Sparrow Laboratories Online Test Catalog
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Sparrow Laboratories Online Test Catalog To find a specific test, follow these tips to quickly navigate the catalog. The tests are arranged alphabetically. From the Edit menu, select "Find" from the drop down list. Enter a keyword and click "Next". The catalog is searchable by test name, test number or synonym. To move from page to page, click on the arrow buttons on the pdf document. Proper labeling and handling of patient specimens is a critical component of patient safety and quality laboratory results. A minimum of two patient identifiers (first and last name and either patient history number or date of birth) must be on the sample before submission to the laboratory. Samples received in the laboratory with less than this minimum will be returned to the submitter. All samples should be submitted in well constructed, appropriately labeled, leak proof containers. Blood samples wrapped in towels or similar absorbent and impact resistant materials, may be submitted via the pneumatic tube system. Bloods and body fluids in cups and bottles should be hand delivered. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:58 AM Page 1 of 405 A Sparrow Laboratories Online Test Catalog ABSOLUTE EOSINOPHIL COUNT Order Code: EOST 1506 Epic Code LAB298 Synonym Eosinophil Count CPT 85048 Method Automated Hematology Analyzer Scheduled Sunday - Saturday CODE COMPONENT 1506 Department HEM Age EOST Specimen 4 ml whole blood (Min: 1 ml) REFERENCE RANGE Eosinophil Count Container EOST 1 day to >100 year 0 - 450 /CU MM Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate Refrigerate ABSOLUTE T CELL ANALYSIS Order Code: TCELL 7518 Synonym T CELL Epic Code LAB4271 Test Component Absolute T Cell Analysis and CBC CPT 86359 Method Flow Cytometry Scheduled CODE COMPONENT 7518 Department IMM Specimen 10 ml ACD whole blood (min: 4 ml) and 4 ml EDTA whole blood REFERENCE RANGE Age TCELL Gated Population TCELL CD3 - T Cells CD3 TCELL CD4 - Helper/Inducer T Cells CD4 TCELL CD8-Supressor/Cytotox. T Cell CD8 TCELL CD4/CD8 Ratio RATIO TCELL WBC WBCT TCELL Lymphocytes TCELL Absolute Lymphocytes ABLYM TCELL Absolute CD3+ T CELLS ABCD3 TCELL Absolute CD4+ T CELLS ABCD4 TCELL Absolute CD8+ T CELLS ABCD8 Container 1 yellow top tube, ACD and 1 lavender top EDTA tube 1 day to >100 year GPOP LYM Processing Instructions Storage Temp Ambient Room temperature. DO NOT CENTRIFUGE. DO NOT REFRIGERATE. Test Information Alternative Specimen: 1 ml green top NA Heparin and 1 ml whole blood EDTA. Additional Information A CBC must be performed at the same time as the Absolute T Cell analysis to calculate the absolute values. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:58 AM Page 2 of 405 A Sparrow Laboratories Online Test Catalog ABSOLUTE T&B CELL ANALYSIS Order Code: TBCEL 7519 Synonym T CELL, B CELL Epic Code LAB4272 Test Component Absolute T and B Cell Analysis, and CBC CPT 86359 Method Flow Cytometry Scheduled Department IMM Specimen 10 ml ACD whole blood (min: 4 ml) and 4 ml EDTA whole blood Container Processing Instructions 1 yellow top ACD tube and 1 lavender top EDTA tube Storage Temp Ambient Room temperature. DO NOT CENTRIFUGE. DO NOT REFRIGERATE. Test Information Alternative Specimen: 1 ml green top NA Heparin and 1 ml whole blood EDTA. Additional Information A CBC must be performed at the same time as the Absolute T and B Cell analysis to calculate the absolute values. ACETAMINOPHEN Order Code: ACETM 1303 Epic Code LAB43 Synonym Tylenol CPT 80329 Method Fluorescent Polarization Immunoassay Scheduled Sunday - Saturday CODE COMPONENT 1303 Department CHM Age ACETM Specimen 1 ml plasma (Min: 0.2 ml) REFERENCE RANGE Acetaminophen Container 1 green top tube, Li heparin For Customer Service call 517-364-7800 or 800-884-2522 ACETM Processing Instructions Refrigerate 9/21/2016 8:08:58 AM 1 day to >100 year 10.0 - 20.0 mcg/mL Storage Temp Refrigerate Page 3 of 405 A Sparrow Laboratories Online Test Catalog ACETYLCHOLINE RECEPTOR BINDING ANTIBODY Order Code: ACCRA 1692 Epic Code LAB836 Synonym Acetylcholine Ab, Muscle ACLR CPT 83519 Method Radioimmunoassay Scheduled Monday - Friday, Sunday at Mayo CODE COMPONENT 1692 Department MREF REFERENCE RANGE Age ACCRA Ref Code: ARBI Specimen Ace. Receptor Binding Ab Container 2 ml serum (Min: 0.5 ml) ACCRA 1 day to >100 year 0 - 0.02 nmol/L Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Specimens collected in plain red-top container are acceptable. ACETYLCHOLINESTERASE, RBC Refrigerate Order Code: ACRBR Synonym Cholinesterase, RBC, PNH (Paroxysmal Nocturnal Hemoglobinuria) 6838 Epic Code LAB966 CPT 82482 Method Spectrophotometric-Thiocholine Reduction Scheduled Tuesday, Thursday at CODE COMPONENT 6838 Mayo Department MREF REFERENCE RANGE Age ACRBR Specimen HGB Container 5 ml whole blood (Min: 3 ml) 1 Lavender top EDTA tube ACRBR Processing Instructions Refrigerate whole blood 1 day to >100 year 31.2 - 61.3 U/g Storage Temp Refrigerate Test Information RBC Acetylcholinesterase most often used to detect past exposure to organophosphate insecticides with resultant inhibition of the enzyme. Additional Information Specimens must arrive at Mayo Labs within 72 hours of collection. Avoid collections on Friday and Saturday. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:58 AM Page 4 of 405 A Sparrow Laboratories Online Test Catalog ACID FAST BLOOD CULTURE Order Code: CXBAF 1413 Synonym AFB Blood,TB, TB Culture Epic Code LAB246 Test Component Acid Fast Stain/Smear included with AFB Culture CPT 87206 Method Culture Scheduled Monday - Friday at MDCH CODE COMPONENT 1413 Department MIC REFERENCE RANGE Age CXBAF Specimen Acid Fast Bacilli Container 10 ml whole blood (Min: 6 ml) 1.5 ml in pediatric isolator for children under 2 years CXBAF 1 day to >100 year None - Processing Instructions Isolator or pediatric isolator Isolated Storage Temp Ambient Adult patients - clean collection site with the Chloroprep 1 step, Frepp kit, same as Blood Culture collection procedure. Pediatric patients, collect using alcohol /Iodine prep. Test Information Isolation and sensitivity performed when indicated. ACID FAST CULTURE & SMEAR Order Code: CXAFB 1424 Synonym AFB,TB,TB Culture, Mycobacterium Epic Code LAB877 Test Component Acid Fast Stain/Smear included with AFB Culture CPT 87206 Method DNA probe, culture, fluorescent stain Scheduled Sunday - Saturday CODE COMPONENT 1424 Department MIC Age CXAFB Specimen Container 10 ml clinical specimen (Min: 5 ml) Sterile container Test Information REFERENCE RANGE Acid Fast Culture 1 day to >100 year CXAFB Processing Instructions Tissue, sterile body fluid, Respiratory (sputum, bronchial washing, BAL) urine, or Wound. Document site and source then maintain specimen at room temperature Storage Temp Ambient Isolation and sensitivity performed when indicated. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:58 AM Page 5 of 405 A Sparrow Laboratories Online Test Catalog ACID PHOSPHATASE PROSTATIC Order Code: PAP 1173 Epic Code LAB4466 Synonym PAP, Acid P'tase CPT 84066 Method Enzyme Immunoassay (EIA) Scheduled Wednesday CODE COMPONENT 1173 Department QST 2 ml serum (Min: 1 ml) 1 day to >100 year Age PAP Specimen REFERENCE RANGE Acid PTASE/PROS Container PAP 0 - 3.5 ng/mL Processing Instructions 1 gold top SST clot tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into plastic vial and freeze. Patient Information To avoid false elevation, obtain blood sample before or 1 to 2 days after prostate exam and TUR. ACTH Order Code: ACTH 1001 Epic Code LAB511 Synonym Adrenocorticotropic Hormone CPT 82024 Method Automated Immunochemiluminometric Assay (ICMA) Scheduled Monday, Wednesday COMPONENT 1001 CODE Department MREF Ref Code: ACTH Specimen 4 ml plasma (min: 2.5 ml) REFERENCE RANGE Age ACTH ACTH Container 2 Lavender top EDTA tubes prechilled on ice ACTH 1 day to >100 year 0 - 23 pg/mL Processing Instructions Centrifuge immediately. Transfer plasma to plastic vial and freeze. Storage Temp Frozen Test Information Useful for Determining the cause of hypercortisolism and hypocortisolism. Patient Information Patient must be fasting. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:58 AM Page 6 of 405 A Sparrow Laboratories Online Test Catalog ACTIVATED PROTEIN C RESISTANCE, P Order Code: APCRV 10202 Synonym APCR, Protein C, Epic Code LAB846 Test Component APCR- APCR Ratio, INT55 - APCR Interpretation CPT 85307 Method Light Scattering clot detection Scheduled Monday - Friday at Mayo CODE COMPONENT 10202 Department MREF REFERENCE RANGE Age APCRV Ref Code: APCRV APC Ratio APCR > or - = 2.3 Ratio Age APCRV Specimen APCRV Interpretation Container 1.0 mL PLT Poor Plasma INT55 6 mo to >100 year Note: Range 1 day to 6 month Not - Established Processing Instructions Storage Temp 1 Light blue top tube, NaCitrate Spin, remove plasma, and spin plasma again. Freeze immediately in plastic vial and send frozen. Frozen Test Information This test is specific for inherited APC resistance but will not detect acquired APC resistance. Useful for evaluating incident or recurrent venous thromboembolism (VTE), individuals with a family history of VTE or women with recurrent miscarriage or complications of pregnancy. Additional Information Double-centrifuged specimen is critical for accurate results as platelet contamination may cause spurious results. ADENOVIRUS Ag, EIA, F Order Code: FAAST 10173 Epic Code LAB4636 Synonym Seasonal Virus CPT 87301 Method Enzyme immunoassay (EIA) Scheduled Tuesday, Friday, Forward by Mayo CODE COMPONENT 10173 Department MREF Ref Code: FAAST REFERENCE RANGE Age FAAST Specimen Container 5 ml Fresh Stool Sterile container Adenovirus Ag 1 day to >100 year FAAST Processing Instructions Collect 5 mL fresh unpreserved stool in sterile container. Rectal swab also acceptable. Transport specimen refrigerated, and freeze once it reaches the lab. Storage Temp Frozen Test Information Test performed by Focus Diagnostics, Inc. Additional Information New Test 2015, Added to Test catalog 12/14/15. For Customer Service call 517-364-7800 or 800-884-2522 Specimen refrigerated good for 72 hours. Send Frozen to Mayo. 9/21/2016 8:08:59 AM Page 7 of 405 A Sparrow Laboratories Online Test Catalog ADENOVIRUS, PARAINFLUENZA 1,2,3 PCR Order Code: PCRAP 10116 Synonym Respiratory Virus, Adeno, Para 123 Epic Code LAB4573 Test Component Adenovirus, Parainfluenza 1,2,3 CPT 87798 87798 87798 Method PCR Scheduled Varies with Seasons CODE COMPONENT 10116 REFERENCE RANGE Department MDX Age Specimen Test Information PCRAP Specimen Type SPM16 NP Swab or PCRAP Adenovirus, PCR PCRAD Virus PCRAP Parainfluenza 1 PCRP1 Not - Detected PCRAP Parainfluenza 2 PCRP2 Not - Detected PCRAP Parainfluenza 3 PCRP3 Not - Detected Container Nasopharyngeal (NP) or throat swab. Respiratory - Nasal wash, BAL, bronchial wash, tracheal aspirate, sputum. CSF and Eye sources, see Other ** 1 day to >100 year FLOQ swab (Polyester or rayon swab acceptable) in VTM. Respiratory washes: 3 ml in VTM. CSF - 0.5 Ml in sterile container. See - Specimen types Not - Detected Processing Instructions Submit swab placed into (M4/M5) viral transport media (VTM). NP aspirate/saline wash should be cloudy and sent in sealed plastic vial or VTM vial. Refrigerate at 2-8 C. Storage Temp Refrigerate Interpretation: A positive result indicates the presence Adenovirus, Parainfluenza 1,2,and/or 3. Additional Information CSF specimens - Submit 0.5mL CSF in sterile screw cap container. **Adenovirus and Parainfluenza only for CSF specimens, **Adenovirus only tested on Eye source swabs. Unacceptable Specimens: Gel swab or wooden shafted swabs. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 8 of 405 A Sparrow Laboratories Online Test Catalog ALBUMIN Order Code: ALB 1002 Epic Code LAB45 Synonym ALB CPT 82040 Method Spectrophotometry, Dye Binding Scheduled Sunday - Saturday COMPONENT 1002 CODE Department CHM REFERENCE RANGE Age ALB Albumin ALB ALB Albumin ALB ALB Albumin ALB ALB Albumin 2.8 - 4.2 g/dL Age ALB ALB Specimen 1 ml serum (min: 0.5 ml) Container 2 year to 4 year 3.5 - 4.7 g/dL Age Albumin 1 year to 2 year 3.0 - 4.5 g/dL Age ALB 6 month to 1 year 2.9 - 4.4 g/dL Age Albumin 1 month to 6 month 2.8 - 4.4 g/dL Age ALB 1 day to 1 month ALB 4 year to >100 year 3.6 - 5.0 g/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. ALCOHOL, BLOOD Order Code: ETOH2 1076 Epic Code LAB46 Synonym Ethanol, ETOH CPT 80320 Method Enzymatic Scheduled Sunday - Saturday COMPONENT 1076 CODE Department CHM Age ETOH2 Specimen 1 ml whole blood (Min: 0.5 ml) REFERENCE RANGE Container 1 gray top tube, NaFl Ethanol ETOH2 1 day to >100 year None - Detected % Processing Instructions Refrigerate. DO NOT CENTRIFUGE. DO NOT OPEN TOP. Storage Temp Refrigerate Patient Information PATIENT PREP: Do not use alcohol to clean the site of venipuncture. