submitted in transport media.
Transport temp: Refrigerated. Freeze if specimen will not be received in the laboratory within 24 hours of collection.
Method: Microscopic examination/Sudan stain
Unit code: 250950
CPT Code(s): 89125
Ref range: Normal
Test List
10-234
Fecal Fat, Quantitative
Order code: 82600
Preferred specimen: 24-, 48- or 72-hour stool collection. Refrigerate during collection. Send to laboratory refrigerated immediately after collection is
complete. Contact BBPL Client Services for stool collection container. Include time of collection on test request form and specimen
container.
Notes: The patient should be on a diet consisting of 50 to 150 g of fat per day for 3 days prior to collection. Non-absorbable fat substitutes,
such as Olestra, should be avoided prior to collection.
Unacceptable: Specimens containing barium or charcoal. Specimens in media or preservatives. Specimens collected in paint cans. Random
collections.
Method: Nuclear Magnetic Resonance Spectroscopy
Unit code: 814550
CPT Code(s): 82710
Ref range: 0-5 years: 0.0-2.0 g/24h
6 years and older: 0.0-6.0 g/24h
Reported: 2-3 days
Fecal Leukocyte Stain (WBC)
Order code: 2165
Preferred specimen: Stool placed in PVA transport media.
Collect stool specimen in a clean, dry container. Immediately after collection, transfer the stool specimen to PVA medium, adding
up to the fill line on the PVA vial label. Mix vial well. Stool specimen preserved in PVA medium is stable for 7 days stored at room
temperature.
laboratory within 2 hours of collection. Transport refrigerated. Fresh stool specimen refrigerated is stable for 2 hours.
Unacceptable: Stool specimens preserved in formalin or Cary Blair medium or on swabs, fresh stool specimens stored at room temperature or
frozen, multiple specimens (more than one in 24 hours).
Method: Trichrome stain/Microscopic Exam
Unit code: 401960
CPT Code(s): 89055
Reported: 1-3 days
S1
0
Fecal pH
Order code: 2470
Preferred specimen: 5 mL random liquid stool, with no preservative.
Minimum specimen: 2 mL liquid stool.
Notes: Barium procedures should be avoided prior to collection of the specimen.
Unacceptable: Formed stool. Specimen greater than 24 hours, if not frozen.
Transport temp: Refrigerated. Transport frozen if specimen will not be received in laboratory within 24 hours after collection.
Method: pH Indicator Strip
Unit code: 251050
CPT Code(s): 83986
Ref range: pH: 7.0-7.5
Fecal Reducing Substance
See: Reducing Substances, Fecal
Fecal, Chloride
See: Chloride, Fecal
Fecal, Electrolytes
See: Electrolytes, Fecal
Fecal, Potassium
See: Potassium, Fecal
Fecal, Sodium
See: Sodium, Fecal
10-235
Test List
Feces, Culture
See: Culture, Stool with Shiga Toxin 1 and 2 by EIA
Felbamate (Felbatol)
Order code: 81473
Unacceptable: Avoid use of separator tubes or gels.
Unit code: 814730
CPT Code(s): 80339
Ref range: Therapeutic Range: Not well established.
Toxic Level: Greater than 200 µg/mL
The proposed therapeutic range for seizure control is 30-60 µg/mL. Pharmacokinetics vary widely, particularly with co-medications,
age and/or compromised renal function. Felbamate use is associated with an increased incidence of liver failure and aplastic
anemia.
Reported: 2-5 days
Fentanyl Confirmation, Quantitative, Urine
Order code: 27085
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compounds:
Fentanyl, Norfentanyl.
Unit code: 270850
S1
0
Reported: 2-4 days
Fentanyl, Serum or Plasma
See: Drug Confirmation, Quantitation Fentanyl & Metabolite, Serum or Plasma
Fentanyl, Urine CRL COC
Order code: 81251
required.
Unit code: 812521
CPT Code(s): 83925
Reported: 2-7 days
Ferritin
Order code: 1290
Unacceptable: Severely hemolyzed specimens.
Unit code: 111090
CPT Code(s): 82728
Ref range: Male: 30-400 ng/mL
Female: 13-150 ng/mL
Test List
10-236
Fetal Fibronectin
Order code: 1790
Preferred specimen: Obtain the specimen using the Dacron swab in the Adeza Biomedical Specimen Collection Kit. The specimen should be taken from
the posterior fornix of the vagina or the ectocervical region of the external cervical os.
Notes: Specimens that are not tested within 8 hours of collection must be stored refrigerated at 2-8 C and assayed within 3 days.
Unacceptable: Specimens collected in or by any sample device other than the Adeza Biomedical Specimen Collection Kit.
Method: Solid Phase Enzyme Immunoassay
Unit code: 120000
CPT Code(s): 82731
Fetal Maternal Hemorrhage, Blood
Order code: 83710
Notes: Specimen should arrive in laboratory within 24 hours.
Method: Modified Kleihauer
Unit code: 823000
CPT Code(s): 85460
Ref range: % Fetal Cells: 0.00
mLs Fetal Blood: 0.0
FFN
See: Fetal Fibronectin
S1
0
Fibrinogen
Order code: 82630
Preferred specimen: 1.0 mL platelet-poor plasma, light blue (3.2% sodium citrate) top tube. Remove plasma from cells ASAP, transfer to a plastic
Unacceptable: Serum, EDTA plasma, nonfrozen, clotted or hemolyzed specimens.
Unit code: 814900
CPT Code(s): 85384
Reported: 2-3 days
FibroSure
See: Liver Fibrosis, Chronic Viral Hepatitis (Echosens FibroMeter)
10-237
Test List
Fine Needle Aspiration (FNA) Specimen Collection
See: Cytology, Fine Needle Aspiration (FNA)
Cytology, Thyroid, Fine Needle Aspiration (FNA)
Preferred specimen: FNA biopsies are helpful in:
1. Early tumor detection
2. Diagnosing tumor metastasis
3. Tumor staging
4. Post-therapeutic monitoring (recurrence)
BBPL provides FNA collection kits that are available through Client Services or online using the BBPL Electronic Supply Order
Form.
Specimen: Aspirated cellular material from lesions/masses of all body sites submitted for evaluation and detection of malignant
diseases.
Collection:
1. Prepare several fixed slides and at least one non-fixed (air-dried) slide.
Immediately after the needle is removed from the patient, remove the needle from the tip of the syringe, pull up 10 cc of air, and
replace the needle on the syringe tip. This must be performed quickly, so that the material does not begin to dry or clot. The
sample will be located within the needle and needle hub. With the needle facing away from the physician and patient, touch the
needle tip to the glass slide, with the bevel edge down. Expel the sample onto one or more slides using the air from the syringe.
Usually one small drop of specimen is adequate for each slide. If abundant material is obtained, it is often useful to split the sample
onto several slides. Place the needle and syringe aside and immediately (1 to 3 seconds) take a spare glass slide and smear the
drop of material. This is the preferred smearing technique for submission of specimens to the laboratory. Immediately place several
smears in plastic slide holder with 95% alcohol. Send at least one air dried, non-fixed slide.
An additional smearing method that is often used is to place two slides parallel to each other (with the sample between them) and
rapidly pull the slides apart without exerting pressure between the slides. It is important not to use the "pop" technique or drag a
cover slip across the slide as taught by hematology laboratories for blood films. These techniques cannot be used to smear the
FNA sample because they will either drag the cellular clusters off the slide or create thick areas which cannot be interpreted.
2. Send remaining fluid.
The remaining fluid should be submitted in a cytology container with equal amount of cytology fixative. After the direct smears have
been prepared, remove the needle from the syringe.Use the syringe to draw up the cytology fixative fluid and then expel the
remaining specimen into the cytology container. Place the lid on tightly for shipping to the laboratory.
exact specimen site (e.g., left breast or right breast). Submit specimen with a completed Cytology requisition.
Fiorinal
S1
0
See: Butalbital
First Trimester Screening
See: Maternal Serum Screen, First Trimester
FIT (Fecal Immunochemical Test)
See: Occult Blood, Fecal by Immunochemical Testing, 1 Specimen
Occult Blood, Fecal by Immunochemical Testing, 2 Specimens
Occult Blood, Fecal by Immunochemical Testing, 3 Specimens
Flecainide
Order code: 82660
Other acceptable: 2.0 mL plasma, lavender (EDTA), green (sodium or lithium heparin), or gray (sodium fluoride/potassium oxalate) top tube.
Remove plasma from cells within 6 hours of collection and transfer to a plastic transport tube.
Unit code: 815050
CPT Code(s): 80299
Toxic: > 1.50 µg/mL
Reported: 2-6 days
FLM
See: Fetal Lung Maturity
Test List
10-238
FLT3 Mutation Detection by PCR
Order code: 81571
Preferred specimen: 5.0 mL whole blood or 3.0 mL bone marrow in a lavender (EDTA), yellow (solution A or B), or green (sodium or lithium heparin) top
tube. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable: Serum or plasma. Frozen or clotted whole blood or bone marrow. Severely hemolyzed specimens.
Method: Qualitative Polymerase Chain Reaction/Capillary Electrophoresis
Unit code: 815071
CPT Code(s): 81245, 81479
Reported: 4-11 days
Flu Screen A & B
See: Influenza Antigen Screen A & B
Fluid Cell Count & Differential
See: Cell Count & Differential, Body Fluid
Fluid, Crystals
See: Crystals, Body Fluid
Flunitrazepam & Metabolites, Serum or Plasma-Screen with Reflex to Confirmation
Order code: 81508
tube.
Notes: It is recommended that sample be submitted with chain of custody, but it is not required.
If screen is positive, then confirmation will be added. Additional charges apply.
Other acceptable: 4.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP and transfer to plastic transport tube.
S1
0
Method: Qualitative High Performance Liquid Chromatography-Tandem Mass Spectrometry/Quantitative High Performance Liquid
Chromatography-Tandem Mass Spectrometry
Unit code: 815085
CPT Code(s): 80301
Reported: 4-10 days
Flunitrazepam & Metabolites, Urine-Screen with Reflex to Confirmation
Order code: 81586
Preferred specimen: 3.0 mL random urine.
Notes: It is recommended that sample be submitted with chain of custody, but it is not required.
If screen is positive, then confirmation will be added. Additional charges apply.
Method: High Performance Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 815086
CPT Code(s): 80301
Reported: 4-10 days
10-239
Test List
Fluoride Quantitative, Serum
Order code: 82670
tube.
Unacceptable: Separator tubes or plasma collected in gray (potassium oxalate/sodium fluoride) top tube.
Method: Quantitative Ion Chromatography
Unit code: 815100
CPT Code(s): 82735
Reported: 4-11 days
Fluoroquinolone-Resistant Organism, Culture
Order code: 81520
Preferred specimen: Collect one rectal swab and transport swab in ESwab transport media or Liquid Stuart media.
Notes: This test is for detection of fluoroquinolone-resistant Gram-negative rods from rectal swabs prior to prostate biopsy. Identification
and susceptibility tests may be added at an additional charge.
Method: Culture/Identification
Unit code: 815205
CPT Code(s): 87081
Ref range: Culture negative for fluoroquinolone-resistant organisms.
Reported: 2-4 days
Fluoxetine
Order code: 82697
from cells within 2 hours of collection.
Unit code: 815250
CPT Code(s): 80332
Ref range: Fluoxetine (Dose-Related Range): 100-800 ng/mL
Norfluoxetine (Dose-Related Range): 100-600 ng/mL
Fluoxetine and Norfluxetine Toxic: Greater than 2000 ng/mL
Reported: 2-7 days
Fluphenazine
Order code: 84950
Unit code: 832600
CPT Code(s): 80342
Ref range: Therapeutic Range: 0.5-2.0 ng/mL
Toxic: Not well established
Reported: 2-6 days
Test List
10-240
S1
0
Folate, RBC
Order code: 1390
Preferred specimen: 1 lavender (EDTA) top tube, FREEZE. Perform hematocrit before freezing, record value on test requisition, or submit a second
whole blood EDTA tube at room temperature for hematocrit to be performed.
Notes: Minimize exposure to light. Separate specimens must be submitted when multiple tests are ordered.
Unit code: 111420
CPT Code(s): 82747
Ref range: 499.0-1504.0 ng/mL
Folate, Serum
Order code: 1250
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube . Remove serum from cells, transfer to a plastic amber transport tube and refrigerate.
Transport frozen if serum will not be received in laboratory within 48 hours of collection. Protect from light.
Unacceptable: Plasma or hemolyzed specimens. Methotrexate and Leucovorin interfere with testing because these drugs cross-react with folate
binding proteins.
Unit code: 111360
CPT Code(s): 82746
Ref range: Greater than 4.50 ng/mL
Follicle Stimulating Hormone, FSH
Order code: 1286
Preferred specimen: 1.0 mL serum, SST or red top tube. Remove serum from cells and transfer to a plastic transport tube.
Unit code: 111096
S1
0
CPT Code(s): 83001
Ref range: Female:
Follicular phase: 3.5-12.5 mIU/mL
Ovulation phase: 4.7-21.5 mIU/mL
Luteal phase: 1.7-7.7 mIU/mL
Postmenopause: 25.8-134.8 mIU/mL
Male:
1.4-15.4 mIU/mL
Follicular Lymphoma Panel by FISH
Order code: 32100
request form.
Notes: Test includes: IGH-BCL2/BCL2 t(14;18) with reflex to BCL6 if negative.
Unit code: 532100
Reported: 3-6 days
Fractionated Alkaline Phosphatase
See: Alkaline Phosphatase Isoenzymes
10-241
Test List
Fragile X (FMR1) with Reflex to Methylation Analysis
Order code: 82735
Notes: Please submit Patient History for Molecular Genetics and test request form with specimen.
If an intermediate to expanded allele (CGG repeats) is detected by PCR and Capillary Electrophoresis; methylation analysis will be
added to determine the size of the expanded CGG repeat. Additional charges apply.
Preferred test to diagnose fragile X syndrome in individuals with characteristic clinical symptoms or screen healthy individuals for
carrier status with or without a positive family history.
Unit code: 815375
CPT Code(s): 81243
Reported: 5-15 days
Francisella tularensis Antibodies, IgG & IgM
Order code: 81531
Unacceptable: Contaminated, heat-inactivated, or turbid specimens.
Unit code: 815381
CPT Code(s): 86668 (x2)
Ref range: Francisella tularensis Antibody, IgG:
9 U/mL or less Negative - No significant level of IgG antibody to Francisella tularensis detected.
10-15 U/mL Equivocal - Questionable presence of IgG antibody to Francisella tularensis. Repeat testing in 10-14 days may be
helpful.
16 U/mL or greater Positive - Presence of IgG antibody to Francisella tularensis detected, suggestive of current or past
exposure/immunization.
Francisella tularensis Antibody, IgM:
9 U/mL or less Negative - No significant level of IgM antibody to Francisella tularensis detected.
10-15 U/mL Equivocal - Questionable presence of IgM antibody to Francisella tularensis. Repeat testing in 10-14 days may be
helpful.
16 U/mL or greater Positive - Presence of IgM antibody to Francisella tularensis detected, suggestive of current or recent
exposure/immunization.
Reported: 2-7 days
Free Calcium
See: Calcium, Ionized
Free Kappa & Lambda Light Chains, Quantitative, Urine
Order code: 82671
Preferred specimen: Two 4.0 mL urine aliquots from a well-mixed 24-hour urine collection. Keep refrigerated at all times. Record the total volume and
hours of collection on both the urine container and the test request form.
Minimum specimen: 3.0 mL urine aliquot from a well-mixed 24-hour or random urine collection.
Other acceptable: Random urine specimens and urine supernate.
Method: Immunofixation Electrophoresis/Nephelometry
Unit code: 821671
CPT Code(s): 83883 (x2), 84156, 86335
Ref range: Total Protein: 10-140 mg/d
Albumin: Detected
Alpha-1 Globulins: None detected
Alpha-2 Globulins: None detected
Beta Globulins: None detected
Gamma Globulins: None detected
Free Urinary Kappa Light Chains: 0.14-2.42 mg/dL
Free Urinary Kappa Excretion/Day: By report
Free Urinary Lambda Light Chain: 0.02-0.67 mg/dL
Free Urinary Lambda Excretion/Day: By report
Free Urinary Kappa/Lambda Ratio: 2.04-10.37 (ratio)
IFE Interpretation: By report
Reported: 2-6 days
Free Phenytoin
See: Phenytoin, Free
Test List
10-242
S1
0
Free T3
See: T3 Free
Free T4, Serum
See: Thyroxine (T4) ,Free
Fructosamine
Order code: 82750
Notes: Remove serum or plasma from cells within 45 minutes of collection.
Unacceptable: Gross hemolysis or lipemia.
Unit code: 815400
CPT Code(s): 82985
Ref range: 0-285 umol/L
Reported: 3-5 days
Fructose, Semen
Order code: 85360
Preferred specimen: 1.0 mL semen. Freeze semen immediately in a plastic transport container.
Minimum specimen: 0.3 mL semen
Unit code: 837100
CPT Code(s): 82757
Reported: 2-9 days
S1
0
FSH, Serum
See: Follicle Stimulating Hormone
Fungal Antibodies by CF, Serum
Order code: 81567
Method: Complement Fixation
Unit code: 815670
CPT Code(s): 86606, 86612, 86635, 86698 (x2)
Ref range: Aspergillus Antibody by CF: < 1:8
Blastomyces Antibody by CF: <1:8
Coccidioides Antibody by CF: <1:2
Histoplasma Yeast Antibody by CF: <1:8
Histoplasma Mycelia Antibody by CF: <1:8
Reported: 2-4 days
10-243
Test List
Fungal Culture
Order code: 3620
Preferred specimen: Lower Respiratory: Collect sputum in a tightly sealed sterile 50 mL centrifuge tube or in other sterile screw-cap container.
Refrigerate.
Spinal Fluid: Submit 2.0 mL CSF in a sterile screw-cap tube at room temperature.
Swab: Swab affected area with a sterile culture swab. Maintain at room temperature.
Tissue: Submit tissue specimen in sterile screw-cap container. Add only enough sterile saline to moisten tissue. Maintain at room
temperature.
Body Fluid, including Peritoneal and Pleural Fluids: Submit in sterile screw-top container or in yellow (SPS) top vacutainer tube
at room temperature.
Notes: Indicate source of specimen on test request form.
Unacceptable: Dried swab or leaking container.
Transport temp: Respiratory specimens: Refrigerated
All other specimens: Room temperature
Method: Fungal Culture Techniques
Unit code: 401500
CPT Code(s): 87102
Ref range: No yeast or filamentous fungi isolated
Reported: Within 4 weeks
Fungal Culture and Stain
Order code: 3600
Preferred specimen: Lower Respiratory: Collect specimen in a tightly sealed sterile 50 mL centrifuge tube or in other sterile screw-cap container.
Refrigerate.
temperature.
Sterile Body Fluids (other than CSF): Submit fluid in yellow (SPS) top vacutainer tube or in a tightly sealed sterile 50 mL
centrifuge tube at room temperature.
Minimum specimen: 1 mL fluid or 1 g solid specimen
Unacceptable: Dried swab or leaking container. Frozen specimens.
S1
0
Transport temp: Respiratory specimens: Refrigerate
Method: Fungal Culture Techniques/Calcofluor White Stain
Unit code: 401600
CPT Code(s): 87102, 87206
Ref range: Stain: No yeast or filamentous fungi seen
Culture: No yeast or filamentous fungi isolated
Reported: Culture: Within 4 weeks
Stain: Within 24 hours
Fungal Culture and Stain, Blood
Order code: 3602
Preferred specimen: 7.0 mL whole blood or bone marrow in yellow (SPS) top vacutainer tube or Lysis-Centrifugation tube.
Minimum specimen: 1.0 mL whole blood or 0.5 mL bone marrow.
Unacceptable: Specimens in tube other than SPS or Lysis-Centrifugation. Refrigerated or frozen specimens.
Method: Fungal Culture Techniques/Calcofluor White Stain
Unit code: 401620
CPT Code(s): 87103, 87206
Ref range: Culture negative for fungus
Final: Negative at 4 weeks. Positive cultures are reported as soon as detected.
Test List
10-244
Fungal Culture and Stain, CSF
Order code: 3606
Preferred specimen: 2.0 mL CSF in sterile screw-cap tube at room temperature.
Unacceptable: Refrigerated or frozen specimens.
Method: Fungal Culture Techniques/India Ink Stain
Unit code: 401630
CPT Code(s): 87102, 87210
Ref range: India Ink Prep: Negative
Reported: Stain: Within 24 hours
Culture: Within 4 weeks
Fungal Culture and Stain, Skin, Hair or Nails
Order code: 3601
Preferred specimen: Submit skin scrapings, hair or nail specimens in sterile screw-cap container. Do not tape specimens to a slide or put in a moist
environment (saline). There must be enough specimen to be readily visible.
Unacceptable: Specimens in formalin or saline.
Method: Fungal Culture Techniques/KOH
Unit code: 401610
CPT Code(s): 87101, 87220
Ref range: Stain: No yeast or filamentous fungi seen
Fungal Culture, Blood
Order code: 3622
Preferred specimen: 7.0 mL whole blood or bone marrow in yellow (SPS) top vacutainer tube or Lysis-Centrifugation tube.
Minimum specimen: 1.0 mL whole bood or 0.5 mL bone marrow.
Unacceptable: Specimen in tube other than SPS or Lysis-Centrifugation. Refrigerated or frozen specimens.
S1
0
Unit code: 401520
CPT Code(s): 87103
Ref range: Culture negative for fungus
Final: Negative at 4 weeks. Positive cultures are reported as soon as detected.
Fungal Culture, Skin, Hair or Nails
Order code: 3621
environment (saline). There must be enough specimen to be readily visible.
Unit code: 401510
CPT Code(s): 87101
Ref range: No yeast or filamentous fungi isolated
10-245
Test List
Fungal Screen I
Order code: 82770
Aspergillus Antibody by Iummunodiffusion
Histoplasma Antibody by ID
Unacceptable: Plasma or body fluid specimens. Contaminated, hemolyzed, or severely lipemic specimens.
Method: Complement Fixation/Immunodiffusion/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Unit code: 815601
CPT Code(s): 86606, 86612, 86628, 86635 (x2), 86698
Reported: 3-6 days
Fungal Screen II
Order code: 82790
Aspergillus Antibodies by Immunodiffusion
Histoplasma Antibodies by CF
Unacceptable: Plasma or body fluid specimens. Contaminated, hemolyzed, or severely lipemic specimens.
Method: Complement Fixation/Immunodiffusion/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Unit code: 815701
CPT Code(s): 86606, 86612 (x2), 86628, 86635 (x2), 86698 (x3)
Reported: 3-6 days
Fungal Stain KOH, Genital
S1
0
Order code: 2433
Preferred specimen: Use a sterile culture transport swab to collect the genital specimen. Submit the swab at room temperature.
Other acceptable: Specimen collected on a sterile swab and placed in 1 mL sterile saline.
Unacceptable: Dry swab. Frozen swab.
Method: KOH/Microscopic Examination
Unit code: 401933
CPT Code(s): 87210
Ref range: Negative for yeast
Fungal Stain KOH, Skin, Hair, Nails
Order code: 2275
environment (saline). There must be enough specimen to be readily visible. Indicate source on test request form.
Method: KOH/Microscopic examination
Unit code: 401930
CPT Code(s): 87220
Ref range: No yeast or filamentous fungi seen
Test List
10-246
Fungal Stain Only
Order code: 3640
Preferred specimen: Lower Respiratory: Collect specimen in a tightly sealed sterile 50 mL centrifuge tube or in other sterile screw-cap container.
Refrigerate.
temperature.
Sterile Body Fluids (other than CSF): Submit fluid in yellow (SPS) top vacutainer tube or in a tightly sealed sterile 50 mL
centrifuge tube at room temperature.
Transport temp: Respiratory specimens: Refrigerate
Method: Calcofluor White Fluorescent Stain
Unit code: 401700
CPT Code(s): 87206
Ref range: No yeast or filamentous fungi seen
Fungal Stain, CSF
Order code: 3643
Preferred specimen: 1.0 mL CSF in a sterile screw-cap tube at room temperature.
Unacceptable: Refrigerated or frozen specimens.
Method: Microscopy-India Ink
Unit code: 401530
CPT Code(s): 87210
Ref range: Negative India Ink Prep
G-6-PD
S1
0
See: Glucose-6-Phosphate Dehydrogenase
Gabapentin
Order code: 82725
transport tube.
Unit code: 827265
CPT Code(s): 80171
Reported: 3-5 days
Gabapentin Confirmation, Quantitative, Urine
Order code: 27090
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compound: Gabapentin.
Unit code: 270900
Reported: 2-4 days
Gabitril
See: Tiagabine
10-247
Test List
GAD Antibody
See: Glutamic Acid Decarboxylase Antibody
GAD65 Antibody
See: Glutamic Acid Decarboxylase Antibody
GAD65, IA-2, Insulin Autoantibody
Order code: 81608
Preferred specimen: 1.5 mL serum, red top or gel-barrier tube. Remove serum from cells and transfer to three (3) separate transport tubes (0.5 mL in
each tube). Freeze immediately. No radioactive isotopes should be administered 24 hours prior to venipuncture.
Minimum specimen: 0.75 mL serum (0.25 mL in 3 separate tubes)
Unacceptable: Specimens other than serum; recently administered radioisotopes; lipemic or grossly hemolyzed serum.
Method: Radioimmunoassay/Immunoprecipitation Assay/Insulin-I125 Binding Capacity
Unit code: 816608
CPT Code(s): 83519, 86337, 86341
Reported: 5-13 days
Galactose-1-Phosphate, Uridyltransferase
Order code: 82807
Preferred specimen: 7.0 mL whole blood, lavender (EDTA) or green (sodium or lithium heparin) top tube. Collect on ice.
Notes: A Patient History For Galactosemia form is required to perform galactosemia DNA testing. Complete the form and submit with the
Unacceptable: Hemolyzed specimens. Frozen and room temperature specimens.
Method: Enzymatic
Unit code: 815850
CPT Code(s): 82775
S1
0
Ref range: 14.7-25.4 U/g Hb
Reported: 3-6 days
Galactosemia (GALT) Enzyme Activity & 9 Mutations
Order code: 81549
Preferred specimen: 10.0 mL whole blood, lavender (EDTA) top tubes. Transport whole blood tubes to laboratory refrigerated. Do not freeze.
Notes: A Patient History For Galactosemia form is required to perform galactosemia DNA testing. Complete the form and submit with the
Other acceptable: 10.0 mL whole blood, green (sodium heparin) top tubes.
Unacceptable: Frozen or room temperature specimens.
Method: Enzymatic/Polymerase Chain Reaction/Single Nucleotide Extensions
Unit code: 815849
CPT Code(s): 81401, 82775
Reported: 8-11 days
Galectin-3
Order code: 81605
Unacceptable: Plasma other than EDTA, hemolyzed specimens.
Unit code: 816005
CPT Code(s): 82777
Reported: 2-5 days
Test List
10-248
GALOP Antibody
Order code: 81610
Unacceptable: Do not freeze.
Unit code: 816010
Ref range: Titers <10,000
Reported: 7-10 days
Gamma-Glutamyltransferase, GGT
Order code: 1305
Preferred specimen: 1.0 mL serum, red top tube or ge-barrier tube.
Unit code: 101820
CPT Code(s): 82977
Female: 5-36 U/L
Ganglioside (Asialo-GM1, GM1, GM2, GD1a, GD1b, GQ1b) Antibodies
Order code: 81652
Unacceptable: Room temperature specimens. Plasma, CSF, or other body fluids. Contaminated, heat-inactivated, hemolyzed , severely icteric, or
lipemic specimens.
S1
0
Unit code: 816052
CPT Code(s): 83516
Ref range: Asialo-GM1 Antibodies, IgG/IgM:
29 IV or less: Negative
30-50 IV: Equivocal
51-100 IV: Positive
101 IV or greater: Strong Positive
GM1 Antibodies, IgG/IgM:
30-50 IV: Equivocal
51-100 IV: Positive
GM2 Antibodies, IgG/IgM:
30-50 IV: Equivocal
51-100 IV: Positive
GD1a Antibodies, IgG/IgM:
30-50 IV: Equivocal
51-100 IV: Positive
GD1b Antibodies, IgG/IgM:
30-50 IV: Equivocal
51-100 IV: Positive
GQ1b Antibodies, IgG/IgM:
30-50 IV: Equivocal
51-100 IV: Positive
Reported: 2-5 days
10-249
Test List
Ganglioside (GM1) Antibodies, IgG/IgM
Order code: 82816
transport tube.
Unacceptable: Plasma, CSF, and other body fluids. Contaminated, heat-inactivated, hemolyzed, icteric, or severely lipemic specimens. Room
temerature specimens.
Unit code: 816050
CPT Code(s): 83516 (x2)
Ref range: GM1 Antibody IgG:
30-50 IV: Equivocal
51-100 IV: Positive
101 IV or greater: Strong positive
GM1 Antibody, IgM:
30-50 IV: Equivocal
51-100 IV: Positive
101 IV or greater: Strong positive
Reported: 2-5 days
Garamycin
See: Gentamicin, Trough
Gentamicin, Peak
Gentamicin, Random
Gardnerella vaginalis DNA Probe
Order code: 36015
S1
0
Unit code: 536015
CPT Code(s): 87510
Ref range: Negative
Reported: 1-3 days
Gastric Parietal Cell Antibody, IgG
See: Parietal Cell Antibody, IgG
Gastrin
Order code: 1216
Preferred specimen: 1.0 mL serum, red top tube or gel-barrier tube. Remove serum from cells ASAP, transfer to a plastic transport tube and freeze.
Notes: Twelve hour fasting recommended.
Unacceptable: Plasma or nonfrozen serum.
Unit code: 111100
CPT Code(s): 82941
Ref range: Up to 100 pg/mL
Reported: 1-4 days
Test List
10-250
Gastrointestinal Pathogen Panel
Order code: 38070
Preferred specimen: Stool specimen placed into Cary Blair transport media.
adding up to the fill line on the Cary Blair vial label. Mix vial well. Cary Blair media is available through BBPL Client Services or
online using the BBPL Electronic Supply Order Form.
