Category: Uncategorized

CPT Code(s):

• 82306

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Collect blood in a standard red-top serum Vacutainer¨ tube. Allow blood to clot at room temperature. Centrifuge and separate the serum from the cells immediately. Alternatively, collect blood in an SST¨, allow to clot at room temperature, centrifuge and remove from the gel within 24 hours.

Patient Preparation:

Fasting preferred, but not required

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

<20 ng/mL Ð Deficient20 Ð 29 ng/mL Ð Insufficient30 Ð 100 ng/mL Ð Sufficient>100 ng/mL Ð Excess

Reject Criteria:

Gross hemolysis ¥ Gross lipemia ¥ Plasma ¥ Unseparated serum and serum in SST¨ not separated from the gel within 24 hours

CPT Code(s):

• 82607

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Minimize exposure to light during sample handling and storage

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerated (cold packs) Room temperature is acceptable if not ordered with Folate

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

211-911 pg/mL

Reject Criteria:

Hemolysis

CPT Code(s):

• See Urine Protein
• 24-Hour

CPT Code(s):

• See Protein
• Total
• Urine

CPT Code(s):

• See Drug Screen-7
• Urine

CPT Code(s):

• 87086

Test Component(s):

• 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 87140 or 87143 or 87147 or 87149). Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Preferred Specimen:

4 mL random, clean catch, midstream urine collection in gray-top urine transport tube.

Special Instructions:

Fill to the line (4mL) indicated on the tube

Transport Container:

4 mL gray-top urine transport tube

Transport Temperature Name:

Preserved: Room temperature Unpreserved: Refrigerated (cold packs) only

Reject Criteria:

Preserved urine > 48 hours old. Unpreserved, not refrigerated urines. Urine tube not filled to minimum fill line. Foley Tips. Received frozen. Specimens from catheter bag. Urine in urinalysis transport rube. Requests for anaerobic culture. Expired transport devices. 24-Hour urine collections. Leaking samples. Swab. Uricult devices.

CPT Code(s):

• See Creatinine
• random urine

CPT Code(s):

• See Creatinine
• 24-Hour Urine

CPT Code(s):

• 81001

Test Component(s):

• Macroscopic and Microscopic Examination A culture is performed
• when appropriate
• at an additional charge (CPT code(s): 87088
• 87086

Preferred Specimen:

Submit two separate specimens: 1) 10 mL urine submitted in urinalysis preservative/transport tube2) 10 mL urine in urine culture tube (gray-top)

Special Instructions:

Encourage clean catch mid-stream samples to minimize contamination and improve accuracy. If sample is submitted unpreserved, please indicate that specimen is from pediatric patient (patient is less than or equal to 12 years of age). Label the sample appropriately. Unpreserved urine will be accepted from pediatric patients only.

Transport Container:

(Yellow/red swirl-top) urinalysis transport tube and (gray-top) urine culture tube

Transport Temperature Name:

Preserved: Room temperature

Specimen Stability Components:

• Room Temperature: Room temperature: 48 hours preserved specimen Room Temperature: Sterile urine cup 24 hours Refrigerate: Sterile urine cup 48 hours

Reject Criteria:

Quantity not sufficient for analysis, improper labeling specimen more than 24 hours old if unpreserved or more than 48 hours old for BD transport tubes, frozen specimens

CPT Code(s):

• 81001

Test Component(s):

• Color
• appearance
• specific gravity
• pH
• protein
• glucose
• occult blood
• ketones
• leukocyte esterase
• nitrite
• bilirubin
• urobilinogen
• and microscopic examination of urine sediment

Preferred Specimen:

10 mL random urine

Minimum Volume:

5 mL

Special Instructions:

Encourage mid-stream samples to minimize contamination and improve accuracy. Label the sample appropriately and store at room temperature until pick-up.Note: The yellow/red swirled top tube cannot be used for collection and transport of specimens for urine culture.**This order code does not include reflex to culture**If reflex to culture is desired, please order ÒUrinalysis, Complete, with Reflex to Culture.Ó If culture is being ordered separately, submit separate specimen (10 mL urine gray-top tube).

Transport Container:

Routine urinalysis tube or container, BD urine transport tube or sterile urine cup

Transport Temperature Name:

Preserved: Room temperature

Specimen Stability Components:

• Room Temperature: Room temperature: 48 hours preserved specimen Room Temperature: Sterile urine cup 24 hours Refrigerate: Sterile urine cup 48 hours

Testing Schedule:

Daily

Methodology:

Reagent strip and light microscopy

Reject Criteria:

Quantity not sufficient for analysis, improper labeling, specimen more than 24 hours old if unpreserved or more than 48 hours old for BD transport tubes, frozen specimens

CPT Code(s):

• 84550

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: Refrigerate

Testing Schedule:

Daily

Methodology:

URICASE, UV

Reference Range:

Male: 4.4 Ð 7.6 mg/dL Female: 2.3 Ð 6.6 mg/dL

CPT Code(s):

• 82570
• 84560

Preferred Specimen:

10 mL random urine. No Preservative.

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

Spectrophotometry (SP)

CPT Code(s):

• 82570
• 84560

Preferred Specimen:

10 mL urine aliquot from a 24-hour collection. No Preservative.

Special Instructions:

Record total 24-hour urine volume on the request form

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

Spectrophotometry (SP)

CPT Code(s):

• 84560

Preferred Specimen:

10 mL urine aliquot from a 24-hour collection. No Preservative.

Special Instructions:

Record total 24-hour urine volume on the request form

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

Spectrophotometry (SP)

CPT Code(s):

• See BUN (Urea Nitrogen) 24-Hour Urine

CPT Code(s):

• 84520

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red-top tube or gel-barrier tube. (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 3 – 5 days

Testing Schedule:

Daily

Methodology:

UREASE, UV

Reference Range:

7-25 mg/dL

CPT Code(s):

• See Thyroid-Stimulating Hormone (TSH)
• 3rd generation

CPT Code(s):

• 84478

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Patient Preparation:

Patient should fast 12 hours prior to collection

Transport Container:

Red-top tube or gel-barrier tube. (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 8 hours
• Refrigerated: 48 hours

Testing Schedule:

Daily

Methodology:

ENZYMATIC, END POINT

Reference Range:

0 Ð 200 mg/Dl

Reject Criteria:

Non fasting specimen, specimen collected in a glycerinated tube, improper labeling

CPT Code(s):

• 84443

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

0.55-4.78 mIU/L

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 84436
• 84479
• 84443

Test Component(s):

• Free Thyroxine Index
• T3 Uptake
• TSH
• T4 Total
• T3 Total

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Refrigerated (cold pack)

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 84436
• 84479

Test Component(s):

• Free Thyroxine Index
• T3 Uptake
• T4 Total

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 84443

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

0.55-4.78 mIU/L

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 84403

Preferred Specimen:

1 mL serum collected in a red-top tube (no gel)

Minimum Volume:

0.5 mL

Alternate Specimen:

Serum Separator Tube (SST)

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

Male: 241 Ð 827 ng/dLFemale: 14 Ð 76 ng/dL

CPT Code(s):

• 84402
• 84403

Test Component(s):

• Total Testosterone
• Free Testosterone (calculated)

Preferred Specimen:

1 mL serum collected in a red-top tube (no gel)

Minimum Volume:

0.5 mL

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

Immunoassay

CPT Code(s):

• 84436

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Refrigerated (cold pack)

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

4.5 Ð 12.0 ug/dL

CPT Code(s):

• 84479

Preferred Specimen:

1 mL serum

Minimum Volume:

0.3 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

Immunoassay

Reference Range:

22.5 Ð 37.0 %

CPT Code(s):

• 84480

Preferred Specimen:

1 mL serum

Minimum Volume:

0.3 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

60.0 Ð 181.0 ng/Ml

CPT Code(s):

• 84481

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

2.3 Ð 4.2 pg/mL

CPT Code(s):

• See Histopathology (Biopsy)

Test Component(s):

• HIV Antibody
• HIV _
• Hepatitis Panel
• RPR
• HSV 1 IgG Antibody
• HSV 2 IgG Antibody
• HSV _ IgM
• Chlamydia/Neisseria Gonorrhea

CPT Code(s):

• 84295

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

Indirect

Reference Range:

136 Ð 145 mmol/L

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 84300
• 82570

Preferred Specimen:

10 mL random urine. No preservative.

Minimum Volume:

0.5 mL

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

Ion Selective Electrode (ISE)

CPT Code(s):

• 84300

Preferred Specimen:

10 mL random urine. No preservative.

Minimum Volume:

0.5 mL

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

Ion Selective Electrode (ISE)

CPT Code(s):

• 82150
• 82570

Preferred Specimen:

10 mL aliquot 24 Hours specimen. No preservative.

Minimum Volume:

0.5 mL

Special Instructions:

The request form must state date and time collection started, date and time collection finished, and urine volume.