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 9 of 405 A Sparrow Laboratories Online Test Catalog ALDOLASE Order Code: ALDO 1003 Epic Code LAB556 Synonym Fructose-Biphosphate Aldolase CPT 82085 Method Ultraviolet, Kinetic Scheduled Monday-Friday at Mayo CODE COMPONENT 1003 Department MREF Ref Code: ALS REFERENCE RANGE Age ALDO Aldolase ALDO ALDO Aldolase ALDO ALDO Aldolase ALDO 0 - 16.3 U/L Age 1 ml serum (Min: 0.2 ml) Container 1 Plain red top tube 3 year to 17 year 0 - 8.3 U/L Age Specimen 1 day to 3 year 17 year to >100 year 0 - 7.4 U/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into a plastic tube and freeze. Storage Temp Refrigerate or Frozen Test Information Specimens collected in gel barrier tubes, or with hemolysis, will be rejected. Patient Information Patient must be fasting Additional Information Specimen may be frozen after arrival in laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 10 of 405 A Sparrow Laboratories Online Test Catalog ALDOSTERONE, 24 HR URINE Order Code: UALD 1004 Epic Code LAB354 Synonym RENIN, 24 hr urine aldosterone CPT 82088 Method Radioimmunoassay (RIA) Scheduled Monday, Wednesday, Thursday at Mayo CODE COMPONENT 1004 Department MREF REFERENCE RANGE Age Ref Code: ALDU Aldosterone, Ur UALDR UALD Aldosterone, Ur UALDR UALD Aldosterone, Ur UALDR UALD Collection Duration COLD1 24 - UALD Urine Volume UVOL1 Measured - in mL 0.7 - 11.0 ug/24 hr Age 24 hour urine collection; Submit entire collection or 20 ml aliquot Test Information 24 hr urine container; Add 25 ml of 50% acetic acid preservative at the start of collection. 11 month to >100 year 2.0 - 16.0 ug/24 hr Age Container 1 month to 11 month 0.7 - 22.0 ug/24 hr Age Specimen 1 day to 1 month UALD Processing Instructions 1 day to >100 year hours Storage Temp Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Refrigerate Userful for the investigation of primary aldosteronism (eg, adrenal adenoma/carcinoma and adrenal cortical hyperplasia) and secondary aldosteronism (renovascular disease, salt depletion, potassium loading, cardiac failure with ascites, pregnancy, Bartter syndrome). Patient Information Void and discard first morning urine. Place all subsequent urines in container for the next 24 hrs. End collection after saving first specimen from the following morning. Additional Information When multiple tests are ordered the following preservatives are acceptable: Boric Acid For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 11 of 405 A Sparrow Laboratories Online Test Catalog ALDOSTERONE, S Order Code: ALDOS 1005 Epic Code LAB557 Synonym ALDOS CPT 82088 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo CODE COMPONENT 1005 Department MREF REFERENCE RANGE Age Ref Code: ALDS ALDOS ALDOS Aldosterone ALDOS ALDOS Aldosterone ALDOS Supine 0 - 40 ng/dl ALDOS Aldosterone ALDOS Upright 0 - 124 ng/dl ALDOS Aldosterone ALDOS am Peripheral Vein 17 - 154 ng/dl Age Container 1 Plain red top tube 31 days to 11 months 6.5 - 86 ng/dl Age 2.0 ml serum (Min: 1.2 ml) to 30 days Aldosterone Age Specimen 0 ALDOS 1 year to 10 year 11 year to >100 year 0 - 21 ng/dl Processing Instructions Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into plastic vial and freeze. Patient Information Collect specimen at 8 am. Additional Information Specimens containing EDTA and Heparin anticoagulants are acceptable. Serum or plasma arriving refrigerated will be accepted. Specimens collected in gel barrier tube will be rejected. ALK (2p23), LUNG CANCER, FISH, Ts Order Code: LCAF 10276 Epic Code LAB4743 Synonym Non small cell lung cancer, EGFR, Tumor CPT 88271 88274 88291 Method Fluorescence In Situ Hybridization (FISH) Scheduled Monday - Saturday at Mayo Department MREF Ref Code: LCAF Specimen Container Tissue Tissue block preferred, or slides Processing Instructions Submit a formalin-fixed, paraffin-embedded (FFPE) tumor tissue block. Slides - Instructions: prepare 4 consecutive, unstained, 5 micron-thick sections placed on positively charged slides, and 1 hematoxylin and eosin-stained slide. Storage Temp Ambient Test Information Useful for identifying patients with late-stage, non-small cell lung cancers who may benefit from treatment with the drug Xalkori. Additional Information Blocks prepared with alternative fixation methods may be acceptable; provide fixation method used. ** Pathology report must accompany specimen in order for testing to be performed. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 12 of 405 A Sparrow Laboratories Online Test Catalog ALK PHOSPHOTASE ISOENZYMES Order Code: SALSO 1006 Synonym Alkaline Phos., ISO, Alk P'Tase fx, Alk Phos Epic Code LAB741 Test Component ALK Phos, Bone Fraction %, Liver Fraction %, and Intestinal Fraction% CPT 84080 84075 Method Chemical Inhibition and Differential Inactivation Scheduled Tuesday - Saturday at Specialty Department MSPEC Specimen 2 ml serum (Min: 1.0 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze serum in plastic vial. Specimens collected in plain red-top tubes are acceptable Additional Information Serum arriving refrigerated will be accepted. ALKALINE PHOSPHATASE Order Code: ALP 1172 Epic Code LAB112 Synonym ALK PHOS CPT 84075 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1172 REFERENCE RANGE Department CHM Age ALK Phos ALP M and F 0 - 550 U/L ALP ALK Phos ALP F 0 - 550 U/L ALP ALK Phos ALP M and F ALP ALK Phos ALP F 0 - 350 U/L ALP ALK Phos ALP M 0 - 500 U/L ALP ALK Phos ALP F 0 - 200 U/L ALP ALK Phos ALP M 0 - 300 U/L Age Age Age Age ALP Specimen 1 ml serum (Min: 0.5 ml) 1 day to 2 year ALP ALK Phos Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 ALP M and F 2 year to 10 year 0 - 380 U/L 10 year to 17 year 17 year to 20 year 20 year to >100 year 0 - 120 U/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:08:59 AM Storage Temp Refrigerate Page 13 of 405 A Sparrow Laboratories Online Test Catalog ALPHA 1-ANTI-TRYPSIN Order Code: ATRYP 1008 Epic Code LAB810 Synonym Alpha 1 AT, AAT, A1AT, A1Trypsin CPT 82103 Method Turbidimetric Scheduled Monday - Friday CODE COMPONENT 1008 Department STL Age ATRYP Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Alpha 1 anti-Trypsin Container ATRYP 1 day to >100 year 110 - 200 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. ALPHA 1-ANTITRYPSIN PHENOTYPING Order Code: A1ATP 1310 Epic Code LAB4008 Synonym A1APP CPT 82104 82103 Method Isoelectric focusing and Nephelometry Scheduled Monday - Friday at Mayo CODE COMPONENT 1310 Department MREF Age A1ATP Ref Code: A1APP Specimen 2 ml serum (Min: 0.5 ml) REFERENCE RANGE Alpha-1 anti-Trypsin Container A1AP 1 day to >100 years 100 - 190 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Specimens collected in plain red-top are acceptable. ALPHA-2 PLASMIN INHIBITOR,P Order Code: APSM 10167 Epic Code LAB4630 Synonym Functional Antiplasmin CPT 85410 Method Hydrolysis of Synthetic Chromogenic Substrate, Colorimetric End point Scheduled Monday - Friday; Varies at Mayo CODE COMPONENT 10167 Department MREF Ref Code: APSM Specimen 1.0 mL Platelet-poor plasma REFERENCE RANGE Age APSM Container ALPHA-2 Plasmin Inhibitor APSM 18 year to >100 year 80 - 140 % Processing Instructions 1 Light blue top tube, NaCitrate Spin and transfer to a plastic vial, SPIN AGAIN, transfer plasma and FREEZE. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Storage Temp Frozen Page 14 of 405 A Sparrow Laboratories Online Test Catalog ALPHA2-MACROGLOBULIN Order Code: A2GLO 1150 Epic Code LAB4534 Synonym AMG, Macroglobulin, ALPHA2 CPT 83883 Method Nephelometry Scheduled Monday-Saturday at Mayo CODE COMPONENT 1150 Department MREF Age A2GLO Ref Code: A2M Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE ALPHA2-Macroglobulin Container A2GLO 1 day to >100 year 100 - 280 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer serum to plastic container and freeze. Specimens collected in plain red-top are acceptable ALPHA-FETOPROTEIN, TUMOR MARKER Frozen Order Code: AFP 1755 Epic Code LAB559 Synonym AFP-Tumor Marker, AFP CPT 82105 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1755 Department CHM Age AFP Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE AFP Container 1 gold top SST clot tube AFP 18 years to >100 year 0.0 - 8.0 ng/ml Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Tumor Marker Studies only for males and non-pregnant females. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 15 of 405 A Sparrow Laboratories Online Test Catalog ALPHA-GLOBIN GENE ANALYSIS Order Code: ATHAL 10316 Epic Code LAB4773 Synonym a-globulin, alphaglobin, alpha glob CPT 81257 Method Dosage Analysis by PCR/Multiplex Ligation-Dependent Probe Amplification (MLPA)/Luminex Technology Scheduled Wednesday, Friday at Mayo Department MREF Ref Code: ATHAL Specimen Container Varies - whole blood, amniotic fluid, confluent cultured cells Processing Instructions 1 Lavender top EDTA tube / Amniotic fluid vial, sterile container or flask Storage Temp Ambient 3 mL whole blood, or 20 ml amniotic fluid. Minimum: 1 mL blood/Amniotic Fluid: 10 mL - Send specimen in original tube. Amniotic fluid must be refrigerated. Whole blood and cultured cells keep ambient. Test Information Useful for diagnosis of alpha-thalassemia. Prenatal diagnosis of deletional alpha-thalassemia. Carrier screening for individuals from high-risk populations for alpha-thalassemia Additional Information ** New Test added April 27, 2016 ** ALPRAZOLAM, S Order Code: ALPA 10221 Epic Code LAB4700 Synonym Niravam, Xanax CPT 80346 Method High-Pressure Liquid Chromatography with Ultraviolet Detection (HPLC-UV) Scheduled Monday - Friday CODE COMPONENT 10221 Department MREF Ref Code: FALPX Specimen 3.0 ml serum (Min.: 1.0 ml) REFERENCE RANGE Age ALPA Container 1 Plain red top tube Alprazolam ALPA Therapeutic 1 day to >100 year 5 - 25 ng/ml Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for monitoring patient compliance and helping to achieve desired blood levels and avoid toxicity. Additional Information Interpretation: Some patients respond well to levels of 25-55 ng/mL. The assessment of treatment with alprazolam should be based on clinical response. Effectiveness of treatment can be determined by the reduction of symptoms of anxiety and panic disorders. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 16 of 405 A Sparrow Laboratories Online Test Catalog ALT (SGPT) Order Code: ALT 1229 Epic Code LAB132 Synonym Alanine Aminotransferase CPT 84460 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1229 Department CHM Age ALT Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE ALT (SGPT) Container ALT 1 day to >100 year 2 - 45 U/L Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. ALUMINUM Order Code: ALUM 1178 Epic Code LAB665 Synonym Al (serum) CPT 82108 Method Flameless Atomic Absorption Spectrometry Scheduled Monday-Friday at Mayo CODE COMPONENT 1178 Department MREF Age ALUM Specimen 2 ml serum (Min: 0.5 ml) REFERENCE RANGE Aluminum Level Container Royal blue top PLAIN, trace element tube For Customer Service call 517-364-7800 or 800-884-2522 ALUM 1 day to >100 year 0 - 6.0 ng/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer serum into a metal-free plastic vial. 9/21/2016 8:08:59 AM Storage Temp Refrigerate Page 17 of 405 A Sparrow Laboratories Online Test Catalog AMIKACIN, S Order Code: RAMIK 10258 Epic Code LAB145 Synonym Replaces 1379/AMIK, Random Amikacin Level CPT 80150 Method Kinetic Interaction of Microparticles in Solution (KIMS) Scheduled Monday - Sunday at Mayo CODE COMPONENT 10258 REFERENCE RANGE Department MREF Age Ref Code: RAMIK Specimen RAMIK Amikacin level RAMIK Peak RAMIK Amikacin level RAMIK Trough Container 0.5 mL serum (min. 0.25 mL) 1 gold top SST clot tube 1 day to >100 year 20.0 - 35.0 mcg/mL < - 8.0 mcg/mL Processing Instructions Storage Temp Allow blood to clot at room temperature for 30 min., then centrifuge and transfer to a plastic vial within 2 hours. Refrigerate Test Information Useful for monitoring adequacy of blood concentration during amikacin therapy. Amikacin is an aminoglycoside used to treat severe blood infections by susceptible strains of gram-negative bacteria. Aminoglycosides induce bacterial death by irreversibly binding bacterial ribosomes to inhibit protein synthesis. Additional Information Serum for a peak level should be drawn 30 to 60 minutes after last dose. Serum for a trough level should be drawn immediately before next scheduled dose. AMINO ACID, QN ION EXCHANGE, URINE Order Code: RAMNO 10091 Epic Code LAB355 Synonym AA, Amino Acid Quantitative Urine CPT 82139 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)| Scheduled Monday - Saturday at Mayo Department MREF Ref Code: AAPD Specimen Container 2 ml Urine, Random or 24 hour Test Information Sterile urine container Processing Instructions Random Urine - Transfer to plastic tube and freeze Storage Temp Frozen Evaluating patients with possible inborn errors of metabolism For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 18 of 405 A Sparrow Laboratories Online Test Catalog AMINO ACIDS, QUANTITATIVE, PLASMA Order Code: AMINP 10077 Epic Code LAB811 Synonym AMINO P, Ion Exchange CPT 82139 Method Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo CODE COMPONENT 10077 Department MREF Ref Code: FTAAQP Specimen 0.5 mL plasma (Min: 0.3 mL) REFERENCE RANGE Age AMINP Amino Acids Container 1 green top tube, Na Heparin AMINO Male or Female 1 day to >100 year see - report nmol/mL Processing Instructions Specimens collected in thrombin-activating tube are not acceptable. Centrifuge, remove plasma to a plastic vial, and freeze. EDTA or Li Heparin accepted. Storage Temp Frozen Patient Information Patient should be fasting For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 19 of 405 A Sparrow Laboratories Online Test Catalog AMINOLEVULINIC ACID, URINE Order Code: UALA 1064 Epic Code LAB356 Synonym ALA, 24 hr urine Delta ALA CPT 82135 Method ION EXCHANGE Scheduled Tuesday, Thursday at Mayo CODE COMPONENT 1064 Department MREF Ref Code: ALAUR REFERENCE RANGE Age UALA Aminolevulinic Acid UALA Interpretation ALA 0.00 - 0.66 mg/24Hr Age Specimen Container 9 month to 5 year ALAIN Processing Instructions 6 year to >100 year 1.5 - 7.5 Storage Temp 10 mL Random urine collection or Sterile urine container, random Label container "Random Urine" or “24 hour Urine” plus the full 24 hour urine collection; Submit collection; 24 hr urine name and date of birth. entire collection or 20 ml aliquot container, no preservative Required for 24 hour urine collection: ** Protect from light and keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Refrigerate or Frozen Include with the order: - start date and time; end of collection date and time; - total volume measurement Test Information Useful for assistance in the differential diagnosis of the various prophyrias and for indicating lead toxication in children. Increased ALA concentration is associated with exposure to alcohol, lead, and a variety of other agents. Massive elevation of ALA occurs in the acute porphyrias and hereditary tyrosinemia. Patient Information Refrain from alcohol consumption 24 hours prior to starting collection. Collection instructions: Void and discard first morning urine. Place all subsequent urines in container for the next 24 hrs. End collection after saving first specimen from the following morning. Additional Information No preservatives required. ** 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. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 20 of 405 A Sparrow Laboratories Online Test Catalog AMIODARONE Order Code: AMIOR 6824 Epic Code LAB567 Synonym Cordarone, Desethlylamiodarone CPT 82542 Method High Turbulence Liquid Chromatography-Tandem Mass Spectrometry (HTLC-MS/MS) Scheduled Monday - Friday at Mayo CODE COMPONENT 6824 REFERENCE RANGE 1 day to 5 year Age Department MREF AMIOR AMIODARONE AMIOD AMIOR Total AMIOD + N-DESETH DESET see - report mcg/mL AMIOR N-DESETHYL AMIODARONE DESET see - report mcg/mL see - report mcg/mL Ref Code: AMIO 5 year to 6 year Age Specimen Container Processing Instructions 3 ml serum (Min: 0.5 ml of serum) 1 Plain red top tube Storage Temp Refrigerate or Frozen Centrifuge serum. Allow blood to clot upright 30 mins. At room temp, then centrifuge. Transfer to a plastic tube and freeze. Patient Information Blood draw should occur 12 hours (trough value) after last dose. Additional Information Specimens may be frozen after arrival in the Laboratory. Gel barrier tubes not acceptable. AMITRIPTYLINE and NORTRIPTYLINE, S Order Code: AMT 10204 Epic Code LAB4674 Synonym Elavil, Tryptanol, TCA, Pamelor, NORT, Aventyl CPT 80335 80182 Method HPLC Scheduled Monday - Saturday at Mayo CODE COMPONENT 10204 Department MREF Ref Code: AMTRP Specimen 3 ml serum (min. 1.1 ml) REFERENCE RANGE Age 1 day to >100 year AMT Amitriptyline & Nortriptyline X2451 Therapeutic 80 - 200 ng/mL AMT Nortriptyline X2450 Therapeutic 70 - 170 ng/mL AMT Amitriptyline X8125 Container 1 Plain red top tube Processing Instructions No reference - reported ng/mL Storage Temp Spin and separate serum from cells within 2 hrs of draw. Send 3 ml serum refrigerated. Specimens that are obtained from gel tubes are not acceptable. Refrigerate Test Information Amitriptyline is a tricyclic antidepressant that is metabolized to nortriptyline, which has similar pharmacologic activity. The relative blood levels of amitriptyline and nortriptyline are highly variable among patients. Amitriptyline is the drug of choice in treatment of depression when the side effect of mild sedation is desirable. Nortriptyline is used when its stimulatory side effect is considered to be of clinical advantage. Amitriptyline displays major cardiac toxicity when the concentration of amitriptyline and nortriptyline is in excess of 300 ng/mL. Patient Information Note: Therapeutic ranges are for specimens drawn at trough (ie, immediately before next scheduled dose). Levels may be elevated in non-trough specimens. Additional Information Total toxic concentration: > or =300 ng/mL For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 21 of 405 A Sparrow Laboratories Online Test Catalog AMMONIA Order Code: NH3 1011 Epic Code LAB47 Synonym NH3,NH4 CPT 82140 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1011 Department CHM Age NH3 Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE Ammonia Container NH3 1 day to >100 year 13 - 37 mcmol/L Processing Instructions 1 Lavender top EDTA tube Storage Temp Frozen Centrifuge IMMEDIATELY and transfer plasma to plastic vial. Freeze without delay. AMNIOTIC FLUID BILIRUBIN Order Code: ABILI 1023 Epic Code LAB4011 Synonym Bilirubin, amniotic fluid, Bili amnio CPT 82143 Method Spectrophotometry Scheduled Sunday - Saturday at WARDE Department MREF Ref Code: AFBIL Specimen 3 ml amniotic fluid (Min: 2 ml) Container Processing Instructions 1 sterile tube Storage Temp Refrigerate Protect from light during collection, storage, and shipment. Refrigerate. Patient Information Gestational age required. AMYLASE Order Code: AMY 1013 Epic Code LAB48 Synonym AMY CPT 82150 Method Spectrophotometry, Kinetic Scheduled Sunday - Saturday COMPONENT 1013 CODE Department CHM Age AMY Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Amylase Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 AMY 1 day to >100 year 20 - 100 U/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:08:59 AM Storage Temp Refrigerate Page 22 of 405 A Sparrow Laboratories Online Test Catalog AMYLASE, 24 HOUR URINE Order Code: UAM24 1377 Epic Code LAB360 Synonym AMY, 24 hr urine amylase CPT 82150 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1377 Department CHM REFERENCE RANGE Age Ref Code: Sparrow Specimen Amylase urine conc. UAMY1 UAM24 Amylase Timed Urine UAMYC UAM24 Total Volume UVOL Measured - in mL UAM24 Collection Interval CINTV Time - in Hours Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to >100 year UAM24 4.0 - 25.0 U/Hr Processing Instructions 24 hr urine container, no preservative Storage Temp Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -start date and time; end of collection date and time; -total volume measurement Refrigerate Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information No preservative AMYLASE, BODY FLUID Order Code: FLAM 1016 Epic Code LAB178 Synonym Body Fluid CPT 82150 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1016 Department CHM Specimen 2 ml fluid (Min: 1 ml) REFERENCE RANGE Age FLAM Amylase FLAMY FLAM Body Fluid Type FLTYP Container Clean container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:08:59 AM 1 day to >100 years Storage Temp Refrigerate Page 23 of 405 A Sparrow Laboratories Online Test Catalog AMYLASE, RANDOM URINE Order Code: UAMYR 1376 Epic Code LAB358 Synonym AMY CPT 82150 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1376 Department CHM REFERENCE RANGE Age UAMYR Specimen Amylase Urine Container 20 ml single void urine sample (Min: 5 ml) Urine container; no preservative UAMYR 1 day to >100 year 50 - 400 U/L Processing Instructions Storage Temp Refrigerate Refrigerate ANCA PANEL, FOR VASCULITIS, S Order Code: ANVAS 10048 Synonym Antineutrophil Cytoplasmic Antibodies Epic Code LAB4369 Test Component PR3, MPO CPT 83516 86255 86256 Method MPO, PR3: Multiplex Flow Immunoassay, ANCA: Indirect Immunofluorescence Scheduled Monday - Saturday at Mayo Department MREF Ref Code: VASC Specimen 2 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for evaluating patients suspected of having autoimmune vasculitis, both Wegener’s granulomatosis and microscopic polyangitis For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 24 of 405 A Sparrow Laboratories Online Test Catalog ANDROSTENEDIONE,S Order Code: ANDRO 1014 Epic Code LAB518 Synonym delta-4-Androstenedione, 4 Androstenedione, ANST, ANDR CPT 82157 Method HPLC-MS Scheduled Monday - Friday at Mayo CODE COMPONENT 1014 REFERENCE RANGE Department MREF Ref Code: ANST Age Androstenedione ANDRO F 0.1 - 0.3 ng/mL ANDRO Androstenedione ANDRO M 0.1 - 0.2 ng/mL ANDRO Androstenedione ANDRO F 0.2 - 0.5 ng/mL ANDRO Androstenedione ANDRO M 0.1 - 0.3 ng/mL Age Age 10 year to 12 year Androstenedione ANDRO F 0.4 - 1.0 ng/mL ANDRO Androstenedione ANDRO M 0.3 - 0.7 ng/mL ANDRO Androstenedione ANDRO F 0.8 - 1.9 ng/mL ANDRO Androstenedione ANDRO M 0.4 - 1.0 ng/mL ANDRO Androstenedione ANDRO F 0.7 - 2.2 ng/mL ANDRO Androstenedione ANDRO M 0.5 - 1.4 ng/mL ANDRO Androstenedione ANDRO F 0.2 - 3.1 ng/mL ANDRO Androstenedione ANDRO M 0.3 - 3.1 ng/mL Age Age 2 ml serum (Min: 0.4 ml) 8 year to 10 year ANDRO Age Specimen 1 day to 8 year ANDRO Container 1 Plain red top tube 12 year to 14 year 14 year to 18 year 18 year to >100 year Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into a plastic tube and freeze. Storage Temp Frozen Test Information Mayo Code ANST, Specimens collected in plain red-top tubes will be rejected. Additional Information Specimen may be frozen after arrival in the Laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 25 of 405 A Sparrow Laboratories Online Test Catalog ANGIOSARCOMA, MYC (8q24) Amp, FISH, T Order Code: MASF 10281 Epic Code LAB4748 Synonym Post-Radiation Cutaneous Angiosarcoma, MYC, c-MYC CPT 88291 Method Fluorescence In Situ Hybridization (FISH) Scheduled Monday - Friday at Mayo Department MREF Ref Code: MASF Specimen Container Tissue Processing Instructions Tissue block preferred, or slides Storage Temp Room Temperature Submit a formalin-fixed, paraffin-embedded (FFPE) tumor tissue block. Blocks prepared with alternative fixation methods may be acceptable; provide fixation method used. Test Information Userful for Identifying MYC amplification to aid in the differentiation of cutaneous angiosarcomas from atypical vascular lesions after radiotherapy. An aid in the diagnosis of primary cutaneous angiosarcoma Additional Information ** NEW TEST ADDED 01/22/2016 ** ANGIOTENSIN CONVERTING ENZYME Order Code: ACE 1252 Epic Code LAB179 Synonym ACE CPT 82164 Method Spectrophotometry Scheduled Wednesday CODE COMPONENT 1252 Department MREF REFERENCE RANGE Age ACE Angiotensin Conv Enzyme ACE Angiotensin Conv Enzyme ACE 5 - 83 U/L Age ACE Angiotensin Conv Enzyme ACE Specimen 2 ml serum (Min: 1 ml) Angiotensin Conv Enzyme Container 1 gold top SST clot tube ACE 8 year to 14 year 6 - 89 U/L Age ACE 3 year to 8 year 8 - 76 U/L Age ACE 1 day to 3 year 14 year to >100 year 8 - 52 U/L Processing Instructions Gel barrier or plain red-top tube is acceptable. Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer to plastic vial and freeze. Storage Temp Frozen Patient Information Fasting specimen preferred. The use of ACE-inhibiting antihypertensive drugs will cause decreased angiotensin converting enzyme values. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 26 of 405 A Sparrow Laboratories Online Test Catalog ANTI DIURETIC HORMONE Order Code: ANDIH 6617 Epic Code LAB4465 Synonym ADH, Antidiuretic, AD Hormone CPT 84588 Method Radioimmunoassay (RIA) Scheduled Tuesday at ARUP CODE COMPONENT 6617 REFERENCE RANGE Department MREF 1 day to >100 year Age ANDIH Specimen ANTIDIURETIC HORMONE Container 3 ml plasma (Min: 2 ml) ANDIH 0.0 - 6.9 pg/mL Processing Instructions 1 Lavender top EDTA tube Storage Temp Frozen Centrifuge and transfer plasma to plastic vial and freeze immediately. ANTIBODY ID Order Code: ABID 1642 Epic Code LAB941 Synonym AB Test Component Antibody ID and any additional tests indicated to obtain an ID such as ELUATE, CPT 86870 ADSORPTION, and DAT Method Hemagglutination Scheduled DAILY CODE COMPONENT 1642 Department BLB Age ABID Specimen 2 ml whole blood (Min. 0.5 ml) REFERENCE RANGE AB NAME Container 1 Lavender top EDTA tube 1 day to >100 day AB ID Processing Instructions Storage Temp Inpatient: bring directly to laboratory, without delay. Do not centrifuge, Bring directly to blood bank. Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Refrigerate If the specimen is a cord blood, it must also be labeled with the word "CORD". Patient Information Provide transfusion history (within last 3 months) and diagnosis, as available. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 27 of 405 A Sparrow Laboratories Online Test Catalog ANTIBODY SCREEN Order Code: MTS 1612 Epic Code LAB278 Synonym Indirect Coombs, IAT, ABS CPT 86850 Method Hemagglutination Scheduled Sunday - Saturday CODE COMPONENT 1612 Department BLB REFERENCE RANGE Age MTS Specimen Ab Screen Container 7 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube MTS 1 day to >100 year Negative - Processing Instructions Storage Temp Refrigerate Refrigerate Test Information If positive, antibody identification and any additional tests indicated to obtain an identification, such as eluate, adsorption, and/or DAT, will be performed. Patient Information Provide transfusion history (within last 3 months) and diagnosis, as available. ANTIBODY TITER Order Code: ABTIT 1628 Epic Code LAB275 Synonym AB, Antibody ID CPT 86886 Method Hemagglutination Scheduled Sunday - Saturday Department BLB Specimen Container 7 ml whole blood (Min: 2 ml) Test Information 1 Lavender top EDTA tube Processing Instructions Inpatient: bring directly to laboratory, without delay. Outpatient: Spin and separate cells from blood (into a plastic 12 x75 tube) as soon as possible after collection, then refrigerate. Storage Temp Refrigerate Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and initials of specimen collector. If specimen may be used for transfusion in the future, the specimen must be drawn by Sparrow personnel. Patient Information Provide transfusion and pregnancy history, as available. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 28 of 405 A Sparrow Laboratories Online Test Catalog ANTI-CENTROMERE ANTIBODY Order Code: ACA 1391 Epic Code LAB4576 Synonym ACA, CREST, Hep-2 CPT 86255 Method Indirect Immunofluorescence (IFA) Scheduled Monday, Thursday Department IMM Specimen 3 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright for 30 minutes, then centrifuge. Test Information Titer, if positive ANTI-MULLERIAN HORMONE,S Order Code: AMH 10211 Epic Code LAB4681 Synonym Mullerian inhibiting factor (MIF), Mullerian Ab CPT 83520 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday - Friday at Mayo CODE COMPONENT 10211 Department MREF Ref Code: AMH REFERENCE RANGE Age AMH Hormone Level AMH Female AMH Hormone Level AMH Female Age Specimen 0.5 ml serum (Min. 0.2 mL) Container 1 Plain red top tube 13 years to 45 year 0.9 - 9.5 ng/mL 45 year to >100 years < - 1.0 ng/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for the assessment of menopausal status, ovarian status, including ovarian reserve and ovarian responsiveness, as part of an evaluation for infertility and assisted reproduction protocols such as IVF or assessing ovarian function in patients with polycystic ovarian syndrome. Useful for the evaluation of infants with ambiguous genitalia and other intersex conditions, evaluating testicular function in infants and children and monitoring patients with antimullerian hormonesecreting ovarian granulosa cell tumors. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 29 of 405 A Sparrow Laboratories Online Test Catalog ANTI-NUCLEAR ANTIBODY Order Code: ANAS 1763 Synonym ANA,LE CELL Prep, Anti-Centromere Ab, ACA Epic Code LAB147 Test Component Screen, Titer and Pattern CPT 86038 Method Indirect Immunofluorescence (IFA) Scheduled Monday, Wednesday, Friday CODE COMPONENT 1763 REFERENCE RANGE Department IMM Age Specimen Nuclear Ab Screen ANAS Titer ANAS Pattern Container 3 ml serum (Min: 1 ml) Test Information ANAS 1 gold top SST clot tube ANA 1 day to >100 years Negative - ANAT PAT Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pattern and titer, if positive. Includes an Anti-Centromere Ab - previously test 1391 Additional Information Enzyme Immunoassay (EIA) - screen, Immunofluorescent Assay (IFA) - Confirmation of pattern and titer ANTI-PROLIFERATING CELL NUCLEAR ANTIGEN Order Code: PCNA 1908 Epic Code LAB4148 Synonym PCNA CPT 86235 Method Immunodiffusion Scheduled 3 times per week Department MSPEC Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Remove serum and freeze. Specimens collected in plain red-top are acceptable. 9/21/2016 8:08:59 AM Storage Temp Frozen Page 30 of 405 A Sparrow Laboratories Online Test Catalog ANTI-SSA Order Code: SSA 10157 Epic Code Synonym SSA Antibody, anti-Ro, Sjogren's Syndrome CPT 86235 Method EIA Scheduled Wednesday Department IMM Specimen 2 ml serum (Min: 0.7 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow specimen to clot for 30 min. Spin and transfer to a plastic vial Frozen Test Information Useful for evaluating patients with signs and symptoms of a connective tissue disease in whom the ANA test is positive, especially those with signs and symptoms consistent with Sjogren's syndrome or lupus erythematosus. ANTI-SSB Order Code: SSB 10158 Epic Code LAB4620 Synonym SSB Antibody, anti-La, Sjogren's Syndrome CPT 86235 Method EIA Scheduled Wednesday Department IMM Specimen 2 ml serum (Min: 0.7 ml) Test Information Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow specimen to clot for 30 min. Spin and transfer to a plastic vial Frozen Useful for evaluating patients with signs and symptoms of a connective tissue disease in whom the ANA test is positive, especially those with signs and symptoms consistent with Sjogren's syndrome or lupus erythematosus. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:08:59 AM Page 31 of 405 A Sparrow Laboratories Online Test Catalog ANTI-THROMBIN III Order Code: ATIII 1299 Epic Code LAB311 Synonym ATIII, AT3 CPT 85300 Method Indirect Immunofluorescence (IFA) Scheduled Tuesday, Thursday CODE COMPONENT 1299 Department SPCO Age ATIII Specimen 2 ml frozen plasma (Min: 1 ml) REFERENCE RANGE Anti-Thrombin III Container ATIII 1 day to >100 year 75 - 125 % Processing Instructions 1 Light blue top tube, NaCitrate (3.2%) Storage Temp Frozen Centrifuge. Transfer plasma to plastic vial and freeze. Patient Information Indicate if patient and/or family members have history of early age thrombosis (<40 years) and if patient is taking heparin. APOLIPOPROTEIN A1 Order Code: APA1P 2092 Epic Code LAB4163 Synonym APOA1, APO, APOA, Apo A, Apo A1 CPT 82172 Method Automated turbidimetric Immunoassay Scheduled Monday-Friday CODE COMPONENT 2092 Department MREF Ref Code: APLA1 Specimen 2 ml EDTA plasma (min: 1 ml) REFERENCE RANGE Age APA1P APO Lipoprotein A1 Container 1 Lavender top EDTA tube APA1P Processing Instructions Centrifuge. Pour plasma into plastic tube and freeze. 18 year to >100 year 106 - 220 mg/dL Storage Temp Frozen Test Information Useful for evaluation of risk for atherosclerotic cardiovascular disease and helpful to aid in the detection of Tangier disease. Patient Information Patient should be fasting for 12 to 14 hrs. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 32 of 405 A Sparrow Laboratories Online Test Catalog APOLIPOPROTEIN B Order Code: APILO 1313 Epic Code LAB4448 Synonym APO B CPT 82172 Method Turbidimetric Scheduled Monday-Friday at Mayo CODE COMPONENT 1313 REFERENCE RANGE Department MREF Specimen 1 ml plasma (min: 0.5) Age APILO Apolipoprotein B APILO APILO Apolipoprotein B APILO Container 1 day to >100 year 48 - 124 mg/dL 44 - 148 mg/dL F Processing Instructions 1 Lavender top EDTA tube Storage Temp Frozen Spin sample immediately, separate plasma and freeze in plastic vial. Test Information Apolipoprotein B is a major protein component of LDL. Useful for determining risk of developing atherosclerotic disease. Patient Information Patient must fast for 12 to 14 hours. Patient must not consume any alcohol for 24 hrs before the specimen is drawn. Additional Information Secondary Target under the Adult Treatment Panel (ATP) III guidelines. APTT Order Code: APTT 1167 Epic Code LAB325 Synonym Activated Partial Thromboplastin Time, PTT CPT 85730 Method Photo-optical Scheduled Sunday - Saturday CODE COMPONENT 1167 Department COA Age APTT Specimen 2 ml plasma (Min: 1 ml) Additional Information REFERENCE RANGE Container 1 Light blue top tube, NaCitrate (3.2%) APTT APTT 1 day to >100 year 21.0 - 31.0 Seconds Processing Instructions Refrigerate if sample will be transported to lab within 4 hours of acquisition. DO NOT CENTRIFUGE, DO NOT OPEN TOP. If longer storage time is anticipated, centrifuge transfer plasma to plastic vial & freeze. Storage Temp Refrigerate or Frozen ** New Normal Ranges established April 27, 2016. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 33 of 405 A Sparrow Laboratories Online Test Catalog APTT (HEPARIN THERAPY) Order Code: HPTT 1180 Epic Code LAB4042 Synonym Activated Partial Thromboplastin Time CPT 85730 Method Photo-Optical Scheduled Sunday - Saturday CODE COMPONENT 1180 Department COA REFERENCE RANGE Age HPTT Specimen APTT Hep -Therapy Container 0.5 ml plasma HPTT 1 day to >100 year 47.0 - 67.0 Seconds Processing Instructions 1 Light blue top tube, NaCitrate (3.2%) Storage Temp Frozen Centrifuge blue top and freeze plasma in plastic vial. Additional Information Plasma must be frozen within 4 hours of collection. ** New Normal Ranges established April 27, 2016. ARTERIAL BLOOD GAS W CARBON MONOXIDE Order Code: ABGCO 1093 Epic Code LAB4022 Synonym ABG & CO CPT 82803 Method Ion Selective Electrodes Scheduled Sunday - Saturday CODE COMPONENT 1093 Department CHM Specimen Heparinized whole blood REFERENCE RANGE Age 1 day to >100 year ABGCO pH, Arterial PHAR 7.35 - 7.45 ABGCO Total CO2, Arterial ATCO2 20.0 - 30.0 mmol/L ABGCO PO2, Arterial APO2 ABGCO FIO2 FIO2 ABGCO Bicarbonate AHCO3 20.0 - 30.0 mmol/L ABGCO O2 Saturation, Arterial AOSAT 95 - 98 % ABGCO Base Excess ABE ABGCO pCO2, Arterial APCO2 34 - 46 mm Hg ABGCO Allen's Test ALLEN PASS - ABGCO Carboxyhemoglobin HBCO smoker 1.5 - 5.0 % ABGCO Carboxyhemoglobin HBCO heavy smoker 5.0 - 9.0 % ABGCO Carboxyhemoglobin HBCO nonsmoker Container Art Blood gas kit - Li-Hep syringe/Green Top 75 - 100 mm Hg CM H2O PRE 0 - 1.5 % Processing Instructions Place syringe in ice water bath, Li-Hep (Green Top) DO NOT REMOVE STOPPER. Storage Temp Refrigerate Test Information Blood gases kits are available at every Sparrow Regional Lab Site. Due to sample instability, collections performed elsewhere must be pre-arranged with the lab. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 34 of 405 A Sparrow Laboratories Online Test Catalog ARTERIAL BLOOD GASES Order Code: ABG 1293 Epic Code LAB76 Synonym ABG CPT 82803 Method Ion Selective Electrodes Scheduled Sunday - Saturday CODE COMPONENT 1293 Department CHM REFERENCE RANGE Age Specimen FIO2 ABG 02 Saturation ABG P02 PO2 75 - 100 mmHg ABG C02 PCO2 34 - 46 MMOL/L ABG PCO2-Arterial PCO2 34 - 46 mm Hg ABG PH Container 2 ml whole blood (Min: 0.5 ml) 1 day to >100 year ABG FIO2 21 - 100 % O2 SAT 95 - 98 % PH 7.35 - 7.45 Processing Instructions Heparinized ABG syringe Storage Temp Refrigerate Store and transport syringe in ice water. Sample must be analyzed within 1 hour after drawing. Test Information Blood gases kits are available at every Sparrow Regional Lab Site. Due to sample instability, collections performed elsewhere must be pre-arranged with the lab. ASCORBIC ACID,P Order Code: VITCR 1019 Epic Code LAB671 Synonym Vitamin C CPT 82180 Method High-Pressure Liquid Chromatography (HPLC) Scheduled Monday - Friday at Mayo CODE COMPONENT 1019 Department MREF Ref Code: FVITC Specimen 2 ml plasma (Min: 0.5 ml) REFERENCE RANGE Age VITCR Ascorbic Acid Container 1 green top tube, Li Heparin VITCR 1 day to >100 year 0.6 - 2.0 mg/dL Processing Instructions Centrifuge IMMEDIATELY. Transfer plasma to plastic vial and freeze. Protect from light. Storage Temp Frozen Test Information Mayo Code VITC Patient Information Patient must fast 12 - 14 hours and refrain from any vitamin supplements for 24 hours prior to the draw. Additional Information Serum and sodium fluoride plasma are acceptable. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 35 of 405 A Sparrow Laboratories Online Test Catalog ASO TITER Order Code: ASO 1664 Synonym Streptolysin O, Antistreptolysin Titer Epic Code LAB219 Test Component ASO, ADNAB (when indicated) CPT 86060 Scheduled Monday - Friday CODE COMPONENT 1664 Department STL REFERENCE RANGE Age ASO ASO Titer ASO 0 - 100 IU/ML Age ASO ASO Titer ASO ASO ASO Titer ASO Container 1 ml serum (Min: 0.5 ml) 5 year to 16 year 0 - 166 IU/ML Age Specimen 1 day to 5 year 16 year to >100 year 0 - 100 IU/ML Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information This test is used to demonstration of acute or recent streptococcal infection. The anti-DNase test is reflex ordered when the ASO titer is normal. This is recommended for the following reasons: Elevated ASO titers are found in the sera of about 85% of individuals with rheumatic fever; ASO titers remain normal in about 15% of individuals with the disease. Skin infections, in contrast to throat infections, are associated with a poor ASO response. Patients with acute glomerulonephritis following skin infection (post-impetigo) have an attenuated immune response to streptolysin O. Thus, the percentage of false-negatives can be reduced by performing 2 or more antibody tests. ASPERGILLUS Ag, S Order Code: ASPAG 10106 Epic Code LAB4478 Synonym Fungal Antigen, Aspergillosis, Galactomannan CPT 87305 Method Enzyme Immunoassay (EIA) Scheduled Monday - Friday at Specialty Lab CODE COMPONENT 10106 Department MSPEC Ref Code: ASPAG Specimen 2 mL serum Test Information REFERENCE RANGE Age ASPAG Aspergillus Container 1 gold top SST clot tube ASPAG 1 day to >100 years Negative - < 0.5 Index Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Send serum frozen. Storage Temp Frozen Useful as an aid in the diagnosis of invasive aspergillosis and assessing response to therapy. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 36 of 405 A Sparrow Laboratories Online Test Catalog ASPERGILLUS PRECIPITIN Order Code: ASPPC 1686 Epic Code LAB784 Synonym Aspergillus Antibody CPT 86606 Method Immunodiffusion Scheduled Monday-Friday; afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, than centrifuge. AST (SGOT) Order Code: AST 1230 Epic Code LAB131 Synonym Aspartate Aminotransferase CPT 84450 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1230 Department CHM REFERENCE RANGE Age AST AST (SGOT) AST AST AST (SGOT) AST AST AST (SGOT) 0 - 120 U/L Age AST AST Specimen 1 ml serum (Min: 1 ml) AST (SGOT) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 AST 5 year to 10 year 0 - 50 U/L Age AST 1 year to 5 year 0 - 70 U/L Age AST (SGOT) 6 month to 1 year 0 - 105 U/L Age AST 1 day to 6 month 10 year to >100 year 10 - 40 U/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:00 AM Storage Temp Refrigerate Page 37 of 405 A Sparrow Laboratories Online Test Catalog AUTOLOGOUS RBC Order Code: AUTO 1558 Epic Code LAB4099 Synonym SELF Donor CPT 86890 Method Red Cross Scheduled Monday - Friday CODE COMPONENT 1558 Department BLB Age AUTO Specimen Blood Unit Collection REFERENCE RANGE Autologous Unit Container No Specimen to AUTO Processing Instructions Storage Temp Refrigerate To order an Autologous unit for pre-surgicals, place this order. Then call Lansing Red Cross for more information or to schedule an Autologous collection. Test Information Handled by Lansing Red Cross B. PERTUSSIS IGA & IGG WITH REFLEX Order Code: FBPAG 10219 Epic Code LAB4078 Synonym Whooping Cough, Pertussis Antibody CPT 86615 86615 Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay, Qualitative Immunoblot, if appropriate Scheduled Tuesday at Arup Department MREF Ref Code: FBPAG Specimen 1.0 ml serum (min. 0.3 ml) Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Spin down and send 1 mL serum refrigerate in a plastic vial. 9/21/2016 8:09:00 AM Storage Temp Refrigerate Page 38 of 405 B Sparrow Laboratories Online Test Catalog BACTERIAL ANTIGEN SCREEN Order Code: BAGPL 1435 Epic Code LAB4495 Synonym CIE, Bacterial Meningitis Screen, H. influenzae, N. meningitidis, S. Pneumoniae CPT 87449 Method Agglutination, CIE Scheduled Sunday - Saturday Department MIC Specimen Container 1 ml CSF (Min: 0.5 ml) Processing Instructions Sterile tube Storage Temp CSF-room temperature. Refrigerate fluid if testing delayed. Refrigerate Test Information Haemophilus influenzae type b, Neisseria meningitidis groups A, C, Y, W-135, Neisseria meningitidis group B, Strep Pneumoniae, group B strep. BARBITURATE PROFILE by HPLC, PLASMA/SERUM Order Code: BRBSC Synonym Barbs,Phenobarbital,Butalbital,Pentobarbital,Amobarbital,Secobarbital 1020 Epic Code LAB4010 CPT 82205 Method High Pressure Liquid Chromatography w/ Ultraviolet Detection (HPLC-UV) Scheduled Monday - Friday CODE COMPONENT 1020 Department TOX Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE Age 1 day to >100 year BRBSC Phenobarbital PHNBL 15.0 - 40.0 mcg/mL BRBSC Butalbital BTBTL 10.0 - 20.0 mcg/ml BRBSC Pentobarbital PNTBL 1.0 - 5.0 mcg/ml BRBSC Amobarbital AMOBL 1.0 - 8.0 mcg/ml BRBSC Secobarbital SECBL 1.0 - 5.0 mcg/ml Container 1 green top tube, Li Heparin Processing Instructions Refrigerate Storage Temp Refrigerate Additional Information Grey top and red top are also acceptable specimens. Specimens collected in serum separator tubes will be rejected For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 39 of 405 B Sparrow Laboratories Online Test Catalog BASIC PANEL Order Code: BMP 8178 Synonym BMP, Basic Metabolic Panel, Metabolic Epic Code LAB15 Test Component BUN, CREA, GLUC, NA, K+, CL, CO2, GAP, CAL, GFR CPT 80048 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 8178 Department CHM REFERENCE RANGE Age BMP Sodium NA 135 - 145 mEq/L Age BMP Potassium BMP Calcium 3.5 - 4.9 mEq/L CA 8.0 - 10.5 mg/dL 1 day to >100 year BMP Chloride BMP C02 CO2 20.0 - 30.0 mmol/L BMP GAP GAP 2 - 16 BMP Glucose GLU 65 - 99 mg/dL BMP BUN BUN 6 - 23 mg/dL BMP Creatinine CL 96 - 110 mEq/L Age 1 ml serum (Min: 0.5 ml) 17 year to >100 year K Age Specimen 3 day to >100 year Container CREAT 11 year to >100 year 0.60 - 1.40 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. B-CELL LYMPHOMA, FISH B/BM Order Code: BLPF 10271 Epic Code LAB4738 Synonym Burkitt Lymphoma, Follicular Lymphoma, MCL CPT 88291 Method Fluorescence In Situ Hybridization (FISH) Scheduled Monday - Friday at Mayo CODE COMPONENT 10271 Department MREF Ref Code: BLPF Specimen 7-10 ml whole blood REFERENCE RANGE Age BLPF Result Summary Container 1 green top tube, Na Heparin 1 day to >100 year BLPF Processing Instructions Invert several times to mix blood. Other anticoagulants are not recommended and are harmful to the viability of the cells. Storage Temp Room Temperature Test Information Useful for detecting a neoplastic clone associated with the common chromosome abnormalities seen in patients with various B-cell lymphomas. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 40 of 405 B Sparrow Laboratories Online Test Catalog BCR/ABL MUTATION, ASPE Order Code: BAKDM 10259 Epic Code LAB4730 Synonym BCR Gene mutations CPT 81170 Method Quantitative Reverse Transcription- PCR Scheduled Monday - Friday at Mayo Department MREF Ref Code: BAKDM Specimen Container 3 ml whole blood or Bone marrow (1.0 ml min.) 1 Lavender top EDTA tube Processing Instructions Storage Temp Refrigerate Gently invert to mix sample. Submit in original tube. Room temperature 72 hours, refrigeration 5 days. Test Information Check the online Mayo Interpretive guide - mayomedicallaboratories.com BCR/ABL, p190, Quant, Monitor Order Code: BA190 10261 Epic Code LAB4731 Synonym Philadelphia CPT 81207 Method Quantitative Reverse Transcription- PCR Scheduled Monday - Friday at Mayo Department MREF Ref Code: BA190 Specimen Container 4 mL Whole blood or 3 mL Bone Marrow Processing Instructions 1 - 7 ml Lavender top tube, Invert several times. Send specimen in original tube. Label EDTA or ACD tube acceptable specimen as correct type, whole blood or bone marrow. Storage Temp Room Temperature Test Information Useful for monitoring therapy response in patient with known e1/a2 BCR/ABL (p190) fusion forms. This test detects mRNA coding for the most common p190 fusion form (e1/a2) Additional Information Other fusion forms such as p210 protein commonly found in CML, not detected by this assay. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 41 of 405 B Sparrow Laboratories Online Test Catalog BCR/ABL, RNA-QUANT, DIAGNOSTIC Order Code: BADX 10262 Epic Code LAB4732 Synonym Philadelphia Chromosome Ph1 CPT 81206 81207 81208 Method Quantitative Reverse Transcription- PCR Scheduled Monday - Friday at Mayo Department MREF Ref Code: BADX Specimen Container 4 mL Whole blood or 3 ml Bone Marrow Processing Instructions Storage Temp Room Temperature 1 - 7 ml Lavender top tube, Invert several times. Send specimen in original tube. Label EDTA or ACD tube acceptable specimen as correct type, whole blood or bone marrow. Test Information Check the online Mayo Interpretive guide - mayomedicallaboratories.com BCR/ABL1 TRANSLOCATION (9;22) FISH Synonym CML, Chronic Myeloid Leukemia, Philadelphia Chromosome, t(9:22) Order Code: 922F 10489 Epic Code LAB4808 CPT 88291 88271 88271 Method Fluorescence In Situ Hybridization (FISH) Scheduled Monday - Friday at Mayo Department MREF Ref Code: 922F Specimen Container 7-10 mL Whole blood; 2 mL Bone 10 ml Green top Na Heparin Marrow tube, Bone Marrow in 5 ml green top Na Heparin tube Processing Instructions Storage Temp Room Temperature Gently invert several times to mix blood. Send specimen in original tube. Test Information Detecting a neoplastic clone associated with a BCR/ABL1 rearrangement in patients with chronic myeloid leukemia (CML) Tracking the percentage of nuclei with BCR/ABL1 rearrangement and response to therapy in patients with CML It is recommended that conventional chromosome analysis CHRBM / Chromosome Analysis, Hematologic Disorders, Bone Marrow also be performed at initial diagnosis. FISH alone can be used to monitor the effectiveness of therapy. Additional Information **New Test Added 8/09/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 42 of 405 B Sparrow Laboratories Online Test Catalog BCR-ABL1, p210, QUANT, MONITOR Order Code: BCRAB Synonym CML, Chronic Myelogenous Leukemia, Philadelphia Chromosome Ph1 10263 Epic Code LAB4733 CPT 81206 Method Quantitative Reverse Transcription- PCR Scheduled Monday - Friday at Mayo Department MREF Ref Code: BCRAB Specimen Container 4 mL Whole blood or 3 ml Bone Marrow Processing Instructions Storage Temp Room Temperature 1 - 7 ml Lavender top tube, Collection Instructions: Invert several times to mix blood. Send EDTA or ACD tube acceptable specimen in original tube. Label specimen as blood or bone marrow. Test Information Check the online Mayo Interpretive guide - mayomedicallaboratories.com BENCE JONES PROTEIN Order Code: UIFE 1289 Epic Code LAB366 Synonym IFE Urine, Electrophoresis Urine, Urine Immunofixation CPT 86335 Method Immunofixation Electrophoresis Scheduled Monday-Friday CODE COMPONENT 1289 Department SPCHM REFERENCE RANGE Age Ref Code: Sparrow Specimen UIFE Protein-Non-24 hr UTPIF 0 - 10 mg/dL UIFE Protein-24 hr urine UTPI2 0.0 - 150.0 mg/24Hr UIFE Total Volume UVOLI measured - in mL UIFE Interpretation IUIFE Container 20 ml single void urine sample or aliquot of a 24-hour collection (min. random urine: 5 ml) 1 day to >100 year Urine container, no preservatives Processing Instructions Storage Temp Send random urine or 24 hour urine collection - Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -start date and time; end of collection date and time; -total volume measurement Refrigerate Test Information Urine protein and immunofixation electrophoresis Patient Information For 24 hour urine collections: Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information No preservative For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 43 of 405 B Sparrow Laboratories Online Test Catalog BENZODIAZEPINE PROFILE by HPLC, PLASMA/SERUM Order Code: BNZSC Synonym BENZO,Norchlordiazepoxide, Chlordiazepoxide, Nordiazepam, Diazepam 1096 Epic Code LAB4415 CPT 80154 Method High Pressure Liquid Chromatography w/ Ultraviolet Detection (HPLC-UV) Scheduled Monday - Friday CODE COMPONENT 1096 REFERENCE RANGE Department TOX Age Specimen Type HPS04 BNZSC Norchlordiapoxide NCLDZ 300 - 800 ng/ml BNZSC Chlordiaz+Norchlordiaz TCLNR 300 - 1800 ng/ml BNZSC Nordiaz+Diaz TNDDZ 100 - 2000 ng/ml BNZSC Test Method BNZTM BNZSC Chlordiazepoxide CLDZ BNZSC Nordiazepam NDIZM M or F BNZSC Diazepam DIZM M or F Age 2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li Heparin 1 day to >100 year 100 - 500 ng/ml Age Container 1 day to >100 year 500 - 1000 ng/ml Age Specimen 1 day to >100 years BNZSC 1 day to >100 year 100 - 1500 ng/ml Processing Instructions Green top (Na or Li Heparin) preferred. Grey top or red-top tube acceptable. NO Gel-barrier Storage Temp Refrigerate Test Information Testing performed for medical and treatment purposes. Specimen analyzed for chlordiazepoxide, norchlordiazepoxide, diazepam and nordiazepam. Additional Information Specimens collected in serum separator tubes will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 44 of 405 B Sparrow Laboratories Online Test Catalog BETA 2 GLYCOPROTEIN, AB PANEL Order Code: B2GP 1032 Synonym BETA 2, B2GMG, B2GP Epic Code LAB1179 Test Component B2GPG; B2GPM CPT 86146 86146 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday - Saturday at Mayo CODE COMPONENT 1032 REFERENCE RANGE Department MREF Age Ref Code: B2GMG Specimen Beta 2 GP1 Antibody IgG B2GPG B2GP Beta 2 GP1 Antibody IgM B2GPM B2GP Beta 2 GP1 Antibody IgA B2GPA Container 1 ml serum (min. 0.5 ml) Test Information B2GP 1 gold top SST clot tube Negative 1 day to >100 year < - 0.75 Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Useful for the evaluation of suspected cases of antiphospholipid syndrome. Additional Information Plain Red top tube acceptable. BETA 2 GP1 AB IGG: 44448-9, BETA 2 GP1 AB IGM: 44449-7 BETA STREP IN THROAT BY PCR Order Code: PCRST 10032 Epic Code LAB1369 Synonym Group A Strep, Beta Strep by PCR CPT 87651 Method Real-Time PCR Scheduled Monday - Friday Department MDX Specimen Throat swab Container Processing Instructions Swab collection - Red Top Swab surface of both tonsils and from the posterior pharyngeal (Culturette II Copan swab) wall. Transport to lab within 72 hours after collection. Calcium alginate tipped swabs or transport swabs containing gel are NOT acceptable. Storage Temp Room Temperature Test Information Beta Strep by Real-Time PCR detects Group A, C and G strep (GAS). This PCR test will detect 20 - 55% more positive GAS than available rapid kit tests. Additional Information Many rapid Group A strep test kits recommend confirmation for negative test results. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 45 of 405 B Sparrow Laboratories Online Test Catalog BETA-2-MICROGLOBULIN (URINE) Order Code: UB2M 1700 Epic Code LAB4126 Synonym B2 Microglob, B2M CPT 82232 Method Nephelometry Scheduled Monday - Saturday at Ward CODE COMPONENT 1700 REFERENCE RANGE Department QST Specimen 4 ml urine (min. 1 ml) 1 day to >100 year Age UB2M Beta-2-MicroGlobulin Container UB2M < - 0.30 mg/L Processing Instructions Sterile Urine Container Storage Temp Refrigerate Adjust the pH immediately (with 1 M NaOH) between 6-8. Test Information Beta-2-M is unstable in acid urine. Sample will be rejected if pH is not between 6-8. Patient Information The patient should void, then drink a full glass of water and provide a urine sample within one hour. BETA-2-MICROGLOBULIN, SERUM Order Code: B2G 1741 Epic Code LAB49 Synonym B2 Microglobulin, Beta2, B2 Microglb CPT 82232 Method Nephelometry Scheduled Monday-Friday CODE COMPONENT 1741 Department MREF Age B2G Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Beta-2-MicroGlobulin Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 B2G Processing Instructions Allow blood to clot upright 30 minutes at room temp, then centrifuge. 