Minimum specimen: 0.2 mL liquid stool
Bacteria:
Campylobacter
Clostridium difficile (Toxin A/B)
Plesiomonas shigelloides
Salmonella
Yersinia enterocolitica
Vibrio
Vibrio cholerae
Enteroaggregative E. Coli (EAEC)
Enteropathogenic E. Coli (EPEC)
Enterotoxigenic E. Coli (ETEC) lt/st
Shiga-like toxin-producing E. Coli (STEC) stx1/stx2
E. Coli O157
Shigella/Enteroinvasive E. Coli (EIEC)
Parasites:
Cryptosporidium
Cyclospora cayetanensis
Entamoeba histolytica
Giardia lamblia
Viruses:
Adenovirus F40/41
Astrovirus
Norovirus GI/GII
Rotavirus A
Sapovirus
Unacceptable: Specimens in inappropriate transport media or frozen specimens.
Unit code: 538070
CPT Code(s): 87507
S1
0
GC (Neisseria gonorrhoeae)
Neisseria gonorrhoeae, NAA
Neisseria gonorrhoeae Antibodies, Total
Culture, Neisseria gonorrhoeae (GC) Only
GC/CT NAA
Gengraf
See: Cyclosporine A
Genital Culture
See: Culture, Genital
10-251
Test List
Genital Panel I (Chlamydia, Neisseria, Candida, Gardnerella, Trichomonas)
Order code: 36006
Preferred specimen: Two separate specimen types are required. Refer to individual tests for detailed specimen requirements.
Chlamydia trachomatis & Neisseria gonorrhoeae Panel. NAA:
APTIMA® vaginal swab, APTIMA® unisex swab (for endocervical and male urethral specimens), APTIMA® urine tube, or
PreservCyt (ThinPrep) liquid Pap specimen. Directions for specimen collection and handling are provided on
the APTIMA® collection kits. APTIMA® kits are available through BBPL Client Services or online using the BBPL Electronic Supply
Order Form.
Candida, Gardnerella, and Trichomonas DNA Probes:
Collect vaginal fluid specimen using BD Affirm VPIII Ambient Temperature Transport System. Specimens must be collected and
Notes: Test panel includes:
Chlamydia trachomatis, NAA
Gardnerella vaginalis DNA Probe
Trichomonas vaginalis, NAA
Method: Chlamydia trachomatis and Neisseria gonorrhoeae: Nucleic Acid Amplification (NAA)
Candida species and Gardnerella vaginalis: Nucleic Acid Probe
Trichomonas vaginalis: Nucleic Acid Amplification (NAA)
Unit code: 536006
CPT Code(s): 87480, 87491, 87510, 87591, 87661
Ref range: Negative
Reported: 1-5 days
Genital Panel II (Chlamydia, Neisseria, Trichomonas, HSV)
Order code: 36050
Preferred specimen: APTIMA® vaginal swab, APTIMA® unisex swab (for endocervical and male urethral specimens), or PreservCyt (ThinPrep) liquid
available through BBPL Client Services or online using the BBPL Electronic Supply Order Form. Specimen source is required.
Record source on test request form.
®
Minimum specimen: 1 APTIMA swab or tube, 1.0 mL ThinPrep or SurePath liquid Pap specimen.
Herpes Simplex Viruses DNA
Unacceptable: Large white swab in unisex kit is for preparatory cleaning of the endocervix and is unacceptable for testing. Specimens in any
transport media other than indicated above. Specimen in swab transport media without a swab.
Method: Chlamydia trachomatis and Neisseria gonorrhoeae: Nucleic Acid Amplification (NAA)
Trichomonas vaginalis: Nucleic Acid Amplification (NAA)
Herpes Simple Viruses: Polymerase Chain Reaction (PCR)
Unit code: 536050
CPT Code(s): 87491, 87530 (x2), 87591, 87661
Ref range: Negative
Reported: 1-7 days
Genital Panel III (Candida, Gardnerella, Trichomonas)
Order code: 36005
Gardnerellsa vaginalis DNA Probe
Trichomonas vaginalis DNA Probe
Unit code: 536005
CPT Code(s): 87480, 87510, 87660
Ref range: Negative
Reported: 1-3 days
Test List
10-252
S1
0
Genital Panel IV (Chlamydia, Neisseria, Trichomonas)
Order code: 36055
Preferred specimen: APTIMA® vaginal swab, APTIMA® unisex swab (for endocervical and male urethral specimens), APTIMA® urine tube, or
PreservCyt (ThinPrep) liquid Pap specimen. Directions for specimen collection and handling are provided on
the APTIMA® collection kits. APTIMA® kits are available through BBPL Client Services or online using the BBPL Electronic Supply
Order Form.
®
Minimum specimen: 1 APTIMA swab or tube, 1.0 mL ThinPrep or SurePath liquid Pap specimen, 2.0 mL neat urine.
Other acceptable: SurePath liquid Pap specimen. 5.0 mL neat (unpreserved) first catch urine in sterile urine cup.
Unacceptable: Large white swab in unisex kit is for preparatory cleaning of the endocervix and is unacceptable for testing. Specimens in any
transport media other than indicated above. Specimen in swab transport media without a swab.
Unit code: 536055
CPT Code(s): 87491, 87591, 87661
Ref range: Negative
Reported: 1-5 days
Genpril
See: Ibuprofen
Gentamicin, Peak
Order code: 1152
Notes: Draw peak samples 30 minutes after 30 minute IV infusion or within 15 minutes after a 60-minute IV infusion. For IM injections,
draw 60 minutes post IM injection.
S1
0
Unit code: 110040
CPT Code(s): 80170
Ref range: Therapeutic: 5.0-10.0 µg/mL
Toxic: >12.0 µg/mL
Gentamicin, Random
Order code: 1153
Unit code: 110030
CPT Code(s): 80170
Ref range: Therapeutic:
Trough: <2.0 µg/mL
Peak: 5.0-10.0 µg/mL
Toxic:
Trough: >2.5 µg/mL
Peak: >12.0 µg/mL
10-253
Test List
Gentamicin, Trough
Order code: 1151
Notes: Draw trough sample immediately prior to or within 1 hour of next dose.
Unit code: 110035
CPT Code(s): 80170
Ref range: Therapeutic: <2.0 µg/mL
Toxic: >2.5 µg/mL
German Measles
See: Rubella Antibody, IgG
Rubella Antibody, IgM
GGT, Serum
See: Gamma-Glutamyltransferase
GGTP
See: Gamma-Glutamyltransferase, GGT
Giardia Antigen, EIA, Stool
Order code: 3465
Preferred specimen: Stool placed in 10% formalin or Cary Blair transport media.
Collect stool specimen in a clean, dry container. Immediately after collection, transfer the stool specimen to formalin or Cary Blair
medium, adding up to the fill line on the transport vial label. Mix vial well. Stool specimen preserved in formalin or Cary Blair
medium is stable for 7 days stored at room temperature.
Unacceptable: Stool specimens preserved in PVA medium or multiple specimens (more than one in 24 hours).
Unit code: 402010
CPT Code(s): 87329
Ref range: Negative
Reported: 1-3 days
Giardia lamblia Antibodies Panel
Order code: 86252
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells within 1 hour of collection, transfer to a plastic transport tube and
freeze immediately.
Unit code: 816252
CPT Code(s): 86674 (x3)
Reported: 4-11 days
Test List
10-254
S1
0
Gliadin Antibodies, IgG & IgA
Order code: 3655
Unacceptable: Plasma. Hemolyzed, icteric, lipemic or bacterially contaminated specimens.
Unit code: 360755
CPT Code(s): 83516 (x2)
Ref range: Gliadin Antibody, IgG:
Negative: <20 EU/mL
Indeterminate: 20-25 EU/mL
Positive: >25 EU/mL
Gliadin Antibody, IgA:
Negative: <20 EU/mL
Positive: >25 EU/mL
Reported: 1-5 days
Order code: 3651
Unit code: 360751
CPT Code(s): 83516
Ref range: Negative: <20 EU/mL
Positive: >25 EU/mL
Reported: 1-5 days
S1
0
Order code: 3650
Unit code: 360750
CPT Code(s): 83516
Ref range: Negative: <20 EU/mL
Positive: >25 EU/mL
Reported: 1-5 days
Glomerular Basement Membrane Antibody, IgG
Order code: 80730
Method: Semi-Quantitative Multiplex Bead Assay/Qualitative Indirect Fluorescent Antibody
Unit code: 816400
CPT Code(s): 83516, 86255
Ref range: Glomerular Basement Membrane Antibody, IgG by Multiplex Bead Assay:
Negative: 19 AU/mL or less
Equivocal: 20-25 AU/mL
Positive: 26 AU/mL or greater
Glomerular Basement Membrane Antibody, IgG (IFA): Negative
Reported: 2-6 days
10-255
Test List
Glucagon
Order code: 82850
Preferred specimen: Collect 3.0 mL whole blood using protease inhibitor tube available through BBPL Client Services or online using BBPL Electronic
Supply Order Form.
A winged collection set must be used. NOT RECOMMENDED: Filling collection tubes directly through a needle/tube-holder
assembly increases the risk of chemical reflux back into the vein of the patient. WARNING: Collection tubes are NOT STERILE.
Follow the collection instructions provided with the protease inhibitor tube.
Mix collection tube thoroughly. Centrifuge and remove plasma from cells within 1 hour of collection. Transfer 1.0 mL plasma to a
plastic transport tube and freeze immediately. Do not submit the collection tube for testing. Separate specimens must be submitted
Unit code: 816450
CPT Code(s): 82943
Ref range: Adult: Less than or equal to 208 ng/L
Reported: 4-12 days
Glucose Gestational Screen, 1 Hour (50 g Glucose Challenge)
Order code: 1140
Preferred specimen: 1.0 mL serum, gel-barrier tube. Collect specimen 1 hour after 50 g glucose load. Remove serum from cells ASAP. Label specimen
with time drawn.
Method: UV Test
Unit code: 101515
CPT Code(s): 82950
Glucose Gestational Screen, Fasting and 1 Hour (50 g Glucose Challenge)
Order code: 15060
Preferred specimen: 1.0 mL serum, gel-barrier tube, for each timed specimen (fasting and 1 hour). First specimen collected as fasting. Second
specimen collected 1 hour after 50 g glucose load. Remove serum from cells ASAP. Label each specimen with time drawn.
Minimum specimen: 0.5 mL serum for each timed specimen.
Notes: Patient should be fasting (no consumption of food or beverage other than water) for 8-12 hours prior to testing and avoid smoking
or excessive exercise during this time.
Method: UV Test
Unit code: 102180
CPT Code(s): 82947, 82950
Glucose Panel, Fasting and 2 Hour (75 g Glucose Challenge)
Order code: 15061
Preferred specimen: 1.0 mL serum, gel-barrier tube, for each timed specimen (fasting and 2 hour). First specimen collected as fasting. Second
specimen collected 2 hours after 75-g glucose load. Remove serum from cells ASAP. Label each specimen with time drawn.
Method: UV Test
Unit code: 101561
CPT Code(s): 82947, 82950
Test List
10-256
S1
0
Glucose Panel, Fasting and Postprandial 1 Hour
Order code: 1362
Preferred specimen: 1.0 mL serum, SST, for each timed specimen (fasting and 1 hour). First specimen collected as fasting. Second specimen collected
1 hour following a meal. Remove serum from cells ASAP. Label each specimen with time drawn.
Method: UV Test
Unit code: 101555
CPT Code(s): 82947, 82950
Ref range: Fasting 70-99 mg/dL
Glucose Panel, Fasting and Postprandial 2 Hour
Order code: 1363
Preferred specimen: 1.0 mL serum, SST, for each timed specimen (fasting and 2 hour). First specimen collected as fasting. Second specimen
collected 2 hours following a meal. Remove serum from cells ASAP. Label each specimen with time drawn.
Method: UV Test
Unit code: 101560
CPT Code(s): 82947, 82950
Ref range: Fasting 70-99 mg/dL
Glucose Tolerance, 2 Hour (75 g Glucose) 4 Specimens
Order code: 15065
Preferred specimen: 1.0 mL serum, gel-barrier tube, for each timed specimen (fasting, 1/2 hour, 1 hour and 2 hour). Collect a fasting specimen, then
administer 75 g glucose load. Collect subsequent specimens 1/2, 1, and 2 hours post glucose load. Remove serum from cells
ASAP. Label each specimen with time drawn.
S1
0
Method: UV Test
Unit code: 102100
CPT Code(s): 82951, 82952
Order code: 15070
Preferred specimen: 1.0 mL serum, gel-barrier tube, for each timed specimen (fasting, 1/2 hour, 1 hour, 2 hour, and 3 hour). Collect a fasting specimen,
then administer 75 g glucose load. Collect subsequent specimens 1/2, 1, 2, and 3 hours post glucose load. Remove serum from
cells ASAP. Label each specimen with time drawn.
Method: UV Test
Unit code: 102120
CPT Code(s): 82951, 82952 (x2)
Order code: 15075
Preferred specimen: 1.0 mL serum, gel-barrier tube, for each timed specimen (fasting, 1/2 hour, 1 hour, 2 hour, 3 hour, and 4 hour). Collect a fasting
specimen, then administer 75 g glucose load. Collect subsequent specimens 1/2, 1, 2, 3, and 4 hours post glucose load. Remove
serum from cells ASAP. Label each specimen with time drawn.
Method: UV Test
Unit code: 102140
CPT Code(s): 82951, 82952 (x3)
10-257
Test List
Glucose Tolerance, 5 Hour (75 gm Glucose) 7 Specimens
Order code: 15080
Preferred specimen: 1.0 mL serum, SST for each timed specimen (fasting, 1/2 hour, 1 hour, 2 hour, 3 hour, 4 hour, and 5 hour). Collect a fasting
specimen, then administer 75 gm glucose load. Collect subsequent specimens 1/2, 1, 2, 3, 4, and 5 hours post glucose
load. Remove serum from cells ASAP. Label each specimen with time drawn.
Method: UV Test
Unit code: 102150
CPT Code(s): 82951, 82952 (x4)
Glucose Tolerance, 6 Hour (75 gm Glucose) 8 Specimens
Order code: 15082
Preferred specimen: 1.0 mL serum, SST for each timed specimen (fasting, 1/2 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, and 6 hour). Collect a fasting
specimen, then administer 75 gm glucose load. Collect subsequent specimens 1/2, 1, 2, 3, 4, 5, and 6 hours post glucose
load. Remove serum from cells ASAP. Label each specimen with time drawn.
Method: UV Test
Unit code: 102160
CPT Code(s): 82951, 82952 (x5)
Glucose Tolerance-Gestational, 2 Hour (100 g Glucose) 3 Specimens
Order code: 15074
Preferred specimen: 1.0 mL serum, gel-barrier tube, for each timed specimen (fasting, 1 hour and 2 hour). Collect a fasting specimen, then
administer 100 g glucose load. Collect subsequent specimens 1 and 2 hours post glucose load. Remove serum from cells
Method: UV Test
Unit code: 102173
CPT Code(s): 82951
Order code: 15072
Preferred specimen: 1.0 mL serum, gel-barrier tube, for each timed specimen (fasting, 1 hour, 2 hour, and 3 hour). Collect a fasting specimen, then
administer 100 g glucose load. Collect subsequent specimens 1, 2, and 3 hours post glucose load. Remove serum from cells
Method: UV Test
Unit code: 102170
CPT Code(s): 82951, 82952
Test List
10-258
S1
0
Order code: 15073
Preferred specimen: 1.0 mL serum, gel-barrier tube, for each timed specimen (fasting, 1/2 hour, 1 hour, 2 hour, and 3 hour). Collect a fasting specimen,
then administer 100 g glucose load. Collect subsequent specimens 1/2, 1, 2, and 3 hours post glucose load. Remove serum from
cells ASAP. Label each specimen with time drawn.
Method: UV Test
Unit code: 102171
CPT Code(s): 82951, 82952 (x2)
Glucose, CSF
Order code: 1360
Preferred specimen: 1.0 mL CSF in a plastic transport tube. Centrifuge and separate to remove cellular material.
Method: UV Test
Unit code: 103080
CPT Code(s): 82945
Glucose, Fluid
Order code: 1354
Method: UV Test
S1
0
Unit code: 103100
CPT Code(s): 82945
Glucose, Post Glucola, 2 Hour
Order code: 1356
Method: UV Test
Unit code: 101530
CPT Code(s): 82950
Glucose, Postprandial, 1 Hour
Order code: 1358
Method: UV Test
Unit code: 101510
CPT Code(s): 82950
10-259
Test List
Glucose, Postprandial, 2 Hour
Order code: 1357
Method: UV Test
Unit code: 101520
CPT Code(s): 82947
Glucose, Serum
Order code: 1001
Preferred specimen: 1.0 mL serum, gel-barrier tube. Remove serum from cells ASAP.
Method: UV Test
Unit code: 101500
CPT Code(s): 82947
Glucose, Urine, Quantitative
Order code: 82855
Preferred specimen: 4.0 mL urine aliquot from a well-mixed 24-hour collection. Refrigerate 24-hour specimen during collection period. Record total
volume and hours of collection on both the urine container and test request form. TIME SENSITIVE: Freeze urine aliquot and send
to the laboratory within 24 hours after completion of collection.
Other acceptable: Random specimens are acceptable but have no reference intervals.
Unacceptable: Urine collected in preservatives.
S1
0
Method: Enzymatic
Unit code: 816600
CPT Code(s): 82945
Ref range: 24-hour urine: less than 500 mg/d
Reported: 2-3 days
Glucose-6-Phosphate Dehydrogenase
Order code: 82860
Preferred specimen: 3.0 mL whole blood, yellow (ACD Solution A) top tube.
Notes: Enzyme most stable in acid citrate dextrose (ACD). Do not freeze.
Other acceptable: 3.0 mL whole blood, green (sodium or lithium heparin) or lavender (EDTA) top tube.
Unacceptable: Hemoyzed specimens.
Method: Enzymatic
Unit code: 816500
CPT Code(s): 82955
Ref range: 9.9-16.6 U/g Hb
Reported: 2-3 days
Glutamic Acid Decarboxylase (GAD) Antibody
Order code: 81665
Preferred specimen: 0.5 mL serum, red top tube or SST. Remove serum from cells, transfer to a plastic transport tube and refrigerate. If serum
specimen will be stored for longer than 1 week, freeze the serum.
Unacceptable: Specimens other than serum; recently administered radioisotopes; lipemic or grossly hemolyzed serum.
Unit code: 816605
CPT Code(s): 83519
Ref range: 0.0-1.5 units/mL
Reported: 3-5 days
Test List
10-260
Gluten Sensitivity Panel
Order code: 96013
Notes: Includes:
Tissue Transglutaminase Antibody, IgA
Unit code: 96013
CPT Code(s): 83516 (x3)
Ref range: Gliadin Antibody, IgG:
Negative: <20 EU/mL
Positive: >25 EU/mL
Gliadin Antibody, IgA:
Negative: <20 EU/mL
Positive: >25 EU/mL
Tissue Transglutaminase Antibody, IgA
Negative: <20 EU/mL
Borderline: 20-25 EU/mL
Positive: >25 EU/mL
Reported: 1-5 days
Glycohemoglobin A1c with Estimated Average Glucose
Order code: 1905
Preferred specimen: 3.0 mL whole blood, lavender (EDTA) top tube. Specimen is stable at room temperature for 24 hours. Transport refrigerated if
specimen will not be received in laboratory within 24 hours of collection.
Unit code: 115500
CPT Code(s): 83036
S1
0
Ref range: 4.0-5.6%
Reported: 1-2 days
Gold, Quantitative
Order code: 81681
Method: Inductively Coupled Plasma Mass Spectrometry
Unit code: 816801
CPT Code(s): 80375
Ref range: 1000-5000 ng/mL
Reported: 9-12 days
Gram Stain Smear
Order code: 3420
Preferred specimen: Two unfixed slides smeared with sample or specimen from culture swab. If accompanying a culture, two sterile swabs are
recommended, one for the culture and one for the gram stain. Also acceptable, any amount of liquid specimen in a sterile screwcap container.
Unacceptable: Do not tape specimen to slide. Do not use coverslip or place another slide on top of the specimen slide.
Method: Gram Stain
Unit code: 406000
CPT Code(s): 87205
Granulocytic Antibodies
See: Neutrophil Associated Antibodies
10-261
Test List
Group A Strep Culture
See: Culture, Beta Strep, Throat
Group A Strep Rapid Antigen
See: Streptococcus Group A Rapid Antigen with Reflex to Culture
Group B Strep by NAA
See: Streptococcus Group B by NAA
Group B Strep by NAA with Sensitivities
See: Streptococcus Group B by NAA with Sensitivities
Growth Hormone
Order code: 83370
Notes: Patient should be fasting and have rested for at least 30 minutes prior to specimen collection.
Unacceptable: Grossly hemolyzed or lipemic specimens, plasma specimens.
Method: Immunochemiluminometric assay (ICMA)
Unit code: 820650
CPT Code(s): 83003
Reported: 3-5 days
Haemophilus influenza b Vaccine Response
See: Haemophilus influenzae b Antibody, IgG
Haemophilus influenzae b Antibody, IgG
S1
0
Order code: 82215
transport tube. Mark specimens clearly as "Pre-Vaccine" or "Post-Vaccine". "Pre" and 30-day "post" Haemophilus influenzae b
vaccination specimens should be submitted together for testing. "Post" specimen should be drawn 30 days after immunization and
must be received within 60 days of "pre" specimen.
Unacceptable: Plasma or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.
Unit code: 822105
CPT Code(s): 86317
Ref range: < 1.0 µg/mL = Antibody concentration not protective.
1.0 µg/mL = Antibody to H. influenzae b detected. Suggestive of protection.
Responder status is determined according to the ratio of post-vaccination concentration to pre-vaccination concentration of
Haemophilus influenza b antibody, IgG as follows:
1. If the post-vaccination concentration is less than 3.0 µg/mL, the patient is considered to be a nonresponder.
2. If the post-vaccination concentration is greater than or equal to 3.0 µg/mL, a patient with a ratio of greater than or equal to 4 is a
good responder, a ratio of 2-4 is a weak responder, and a ratio of less than 2 is considered a nonresponder.
Reported: 2-3 days
Test List
10-262
HairStat 5 Reflexive Panel
Order code: 81704
Preferred specimen: Collect 100 mg of hair (a ponytail, approximately 200 strands, 1.5 inches long and the diameter of a #2 pencil). Select a clump of
hair in the crown area of the head. Cut the donor's hair as close to the scalp as possible. Ensure that the hair is not synthetic or
has not been bleached, dyed, or permanently waved within the past three months. If so, collect body hair. Hair from the beard,
underarms, chest, arms, legs or pubic hair may be collected. Body hair from different sites may be combined to get a final volume.
Body hair and scalp hair should not be combined. A Hairstat kit must be used for specimen collection and is available through
BBPL Client Services. Follow directions included in the Hair Collection kit for specimen collection and handling. Submissions
require tamper evident seal to be placed on the specimen collection container. Unsealed containers will be rejected. Specific Chain
of Custody form required for testing.
Minimum specimen: 100 mg hair.
Notes: Drug test includes: Amphetamines, Cocaines, Opiates, PCP, and Cannabinoids. If screen is positive, then confirmation will be
added at no additional charge. A 1.5 inch specimen of head hair represents approximately three months of hair growth, and
therefore, up to three months of collective history of drug exposure.
Unacceptable: Unsealed specimens. Dying, bleaching, perming, and straightening of hair may affect results.
Method: Qualitative Enzyme-Linked Immunosorbent Assay/Quantitative Gas Chromatography-Mass Spectrometry
Unit code: 817040
CPT Code(s): 80302
Reported: 4-7 days
Haloperidol (Haldol)
Order code: 82930
transport tube.
Unit code: 817100
CPT Code(s): 80173
Potentially toxic: >50 ng/mL
Reported: 3-6 days
S1
0
Ham Test
See: Acid Hemolysin (Ham Test)
Haptoglobin
Order code: 1248
Fasting specimen is preferred.
Unacceptable: Hemolyzed or extremely lipemic specimens. Specimens other than serum.
Unit code: 112480
CPT Code(s): 83010
Reported: 1-3 days
HBcAb
See: Hepatitis B Core Antibody, Total
HBeAb
See: Hepatitis Be Virus Antibody
HBeAg
See: Hepatitis Be Virus Antigen
HBsAb
See: Hepatitis B Surface Antibody
10-263
Test List
HBsAg
See: Hepatitis B Surface Antigen
hCG
See: hCG, Beta Quantitative Tumor Marker
hCG, Qualitative Urine
Human Chorionic Gonadotropin, Qualitative, Pregnancy Serum
Human Chorionic Gonadotropin, Quantitative, Females
hCG, Beta Quantitative Tumor Marker
See: Beta-hCG, Quantitative Tumor Marker
hCG, Qualitative Urine
Order code: 2215
Preferred specimen: 10 mL urine aliquot from a first morning voided specimen collected into a clean, dry container.
Other acceptable: Urine specimens collected at any time of day.
Unacceptable: Specimens collected with preservative (IPT). Specimens greater than 72 hours unfrozen or specimens subjected to multiple
freeze/thaw cycles.
Transport temp: Refrigerated. Transport frozen if specimen will not be received in the laboratory within 72 hours.
Method: Immunoassay
Unit code: 250510
CPT Code(s): 84703
Ref range: Negative
HCV
See: Hepatitis C Antibody
Hepatitis C Antibody with Reflex to Hepatitis C RNA Quantitative PCR
Hepatitis C RNA, Qualitative PCR
Hepatitis C RNA, Quantitative PCR
Hepatitis C RNA, Quantitative PCR with Reflex to Genotype
Hepatitis C Virus Genotype
HDL Cholesterol
S1
0
Order code: 1310
Notes: A twelve (12) hour fast is recommended.
Unit code: 103120
CPT Code(s): 83718
Ref range: >= 40 mg/dL
HDV
See: Hepatitis Delta Antibody
Hepatitis Delta Antigen
Test List
10-264
Health Screen (CMP, Lipid Profile, TSH, CBC with Automated Differential)
Order code: 93003
Preferred specimen: 4.0 mL serum, red top or gel-barrier tube and one lavender (EDTA) top tube, 3.0 mL whole blood. Remove serum from cells and
transfer to a plastic transport tubes. Transport whole blood in original collection tube.
Minimum specimen: 2.0 mL serum and 1.0 mL whole blood
Comprehensive Metabolic Panel
Lipid Profile
Thyroid Stimulating Hormone
Unacceptable: Frozen, clotted, or grossly hemolyzed whole blood.
Unit code: 93003
CPT Code(s): 80050, 80061
Heat Shock Protein 70, IgG by Immunoblot
Order code: 82274
Notes: The presence of HSP70 IgG antibodies may be useful in predicting corticosteroid responsiveness in a subset of patients with
autoimmune inner ear disease (AIED) characterized by idiopathic rapidly progressive sensorineural hearing loss (SNHL). HSP70
IgG antibodies are also associated with a number of autoimmune diseases and have also been reported in apparently healthy
individuals. A negative result does not rule out response to treatment or to a diagnosis of AIED.
Unacceptable: Urine or plasma. Heat-inactivated or contaminated specimens.
Method: Qualitative Immunoblot
Unit code: 822741
CPT Code(s): 83516
Ref range: Negative
Reported: 2-5 days
S1
0
Heavy Metals Panel 3, Urine with Reflex to Arsenic Fractionated
Order code: 82990
be refrigerated during collection period. Submit urine in two trace element-free transport tubes. Record total volume and hours of
Notes: Test includes: Arsenic, Lead, Mercury. If total arsenic concentration is between 35-2000 µg/L, then Arsenic Fractionated will be
added to determine the proportion of organic, inorganic, and methylated forms. Additional charges apply.
Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue
recommended.
Method: Inductively Coupled Plasma/Mass Spectrometry/High Performance Liquid Chromatography
Unit code: 817500
CPT Code(s): 82175, 83655, 83825
Ref range: Arsenic:
Arsenic, Urine: 0-35.0 µg/L
Arsenic per gram for creatinine: Less than 30 µg/gCRT
Lead:
Lead, Urine: 0-23 µg/L
Lead, Urine (24-hour): 0-31 µg/d
Lead per gram of creatinine: Less than 5 µg/gCRT
Mercury:
Mercury, Urine: 0-10 µg/L
Mercury, Urine (24-hour): 0-15 µg/d
Mercury per gram for creatinine: Less than or equal to 35 µg/gCRT
Reported: 2-6 days
10-265
Test List
Order code: 81750
Notes: Test includes: Arsenic, Lead, Mercury, Cadmium. If total arsenic concentration is between 35-2000 µg/L, Arsenic Fractionated will
be added to determine the proportion of organic, inorganic, and methylated forms. Additional charges apply.
recommended.
Unacceptable: Urine collected within 48 hours after administration of a gadolinium (Gd.) containing contrast media (may occur with MRI studies)
or acid preserved urine.
Unit code: 817505
CPT Code(s): 82175, 82300, 83655, 83825
Ref range: Arsenic:
Arsenic, Urine: 0-35.0 µg/L
Arsenic per gram for creatinine: Less than 30 µg/gCRT
Lead:
Lead, Urine: 0-23 µg/L
Mercury:
Mercury, Urine: 0-10 µg/L
Mercury, Urine (24-hour): 0-15 µg/d
Mercury per gram for creatinine: Less than or equal to 35 µg/gCRT
Cadmium, Urine: By report
Reported: 2-6 days
Order code: 85710
Notes: Test includes: Arsenic, Cadmium, Cobalt, Lead, Mercury, Thallium, and Creatinine. If total arsenic concentration is between 352000 µg/L, Arsenic Fractionated will be added to determine the proportion of organic, inorganic, and methylated forms. Additional
charges apply.
recommended.
Unacceptable: Urine collected within 48 hours after administration of a gadolinium (Gd.) containing contrast media (may occur with MRI
studies). Acid preserved urine. Specimens contaminated with blood or fecal material. Specimen transported in non-trace element
free transport tubes.
Unit code: 817510
CPT Code(s): 82175, 82300, 83018 (x2), 83655, 83825
Reported: 2-6 days
Heavy Metals Profile II, Blood
Order code: 82970
2
Arsenic
Lead
Mercury
Method: Quantitative Atomic Absorption/Quantitative Inductively Coupled Plasma-Mass Spectrometry
Unit code: 817451
CPT Code(s): 82175, 83655, 83825
Reported: 2-5 days
Test List
10-266
S1
0
Heinz Body Stain
Order code: 7205
Method: Microscopic examination
Unit code: 702005
CPT Code(s): 85441
Reported: 1-3 days
Helicobacter pylori Antibodies, IgG, IgA, IgM
Order code: 81728
Notes: Test Includes:
Helicobacter pylori Antibody, IgA
Helicobacter pylori Antibody, IgG
Helicobacter pylori Antibody, IgM
Unacceptable: Severely lipemic, icteric, contaminated, heat-inactivated, or hemolyzed specimens.