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

Ion Selective Electrode (ISE)

CPT Code(s):

• 84270

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red top tube or serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days

Testing Schedule:

Daily

Methodology:

Chemiluminescence immunoassay

Reference Range:

13.3 Ð 135.5 nmol/L

Reject Criteria:

Citrate plasma specimen, EDTA plasma specimen

CPT Code(s):

• 85651

Preferred Specimen:

Whole blood: Full EDTA (lavender-top) tubem

Minimum Volume:

2 mL

Special Instructions:

Invert tube immediately 8 to 10 times once tube is filled at time of collection. Maintain specimen at room temperature. If multiple tests are ordered, please submit a separate tube for this test.

Transport Container:

EDTA (lavender-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 24 hours
• Refrigerated: 24 hours

Testing Schedule:

Daily

Methodology:

Modified Westergren, Manual method

Reference Range:

Men < 50 years old: 0-15 mm/hourMen >50 years old: 0-20 mm/hourWomen < 50 years old: 0-20 mm/hourWomen > 50 years old: 0-30 mm/hour

Reject Criteria:

Hemolysis, Samples >24 hours old, Clotted, Insufficient quantity

CPT Code(s):

• See Measles Antibody
• (IgG)

CPT Code(s):

• 86762

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 3 days
• Refrigerated: 7 days

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis ¥ Lipemia

CPT Code(s):

• 86592

Test Component(s):

• If RPR Screen is reactive
• RPR Titer will be performed at an additional charge (CPT code(s): 86593).

Preferred Specimen:

1 mL serum

Minimum Volume:

0.2 mL

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

NONTREPONEMAL FLOCCULATION

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 86592

Test Component(s):

• If RPR Screen is reactive
• RPR Titer and Fluorescent Treponemal Antibody (FTA) confirmation will be performed at an additional charge (CPT code(s): 86593
• 86781).

Preferred Specimen:

1 mL serum

Minimum Volume:

0.2 mL

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

NONTREPONEMAL FLOCCULATION

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 86431

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

Latex Agglutination

Reference Range:

0.0 Ð 14.0 IU/mL

Reject Criteria:

Gross hemolysis, Lipemia

CPT Code(s):

• 86431
• 85652
• 86592
• 86141
• 86618
• 84550
• 86038

Test Component(s):

• ANA ELISA Screen
• Rheumatoid Factor
• Sedimentation Rate (ESR)
• RPR
• CRP
• Lyme Disease Antibody Total
• Uric Acid

CPT Code(s):

• 85044

Preferred Specimen:

Whole blood full EDTA (lavender-top) tube

Special Instructions:

Invert tube immediately 9 to 10 times once tube is filled at time of collection

Transport Container:

Lavender-top(EDTA) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 1 day
• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

Manual cell counter

Reject Criteria:

Hemolysis; specimen more than 72 hours old, clotted specimen, tube not filled with minimum volume, improper labeling, transfer tubes with whole blood, specimen diluted or contaminated with I.V. fluid, specimen drawn in any anticoagulant other than EDTA, specimen received with plasma removed

CPT Code(s):

• 80069

Test Component(s):

• Albumin
• Serum
• BUN
• BUN/Creatinine Ratio
• Calcium
• Serum
• Carbon Dioxide
• Total
• Chloride
• Serum
• Creatinine
• Serum
• Estimated Glomerular Filtration Rate (calculated)
• Glucose
• Serum
• Phosphorus
• Serum
• Sodium
• Serum
• Potassium
• Serum

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

See individual tests

Reference Range:

See individual tests

CPT Code(s):

• 85610

Preferred Specimen:

Whole Blood. (One full unopened 3.2% sodium citrate (light blue-top) tube)

Minimum Volume:

Ratio of blood to citrate is critical. Submit difficult draws in pediatric tube. 0.5 mL frozen plasma

Alternate Specimen:

1 mL frozen plasma: If the specimen will be delayed longer than 12 hours, centrifuge specimen for 15 minutes at 2500-3500 rpm. Using a plastic pipette, remove plasma, taking care to avoid the WBC/ platelet (buffy) layer and place into a plastic screw-cap vial and freeze at -20¡C.

Special Instructions:

A completely filled tube is necessary because the correct ratio of blood to citrate is critical (9:1). Mix by gentle inversion 3-4 times. Do not uncap (unless plasma is to be frozen)

Transport Container:

Whole blood: 3.2% sodium citrate (light blue-top) tube Plasma: Plastic screw-cap vial (frozen)

Transport Temperature Name:

Room temperature: Light blue-top tube (whole blood) Frozen: Plasma

Specimen Stability Components:

• Room Temperature: Unopened light blue-top tube Room temperature: 24 hours Separated platelet-poor plasma Frozen -20¡C: 7 days

Testing Schedule:

Daily

Methodology:

Mechanical Clot Detection

Reference Range:

PT: 11.6 Ð 15.8 seconds (Reagent lot specific) INR: 0.79 Ð 1.21

Reject Criteria:

Gross hemolysis, Gross lipemia, improper blood to citrate ratio, High hematocrit, improper blood collection

CPT Code(s):

• 84156
• 82570

Test Component(s):

• Creatinine
• Protein
• Total
• Protein/Creatinine
• Ratio

Preferred Specimen:

10 mL random urine. No Preservative

Special Instructions:

The Protein, Total, 24-hour Urine test requires patients void urine at 8am and discard the specimen. Then collect all urine in 24-hour period, ending with final collection at 8am the next morning

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

Spectrophotometric

CPT Code(s):

• 84156
• 82570

Test Component(s):

• Creatinine Protein
• Total
• Protein/Creatinine
• Ratio

Preferred Specimen:

10 mL urine aliquot from 24-hour collection. No Preservative

Special Instructions:

The Protein, Total, 24-hour Urine test requires patients void urine at 8am and discard the specimen. Then collect all urine in 24-hour period, ending with final collection at 8am the next morning

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

Spectrophotometric

CPT Code(s):

• 82565

Preferred Specimen:

1 mL Urine

Minimum Volume:

0.5 mL

Transport Container:

Sterile Urine Container

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: < 72 hours

Testing Schedule:

Daily

Methodology:

PYROGALLOL RED

Reference Range:

0.0 Ð9.0 mg/dL

CPT Code(s):

• 84156

Preferred Specimen:

10 mL urine aliquot from 24-hour collection. No Preservative

Special Instructions:

The Protein, Total, 24-hour Urine test requires patients void urine at 8am and discard the specimen. Then collect all urine in 24-hour period, ending with final collection at 8am the next morning

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

PYROGALLOL RED

Reference Range:

0.0 Ð 79.1 mg/24hour (<80.0)

CPT Code(s):

• 84155

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

BIURET, SERUM BLANK, END POINT

Reference Range:

6.4-8.9 g/dL

Reject Criteria:

Gross hemolysis ¥ Plasma

CPT Code(s):

• 84153

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Results may be falsely elevated if the serum is collected following a digital rectal examination (DRE), needle biopsy or transurethral resection.

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerated (cold packs)

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

ENZYME IMMUNOASSAY

Reference Range:

0.0 Ð 4.0 ng/mL

CPT Code(s):

• 84153
• 84154

Test Component(s):

• Total PSA
• Total PSA
• % Free PSA (calculated)

Preferred Specimen:

2 mL serum

Minimum Volume:

0.6 mL

Special Instructions:

Results may be falsely elevated if the serum is collected following a digital rectal examination (DRE), needle biopsy or transurethral resection.

Transport Container:

If a red-top tube is used, transfer separated serum to a plastic transport tube.

Transport Temperature Name:

Refrigerated (cold packs)

Specimen Stability Components:

• Refrigerated: 7 days
• Frozen: 30 days

Testing Schedule:

Daily

CPT Code(s):

• See PSA Profile

CPT Code(s):

• 84146

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 5 days
• Refrigerated: 7 days

Methodology:

IMMUNOFLUORESCENCE

Reference Range:

Male Ð 2.0-18.0 ng/mLFemale, Non-Pregnant Ð 3.0-30.0 ng/mLFemale, Pregnant Ð 10.0-209.0 ng/mLFemale, Postmenopausal Ð 2.0-20.0 ng/mL

CPT Code(s):

• 84144

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Do not add on progesterone testing to a barrier gel specimen older than 24 hours

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 24 hours
• Refrigerated: 7 days

Methodology:

IMMUNOFLUORESCENCE

Reference Range:

<0.25-0.56 ng/mL Ð Male<0.25-6.22 ng/mL Ð Female, Ovulation, Day off<0.25-0.54 ng/mL Ð Follicular Phase1.5-20 ng/mL Ð Luteal Phase<0.41 ng/mL Ð Menopause

Reject Criteria:

Serum stored on barrier gel for more than 24 hours ¥ Do not order progesterone testing as an add on to a barrier gel specimen older than 24 hours. Progesterone binds to barrier gel causing decreased values

CPT Code(s):

• 84144

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Do not add on progesterone testing to a barrier gel specimen older than 24 hours

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 24 hours
• Refrigerated: 7 days

Methodology:

IMMUNOFLUORESCENCE

Reject Criteria:

Serum stored on barrier gel for more than 24 hours ¥ Do not order progesterone testing as an add on to a barrier gel specimen older than 24 hours. Progesterone binds to barrier gel causing decreased values

CPT Code(s):

• 84132

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerated (cold packs)

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

Indirect

Reference Range:

3.5 Ð 5.1 mmol/L

Reject Criteria:

Gross hemolysis ¥ Plasma

CPT Code(s):

• 84133
• 82570

Preferred Specimen:

10 mL random urine. No preservative.