9/21/2016 8:09:00 AM 1 day to >100 year 0.0 - 2.70 UG/mL Storage Temp Refrigerate Page 46 of 405 B Sparrow Laboratories Online Test Catalog BETA-CATENIN, MUTATION ANALYSIS Order Code: BCAT Synonym Desmoid-Type Fibromatosis, S45F, S45P, T41A, 61210 10282 Epic Code LAB4749 CPT 81403 Method Polymerase Chain Reaction (PCR) and Pyrosequencing Scheduled Monday - Friday; Varies at Mayo Department MREF Ref Code: BCAT Specimen Container Varies; Tissue containing tumor cells Surgical Path Specimens, FFPE tissue Processing Instructions Formalin-fixed, paraffin-embedded (FFPE) tissue block with a minimum of 40% tumor cell population. Acceptable: Unstained slides with a minimum of 40% tumor population; slides may be stained and/or scraped. Storage Temp Room Temperature Test Information Useful for distinguishing desmoid-type fibromatosis from other soft tissue tumors, when pathological examination is insufficient for diagnosis. Additional Information ** NEW TEST ADDED 01/22/2016 ** For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 47 of 405 B Sparrow Laboratories Online Test Catalog BETA-CROSSLAPS (B-CTx), S Order Code: CTX 10295 Epic Code LAB4759 Synonym B-CTx, Beta-CTx, C-Telopeptide, C-terminal collagen crosslinks,Carboxy terminal collagen crosslinks CPT 82523 Method Electrochemiluminescence Immunoassay Scheduled Monday - Friday at Mayo CODE COMPONENT 10295 REFERENCE RANGE Department MREF Age Ref Code: CTX CTX beta-CTx CTX beta-CTx CTX 155 - 873 pg/mL Male Age CTX beta-CTx CTX B-CTx premenopausal CTX Specimen B-CTx postmenopausal Container 1 ml serum (Min: 0.5 ml) 1 Plain red top tube CTX Female 18 years to ~50 years 25 - 573 pg/mL Female Age CTX 51 years to 70 years 35 - 836 pg/mL Male Age CTX 31 years to 50 years 93 - 630 pg/mL Male Age CTX 18 years to 30 years 50 years to >100 years 104 - 1,008 pg/mL Processing Instructions Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Gel barriers tubes acceptable. Specimen may be frozen once it arrives at Sparrow lab (within 72 hours) Test Information Useful for an aid in monitoring anti-resorptive therapies (eg, bisphosphonates and hormone replacement therapy) in postmenopausal women treated for osteoporosis and individuals diagnosed with osteopenia. An adjunct in the diagnosis of medical conditions associated with increased bone turnover. Result Interpretation: Elevated levels of beta-CTx indicate increased bone resorption. Increased levels are associated with osteoporosis, osteopenia, Paget disease, hyperthyroidism, and hyperparathyroidism. Patient Information 12 hours before this blood test, do not take multivitamins or dietary supplements containing biotin or vitamin B7 that are commonly found in hair, skin and nail supplements and multivitamins. Additional Information ** NEW TEST ADDED 02/22/2016 ** BILIARY DRAINAGE ANALYSIS Order Code: BILDR 1598 Epic Code LAB4103 Synonym Biliary Fluid CPT 89060 Method Multistix, Ictotest, Microscopic Examination Scheduled Sunday - Saturday Department HEM Specimen 20 ml biliary drainage (Min: 2 ml) Container Urine container, no preservative Processing Instructions Store and transport in ice water. Storage Temp Refrigerate Test Information Color, character, occult blood, bilirubin-qualitative, pH, WBC, RBC, crystals. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 48 of 405 B Sparrow Laboratories Online Test Catalog DIRECT BILIRUBIN Order Code: BILID 3924 Epic Code LAB52 Synonym DIRECT, BILI CPT 82248 Scheduled Sunday - Saturday CODE COMPONENT 3924 REFERENCE RANGE Department CHM Age BILID Specimen 0.5 ml plasma (min. 0.2 ml) BILI-DIRECT Container Direct 1 day to >100 year 0.0 - 0.3 mg/dL Processing Instructions 1 green top tube, Heparin or SST gel barrier Storage Temp Refrigerate Centrifuge green top and protect from light. Test Information If collecting from an infant, take baby off of the bili-light or out of sunlight before collecting. Specimen 0.5 ml plasma (min. 0.2 ml) Container Processing Instructions 1 green top tube, Heparin or SST gel barrier Storage Temp Refrigerate Centrifuge green top and protect from light. Test Information If collecting from an infant, take baby off of the bili-light or out of sunlight before collecting. BILIRUBIN TOTAL & DIRECT Order Code: BILI 1133 Synonym BILI Epic Code LAB4034 Test Component T BILI,D BILI CPT 82247 82248 Method Spectrophotometric Scheduled Sunday - Saturday CODE COMPONENT 1133 Department CHM REFERENCE RANGE Age BILI BILI-INDIRECT BILI 0 - 11.7 mg/dL BILI-DIRECT direct 0 - 0.3 mg/dL BILI BILI-TOTAL total 0.2 - 12.0 mg/dL BILI BILI-INDIRECT BILI BILI-TOTAL Age Specimen 1 ml serum or 1 ml plasma (Min: 0.5 ml) 1 day to 2 W indirect Container indirect total 2 W to >100 year 0 - 0.9 mg/dL 0.2 - 1.2 mg/dL Processing Instructions 1 gel barrier SST clot tube or 1 Allow blood to clot upright 30 minutes at room temperature, then green top tube, Li heparin centrifuge. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Storage Temp Refrigerate Page 49 of 405 B Sparrow Laboratories Online Test Catalog BILIRUBIN-TOTAL ONLY Order Code: BILIT 1024 Epic Code LAB50 Synonym T BILI CPT 82247 Method Spectrophotometry Scheduled Daily CODE COMPONENT 1024 Department CHM REFERENCE RANGE Age BILIT BILI-TOTAL ONLY BILIT BILIT BILI-TOTAL ONLY BILIT 0.2 - 12.0 mg/dL Age Specimen Container 1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube 1 day to 2 weeks 2 weeks to >100 year 0.2 - 1.2 mg/dL Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. BK VIRUS PCR, QUAL, P Refrigerate Order Code: BKPCR 10137 Epic Code LAB4591 Synonym BKV, BKV DNA, Polyomavirus CPT 87798 Method RT-PCR Scheduled Monday, Wednesday, Friday; at Mayo Department MREF Ref Code: LCBKP Specimen Container 2 mL Random Urine, Min 0.5 mL Test Information Sterile urine container Processing Instructions For optimal results, specimen should arrive at Mayo within 48 hours of collection. Storage Temp Refrigerate Useful for a prospective and diagnostic marker for the development of nephropathy in renal transplant recipients. Patient Information New test Feb. 2016. Added to Test Catalog 8/20/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 50 of 405 B Sparrow Laboratories Online Test Catalog BK VIRUS PCR, QUAL, U Order Code: LCBK Synonym BK (Polyoma) Virus, BKV DNA, Polyomavirus 10135 Epic Code LAB4589 CPT 87798 Method RT-PCR Scheduled Monday, Wednesday, Friday; at Mayo Department MREF Ref Code: LCBK Specimen 2 mL Random Urine, Min 0.5 mL Container Sterile urine container Processing Instructions Storage Temp Refrigerate Refrigerate Test Information Useful for rapid detection of BK virus DNA. Patient Information New test Feb. 2016. Added to Test Catalog 8/20/16 BK VIRUS PCR, QUANT, P Order Code: QBK Synonym BK (Polyoma) Virus, BKV DNA, Polyomavirus 10136 Epic Code LAB4590 CPT 87798 Method RT-PCR Scheduled Monday, Wednesday, Friday; at Mayo Department MREF Ref Code: QBK Specimen 2 mL Plasma, Min. 0.5 mL Container 1 Lavender top EDTA tube Processing Instructions Spin and separate plasma from the cells within 24 hours from collection. Submit in plastic vial. Storage Temp Refrigerate Test Information Useful for a prospective and diagnostic marker for the development of nephropathy in renal transplant recipients. Patient Information New test Feb. 2016. Added to Test Catalog 8/20/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 51 of 405 B Sparrow Laboratories Online Test Catalog BK VIRUS PCR, QUANT, U Order Code: QBKU Synonym BK (Polyoma) Virus, BKV DNA, Polyomavirus 10134 Epic Code LAB4588 CPT 87798 Method RT-PCR Scheduled Monday, Wednesday, Friday; at Mayo Department MREF Ref Code: QBKU Specimen 2 mL Plasma, Min. 0.5 mL Container 1 Lavender top EDTA tube Processing Instructions Storage Temp Refrigerate Spin and separate plasma from the cells within 24 hours from collection. Submit in plastic vial. Test Information Useful for rapid detection of BK virus DNA. Patient Information New test Feb. 2016. Added to Test Catalog 8/20/16 BLASTOMYCES PRECIPITIN Order Code: BLSPC 1685 Epic Code LAB786 Synonym Blastomyces Antibody CPT 86612 Method Immunodiffusion Scheduled Monday-Friday; afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:00 AM Storage Temp Refrigerate Page 52 of 405 B Sparrow Laboratories Online Test Catalog BLOOD COUNT NO DIFF Order Code: CBCND Synonym Partial Blood Count, PBC Epic Code LAB294 Test Component WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT CPT 85027 1522 Method Automated Hematology Analyzer Scheduled Sunday - Saturday CODE COMPONENT 1522 REFERENCE RANGE Department HEM Age CBCND Hemoglobin HGB M 12.6 - 16.5 g/dL CBCND Hemoglobin HGB F 12.0 - 15.0 g/dL CBCND Hematocrit HCT M 42.0 - 49.5 % CBCND Hematocrit HCT F 36.0 - 45.0 % CBCND MCV MCV 85 - 105 CU MICR CBCND MCH MCH 30.0 - 36.0 MMCG CBCND Eosinophils PLT 150 - 400 K/CU MM Age CBCND MCHC CBCND RBC CBCND MCHC MCHC RBC 5 year to 16 year 4.10 - 5.30 M/CU MM MCHC 31 - 37 % Age 16 year to >100 year CBCND RBC RBC 3.50 - 5.55 M/CU MM CBCND MCV MCV 80 - 100 CU MICR CBCND MCH MCH 27.0 - 33.0 MMCG CBCND WBC WBC Age 4 ml whole blood (Min: 0.6 ml) 5 year to 16 year 32 - 36 % Age Specimen 16 year to >100 year Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions 16 year to >100 year 4.0 - 12.0 K/CU MM Storage Temp Gently invert multiple times to mix the EDTA anticoagulant with the whole blood sample. 9/21/2016 8:09:00 AM Refrigerate Page 53 of 405 B Sparrow Laboratories Online Test Catalog 2ND BLOOD TYPE Order Code: 2TYP 10063 Synonym ABORH Epic Code LAB4376 Test Component ABO, RH CPT 86900 Method Hemagglutination Scheduled Daily CODE COMPONENT 10063 REFERENCE RANGE Department BLB Age Specimen 2TYP ABO 2TYP RH ABO 5 ml whole blood (Min: 2 ml) A,B,O - or AB Types RH Container 1 day to >100 year Rh Neg - Rh Pos Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate Do not centrifuge. Test Information AABB safety standards require 2 determinations of ABO type for recipients of blood. Patient Information If the patient has no blood type history on file a second sample must be tested to confirm ABO type. Additional Information Specimen for second/2nd blood type MUST be from a different draw time than the Type and Screen specimen. BLOOD TYPE - ABO GROUP & RH TYPE Order Code: ABORH 1610 Epic Code LAB895 Synonym Group and Type, Blood Type, ABO Type CPT 86900 86901 Method Hemagglutination Scheduled Sunday - Saturday CODE COMPONENT 1610 REFERENCE RANGE Department BLB Age Specimen ABORH ABO Type ABORH RH Type Container 7 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube ABO Types RH Processing Instructions INPATIENT: Bring directly to laboratory, without delay. OUTPATIENT: Keep at room temperature or refrigerate 1 day to >100 year A, B, O - or AB Rh Neg. - Rh Pos. Storage Temp Room Temperature Test Information Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. If specimen may be used for transfusion in the future, the specimen must be drawn by Sparrow personnel. Patient Information Provide transfusion history (within last 3 months) and diagnosis, as available. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 54 of 405 B Sparrow Laboratories Online Test Catalog B-NATRIURETIC PEPTIDE Order Code: BNP 9036 Epic Code LAB106 Synonym BNP, B Nat Peptide, B-Nat CPT 83880 Method Direct Chemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 9036 Department CHM 1 day to >100 year Age Specimen BNP B-Natriuretic Peptide BNP BNP B-Natriuretic Peptide BNPI NYHA I Median - 64 pg/mL BNP B-Natriuretic Peptide BNPII NYHA II Median - 130 pg/mL BNP B-Natriuretic Peptide BNPIII NYHA III Median - 355 pg/mL BNP B-Natriuretic Peptide BNPIV NYHA IV Median - 843 pg/mL Container 2 ml plasma (min. 1 ml) Test Information REFERENCE RANGE 0 - 100 pg/mL Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate Spin tube and separate plasma within 24 hours of collection. Refrigerate At a decision threshold of 100 pg/ml the specificity is 97% and the sensitivity is 73% for predicting CHF (Method: Bayer Advia Centaur) Additional Information Sample must be collected in plastic EDTA tube. Collection in glass will produce false results. BODY FLUID PH Order Code: BFPH 1590 Epic Code LAB110 Synonym BFL pH CPT 83986 Method Dipstick Scheduled Sunday - Saturday CODE COMPONENT 1590 Department HEM Specimen Body fluid REFERENCE RANGE Age BFPH Fluid Type FLTYP BFPH pH BFPHI Container Sterile container, Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions No preservatives, refrigerate sample during transport. 9/21/2016 8:09:00 AM 1 day to >100 years Storage Temp Refrigerate Page 55 of 405 B Sparrow Laboratories Online Test Catalog BONE ALKALINE PHOSPHATASE Order Code: BALK 1256 Epic Code LAB1070 Synonym ALK PHOS-BONE,ALK P'TASE BONE,BAP CPT 84080 Method Immuno Enzymatic Assay Scheduled Monday - Saturday at Mayo Department MREF Specimen 0.5 ml serum (Min: 0.25 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright for 30 minutes at room temperature. then centrifuge. BONE MARROW Refrigerate Order Code: BONEM 1884 Epic Code LAB4147 Synonym BM CPT 38220 Method Wright Giemsa stain, H&E stain, Iron stain (Microscopy) Scheduled Monday-Friday, 9 a.m.-3 p.m. Department SPHEM Specimen 2.0 ml. EDTA marrow (min. 1.0 ml), 4.0 ml clotted specimen (min. 2.0 ml), 5.0 ml heparinized marrow (min. 3.0 ml) Container 1 Lavender top EDTA tube / 1 plain red top / 1 green top tube, Na Heparin Processing Instructions Refrigerate specimens Storage Temp Refrigerate Test Information CBC, Bone Marrow Aspirate and Core Biopsy, H&E Stain, Iron Stain Patient Information For Bone Marrow procedure call Client Services at (517) 364-7800 or (800) 884-2522 to schedule an appointment. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:00 AM Page 56 of 405 B Sparrow Laboratories Online Test Catalog BORDETELLA PERTUSSIS BY PCR Order Code: PCBPG 8099 Epic Code LAB923 Synonym Tussis, Whooping Cough, B. Pertussis CPT 87801 Method PCR Scheduled Twice per week CODE COMPONENT 8099 Department MDX REFERENCE RANGE Age Specimen 1 day to >100 years PCBPG Specimen Type SPMO6 PCBPG B. pertussis PCRBR Not - Detected PCBPG B. parapertussis PCRBP Not - Detected Container Nasopharyngeal (NP) swab or NP FLOQ swab or Saline wash in aspirate/saline wash sterile screw cap vial; Preferred Preferred NP Floq - Swab Processing Instructions Storage Temp Collect one nasopharynegeal (NP) specimen using a Floq Swab and place in VTM. NP aspirate/saline wash should be cloudy and sent in sealed plastic vial or VTM vial. Unacceptable Specimens: Nose, throat, sputum or BAL specimens are not acceptable sources Refrigerate Test Information Pertussis, or whooping cough, is caused by Bordetella pertussis, or B. parapertussis. The incidence of pertussis continues to rise in the U.S. According to CDC. From the onset of symptoms, the disease can take 6-8 weeks to resolve. Additional Information Unacceptable: Gel swabs, cotton swabs and wooden shafted swabs. BREAST CARCINOMA ASSOC. AG, CA 27-29 Order Code: C2729 6666 Epic Code LAB853 Synonym CA 2729, CA, Cancer Antigen 27.29 CPT 86300 Method Chemiluminometric Immunoassay Scheduled Monday - Sunday Department MREF Specimen 1 ml serum (min. 