Method: Enzyme-Linked Immunosorbent Assay/Enzyme Immunoassay
Unit code: 817628
CPT Code(s): 86677 (x3)
Reported: 3-6 days
Helicobacter pylori Antibody, IgA
Order code: 81724
Unacceptable: Hemolysis, lipemia, or gross bacterial contamination.
S1
0
Unit code: 817624
CPT Code(s): 86677
Equivocal: 9.0 - 11.0 Units
Positive: >11.0 Units
Reported: 3-6 days
Helicobacter pylori Antibody, IgG
Order code: 5380
Unacceptable: Grossly icteric and contaminated specimens.
Unit code: 353080
CPT Code(s): 86677
Ref range: Negative: <0.9 Index
Equivoval: 0.9-1.1 Index
Positive: >1.1 Index
Reported: 1-5 days
Helicobacter pylori Antibody, IgM
Order code: 81727
Unacceptable: Hemolysis, lipemia, or gross bacterial contamination.
Unit code: 817627
CPT Code(s): 86677
Equivocal: 9.0 - 11.0 Units
Positive: >11.0 Units
Reported: 3-5 days
10-267
Test List
Helicobacter pylori Antigen, Stool
Order code: 81765
Preferred specimen: 2 g (thumbnail size portion) of stool or 2.0 mL liquid stool in sterile screw-cap container. Time Sensitive. Specimen must be
received in laboratory same day as collected.
Minimum specimen: 1 g stool or 1.0 mL liquid stool
Method: Immunoassay
Unit code: 817615
CPT Code(s): 87338
Ref range: Negative
Reported: 3-6 days
Helicobacter pylori Breath Test
Order code: 81761
Preferred specimen: Order BreathTek UBT® Collection Kit through BBPL Client Services. Collect specimens according to the instructions in the kit.
Patient Preparation:
This test requires the adult patient (>17 years of age) to drink a solution (Pranactin-Citric) containing aspartame, citric acid, and
mannitol. Caution should be taken when administering this test to phenylketonurics and patients with hypersensitivities to these
ingredients. The patient should fast and abstain from smoking for 1 hour prior to test administration.
The patient should not have taken antibiotics, proton pump inhibitors (e.g., Prilosec®, Prevacid®, Aciphex®, Nexium®), or bismuth
preparations (e.g., Pepto-Bismol®) within the previous 14 days. When used to monitor treatment, the test should be performed four
weeks after cessation of definitive therapy. Additional warnings and precautions are included with the BreathTek UBT kit. Please
review these carefully.
Pediatric specimens from persons 17 years or younger cannot be used with this collection kit.
Specimen Collection:
1) Label breath collection bags with patient name, date and time of collection, and
designate Pre (blue) or Post (pink).
2) Collect the baseline breath specimen:
a) Remove cap from collection bag (blue).
b) Have patient take a deep breath, pause momentarily then exhale into the mouthpiece
of the bag filling it completely.
c) Replace cap on the bag.
3) Prepare Pranactin®-Citric solution:
a) Empty packet from test kit into the cup provided.
b) Add drinking water up to the fill line (raised ridge).
c) Replace lid; swirl for up to two minutes until completely dissolved. Solution
should be clear. The solution is stable up to 60 minutes at room temperature.
4) Instruct patient to drink the solution without stopping using the straw provided. Advise the
patient not to "rinse" the mouth with the solution before swallowing.
5) Set timer for 15 minutes. Start timer as soon as the patient has completed drinking.
Patient should sit quietly without eating, drinking, or smoking.
6) Prepare the post specimen collection (pink) bag. At exactly 15 minutes, have the patient
take a deep breath, pause momentarily and then exhale to fill the second sample
collection bag (pink). Note: for a valid result, the post specimen must be collected
within 13 to 18 minutes after administration of the Pranactin®-Citric Solution.
Transport:
Place both specimen bags (blue and pink) in a plastic specimen transport bag with test request form and send to the laboratory at
room temperature. Do not refrigerate or freeze specimen collection bags.
Unacceptable: Bags not fully inflated or only one of the two bags submitted. Refrigerated or frozen specimen bags. Breath collected in tubes. Post
breath specimens collected earlier than 13 minutes or later than 18 minutes after patient drinks the testing solution. Pediatric
specimens from persons 17 years or younger.
Transport temp: CRITICAL ROOM TEMPERATURE
Method: Qualitative Spectrophotometry
Unit code: 817610
CPT Code(s): 83013
Ref range: Negative
Reference intervals for pediatric patients have not been established.
Reported: 2-5 days
Helicobacter pylori CLO Test, Gastric
Order code: 3430
Preferred specimen: Place gastric biopsy into Rapid Urea medium immediately after obtaining specimen. Rapid Urea medium available through BBPL
Client Services.
Notes: Incubate specimen at 37°C and observe for the first hour for a pink color change. A pink color indicates a positive reaction. Send to
the Microbiology Laboratory for additional observation.
Method: Rapid Urease
Unit code: 402050
CPT Code(s): 87077
Ref range: Negative Screen
Test List
10-268
S1
0
Hematocrit
Order code: 2235
Preferred specimen: One 3-4 mL lavender top tube (EDTA). Refrigerate EDTA tube if specimen will not be received in laboratory within 24 hours of
collection.
Unit code: 200300
CPT Code(s): 85014
Ref range: Adult Male: 37.0-53.0%
Adult Female: 34.5-46.5%
Heme Profile
See: CBC with Automated Differential
Hemochromatosis (HFE) 3 Mutations
Order code: 83005
Unit code: 817650
CPT Code(s): 81256
Ref range: C282Y Negative: The patient is negative for the HFE C282Y mutation.
H63D Negative: The patient is negative for the HFE H63D mutation.
S65C Negative: The patient is negative for the HFE S65C mutation.
Reported: 3-8 days
S1
0
Hemoglobin
Order code: 2234
collection.
Unit code: 200295
CPT Code(s): 85018
Ref range: Hemoglobin
Adult Male: 12.0-18.0 gm/dL
Adult Female: 11.5-16.0 gm/dL
Hemoglobin A1c
See: Glycohemoglobin A1c with Estimated Average Glucose
Hemoglobin A2 and F
Order code: 83030
Minimum specimen: 1.0 mL EDTA whole blood
Unacceptable: Ambient or frozen samples.
Unit code: 817800
CPT Code(s): 83021
Reported: 2-5 days
10-269
Test List
Hemoglobin and Hematocrit
Order code: 2224
collection.
Unit code: 200306
CPT Code(s): 85014, 85018
Ref range: Hemoglobin:
Adult Male: 12.0-18.0 gm/dL
Adult Female: 11.5-16.0 gm/dL
Hematocrit:
Adult Male: 37.0-53.0%
Adult Female: 34.5-46.5%
Hemoglobin Evaluation Reflexive Cascade
Order code: 87752
A Patient History for Hemoglobinopathy/Thalassemia Testing form along with test request form must be submitted with specimen.
Patient history form, including information from a recent CBC, is required for interpretation.
Notes: Optimal test for the initial and confirmatory diagnosis of any suspected hemoglobinopathy. Do not use for the follow-up of an
individual with a known diagnosis.
The Hemoglobin Evaluation Reflexive Cascade begins with HPLC analysis. If an abnormal hemoglobin is detected or if the CBC
data is suggestive of a hemoglobinopathy, appropriate testing will be performed at an additional charge. Depending on findings,
one or more reflexive tests may be required in order to provide a clinical interpretation. Tests added may include electrophoresis,
solubility testing, mutational analysis and/or sequencing.
Quantitation of hemoglobin by HPLC or electrophoresis is most definitive in individuals one year of age and older. If quantitation of
hemoglobin was performed before one year of age, repeat testing is recommended. Abnormal hemoglobin variants may require
additional testing, which increases TAT up to 21 days.
Method: High Performance Liquid Chromatography/Electrophoresis/RBC Solubility/Polymerase Chain Reaction/Fluorescence Resonance
Energy Transfer/Sequencing
Unit code: 817752
CPT Code(s): 83021
Reported: Varies
Hemoglobin Evaluation with Reflex to Electrophoresis and/or RBC Solubility
Order code: 83020
A Patient History for Hemoglobinopathy/Thalassemia Testing form along with test request form must be submitted with specimen.
Minimum specimen: 0.2 mL EDTA whole blood
Notes: Effective test for screening and follow-up of individuals with known hemoglobinopathies. The optimal test for the initial diagnosis of
a suspected hemoglobinopathy is the Hemoglobin Evaluation Reflexive Cascade (order code 87752).
If HPLC detects any abnormal peaks suggestive of a hemoglobin variant, then further testing (RBC Solubility, Capillary
Electrophoresis) will be performed at an additional charge. In infants age 1 year and older, quantitation of hemoglobin is
recommended for definitive diagnosis.
Method: High Performance Liquid Chromatography/Electrophoresis/RBC Solubility
Unit code: 817750
CPT Code(s): 83021
Reported: 2-6 days
Hemoglobin, Plasma
Order code: 83040
Preferred specimen: 2.0 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells ASAP. Delayed separation from cells will
elevate plasma hemoglobin.
Unacceptable: EDTA and citrated plasma.
Unit code: 817850
CPT Code(s): 83051
Reported: 2-3 days
Test List
10-270
S1
0
Hemoglobin, Serum
Order code: 81751
Preferred specimen: 2.0 mL serum, SST. Allow specimen to clot completely at room temperature. Remove serum from cells ASAP. Delayed separation
from cells will elevate serum hemoglobin.
Unit code: 817851
CPT Code(s): 84311
Reported: 2-3 days
Hemogram
See: CBC without Differential
Hemosiderin, Urine
Order code: 2060
Preferred specimen: 4.5 mL aliquot from a well-mixed random urine. First morning collection is preferred.
Minimum specimen: 1.0 mL random urine.
Unacceptable: Specimens in preservative.
Method: Microscopic Stain
Unit code: 818020
CPT Code(s): 83070
Ref range: Negative
Reported: 1-2 days
Heparin Anti-Xa
S1
0
Order code: 2287
Preferred specimen: 2.0 mL platelet-poor plasma, light blue (3.2% sodium citrate) top tube. Blue top tube must be filled to completion to ensure proper
blood to anticoagulant ratio. Mix the tube immediately by gentle inversion at least 6 times. Centrifuge immediately and remove the
top two-thirds of the plasma using a plastic transfer pipette, being careful not to disturb the cells. Transfer plasma into a plastic
Notes: Heparin Anti-Xa levels should be drawn six hours after initiation of unfractionated heparin therapy or change in dose, whereas, with
low molecular weight heparin, levels should be drawn six hours after administration when given once daily and three to four hours
when administered twice daily.
Unacceptable: Grossly hemolyzed specimens, clotted whole blood.
Method: Chromogenic
Unit code: 202870
CPT Code(s): 85520
Ref range: Therapeutic range:
Heparin (unfractionated): 0.3-0.7 IU/mL
Enoxaparin (Lovenox® or other LMWH)
Twice daily dosing: 0.6-1.0 IU/mL
Once daily dosing: 1.0-1.9 IU/mL
Heparin Associated Antibody Detection
See: Heparin-Induced Thrombocytopenia (HIT) Antibody, PF4 IgG
Heparin-Induced Thrombocytopenia (HIT) Antibody, PF4 IgG with Reflex to Serotonin Release Assay(Heparin Dependent Platelet
Antibody), Unfractionated Heparin
10-271
Test List
Heparin-Induced Thrombocytopenia (HIT) Antibody, PF4 IgG
Order code: 81834
Preferred specimen: 1.0 mL serum, gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection, transfer to a plastic transport tube
and freeze. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable: Heparinized or nonfrozen specimens. Microbially contaminated, heat-inactivated, hemolyzed, icteric, or lipemic sera may give
inconsistent results.
Unit code: 818343
CPT Code(s): 86022
Ref range: Less than or equal to 0.399 OD
This ELISA assay detects the presence of IgG antibodies to heparin-platelet factor 4 (PF4) complexes. Most cases of heparininduced thrombocytopenia (HIT) are caused by IgG antibodies to heparin-PF4, rather than IgA or IgM antibodies. Negative results
have a good negative predictive value for HIT, although rare false-negative results may occur. Positive ELISA results are sensitive
but not completely specific for HIT. HIT is a clinicopathologic diagnosis. Clinical findings and the results of other laboratory tests
must be taken into consideration. Higher optical density (OD) values in the IgG ELISA test correlate with a higher likelihood of
positivity in platelet activation assays, such as the serotonin release assay (SRA), and an increased likelihood of clinical HIT.
Reported: 2-3 days
Heparin-Induced Thrombocytopenia (HIT) Antibody, PF4 IgG with Reflex to Serotonin
Release Assay (Heparin Dependent Platelet Antibody), Unfractionated Heparin
Order code: 81845
Notes: This is the gold standard reflex testing for confirming diagnosis of HIT. Serotonin Release Assay is performed for positive HIT
Antibody, IgG. If Heparin-Induced Thrombocytopenia (HIT) PF4 Antibody, IgG is 0.400 O.D. or greater, Serotonin Release Assay
(Heparin Dependent Platelet Antibody), Unfractionated Heparin will be added at an additional charge.
Unacceptable: Heparinized or nonfrozen specimens. Microbially contaminated, heat-inactivated, hemolyzed, icteric, or lipemic sera may give
inconsistent results.
Method: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Serotoniin Release Assay
Unit code: 818345
CPT Code(s): 86022
Ref range: Heparin-Induced Thrombocytopenia (HIT) PF4 Antibody, IgG: Less than or equal to 0.399 OD
Serotonin Release Assay (Heparin Dependent Platelet Antibody), Unfractionated Heparin: Negative
This ELISA assay detects the presence of IgG antibodies to heparin-platelet factor 4 (PF4) complexes. Most cases of heparininduced thrombocytopenia (HIT) are caused by IgG antibodies to heparin-PF4, rather than IgA or IgM antibodies. Negative results
have a good negative predictive value for HIT, although rare false-negative results may occur. Positive ELISA results are sensitive
but not completely specific for HIT. HIT is a clinicopathologic diagnosis. Clinical findings and the results of other laboratory tests
must be taken into consideration. Higher optical density (OD) values in the IgG ELISA test correlate with a higher likelihood of
positivity in platelet activation assays, such as the serotonin release assay (SRA), and an increased likelihood of clinical HIT.
Reported: 2-7 days
Hepatic Function Panel A
Order code: 1129
Albumin
Direct Bilirubin
SGOT (AST)
SGPT (ALT)
Total Bilirubin
Total Protein
Unit code: 90126
CPT Code(s): 80076
Ref range: ADULT:
Albumin
Direct Bilirubin
SGOT (AST)- Male
- Female
SGPT (ALT)- Male
- Female
Total Bilirubin
Total Protein
3.5-5.2 g/dL
40-129 U/L
< 0.4 mg/dL
< 40 U/L
< 32 U/L
< 42 U/L
< 34 U/L
< 1.2 mg/dL
6.6-8.7 g/dL
Test List
10-272
S1
0
Hepatitis A Antibody, IgM
Order code: 5230
Unit code: 111900
CPT Code(s): 86709
Ref range: Negative
Reported: 1-3 days
Hepatitis A Antibody, Total with reflex to IgM
Order code: 5231
Notes: If Hepatitis A Antibody Total is positive, then Hepatitis A Antibody IgM will be added.
Unit code: 111898
CPT Code(s): 86708
Ref range: Negative
Reported: 1-3 days
Hepatitis A Virus Panel (Hepatitis A Total & IgM)
Order code: 94107
Notes: Test includes Hepatitis A Antibodies, Total and IgM.
Unit code: 94107
CPT Code(s): 86708, 86709
S1
0
Ref range: Negative
Reported: 1-3 days
Hepatitis B Core Antibody, IgM
Order code: 5212
Unit code: 111810
CPT Code(s): 86705
Ref range: Negative
Reported: 1-3 days
Hepatitis B Core Antibody, Total
Order code: 5220
Unit code: 111840
CPT Code(s): 86704
Ref range: Negative
Reported: 1-3 days
Hepatitis B Drug Resistance Panel
See: Hepatitis B Virus Genotyping
10-273
Test List
Hepatitis B Panel
Order code: 5334
Hepatitis B Surface Antigen
Hepatitis B Surface Antibody
Unit code: 94110
CPT Code(s): 86704, 86706, 87340
Ref range: Negative
Reported: 1-3 days
Hepatitis B Panel II
Order code: 94113
Hepatitis Be Antigen
Hepatitis Be Antibody
Unacceptable: Grossly hemolyzed, lipemic, or heat-inactivated specimens.
Method: Electrochemiluminescence Immunoassay/Enzyme Immunoassay
Unit code: 94113
CPT Code(s): 86704, 86705, 86706, 86707, 87340, 87350
Ref range: Negative
Reported: 1-3 days
Hepatitis B Surface Antibody, Qualitative
Order code: 5235
Unit code: 111880
CPT Code(s): 86706
Ref range: Negative
Reported: 1-3 days
Hepatitis B Surface Antibody, Quantitative
Order code: 5225
Unacceptable: Obvious microbial contamination.
Unit code: 111885
CPT Code(s): 86706
Ref range: Less than 8.50 mIU/mL
8.50 to 11.49 mIU/mL
11.50 mIU/mL or greater
Negative
Indeterminate
Positive
Results greater than or equal to 11.50 mIU/mL implies immunity to HBV. This may represent either an antibody response to the
HBV vaccination, consequence of a transfusion, or recovery from a previous HBV infection. For post vaccination antibody testing
guidelines refer to MMWR 1990;39(S2):1-23, and MMWR 1997;46 (No.RR-18).
Reported: 1-3 days
Test List
10-274
S1
0
Order code: 5210
Unit code: 111800
CPT Code(s): 87340
Ref range: Negative
Reported: 1-3 days
Hepatitis B Virus DNA, Quantitative PCR
Order code: 83160
Preferred specimen: 2.0 mL serum, red top or gel-barrier tube. Remove serum from cells within 24 hours, transfer to plastic transport tube and freeze.
Notes: The quantitative range of this assay is 1.3-8.2 log IU/mL (20-170,000,000 IU/mL).
1 IU/mL of HBV DNA is approximately 5.82 copies/mL.
The limit of quantification for this DNA assay is 1.3 log IU/mL (20 IU/mL). If the assay DID NOT DETECT the virus, the test result
will be reported as "<1.3 log IU/mL (<20 IU/mL)." If the assay DETECTED the presence of the virus but was not able to accurately
quantify the number of IU the test result will be reported as "Not Quantified."
Specimens received with less than minimum volume for testing will automatically be run with a dilution according to the guidelines
below:
-Specimens with 325-650 µL will be diluted resulting in a modification of the quantitative range of the assay to 1.6-8.5 log IU/mL
(41-350,000,000 IU/mL).
-Specimens with 130-325 µL will be diluted resulting in a modification of the quantitative range of the assay to 2.0-8.9 log IU/mL
(102-870,000,000 IU/mL).
This test is intended for use in conjunction with clinical presentation and other laboratory markers as an indicator of disease
prognosis. This test is also used as an aid in accessing viral response to treatment as measured by changes in HBV DNA levels.
This assay should not be used for blood donor screening, associated re-entry protocols, or for screening Human Cell, Tissues and
Cellular Tissue-Based Products (HCT/P).
Other acceptable: 2.0 mL plasma, lavender (EDTA). Remove plasma from cells within 24 hours, transfer to a plastic transport tube and freeze.
S1
0
Unit code: 818300
CPT Code(s): 87517
Ref range: Not detected
Reported: 3-5 days
Hepatitis B Virus Genotyping
Order code: 81805
and freeze.
Minimum specimen: 0.5 mL serum of plasma
Notes: Please submit most recent viral load and test date if avaiable. This test may be unsuccessful if the HBV viral load is less than log
3.0 or 1,000 IU/mL.
Both the HBV RT polymerase and the HBsAg encoding regions are sequenced. Resistance and surface antigen mutations are
reported. In addition, the eight major HBV genotypes (A, B, C, D, E, F, G and H) are identified. Mutations in viral sub-populations
below 20 percent of total may not be detected.
tube and freeze.
Unit code: 818305
CPT Code(s): 87912
10-275
Test List
Hepatitis B Virus PreVaccine Screen
Order code: 5338
Unit code: 94115
CPT Code(s): 86704, 86706
Ref range: Negative
Reported: 1-3 days
Hepatitis Be Virus Antibody
Order code: 83100
Unacceptable: Non-EDTA plasma specimens
Unit code: 818500
CPT Code(s): 86707
Ref range: Negative
Reported: 3-5 days
Hepatitis Be Virus Antigen
Order code: 83110
S1
0
Unacceptable: Non-EDTA plasma specimens
Unit code: 818550
CPT Code(s): 87350
Ref range: Negative
Reported: 3-5 days
Hepatitis C Antibody
Order code: 5237
Preferred specimen: 0.5 mL serum, red top or gel barrier tube. Remove serum from cells and transfer to a plastic transport tube.
Unit code: 112024
CPT Code(s): 86803
Ref range: Negative
Reported: 1-3 days
Hepatitis C Antibody with Reflex to Hepatitis C RNA Quantitative PCR
Order code: 5236
Preferred specimen: 2.5 mL serum, red top or gel-barrier tube. Remove serum from cells within 2 hours of collection and transfer to a plastic transport
tube. Serum should be received in laboratory within 72 hours of collection, refrigerated.
Notes: If Hepatitis C Antibody is positive, Hepatitis C RNA Quantitative PCR will be added.
Method: Electrochemiluminescence Immunoassay/Polymerase Chain Reaction
Unit code: 112026
CPT Code(s): 86803
Ref range: Negative
Reported: 2-5 days
Test List
10-276
Hepatitis C RIBA Supplemental
See: Hepatitis C RNA, Quantitative PCR
Hepatitis C RNA, Qualitative PCR
Order code: 37100
Preferred specimen: 3.0 mL serum, red top or gel-barrier tube. Remove serum from cells within 2 hours of collection, transfer to a plastic transport
tube and freeze.
tube and freeze.
Unit code: 537100
CPT Code(s): 87522
Ref range: Negative. The lower limit of detection is 50 IU/mL.
Reported: 1-5 days
Hepatitis C RNA, Quantitative PCR
Order code: 37000
Notes: Also referred to as Hepatitis C Viral Load.
tube and freeze.
Unit code: 537000
CPT Code(s): 87522
S1
0
Ref range: <15 IU/mL
Reported: 1-5 days
Hepatitis C RNA, Quantitative PCR with Reflex to Genotype
Order code: 37105
Notes: If Hepatitis C RNA Quantitative result is greater than or equal to 15 IU/mL then Hepatitis C Virus Genotyping will be added.
tube and freeze.
Method: Polymerase Chain Reaction/Nucleic Acid Sequencing
Unit code: 537105
CPT Code(s): 87522
Ref range: Hepatitis C RNA Quantitative: <15 IU/mL
Reported: 2-11 days
Hepatitis C Viral Load
See: Hepatitis C RNA, Quantitative PCR
10-277
Test List
Hepatitis C Virus (HCV) NS5A Drug Resistance Assay
Order code: 81865
Preferred specimen: 2.0 mL plasma, lavender (EDTA) top tubes. Remove plasma from cells within 6 hours of collection, transfer to a plastic transport
tube and freeze. Separate specimens must be submitted when multiple tests are ordered. Please indicate the patient's HCV
genotype (1a or 1b) on the test request form.
Notes: This procedure may not be successful when the HCV viral load is <500 IU/mL. This assay requires an HCV genotype of either 1a
or 1b.
Other acceptable: 2.0 mL serum, gel-barrier tube. Remove serum from cells within 6 hours of collection, transfer to a plastic transport tube and
freeze.
Unacceptable: Heparinized plasma. Nonfrozen specimens.
Method: Polymerase Chain Reaction (PCR) Amplification and DNA Next Generation Sequencing
Unit code: 818651
CPT Code(s): 87900, 87902
Hepatitis C Virus Genotype
Order code: 37110
and freeze.
tube and freeze.
Unacceptable: Heparinized plasma.
Unit code: 537110
CPT Code(s): 87902
Reported: 2-11 days
Hepatitis Delta Antibody
Order code: 83150
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube ASAP. Freeze.
Other acceptable: 1.0 mL plasma, light blue (sodium citrate), green (sodium or lithium heparin), or lavender (EDTA) top tube. Remove plasma from
cells and transfer to a plastic transport tube ASAP. Freeze.
Unacceptable: Hemolyzed or lipemic specimens. Ambient specimens.
Unit code: 818700
CPT Code(s): 86692
Ref range: Negative
Reported: 2-6 days
Hepatitis Delta Antigen
Order code: 83140
Preferred specimen: 1.0 mL serum, red top tube. Remove serum from cells within 1 hour of collection, transfer to a plastic transport tube and freeze.
Unacceptable: Grossly hemolyzed or lipemic specimens.
Method: Qualitative Enzyme-Linked Immunosorbent Assay
Unit code: 818695
CPT Code(s): 87380
Reported: 4-10 days
Test List
10-278
S1
0
Hepatitis E Virus Antibody, IgG
Order code: 81555
tube.
transport tube.
Unacceptable: Specimens containing particulate material.
Unit code: 818555
CPT Code(s): 86790
Ref range: Negative
Reported: 2-9 days
Hepatitis E Virus Antibody, IgM
Order code: 81556
tube.
transport tube.
Unit code: 818556
CPT Code(s): 86790
Ref range: Negative
Reported: 2-9 days
Hepatitis Immunity Panel
S1
0
Order code: 5336
Hepatitis A Antibody, Total (If positive reflexes to Hepatitis A, IgM)
Unit code: 94187
CPT Code(s): 86704, 86706, 86708, 86803, 87340
Ref range: Negative
Reported: 1-3 days
Hepatitis Panel I
Order code: 5330
Hepatitis B Core Antibody Total
Hepatitis A Antibody,IgM
Unit code: 94100
CPT Code(s): 86704, 86706, 86709, 87340
Ref range: Negative
Reported: 1-3 days
10-279
Test List
Hepatitis Panel II
Order code: 5335
Hepatitis A Antibody, Total (If positive reflexes to Hepatitis A, IgM)
Unit code: 94186
CPT Code(s): 86704, 86706, 86708, 86803, 87340
Ref range: Negative
Reported: 1-3 days
Hepatitis Panel III
Order code: 5337
Hepatitis Be Antigen
Hepatitis Be Antibody
Method: Electrochemiluminescence Immunoassay/Enzyme Immunoassay
Unit code: 94111
CPT Code(s): 86704, 86705, 86706, 86707, 86803, 87340, 87350
Ref range: Negative
Reported: 1-3 days
Hepatitis Panel, Acute
Order code: 5331
Unit code: 94101
CPT Code(s): 80074
Ref range: Negative
Reported: 1-3 days
Hepatitis Panel, Comprehensive I
Order code: 5333
Unit code: 94105
CPT Code(s): 86704, 86706, 86709, 86803, 87340
Ref range: Negative
Reported: 1-3 days
Test List
10-280
S1
0
Hepatitis Panel, Comprehensive I with Reflex to Hepatitis C RNA Quantitative PCR
Order code: 94106
Preferred specimen: 5.0 mL serum, red top or gel-barrier tube. Remove serum from cells within 2 hours of collection and transfer to a plastic transport
tube. Serum should be received in laboratory within 72 hours of collection, refrigerated.
If Hepatitis C Antibody is positive, Hepatitis C RNA Quantitative PCR will be added at an additional charge.
Method: Electrochemiluminescence Immunoassay (ECLIA)/Polymerase Chain Reaction (PCR)
Unit code: 94106
CPT Code(s): 86704, 86706, 86709, 86803, 87340
Ref range: Negative
Reported: 2-5 days
HER-2/neu Quantitative by ELISA
Order code: 81882
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells, transfer to a plastic transport tube and freeze. Separate specimens
must be submitted when multiple tests are ordered.
Unacceptable: Hemolyzed or thawed specimens.
Unit code: 818802
CPT Code(s): 83950
Reported: 4-9 days
S1
0
HER2 Analysis
Order code: 35702
Other acceptable: Needle biopsy fixed a minimum of 1 hour in 10% neutral buffered formalin.
Method: Immunohistochemistry (IHC) and Fluorescence in situ Hybridization (FISH)
Unit code: 535702
CPT Code(s): 88361, 88374
Reported: 3-7 days
HER2 Analysis, Gastroesophageal
Order code: 35704
Preferred specimen: Formalin-fixed, paraffin-embedded tissue block. Specimen must be fixed in 10% neutral buffered formalin for 6-72 hours.
Method: Immunohistochemistry (IHC) and Fluorescence in situ Hybridization (FISH)
Unit code: 535704
CPT Code(s): 88361, 88367, 88374
Reported: 3-7 days
10-281
Test List
HER2 by FISH
Order code: 35700
Preferred specimen: Formalin-fixed, paraffin-embedded tissue. Submit specimen at room temperature, do not expose to excessive heat.
Notes: Call Molecular Pathology Department for further instructions.
Unit code: 535700
CPT Code(s): 88374
Ref range: Ratio >2.00 indicates over-amplification of Her2/Neu.
Reported: 3-7 days
HER2 by FISH, Gastroesophageal
Order code: 35703
Preferred specimen: Formalin-fixed, paraffin-embedded tissue block. Specimen must be fixed in 10% neutral buffered formalin for 6-72 hours.
Unit code: 535703
CPT Code(s): 88361, 88374
Reported: 3-7 days
Herpes Simplex Virus (HSV) Type 1 & 2 Antibodies, IgG
Order code: 83210
Please mark specimens plainly as "acute" or "convalescent".
Other acceptable: Serum from umbilical cord blood is an acceptable specimen type.
Unacceptable: Urine. CSF. Contaminated, heat-inactivated, or hemolyzed specimens.
S1
0
Unit code: 818950
CPT Code(s): 86694
Ref range: 0.89 IV or less: Not Detected
0.90-1.09 IV: Indeterminate - Repeat testing in 10-14 days may be helpful.