Minimum Volume:

0.5 mL

Transport Container:

Plastic urine container, no preservativee

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

Ion Selective Electrode (ISE)

CPT Code(s):

• 84133

Preferred Specimen:

10 mL random urine. No preservative.

Minimum Volume:

0.5 mL

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

Ion Selective Electrode (ISE)

CPT Code(s):

• 82570
• 84133

Preferred Specimen:

10 mL aliquot 24 Hours specimen. No preservative.

Minimum Volume:

0.5 mL

Special Instructions:

The request form must state date and time collection started, date and time collection finished, and urine volume.

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

Ion Selective Electrode (ISE)

CPT Code(s):

• 85049

Preferred Specimen:

Whole blood full EDTA (lavender-top) tube. Do not refrigerate

Special Instructions:

Invert tube immediately 8 to 10 times once tube is filled at time of collection

Transport Container:

Lavender-Top (EDTA) Tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 1 day

Reject Criteria:

Gross hemolysis , clotted specimen, tube not filled with minimum volume, specimen diluted or contaminated with I.V. fluid, specimen received with plasma removed, specimen collected in any anticoagulant other than EDTA, specimen more than 48 hours old

CPT Code(s):

• 84105

Preferred Specimen:

10 mL random urine.

Minimum Volume:

0.5 mL

Special Instructions:

Specimens submitted without preservative should be acidified after receipt to pH<2.0 with 6N HCL

Transport Container:

Plastic urine container

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

Spectrophotometry (SP)

CPT Code(s):

• 84100

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 8 hours
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

PHOSPHOMOLYBDATE-UV

Reference Range:

2.5 Ð 5.0 mg/dL

CPT Code(s):

• 84105
• 82570

Preferred Specimen:

10 mL aliquot of entire collection(24-hour urine). Collect with 6N HCL

Minimum Volume:

0.5 mL

Transport Container:

Plastic urine container

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

Spectrophotometry (SP)

CPT Code(s):

• 85730

Preferred Specimen:

One full 3.2% unopened sodium citrate (light blue-top) tube

Minimum Volume:

Ratio of blood to citrate is critical. Submit difficult draws in a pediatric (light blue-top) tube. 0.5 mL frozen plasma.

Alternate Specimen:

1 mL frozen plasma: for Heparinized patients or if testing will be delayed longer than 6 hours, centrifuge specimen within 1 hour of collection at 2500-3500 rpm. Transfer plasma to a plastic screw-cap vial and freeze at -20¡C immediately. Ship with dry ice.

Special Instructions:

Correct ratio of blood to citrate is critical. Do not overfill or under fill collection tube. Mix by inversion 4 times. For non-heparinized patients, maintain specimen at room temperature. Do not uncap. Stable 24 hours at room temperature.

Transport Container:

3.2% sodium citrate (light blue-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: Unopened light blue-top tube Room temperature: 24 hours
• Frozen: Unacceptable Separated platelet poor plasma Frozen -20¡C: 7 days

Testing Schedule:

Daily

Methodology:

Mechanical Clot Detection

Reference Range:

Reagent Lot Specific (30-40 sec)

Reject Criteria:

Gross hemolysis ¥ Gross lipemia ¥ Improper blood to citrate ratio ¥ Clotted ¥ High hematocrits

CPT Code(s):

• 83970

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Alternate Specimen:

Serum Separator Tube (SST)

Special Instructions:

Spin to separate serum and transfer to plastic screw-cap vial. Note: Sodium or lithium heparins are no longer acceptable specimen types

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Refrigerate

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

14.0 – 72.0 pg/mL

Reject Criteria:

Gross hemolysis, Gross lipemia, Plasma, Received room temperature, Grossly icteric

CPT Code(s):

• 82272

Preferred Specimen:

CENOGENICS© tri-slide inoculated with a thin smear of stool. Each tri-slide is to be inoculated with three separate specimen collections, or three separate locations on a single specimen collection.

Special Instructions:

Using the wooden applicator stick, collect a small sample from bowel movement on the end of applicator. Apply a thin layer of specimen inside the test window. Each sample should be taken from a different part of each dayÕs stool to increase the probability of detecting occult blood in each specimen. Since bleeding from intestinal lesions may be intermittent, it is recommended that specimens be collected for at least three consecutive days.

Transport Container:

CENOGENICS© tri-slide card (Do not refrigerate. Protect from heat and direct light)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 48-72 hours

Testing Schedule:

Daily

Methodology:

Guaiac stool occult blood test slide method

Reject Criteria:

Bulk stool ¥ Specimens not received on CENOGENICS© tri-slide cards ¥ All other specimen types ¥ Specimens older than 72 hours

CPT Code(s):

• 80055

Test Component(s):

• ABO Group and Rh Type
• Antibody Screen
• CBC (includes Differential and Platelet Count)
• Hepatitis B Surface Antigen (HBsAg) with Reflex to Confirmation* (Positive samples will be confirmed based on the manufacturerÕs FDA approved recommendations at an additional charge (CPT code(s): 87341)
• RBC with Reflex to ID and Titer
• RPR Reflex to Titer and Confirmation
• Rubella Virus IgG AntibodyIf Antibody Screen is positive
• Antibody Identification
• Titer
• and Antigen Typing will be performed at an additional charge (CPT code(s): 86870
• 86886
• 86905). If RPR is reactive
• a titer and confirmation will be performed at an additional charge (CPT code(s): 86593
• 86781). *Note: When only a single test
• Hepatitis B Surface Antigen
• is ordered to diagnose Hepatitis B in a pregnant woman
• additional tests such as liver enzymes should be ordered to confirm the diagnosis.

Preferred Specimen:

Whole blood full EDTA (lavender-top) tube andWhole blood full ACD-A or ACD-B (yellow-top) tube and6 mL serum

Special Instructions:

EDTA (lavender-top): Maintain specimen at room temperature. Do not refrigerate. Collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets.

Transport Container:

EDTA (lavender-top) tube and ACD-A or ACD-B (yellow-top) tube and Plastic screw-cap vial with serum

Transport Temperature Name:

Room temperature

Reject Criteria:

Gross hemolysis ¥ Gross lipemia

CPT Code(s):

• 86735

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Methodology:

ELISA

Reference Range:

Interpretation Negative: ² 0.9Interpretation Equivocal: ³ 0.9-1.1Interpretation Positive: ³ 1.1*A positive result indicates that the patient has antibodies to the Mumps Virus. It does not differentiate between an active or past infection. The clinical diagnosis must be interpreted in conjunction with the clinical signs and symptoms of the patient.

Reject Criteria:

Gross hemolysis ¥ Gross lipemia ¥Plasma

CPT Code(s):

• 82043
• 82570

Test Component(s):

• Microalbumin
• Creatinine
• Microalbumin/Creatinine Ratio

Preferred Specimen:

5 mL random urine Ð no preservative

Minimum Volume:

2 mL

Transport Container:

Plastic urine container

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Reject Criteria:

Acid preserved urin

CPT Code(s):

• 82043

Preferred Specimen:

5 mL random urine Ð no preservative

Minimum Volume:

2 mL

Transport Container:

Plastic urine container

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

IMMUNOTURBIDIMETRIC

Reference Range:

0.0 Ð 19.0 mg/L

Reject Criteria:

Acid preserved urine

CPT Code(s):

• 86765

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Specimens should be collected under aseptic or sterile conditions. Avoid hemolysis by prompt separation of the serum from the clot.

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days
• Frozen: 30 days

Methodology

ELISA

Reference Range:

Interpretation Negative: ² 0.9Interpretation Equivocal: ³ 0.9-1.1Interpretation Positive: ³ 1.1*Positive results suggest recent or previous infection with Measles Virus and imply immunity. Patients exhibiting equivocal results should be retested in one month, if clinically indicated.