1.10 IV or greater: Detected
Reported: 2-3 days
Herpes Simplex Virus (HSV) Type 1 & 2 Antibodies, IgG & IgM
Order code: 83225
received within 30 days from receipt of the acute specimens. Please mark specimen plainly as "acute" or convalescent."
Unacceptable: Contaminated, heat-inactivated, or hemolyzed specimens.
Method: Enzyme-Linked Immunosorbent Assay/Chemiluminescent Immunoassay
Unit code: 819201
CPT Code(s): 86694 (x2)
Reported: 2-3 days
Test List
10-282
Herpes Simplex Virus (HSV) Type 1 & 2 Antibodies, IgM
Order code: 83220
Unacceptable: Contaminated, heat-inactivated, hemolyzed, icteric, or severely lipemic specimens.
Unit code: 819150
CPT Code(s): 86694
Ref range: 0.89 IV or less: Not Detected
0.90-1.09 IV: Indeterminate - Repeat testing in 10-14 days may be helpful.
1.10 IV or greater: Detected - IgM antibody to HSV detected, which may indicate a current or recent infection. However, low levels
of IgM antibodies may occasionally persist for more than 12 months post-infection.
Reported: 2-3 days
Herpes Simplex Virus (HSV) Type 1 & 2 Glycoprotein G-Specific Antibodies, IgG by
ELISA
Order code: 3309
Unacceptable: Lipemic, hemolyzed, contaminated, or heat-inactivated specimens.
Method: Enzyme-Linked Immunosorbent Assay (HerpeSelect®)
Unit code: 353090
CPT Code(s): 86695, 86696
Ref range: Herpes Simplex Virus 1 Glycoprotein G-Specific Antibody, IgG
<0.90 IV: Negative - No significant level of detectable IgG antibody to HSV type 1 glycoprotein G.
0.90-1.10 IV: Equivocal - Questionable presence of IgG antibody to HSV type 1. Repeat testing in 10-14 days may be helpful.
>1.10 IV: Positive - IgG antibody to HSV type 1 glycoprotein G detected, which may indicate a current or past HSV infection.
Herpes Simplex Virus 2 Glycoprotein G-Specific Antibody, IgG
<0.90 IV: Negative - No significant level of detectable IgG antibody to HSV type 2 glycoprotein G.
S1
0
Reported: 1-5 days
Herpes Simplex Virus (HSV) Type 1 & 2 Glycoprotein G-Specific Antibodies, IgG by
Immunoblot
Order code: 81895
transport tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Unacceptable: Contaminated, heat-inactivated, hemolyzed, or hyperlipemic specimens.
Unit code: 818955
CPT Code(s): 86695, 86696
Reported: 2-9 days
Herpes Simplex Virus (HSV) Type 1 Glycoprotein G-Specific Antibody, IgG by ELISA
Order code: 3308
Unit code: 353088
CPT Code(s): 86695
Ref range: <0.90 IV: Negative - No significant level of detectable IgG antibody to HSV type 1 glycoprotein G.
Reported: 1-5 days
10-283
Test List
Herpes Simplex Virus (HSV) Type 2 Glycoprotein G-Specific Antibody, IgG by ELISA
Order code: 3310
Unit code: 353089
CPT Code(s): 86696
Ref range: <0.90 IV: Negative - No significant level of detectable IgG antibody to HSV type 2 glycoprotein G.
Reported: 1-5 days
Herpes Simplex Viruses (HSV) DNA
Order code: 38255
Preferred specimen: Collect external anogenital lesion specimen or other vesicular lesion specimen using universal transport media kit. Transport
refrigerated.
Or:
1.0 mL serum, red top tube or SST or plasma, lavender (EDTA) top tube. Remove serum or plasma from cells, transfer to a plastic
Minimum specimen: 0.5 mL serum, plasma, CSF, SurePath media, or ThinPrep media.
Notes: Specimen source is required. Record source on test request form.
This assay will simultaneously detect and differentiate between HSV 1 and HSV 2.
Other acceptable: 1.0 mL CSF in sterile container, frozen.
Specimens submitted in SurePath media, ThinPrep media, or Aptima swab, refrigerated.
Unacceptable: Heparinized specimens, non-sterile or leaking containers.
Transport temp: Swab, universal transport media, SurePath media, ThinPrep media, or Aptima swab: Refrigerated
All other specimens: Frozen
Unit code: 538255
CPT Code(s): 87529 (x2)
Reported: 1-7 days
Herpes Virus 6 Antibody, IgG
Order code: 83270
Method: Quantitative Indirect Fluorescent Antibody
Unit code: 819450
CPT Code(s): 86790
Reported: 5-8 days
Hexagonal Phase Phospholipid
Order code: 89390
Preferred specimen: 2.0 mL platelet-poor plasma, light blue (3.2% sodium citrate) top tube. Blue top tube must be filled to completion to ensure a proper
blood to anticoagulant ratio. Mix the tube immediately by gentle inversion at least 6 times to ensure adequate mixing of the
anticoagulant with the blood. Citrated plasma specimens should be collected by double centrifugation. Centrifuge for 10 minutes
and carefully remove the two-thirds of the plasma using a plastic transfer pipette, being careful not to disturb the cells. Transfer the
plasma to a plastic transport tube, cap, and recentrifuge for 10 minutes. Use a second plastic pipette to remove the plasma,
staying clear of the platelets at the bottom of the tube. Transfer the plasma to a plastic transport tube and freeze immediately.
Notes: Avoid warfarin (Coumadin) therapy for two weeks and heparin therapy for two days prior to the test. Do not draw from an arm with
a heparin lock or heparnized catheter.
Unacceptable: Gross hemolysis, clotted specimens, non-frozen specimens, specimens collected in tubes other than 3.2% citrate.
Method: Clotting Time
Unit code: 819390
CPT Code(s): 85598
Ref range: Patients with a prolonged aPTT or aPTT-LA screening test: Reduction of the aPTT result by more than eight seconds (test result
more than eight seconds) as the result of adding hexagonal phase phospholipid (HPP) is consistent with the presence of a
phospholipid-dependent inhibitor (lupus anticoagulant).
Failure of the HPP to reduce the aPTT result (test result less than eight seconds) can be interpreted as an indication of the
presence of one or more specific factor inhibitors.
Reported: 2-7 days
Test List
10-284
S1
0
Hexosaminidase A Percent & Total, Leukocytes
Order code: 81942
Preferred specimen: 3.0 mL whole blood, yellow (ACD solution A or B) top tube. Do not transfer whole blood to other containers. Transport original tube
at room temperature within 48 hours of collection.
Notes: Clinical information is needed for appropriate interpretation. A Patient History for Biochemical Genetics form along with test request
form must be submitted with specimen.
This test is used for the diagnosis of Tay-Sachs disease and can also be used to identify carriers for this disorder. Carrier
screening is offered to individuals of Ashkenazi Jewish descent because of the high incidence of the disease in this population.
Unacceptable: Whole blood received greater than 3 days from collection. Grossly hemolyzed specimens. Frozen specimens.
Method: Fluorometry
Unit code: 819402
CPT Code(s): 83080
Ref range: Greater than or equal to 63 percent
Reported: 3-10 days
Hexosaminidase A Percent & Total, Serum
Order code: 81941
Preferred specimen: 3.0 mL serum, red top tube. Remove serum from cells, transfer to a plastic transport tube and freeze.
Notes: Clinical information is needed for appropriate interpretation. A Patient History for Biochemical Genetics form along with test request
form must be submitted with specimen.
This test is used for the diagnosis of Tay-Sachs disease and can also be used to identify carriers for this disorder. Carrier
screening is offered to individuals of Ashkenazi Jewish descent because of the high incidence of the disease in this population.
Pregnant women or women using oral contraceptives cannot be tested using serum because of high false-positives rates. In serum
samples, false positives can also be caused by several other conditions, including severe liver disease and autoimmune diseases.
Testing in leukocytes should be used in these cases.
Method: Quantitative Flourometry
Unit code: 819401
CPT Code(s): 83080
Ref range: Hexosaminidase A: 55-76 percent
Hexosaminidase Total: 600-1050 nmol hydrolyzed/hr/mL
Reported: 3-10 days
S1
0
HGA (Human Granulocytic Anaplasmosis)
See: Anaplasma Phagocytophilum (HGA) Antibodies, IgG & IgM
HGE (Human Granulocytic Ehrlichiosis)
HGH
See: Growth Hormone
HIAA (Hydroxyindoleacetic Acid)
See: 5-HIAA (5-Hydroxyindoleacetic Acid), Urine
Hirsutism Profile
Order code: 15525
Preferred specimen: 3.0 mL serum, red top tube. Avoid use of SST. Remove serum from cells ASAP and aliquot 1.0 mL serum into three separate
transport tubes. Freeze one of the transport tubes and refrigerate the other two tubes.
Minimum specimen: 1.5 mL serum (0.5 mL in each aliquot tube)
Androstenedione
DHEA Sulfate
Testosterone, Free, Female
Unacceptable: Plasma. Gross hemolysis, lipemia, or separator tubes or gels.
Transport temp: 1 serum aliquot tube frozen
2 serum aliquot tubes refrigerated
Method: Chemiluminescent Immunoassay/Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 819574
CPT Code(s): 82157, 82627, 84402
Reported: 5-7 days
10-285
Test List
Histamine, Blood
Order code: 83280
Preferred specimen: 1.0 mL whole blood, green (sodium or lithium heparin) top tube, frozen.
Unacceptable: Nonfrozen samples.
Unit code: 819600
CPT Code(s): 83088
Ref range: 180-1800 nmmol/L
Reported: 2-6 days
Histamine, Plasma
Order code: 81961
Preferred specimen: 1.0 mL plasma, lavender (EDTA) top tube. Specimen must be collected in a pre-chilled tube. Collect on ice. Centrifuge at 2-8 C
and separate upper two-thirds of plasma within 20 minutes. Transfer plasma to a plastic transport tube and freeze immediately.
Unacceptable: Nonfrozen or hemolyzed specimens.
Unit code: 819601
CPT Code(s): 83088
Reported: 2-7 days
Histamine, Urine
Order code: 83290
Preferred specimen: 4.0 mL urine aliquot from a well-mixed random or 24-hour urine collection. Refrigerate 24-hour specimen during collection. Urine
must be collected in a plastic container and frozen immediately after the collection period. Transfer urine aliquot into a plastic
transport container and freeze. Record total volume and hours of collection on both the urine container and test request form
S1
0
Other acceptable: Samples preserved with HCl are acceptable for this test if frozen immediately.
Unit code: 819650
CPT Code(s): 83088
Ref range: Histamine, Urine - ratio to CRT: 0-450 nmol/g crt
Histamine, Urine, Excretion - 24 hr: 0-60 µg/day
Reported: 2-7 days
Histone Antibodies
See: Anti-Histone Antibodies
Histoplasma Antibodies by CF
Order code: 83320
transport tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Please mark specimens plainly as "acute" or "convalescent".
Method: Semi-Quantitative Complement Fixation
Unit code: 819850
CPT Code(s): 86698 (x2)
Ref range: Histoplasma Mycelia Antibody by CF <1:8
Histoplasma Yeast Antibody by CF <1:8
Reported: 2-4 days
Test List
10-286
Order code: 81951
Unacceptable: Body fluids
Unit code: 819851
CPT Code(s): 86698
Reported: 3-5 days
Histoplasma Antigen by EIA, Serum
Order code: 81985
Unacceptable: Urine (refer to order code 81954 Histoplasma Galactomannan Antigen Quantitative by EIA, Urine). Specimens other than serum.
Unit code: 819855
CPT Code(s): 87385
Ref range: Negative - Less than 2.0 U/mL
Weak Positive - 2.0-4.0 U/mL
Positive - 4.1 or greater U/mL
Reported: 2-3 days
Histoplasma Galactomannan Antigen Quantitative by EIA, Urine
Order code: 81954
Preferred specimen: 2.0 mL aliquot from a well-mixed random urine transported in a plastic urine container.
Unacceptable: Specimens other than urine. Urine in boric acid. Serum (refer to order code 81985 Histoplasma Antigen by EIA, Serum)
S1
0
Unit code: 819854
CPT Code(s): 87385
Interpretive Data:
Less than 0.4 ng/mL = Not Detected
0.4-3.1 ng/mL = Detected (below the limit of quantification)
3.2-20.0 ng/mL = Detected
Greater than 20.0 ng/mL = Detected (above the limit of quantification)
The quantitative range of this assay is 3.2-20.0 ng/mL. Antigen concentrations between 0.4-3.1 or>20.0 ng/mL fall outside the
linear range of the assay and cannot be accurately quantified.
This EIA test should be used in conjunction with other diagnostic procedures, including microbiological culture, histological
examination of biopsy samples, and/or radiographic evidence, to aid in the diagnosis of histoplasmosis.
Reported: 2-3 days
HIV Phenotype Comprehensive
See: Human Immunodeficiency Virus (HIV) Phenotype Comprehensive
HIV-1 Genotyping
See: Human Immunodeficiency Virus 1, Genotyping
HIV-1 RNA, Quantitative PCR
See: Human Immunodeficiency Virus 1 RNA, Quantitative PCR
10-287
Test List
HIV-1/2 Antibodies by EIA, with Reflex to Differentiation
Order code: 5801
Preferred specimen: 2.0 mL serum, red top tube or gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube.
Notes: If the HIV-1/2 Antibodies by EIA is repeatedly reactive, then the HIV-1/HIV-2 Antibody Differentiaiton by Geenius™ test will be
performed at no additional charge. Report time may be extended.
Unit code: 112101
CPT Code(s): 86703
Ref range: Non-Reactive
Reported: 1-3 days
HLA A & B Genotyping
Order code: 82205
Unacceptable: Specimens collected in green (sodium or lithium heparin) top tubes.
Method: Polymerase Chain Reaction/Sequence Specific Oligonucleotide Probe Hybridization
Unit code: 820265
CPT Code(s): 81380 (x2)
Reported: 4-8 days
HLA Class I (ABC) by Next Generation Sequencing
Order code: 82057
Unacceptable: Clotted, grossly hemolyzed, or heparinized specimens.
Method: Polymerase Chain Reaction/Massive Parallel Sequencing
S1
0
Unit code: 820257
CPT Code(s): 81379
Reported: 9-16 days
HLA Class II (DRB1 and DQB1) by Next Generation Sequencing
Order code: 82306
Unacceptable: Clotted, grossly hemolyzed, or heparinized specimens.
Unit code: 820306
CPT Code(s): 81382
Reported: 9-16 days
HLA-A by Next Generation Sequencing
Order code: 82025
Preferred specimen: 4.0 mL whole blood, lavender (EDTA) or yellow (ACD Solution A) top tube. Transport whole blood in the original container.
Unacceptable: Clotted, grossly hemolyzed, or heparinzed specimens. Frozen whole blood. Yellow (ACD Solution B) top tubes.
Unit code: 820253
CPT Code(s): 81380
Test List
10-288
HLA-A Genotype
Order code: 82206
Unit code: 820266
CPT Code(s): 81380
Reported: 4-8 days
HLA-B Genotype
Order code: 82207
Unit code: 820267
CPT Code(s): 81380
Reported: 4-8 days
HLA-B*57:01 for Abacavir Sensitivity
Order code: 82029
Unit code: 820290
CPT Code(s): 81381
S1
0
Reported: 5-9 days
HLA-B27
Order code: 35427
Preferred specimen: 5.0 mL whole blood, lavender (EDTA), green (sodium heparin), or yellow (ACD Solution A or B) top tube. Maintain specimen at
room temperature. Do not refrigerate or freeze. Specimen must be received in the laboratory within 72 hours of collection.
Notes: The HLA B27 Antigen is present in 8% of Caucasian and 3% of black populations. This antigen is seen with a frequency of 90% in
patients with Ankylosing Spondylitis and a frequency of 80% in patients with Reiter's disease.
Unacceptable: Frozen or refrigerated specimens. Specimens older than 72 hours. Clotted or hemolyzed specimens.
Unit code: 535427
CPT Code(s): 86812
Ref range: Negative
Reported: 1-3 days
HLA-DR Genotyping
Order code: 82031
Unacceptable: Specimens drawn in green (sodium or lithium heparin) tubes.
Unit code: 820309
CPT Code(s): 81382
Reported: 4-8 days
10-289
Test List
Homocysteine, Total
Order code: 1511
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells within 1 hour of collection and transfer to a plastic transport tube.
Notes: Specimens should be stored on ice if unable to separate from cells within 1 hour.
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (lithium heparin) top tube. Remove plasma from cells within 1 hour of collection and
Method: Enzymatic
Unit code: 114250
CPT Code(s): 83090
Ref range: Less than 15.0 umol/L
Homovanillic Acid (HVA), Urine
Order code: 83335
Preferred specimen: 4.0 mL urine aliquot from a well-mixed 24-hour or random collection. Refrigerate 24-hour specimen during collection. Record total
volume and hours of collection on both the urine container and test request form.
Notes: Patient should abstain from medications for 72 hours prior to collection of specimen.
Unit code: 820400
CPT Code(s): 83150
Reported: 2-5 days
HPV
See: Human Papillomavirus (HPV) High Risk
Human Papillomavirus (HPV) High Risk with Reflex to Genotypes 16, and 18,45, Thin Prep
Human Papillomavirus (HPV) High Risk with Reflex to Genotypes 16, and 18,45, SurePath
Human Papillomavirus (HPV), High Risk Genotypes, 16 and 18,45, ThinPrep
Human Papillomavirus (HPV), High Risk Genotypes, 16 and 18,45, SurePath
Human Papillomavirus (HPV), Type by PCR, Tissue
S1
0
HSV
See: Herpes Simplex Virus Type 1 & 2 Antibodies, IgG
Herpes Simplex Virus Type 1 & 2 Antibodies, IgM
Herpes Simplex Virus Type 1 & 2 Antibodies, IgG & IgM
Herpes Simplex Virus Type 1 & 2 Glycoprotein G-Specific Antibodies, IgG by ELISA
Herpes Simplex Virus Type 1 & 2 Glycoprotein G-Specific Antibodies, IgG by Immunoblot
Herpes Simplex Virus Type 1 Glycoprotein G-Specific Antibody, IgG by ELISA
Herpes Simplex Virus Type 2 Glycoprotein G-Specific Antibody, IgG by ELISA
Herpes Simplex Virus Type 1 & 2 Molecular Detection
Herpes Simplex Virus Type 1 & 2 PCR
Herpes Simplex Viruses DNA
Herpes Simplex Viruses PCR
Human Chorionic Gonadotropin, (Beta-hCG) Qualitative, Pregnancy, Serum
Order code: 1370
Unit code: 111010
CPT Code(s): 84703
Test List
10-290
Human Chorionic Gonadotropin, (Beta-hCG) Quantitative, Serum (Females)
Order code: 1375
Unit code: 111015
CPT Code(s): 84702
Ref range: Time Post Conception mIU/mL
3 weeks 6-71
4 weeks 10-750
5 weeks 217-7,138
6 weeks 158-31,795
7 weeks 3,697-163,563
8 weeks 32,065-149,571
9 weeks 63,803-151,410
10 weeks 46,509-186,977
12 weeks 27,832-210,612
14 weeks 13,950-62,530
15 weeks 12,039-70,971
16 weeks 9,040-56,451
17 weeks 8,175-55,868
18 weeks 8,099-58,176
Non-pregnant premenopausal women: <=1 mIU/mL
Postmenopausal women: <=7 mIU/mL
Human Epididymis Protein 4 (HE4)
Order code: 82075
Preferred specimen: 0.5 mL serum, red top tube or SST. Allow specimen to clot completely at room temperature. Remove serum from cells, transfer to
a plastic transport tube and freeze.
Notes: HE4 is to be used as an aid in monitoring recurrence of progressive disease in patients with epithelial ovarian cancer. Serial
testing for patient HE4 results should be used in conjunction with other clinical methods for monitoring ovarian cancer. Values
obtained with different assay methods should not be used interchangeably.
S1
0
Unit code: 820675
CPT Code(s): 86305
Ref range: 0-150 pmol/L
Reported: 2-9 days
Human Granulocytic Anaplasmosis (HGA)
Human Granulocytic Ehrlichiosis (HGE)
Human Growth Hormone
See: Growth Hormone
Human Immunodeficiency Virus (HIV) 1 Genotyping
Order code: 82078
Preferred specimen: 4.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP (within 6 hours of collection). Transfer plasma to a
plastic transport tube and freeze. Separate specimens must be submitted when multiple tests are ordered.
Notes: This test may be unsuccessful if the plasma HIV-1 RNA viral load is less than 1,000 HIV-1 RNA copies per mL of plasma.
Unacceptable: Serum, whole blood, or heparinized plasma. Specimens that are thawed or have been exposed to repeated freeze/thaw cycles.
Method: Reverse Transcription Polymerase Chain Reaction/DNA Sequencing
Unit code: 820078
CPT Code(s): 87901
Reported: 4-8 days
10-291
Test List
Human Immunodeficiency Virus (HIV) 1 RNA, Quantitative PCR
Order code: 37205
Preferred specimen: 3.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells within 6 hours of collection, transfer to a plastic transport
Notes: Quantitative range of this assay is 1.3-7.0 log copies/mL (20-10,000,000 copies /mL).
Unacceptable: Serum or heparinized plasma. Specimens exposed to exceesive freeze/thaw cycles.
Unit code: 537205
CPT Code(s): 87536
Human Immunodeficiency Virus (HIV) 1/2 Antibodies, EIA
See: HIV-1/2 Antibodies, EIA
Human Immunodeficiency Virus (HIV) Phenotype Comprehensive
Order code: 82095
Preferred specimen: 3.0 mL plasma, lavender top tube (EDTA). Remove plasma from cells within 2 hours of collection, transfer to a plastic transport
tube and freeze immediately. Separate specimens must be submitted when multiple tests are ordered.
Notes: Indicate viral load on the test requisition. If viral load is less than 500 copies, testing may not be performed.
Method: Drug Susceptibility using HIV Culture
Unit code: 820095
CPT Code(s): 87903, 87904 (x11)
S1
0
Human Insulin Antibodies
See: Insulin Antibodies
Human Papillomavirus (HPV) High Risk
Order code: 53801
Preferred specimen: Cervical specimen in ThinPrep Pap vial.
Minimum specimen: 4.0 mL ThinPrep or SurePath media.
ThinPrep: Room temperature or refrigerated 3 months.
SurePath: Room temperature or refrigerated 28 days.
Other acceptable: Cervical specimen in SurePath Pap vial.
Unit code: 538010
CPT Code(s): 87624
Ref range: Negative
Reported: 1-4 days
Human Papillomavirus (HPV) High Risk Genotypes, 16 and 18/45, SurePath
Order code: 82462
and place the broom into the collection vial. Cap the vial tightly and shake.
Notes: Patient should avoid douches 48 to 72 hours prior to examination. Specimen should not be collected during or shortly after
menstrual period.
Unacceptable: Improper collection or inadequated specimen. Specimen submitted on male patient, specimen more than 21 days old.
Unit code: 820462
CPT Code(s): 87625
Reported: 5-7 days
Test List
10-292
Human Papillomavirus (HPV) High Risk Genotypes, 16 and 18/45, ThinPrep
Order code: 38020
Preferred specimen: Cervical specimen in ThinPrep® Pap vial.
Minimum specimen: 2 mL of ThinPrep® media.
Unit code: 538020
CPT Code(s): 87625
Reported: 1-5 days
Human Papillomavirus (HPV) High Risk with Reflex to Genotypes 16, and 18/45,
SurePath
Order code: 38014
Preferred specimen: Cervical specimen collected in SurePath Pap vial.
Specimen Stability: Room temperature or refrigerated 21 days.
Minimum specimen: 4.0 mL SurePath media
Notes: If HPV High Risk Screen is positive, HPV Genotypes 16 and 18/45 will be added at an additional charge.
Unit code: 538014
CPT Code(s): 87624
Ref range: Negative
Reported: 1-4 days; Additional 5-7 days if reflexes to Genotype
Human Papillomavirus (HPV) High Risk with Reflex to Genotypes 16, and 18/45,
ThinPrep
Order code: 38012
Preferred specimen: Cervical specimen in ThinPrep Pap vial.
Specimen Stability: Room temperature or refrigerated 3 months.
Minimum specimen: 4.0 mL ThinPrep media.
Notes: If HPV High Risk Screen is positive, HPV Genotypes 16 and 18/45 will be added at an additional charge.
S1
0
Unit code: 538012
CPT Code(s): 87624
Ref range: Negative
Reported: 1-4 days; Additional 1-5 days if reflexes to Genotype
Human Papillomavirus (HPV), Type by PCR, Tissue
Order code: 82046
Preferred specimen: Tissue:
Formalin-fixed, paraffin-embedded (FFPE) tissue biopsy. Formalin-fixed tissue must be embedded in a parrafin block within 72
hours of excision. Do not substitute other fixative for formalin. Do not submit frozen tissue.
Minimum specimen: There must be enough tissue for at least four 10-micron sections.
Notes: Test includes detection of HPV in tissue specimen, HPV typing for (6, 11), (16), (18, 45), and (31, 33, 35, 39).
Unacceptable: Insufficient tissue, improper fixative or fixation.
Unit code: 820461
CPT Code(s): 87999
Reported: 3-7 days
10-293
Test List
Human T-Lymphotropic Virus (HTLV) Types I/II Antibodies Reflex to HTLV I/II
Confirmation
Order code: 82098
Notes: If HTLV I/II screen is repeatedly reactive, then HTLV I/II confirmation by Western Blot will be added at an additional charge and
report turnaround time may be extended.
cells ASAP or wtihin 2 hours of collection and transfer to a plastic transport tube.
Method: Qualitative Enzyme-Linked Immunosorbent Assay/Qualitative Western Blot
Unit code: 820498
CPT Code(s): 86790
Ref range: Negative
Reported: 2-6 days
Human T-Lymphotropic Virus (HTLV) Types I/II Antibodies, Western Blot
Order code: 82551
and freeze.
Minimum specimen: 0.5 mL serum or plasma.
Notes: Order this test only when a specimen is repeatedly reactive for HTLV I or HTLV I/II antibodies.
cells ASAP or within 2 hours of collection, transfer to a plastic transport tube and freeze.
Method: Qualitative Western Blot
Unit code: 820551
CPT Code(s): 86689
Ref range: Negative
Reported: 2-9 days
Huntington Disease (HD) Mutation by PCR
Order code: 82081
Notes: A completed Huntington Disease specific consent form, signed by the patient (or legal guardian) and physician, is required for all
specimens. HD consent form is available through BBPL Client Services. Testing for patients under the age of 18 years or fetal
specimens is not offered. Presymptomatic patients are strongly encouraged to be tested through a counseling program approved
by the Huntington Disease Society of America at (800) 345-4372.
Method: Polymerase Chain Reaction/Fragment Analysis
Unit code: 820801
CPT Code(s): 81401
Ref range: Negative: This individual has two normal alleles; and therefore, is neither a carrier nor will be affected with Huntington disease.
Reported: 8-11 days
Hydatidiform Mole Evaluation
Order code: 35170
Preferred specimen: Formalin fixed, paraffin-embedded tissue block.
Minimum specimen: Four pre-cut tissue slides
Other acceptable: Four pre-cut tissue slides
Method: Immunohistochemistry (IHC) and Image Analysis
Unit code: 535170
CPT Code(s): 88342, 88365
Reported: 2-7 days
Hydrocodone
Hydroxycorticosteroids (17)
See: 17-Hydroxycorticosteroids, Urine
Test List
10-294
S1
0
Hydroxycorticosterone (18)
See: 18-Hydroxycorticosterone
Hydroxypregnenolone (17)
See: 17-Hydroxypregnenolone Quantitative, Serum or Plasma
Hydroxyprogesterone (17)
See: 17-Hydroxyprogesterone
Hypercoagulable Panel
Order code: 90032
Preferred specimen: For Factor V Leiden Mutation, Prothrombin Gene Mutation, and MTHFR Gene Mutation tests: 5.0 mL whole blood, lavender
(EDTA), light blue (sodium citrate), or yellow (ACD Solution A or B) top tubes, refrigerated.
For Antithrombin Enzymatic, Protein C, and Protein S tests: 6.0 mL platelet-poor plasma, three 3.5 mL light blue (3.2% sodium
citrate) top tubes. Remove platelet-poor plasma from cells, transfer 2.0 mL plasma aliquots into 3 separate plastic transport tubes
and freeze immediately.
Minimum specimen: 3.0 mL whole blood and 1.0 mL plasma per aliquot tube.
Factor V Leiden Mutation (G1691A)
Prothrombin Gene Mutation (G20210A)
MTHFR Gene Mutation
Antithrombin, Enzymatic (Activity)
Protein C, Total Antigen
Protein S, Total Antigen
Protein S Free, Antigen
Unacceptable: Serum, heparin anticoagulant, severely hemolyzed specimens, specimens stored at incorrect transport temperature.
Transport temp: Whole blood: Refrigerated
Plasma: CRITICAL FROZEN
Unit code: 90032
CPT Code(s): 81240, 81241, 81291, 85300, 85302, 85305, 85306
S1
0
Reported: 3-7 days
Hypersensitivity Pneumonitis (Farmer's Lung Panel)
Order code: 83435
Preferred specimen: 5.0 mL serum, red top tube or SST. Remove serum from cells ASAP or within 2 hours of collection. Aliquot 2.5 mL serum into two
separate transport tubes.
Minimum specimen: 1.0 mL serum in each transport tube.
Notes: Testing includes antibodies directed at:
Allergen, Epidermal & Animal Proteins, Feather Mix
Allergen, Food, Beef
Allergen, Food, Pork
Allergen, Fungi & Mold, Phoma betae
Aspergillus flavus
Aspergillus fumigatus #1
Aureobasidium pullulans
Micropolyspora faeni
Pigeon Serum
Saccharomonospora viridis
Thermoactinomyces candidus
Thermoactinomyces sacchari
Thermoactinomyces vulgaris #1
Method: Quantitative Immunodiffusion/Quantitative ImmunoCAP® Fluorescent Enzyme
Unit code: 821150
CPT Code(s): 86003 (x3), 86005, 86331 (x7), 86606 (x5)
Reported: 4-8 days
10-295
Test List
Hypertension Panel A
Order code: 94601
Preferred specimen: Submit all of the following specimens:
2.0 mL serum, red top or gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube.
10.0 mL random urine in a clean plastic container. Clean catch mid-stream urine is preferred to minimize contamination. If urine will
not be received in laboratory the same day as collected, submit urine in preservative transport tube at room temperature.
One 3-4 mL lavender (EDTA) top tube.
Refer to the individual tests for detailed specimen requirements; CMP, Urinalysis, CBC.
2.0 mL urine
1.0 mL EDTA whole blood (lavender tube)
Comprehensive Metabolic Panel (CMP)
Urinalysis, Routine
Unit code: 94601
Hypoglycemia Panel, Sulfonylureas Qualitative
Order code: 82116
Notes: This assay is used to evaluate hypoglycemia that may be caused from the ingestion of sulfonylurea drugs. Hypoglycemic drugs are
detected (present) in this assay if the drug concentration is greater than the limit of detection (cut-off). The presence of
hypoglycemic drug(s) indicates a recent ingestion.
Method: Qualitative Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 821165
CPT Code(s): 80377
S1
0
Reported: 2-7 days
IA-2 Autoantibodies
Order code: 82119
Preferred specimen: 0.5 mL serum, red top or gel-barrier tube. Remove serum from cells, transfer to a plastic transport tube and freeze immediately.
Separate specimens must be submitted when multiple tests are ordered. No radioactive isotopes should be administered 24 hours
prior to venipuncture.
Unacceptable: Radioactive isotopes administered 24 hours prior to venipuncture.
Method: Immunoprecipitation Assay
Unit code: 821190
CPT Code(s): 86341
Reported: 5-13 days
Ibuprin
See: Ibuprofen
Test List
10-296
Ibuprofen
Order code: 83440
Notes: Timing of specimen collection: Draw between 60 and 90 minutes post-dose.
tube.
Unit code: 821200
CPT Code(s): 80329
Ref range: Therapeutic Range: 10-50 µg/mL - may be seen with common dosages.
Reported: 2-6 days
IgA, Serum
See: Immunoglobulin A (IgA), Serum
IgD
See: Immunoglobulin D (IgD)
IgE
See: Immunoglobulin E (IgE)
IGF Binding Protein-3
See: Insulin-Like Growth Factor Binding Protein-3
S1
0
IGF-1
See: Insulin-Like Growth Factor 1 (IGF-1)
IgG, CSF
See: Immunoglobulin G (IgG), CSF
IgG, Serum
See: Immunglobulin G (IgG), Serum
IGH/BCL-1 FISH Study
IGH/BCL2 Fusion
10-297
Test List
IGH/CCND1, t(11;14) by FISH
Order code: 82131
Preferred specimen: 10.0 mL whole blood, green (sodium heparin) top tube or 2.0 mL bone marrow aspirate in a green (sodium heparin) top tube.
Notes: Specimen must be received in laboratory within 24 hours of collection. Transport specimen on cold packs but do not place cold
packs in direct contact with specimen.
Other acceptable: Tissue (lymph nodes, spleen) in tissue media; Fluids 2-3 mL (ascitic, CSF) in sterile tube; Malignant fluids 50-100 mL in collection
pouch; Fine Needle Aspirate in tissue media 10 pieces preferred (minimum of 2 pieces-0.2 cm³ in aggregrate); Formalin-fixed and
paraffin-embedded tissue.
Unacceptable: Clotted or frozen specimens. Paraffin-embedded tissue that has been decalcified.
Unit code: 821310
CPT Code(s): 88368 (x2)
Reported: Paraffin-embedded tissue 7-10 days; all other specimen types within 3 days.
IgM, CSF
See: Immunoglobulin M (IgM), CSF
IgM, Serum
See: Immunoglobulin M (IgM), Serum
IgVH Mutation Analysis by Sequencing
Order code: 82312
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) top tube or 3 mL bone marrow (EDTA).
TIME SENSITIVE. Specimens must be received in laboratory within 24 hours of collection due to lability of RNA.
Notes: This assay is designed for individuals with a confirmed diagnosis of CLL, and for these individuals testing will include sequencing.
All other diagnoses will terminate after amplification and will not have the sequencing component. Testing includes pathologist's
interpretation.
Unacceptable: Serum or plasma. Specimens collected in preservatives other than EDTA. Frozen specimens. Clotted or severely hemolyzed
specimens.
Unit code: 821312
CPT Code(s): 81263, G0452
IHC with Interpretation
Order code: 33000
Preferred specimen: One formalin-fixed paraffin-embedded (FFPE) tissue block. Transport at room temperature (refrigerated during summer months).
Indicate each IHC stain needed on test request form.
Notes: Tissue block will be returned after testing is complete.
Other acceptable: Unstained, positively charged slides with 4 micron tissue sections (one for each stain ordered plus 2-5 extra).
Method: Immunohistochemistry
Unit code: 533000
IL-2 (Interleukin 2)
See: Interleukin 2 by MAFD
Test List
10-298
S1
0
Illicit Drug Panel, Quantitative, Urine
Order code: 26610
Unit code: 266101
CPT Code(s): 80324, 80349, 80353, 80356, 80357, 80359, 83992
Reported: 2-4 days
Imipramine and Desipramine
Order code: 83490
tube.
Unit code: 821350
CPT Code(s): 80335
Ref range: Therapeutic: Imipramine + Desipramine: 150-300 ng/mL
Toxic: >500 ng/mL
Reported: 2-6 days
Immune Complex Detection by C1Q Binding, Serum or Plasma
S1
0
Order code: 81280
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube. Let stand on clot for 2 hours. Remove serum from cells, transfer to a
Minimum specimen: 0.5 mL serum, frozen.
Notes: If ordered in conjunction with a Raji Cell Assay, draw two 6 mL plain red top tubes and submit two 1 mL frozen serum samples for
testing. Separate specimens specimens must be submitted when multiple tests are ordered.
Unacceptable: Nonfrozen samples. Repeated freeze/thaw cycles should be avoided.
Unit code: 805400
CPT Code(s): 86332
Ref range: Less than 4 µgE/mL is considered negative for circulating complement binding immune complexes.
Reported: 2-9 days
Immune Complex, Raji Cell
Order code: 85050
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Allow complete clotting of red blood cells (up to 1 hour), then remove serum from cells
within 30 minutes, transfer to a plastic transport tube and freeze immediately. Separate specimens must be submitted when
multiple tests are ordered.
Unacceptable: Non-frozen specimens. Specimens exposed to repeated freeze/thaw cycles.
Unit code: 810000
CPT Code(s): 86332
Reported: 3-10 days
10-299
Test List
Immunofixation Electrophoresis, CSF
Order code: 1560
Preferred specimen: 5.0 mL CSF in a transport tube.
Method: Immunofixation
Unit code: 113220
CPT Code(s): 84157, 84166, 86335
Ref range: Interpretive, see laboratory report
Reported: 1-3 days
Immunofixation Electrophoresis, Serum
Order code: 1555
Method: Immunofixation/Colorimetry
Unit code: 113203
CPT Code(s): 84155, 84165, 86334
Ref range: Interpretive, see report
Reported: 1-3 days
Immunofixation Electrophoresis, Urine
Order code: 1565
Preferred specimen: 25.0 mL urine aliquot from a well mixed 24-hour or random urine collection. Refrigerate 24-hour specimen during collection. Do not
add preservatives or transport in urine preservative tubes. Record the total volume and hours of collection on both the specimen
container and the test request form.
Unacceptable: Urines with preservative.
Method: Immunofixation
Unit code: 113240
S1
0
CPT Code(s): 84156, 84166, 86335
Reported: 1-3 days
Immunoglobulin A (IgA), Serum
Order code: 1415
Unit code: 112580
CPT Code(s): 82784
Ref range: Adult: 70-400 mg/dL
Reported: 1-3 days
Immunoglobulin D (IgD)
Order code: 83460
Preferred specimen: 1.0 mL serum, SST or red top tube. Remove serum from cells ASAP.
Notes: Plasma samples are not recommended.
Unacceptable: Severely lipemic, contaminated, or hemolyzed samples.
Unit code: 821600
CPT Code(s): 82784
Ref range: Less than or equal to 15.3 mg/dL
Reported: 2-5 days
Test List
10-300
Order code: 1161
Unit code: 112610
CPT Code(s): 82785
Ref range: 0-364 days: 0-8 IU/mL
1-2 years: 0-12 IU/mL
3 years: 0-24 IU/mL
4-5 years: 0-50 IU/mL
6 years: 0-70 IU/mL
7-14 years: 0-120 IU/mL
15 years and older: 0-180 IU/mL
Reported: 1-3 days
Immunoglobulin G (IgG) Subclasses (1,2,3,4)
Order code: 83480
Other acceptable: 2.0 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells ASAP.
Unit code: 821300
CPT Code(s): 82787 (x4)
Reported: 2-4 days
Immunoglobulin G (IgG), CSF
Order code: 1410
Preferred specimen: 1.0 mL CSF
S1
0
Unit code: 112560
CPT Code(s): 82784
Reported: 1-2 days
Immunoglobulin G (IgG), Serum
Order code: 1405
Unit code: 112550
CPT Code(s): 82784
Reported: 1-3 days
Immunoglobulin M (IgM), CSF
Order code: 82163
Preferred specimen: 1.0 mL CSF. Centrifuge and separate to remove cellular material. Transfer CSF to a plastic transport tube.
Unacceptable: Grossly bloody or hemolyzed specimens.
Unit code: 821663
CPT Code(s): 82784
Ref range: 0-0.7 mg/dL
Reported: 2-3 days
10-301
Test List
Immunoglobulin M (IgM), Serum
Order code: 1425
Unit code: 112600
CPT Code(s): 82784
Reported: 1-3 days
Immunoglobulin Panel (IgG, IgA, IgM), Serum
Order code: 1404
Unit code: 112500
CPT Code(s): 82784 (x3)
Reported: 1-2 days
Immunoglobulins IgG, IgA, IgM, IgE, Serum
Order code: 1412
Immunoglobulin G (IgG), Serum
Immunoglobulin A (IgA), Serum
Immunoglobulin M (IgM), Serum
S1
0
Method: Chemiluminescent Immunoassay/Immunoturbidimetric Assay
Unit code: 112505
CPT Code(s): 82784 (x3), 82785
Reported: 1-3 days
Immunoglobulins, CSF Quantitative
Order code: 81906
Preferred specimen: 1.0 mL CSF. Centrifuge and separate to remove cellular material. Transfer to a plastic transport tube.
Unacceptable: Grossly bloody or hemolyzed specimens.
Method: Quantitative Nephelometry
Unit code: 821660
CPT Code(s): 82784 (x3)
Ref range: Immunoglobulin A, CSF: 0-0.7 mg/dL
Immunoglobulin G, CSF: 0-6.0 mg/dL
Immunoglobulin M, CSF: 0-0.7 mg/dL
Reported: 2-6 days
Immunophenotyping-Cell Lineage
See: Leukemia Immunophenotyping by Flow Cytometry, Acute Leukemia/Cell Lineage
Immunophenotyping-Lymphoid
See: Lymphoma Immunophenotyping by Flow Cytometry
Inderal, Serum
See: Propranolol
Test List
10-302
India Ink Prep
See: Fungal Smear Only
Indirect Coombs
See: Antibody Screen
Infectious Mononucleosis
See: Mono Test, Heterophile Screen
Mono, Heterophile Screen Reflex
Inflammatory Bowel Disease Differentiation Panel
Order code: 82711
tube.
Saccharomyces cerevisiae Antibody, IgG
Saccharomyces cerevisiae Antibody, IgA
Anti-Neutrophil Cytoplasmic Antibody, IgG
May be a useful tool for distinguishing ulcerative colitis (UC) from Crohn disease (CD) in patients with suspected inflammatory
bowel disease.
Unacceptable: Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Method: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody
Unit code: 821711
CPT Code(s): 86255, 86671 (x2)
Ref range: Saccharomyces cerevisiae Antibody, IgG:
20.0 Units or less: Negative
20.1 to 24.9 Units: Equivocal
25.0 Units or greater: Positive
Saccharomyces cerevisiae Antibody, IgA:
20.0 Units or less: Negative
20.1 to 24.9 Units: Equivocal
S1
0
Anti-Neutrophil Cytoplasmic Antibody, IgG:
Less then 1:20: Not significant
Reported: 2-5 days
Infliximab (IFX) Concentration + IFX Antibody
Order code: 81726
Preferred specimen: 2.0 mL serum, red top tube or SST. Remove serum from cells within 45 minutes of collection, transfer to a plastic transport tube
Method: Electrochemiluminescence Immunoassay
Unit code: 821726
CPT Code(s): 80299, 82397
Reported: 5-12 days
Influenza A & B Virus Antibodies, IgG & IgM
Order code: 83617
Unacceptable: Plasma specimens. Hemolyzed, lipemic, icteric, turbid, bacterially contaminated or heat-inactivated specimens.
Unit code: 822150
CPT Code(s): 86710 (x4)
Ref range: 0.89 IV or less: Negative
0.90-1.10 IV: Equivocal
1.11 IV or greater: Positive
Reported: 2-7 days
10-303
Test List
Influenza Antigen Screen A & B
Order code: 3215
Preferred specimen: Collect nasal swab, aspirate, wash or throat swab. Place swab in a culturette container or in M6 viral transport media. Place nasal
aspirate or wash in a sterile screw-cap container.
Notes: Routine Rapid testing for Influenza is not recommended outside of the respiratory virus season due to low specificity.
Other acceptable: Swab specimen in M4, M4RT, or M5 viral transport media.
Unacceptable: Dry swab not in culturette or viral transport media.
Method: Immunochromatographic assay
Unit code: 402150
CPT Code(s): 87400 (x2)
Ref range: Negative
Influenza Virus RNA, Qualitative Real-Time PCR
Order code: 39009
Notes: Test includes: Influenza A, Influenza A Subtype H1 and H3, Influenza B.
Unit code: 539009
CPT Code(s): 87502, 87503 (x3)
Ref range: Negative
Reported: 1-2 days
Inherited Thrombophilia Mutation Profile
Order code: 94554
Preferred specimen: 5.0 mL whole blood collected in lavender (EDTA), light blue (sodium citrate), or yellow (ACD Solution A or B) top tube. Separate
specimens should be submitted when multiple tests are ordered.
S1
0
Factor V Leiden Mutation
Prothrombin Gene Mutation
MTHFR Gene Mutation
Other acceptable: Liquid Based PAP Media.
Unit code: 94554
CPT Code(s): 81240, 81241, 81291
Reported: 1-7 days
Inhibin-A (Dimer)
Order code: 82224
Unacceptable: Plasma and severely lipemic or hemolyzed specimens.
Unit code: 822240
CPT Code(s): 86336
Ref range: Normal Cycling Females:
Early Follicular Phase (-14 to -10): 1.8-17.3 pg/mL
Mid Follicular Phase (-9 to -4): 3.5-31.7 pg/mL
Late Follicular Phase (-3 to -1): 9.8-90.3 pg/mL
Mid Cycle (Day 0): 16.9-91.8 pg/mL
Early Luteal (1 to 3): 16.1-97.5 pg/mL
Mid Luteal (4 to 11 ): 3.9-87.7 pg/mL
Late Luteal (12 to 14): 2.7-47.1 pg/mL
IVF-Peak Levels: 354.2-1690.0 pg/mL
PCOS-Ovulatory: 5.7-16.0 pg/mL
Postmenopausal: less than 6.9 pg/mL
Normal Males: less than 2.1 pg/mL
Reported: 2-3 days
Test List
10-304
Inhibin-B
Order code: 82041
Preferred specimen: 0.5 mL serum, red top tube or SST. Remove serum from cells, transfer to a plastic transport tube and freeze.
Unacceptable: Hemolyzed, lipemic or room temperature specimens.
Unit code: 822241
CPT Code(s): 83520
Reported: 2-9 days
Inorganic Phosphate, Serum
See: Phosphate, Inorganic, Serum
Insirect Coombs
Insulin Antibodies
Order code: 83640
Preferred specimen: 0.5 mL serum, red top or gel-barrier tube. Remove serum from cells, transfer to a plastic transport tube and freeze immediately.
Separate specimens must be submitted when multiple tests are ordered. No radioactive isotopes should be administered 24 hours
prior to venipuncture.
Unacceptable: Radioactive isotopes administered 24 hours prior to venipuncture.
Method: Insulin-I125 Binding Capacity
Unit code: 822300
CPT Code(s): 86337
Reported: 5-13 days
S1
0
Insulin, Free & Total
Order code: 82305
Preferred specimen: 2.0 mL serum, SST. Remove serum from cells, transfer to a plastic transport tube and freeze. Separate specimens must be
submitted when multiple tests are ordered.
Notes: Fasting specimen is preferred.
Other acceptable: 2.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells, transfer to a plastic transport tube and freeze.
Unacceptable: Hemolyzed specimens. Heparin or sodium fluoride/potassium oxalate plasma.
Method: Quantitative Ultrafiltration/Quantitative Chemiluminescent Immunoassay
Unit code: 822305
CPT Code(s): 83525, 83527
Ref range: Insulin, Free: 3-19 uIU/mL
Insulin, Total: 3-19 uIU/mL
Reported: 3-4 days
Insulin-1 Specimen
Order code: 1346
Notes: Record time drawn on both the specimen and the test request form.
Unit code: 104135
CPT Code(s): 83525
10-305
Test List
Insulin-2 Specimens
Order code: 1342
Preferred specimen: 1.0 mL serum (per timed specimen), red top or gel-barrier tube. Remove serum from cells and transfer to a plastic transport tube.
Notes: Record time drawn on each specimen and the test request form.
Unit code: 104136
CPT Code(s): 83525 (x2)
Insulin-3 Specimens
Order code: 1343
Unit code: 104137
CPT Code(s): 83525 (x3)
Insulin-4 Specimens
Order code: 1344
Unit code: 104138
S1
0
CPT Code(s): 83525 (x4)
Insulin-5 Specimens
Order code: 1345
Unit code: 104139
CPT Code(s): 83525 (x5)
Insulin-6 Specimens
Order code: 1347
Unit code: 104140
CPT Code(s): 83525 (x6)
Test List
10-306
Insulin-7 Specimens
Order code: 1348
Unit code: 104141
CPT Code(s): 83525 (x7)
Insulin-Like Growth Factor 1 (IGF-1)
Order code: 85450
Unacceptable: Plasma specimens
Unit code: 837800
CPT Code(s): 84305
Reported: 3-5 days
Insulin-Like Growth Factor Binding Protein-3
Order code: 82124
Method: Immunochemiluminometric Assay (ICMA)
Unit code: 821240
CPT Code(s): 82397
S1
0
Reported: 3-5 days
Interferon Beta Neutralizing Antibody with Reflex to Titer
Order code: 82809
Collect specimens before Interferon beta treatment, or more than 48 hours following the most recent dose. Patient should not be
on steroid therapy in excess of 10 mg prednisolone (or equivalent) daily. High endogenous levels of Interferon beta, alpha, or
gamma may interfere with this assay.
Notes: If Interferon Beta Neutralizing Antibody screen result is positive, then Interferon Beta Neutralizing Antibody titer will be added at an
additional charge.
Unacceptable: Hemolyzed, icteric, lipemic, or contaminated specimens.
Method: Cell Culture/Chemiluminescent Immunoassay
Unit code: 828095
CPT Code(s): 86352
Ref range: Interferon Beta Screen: Negative
Interferon Beta Titer:
Less than 20: Negative
20 to 99: Moderate levels of neutralizing antibodies present
100 or greater: High levels of neutralizing antibodies present
Reported: 2-16 days
10-307
Test List
Interleukin 2
Order code: 83315
Preferred specimen: 1.0 mL serum, red top tube or SST. Remove serum from cells ASAP, transfer to a plastic transport tube and freeze.
Other acceptable: 1.0 mL plasma, green (lithium heparin) top tube. Remove plasma from cells ASAP, transfer to a plastic transport tube and freeze.
Unacceptable: Heat-inactivated, refrigerated, or contaminated specimens.
Unit code: 822315
CPT Code(s): 83520
Ref range: 12 pg/mL or less
Note: Lower limit of detection is 5 pg/mL.
Reported: 2-5 days
Interleukin 28B-Associated Variants, IL28B, 2 SNPs
Order code: 82132
Notes: Please submit Patient History for Molecular Genetics and test request form along with specimen.
Variants Tested: SNP rs12979860 C/T and SNP rs8099917 T/G.
Method: Polymerase Chain Reaction/Single Nucleotide Extension
Unit code: 821320
CPT Code(s): 81479
Reported: 8-11 days
Interleukin 5
Order code: 82320
Unacceptable: Heat-inactivated, refrigerated or contaminated specimens.
Unit code: 822320
CPT Code(s): 83520
Note: Lower limit of detection is 5 pg/mL
Reported: 2-5 days
Interleukin 6
Order code: 82322
Unacceptable: Refrigerated specimens. Contaminated or heat-inactivated specimens.
Unit code: 822322
CPT Code(s): 83520
Note: Lower limit of detection is 5 pg/mL.
Reported: 2-5 days
Test List
10-308
S1
0
Intrinsic Factor Blocking Antibody, Serum
Order code: 83650
Unacceptable: Grossly hemolyzed or severely lipemic specimens.
Unit code: 809400
CPT Code(s): 86340
Ref range: Negative
Reported: 2-4 days
Iodide, Serum or Plasma
Order code: 82245
tube.
Other acceptable: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP and transfer to a plastic transport tube.
Method: Quantitative Ion Exchange Chromatography
Unit code: 822450
CPT Code(s): 82542
Reported: 4-10 days
Iodine, Serum
Order code: 82425
Preferred specimen: 2.0 mL serum, royal blue (no additive) top tube. Remove serum from cells ASAP or within 2 hours of collection and transfer to a
Trace Element-Free transport tube.
nutritional supplements, vitamins, minerals, nonessential over-the-counter medications for 48 hours prior to sample draw (upon the
advice of their physician). In addition, the administration of iodine-based contrast media and drugs containing iodine may yield
elevated results. During venipuncture, do not use disinfectants (such as Betadine) that contain iodine.
S1
0
This test reports total iodine from all iodine-containing species present in the specimen and is recommended for determination of
iodine excess and monitoring iodine overload in patients administered iodine-containing medications. This test does not determine
the chemical form (species) of the iodine present.
Unacceptable: Plasma. Specimens not received in Trace Element Free transport tubes. Separator tubes and specimens that are not separated
from the clot within 6 hours. Serum collected within 48 hours after administration of a gadolinium (Gd) or iodine (I) containing
contrast media (may occur with MRI studies).
Unit code: 822455
CPT Code(s): 83018
Values greater than 250 µg/L may indicate iodine overload.
Reported: 2-6 days
Iodine, Urine
Order code: 82247
specimen collection. In addition, the administration of iodine-based contrast media and drugs containing Iodine may yield elevated
results.
This test reports total iodine from all iodine-containing species present in the specimen and is recommended for the assessment of
iodine nutritional status. This test does not determine the chemical form (species) of the iodine present.
Unacceptable: Specimens not received in Trace Element Free tube. Urine collected within 48 hours after administration of a gadolinium (Gd)
containing contrast media or acid preserved urine.
Unit code: 822457
CPT Code(s): 83018
Reported: 4-6 days
10-309
Test List
Ionized Calcium
See: Calcium, Ionized
Ionized Magnesium
See: Magnesium, Ionized, Serum
Irinotecan Toxiicity
See: UDP Glucuronosyltransferase 1A1 (UGT1A1) Genotyping
Iron and Iron Binding Capacity
Order code: 1330
Method: Colorimetric/Ferrozine/Calculation
Unit code: 103140
CPT Code(s): 83540, 83550
Ref range: Iron:
Male: 59-158 µg/dL
TIBC: 250-425 µg/dL
% Saturation: 20-50%
Iron Stain
Order code: 7250
Preferred specimen: Collect lavender (EDTA) top tube or bone marrow. Prepare 4 unfixed, air-dried smears or core punch preps and transfer to a metal
free container.
Unacceptable: Fixed smears. Refrigerated or frozen smears.
S1
0
Method: Cytochemical Stain
Unit code: 702050
CPT Code(s): 88313
Reported: 2-3 days
Iron, Liver
Order code: 83680
Preferred specimen: At least 1 cm long specimen of liver tissue (obtained with an 18 gauge needle). Tissue can be fresh, paraffin-embedded, formalinfixed, or dried. Specimens should be stored and transported in an metal-free container such as a royal blue (no additive) top tube.
Minimum specimen: Specimen should not be less than 0.25 mg (dry weight).
Notes: Age is required on test request form in order to calculate iron index.
Unacceptable: Specimens less than 0.25 mg (dry weight). Specimens stored or shipped in saline.
Unit code: 822500
CPT Code(s): 83540
Ref range: Male:
Hepatic Iron Content (HIC): 200-2,000 µg/g of tissue; Hepatic Iron Index (HII): less than 1.0
Female:
Hepatic Iron Content (HIC): 200-1,600 µg/g of tissue; Hepatic Iron Index (HII): less than 1.0
Reported: 3-7 days
Iron, Serum
Order code: 1065
Preferred specimen: 1.0 mL serum, red top tube or SST tube
Unit code: 101690
CPT Code(s): 83540
Ref range: Male: 59-158 µg/dL
Test List
10-310
Islet Cell Antibody
Order code: 80890
Unacceptable: Plasma, severely lipemic, contaminated, or hemolyzed samples.
Unit code: 822600
CPT Code(s): 86341
Ref range: Negative: <1:1
Reported: 3-9 days
Isopropanol (Includes Acetone)
Order code: 80380
Preferred specimen: 3.0 mL serum, red top tube. Remove serum from cells within 2 hours of collection and transfer to a tightly-capped plastic transport
tube to minimize alcohol loss.
Other acceptable: 3.0 mL plasma, gray (sodium fluoride/potassium oxalate) top tube. Remove plasma from cells within 2 hours of collection and
transfer to a tightly-capped plastic transport tube. Sodium fluoride/potassium oxalate whole blood may be transported in the
original container. Do not freeze whole blood.
Unit code: 801650
CPT Code(s): 80320
Ref range: Isopropanol:
No therapeutic range - Limit of detection 5 mg/dL
Toxic: > 50 mg/dL
Acetone, Quantitative:
No therapeutic range - Limit of detection 5 mg/dL
Toxic: > 100 mg/dL
Toxic concentrations may cause nausea, dizziness, central nervous system depression and coma.
Reported: 2-3 days
S1
0
Isoptin
See: Verapamil
Isospora Stain
Isotretinoin, Quantitative
Order code: 82266
Preferred specimen: 3.0 mL serum, red top tube. Do not collect in gel-barrier tube.
Notes: Remove serum or plasma from cells ASAP and transfer to a plastic amber transport tube. Protect from light during collection,
storage, and shipment.
Other acceptable: 3.0 mL plasma, lavender (EDTA) top tube.
Unacceptable: Separator tubes or gels or specimens not protected from light.
Unit code: 822660
CPT Code(s): 80375
Reported: 4-9 days
10-311
Test List
Itraconazole, Quantitation by LC-MS/MS
Order code: 82267
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells within 2 hours of collection, transfer to a
Notes: Specimens for trough levels should be obtained just before or within 15 minutes of next dose. Specimens for peak levels should be
obtained within 15-30 minutes after the end of I.V. infusion, or 45-60 minutes after an IM injection, or 90 minutes after oral intake.
collection, transfer to a plastic transport tube and freeze.
Unacceptable: Separator tubes or gels. Hemolyzed or lipemic specimens.
Unit code: 822670
CPT Code(s): 80299
Ref range: Itraconazole (trough) - Localized Infection: Greater than 0.5 µg/mL
Itraconazole (trough) - Systemic Infection: Greater than 1.0 µg/mL
Hydroxyitraconazole: No therapeutic range established
Total concentrations for itraconazole and hydroxyitraconazole should not exceed 10 µg/mL. Adverse effects may include nausea,
vomiting and rash.
Reported: 2-7 days
JAK2 (V617F) Mutation by PCR
Order code: 50902
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) or yellow (ACD Solution A) top tube.
Other acceptable: 3.0 mL bone marrow in lavender (EDTA) top tube.
Unit code: 550902
CPT Code(s): 81270, G0452
Ref range: Not detected
S1
0
Reported: 2-7 days
JAK2 (V617F) Mutation with Reflex to JAK2 Exon 12 Mutation Analysis by PCR
Order code: 50905
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) or yellow (ACD Solution A) top tube.
Notes: Most appropriate in cases of high suspicion of polycythemia vera. Negative JAK2 V617F mutation status will reflex to JAK2 exon
12 mutation analysis at an additional charge. Testing includes pathologist's interpretation.
Other acceptable: 3.0 mL bone marrow in lavender (EDTA) top tube.
Unacceptable: Frozen specimens. Clotted or grossly hemolyzed specimens.
Unit code: 550905
CPT Code(s): 81270, G0452
Reported: 2-17 days
JAK2 Exon 12 Mutation Analysis by PCR
Order code: 82272
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) or 3.0 mL bone marrow (EDTA). Do not freeze.
Most appropriate in cases of high suspicion of polycythemia vera with negative JAK2 V617F mutation status.
Unacceptable: Serum, frozen specimens, clotted or grossly hemolyzed specimens.
Unit code: 822702
CPT Code(s): 81403, G0452
Reported: 8-11 days
Test List
10-312
JC Virus by PCR
Order code: 87100
Preferred specimen: 1.0 mL plasma, lavender (EDTA) top tube or 1.0 mL serum, SST. Remove plasma or serum from cells, transfer to a plastic
Minimum specimen: 0.5 mL
Other acceptable: 1.0 mL CSF or urine in a sterile container, frozen.
Unacceptable: Heparinzed specimens.
Unit code: 822710
CPT Code(s): 86711
Reported: 3-5 days
JO-1 Antibody, IgG
Order code: 5215
Unit code: 350121
CPT Code(s): 86235
Ref range: <16 EU/mL Negative
16-20 EU/mL Inconclusive
>20 EU/mL Positive
Reported: 1-3 days
Kappa/Lambda Free Light Chains, Quantitative
See: Kappa/Lambda Quantitative Free Light Chains with Ratio, Serum
Free Kappa & Lambda Light Chains, Quantitative, Urine
S1
0
Kappa/Lambda Quantitative Free Light Chains with Ratio, Serum
Order code: 1513
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells immediately after clotting (within 30 minutes) and transfer to a
plastic transport tube. Patient should be fasting for 8 hours to avoid lipemic sample interference.
Notes: Values obtained with different assay methods should not be used interchangeably in serial testing. It is recommended that only one
assay method be used consistently to monitor each patient's course of therapy.