Reject Criteria:

Gross hemolysis ¥ Gross lipemia ¥ Plasma ¥ Grossly icteric

CPT Code(s):

• 83735

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology

METHYLTHYMOL BLUE

Reference Range:

1.9 Ð 2.7 mg/dL

CPT Code(s):

• 86618

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Do not refrigerate or freeze

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 3 days

Testing Schedule:

Daily

Methodology

ELISA

Reference Range:

Interpretation Negative: ² 0.9Interpretation Equivocal: ³ 0.9-1.1Interpretation Positive: ³ 1.1Note: A negative result on this test should be followed up on in 2-4 weeks if Lyme disease is still suspected. A negative result does not rule out infection with Borrelia burgdorferi. The screening test of B. burgdorferi has a low predictive value for a negative result when used to detect early infection and a low predictive value for a positive result when exposure history, symptoms and clinical findings are not consistent with Lyme Disease. All positive results should be supplemented by re-testing the corresponding serum samples on a standardized Western blot test in accordance with CDC/ASTPHLD recommendations.

Reject Criteria:

Moderate to gross hemolysis ¥ Received frozen

CPT Code(s):

• 86617

Test Component(s):

• If Lyme Disease Antibody
• Total is equivocal or positive
• Lyme Disease Western Blot will be performed at an additional charge (CPT code(s): 86617 x2).

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Methodology

ELISA

Reference Range:

Interpretation Negative: ² 0.9Interpretation Equivocal: ³ 0.9-1.1Interpretation Positive: ³ 1.1

Reject Criteria:

Gross hemolysis, Gross lipemia

CPT Code(s):

• Lyme Antibody Total
• Lyme Disease Antibody (Burgdorferi)
• C6

CPT Code(s):

• 83002

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Methodology

IMMUNOFLUORESCENCE

Reference Range:

1.1 Ð 7.0 mIU/mL: Male9.6 – 80 mIU/mL: Female, Ovulation, Day off1.5 Ð 8.0 mIU/mL: Follicular Phase, Day: -15 to -92.0 Ð 8.0 mIU/mL: Follicular Phase, Day: -8 to -20.2 Ð 6.5 mIU/mL: Luteal Phase, Day: +3 to +158 Ð 33 mIU/mL: Menopause

CPT Code(s):

• See Hepatic Function Panel

CPT Code(s):

• 80178

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology

ELISA

Reference Range:

1.0 Ð 1.2 mmol/L

CPT Code(s):

• 80061

Test Component(s):

• Triglycerides
• Cholesterol
• Total
• Cholesterol-HDL
• Cholesterol-LDL (calculated)
• Cholesterol/HDL Ratio (calculated) When Triglycerides are >400 mg/dL
• LDL-Direct is automatically performed and at an additional charge (CPT code: 83721)

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Patient Preparation:

Patient should fast 12 hours before specimen collection

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 3 days

Testing Schedule:

Daily

Reject Criteria:

Moderate to gross hemolysis

CPT Code(s):

• 83690

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

COLORIMETRIC

Reference Range:

11 – 82 U/L

CPT Code(s):

• See Luteinizing Hormone

CPT Code(s):

• 83615

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Do not refrigerate or freeze. Room temperature

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 2 days

Testing Schedule:

Daily

Methodology:

LACTATE TO PYRUVATE

Reference Range:

140 – 271 U/L

Reject Criteria:

Moderate to gross hemolysis ¥ Received frozen

CPT Code(s):

• 83540

CPT Code(s):

• 83540
• 83550

Test Component(s):

• Total Iron
• Iron Binding Capacity
• % Saturation (calculated)
• Ferritin
• Transferrin

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Reject Criteria:

Gross hemolysis

CPT Code(s):

• Allergy testing

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

FERENE

Reference Range:

50 – 212 ug/dL

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 84702

Preferred Specimen:

1 mL serum

Minimum Volume:

0.3 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

Male: < 3 mIU/mL Female, Non-Pregnant: < 5 mIU/mL Female, Premenopausal: < 5 mIU/mL Female Pregnancy Chart Week 0.2 Ð 1: 5 Ð 50 mIU/mL Week 1 Ð 2: 50 Ð 500 mIU/mL Week 2 Ð 3: 100 Ð 5000 mIU/mL Week 3 Ð 4: 500 Ð 1 mIU/mL Week 4 Ð 5: 1000 Ð 5 mIU/mL Week 5 Ð 6: 1 Ð 10 mIU/mL Week 6 Ð 8: 15000 Ð 21 mIU/mL 2 Ð 3 months: 1 Ð 10 mIU/mL

CPT Code(s):

• 84703

Preferred Specimen:

1 mL serum

Minimum Volume:

0.3 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 5 days
• Refrigerated: 7 days

Testing Schedule:

Daily

CPT Code(s):

• 81025

Preferred Specimen:

1 mL Urine

Minimum Volume:

0.3 mL

Transport Container:

Plastic urine container

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 5 days
• Refrigerated: 7 days

Testing Schedule:

Daily

CPT Code(s):

• 84153
• 84146
• 84144
• 82670
• 84403
• 82627

Test Component(s):

• PSA Total
• SHBG Prolactin
• Progesterone
• Estradiol
• Testosterone
• DHEA-S

CPT Code(s):

• 83001
• 83002
• 84146
• 84144
• 82670
• 84403
• 82627

Test Component(s):

• Follicle Stimulating Hormone (FSH)
• – Luteinizing Hormone (LH)
• Prolactin
• Progesterone
• SHBG
• Estradiol
• Testosterone
• Dehydroepiandrosterone Sulfate (DHEA-S)

CPT Code(s):

• 83090

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Red-top tubes (no gel): Place the specimen in a refrigerator or ice bath for 30 minutes after collection. Centrifuge the specimen as soon as possible after complete clot formation. Transfer the serum to a plastic specimen transport tube. Mark the specimen type as serum on the transport tube.Barrier gel separator tubes: Place the specimen in a refrigerator for 30 minutes after collection. Do not place barrier tubes in an ice bath as freezing may prevent the barrier gel from adequately separating from cells. Centrifuge specimen as soon as possible after complete clot formation, ensuring that the barrier gel completely separates serum from cells. Note: It is very important to centrifuge and separate serum or plasma from red blood cells as soon as possible to avoid falsely elevated results.

Patient Preparation:

Fasting for at least 8 hours is preferred

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology

CHEMILUMINESCENCE

Reference Range:

3.70 Ð 13.90 umol/L

Reject Criteria:

Gross hemolysis ¥ Unseparated serum or plasma ¥ Whole blood specimens

CPT Code(s):

• 86703

Test Component(s):

• If the HIV-1/HIV-2 EIA Antibody Screen is reactive
• HIV-1 Antibody Western Blot will be performed at an additional charge (CPT code(s): 86689).

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Special Instructions:

Tube must be labeled with patient identifier and submitted only for HIV testing. HIV-1 Western Blot requires the original tube for testing.

Transport Container:

Plastic screw-cap vial or original collection tube used only for HIV Screen with patientÕs name or ID number

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology

CHEMILUMINESCENCE

Reject Criteria:

Specimens that are not properly labeled with patient identifier

CPT Code(s):

• Codes vary based on complexity of case; ranges are 88300 through 88309

Preferred Specimen:

Tissue

Minimum Volume:

Entire specimen

Special Instructions:

Test request form must state operative diagnosis and source of specimen

Transport Container:

Jars of assorted size containing 10% buffered formalin

Reject Criteria:

Improper labeling, unlabeled specimen, no surgical specimen request form

CPT Code(s):

• 86696

Preferred Specimen:

1 mL

Minimum Volume:

0.2 mL

Transport Container:

Red Top Tube or Gel Barrier Tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Methodology:

ELISA

Reference Range:

Interpretation Negative: <0.9Interpretation Equivocal: 0.9-1.1Interpretation Positive: >1.1

Reject Criteria:

Gross hemolysis ¥ Gross lipemia ¥ Heat inactivated serum

CPT Code(s):

• 86695

Preferred Specimen:

1 mL serum

Minimum Volume:

0.2 mL

Transport Container:

Red Top Tube or Gel Barrier Tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Methodology:

ELISA

Reference Range:

Interpretation Negative: <0.9Interpretation Equivocal: 0.9-1.1Interpretation Positive: >1.1

Reject Criteria:

Gross hemolysis ¥ Gross lipemia ¥ Heat inactivated serum

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Test Component(s):

• Hepatitis A Antibody Total
• Hepatitis B Core Total
• Hepatitis B Surface Antigen
• Hepatitis B Surface Antibody
• Hepatitis C Antibody

Testing Schedule:

Daily

CPT Code(s):

• 86803

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 5 days
• Refrigerated: 14 days
• Frozen: Indefinitely

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis ¥ Gross lipemia

CPT Code(s):

• 87340

Test Component(s):

• Positive samples will be confirmed based on the manufacturerÕs FDA approved recommendations at an additional charge (CPT code(s): 87341). Note: When only a single test
• Hepatitis B Surface Antigen
• is ordered to diagnose Hepatitis B in a pregnant woman
• additional tests such as liver enzymes should be ordered to confirm the diagnosis.