Unacceptable: Hemolyzed, lipemic, or microbial contaminated specimens.
Unit code: 113500
CPT Code(s): 83883 (x2)
Ref range: Kappa Free Light Chains: 3.30-19.40 mg/L
Lambda Free Light Chains: 5.71-26.30 mg/L
K/L Free Light Chain Ratio: 0.26-1.65
Reported: 1-4 days
Ketamine Confirmation, Quantitative, Urine
Order code: 27018
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compound: Ketamine.
Unit code: 270180
CPT Code(s): 80357
Reported: 2-4 days
Ketone Bodies
See: Beta-Hydroxybutyric Acid
10-313
Test List
Ketosteroids, Total (17)
See: 17-Ketosteroids, Total, Urine
Keytruda
See: PD-L1 by Immunohistochemistry (IHC)
Ki-67 (MIB1), Breast, Immunohistochemistry
Order code: 35950
Notes: Tissue block will be returned after testing is complete.
Other acceptable: Unstained, positively charged slides with 4 micron FFPE tissue sections (one for each stain ordered plus 2-5 extra).
Method: Immunohistochemistry (IHC) with Image Analysis
Unit code: 535950
CPT Code(s): 88361
Reported: 3-7 days
Kidney Stone Analysis
See: Stone (Calculi) Analysis
Kidney Stone Risk Panel, Urine
Order code: 83833
Preferred specimen: Urine from a well-mixed 24-hour urine collection. Refrigerate urine during collection period. Use Calculi Risk/Supersaturation Urine
collection kit for preserving the specimen for delivery to the laboratory. Kits are available through BBPL Client Services. Follow the
instructions provided in the kit for collecting, processing, and transporting the urine specimen. Do not exceed 4 mL in tubes. Freeze
the urine aliquot tubes after processing and deliver to the laboratory as soon as possible. Record the total volume and hours of
collection on the test request form.
Minimum specimen: 4 mL urine for each aliquot.
Other acceptable: Collect 24-hour urine and submit entire urine to the laboratory within 12 hours after collection is complete. Refrigerate during
collection and transport refrigerated to the laboratory.
Transport temp: Frozen aliquot tubes
Method: Quantitative Spectrophotometry/Quantitative Enzymatic
Unit code: 838330
CPT Code(s): 82340, 82507, 83945, 84560
Reported: 2-7 days
KIT Mutations in AML by Fragment Analysis and Sequencing
Order code: 82955
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) top tube or 3.0 mL bone marrow (EDTA).
Unacceptable: Serum or plasma. Frozen or clotted specimens. Specimens collected in anticoagulants other than EDTA. Severely hemoloyzed
specimens.
Method: Polymerase Chain Reaction/Fragment Analysis/Sequencing
Unit code: 822955
CPT Code(s): 81272, G0452
Kleihauer-Betke
See: Fetal Maternal Hemorrhage, Blood
Test List
10-314
S1
0
KOH Prep
See: Fungal Smear Only
Fungal Stain KOH, Skin, Hair, Nails
Trichomonas & KOH Prep, Genital
Kolpoxide
KRAS Mutation Analysis
Order code: 32210
Preferred specimen: Formalin-fixed, paraffin-embedded (FFPE) tissue block containing greater than 25% tumor or five precut, unstained slides from
paraffin block in 7-micron thick sections, and one H&E reference slide.
Unit code: 532210
CPT Code(s): 81275, 88381, G0452
L Carnitine, Free
See: Carnitine, Free
L Carnitine, Total
See: Carnitine, Total
S1
0
L-Carnitine Free
See: Carnitine, Free
L-Carnitine Total
See: Carnitine, Total
L/S Ratio
Order code: 84000
Preferred specimen: 10.0 mL amniotic fluid. Protect from light and transport frozen.
Notes: Fetal Lung Maturity may be used instead for non-diabetic patients.
Unit code: 823050
CPT Code(s): 83661
Lacosamide (Vimpat)
Order code: 82307
tube.
Method: High Performance Liquid Chromatography/Tandem Mass Spectrometry
Unit code: 823070
CPT Code(s): 80339
Ref range: Therapeutic Range: Not well established. Suggested range 5.0-10.0 µg/mL
Dose-related range (values at dosages of 200-600 mg/day): 2.5-18.0 µg/mL
Toxic Level: Not well established
Reported: 2-5 days
10-315
Test List
Lactate Dehydrogenase (LDH) Isoenzymes
Order code: 82309
Preferred specimen: 1.0 mL serum, red top tube or SST. Allow serum to clot completely at room temperature. Remove serum from cells ASAP and
transfer to a plastic transport tube. Keep at room temperature.
Notes: Do not refrigerate or freeze. Hemolyzed specimens and serum which have not been separated from cells show elevated LD-1
and LD-2. LD-3, LD-4 and LD-5 are labile at low temperatures and are erroneously low in specimens that have been refrigerated or
frozen.
Unacceptable: Plasma, frozen, refrigerated, or hemolyzed specimens.
Method: Enzymatic/Electrophoresis
Unit code: 823095
CPT Code(s): 83615, 83625
Ref range: LD-1: 14-27%
LD-2: 29-42%
LD-3: 18-30%
LD-4: 8-15%
LD-5: 6-23%
Lactate Dehydrogenase, Total:
0 up to 30 days: 200-465 U/L
1-17 months: 200-450 U/L
18 months-10 years: 165-430 U/L
11-16 years: 127-287 U/L
Reported: 2-3 days
Lactate Dehydrogenase (LDH), Fluid
Order code: 1531
Notes: Indicate source on test requisition.
Method: UV Test
Unit code: 103180
CPT Code(s): 83615
S1
0
Lactate Dehydrogenase (LDH), Total, Serum
Order code: 1115
Method: UV Test
Unit code: 101830
CPT Code(s): 83615
Lactate, Plasma
See: Lactic Acid, Plasma
Lactic Acid, Plasma
Order code: 83720
Preferred specimen: 1.0 mL plasma, gray (sodium fluoride/potassium oxalate) top tube. Avoid hand-clenching and, if possible, avoid use of tourniquet. If
tourniquet is used, release before blood is drawn and wait about 1 minute before drawing blood. Place gray top tube on ice
immediately after venipuncture. Remove the plasma from cells immediately after collection and transfer to a plastic transport tube.
Notes: Patient should be fasting and at complete rest (should not exercise). Patient should not be on any intravenous infusion that would
affect the acid-base balance.
Unacceptable: EDTA, citrate, or iodoacetate as anti-coagulants, marked hemolysis, slight or moderate turbidity, or serum specimens.
Method: Lactate-pyruvate; Spectrophotometry
Unit code: 823100
CPT Code(s): 83605
Reported: 3-5 days
Test List
10-316
Lactoferrin, Fecal, Qualitative
Order code: 82110
Preferred specimen: 5 g stool preserved in Cary-Blair media.
Unacceptable: Specimen preservatives other than Cary-Blair.
Unit code: 823110
CPT Code(s): 83630
Ref range: Negative
A positive result is indicative of the presence of lactoferrin, a marker for fecal leukocytes. A negative result does not exclude the
presence of intestinal inflammation.
Reported: 2-3 days
Lactoferrin, Fecal, Quantitative
Order code: 83112
Preferred specimen: 1 g random stool in a clean unpreserved stool transport container. Loose/watery stools are acceptable. Ensure that no toilet
tissue/sanitary materials are present in the specimen.
Minimum specimen: 0.5 g stool
Notes: Test may not be appropriate in immunocompromised persons, patients with a history of HIV and/or hepatitis B and C, patients with
a history of infectious diarrhea (within six months), and patients having had a colostomy and/or ileostomy within one month.
Use as an aid to distinguish patients with active inflammatory bowel disease (IBD) from those with inactive IBD, as well as from
noninflammatory irritable bowel syndrome (IBS).
Unacceptable: Nonfecal specimens, stool contaminated with urine, preserved stool.
Unit code: 823112
CPT Code(s): 83631
Ref range: Baseline (normal): 0.00-7.24
Elevated: >7.24
An elevated result is indicative of the presence of fecal lactoferrin, a marker of intestinal inflammation. A normal result does not
exclude the presence of intestinal inflammation.
Reported: 7-10 days
S1
0
Lambda Free Light Chains, Serum
See: Kappa/Lambda Quantitative Free Light Chains, Serum
Lambert-Eaton Myasthenic Syndrome (LEMS) Antibodies
See: Myasthenia Gravis/Lambert-Eaton Syndrome Evaluation
Lamellar Body Count
Order code: 82316
Preferred specimen: 10.0 mL amniotic fluid submitted in sterile screw-cap tube. Do not centrifuge.
Unacceptable: Specimens with visible hemolysis or containing mucous, meconium, or blood. Frozen specimens.
Method: Platelet Count by Impedance Method
Unit code: 823165
CPT Code(s): 83664
Lamotrigine (Lamictal)
Order code: 1145
Notes: Draw trough specimen immediately prior to or within 1 hour of next dose at steady state. Indicate collection time on both the
transport tube and test request form.
Unit code: 110045
CPT Code(s): 80175
10-317
Test List
Lanatoxin
See: Digitoxin
Lanoxin
See: Digoxin
LAP Score
See: Leukocyte Alkaline Phosphatase (LAP) Score
LAP, Serum
See: Leucine Aminopeptidase
Laroxyl
LATS (Long-acting Thyroid Stimulator)
See: Thyroid Stimulating Immunoglobulin
LD
See: Lactate Dehydrogenase, Total, Serum
Lactate Dehydrogenase (LD) Isoenzymes
Lactate Dehydrogenase, Fluid
LD Isoenzymes
S1
0
See: Lactate Dehydrogenase (LD) Isoenzymes
LDH Fluid
See: Lactate Dehydrogenase, Fluid
LDH Isoenzymes
See: Lactate Dehydrogenase (LD) Isoenzymes
LDH Serum
See: Lactate Dehydrogenase, Total, Serum
Lactate Dehydrogenase (LD) Isoenzymes
Lactate Dehydrogenase, Fluid
LDL Cholesterol, Calculation, Serum
See: Lipid Profile
Test List
10-318
LDL Cholesterol, Direct, Serum
Order code: 82315
Preferred specimen: 1.0 mL serum, SST. Allow serum to clot completely at room temperature before centrifuging. Remove serum from cells ASAP or
within 2 hours of collection and transfer to a plastic transport tube.
Method: Quantitative Detergent Solubilization/Enzymatic
Unit code: 823150
CPT Code(s): 83721
Ref range: Age 0-19 years:
Desirable 109 mg/dL or less
Borderline 110-129 mg/dL
Higher Risk 130 mg/dL or greater
Age 20 years and older:
Desirable 129 mg/dL or less (99 mg/dL or less if patient has CHD)
Borderline 130-159 mg/dL
Higher Risk 160 mg/dL or greater
Reported: 2-3 days
LDL Subclasses
Order code: 82311
Preferred specimen: 1.0 mL serum, red top tube. Remove serum from cells ASAP or within 2 hours of collection.
Notes: Patient should be fasting for 12 hours prior to collection.
Other acceptable: 1.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP or within 2 hours of collection.
Unacceptable: Heparinized plasma. Specimens from patients receiving heparin.
Unit code: 823151
CPT Code(s): 82465, 83701
Reported: 2-9 days
S1
0
Lead, Blood (Venous)
Order code: 83800
Preferred specimen: 7.0 mL whole blood, royal blue (K EDTA or Na EDTA) or 3.0 mL whole blood, tan (K EDTA) top tube, in the original collection
2
2
2
tube at room temperature. Refrigerated
is also acceptable.
Notes: This test is for venous collection only.
Unacceptable: Serum. Heparinized, clotted, or frozen specimens.
Unit code: 823650
CPT Code(s): 83655
Ref range: Reference Range: 0.0-4.9 µg/dL
Interpretive Data:
All ages: 5-9.9 µg/dL; Adverse health effects are possible, particularly in children under 6 years of age and pregnant women.
Discuss health risks associated with continued lead exposure. For children and women who are or may become pregnant, reduce
lead exposure.
All ages: 10.19.9 µg/dL; Reduced lead exposure and increased biological monitoring are recommended.
All ages: 20-69.9 µg/dL; Removal from lead exposure and prompt medical evaluation is recommended. Consider chelation therapy
when concentrations exceed 50 µg/dL and symptoms of lead toxicity are present.
Less than 19 years of age: Greater than 44.9 µg/dL; Critical. Immediate medical evaluation is recommended. Consider chelation
therapy when symptoms of lead toxicity are present.
Greater than 19 years of age: Greater than 69.9 µg/dL; Critical. Immediate medical evaluation is recommended. Consider chelation
Reported: 2-3 days
10-319
Test List
Lead, Fingerstick, Filter Paper
Order code: 82351
®
Preferred specimen: Collect according to the instructions provided on the MedTox Quik-Card filter paper for Pediatric Lead Test. Filter paper collection
card is available through BBPL Client Services or online using the BBPL Electronic Supply Order Form. Great care must be taken
to remove lead from the hands of the patient and collection personnel prior to collection and also prevent contamination of the filter
paper by the environment.
1. Open the matchbook-style collection card and place on a clean, flat surface. Do not touch the filter paper or the inner shiny
surface of the collection card.
2. Thoroughly wash patient's hands with soap and water.
3. Scrub tip of finger with an alcohol prep pad and air dry or wipe with sterile gauze.
4. Pierce the skin of the prepped finger with a lancet. Wipe off the first drop of blood with sterile gauze.
5. Allow a blood drop to accumulate and fall onto one of the circles on the sample card. Collect a second blood drop on the second
circle in the same manner. Do not allow the finger to touch the paper.
NOTE: The circles are provided as a guide for the approximate size and location of the blood spots. The sample is acceptable if
the blood spots fall outside of the circles as long as they are of adequate size. Examine the reverse side of the filter paper to make
sure blood has soaked through to the back.
6. Write the patient's name on the sample card.
7. Allow the blood spots to dry for 2 to 5 minutes, tuck in the top flap to create a "matchbook".
Unacceptable: Quantity not sufficient or blood did not soak through to the back of filter paper. Samples received wet cannot be tested.
Unit code: 823551
CPT Code(s): 83655
Ref range: Lead Reference Range: <5 µg/dL
Lead Report Limit: 1 µg/dL
Critical Value - High: 20 µg/dL
Reported: 5-8 days
Lead, Urine, Quantitative
Order code: 83830
refrigerated during collection period. Submit specimen in two Trace Element-Free transport tubes. Do not add acid preservative.
Record total volume and hours of collection on both the urine container and test request form.
nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician).
S1
0
Unit code: 823750
CPT Code(s): 83655
Ref range: Lead, Urine: 0-23 µg/L
Reported: 2-4 days
Lead, Whole Blood Capillary
Order code: 83820
Preferred specimen: 0.5 mL whole blood, lavender (EDTA) Microtainer tube. Mix well (invert 10 times) to prevent clot formation.
Notes: This test should only be ordered for specimens obtained using skin puncture (capillary ) technique. Clean puncture site well with
soap and water before collection procedure begins.
Unacceptable: Heparin anticoagulant
Unit code: 823600
CPT Code(s): 83655
Ref range: Reference Range: 0.0-4.9 µg/dL
Interpretive Data:
All ages: 5-9.9 µg/dL; Adverse health effects are possible, particularly in children under 6 years of age and pregnant women.
Discuss health risks associated with continued lead exposure. For children and women who are or may become pregnant, reduce
lead exposure.
All ages: 10.19.9 µg/dL; Reduced lead exposure and increased biological monitoring are recommended.
All ages: 20-69.9 µg/dL; Removal from lead exposure and prompt medical evaluation is recommended. Consider chelation therapy
when concentrations exceed 50 µg/dL and symptoms of lead toxicity are present.
Less than 19 years of age: Greater than 44.9 µg/dL; Critical. Immediate medical evaluation is recommended. Consider chelation
Greater than 19 years of age: Greater than 69.9 µg/dL; Critical. Immediate medical evaluation is recommended. Consider chelation
Reported: 2-4 days
Test List
10-320
Leflunomide Metabolite
Order code: 83766
Notes: Timing of specimen collection: Predose (trough). Obtain specimen 12-24 hours after last dose.
Other acceptable: 1.0 mL plasma, lavender (EDTA), green (sodium heparin), or gray (sodium fluoride) top tube. Remove plasma from cells within 2
hours of collection and transfer to a plastic transport tube.
Unacceptable: Whole blood. Potassium oxalate or separator tubes or gels.
Method: High Performance Liquid Chromatography/Mass Spectrometry
Unit code: 823766
CPT Code(s): 80299
Ref range: Therapeutic Range: Greater than 40 µg/mL
Toxic Level: Not well established
Reported: 2-7 days
Legionella pneumophila Antibody (Types 1-6), IgG by IFA, Serum
Order code: 83840
Unit code: 824050
CPT Code(s): 86713
Ref range: <1:128 Negative - No significant level of Legionella pneumophila Type 1-6 IgG antibody detected.
1:128 Equivocal - Questionable presence of Legionella pneumophila Type 1-6 IgG antibody detected.
Repeat testing in 10-14 days may be helpful.
1:256 or greater Positive - Presence of Legionella pneumophila Type 1-6 IgG antibody detected, suggestive of current or past
infection.
Reported: 2-5 days
S1
0
Legionella pneumophila Antigen, Urine
Order code: 82377
Preferred specimen: 4.0 mL aliquot from a well-mixed random urine specimen. No preservative.
Notes: This assay detects Legionella pneumophila serogroup one (1) antigen.
Unacceptable: Specimens in preservative.
Unit code: 823775
CPT Code(s): 87449
Ref range: Negative
Reported: 2-3 days
Legionella pneumophila DFA
Order code: 82391
Preferred specimen: Collect: Respiratory tract specimens (secretions, aspirates, BAL, tissue, fluids, sputum, abscess material) or pericardial fluid.
Fluid: Transport prepared duplicate slides or 1.0 mL fluid in a sterile container.
Tissue: Transfer tissue to a sterile container and place on gauze moistened with sterile non-bacteriostatic saline to prevent drying.
Source of specimen is preferred.
Notes: DFA is not recommended for diagnosing Legionella pneumophila-caused infections. For diagnosing Legionella pneumophilacaused infections, refer to Culture, Legionella Species (order code 83842).
Unacceptable: Non-respiratory specimens. Specimens in preservative or viral transport medium.
Method: Direct Fluorescent Antibody Stain
Unit code: 823951
CPT Code(s): 87278
Ref range: Negative
Reported: 2-3 days
10-321
Test List
Legionella Species by Qualitative PCR
Order code: 82384
Preferred specimen: Collect respiratory specimen; sputum, tracheal aspirates, nasopharyngeal swab, pleural fluid, bronchoalveolar lavage (BAL), or
bronchial brushings. Transport 2.0 mL fluid in sterile container or in viral transport media. Place swabs in viral transport media.
Specimen source is required.
Notes: This test detects and speciates L. pneumophila. The nucleic acid from other Legionella species will be detected by this test but
cannot be differentiated.
Unacceptable: Dry swabs and nonsterile or leaking containers. Respiratory aspirates in collection containers with tubing. These containers tend to
leak compromising the specimen.
Unit code: 823840
CPT Code(s): 87541
Reported: 2-3 days
Legionella Species, Culture
See: Culture, Legionella Species
Leptin
Order code: 82409
Notes: Patient should fast overnight prior to collection.
Unacceptable: Icteric specimens or severely hemolyzed specimens. Non-fasting specimens.
Method: Quantitative Chemiluminescent Assay
Unit code: 824090
CPT Code(s): 83520
Ref range: 0-17 years: Not Established
Adult Male: 0.5-12.5 ng/mL
Adult Female: 0.5-15.2 ng/mL
S1
0
Reported: 2-6 days
Leptospira Antibody, IgM by Dot Blot
Order code: 82415
Notes: Remove serum or plasma from cells ASAP. Acute and convalescent specimens must be labeled as such; parallel testing is
preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Please mark
specimen plainly as "acute" or "convalescent".
Unacceptable: Severely lipemic, hemolyzed, heat-inactivated, or contaminated specimens. Any other body fluid.
Method: Dot Blot
Unit code: 824105
CPT Code(s): 86720
Ref range: Negative: No significant level of Leptospira IgM antibody detected.
Equivocal: Questionable presence of Leptospira IgM antibody detected. Repeat testing in 10-14 days may be helpful.
Positive: Presence of IgM antibody to Leptospira detected, suggestive of a current or recent infection.
Reported: 2-6 days
Leucine Aminopeptidase
Order code: 83740
Preferred specimen: 1.0 mL serum, red top tube or SST. Allow serum to clot completely at room temperature. Remove serum from cells ASAP.
cells ASAP.
Unit code: 824200
CPT Code(s): 83670
Ref range: Male: 1.1-3.4 U/mL
Female: 1.2-3.0 U/mL
Reported: 2-9 days
Test List
10-322
Leukemia Immunophenotyping by Flow Cytometry, Acute Leukemia/Cell Lineage
Order code: 35416
Preferred specimen: Whole Blood: 5.0 mL whole blood, lavender (EDTA) top tube and/or 1 yellow (ACD solution A) top tube.
Bone Marrow: 2.0 mL bone marrow submitted in a green (sodium heparin) top tube. After specimen is well mixed with
Notes: Routine testing includes 19 antibodies. Test includes CD45, CD13, CD14, CD7, CD3, CD20, CD19, CD16, CD10, CD33, CD34,
HLA-DR, Kappa light chains, Lambda light chains, CD38, CD5, CD117, CD64, and FMC7. Testing may include additional
antibodies based on initial findings as interpreted by a pathologist.
Requisition should include suspected diagnosis and any available patient history.
Unit code: 535416
CPT Code(s): 88184, 88185 (x18)
Reported: 1-3 days
Leukocyte Alkaline Phosphatase (LAP) Score
Order code: 82240
Preferred specimen: Prepare 6 unfixed slides (frosted end) from whole blood, green (sodium or lithium heparin) top tube. Air dry slides and label with
patient's name. Slides must be made within 24 hours of collection and received in laboratory within 3 days of preparation. Do not
use EDTA anticoagulant and do not fix slides with any type of fixative.
Minimum specimen: 2 unfixed slides (frosted end)
Notes: Pregnancy, increased number of immature forms of neutrophils, and postoperative or “stressful” states are associated with
increased scores. The differential must have adequate numbers of mature neutrophilic granulocytes to perform the LAP.
Other acceptable: Prepare 6 unfixed slides (frosted end) from fingerstick blood.
Unacceptable: Slides made from any anticoagulant other than heparin, frozen slides, poorly prepared slides.
Method: Cytochemical Stain
Unit code: 824205
CPT Code(s): 85540
S1
0
Ref range: 25-130
Levetiracetam (Keppra)
Order code: 1148
Notes: Draw trough specimen immediately prior to or within 1 hour of next dose at steady state. Indicate collection time on both the
transport tube and test request form.
Unit code: 110048
CPT Code(s): 80177
Levodopa
See: Sinemet
LH, Serum
See: Luteinizing Hormone
10-323
Test List
LH/FSH Panel
Order code: 1288
Notes: Test includes Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH).
Unit code: 111097
CPT Code(s): 83001, 83002
Ref range: Follicle Stimulating Hormone (FSH):
Female:
Male:
1.4-15.4 mIU/mL
Luteinizing Hormone (LH):
Female:
Ovulaton phase: 14.0-95.6 mIU/mL
Male:
1.7-8.6 mIU/mL
Librax
Librium & Nordiazepam
Order code: 81540
Method: High Performance Liquid Chromatography/Gas Chromatography
Unit code: 807350
CPT Code(s): 80346
Ref range: Librium:
500-3000 ng/mL - Dose (Adult): 5-100 mg
Nordiazepam: 100-1500 ng/mL - Based on normal dosages.
Reported: 2-6 days
Lidocaine
Order code: 83880
Preferred specimen: 1.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells immediately and transfer to a plastic
transport tube.
Notes: Draw specimens 12 hours after initiating therapy for arrhythmia prophylaxis, then every 24 hours thereafter.
Other acceptable: 1.0 mL plasma, green (sodium heparin) top tube. Remove plasma from cells immediately and transfer to a plastic transport tube.
Unacceptable: Separator tubes or gels. Specimens collected in lavender (EDTA) or gray (sodium fluoride/potassium oxalate) top tubes.
Method: Immunoassay
Unit code: 824350
CPT Code(s): 80176
Toxic: greater than 9.0 µg/mL
Reported: 2-3 days
Test List
10-324
S1
0
Lidocaine & Metabolite
Order code: 82435
Notes: Test includes Lidocaine and Monoethylglycinexylidide.
tube.
Method: Gas Chromatography
Unit code: 824351
CPT Code(s): 80176
Reported: 4-11 days
Limbitrol
Lipase, Serum
Order code: 1528
Unit code: 103155
CPT Code(s): 83690
S1
0
Lipid Associated Sialic Acid, (LASA), Serum
Order code: 83930
Preferred specimen: 0.5 mL serum, SST. Allow serum to clot completely at room temperature. Remove serum from cells ASAP, transfer to a plastic
Notes: Samples lose up to 25% LASA in 24 hours if left at room temperature.
Unacceptable: Non-frozen samples are not accepted.
Unit code: 823200
CPT Code(s): 84275
Reported: 2-9 days
Lipid Profile
Order code: 1003
Preferred specimen: 2.0 mL serum, red top tube or SST. Remove serum from cells and transport to a plastic transport tube.
Cholesterol
Triglycerides
HDL
Cholesterol/HDL
LDL (Calculated)
LDL/HDL
Phenotype
Unit code: 94005
CPT Code(s): 80061
Ref range: Adult ranges
Cholesterol: <200 mg/dL
Triglycerides: <150 mg/dL
HDL: >=40 mg/dL
LDL (Calculated): <130 mg/dL
10-325
Test List
Lipids-Total, Stool, Quantitative
See: Fecal Fat Quantitative
Lipoprotein (a)
Order code: 84572
Preferred specimen: 0.5 mL serum, red top tube or SST. Remove serum from cells ASAP (within 2 hours of collection) and transfer to a plastic transport
tube.
Notes: Intake of alcohol, aspirin, niacin, and estrogen supplements have the potential of causing a misrepresentation of true Lp(a)
concentrations.
cells ASAP (within 2 hours of collection) and transfer to a plastic transport tube.
Unit code: 824570
CPT Code(s): 83695
Ref range: <75 nmol/L
Reported: 3-5 days
Lipoprotein Electrophoresis
Order code: 1580
Preferred specimen: 1.0 mL serum, SST or red top tube. DO NOT FREEZE.
Notes: Patient should be fasting for 12-15 hours.
Unacceptable: Body fluids. Heparin or frozen specimens.
Method: Qualitative Electrophoresis/Quantitative Enzymatic /Detergent Solubilization
Unit code: 824578
CPT Code(s): 83700
Reported: 2-9 days
Lithium
S1
0
Order code: 1175
Notes: Sampling time: Collect 8-12 hours after last dose.
Other acceptable: 0.5 mL plasma, green (sodium heparin) top tube.
Unacceptable: Plasma collected in lithium heparin tubes.
Unit code: 110050
CPT Code(s): 80178
Ref range: Therapeutic: 0.6-1.2 mmol/L
Potentially toxic: >3.0 mmol/L
Lithobid
See: Lithium
Lithonate
See: Lithium
Test List
10-326
Liver Cytosolic Type IgG
Order code: 84581
Other acceptable: 1.0 mL plasma, lavender (EDTA) or green (lithium heparin) top tube. Remove plasma from cells and transfer to a plastic transport
tube.
Method: Semi-Quantitiatve Immunoblot
Unit code: 824581
CPT Code(s): 83516
Ref range: Less than 11 units
Reported: 2-9 days
Liver Fibrosis, Chronic Viral Hepatitis (Echosens FibroMeter)
Order code: 84579
Preferred specimen: 3.0 mL serum, gel-barrier tube and 1.0 mL platelet-poor citrated plasma, light blue (sodium citrate) top tube. Remove serum and
citrated plasma from cells ASAP or within 2 hours of collection, transfer to individual plastic transport tubes and freeze.
This test requires an automated platelet count, which should be performed on the EDTA whole blood sample at the client
site. Record the platelet count on the test request form.
Minimum specimen: 1.2 mL serum and 0.5 mL platelet-poor citrated plasma
Unacceptable: Hemolyzed specimens. All required specimens not received. No platelet count received.
Method: Quantitative Nephelometry/Quantitative Enzymatic/Quantitative Spectrophotometry/Automated Cell Count/Electromagnetic
Mechanical Clot Detection
Unit code: 824579
CPT Code(s): 81599
Reported: 2-6 days
Liver-Kidney Microsome Antibody, IgG
Order code: 82458
S1
0
Unacceptable: Severely hemolyzed or lipemic specimens.
Unit code: 824580
CPT Code(s): 86376
Ref range: <1:20 Normal
Reported: 2-4 days
Lorazepam
Order code: 83970
Unit code: 824600
CPT Code(s): 80346
Ref range: Dose-Related Range:
50-240 ng/mL -Dose (Adult): 1-10 mg/d
Toxic: > 300 ng/mL
Reported: 2-6 days
Low Molecular Weight Heparin
See: Heparin Anti-Xa
Lower Respiratory Tract Culture
10-327
Test List
Loxapine
Order code: 83980
Notes: Trough levels are more reproducible.
Unit code: 824651
CPT Code(s): 80342
Ref range: Loxapine: 5.0-30.0 ng/mL
8-Hydroxyloxapine: 20.0-100.0 ng/mL
Reported: 4-8 days
Ludiomil
See: Maprotiline, Quantitative
Luminal
See: Phenobarbital
Lupus (10) Panel
Order code: 84020
Complement C3 & C4
dsDNA Antibody, IgG
Mitochondrial M2 Antibody, IgG
Thyroglobulin Antibody
Thyroid Peroxidase (TPO) Antibody
S1
0
Unacceptable: Plasma. Severely lipemic, grossly icteric, hemolyzed, or contaminated specimens.
Method: Nephelometry/Chemiluminescent Immunoassay/Enzyme Immunoassay/Enzyme-Linked Immunosorbent Assay
Unit code: 824751
CPT Code(s): 83516, 86038, 86160 (x2), 86225, 86235 (x3), 86376, 86800
Reported: 2-3 days
Lupus (11) Panel
Order code: 94090
tube.
dsDNA Antibody, IgG
Complement C3
Complement C4
Rheumatoid Factor
Ribosomal P Protein Antibody
Unacceptable: Plasma and other body fluids. Severely hemolyzed, lipemic, icteric or bacterially contaminated specimens.
Unit code: 94090
CPT Code(s): 83516, 86038, 86160 (x2), 86225, 86235 (x4), 86376, 86431
Reported: 2-7 days
Test List
10-328
Lupus (16) Panel
Order code: 94089
Preferred specimen: 7.5 mL serum, gel-barrier tubes. Remove serum from cells ASAP or within 2 hours of collection and transfer to a plastic transport
tube.
dsDNA Antibody, IgG
Complement C3
Complement C4
Rheumatoid Factor
Myocardial Antibody, IgG with Reflex to Titer
Parietal Cell Antibody, IgG
Reticulin Antibody, IgA with Reflex to Titer
Ribosomal P Protein Antibody
Striated Muscle Antibody, IgG with Reflex to Titer
Titers will be performed, if needed, at an additional charge.
Unacceptable: Plasma and other body fluids. Severely hemolyzed, lipemic, icteric or bacterially contaminated specimens.
Unit code: 94089
CPT Code(s): 83516 (x3), 86038, 86160 (x2), 86225, 86235 (x4), 86255 (x3), 86376, 86431
Reported: 2-7 days
Lupus Anticoagulant (LA) Screen & Confirmatory Panel
Order code: 2030
Preferred specimen: 6.0 mL platelet-poor plasma, three 3.5 mL light blue (3.2% sodium citrate) top tubes. Blue top tubes must be filled to completion to
ensure proper blood to anticoagulant ratio. Mix the tubes immediately by gentle inversion at least 6 times. Centrifuge immediately
and remove the top two-thirds of the plasma using a plastic transfer pipette, being careful not to disturb the cells.
Transfer 2.0 mL plasma into 3 separate plastic transport tubes and freeze immediately. Separate specimens must be
submitted when multiple tests are ordered.
Minimum specimen: Three 1.0 mL aliquots of platelet-poor plasma.
S1
0
Notes: If possible, testing should be performed in the absence of warfarin therapy, or the history of current warfarin therapy should be
provided on the test request form.Heparin therapy should be discontinued for 2 days prior to testing.
If result times for PT, aPTT, SCT, or dRVVT are prolonged, additional mixing studies will be performed at at an additional charge.
Unacceptable: Serum, whole blood, hemolyzed, lipemic, clotted or non-frozen specimens. Specimens contaminated with heparin.
Method: Photo optic
Unit code: 203000
CPT Code(s): 85610, 85612, 85730, 85732
Ref range: Prothrombin Time
11.0-14.0 Seconds
aPTT
28.0-40.0 Seconds
Silica Clotting Time (SCT)
Seconds 0.0-50.0
Normalized SCT Ratio <1.2
dRVVT (LAC)
Seconds 0.0-45.0
Normalized LAC Ratio <1.2
Reported: 1-3 days
Lustral
See: Sertraline
10-329
Test List
Luteinizing Hormone
Order code: 1287
Unit code: 111095
CPT Code(s): 83002
Ref range: Female:
Male:
1.7-8.6 mIU/mL
Lyme Disease Antibody
See: Borrelia burgdorferi DNA/PCR
Borrelia burgdorferi Antibody, CSF
Borrelia burgdorferi Antibodies, IgG & IgM
Borrelia burgdorferi Antibodies, IgG & IgM by Western Blot
Lymphocyte Mitogen Proliferation
Order code: 82538
Preferred specimen: TIME SENSITIVE TEST. Contact BBPL Client Services before collecting specimens.
Specimens should be received in the testing laboratory same day as drawn. Only draw patients on Monday through
Thursday.
Collect: One 10 mL green (sodium heparin) top tube (patient) and one normal control in a 10 mL green (sodium heparin) top
tube from a healthy unrelated individual at approximately the same time as and under similar collection conditions as the patient.
Label the control tube as such. Transport specimens at room temperature in the original collection tubes. CRITICAL AT ROOM
TEMPERATURE. Do not refrigerate or freeze.
Minimum specimen: 7 mL whole blood patient and 7 mL normal control.
Infant miniumum: 3 mL patient and 7 mL normal control
Notes: Live lymphocytes required.
Other acceptable: 10 mL yellow (ACD solution A) (patient) and 10 mL yellow (ACD solution A) (control) .
S1
0
Unacceptable: Yellow (ACD solution B) top tubes. Refrigerated or frozen specimens or specimens in transport longer than 12 hours.
Transport temp: CRITICAL AT ROOM TEMPERATURE
Method: Cell Culture
Unit code: 825380
CPT Code(s): 86353 (x3)
Lymphocyte Subsets, Immunocompetency
Order code: 35500
Preferred specimen: 3 mL EDTA whole blood, lavender top tube and 3 mL ACD-A whole blood, yellow top tube. Maintain specimens at room
temperature. Do not freeze or refrigerate. Specimens must be received in laboratory within 24 hours of collection.
Minimum specimen: 1.0 mL EDTA whole blood and 1.0 mL ACD-A whole blood.
Notes: Includes:
CD2 (Pan-T)%
CD3 (Pan-T)%
CD4 (Helper T)%
CD8 (Suppressor T)%
CD4/CD8 Ratio
CD19 (Pan-B)%
CD20 (Pan-B)%
CD56 (NK)%
Other acceptable: 1 yellow (ACD solution A) top tube and CBC results from same draw.
Unacceptable: Hemolyzed, clotted, refrigerated or frozen specimens.
Unit code: 535500
CPT Code(s): 88184, 88185 (x8)
Reported: 3-5 days
Test List
10-330
Lymphocyte Subsets, Immunodeficiency Panel
Order code: 35450
Notes: Includes:
CD3 T-Cell Count
CD4 T-Helper Count
CD8 T-Suppressor Count
CD4/CD8 Ratio
CD19 B-Cell Count
CD16/CD56 NK-Cell Count
Other acceptable: 1 yellow (ACD solution A) top tube and CBC results from same draw.
Unit code: 535450
CPT Code(s): 86355, 86357, 86359, 86360
Reported: 3-5 days
Lymphocyte Subsets, T-Cell CD4/CD8
Order code: 35470
CD3 T-Cell Count
CD4 T-Helper Count
CD8 T-Suppressor Count
CD4/CD8 Ratio
CD4 T-Helper %
Other acceptable: 3 mL EDTA whole blood, lavender top tube.
Unit code: 535470
S1
0
CPT Code(s): 86359, 86360
Reported: 3-5 days
Lymphoma (Aggressive) Panel by FISH
Order code: 87928
Preferred specimen: 3.0 mL non-diluted bone marrow aspirate collected in a heparinized syringe and transferred into a green (sodium heparin) top tube.
TIME SENSITIVE. Specimen must be received in laboratory within 24 hours of collection.
Minimum specimen: 1.0 mL bone marrow or 2.0 mL whole blood
Notes: Probes included: IGH/BCL2, BCL6 and MYC.
This panel is for the identification of double hit lymphoma and triple hit lymphoma, both of which show morphologic features
intermediate between diffuse large B-Cell lymphoma and Burkitt Lymphoma. Both are aggressive lymphomas and are
characterized by a poor survival rate.
Other acceptable: 10.0 mL whole blood, green (sodium heparin) top tube. Other specimen types may be acceptable, contact BBPL Client Services
for specific specimen collection and transportation instructions.
Unit code: 807928
CPT Code(s): 88271 (x3), 88275 (x3), 88291
Reported: 4-11 days
10-331
Test List
Lymphoma Immunophenotyping by Flow Cytometry
Order code: 35408
Preferred specimen: Whole Blood: 5.0 mL whole blood, lavender (EDTA) top tube and/or 1 yellow (ACD solution A) top tube.
Bone Marrow: 2.0 mL bone marrow submitted in a green (sodium heparin) top tube. After specimen is well mixed with
Notes: Routine testing includes 14 antibodies. Test includes CD45, CD3, CD19, CD20, CD5, CD4, CD8, CD23, CD10, CD38, CD7,
FMC7, Kappa light chains, and Lambda light chains. Testing may include additional antibodies based on initial findings as
interpreted by a pathologist or specimen type submitted.
Requisition should include suspected diagnosis and any available patient history.
Unit code: 535408
CPT Code(s): 88184, 88185 (x13)
Reported: 1-3 days
Lynch Syndrome
See: Mismatch Repair Proteins by IHC
Lyogen
See: Fluphenazine
Lysozyme, Serum
Order code: 84085
Preferred specimen: 1.0 mL serum, red top or gel-barrier tube. Remove serum from cells, transfer to a plastic transport tube and refrigerate. Freeze if
specimen will not be received in the laboratory within 4 days.
S1
0
Method: Enzymatic
Unit code: 825400
CPT Code(s): 85549
Ref range: Male: 3.0-12.8 µg/mL
Female: 2.5-12.9 µg/mL
Reported: 3-6 days
Macroprolactin
Order code: 85435
Preferred specimen: 1.0 mL serum, red top tube or SST. Allow specimen to clot at room temperature. Remove serum from cells, transfer to a plastic
Other acceptable: 1.0 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells, transfer to a plastic transport tube and
freeze.
Unacceptable: EDTA plasma
Unit code: 825435
CPT Code(s): 84146 (x2)
Ref range: Prolactin:
1-9 years: Male/Female 2.1-17.7 ng/mL
10 years and older: Male 2.1-17.7 ng/mL; Female 2.8-26.0 ng/mL
Monomeric Prolactin:
1-9 years: Male/Female 2.1-13.3 ng/mL
10 years and older: Male 2.1-13.3 ng/mL; Female 2.8-19.5 ng/mL
Monomeric Prolactin Percent: Greater than 50%.
Reported: 2-9 days
Test List
10-332
Magnesium
Order code: 1900
Other acceptable: 1.0 mL plasma, green (lithium heparin) top tube. Remove plasma from cells within 2 hours of collection and transfer to a plastic
transport tube.
Unit code: 103160
CPT Code(s): 83735
Magnesium, Fecal
Order code: 84094
Preferred specimen: 5 g aliquot from a well-mixed 24-hour or random stool collection in a clean unpreserved stool transport container. Stool must be
liquid. Do not add saline or water to liquify specimen.
Minimum specimen: 1 g stool aliquot
Notes: Indicate total collection time and weight.
Unit code: 825500
CPT Code(s): 83735
Ref range: Magnesium, Fecal 0-110 mg/dL
Magnesium, Fecal 24 hour 0-335 mg/d
Reported: 2-3 days
Magnesium, Ionized, Serum
Order code: 82555
Preferred specimen: Collect one 5 mL serum gel-barrier tube. Centrifuge with stopper in place within 1 hour of collection. Do not open the tube. Submit
the original collection tube. Separate specimens must be submitted when multiple tests are ordered.
S1
0
Minimum specimen: 4.0 mL serum gel-barrier tube.
Notes: Do not freeze gel-barrier tube. Do not expose specimen to air at any time during collection or transport process.
Unacceptable: Opened serum gel-barrier tube, hemolysis, or plasma specimens.
Unit code: 825551
CPT Code(s): 83735
Reported: 2-3 days
Magnesium, RBCs
Order code: 82549
Preferred specimen: 1.0 mL red blood cells (RBCs) from a trace metal-free royal blue (EDTA) top tube. Centrifuge whole blood within 45 minutes of
collection and remove plasma from cells. Discard the plasma. Submit only the RBCs in the original royal blue top collection tube.
Minimum specimen: 0.2 mL RBCs
Other acceptable: 1.0 mL red blood cells (RBCs) from a green (sodium or lithium heparin), lavender (EDTA), or tan (lead free) top tube.
Unacceptable: Serum or plasma
Method: Atomic absorption spectrometry (AAS); inductively-coupled plasma/mass spectrometry (ICP/MS)
Unit code: 825549
CPT Code(s): 83735
Reported: 3-6 days
Magnesium, Urine
Order code: 1047
preservatives required. Record total volume and hours of collection (indicate if random) on both the urine container and test
request form.
Unacceptable: Specimens with preservatives.
Unit code: 102473
CPT Code(s): 83735
Ref range: Excretion: 72.9-121.5 mg/day
10-333
Test List
Malaria, Blood Smear
Order code: 7130
Notes: Specimen must be received in laboratory within 24 hours of collection.
Method: Geimsa Stain
Unit code: 409100
CPT Code(s): 87207
Ref range: No Plasmodium/Babesia species seen.
Reported: 1-3 days
Manganese, Blood
Order code: 82561
2
Notes: Diet, medication, and nutritional supplements may introduce interfering substances. Patient should be encouraged to discontinue
2
Transport temp: Room temperature.
Unit code: 825601
CPT Code(s): 83785
Reported: 2-6 days
Manganese, Urine
Order code: 84095
refrigerated during collection period. Submit urine in two Trace Element-Free transport tubes. Do not add acid preservative. Record
total volume and hours of collection on both the urine container and test request form.
Unit code: 825600
CPT Code(s): 83785
Ref range: Manganese, Urine 0.0-2.0 µg/L
Manganese, Urine (24-hour) 0.0-2.0 µg/d
Reported: 2-6 days
Maprotiline, Quantitative
Order code: 84100
Transport temp: Refrigerated. Also acceptable: Room temperature or frozen.
Unit code: 825650
CPT Code(s): 80335
Reported: 4-7 days
Test List
10-334
S1
0
Marginal Zone Lymphoma by FISH
Order code: 32220
request form.
Notes: Test includes: 7q, CEP12, CEP18, TP53, CEP17, IGH, BCL6.
Unit code: 532220
Reported: 3-6 days
Maternal Serum Screen, Alpha Fetoprotein (Only)
Order code: 80340
transport tube. Specimen must be drawn between 14 weeks, 0 days and 24 weeks, 6 days gestation.
Notes: Please submit Patient History for Maternal Serum Testing form. The following information on this form is required to
perform maternal serum testing and must accompany the specimen in order for testing to be interpreted: patient's date of
birth, current weight, due date, dating method (US, LMP), number of fetuses present, patient's race, if the patient requires insulin, if
there is a known family history of neural tube defects, if the patient has had a previous pregnancy with a chromosome abnormality,
if the patient is taking valproic acid or carbamazepine (Tegretol®), physician's name and phone number; and for in vitro fertilization
pregnancies, the age of the egg donor.
This test is used to screen for fetal risk of Open Neural Tube Defect (i.e., spina bifida).
Unacceptable: Hemolyzed specimens or plasma.
Unit code: 801200
CPT Code(s): 82105
Reported: 3-4 days
S1
0
Maternal Serum Screen, Alpha Fetoprotein, hCG, & Estriol
Order code: 81325
Preferred specimen: 2.0 mL serum, red top tube or SST. Remove serum from cells ASAP or witihin 2 hours of collection and transfer to a plastic
This test is used to screen for fetal risk of Down syndrome (trisomy 21), trisomy 18, and Open Neural Tube Defect (ONTD, spina
bifida).
Unit code: 801325
CPT Code(s): 81510
Ref range: By report. Includes AFP, hCG, and Estriol.
Intervals are based upon weeks of gestation.
Reported: 3-4 days
10-335
Test List
Maternal Serum Screen, Alpha Fetoprotein, hCG, Estriol, & Inhibin A
Order code: 87225
This test is used to screen for fetal risk of Down syndrome (trisomy 21), trisomy 18, and Open Neural Tube Defect (ONTD, spina
bifida).
Unit code: 827225
CPT Code(s): 81511
Ref range: By report. Includes AFP, hCG, Estriol, and Inhibin A.
Reported: 3-4 days
Maternal Serum Screen, First Trimester
Order code: 81503
transport tube. Specimen must be drawn in the first trimester between 11 weeks, 0 days, and 13 weeks, 6 days. (CrownRump length (CRL) must be between 4.4-8.5 cm).
Notes: This test requires a nuchal translucency (NT) measurement that has been performed by a certified ultrasonographer. The
ultrasonographer MUST be certified to perform NT measurements by one of the following agencies: Fetal Medicine Foundation
(FMF) or Nuchal Translucency Quality Review (NTQR). If an NT is unobtainable, order the Maternal Serum Integrated Screening 1
and 2, which can be interpretated without an NT value.
Please submit Patient History for Maternal Serum Testing form. The following information on this form is required to
perform maternal serum testing and must accompany the specimen in order for testing to be interpreted: a crown-rump
length measurement (cm), ultrasonographer's name and certification number, date of ultrasound, patient's date of birth, current
weight, due date, number of fetuses present, patient's race, if the patient has had a previous pregnancy with a chromosome
abnormality, physician's name and phone number; and for in vitro fertilization pregnancies, the age of the egg donor.
This test does not screen for Open Neural Tube Defect (ONTD). This test is used to screen for fetal risk of Down syndrome
(trisomy 21) and trisomy 18.
S1
0
Unacceptable: Hemolyzed specimens or plasma. A crown-rump length greater than 8.5 cm.
Unit code: 815030
CPT Code(s): 81508
Reported: 3-5 days
Test List
10-336
Maternal Serum Screening, Integrated, Specimen #1
Order code: 82566
transport tube.
The nuchal translucency (NT) measurement is preferred; however, the Integrated Maternal Screen can be interpreted with or
without a NT measurement.
If NT measurement is performed specimen must be drawn between 10 weeks, 3 days and 13 weeks, 6 days gestation (CrownRump length (CRL) must be 3.9-8.5 cm).
Serum only specimens may be drawn between 10 weeks, 0 days and 13 weeks, 6 days gestation (Crown-Rump length (CRL) must
be 3.4-8.5 cm).
The specimen collection and ultrasound date may be different.
Notes: The final Integrated Maternal Screen can be interpreted with or without a nuchal translucency (NT) measurement.
The NT measurement must also be performed by an ultrasonographer that is certified by one of the following agencies: Fetal
Medicine Foundation (FMF) or Nuchal Translucency Quality Review (NTQR).
Please submit Patient History for Maternal Serum Testing form. The following information on this form is required to
birth, current weight, number of fetuses present, patient's race, if the patient requires insulin, if there is a known family history of
neural tube defects, if the patient has had a previous pregnancy with a chromosome abnormality, if the patient is taking valproic
acid or carbamazepine (Tegretol®), physician's name and phone number; and for in vitro fertilization pregnancies, the age of the
egg donor at donation.
In addition to the above:
If a NT measurement is performed: the date of ultrasound,the CRL measurement, the NT measurement and the name and
certification number of the sonographer is required.
or
If no NT measurement is performed: a due date or CRL measurement with the date of ultrasound is required.
Unit code: 825660
CPT Code(s): 84163
The first specimen of an Integrated Maternal Serum Screening is used to measure PAPP-A. Final interpretative report will be
available when the second specimen test results are complete.
Reported: 3-5 days
Maternal Serum Screening, Integrated, Specimen #2
S1
0
Order code: 82661
transport tube. Specimen must be drawn between 15 weeks, 0 days and 24 weeks, 6 days gestation. Requires a previously
submitted first trimester specimen, Maternal Serum Screening, Integrated, Specimen #1 (82566).
Notes: Second part of a 2-part test. Requires that the first part (Maternal Serum Screening, Integrated, Specimen #1) was submitted in the
first trimester. Risks determined using a combination of 1st and 2nd trimester serum markers, with or without 1st trimester nuchal
translucency (NT) measurement. The patient demographic information provided with the Integrated, Specimen #1 will used to
calculate the risks for this report.
Please submit Patient History for Maternal Serum Testing form. The information on this form is required to perform
maternal serum testing and must accompany the specimen in order for testing to be interpreted.
Unit code: 825661
CPT Code(s): 81511
Ref range: By report. Includes AFP, hCG, Estriol, Inhibin A, and previous PAPP-A.
Reported: 3-5 days
MDS Panel by FISH
See: Myelodysplastic Syndrome (MDS) by FISH
Measles
See: Rubella Antibody, IgG
Rubella Antibody, IgM
Rubeola Antibody, IgG
Rubeola Antibody, IgM
Rubeloa Antibodies, IgG & IgM
10-337
Test List
Measles, Mumps, Rubella Immunity Panel
Order code: 94626
Measles (Rubeola) Antibody, IgG
Mumps Virus Antibody, IgG
Rubella Antibody, IgG
Unacceptable: Hemolyzed, lipemic, heat-inactivated, or contaminated specimens.
Method: Chemiluminescent Immunoassay (CLIA)
Unit code: 94626
CPT Code(s): 86735, 86762, 86765
Ref range: Measles (Rubeola) Antibody, IgG:
Negative: <25.0 AU/mL
Equivocal: 25.0-29.9 AU/mL
Positive: >29.9 AU/mL
Mumps Virus Antibody, IgG:
Negative: <9.0 AU/mL
Rubella Antibody, IgG:
Non-Reactive: <10.0 IU/mL
Reactive: >=10.0 IU/mL
Reported: 3-5 days
Mebaral
See: Mephobarbital
Melanin, Urine
Order code: 84110
Preferred specimen: 4.0 mL urine aliquot from a well-mixed random urine collection. Transfer urine aliquot to a plastic amber transport tube and freeze.
Protect from light during collection, storage, and shipment. If amber tubes are not available wrap transport tube with aluminum
foil to protect from light. Separate specimens must be submitted when multiple tests are ordered.
S1
0
Unacceptable: Specimens exposed to light. Refrigerated or room temperature specimens.
Method: Qualitative Colorimetry
Unit code: 825700
CPT Code(s): 81005
Ref range: Negative
Reported: 2-3 days
Melanocyte Stimulating Hormone, Alpha
Order code: 85705
Preferred specimen: 3.0 mL plasma, lavender (EDTA) top tube. Remove plasma from cells ASAP or within 2 hours of collection, transfer to a plastic
transport tube and freeze immediately. Separate specimens must be submitted when multiple tests are ordered. Patients should
not be on any steroid, ACTH, or hypertension medication, if possible, for at least 48 hours prior to specimen collection. Morning
fasting specimens are prefered; non fasting specimens are acceptable.
Unacceptable: Refrigerated or room temperature specimens.
Method: Quantitative Radioimmunoassay
Unit code: 825705
CPT Code(s): 83519
Reported: 4-29 days
Mellaril
See: Thioridazine and Mesoridazine
Test List
10-338
Meperidine and Metabolite
Order code: 82578
Unacceptable: Separator tubes or gels. Plasma or whole blood from light blue (sodium citrate) top tubes.
Unit code: 825780
CPT Code(s): 80362
Ref range: Drugs covered: Meperidine and Normeperidine (Meperidine metabolite).
Positive cutoff: Meperidine: 2 ng/mL; Normeperidine: 5 ng/mL
Reported: 2-7 days
Meprobamate
Order code: 84150
transport tube.
Unacceptable: Whole blood. Gel separator tubes, light blue (sodium citrate) or yellow (SPS or ACD solution) top tubes.
S1
0
Unit code: 825850
CPT Code(s): 80369
Reported: 2-5 days
Meprobamate Confirmation, Quantitative, Urine
Order code: 27100
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compound: Meprobamate.
Unit code: 271000
Reported: 2-4 days
Meprospan
See: Meprobamate
10-339
Test List
Mercaptopurine, Serum or Plasma
Order code: 82596
Unacceptable: Separator tube or gels.
Method: Quantitative High Performance Liquid Chromatograpy with Ultraviolet Detection
Unit code: 825960
CPT Code(s): 80375
Ref range: <1000 ng/mL; Report limit 20 ng/mL
Reported: 6-7 days
Mercury, Blood
Order code: 84161
2
Notes: Patient should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over-thecounter medications (upon the advice of their physician), and avoid shellfish and seafood for 48 to 72 hours prior to collection.
2
Method: Quantitative Atomic Absorption/Quantitative Inductively Coupled Plasma-Mass Spectrometry
Unit code: 825900
CPT Code(s): 83825
Mercury is volatile; concentration may reduce after seven or more days of storage.
This test measures total mercury, whereas the reference interval relates to inorganic mercury concentrations. Dietary and nonoccupational exposure to organic mercury species may contribute to an elevated total mercury result.
Reported: 2-3 days
Mercury, Urine
S1
0
Order code: 84160
Unit code: 825950
CPT Code(s): 83825
Ref range: Mercury, Urine - per volume: 0-10 µg/L
Mercury, Urine - per 24-hour: 0-15 µg/d
Mercury, Urine - ratio to CRT: Less than or equal to 35 ug/gCR
Reported: 2-5 days
Mercy Medical Center-Troponin T
Preferred specimen: 1.0 mL plasma, green (lithium heparin) top tube.
Notes: Stable 24 hours refrigerated.
Test List
10-340
Mesoridazine
Order code: 84170
Notes: Trough levels are most reproducible.
Other acceptable: 1.0 mL plasma, green (sodium or lithium heparin) top tube. Remove plasma from cells ASAP or within 2 hours of collection and
Method: Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS)
Unit code: 826000
CPT Code(s): 80342
Reported: 9-12 days
Metanephrines Fractionated, Urine
Order code: 82651
collection on both the urine container and test request form. If possible, patient should abstain from medications for 72 hours prior
to collection.
Notes: Refrigeration is the most important aspect of specimen preservation. Preservation can be enhanced by adjusting the pH to 2.0-4.0
by adding 6M HCL acid or sulfamic acid prior to transport. A pH less than 2 can cause assay interference.
Unacceptable: Room temperature specimens. Specimens preserved with boric acid or acetic acid.
Unit code: 826251
CPT Code(s): 83835
Reported: 2-5 days
S1
0
Metanephrines, Plasma (Free)
Order code: 82649
Preferred specimen: 1.0 mL plasma, chilled lavender (EDTA) top tube. Invert tube to mix with preservatives. Centrifuge and transfer plasma to a plastic
transport tube, refrigerate. The whole blood specimen may be kept refrigerated for as long as 2 hours before centrifugation.
Notes: Patient should be fasting overnight (water and noncaffeinated soft drinks are permissible). The patient should be in a supine
position for at least 15 minutes before and during specimen collection. It is preferable, but not essential, to draw the specimen
without a tourniquet.
Unacceptable: Heparinzed plasma.
Method: Liquid Chromatography/Tandem Mass Spetrometry
Unit code: 826249
CPT Code(s): 83835
Ref range: Normetanephrine: 0-145 pg/mL
Metanephrine: 0-62 pg/mL
Reported: 4-7 days
Methadone & Metabolite, Serum or Plasma
See: Drug Confirmation/Quantitation - Methadone & Metabolite, Serum or Plasma
Methadone Confirmation, Quantitative, Urine
Unit code: 812744
Reported: 5-7 days
10-341
Test List
Methadone Confirmation, Quantitative, Urine
Order code: 27019
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compounds: Methadone,
EDDP.
Unit code: 270195
CPT Code(s): 80358
Reported: 2-4 days
Methadone Screen Only, Urine
Order code: 25270
Method: Immunoassay
Unit code: 265270
Reported: 1-2 days
Methanol, Serum or Plasma
Order code: 80381
a tightly-capped plastic transport tube to minimize alcohol loss.
from cells within 2 hours of collection and transfer to a tightly-capped plastic transport tube. Do not freeze whole blood.
Unit code: 801750
CPT Code(s): 80320
Ref range: No therapeutic range - Test detection limit 5 mg/dL
Toxic: > 20 mg/dL
Toxic concentrations may cause intoxication, metabolic acidosis, ocular toxicity, CNS depression and fatality if patients do not
receive medical treatment.
Reported: 2-3 days
Methemoglobin, Blood
Order code: 84210
Preferred specimen: 3.0 mL whole blood, green (sodium or lithium heparin) top tube. Refrigerate immediatey after collection. Submit original full,
unopened tube. Do not centrifuge. Specimen must be received in laboratory within 4 hours after collection.
Unacceptable: EDTA, frozen or clotted specimens.
Unit code: 826450
CPT Code(s): 83050
Ref range: 0-1.5 %
Test List
10-342
S1
0
Methicillin-resistant Staphylococcus aureus (MRSA), NAA
Order code: 82727
Preferred specimen: Collect using Liquid Stuart swab. Moisten the swab with two drops (about 50 uL) sterile physiological saline or use it dry. Carefully
insert the swab into the patient's nostril (the swab tip must be inserted up to 2.5 cm (1 inch) from the edge of the nares). Roll the
swab five times. Insert the swab into the second nostril and repeat sampling. Place the swab in its container and label
the container. Liquid Stuart swabs are available through BBPL Client Services.
Minimum specimen: One swab (in Liquid Stuart media).
Notes: MRSA by NAA is a qualitative in vitro diagnostic test for the direct detection of nasal colonization by methicillin-resistant
Staphylococcus aureus (MRSA) to aid in the prevention and control of MRSA infections in healthcare settings.
Unacceptable: Inappropriate transport or storage conditions. Expired swab transport. Wire-shaft swab.
Method: Nucleic acid amplification (NAA)
Unit code: 827227
CPT Code(s): 87641
Reported: 5-6 days
Methotrexate
Order code: 84231
Preferred specimen: 1.0 mL serum, red top tube, or plasma, green (lithium heparin) top tube. Do not collect in gel-barrier tube. Remove serum or
plasma from cells ASAP, transfer to a plastic amber transport tube and freeze. Protect from light during collection, storage, and
shipment. If amber tubes are not available, wrap transport tube in aluminum foil to protect from light.
Method: Immunoassay
Unit code: 826550
CPT Code(s): 80299
Ref range: 0.00-0.05 µmol/L
Methsuximide & Normethsuximide
S1
0
Order code: 84240
transport tube.
Unit code: 826650
CPT Code(s): 80339
Methsuximide: Less than 1 µg/mL
Normethsuximide: 10-40 µg/mL
Total (methsuximide and normethsuximide): 10-40 µg/mL
Toxic - Total (methsuximide and normethsuximide): Greater than 60 µg/mL
Reported: 2-6 days
Methylmalonic Acid, Serum or Plasma
Order code: 82675
Notes: Remove serum or plasma from cells within 1 hour of collection and transfer to a plastic transport tube.
Unacceptable: Plasma from light blue or yellow top tubes.
Unit code: 826705
CPT Code(s): 83921
Reported: 6-10 days
10-343
Test List
Methylmalonic Acid, Urine
Order code: 82676
Preferred specimen: 5.0 mL random urine in a plastic urine container, no preservative.
Method: Gas chromatography/mass spectrometry (GC/MS)
Unit code: 826706
CPT Code(s): 83921
Ref range: 0.4-2.5 µmol/mmol crt
Reported: 2-4 days
Methylphenidate & Metabolite
Order code: 85240
Preferred specimen: 2.0 mL serum, red top tube. Do not collect in gel-barrier tube. Remove serum from cells ASAP or within 2 hours of collection,
transfer to a plastic transport tube and freeze within 6 hours of collection.