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 14 days
• Frozen: Indefinitely

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis ¥ Gross lipemia

CPT Code(s):

• 86706

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 5 days
• Refrigerated: 14 days
• Frozen: Indefinitely

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis ¥ Gross lipemia

CPT Code(s):

• 86704

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 14 days
• Frozen: Indefinitely

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis ¥ Gross lipemia

CPT Code(s):

• 86705

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 14 days
• Frozen: Indefinitely

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis ¥ Gross lipemia

CPT Code(s):

• 86708

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 14 days
• Refrigerated: 14 days
• Frozen: Indefinite

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis ¥ Gross lipemia ¥ Plasma collected in a PPT potassium EDTA (white-top) tube

CPT Code(s):

• 86709

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 14 days
• Refrigerated: 14 days
• Frozen: Indefinite

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reject Criteria:

Gross hemolysis ¥ Gross lipemia ¥ Plasma collected in a PPT potassium EDTA (white-top) tube

CPT Code(s):

• 80076

Test Component(s):

• Alanine Aminotransferase (ALT)
• Albumin
• Albumin/Globulin Ratio (calculated)
• Alkaline Phosphatase
• Aspartate Aminotransferase (AST)
• Direct Bilirubin
• Globulin (calculated)
• Indirect Bilirubin (calculated)
• Total Bilirubin
• Total Protein.

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Testing Schedule:

Daily

CPT Code(s):

• 85014
• 85018

Preferred Specimen:

Whole blood collected in an EDTA (lavender-top) tube

Special Instructions:

Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets.

Transport Container:

EDTA (lavender-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 24 hours
• Refrigerated: 24 hours (may cause platelet clumping)

Reject Criteria:

Clotted ¥ Hemolysis ¥ Received frozen

CPT Code(s):

• 83036

Preferred Specimen:

1 mL whole blood collected in an EDTA (lavender-top) tube

Minimum Volume:

0.5 mL

Transport Container:

EDTA (lavender-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 4 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

IMMUNOTURBIDIMETRIC

Reference Range:

4.0 Ð 6.0 %

CPT Code(s):

• 85018

Preferred Specimen:

Whole blood from a full EDTA (lavender-top) tube

Special Instructions:

Do not refrigerate. Refrigeration can precipitate fibrin and trap WBC and platelets.

Transport Container:

EDTA (lavender-top) tube

Transport Temperature Name:

Room temperature

Reject Criteria:

Clotted ¥ Hemolysis ¥ Received frozen

CPT Code(s):

• 85014

Preferred Specimen:

Whole blood from a full EDTA (lavender-top) tube

Special Instructions:

Do not refrigerate. Refrigeration can precipitate fibrin and trap WBC and platelets

Transport Container:

EDTA (lavender-top) tube

Transport Temperature Name:

Room temperature

Reject Criteria:

Clotted ¥ Hemolysis ¥ Received frozen

Test Component(s):

• Amylase
• Basic Metabolic Panel
• CBC with Differential
• Ferritin
• Folate
• Gamma Glutamyl Transferase (GGT)
• Hepatic Function Panel
• Homocysteine
• LDL-Direct
• Lipase
• Lipid Panel
• Lyme Antibody Total
• Magnesium
• Male Hormone Screen
• Sedimentation Rate
• Thyroid Panel
• Total Iron Binding Capacity Panel (TIBC)
• Uric Acid
• Urinalysis Complete
• Vitamin B12
• Vitamin D 25-OH.

Test Component(s):

• Amylase
• Basic Metabolic Panel
• CBC with Differential
• Female Hormone Screen
• erritin
• Folate
• Gamma Glutamyl Transferase (GGT)
• Hepatic Function Panel
• Homocysteine
• LDL-Direct
• Lipase
• Lipid Panel
• Lyme Antibody Total
• Sedimentation Rate
• Thyroid Panel
• Uric Acid
• Urinalysis Complete
• Vitamin D 25-OH
• Magnesium
• Total Iron Binding Capacity Panel (TIBC)
• Vitamin B12

CPT Code(s):

• 83718

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Patient Preparation:

Patient should fast 12 hours prior to collection

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

DIRECT MEASURE-PEG

Reference Range:

23 – 92 mg/dL

CPT Code(s):

• See Hepatitis C testing

CPT Code(s):

• See Human Chorionic Gonadotropin (hCG) testing

CPT Code(s):

• See Human Chorionic Gonadotropin (hCG) testing

CPT Code(s):

• See Hepatitis B testing

CPT Code(s):

• See Hemoglobin and Hematocrit

CPT Code(s):

• 81003

Preferred Specimen:

10 mL aliquot 24-hour urine, collected with 1 g Boric Acid or Sodium Fluoride preservative

Minimum Volume:

0.5 mL

Transport Container:

Plastic urine container with boric acid or sodium fluoride

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Room Temperature: Unstable
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

HEXOKINASE

Reject Criteria:

Specimen not kept cold, no preservative, improper labeling

CPT Code(s):

• 82947
• 82950

Preferred Specimen:

1 mL plasma from each tube, collected in a fluoride/oxalate (gray-top) tubes

Special Instructions:

Immediately after a fasting specimen is obtained, have patient ingest a specific gram load of glucose. Draw subsequent specimens 1, 2 and/or 3 hours later. Label each with the specific draw time.

Patient Preparation:

Fasting required. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before testing.

Transport Container:

Room temperature

Specimen Stability Components:

• Room Temperature: 24 hours

Testing Schedule:

Daily

Reference Range:

Anticoagulants other than fluoride/oxalate, hemolysis

CPT Code(s):

• 82947

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Centrifuge SST within 45 min of collections

Patient Preparation:

Fasting Specimen is preferred

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 8 hours
• Refrigerated: 72 hours

Testing Schedule:

Daily

Methodology:

HEXOKINASE

Reference Range:

70 – 105 mg/dL

Reject Criteria:

Unspun SST, red-top or non-plasma separator (PST) green-top tubes, anticoagulants other than lithium heparin, sodium heparin or fluoride/oxalate, hemolysis

Preferred Specimen:

5 mL blood collected in a fluoride/oxalate (gray-top) tube

Minimum Volume:

0.5 mL

Alternate Specimen:

Plasma from fluoride/oxalate (gray-top) tube in a plastic screw-cap vial ¥ Serum (separated from cells immediately) in a plastic screw-cap vial ¥ Spun SST

Patient Preparation:

Fasting required. Blood should be drawn in the morning after an overnight fast (no caloric intake for at least eight hours), during which time the individual may consume water.

Transport Container:

Fluoride/oxalate (gray-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: Gray-top whole blood 24 hours
• Refrigerated: Plasma 24 hours (separated from cells)

Testing Schedule:

Daily

Methodology:

HEXOKINASE

Reference Range:

70 – 105 mg/dL

Reject Criteria:

Anticoagulants other than fluoride/oxalate. Hemolysis

CPT Code(s):

• 82950

Preferred Specimen:

1 mL plasma collected in a fluoride/oxalate (gray-top) tube

Minimum Volume:

0.5 mL

Alternate Specimen:

Plasma from fluoride/oxalate (gray-top) tube in a plastic screw-cap vial ¥ Serum (separated from cells immediately) in a plastic screw-cap vial ¥ Spun SST ¥ Plasma from lithium heparin (green-top) tube in a plastic screw-cap vial ¥ Plasma from sodium heparin (green-top) tube in a plastic screw-cap vial

Patient Preparation:

Fasting is not required. The patient is given a 50 gram dose of glucose and a single blood specimen is obtained one hour later. The test should be performed between weeks 24 and 28 of gestation.