Notes: Separate specimens must be submitted when multiple tests are ordered. Specimen should be collected 1-6 hours after dosing.
from cells ASAP or within 2 hours of collection, transfer to a plastic transport tube and freeze within 6 hours of collection.
Unacceptable: Light blue (sodium citrate). Hemolyzed specimens.
Method: Quantitative Liquid Chromatography/Tandam Mass Spectrometry
Unit code: 826715
CPT Code(s): 80360
Ref range: Drugs covered: Methylphenidate and ritalinic acid.
Positive Cutoff:
Methylphenidate: 1 ng/mL
Ritalinic acid: 10 ng/mL
Reported: 2-8 days
Mexiletine
Order code: 84260
Preferred specimen: 1.0 mL serum, red top tube. Remove serum from cells within 2 hours of collection and transfer to a plastic transport tube. Do
not collect in gel-barrier tube.
tube.
Unit code: 826750
CPT Code(s): 80299
Reported: 2-6 days
Microalbumin, 24 Hour Urine
Order code: 1536
Preferred specimen: 5.0 mL urine aliquot from a well-mixed 24-hour urine collection. Refrigerate 24-hour specimen during collection. Do not add
preservatives or store urine in glass containers. Record the total volume and hours of collection on both the urine container and
test request form.
Notes: Includes creatinine excretion-24 hour.
Unacceptable: Urine with preservatives. Frozen urine. Urine in glass containers.
Unit code: 102601
CPT Code(s): 82043, 82570
Ref range: Less than 30 mg/day
Reported: 1-2 days
Test List
10-344
S1
0
Microalbumin, Random Urine - Microalbumin/Creatinine Ratio
Order code: 1538
Preferred specimen: 5.0 mL random urine in a plastic urine container with no preservatives. Do not use glass urine containers or freeze specimen.
Unacceptable: Urines with preservatives. Frozen urine. Urine in glass containers.
Unit code: 102600
CPT Code(s): 82043, 82570
Ref range: Less than 30 mg/g creat
Reported: 1-2 days
Microsatellite Instability (MSI) by PCR
Order code: 32245
Preferred specimen: Formalin-fixed, paraffin-embedded tissue block (0.2 cm³ piece of tissue) of tumor tissue and one block of normal tissue. If no
normal tissue is available, 5 mL whole blood, lavender (EDTA) top tube or 1 mL bone marrow (EDTA) may be used as a normal
control.
Unit code: 532245
CPT Code(s): 81301, 88381, G0452
Microsporidia Stain by Modified Trichrome
Order code: 82692
Preferred specimen: Preserve 5 g of stool in 10% formalin within 1 hour of collection.
Unacceptable: Unpreserved stool or specimen in any other preservative than 10% formalin. Frozen specimens.
Method: Modified Trichrome Stain
Unit code: 826952
S1
0
CPT Code(s): 87015, 87207
Ref range: Negative
Reported: 2-3 days
Midol
See: Ibuprofen
Miltown, Serum
See: Meprobamate
Mismatch Repair Proteins by IHC
Order code: 32240
Preferred specimen: Formalin-fixed, paraffin-embedded (FFPE) tissue block containing colorectal cancer.
Notes: BRAF IHC will be added and reported when clinically indicated by a pathologist. Additional charges may apply.
Method: Immunohistochemistry (IHC)
Unit code: 532240
CPT Code(s): 88341 (x3), 88342
Misural
10-345
Test List
Order code: 80780
Preferred specimen: 0.5 mL red top tube or SST. Remove serum from cells ASAP and transfer to a plastic transport tube.
Unacceptable: Plasma. Grossly icteric, severely lipemic, hemolyzed, or contaminated specimens.
Unit code: 827100
CPT Code(s): 83516
Ref range: 20.0 Units or less: Negative
20.1-24.9 Units: Equivocal
Reported: 2-3 days
Mitran
MMR Proteins by IHC
See: Mismatch Repair Proteins by IHC
Moditen
See: Fluphenazine
Molipaxin
See: Trazodone
Monilia Culture
S1
0
See: Culture, Yeast
Mono Test, Heterophile Screen
Order code: 2295
Unit code: 352200
CPT Code(s): 86308
Ref range: Negative
Mono, Heterophile Screen Reflex
Order code: 2205
Notes: If mono screen is negative, EBV Comprehensive Profile will be added at an additional charge.
Unit code: 352205
CPT Code(s): 86308
Ref range: Negative
Morphine
Test List
10-346
Motor and Sensory Neuropathy Evaluation with Reflex to Titer and Neuronal
Immunoblot
Order code: 82716
tube.
Notes: Purkinje Cell (PCCA) antibody and Neuronal Nuclear (ANNA) antibody IgG are screened by IFA. If the IFA screen is positive at
1:10 or greater, then a PCCA/ANNA antibodies titer and Neuronal Nuclear Antibodies (Hu, Ri, and Yo) IgG by Immunoblot will be
added. Additional charges apply.
Unacceptable: Plasma, CSF, or other body fluids. Contaminated, heat-inactivated, hemolyzed, severely icteric, or lipemic specimens.
Method: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody/Qualitative Immunoblot
Unit code: 827156
CPT Code(s): 83516 (x7), 86255
Ref range: Purkinje Cell/Neuronal Nuclear IgG Screen: None Detected
Neuronal Nuclear Antibody (ANNA) IFA Titer, IgG: Less than 1:10
Purkinje Cell Antibody, Titer: Less than 1:10
Neuronal Nuclear (Hu, Ri, and Yo) Antibodies IgG by Immunoblot: None Detected
Myelin Associated Glycoprotein (MAG) Antibody, IgM: Less than 1000 TU
Sulfate-3-Glucuronyl Paragloboside (SGPG) Antibody, IgM: Less than 1.00 IV
Asialo-GM1 Antibodies, IgG/IgM; GM1 Antibodies, IgG/IgM; GD1a Antibodies, IgG/IgM; GD1b Antibodies, IgG/IgM; GQ1b
Antibodies, IgG/IgM:
30-50 IV: Equivocal
51-100 IV: Positive
Reported: 2-10 days
Motor Neuropathy Panel
Order code: 87151
Preferred specimen: 4.0 mL serum, SST. Remove serum from cells within 2 hours of collection and transfer to a plastic transport tube.
Ganglioside (asialo-GM1) Antibody, IgG/IgM
Ganglioside (GM1) Antibody, IgG/IgM
Ganglioside (GD1a) Antibody, IgG/IgM
Ganglioside (GD1b) Antibody, IgG/IgM
Ganglioside (GQ1b) Antibody, IgG/IgM
Protein Electrophoresis
Immunoglobulins G, A, M
Myelin Associated Glycoprotein (MAG) Antibody, IgM
Sulfate-3-Glucuronyl Paragloboside (SGPG) Antibody, IgM
S1
0
Unacceptable: Contaminated, heat-inactivated, hemolyzed, severely icteric, or lipemic specimens. Room temperature specimens. Plasma, CSF,
urine or other body fluids.
Method: Enzyme-Linked Immunosorbent Assay, Electrophoresis, Nephelometry
Unit code: 827151
CPT Code(s): 82784 (x3), 83516 (x7), 84160, 84165, 86334
Reported: 2-9 days
Motrin
See: Ibuprofen
MPA
MPD Panel by FISH
See: Myeloproliferative Disorders Panel by FISH
10-347
Test List
MPL Codon 515 Mutation Detection
Order code: 82276
Preferred specimen: 5.0 mL whole blood or bone marrow, lavender (EDTA) top tube.
Notes: The test will detect and quantify MPL codon 515 mutation, including W515K and W515L.
Unacceptable: Plasma or serum. Specimens collected in anticoagulants other than EDTA. Clotted or grossly hemolyzed specimens.
Method: Polymerase Chain Reaction/Quantitative Pyrosequencing
Unit code: 822726
CPT Code(s): 81402, G0452
Reported: 8-13 days
MPO/PR3
MRSA (ORSA) Culture
Order code: 3204
Preferred specimen: Specimen should be submitted in a tightly sealed sterile container or submitted using sterile culture swabs.
Stool specimens: submitted in Cary-Blair transport media.
Note source of specimen on test request form.
Unacceptable: Dried culture swab or wooden shaft swab. Specimen greater than 72 hours old.
Method: Routine Culture Technique
Unit code: 402330
CPT Code(s): 87081
Ref range: No MRSA isolated
MSI by PCR
S1
0
See: Microsatellite Instability (MSI) by PCR
MTHFR (Methylenetetrahydrofolate Reductase) Gene Mutation (C677T & A1298C)
Order code: 36483
Preferred specimen: 5.0 mL whole blood collected in lavender (EDTA), light blue (sodium citrate), or yellow (ACD Solution A or B) top tube.
Notes: Separate specimens should be submitted when multiple tests are ordered.
Other acceptable: Liquid Based PAP Media
Unit code: 536483
CPT Code(s): 81291
Reported: 1-7 days
Mucopolysaccharides, Quantitative, Urine
Order code: 84326
Preferred specimen: 10.0 mL random urine collection (early morning preferred). Freeze urine immediately.
Notes: Patient's age is required.
Unacceptable: Contaminated or non-frozen specimens. Specimens containing preservatives.
Unit code: 827250
CPT Code(s): 83864
Reported: 6-9 days
Mullerian-Inhibiting Hormone
See: Anti-Mullerian Hormone
Test List
10-348
Multiple Myeloma Panel by FISH
Order code: 32250
request form.
Notes: Test includes: 1p Deletion/1q Gain, Deletion 13q/Monosomy 13, Deletion 17p (TP53), IGH//CCND1 t(11;14), TP53, and CEP11.
Unit code: 532250
CPT Code(s): 88374 (x5)
Reported: 3-6 days
Multiple Sclerosis Profile
Order code: 94095
Preferred specimen: Collect 2.5 mL CSF and 1.5 mL serum, red top tube or SST, at the same time (within 8 hours of each other). Refrigerate.
Minimum specimen: 1.0 mL CSF and 0.6 mL serum
Notes: Test includes: CSF Protein Analysis, Oligoclonal Bands, and Myelin Basic Protein.
Unacceptable: Extremely lipemic serum specimens. Plasma. CSF and serum not collected within 8 hours of each other.
Method: Enzyme-Linked Immunosorbent Assay, Isoelectric Focusing/Immunoblot, Nephelometry
Unit code: 94095
CPT Code(s): 82040, 82042, 82784 (x2), 83873, 83916
Reported: 4-7 days
Multom
S1
0
Mumps Virus Antibody, IgG
Order code: 84340
Notes: Acute and convalescent specimens should be submitted on separate test request forms. Please mark specimens as "acute" or
"convalescent". Test is used to determine immunity to mumps virus.
Unacceptable: Hemolysis, lipemia, gross bacterial contamination.
Method: Chemiluminescent Immunoassay (CLIA)
Unit code: 827450
CPT Code(s): 86735
Ref range: Negative: <9.0 AU/mL
Reported: 3-5 days
Mumps Virus Antibody, IgM
Order code: 82746
Notes: Test is used to diagnosis acute mumps infection.
Unacceptable: Hemolysis, lipemia, gross bacterial contamination.
Unit code: 827460
CPT Code(s): 86735
Ref range: Negative: <0.80
Borderline: 0.80-1.20
Positive: >1.20
Reported: 4-5 days
Muramidase, Serum
See: Lysozyme
10-349
Test List
Muscle-Specific Receptor Tyrosine Kinase
See: MuSK Antibody Titer
MuSK Antibody Titer
Order code: 87510
Unacceptable: Do not freeze.
Unit code: 827510
Ref range: Negative: <10
Borderline: 10
Positive: >20
Reported: 7-14 days
Myasthenia Gravis Panel
Order code: 87551
ACHR Binding Antibody
ACHR Blocking Antibody
ACHR Modulating Antibody
Striated Muscle Antibody, IgG
If Striated Muscle Ab is greater than or equal to 1:40, then a titer will be added at an additional charge.
Unacceptable: Plasma. Hemolyzed, lipemic, or contaminated specimens.
Method: Quantitative Radioimmunoassay/Semi-Quantitative Flow Cytometry/Semi-Quantitative Indirect Fluorescent Antibody
Unit code: 827551
CPT Code(s): 83516 (x2), 83519, 86255
Ref range: Acetylcholine Receptor Binding Antibody:
Negative: 0.0-0.4 nmol/L
S1
0
Acetylcholine Receptor Blocking Antibody:
Negative: 0-26% blocking
Acetylcholine Receptor Modulating Antibody:
Negative: 0-45% modulation
Striated Muscle Antibody, IgG:
Screen: < 1:40 No antibody detected.
Titer: < 1:40 No antibody detected.
Reported: 3-5 days
Myasthenia Gravis/Lambert-Eaton Syndrome Evaluation
Order code: 82406
Preferred specimen: 3.0 mL serum, red top tube or SST. Patient should have no general anesthetic or muscle-relaxant drugs in the previous 24 hours.
P/Q-Type Calcium Channel Antibody
N-Type Calcium Channel Antibody
ACh Receptor (Muscle) Binding Antibody
ACh Receptor (Muscle) Modulating Antibody
Striational (Striated Muscle) Antibody
If AChR modulating antibodies are > or =90% and striational antibodies are > or =1:60, AChR ganglionic neuronal antibody and
CRMP-5-IgG Western blot will be performed at an additional charge.
Method: Radioimmunoassay/Enzyme Immunoassay
Unit code: 824060
CPT Code(s): 83519 (x5), 83520, 84182
Reported: 7-14 days
MYC Rearrangement
Test List
10-350
Mycobacterium Culture & Stain
See: Culture, Acid Fast Bacilli with Stain
Mycobacterium Stain
See: Acid Fast Bacilli, Stain Only
Mycobacterium tuberculosis Detection, Nucleic Acid Amplification (NAA)
Order code: 82761
Preferred specimen: 5.0 mL sputum, respiratory aspirate, lavage fluid, or pleural fluid or 1.0 mL CSF, or small piece of respiratory tissue (2 mm fron
needle biopsy). Transport specimen in sterile screw-cap container. Seal cap tightly. Specimen must be received in laboratory
within 48 hours of collection. Indicate souce on test request form.
Minimum specimen: 5 mL sputum, respiratory aspirate, lavage fluid, pleural fluid, or 1 mL CSF.
Notes: When collecting sputum, have the patient brush teeth or remove dentures and rinse mouth with water. Instruct the patient not to
collect saliva. When collecting aspirates, use standard aseptic preparation. Respiratory tissue specimens may be fresh or frozen.
Unacceptable: Blood and bone marrow are not suitable for amplification test. Tissue not of respiratory origin will not be tested.
Method: Nucleic acid amplification (NAA)
Unit code: 827601
CPT Code(s): 87556
Ref range: Negative
Reported: 4-7 days
Mycophenolate
Mycophenolic Acid and Metabolite
Order code: 82764
S1
0
Unit code: 827641
CPT Code(s): 80180
Reported: 3-5 days
Mycoplasma pneumoniae Antibodies, IgG & IgM
Order code: 82777
Unacceptable: Severely lipemic, hemolyzed, icteric, heat-inactivated, or contaminated specimens.
Unit code: 827770
CPT Code(s): 86738 (x2)
Ref range: Mycoplasma pneumoniae Antibody, IgG:
< 0.10 U/L: Negative
0.10-0.32 U/L: Equivocal
> 0.32 U/L: Positive
Mycoplasma pneumoniae Antibody, IgM:
0.76 U/L or less: Negative - No clinically significant amount of M. pneumoniae IgM antibody detected.
0.77-0.95 U/L: Low Positive - M. pneumoniae-specific IgM presumptively detected. Collection of a follow-up sample in one to two
weeks is recommended to assure reactivity.
0.96 U/L or greater: Positive - Highly significant amount of M. pneumoniae-specific IgM antibody detected. However, low levels of
IgM antibodies may occasionally persist for more than 12 months post-infection.
Reported: 2-4 days
10-351
Test List
Mycoplasma pneumoniae Antibody, IgG
Order code: 82776
Notes: Parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute specimens.
Unit code: 827760
CPT Code(s): 86738
Ref range: < 0.10 U/L: Negative
0.10-0.32 U/L: Equivocal
> 0.32 U/L: Positive
Reported: 2-3 days
Mycoplasma pneumoniae Antibody, IgM
Order code: 82775
Notes: Parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute specimens.
Unit code: 827765
CPT Code(s): 86738
Ref range: 0.76 U/L or less: Negative - No clinically significant amount of M. pneumoniae IgM antibody detected.
0.77-0.95 U/L: Low Positive - M. pneumoniae-specific IgM presumptively detected. Collection of a follow-up sample in one to two
weeks is recommended to assure reactivity.
0.96 U/L or greater: Positive - Highly significant amount of M. pneumoniae-specific IgM antibody detected. However, low levels of
IgM antibodies may occasionally persist for more than 12 months post-infection.
Reported: 2-4 days
Mycoplasma pneumoniae DNA, Qualitative Real-Time PCR
Order code: 39080
Unit code: 539080
CPT Code(s): 87581
Ref range: Negative
Reported: 1-2 days
MYD88 L265P Mutation Detection by PCR, Quantitative
Order code: 82778
Preferred specimen: Collect:
5.0 mL whole blood, lavender (EDTA) top tube, transport refrigerated.
Or
3.0 mL bone marrow, lavender (EDTA) top tube, transport refrigerated.
Or
FFPE tumor tissue, formalin-fixed (10% neutral buffered formalin) and paraffin-embedded. Protect from excessive heat. Transport
tissue at room temperature or refrigerated. Ship in cooled container during summer months. Tissue transport kits are available
through BBPL Client Services for transporting tissue.
Notes: • Useful in distinguishing lymphoplasmacytic lymphoma (LPL) from other low-grade B-cell lymphoproliferative disorders which may
be in the differential diagnosis.
• Use when monitoring patients with LPL diagnosis and previously identified MYD88 L265P mutation.
Unacceptable: Serum or plasma. Specimens collected in anticoagulants other than EDTA. Clotted or severely hemolyzed specimens.
FFPE tumor tissue specimens fixed/processed in alternative fixatives or heavy metal fixatives (B-4 or B-5) or tissue sections on
slides. Decalcified specimens.
Transport temp: Whole blood or Bone marrow: Refrigerated
FFPE tumor tissue: Room temperature or refrigerated
Method: Real-time Polymerase Chain Reaction
Unit code: 827780
CPT Code(s): 81479
Reported: 8-11 days
Test List
10-352
S1
0
Myelin Associated Glycoprotein (MAG) Antibody, IgM
Order code: 82544
Unacceptable: Heat-inactivated, hemolyzed, severely lipemic, or contaminated specimens. Urine.
Unit code: 825440
CPT Code(s): 83516
Ref range: Less than 1000 TU
Reported: 2-5 days
Myelin Basic Protein, CSF
Order code: 84380
Preferred specimen: 1.0 mL CSF. Centrifuge CSF for 20 minutes and place the supernatant in a plastic transport tube. Ensure residual fibrin and
cellular matter have been removed prior to transport.
Unacceptable: Specimens other than CSF. Hemolyzed, lipemic, or icteric specimens.
Unit code: 827850
CPT Code(s): 83873
Reported: 3-5 days
Myelodysplastic Syndrome (MDS) by Fish
Order code: 35575
Preferred specimen: 10.0 mL whole blood, green (sodium heparin) top tube or 2.0 mL bone marrow aspirate in green (sodium heparin) top tube. TIME
SENSITIVE. Specimen must be received in the laboratory within 24 hours of collection. Submit recent CBC report with test request
form.
Notes: Test includes deletion 20q, deletion 5q/monosomy 5, deletion 7q/monosomy 7, trisomy 8 and MLL t(11q23).
Unacceptable: Frozen, clotted, or severely hemolyzed specimens.
S1
0
Method: Fluorescence in situ Hydridization (FISH)
Unit code: 535575
CPT Code(s): 88367, 88373, 88374 (x4)
Reported: 3-6 days
Myeloid Malignancies Mutation Panel by Next Generation Sequencing
Order code: 82780
Preferred specimen: 5.0 mL whole blood, lavender (EDTA) top tube or bone marrow (EDTA). Do not freeze. The diagnosis code is required information
to order this test. Please include the code on the test request form.
Notes: Test assesses for single gene mutations, including substitutions and insertions and deletions that may have diagnostic, prognostic,
and/or therapeutic significance in
•Acute myeloid leukemia
•Myelodysplastic syndromes
•Myeloproliferative neoplasms
•MDS/MPN overlap disorders such as chronic myelomonocytic leukemia
Genes tested: ASXL1, ASXL2, BCOR, BCORL1, BRAF, BRINP3, CALR, CBL, CEBPA, CSF3R, DNMT1, DNMT3A, EED, ELANE,
ETNK1, ETV6, EZH2, FLT3, GATA1, GATA2, HNRNPK, IDH1, IDH2, JAK2, JAK3, KDM6A, KIT, KMT2A, KRAS, LUC7L2,
MAP2K1, MPL, NOTCH1, NPM1, NRAS, NSD1, PHF6, PRPF40B, PRPF8, PTPN11, RAD21, RUNX1, SETBP1, SF1, SF3A1,
SF3B1, SMC1A, SMC3, SRSF2, STAG2, SUZ12, TET2, TP53, U2AF1, U2AF2, WT1, ZRSR2
Unacceptable: Serum, plasma or tissue. Specimens collected in anticoagulants other than EDTA. Frozen, clotted or grossly hemolyzed
specimens.
Method: Massively Parallel Sequencing
Unit code: 827880
CPT Code(s): 81455
10-353
Test List
Myeloproliferative Disorders Panel by FISH
Order code: 80797
Preferred specimen: 3.0 mL non-diluted bone marrow aspirate collected in a heparinized syringe and transferred into a green (sodium heparin) top tube.
TIME SENSITIVE. Specimen must be received in laboratory within 24 hours of collection.
Minimum specimen: 1.0 mL bone marrow or 2.0 mL whole blood
Notes: Probes included: BCR/ABL, PDGFR-alpha, PDGFR-beta, FGFR1.
Please submit a Patient History for Pediatric/Adult Cytogenetic (Chromosome) Studies form. The information on this form is
required to perform cytogenetic (chromosome) studies. Complete the form and submit with the test request form and specimen.
Other acceptable: 10.0 mL whole blood, green (sodium heparin) top tube. Other specimen types may be acceptable, contact BBPL Client Services
for specific specimen collection and transportation instructions.
Unit code: 807927
CPT Code(s): 88271 (x4), 88275 (x4), 88291
Reported: 4-11 days
Myfortic
Myocardial Antibody, IgG with Reflex to Titer
Order code: 80790
Notes: If Myocardial Antibody screen is 1:20, then a titer will be added at an additional charge.
Unit code: 827950
CPT Code(s): 86255
Ref range: < 1:20 No antibody detection
S1
0
Reported: 2-5 days
Myoglobin, Serum
Order code: 84390
Unacceptable: Gross hemolysis
Method: Electrochemiluminescence Immunoassay
Unit code: 828000
CPT Code(s): 83874
Ref range: Male: 28-72 ng/mL
Female: 25-58 ng/mL
Reported: 3-5 days
Myoglobin, Urine
Order code: 84400
Preferred specimen: 10.0 mL urine aliquot from a well-mixed random urine collection. Collect specimen in early morning or immediately following
exercise.
Unacceptable: Gross hemolysis or plasma specimens.
Unit code: 828050
CPT Code(s): 83874
Ref range: 0-5 ng/mL
Reported: 3-5 days
Test List
10-354
Myositis Antibody Panel
Order code: 82806
Notes: Test includes: MI-2, PL-7, PL-12, EJ, OJ, KU, SRP, U2 SNRNP
Method: Immunoprecipitation
Unit code: 828060
CPT Code(s): 83516 (x8)
Ref range: Negative
Mysoline
See: Primidone
N-Telopeptide, Cross-Linked (NTx), Serum
Order code: 82839
Unacceptable: Severely hemolyzed specimens.
Unit code: 828839
CPT Code(s): 82523
Ref range: Adult Male: 5.4-24.2 nM BCE
Premenopausal, Adult Female: 6.2-19.0 nM BCE
The target value for treated postmenopausal adult females is the same as the premenopausal reference interval.
BCE = Bone Collagen Equivalent
Reported: 2-5 days
S1
0
Naloxone Confirmation, Quantitative, Urine
Order code: 27110
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compound: Nalaxone.
Unit code: 271100
Reported: 2-4 days
Naltrexone Confirmation, Quantitative, Urine
Order code: 27115
Notes: This is a confirmation/quantitation assay and should be used for medical purposes only. Reported compound: Naltrexone.
Unit code: 271125
Reported: 2-4 days
NAPA, Serum
See: Procainamide and N-Acetylprocainamide
10-355
Test List
Naproxen
Order code: 84405
Unacceptable: Separator tube or gels.
Unit code: 828100
CPT Code(s): 80329
Reported: 4-11 days
Narcolepsy HLA-DQB1 06:02 Genotype
Order code: 82813
Preferred specimen: 3.0 mL whole blood, lavender (EDTA) or yellow (ACD A or B) top tube.
Unit code: 828130
CPT Code(s): 81383
Nasal Culture
See: Culture, Nasopharyngeal
Navane
See: Thiothixene
S1
0
Nebcin
See: Tobramycin
Needlestick/Exposure Panel Bloodborne-Exposed
Order code: 97210
Hepatitis B Surface Antibody, Quantitative
HIV-1/2 Antibodies
Method: Chemiluminescent Immunoassay/Enzyme Immunoassay
Unit code: 97210
CPT Code(s): 86703, 86706, 86803
Ref range: Hepatitis B Surface Antibody:
8.00 IU/L or less ......... Negative
8.00 to 11.99 IU/L ...... Indeterminate
12.00 IU/L or greater... Positive
Hepatitis C Antibody: Negative
HIV-1/2 Antibodies: Non-Reactive
Reported: 1-3 days
Test List
10-356
Needlestick/Exposure Panel Bloodborne-Source
Order code: 97206
HIV-1/2 Antibodies
Method: Chemiluminescent Immunoassay/Enzyme Immunoassay
Unit code: 97206
CPT Code(s): 86703, 86803, 87340
Ref range: Hepatitis B Surface Antigen: Negative
Hepatitis C Antibody: Negative
HIV-1/2 Antibodies: Non-Reactive
Reported: 1-3 days
Neisseria gonorrhoeae & Chlamydia trachomatis Panel, NAA
Neisseria gonorrhoeae Antibodies, Total
Order code: 82851
Notes: Please label specimen as "Acute" or "Convalescent".
Unacceptable: Plasma, icteric, lipemic, turbid, or contaminated specimens.
Method: Semi-Quantitative Complement Fixation
Unit code: 828151
CPT Code(s): 86609
Ref range: Less than 1:8
Reported: 2-4 days
S1
0
Order code: 3161
Preferred specimen: APTIMA® vaginal swab, APTIMA® unisex swab (for endocervical and male urethral specimens), or PreservCyt (ThinPrep) liquid
sterile container.
refrigerated.
Unit code: 536002
CPT Code(s): 87591
Ref range: Negative
Reported: 1-4 days
Nembutal
See: Pentobarbital
Neoprofen
See: Ibuprofen
10-357
Test List
Neopterin
Order code: 82818
Preferred specimen: 0.8 mL serum, red top tube or SST. Remove serum from cells and transfer to a plastic amber transport tube.
Notes: Protect from light during collection, storage, and shipping. If amber tubes are not available wrap transport tube with aluminum foil
to protect from light.
Other acceptable: 0.8 mL plasma, lavender (EDTA) top tube. Remove plasma from cells and transfer to a plastic amber transport tube.
Unacceptable: Specimens not protected from light. Room temperature or frozen specimens.
Unit code: 828180
CPT Code(s): 83520
Neoral
See: Cyclosporine A
Neuramate
See: Meprobamate
Neuron Specific Enolase, CSF
Order code: 82825
Preferred specimen: Collect CSF and transfer 0.5 mL to a plastic transport tube and freeze immediately.
Unit code: 828255
CPT Code(s): 86316
S1
0
Reported: 2-9 days
Neuron-Specific Enolase
Order code: 84425
Unacceptable: Plasma. Hemolyzed specimens. Recently administered isotopes.
Unit code: 828250
CPT Code(s): 86316
Reported: 5-7 days
Neuronal Nuclear (Hu, Ri, and Yo) Antibodies IgG by Immunoblot
Order code: 82354
tube.
Notes: Antineuronal antibodies serve as markers that aid in discriminating between a true paraneoplastic neurological disorder (PND) and
other inflammatory disorders of the nervous system. Anti-Hu (antineuronal nuclear antibody, type I) is associated with small-cell
lung cancer. Anti-Ri (antineuronal nuclear antibody, type II) is associated with neuroblastoma in children and with fallopian tube
and breast cancer in adults. Anti-Yo (anti-Purkinje cell cytoplasmic antibody) is associated with ovarian and breast cancer.
Unacceptable: Plasma, contaminated, heat-inactivated, hemolyzed, or lipemic specimens.
Unit code: 828354
CPT Code(s): 83516
Reported: 2-9 days
Neuronal Nuclear Antibodies (Hu, Ri, Yo)
See: Paraneoplasitc Antibodies (PCCA/ANNA) by IFA with Reflex to Titer and Immunoblot
Neuronal Nuclear (Hu, Ri, and Yo) Antibodies IgG by Immunoblot
Test List
10-358
Neutrophil Associated Antibodies
Order code: 84422
Preferred specimen: 3.0 mL serum, red top or gel-barrier tube. Remove serum from cells ASAP or wtihin 2 hours of collection, transfer to a plastic
Transport temp: Frozen (on dry ice)
Method: Qualitative Flow Cytometry
Unit code: 828400
CPT Code(s): 86021
Ref range: Negati

Boyce and Bynum Directory of Services

Transcription

Similar documents

Torontech_Compression Flexometer TTCF Series

Cym canaliculatum - Cymbidium Orchid Club of Western Australia

superanal

(peripheral blood or bone marrow aspirate

Vacutainer tubes

VS120 - Olympus

zazu`s

The VS120: Providing a Complete Spectrum of

Ampeg SVT-CL Schematics

ANTIDEPRESIVOS TRICICLICOS (TCA)