Transport Container:

Fluoride/oxalate (gray-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: Gray-top whole blood 24 hours Plasma 7 days (separated from cells)
• Refrigerated: Plasma 7 days (separated from cells)

Testing Schedule:

Daily

Methodology:

HEXOKINASE

Reference Range:

<130.0 mg/dL

CPT Code(s):

• See Protein
• Total and Albumin

CPT Code(s):

• See Rubella Antibody
• IgG

CPT Code(s):

• 82977

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

G-GLITAMYL-CARBOXY-NITROANILINE

Reference Range:

9 – 64 U/L

CPT Code(s):

• See T4 (Thyroxine)
• Free

CPT Code(s):

• 83001

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 8 hours
• Refrigerated: 48 hours

Methodology:

IMMUNOFLUORESCENCE

Reference Range:

1.7 Ð 12.0 mIU/mL Ð Male6.3 Ð 24.0 mIU/mL Ð Female, Ovulation, Day off3.9 Ð 12.0 mIU/mL Ð Follicular Phase, Day: -15 to -92.9 Ð 9.0 mIU/mL Ð Follicular Phase, Day: -8 to -21.5 Ð 7.0 mIU/mL Ð Luteal Phase, Day: +3 to +1517.0 Ð 95.0 mIU/mL Ð Menopause

CPT Code(s):

• See Folate
• Serum

CPT Code(s):

• 82746

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Folate is light sensitive. Minimize exposure to light during sample handling and storage

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerated (cold packs)

Specimen Stability Components:

• Room Temperature: 8 hours
• Refrigerated: 48 hours

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

5.4 Ð 24.0 ng/Ml

Reject Criteria:

Hemolysis

CPT Code(s):

• 82728

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST) or Red Top Tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 8 hours
• Refrigerated: 48 hours/li>

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

10.0 Ð 322.0 ng/mL

Reject Criteria:

Gross hemolysis, plasmas

CPT Code(s):

• See Glucose
• Plasma

CPT Code(s):

• 82670

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Plain Red Top Tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 8 hours
• Refrigerated: 48 hours

Testing Schedule:

Daily

Methodology:

IMMUNOFLUORESCENCE

Reference Range:

<62 pg/mL Ð Male18 - 147 pg/mL Ð Female, Follicular Phase93 - 573 pg/mL Ð Pre-ovulatory Peak43 Ð 214 pg/mL Ð Luteal Phase<0.41 pg/mL Ð Menopause

Reject Criteria:

Serum stored on barrier gel for more than 24 hours

Test Component(s):

• See Sedimentation Rate
• Modified Westergren

Test Component(s):

• CBC with Differential
• Comprehensive Metabolic Panel
• Thyroid-Stimulating Hormone (TSH)
• Triiodothyronine (T3)
• Free Thyroxine (free T4)
• Follicle Stimulating Hormone (FSH)
• Luteinizing Hormone(LH)
• Prolactin
• Testosterone
• Total

CPT Code(s):

• 86663
• 86664
• 86665
• 85651
• 86592

Test Component(s):

• Epstein-Barr Virus NA IgG
• Epstein Barr Virus EA IgG
• Epstein Barr Virus VCA IgM
• Sedimentation Rate
• RPR

CPT Code(s):

• 86664

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST) or Red Top Tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Methodology:

ELISA

Reject Criteria:

Gross icteric

CPT Code(s):

• 86665

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST) or Red Top Tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Methodology:

ELISA

Reject Criteria:

Gross icteric

CPT Code(s):

• 86663

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST) or Red Top Tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Methodology:

ELISA

Reject Criteria:

Gross icteric

CPT Code(s):

• 80051

Test Component(s):

• Carbon Dioxide
• Chloride
• Potassium
• Sodium

Preferred Specimen:

2 mL serum

Minimum Volume:

1.0 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 1 day
• Refrigerated: 3 days

Testing Schedule:

Daily

Reject Criteria:

Gross hemolysis, plasma

CPT Code(s):

• See Epstein-Barr Virus testing

CPT Code(s):

• 82145
• G0434(x2)
• 80154
• 83840
• 83925
• 82542

Test Component(s):

• Amphetamines
• Barbiturates
• Benzodiazepines
• Cocaine Metabolites
• Methadone
• Opiates
• Cannabinoids (THC)

Preferred Specimen:

20 mL urine (plastic urine container, preservative free)

Minimum Volume:

10 mL

Specimen Stability Components:

• Room Temperature: 5 day
• Frozen: 30 days

Testing Schedule:

Daily

CPT Code(s):

• 83721

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Patient Preparation:

Patient should fast 12 hours prior to collection

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 5 days

Testing Schedule:

Daily

Methodology:

DIRECT MEASURE

Reference Range:

75 – 193 mg/dL

Reject Criteria:

Gross hemolysis, citrate containing anticoagulants

CPT Code(s):

• 80162

Preferred Specimen:

1 mL serum collected in a red-top tube (no gel)

Minimum Volume:

0.5 mL

Patient Preparation:

Collect as a trough just prior to next dose

Transport Container:

Plastic screw-cap vial

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

EIA

Reference Range:

0.8 Ð 2.0 ng/mL

Reject Criteria:

Serum Separator Tube (SST)

Test Component(s):

• Glucose
• Insulin
• Hemoglobin A1C
• Creatinine
• Serum
• Microalbumin/Creatinine Ratio

CPT Code(s):

• 82627

Preferred Specimen:

1.0 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube Red-top tube (no gel)

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 6 days

Testing Schedule:

Daily

Methodology:

CHEMILUMINESCENCE

Reference Range:

25.9 – 460.2 µg/dL

CPT Code(s):

• 86644

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Methodology:

ELISA

Reference Range:

Interpretation Negative: <0.9Interpretation Equivocal: 0.9-1.1Interpretation Positive: >1.1**Note: A positive result indicates that the patient has antibody to CMV. It does not differentiate between an active or past infection. The clinical diagnosis must be interpreted in conjunction with the clinical signs and symptoms of the patient.

CPT Code(s):

• 82565

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

ALKALINE PICRATE-KINETIC, IFCC-IDMS STANDARDIZED

Reference Range:

Male 0.7 – 1.3 mg/dL, Female 0.6 – 1.2 mg/dL

CPT Code(s):

• 82570

Preferred Specimen:

10 mL random urine (no preservative)

Minimum Volume:

0.5 mL

Transport Container:

Plastic sterile screw-cap container

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 4 days

Testing Schedule:

Daily

Methodology:

ALKALINE PICRATE-KINETIC, IFCC-IDMS STANDARDIZED

Reference Range:

20 Ð 200 mg/dL

CPT Code(s):

• 82550

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 24 hours

Testing Schedule:

Daily

Methodology:

NAC ACTIVATED

Reference Range:

30 Ð 223 U/L

CPT Code(s):

• 82575

Preferred Specimen:

1 mL serum and 10 mL aliquot of 24-hour urine collection

Minimum Volume:

0.5 mL serum and 0.5 mL urine aliquot

Transport Container:

Serum Separator Tube (SST), Sterile Urine container(24-hour urine collection)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Refrigerated: <4 days

Testing Schedule:

Daily

Reject Criteria:

Gross icteric

CPT Code(s):

• 82570

Preferred Specimen:

10 mL urine aliquot from a well-mixed, 24-hour collection (no preservative)

Transport Container:

Plastic sterile screw-cap container

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 4 days

Testing Schedule:

Daily

Methodology:

Bichromatic rate

Reference Range:

0.63 – 2.50 g/24Hr

CPT Code(s):

• 80053

Test Component(s):

• Albumin
• Albumin/Globulin Ratio (calculated)
• Alkaline Phosphatase
• ALT
• AST
• BUN/Creatinine Ratio (calculated)
• Calcium
• Carbon Dioxide
• Chloride
• Creatinine with GFR Estimated
• Globulin (calculated)
• Glucose
• Potassium
• Sodium
• Total Bilirubin
• Total Protein
• Urea Nitrogen

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Patient Preparation:

Fasting specimen is preferred

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Refrigerated: 4 days

Testing Schedule:

Daily

CPT Code(s):

• See CBC (with Differential and Platelets

CPT Code(s):

• 85610
• 85730

Test Component(s):

• Prothrombin time with INR
• aPTT

Preferred Specimen:

One full unopened 3.2% sodium citrate (light blue-top) tube

Minimum Volume:

Ratio of blood to citrate is critical. Submit difficult draws in pediatric tube. 0.5 mL frozen plasma

Alternate Specimen:

1 mL frozen plasma:If the specimen will be delayed longer than 6 hours, centrifuge specimen for 15 minutes at 2500-3500 rpm. Using a plastic pipette, remove plasma, taking care to avoid the WBC/ platelet (buffy) layer and place into a plastic screw-cap vial and freeze at -20¡C. Ship on dry ice.

Special Instructions:

A completely filled tube is necessary because the correct ratio of blood to citrate is critical (9:1). Mix by gentle inversion 3-4 times. Do not uncap.

Transport Container:

Whole blood: 3.2% sodium citrate (light blue-top) tube Plasma: Plastic screw-cap vial (frozen)

Transport Temperature Name:

Room temperature: Light blue-top tube (whole blood) Frozen: Plasma

Specimen Stability Components:

• Room Temperature: Unopened light blue-top tube Room temperature: 6 hours Refrigerated: 24 hours Frozen: Unacceptable Separated platelet-poor plasma Room temperature: 4 hours Refrigerated: 24 hours Frozen -20¡C: 2 days

Testing Schedule:

Daily

Methodology:

Mechanical Clot Detection

Reject Criteria:

Gross hemolysis, gross lipemia, improper blood to citrate ratio, high hematocrit, improper blood collection

CPT Code(s):

• See Comprehensive Metabolic Panel (CMP) with eGFR

CPT Code(s):

• See Cyclic Citrullinated Peptide (CCP) Antibody IgG

CPT Code(s):

• 82465

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

CHOLESTEROL OXIDASE, ESTERASE, PEROXIDASE

Reference Range:

<200 mg/dL

CPT Code(s):

• See Direct LDL

CPT Code(s):

• See HDL Cholesterol

CPT Code(s):

• 82435

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

Indirect

Reference Range:

98-107 mmol/L

Reject Criteria:

Gross hemolysis

CPT Code(s):

• 82436
• 82570

Preferred Specimen:

10 mL random urine, No Preservative

Transport Container:

Plastic urine container

Transport Temperature Name:

Room temperature

Testing Schedule:

Daily

CPT Code(s):

• 82436
• 82570

Preferred Specimen:

10 mL aliquot of entire collection urine (24-Hour), No preservative

Special Instructions:

State 24-hour volume on the test request form and specimen container

Transport Container:

Plastic urine container

Transport Temperature Name:

Room temperature

Testing Schedule:

Daily

CPT Code(s):

• 82436

Preferred Specimen:

10 mL aliquot of entire collection urine (24-Hour) No preservative

Special Instructions:

State 24-hour volume on the test request form and specimen container

Transport Container:

Plastic urine container

Transport Temperature Name:

Room temperature

Testing Schedule:

Daily

Methodology:

Ion Selective electrode (ISE)

Reject Criteria:

improper labeling

CPT Code(s):

• 82378

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Refrigerated (cold packs), Note: Room temperature acceptable if received within 24 hours of collection. Frozen acceptable.

Specimen Stability Components:

• Room Temperature: 8 hours
• Refrigerated: 48 hours
• Frozen: 7 days

Testing Schedule:

Daily

Methodology:

Chemiluminescence

Reference Range:

0.5-5.0 ng/mL

CPT Code(s):

• 85027

Test Component(s):

• H&H Ð Hemoglobin & Hematocrit
• MCV-Mean Corpuscular Volume
• MCH-Mean Corpuscular Hemoglobin
• MCHC- Mean Corpurscular Hemoglobin Concentration
• PTL – Platelet Count
• RBC – Red Blood Cell
• RDW -Red Blood Cell Distribution Width
• WBC – White Blood Cell Count.

Preferred Specimen:

Whole blood collected in an EDTA (lavender-top) tube

Minimum Volume:

2.5 mL whole blood EDTA (lavender-top) tube

Special Instructions:

Maintain specimen at room temperature. Do not refrigerate. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets

Transport Container:

EDTA (lavender-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 24 hours
• Refrigerated: 48 hours (may cause platelet clumping)

Testing Schedule:

Daily

Reject Criteria:

Hemolysis ¥ Clotted ¥ Received Frozen

CPT Code(s):

• 85027
• 85077
• 85060

Preferred Specimen:

Whole blood collected in an EDTA (lavender-top) tube

Minimum Volume:

2.5 mL whole blood EDTA (lavender-top) tube

Special Instructions:

Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets.

Transport Container:

EDTA (lavender-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 24 hours
• Refrigerated: 24 hours (may cause platelet clumping)

Testing Schedule:

Daily

Reject Criteria:

Hemolysis ¥ Clotted ¥ Received Frozen

CPT Code(s):

• 85025

Test Component(s):

• WBC
• RBC
• Hemoglobin
• Hematocrit
• MCV
• MCH
• MCHC
• RDW
• Platelet Count
• MPV and WBC Differential
• If abnormal cells are noted on a manual review of the peripheral blood smear or if the automated differential information meets specific criteria
• a full manual differential will be performed.

Preferred Specimen:

Whole blood collected in an EDTA (lavender-top) tube

Minimum Volume:

2.5 mL whole blood EDTA (lavender-top) tube

Special Instructions:

Maintain specimen at room temperature. Do not refrigerate. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets.

Transport Container:

EDTA (lavender-top) tube

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 24 hours
• Refrigerated: 48 hours (may cause platelet clumping)

Reject Criteria:

Hemolysis, clotted, received Frozen

CPT Code(s):

• 82374

Preferred Specimen:

1 full, unopened spun gel barrier tube(SST)

Minimum Volume:

0.5 mL serum

Special Instructions:

Do not open tube

Transport Container:

1 full, unopened spun gel barrier tube(SST)

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Room Temperature: 48 hours (unexposed to air)

Testing Schedule:

Daily

Methodology:

ENZYMATIC

Reference Range:

21.0 Ð 31.0 mmol/L

CPT Code(s):

• 80101

Test Component(s):

• Screen for metabolites of marijuana

Preferred Specimen:

20 mL urine, random collection

Transport Container:

Plastic urine container

Transport Temperature Name:

Room Temperature

Testing Schedule:

Daily

Cut Off:

50 ng/mL

CPT Code(s):

• 82310

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days.

Testing Schedule:

Daily

Methodology:

O-CRESOLPHTHALEIN COMPLEXONE

Reference Range:

8.6 Ð 10.3 mg/dL

CPT Code(s):

• 86141

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube (SST)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

IMMUNOTURBIDIMETRIC

Reference Range:

0.00 – 0.99 mg/L

CPT Code(s):

• 86140

Preferred Specimen:

1.0 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Serum Separator Tube(SST) or Red-top tube (no gel)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

Turbidimetric rate

Reference Range:

0.00 – 0.99 mg/dL

CPT Code(s):

• 82565
• 84520

Test Component(s):

• BUN/Creatinine Ratio (calculated)
• Uear Nitrogen (BUN)
• Creatinine

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 3-5 days
• Refrigerated: 7 days.

Testing Schedule:

Daily

CPT Code(s):

• 84540

Preferred Specimen:

10 mL urine aliquot from a 24-hour collection. No preservative

Special Instructions:

Record total 24-hour urine volume on the request form

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 3-5 days
• Refrigerated: 7 days

CPT Code(s):

• See Basic Metabolic Panel with Glomerular Filtration Rate
• Estimate (eGFR)

CPT Code(s):

• See Urea Nitrogen (BUN)

CPT Code(s):

• 82247

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Protect from light by wrapping a spun SST in foil or transferring serum to an amber transport vial. Avoid hemolysis.

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 3 days (protected from light)

Testing Schedule:

Daily

Methodology:

JENDRASSIK GROF

Reference Range:

0.2-1.0 mg/dL

CPT Code(s):

• 82248

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Special Instructions:

Protect from light by wrapping a spun SST in foil or transferring serum to an amber transport vial. Avoid hemolysis.

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 3 days (protected from light)

Testing Schedule:

Daily

Methodology:

DIAZOTIZATION

Reference Range:

0.03 Ð 0.18 mg/dL

Reject Criteria:

Hemolysis

CPT Code(s):

• G0431

Preferred Specimen:

20 mL urine, random collection

Transport Container:

Plastic urine container

Transport Temperature Name:

Room Temperature

Testing Schedule:

Daily

Cut Off:

200 ng/mL

CPT Code(s):

• 80048

Test Component(s):

• BUN/Creatinine Ratio (calculated)
• Calcium
• Carbon Dioxide
• Chloride
• Creatinine with GFR Estimated
• Glucose
• Potassium
• Sodim
• Urea Nitrogen (BUN).

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Patient Preparation:

Fasting specimen is preferred

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Refrigerated: 4 days

Testing Schedule:

Daily

CPT Code(s):

• 80101(G0431)

Preferred Specimen:

20 mL urine, random collection

Transport Container:

Plastic urine container

Transport Temperature Name:

Room Temperature

Testing Schedule:

Daily

Cut Off:

200 ng/mL

CPT Code(s):

• See Vitamin B12 (Cobalamin)

CPT Code(s):

• 84450

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Room Temperature: 1 day
• Refrigerated: 7 days

Testing Schedule:

Daily

Methodology:

UV WITHOUT P5P

Reference Range:

13 – 39 U/L

CPT Code(s):

• See Anti-Streptolysin O Antibody (ASO)

CPT Code(s):

• 86038
• 86200
• 86431

Test Component(s):

• ANA Screen
• Rheumatoid Factor
• Uric Acid Serum
• C-Reactive Protien
• Anti-Streptolysin O
• Lyme Ab
• Total

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Transport Container:

Serum Separator (SST) or Transfer tubes.

Transport Temperature Name:

Refrigerated

Specimen Stability Components:

• Room Temperature: 7 days

Testing Schedule:

2-3 days per week

Methodology:

Immunoassay

Reject Criteria:

Gross hemolysis á Gross lipemia á Microbial contamination may interfere

CPT Code(s):

• See Partial Thromboplastin Time
• Activated (aPTT)

CPT Code(s):

• 86038

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room Temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Testing Schedule:

2-3 days per week

Methodology:

ELISA

Reference Range:

Interpretation Negative: <0.9Interpretation Equivocal: 0.9-1.1Interpretation Positive: >1.1

CPT Code(s):

• 86060

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 7 days

Methodology:

Latex Agglutination

Reference Range:

0 Ð 250 IU/mL

CPT Code(s):

• 82607
• 82728
• 82746
• 83540
• 83550
• 85025
• 85045

Test Component(s):

• CBC with Differential
• Vitamin B12
• Folate
• Ferritin
• Total Iron Binding Capacity Panel (Iron
• Total Iron Binding Capacity
• % Saturation)
• Reticulocyte Count

CPT Code(s):

• 82150

Preferred Specimen:

10 mL timed aliquot urine. No preservative.

Minimum Volume:

0.5 mL

Special Instructions:

The request form must state date and time collection started, date and time collection finished, and urine volume.

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Room Temperature: 1 day
• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

CNP-TRIOSE/CNPG3

Reference Range:

5-27 U/hour

CPT Code(s):

• 82150

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 30 days

Testing Schedule:

Daily

Methodology:

CNP-TRIOSE/CNPG3

Reference Range:

29 – 103 U/L

CPT Code(s):

• 82150
• 82570

Preferred Specimen:

10 mL random urine. No preservative.

Minimum Volume:

0.5 mL

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: 1 day
• Refrigerated: 3 days

Testing Schedule:

Daily

Reject Criteria:

Acidified urine

CPT Code(s):

• 82150
• 82570

Preferred Specimen:

10 mL aliquot 24 Hours specimen. No preservative.

Minimum Volume:

0.5 mL

Special Instructions:

The request form must state date and time collection started, date and time collection finished, and urine volume.

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Room Temperature: 1 day
• Refrigerated: 3 days

Testing Schedule:

Daily

CPT Code(s):

• 82150

Preferred Specimen:

10 mL aliquot 24 Hours specimen. No preservative.

Minimum Volume:

0.5 mL

Special Instructions:

The request form must state date and time collection started, date and time collection finished, and urine volume.

Transport Container:

Plastic urine container, no preservative

Transport Temperature Name:

Refrigerate

Specimen Stability Components:

• Room Temperature: 1 day
• Refrigerated: 3 days

Testing Schedule:

Daily

Methodology:

CNP-TRIOSE/CNPG3

CPT Code(s):

• G0431

Preferred Specimen:

20 mL urine, random collection

Minimum Volume:

10 mL

Transport Container:

Plastic screw-cap container

Transport Temperature Name:

Room temperature

Testing Schedule:

Daily

Cut Off:

1000 ng/mL

CPT Code(s):

• 82140

Preferred Specimen:

1 mL plasma, frozen

Minimum Volume:

0.5 mL

Transport Container:

Lavender top (EDTA) tube

Transport Temperature Name:

Freeze

Specimen Stability Components:

• Room Temperature: Ammonia is stable for 1 day at -20C. Attention! Blood ammonia increases rapidly at room temperature.

Testing Schedule:

Daily

Methodology:

Enzymatic Glutamate Dehydrogenase

Reference Range:

16-53 umol/L

Reject Criteria:

Hemolysis, lipemia, specimen not received frozen, serum

CPT Code(s):

• See Alanine Aminotransferase (ALT)

CPT Code(s):

• 82785
• 86003 (x22)

Test Component(s):

• Dermatoph Pteronyssinus-Phadia Code: D1
  Dermatoph Farinae-Phadia Code: D2
  Cat Epithelium-Phadia Code: E1
  Dog Dander-Phadia Code: E5
  Cockroach-Phadia Code: I6
  Bermuda Grass-Phadia Code: G2
  Mugwort -Phadia Code: W6
  Penicillium chrysogenum-Phadia Code: M1
  Box-Elder (Maple) -Phadia Code: T1
  Aspergillus fumigatus-Phadia Code: M3
  Oak-Phadia Code: T7
  Common Silver Birch-Phadia Code: T3
  Elm-Phadia Code: T8
  Common Ragweed-Phadia Code: W1
  Cottonwood-Phadia Code: T14
  Common Pigweed-Phadia Code: W14
  White Ash-Phadia Code: T15
  Mountain Juniper-Phadia Code: T6
  Mulberry-Phadia Code: T70
  Timothy Grass -Phadia Code: G6
  Sheep sorrel-Phadia Code: W18
  Alternia alternata-Phadia Code: M6
  Immunoglobulin IgE
• Total.

Preferred Specimen:

3 mL serum

Minimum Volume:

2 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: Room temperature: 8 hours Refrigerated: 48 hours

Testing Schedule:

2-3 days per week

Methodology:

ImmunoCap

Reference Range:

Allergen Specific Reference Ranges (kU/L):
Class O: <0.10 Ð Absent
Class O/I : 0.1-0.34 Ð For Specialist Use Only*
Class I: 0.35-0.7 Ð Low
Class II: 0.71-3.5 Ð Moderate
Class III: 3.51-17.5 Ð High
Class IV: 17.6-50 Ð Very High
Class V: 51-100 Ð Very High
Class VI: >100 Ð Very High
*Clinical relevance undetermined

CPT Code(s):

• 82785
• 86003 (x15)

Test Component(s):

• Dermatoph Pteronyssinus-Phadia Code: D1
  Dermatoph Farinae-Phadia Code: D2
  Cat Epithelium-Phadia Code: E1
  Dog Dander-Phadia Code: E5
  Cockroach-Phadia Code: I6
  Cladosporum Herbarum -Phadia Code: M2
  Alternia Alternata-Phadia Code: M6
  Egg White-Phadia Code: F1
  Milk-Phadia Code: F2
  Fish(Cod)-Phadia Code: F3
  Wheat-Phadia Code: F4
  Peanut-Phadia Code: F13
  Soybean-Phadia Code: F14
  Shrimp-Phadia Code: F24
  Walnut-Phadia Code: F256
  Immunoglobulin IgE
• Total

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room temperature

Specimen Stability Components:

• Room Temperature: Room temperature: 8 hours Refrigerated: 48 hours

Testing Schedule:

2-3 days per week

Methodology:

ImmunoCap¨

Reference Range:

Allergen Specific Reference Ranges (kU/L):
Class O: <0.10 Ð Absent
Class O/I : 0.1-0.34 Ð For Specialist Use Only*
Class I: 0.35-0.7 Ð Low
Class II: 0.71-3.5 Ð Moderate
Class III: 3.51-17.5 Ð High
Class IV: 17.6-50 Ð Very High
Class V: 51-100 Ð Very High
Class VI: >100 Ð Very High.
*Clinical relevance undetermined

Reject Criteria:

Gross hemolysis, gross lipemia, microbial contamination may interfere

CPT Code(s):

• 82785
• 86003 (x12)

Test Component(s):

• Egg White-Phadia Code: F1
  Peanut-Phadia Code: F13
  Walnut-Phadia Code: F256
  Fish(Cod)-Phadia Code: F3
  Soybean-Phadia Code: F14
  Maize(Corn)-Phadia Code: F8
  Wheat-Phadia Code: F4
  Shrimp-Phadia Code: F24
  Sesame Seed-Phadia Code: F10
  Clam-Phadia Code: F207
  Scallop-Phadia Code: F338
  Milk-Phadia Code: F2
  Immunoglobulin IgE
• Total

Preferred Specimen:

2 mL serum

Minimum Volume:

1 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room Temperature

Specimen Stability Components:

• Room Temperature: Room temperature: 8 hours Refrigerated: 7 days

Testing Schedule:

2-3 days per week

Methodology:

ImmunoCap¨

Reference Range:

Allergen Specific Reference Ranges (kU/L):
Class O: <0.10 kU/L Ð Absent
Class O/I : 0.1-0.34 kU/L Ð For Specialist Use Only*
Class I: 0.35-0.7 kU/L Ð Low
Class II: 0.71-3.5 kU/L Ð Moderate
Class III: 3.51-17.5 kU/L Ð High
Class IV: 17.6-50 kU/L Ð Very High
Class V: 51-100 kU/L Ð Very High
Class VI: >100 kU/L Ð Very High.
*Clinical relevance undetermined

Reject Criteria:

Gross hemolysis, gross lipemia, microbial contamination may interfere

CPT Code(s):

• 84075

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red-top tube or gel-barrier tube. (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room Temperature

Specimen Stability Components:

• Room Temperature: Refrigerated: 4 days

Testing Schedule:

Daily

Methodology:

PNPP, AMP BUFFER

Reference Range:

34 – 104 U/L

CPT Code(s):

• 82040

Preferred Specimen:

1 mL serum

Minimum Volume:

0.5 mL

Transport Container:

Red-top tube or gel-barrier tube (SST). (If a red-top tube is used, transfer separated serum to a plastic transport tube.)

Transport Temperature Name:

Room Temperature

Specimen Stability Components:

• Room Temperature: 7 days
• Refrigerated: 30 days

Testing Schedule:

Daily

Methodology:

BROMCRESOL GREEN (BCG)

Reference Range:

3.5 Ð 5.7 g/dL