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge, Freeze. Storage Temp Refrigerate Test Information The FDA has approved CA 27.29 for serial testing in women with prior stage II or III breast cancer who are clinically free of disease. Additional Information Measurement of CA 27.29 is not useful to screen women for carcinoma of the breast. Specimen may be frozen after arrival in the laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 57 of 405 B Sparrow Laboratories Online Test Catalog BRUCELLA ANTIBODIES, IGG IGM, S Order Code: BRUCS 8064 Epic Code LAB221 Synonym Brucellosis, B. abortus, B. canis, B. melitensis, B. suis CPT 86622 Method Agglutination Scheduled Monday-Friday Department MSPEC Specimen 2 ml serum (Min: 1 ml) Specimen 2 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Container Storage Temp Processing Instructions 1 gold top SST clot tube Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. BUN Order Code: BUN 1234 Epic Code LAB140 Synonym Urea Nitrogen-Blood CPT 84520 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday COMPONENT 1234 CODE Department CHM REFERENCE RANGE Age BUN BUN BUN BUN BUN BUN 5 - 15 mg/dL Age Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 1 day to 2 year 2 year to >100 year 6 - 23 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 58 of 405 B Sparrow Laboratories Online Test Catalog BUPROPION Order Code: FBUP 7749 Epic Code LAB4281 Synonym Hydroxybupropion, Wellbutrin, FBUHB CPT 82542 Method High-Performance Liquid Chromatography with Ultraviolet Detection (HPLC-UV) Scheduled Monday-Sunday, Mayo CODE COMPONENT 7749 Forward, MedTox REFERENCE RANGE Department MREF Age Ref Code: FBUHB Specimen Bupropion BUPRO 50 - 100 ng/mL FBUP Hydroxybupropion FHPRO 600 - 2000 ng/mL Container 3 ml Plasma or 3 ml Serum, (Minimum Vol 0.6 mL) 1 day to >100 year FBUP 1 green top tube, Na Heparin, Serum - 1 plain red tube Processing Instructions Storage Temp Spin and transfer to plastic vial. Label with specimen type, plasma or serum, and freeze. Gel barrier tubes NOT acceptable. Frozen Test Information Test performed by Medtox Laboratories, Inc. C.DIFFICILE by PCR Order Code: CDIFF Synonym ANTIBIOTIC ASSOCIATED COLITIS, CLOSTRIDIUM DIFFICILE,C.DIFF 1477 Epic Code LAB4578 CPT 87493 Method PCR Scheduled Sunday - Saturday Department MDX Specimen Container 5 ml feces (Min: 1 ml), must be watery or unformed (soft) Clean container with secure lid, no preservative Processing Instructions Storage Temp Specimen character: Unformed (soft, watery or liquid) Specimens that are formed or hard will be rejected. Label specimen container and sent to the lab refrigerated. Protect against freezing and heat. Refrigerate Test Information Interpretation: A positive result indicates the presence of Clostridium difficile toxin B gene. This FDA approved test targets toxin B gene sequences. Patient Information Testing is limited to two specimens per patient per week; additional specimens will be rejected. The higher sensitivity of PCR in comparison to cell cytotoxicity and immunoassay methods supports this policy. Additional Information Specimens received in preservatives; formalin, SAV, PVA, or Cary Blair will be rejected. Formed stools will be rejected. Only patients with diarrhea should be tested for Clostridium difficile infection (CDI). Since C. difficile colonization rather than infection may exist, only unformed stool specimens from patients with signs and symptoms of CDI should be tested. Testing for cure of Clostridium difficile is inappropriate. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 59 of 405 C Sparrow Laboratories Online Test Catalog C1Q BINDING IMMUNE COMPLEX Order Code: C1QA 1694 Epic Code LAB4124 Synonym CIQ Binding Assay, IMMUNE Complex CPT 86332 Method Enzyme-LinkedImmunosorbent Assay (ELISA) Scheduled Varies at Mayo CODE COMPONENT 1694 REFERENCE RANGE Department QST Age C1QA Specimen 1 ml serum (Min: 0.5 ml) C1Q Binding Assay Container C1QA 1 day to >100 year 0 - 3.9 ug Eq/ml Processing Instructions 1 Plain red top tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Within 1 hour of collection, transfer serum to plastic tube and freeze. Ship on dry ice. C2 COMPLEMENT, FUNCTIONAL REFLEX, S Order Code: C2MYO 10272 Synonym C4, C2Ag, C2 Functional Epic Code LAB4739 Test Component C4, C3 and C2AG Reflexed if C2 <15 U/mL CPT 86161 86160 Method Automated Liposome Lysis Assay Scheduled Monday - Saturday at Mayo CODE COMPONENT 10272 Department MREF Ref Code: C2 Specimen 1 ml serum (Min. 0.5 ml) REFERENCE RANGE Age C2MYO C2 Complement,Functional C2MYO C2 Complement Ag C2AGR C2MYO Complement C3 MC3RX C2MYO Complement C4 MC4RX C2MYO Interpretation Container 1 Plain red top tube C2FX 1 day to >100 year 25 - 47 U/mL INT53 Processing Instructions Immediately place tube on wet ice. Spin and transfer serum to a plastic vial. Freeze specimen. Storage Temp Frozen Test Information Useful for the investigation of a patient with a low (absent) hemolytic complement (CH50). Patient Information Fasting preferred. Additional Information Replaces Test 2095/C2AG For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 60 of 405 C Sparrow Laboratories Online Test Catalog C3 COMPLEMENT Order Code: C3 1766 Epic Code LAB152 Synonym C3, Complement CPT 86160 Method Turbidometric Scheduled Monday-Friday CODE COMPONENT 1766 Department IMM Age C3 Specimen 3 ml serum (Min: 1 ml) REFERENCE RANGE C3 COMPLEMENT Container C3 1 day to >100 year 77 - 166 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. C4 COMPLEMENT Refrigerate Order Code: C4 1767 Epic Code LAB151 Synonym C4, Complement CPT 86160 Method Turbidometric Scheduled Monday-Friday CODE COMPONENT 1767 Department IMM Age C4 Specimen 3 ml serum (Min: 1 ml) REFERENCE RANGE C4 COMPLEMENT Container C4 1 day to >100 year 18 - 52 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. C5 COMPLEMENT Refrigerate Order Code: C5CMP 1768 Epic Code LAB4516 Synonym C5, Complement, Antigen CPT 86160 Method Nephelometry Scheduled Monday - Saturday at Mayo CODE COMPONENT 1768 Department IMM Age C5CMP Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE C5 COMPLEMENT, ANTIGEN S Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 C5CMP 1 day to >100 year 7.4 - 11.7 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into a plastic tube and freeze. 9/21/2016 8:09:01 AM Storage Temp Frozen Page 61 of 405 C Sparrow Laboratories Online Test Catalog CA 125 Order Code: CA125 1498 Epic Code LAB155 Synonym Ovarian Cancer Related Antibodies CPT 86304 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1498 Department CHM REFERENCE RANGE Age CA125 Specimen CA-125 Container 3 ml serum (Min: 1 ml) CA125 1 day to >100 year 0.0 - 35.0 U/ML Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. CA 15-3 Order Code: CA153 8045 Epic Code LAB776 Synonym Mucin-Like Carcinoma Associated Antigen, MUC-1 CPT 86300 Method Enzyme Labelled Sandwich Immunoassay Scheduled Monday- Saturday at Mayo COMPONENT 8045 CODE Department MREF Age CA153 Specimen CA 15-3 Container 1 ml serum (Min: 0.5 ml) Test Information REFERENCE RANGE 1 gold top SST clot tube CA153 1 day to >100 year 0.0 - 30.0 U/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Useful for predicting early recurrence in women treated for cancer of the breast. FDA approved for serial testing in women with prior stage II or III breast cancer who are clinically free of disease. Additional Information Caution: CA 15-3 is not useful as a cancer screening test. Some patients who have been exposed to mouse antigens may have circulating antimouse antibodies. These antibodies may interfere with this assay and produce unreliable results. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 62 of 405 C Sparrow Laboratories Online Test Catalog CA 19-9 Order Code: CA199 8142 Epic Code LAB777 Synonym Cancer antigen, Carbohydrate Antigen CPT 86301 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 8142 REFERENCE RANGE Department MREF Age CA199 Ref Code: CA19 Specimen CA 19-9 Container 3 ml serum (Min: 2 ml) 1 gold top SST clot tube CA199 1 day to >100 year 0.0 - 55.0 U/mL Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. CADMIUM, 24 HOUR URINE - 1295/MISC TEST Order Code: CDU Synonym Cd, 24 hr urine Cadmium, ** ORDER 1295/MISC TEST CDU12 Epic Code CPT 82300 Method Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) Scheduled Monday through Friday at Mayo Department MREF Ref Code: CDU Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot, (10 ml minimum) 24 hr urine container, no preservative Processing Instructions Storage Temp Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Refrigerate Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Write the collection start and end date a Additional Information Added to Catalog 8/01/16. Order a 1295/MISC in Soft/Epic or other systems. Alternative acceptable preservatives: 50% acetic acid For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 63 of 405 C Sparrow Laboratories Online Test Catalog CADMIUM, B Order Code: CADM 6866 Epic Code LAB4236 Synonym CPT 82300 Method Inductively Coupled - Mass Spectometry (ICP-MS) Scheduled Monday - Saturday at Mayo Department MREF Specimen 5 ml whole blood Container Processing Instructions 1 royal blue top tue - EDTA Storage Temp Refrigerate Submit specimen as whole blood. Do not spin. CAFFEINE Order Code: CAFF 6812 Epic Code LAB706 Synonym CAFF CPT 80155 Method HPLC-UV Scheduled Monday-Friday CODE COMPONENT 6812 Department TOX Age CAFF Specimen 0.5 ml plasma (Min: 0.2 ml) REFERENCE RANGE Caffeine Container 1 green top tube, Li or Na heparin CAFF 1 day to >100 year 5 - 15 mcg/mL Processing Instructions Refrigerate Storage Temp Refrigerate Test Information Grey-top or red-top tube also acceptable. Specimens collected in gel separator tubes will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 64 of 405 C Sparrow Laboratories Online Test Catalog CALCITONIN Order Code: CALCI 1772 Epic Code LAB512 Synonym CT, Thyrocalcitonin CPT 82308 Method Chemiluminescence Scheduled Monday - Saturday at Mayo CODE COMPONENT 1772 REFERENCE RANGE Department MREF Age Ref Code: CATN Specimen Basal CALCI Female 0 - 8 pg/mL CALCI Basal CALCI Male 0 - 16 pg/mL CALCI CA Infusion (2.4 mg of CA/kg) CALCI Female - Peak 0 - 90 pg/mL CALCI CA Infusion (2.4 mg of CA/kg) CALCI Male - Peak 0 - 130 pg/mL Container 1 ml serum (Min. 0.4 mL) 1 day to >100 year CALCI Processing Instructions 1 Plain red top tube Storage Temp Frozen Specimens collected in gel separator tube will be rejected. Immediately place specimen on ice. Allow blood to clot upright 30 minutes in ice bath or refrigerate. Then centrifuge, remove serum, and freeze. Test Information Useful for diagnosis and follow-up of medullary thyroid carcinoma. Adjunct to diagnosis of multiple endocrine neoplasia type II and familial medullary thyroid carcinoma. CALCIUM Order Code: CA 1030 Epic Code LAB53 Synonym CA CPT 82310 Method Spectrophotometry Scheduled Sunday - Saturday COMPONENT 1030 CODE Department CHM Age CA Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Calcium Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 CA 1 day to 17 year 8.0 - 11.0 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 65 of 405 C Sparrow Laboratories Online Test Catalog CALCIUM, 24 HOUR URINE Order Code: UCA24 1029 Synonym CA, 24 hr Urine, 24 hr urine calcium Epic Code LAB814 Test Component Calcium 24 Hr Urine: 6874-2, Calcium Urine: 17862-4, Urine Volume: 3167-4, CPT 82340 Collection Interval: 13362-9 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1029 Department CHM Ref Code: Sparrow Specimen REFERENCE RANGE Age 1 day to >100 year UCA24 Calcium-24Hr Ur UCAC UCA24 Calcium-Non 24Hr UCA1 UCA24 Urine Volume UVOL Measured - in mL UCA24 Collection Time CINTV Time - in hours Container 24 hour urine collection; Submit 24 hr urine container, no entire collection or 20 ml aliquot of preservative well-mixed 24-hour collection Processing Instructions 100 - 300 mg/24Hr Storage Temp Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -start date and time; end of collection date and time; -total volume measurement Refrigerate Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Write the collection start and end date and time, on the 24hr urine label. Additional Information No preservative For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 66 of 405 C Sparrow Laboratories Online Test Catalog CALCIUM, IONIZED Order Code: CAION 1423 Epic Code LAB54 Synonym Ionized CA, Free Calcium CPT 82330 Method Ion Selective Electrode Scheduled Sunday - Saturday CODE COMPONENT 1423 Department CHM Age CAION Specimen Fill tube. Allow to clot upright 30 minutes at room temperature, then centrifuge. Specimen Fill tube. Allow to clot upright 30 minutes at room temperature, then centrifuge. REFERENCE RANGE Ionized Calcium Container 1 gold top SST clot tube Container 1 gold top SST clot tube CAION 1 day to >100 year 1.10 - 1.30 mmoL/L Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate. DO NOT OPEN TOP. Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate. DO NOT OPEN TOP. CALCIUM, RANDOM URINE Order Code: UCAR 1368 Epic Code LAB371 Synonym CA CPT 82310 Method Spectrophotometry Scheduled Sunday - Saturday Department CHM Specimen 20 ml single void urine sample (Min: 5 ml) Container Urine container; no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 67 of 405 C Sparrow Laboratories Online Test Catalog CALCIUM/CREATININE RATIO Order Code: UCACR 6828 Epic Code LAB4229 Synonym CA, CREAT CPT 82310 82570 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 6828 REFERENCE RANGE Department CHM Age Ca/Creatinine Ratio UCAC1 F 75 - 115 mg/dL UCACR CA Random Ur UCAR M 85 - 125 mg/dL UCACR Creatinine, Random Ur Age Specimen 5 ml Random Urine 1 day to >100 year UCACR Container Sterile Urine container UCRER 8 year to 9 year 0.0 - 0.9 mg/dL Processing Instructions Storage Temp Refrigerate Refrigerate CALCULUS ANALYSIS Order Code: STONE 1033 Epic Code LAB564 Synonym Kidney Stone, Calculus Stone CPT 82365 Scheduled Monday - Saturday at Mayo Department MREF Ref Code: CASA Specimen Calculus Container Dry container, no water or fixative added. Processing Instructions Room temperature Storage Temp Ambient Test Information Stone Analysis: 40787-4, Source: 31208-2, Weight: 9804-6, 1ST CONSTITUENT: IP, 2ND CONSTITUENT: IP, 3RD CONSTITUENT: IP, NIDUS MAJOR: IP, NIDUS MINOR: IP, SHELL MAJOR: IP, SHELL MINOR: IP, COMMENT: 48767-8 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 68 of 405 C Sparrow Laboratories Online Test Catalog CALPROTECTIN, F Order Code: CALPR 10501 Epic Code LAB4810 Synonym ** NEW TEST 9/20/16, Replaces 10156/FCALP, Calpro CPT 83993 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday-Friday at Mayo CODE COMPONENT 10501 Department MREF REFERENCE RANGE Age Ref Code: CALPR Specimen ≤ - 50.0 mcg/g Calprotectin CALPR Normal CALPR Calprotectin CALPR Borderline 50.1 - 120.0 mcg/g CALPR Calprotectin CALPR Abnormal ≥ - 120.1 mcg/g Container 5 g Random Stool (Min. 1 gram), No preservatives 1 day to >100 years CALPR Clean dry container/grey tub, unpreserved Processing Instructions Storage Temp Frozen Label container with Patient identifiers and collection date and time. Refrigerate for transport to Sparrow lab. Freeze within 18 hours of collection Test Information Useful for evaluation of patients suspected of having a gastrointestinal inflammatory process. Distinguishing irritable bowel disease (IBD) from irritable bowel syndrome (IBS), when used in conjunction with other diagnostic modalities, including endoscopy, histology, and imaging. Additional Information ** New Test 9/20/2016, Replaces test 10156/FCALP Submit stool sample frozen if greater than 18 hrs; keep separate from samples intended for additional test orders. CANDIDA Ag DETECTION Order Code: FCAND 10174 Epic Code LAB4637 Synonym Yeast CPT 86403 Method Latex Agglutination (LA) Scheduled Monday - Friday at Mayo Department MREF Ref Code: FCAND Specimen 1.0 ml serum (Min. 0.3 mL) Container 1 gel barrier SST tube Processing Instructions Draw SST or plain red top. Allow specimen to clot for 30 minutes, centrifuge and transfer serum to plastic vial. Storage Temp Refrigerate Additional Information New Test 2015, Added to Test catalog 12/14/15 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 69 of 405 C Sparrow Laboratories Online Test Catalog CANDIDA ANTIBODIES Order Code: CANAB 1687 Synonym Yeast, C. Albicans Epic Code LAB1207 Test Component Candida albicans Antibodies - IgG, IgA and IgM CPT 86628 Method Enzyme Immunoassay (EIA) Scheduled Focus Labs CODE COMPONENT 1687 Department QST Age Specimen 2 ml serum (Min: 0.5 ml) REFERENCE RANGE 1 day to >100 year CANAB Candida IgM Ab C. Albincans IgM < - 1.0 EIA Units CANAB Candida IgA Ab C. Albincans IgA < - 1.0 EIA Units CANAB Candida IgG Ab C. Albincans IgG < - 1.0 EIA Units Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. CARBAMAZEPINE Order Code: CARB 1220 Epic Code LAB21 Synonym Tegretol, CARB CPT 80156 Method Fluorescence Polarization Immunoassay Scheduled Sunday - Saturday CODE COMPONENT 1220 Department CHM Age CARB Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE Carbamaxepine Container 1 green top tube, Li heparin For Customer Service call 517-364-7800 or 800-884-2522 CARB Processing Instructions Refrigerate 9/21/2016 8:09:01 AM 1 day to >100 year 4.0 - 12.0 mcg/mL Storage Temp Refrigerate Page 70 of 405 C Sparrow Laboratories Online Test Catalog CARBON DIOXIDE Order Code: CO2 1055 Epic Code LAB55 Synonym CO2, BICARB CPT 82374 Method Enzymatic Scheduled Sunday - Saturday COMPONENT 1055 CODE Department CHM Age CO2 Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE CO2 Container 1 gold top SST clot tube CO2 1 day to >100 year 20.0 - 30.0 mmol/L Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. DO NOT REMOVE TOP. CARBOXYHEMOGLOBIN Order Code: HBCO 1034 Epic Code LAB56 Synonym Carbon Monoxide Blood, CO CPT 82375 Method Oximetry Scheduled Sunday - Saturday Department CHM Specimen 2 ml whole blood (Min: 0.5 ml) Container 1 green top tube, Li Heparin For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate. Do not centrifuge. 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 71 of 405 C Sparrow Laboratories Online Test Catalog ANTI- CARDIOLIPIN ANTIBODY Order Code: ACLA 1251 Epic Code LAB464 Synonym Phospholipid Antibody, ACL CPT 86147 Method Enzyme Immunoassay (EIA) Scheduled Twice weekly CODE COMPONENT 1251 REFERENCE RANGE Department SPCO Specimen 2 ml serum (Min: 1.0 ml) Age ACLA ACLA-IgG ACIGG ACLA ACLA-IgM ACIGM ACLA Comment ACCOM Container 1 day to >100 year Processing Instructions 1 gold top SST clot tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer to plastic container and freeze. CARNITINE Order Code: CARNI 1937 Epic Code LAB815 Synonym L-Carnitine, Total and Free CPT 82379 Method Flow Injection Analysis - Tandem Mass Spectrometry (FIA-MS/MS) Scheduled Monday - Friday at Mayo CODE COMPONENT 1937 Age Department MREF Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE 1 day to >100 year CARNI Free-Carnitine CARNI see report - see report nmol/mL CARNI Total-Carnitine CARNI see report - see report nmol/mL Container 1 green top tube, Na Heparin Processing Instructions Centrifuge to separate plasma. Freeze plasma aliquot in a plastic vial. Storage Temp Frozen Test Information Free and Total Carnitine. Specimens collected in gel barrier tubes will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 72 of 405 C Sparrow Laboratories Online Test Catalog CAROTENE Order Code: CARO 1035 Epic Code LAB702 Synonym Beta Carotene, B-Carotene, Provitamin A CPT 82380 Method Colorimetric Scheduled Monday - Friday at Mayo CODE COMPONENT 1035 Department MREF Age CARO Ref Code: BCARO Specimen 4 ml serum (Min: 1.5 ml) REFERENCE RANGE Carotene Container 1 Plain red top tube CARO 1 day to >100 year 48 - 200 ug/dl Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into a plastic tube and freeze. Protect from light. Refrigerate or Frozen Test Information Detection of a nutritional deficiency or excess of carotene. Patient Information Draw specimen following an overnight (12-14 hour) fast. Patient must not consume any alcohol or vitamin supplements for 24 hours before the specimen is drawn. Additional Information Red top tube gel-barrier is not acceptable. Specimen may be frozen after arrival in the Laboratory. CAT SCRATCH FEVER, ANTIBODY PANEL Order Code: CATAB 8077 Epic Code LAB785 Synonym Bartonella Antibody CPT 86611 Scheduled Monday - Friday at Focus Laboratory Department MICSO Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 73 of 405 C Sparrow Laboratories Online Test Catalog CATECHOLAMINE FRACTIONATED, FREE URINE Order Code: UCATF 1037 Epic Code LAB373 Synonym Dopamine urine, Epinephrin urine, Norepinephrineurine, Pressor Amines CPT 82384 Method High-Pressure Liquid Chromatography (HPLC) Scheduled Monday - Saturday at Mayo Department MREF Ref Code: CATU Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot Processing Instructions 24 hr urine container; Add 25 mL of 50% acetic acid prior to start of collection. Note: for children under 5 yrs, add only 15 mL of acetic acid. Storage Temp Refrigerate Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -start date and time; end of collection date and time; -total volume measurement Test Information Unconjugated epinephrine, norepinephrine, and dopamine. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information When multiple tests are requested on the same specimen the following preservatives are acceptable: 6NHCL, 6NHNO3, Boric Acid and Thymol. CATECHOLAMINE FRACTIONATION, PLASMA, FREE Order Code: CATFR 1038 Epic Code LAB870 Synonym CAT FX, Epinephrine, Dopamine CPT 82384 Method High-Pressure Liquid Chromatography (HPLC) Scheduled Monday - Friday at Mayo CODE COMPONENT 1038 Department MREF Ref Code: CATP Specimen 10 ml plasma (Min: 2 ml) REFERENCE RANGE Age CATFR Dopamine CATFR 1 day to >100 year DOPAM No postural change Epinephrine EPINE Supine ≤ 111 - pg/mL CATFR Epinephrine EPINE Standing ≤ 141 - pg/mL CATFR Norepinephrine NOREP Supine CATFR Norepinephrine NOREP Standing Container 2 Lavender top EDTA tubes, chilled + sodium meta bisulfite (Na2S205) Processing Instructions <30 - pg/mL 70 - 750 pg/mL 200 - 1,700 pg/mL Storage Temp Place tubes in ice water for 10 minutes, then centrifuge for 10 minutes. Transfer plasma to plastic vial and freeze immediately. Please call Client Services at (517) 364-7800 or (800) 884-2522 for special tubes. Frozen Test Information Evaluation of calcium oxalate and calcium phosphate kidney stone risk, and calculation of urinary supersaturations. Evaluation of bone diseases, including osteoporosis and osteomalacia. Patient Information Prior to drawing sample: 1) Discontinue epinephrine and epinephrine-like drugs for at least 1 week, 2) Patient must refrain from eating, using tobacco, and drinking coffee or tea for at least 4 hours For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 74 of 405 C Sparrow Laboratories Online Test Catalog CEA Order Code: CEA 1732 Epic Code LAB57 Synonym Carcinoembryonic Antigen CPT 82378 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1732 REFERENCE RANGE Department CHM Specimen 2 ml serum (Min: 1 ml) 1 day to >100 year Age CEA CEA Container CEA 0.0 - 3.0 ng/mL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temp, then centrifuge. CELL COUNT, BODY FLUID Order Code: BCELL 1521 Epic Code LAB209 Synonym White Count, WBC FLD CPT 89050 Method Hemacytometer-Bright Field Microscopy Scheduled Sunday - Saturday CODE COMPONENT 1521 Department HEM Specimen 3 ml body fluid-indicate source REFERENCE RANGE Age BCELL WBC'S WBC BCELL RBC'S RBC BCELL PMN'S PMN BCELL Mononuclear BCELL Eosinophils EOS BCELL Other Cells OTHC Container 1 Lavender top EDTA tube, Preferred or sterile container For Customer Service call 517-364-7800 or 800-884-2522 1 day to >100 year MONO Processing Instructions Gently invert EDTA tube. Submit to lab promptly. 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 75 of 405 C Sparrow Laboratories Online Test Catalog CEREBROSPINAL FLUID CELL COUNT Order Code: CCELL 1530 Epic Code LAB212 Synonym Spinal Fluid Cell Count, CSF CPT 89051 Method Hemacytometer Scheduled Sunday - Saturday Department HEM Specimen 1 ml CSF Container Processing Instructions 1 sterile tube Storage Temp Refrigerate Transport to lab immediately. DO NOT REFRIGERATE. Test Information Volume, color, character, cell count, and differential if >10 WBCs. CERULOPLASMIN Order Code: CERPL 1027 Epic Code LAB703 Synonym CER CPT 82390 Method Turbidimetric Scheduled Monday - Friday CODE COMPONENT 1027 Department STL Age CERPL Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Ceruloplasmin Container 1 gold top SST clot tube CERPL 1 year to >100 year 18 - 58 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Patient Information Fasting specimen preferred For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 76 of 405 C Sparrow Laboratories Online Test Catalog CHLAMYDIA SEROLOGY Order Code: CHLMS 1830 Epic Code LAB790 Synonym Chlamydia Ab, Chlamydia Antibodies CPT 86631 86631 Method Immunofluorescence Scheduled Monday, Thursday Department MICSO Specimen Container 2 ml serum (Min: 0.5 ml) Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Patient Information Acute and convalescent samples 10-14 days apart preferred. CHLAMYDIA TRACHOMATIS RNA BY APTIMA Order Code: CTRNG 6971 Epic Code LAB4247 Synonym CT, APTIMA, C TRACH CPT 87491 Method Transcription-Mediated Amplification (TMA) Scheduled Sunday - Saturday CODE COMPONENT 6971 Department MDX REFERENCE RANGE Age Specimen CTRNG Specimen Type SPMO7 CTRNG Chlamydia trachomatis CTRNA Container Cervical, vaginal, urethral, self collect vaginal swab or random, "First Catch" urine collection. Aptima collection Vials: Swab, self collect Vag swab, Urine vial. Liquid PAP vial - Thin Prep or SurePath 1 day to >100 years Negative - Processing Instructions Female vag/cervical specimen step 1 - use the white swab provided to wipe away mucus and discard this swab. 2 - collect sample with the blue swab. Male urethral collection, use blue swab only. Place swab in vial, break at score line. "First catch", initial stream urine collect in sterile urine cup; then transfer to Aptima urine vial. Fill to fluid level line – approx. 2 ml. Storage Temp Room Temperature Test Information This is a reportable disease; Positives will be sent to the local (county) public health department. Patient Information For urine specimens, patient should not have urinated for at least 1 hour prior to collection. Self-collect kits (orange vials/Vag swab) and patient instructions provided by the lab PSC staff. Additional Information May be combined with other STD test orders - GC, Chlamdydia and Trichomonas. When ordering a PAP screen and STD testing we recommend sending the liquid vial for PAP plus submit Aptima vial (blue swab) for GC, CT and TRVG. For medical-legal cases, culture is required. See Chlamydia culture test number 1476. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 77 of 405 C Sparrow Laboratories Online Test Catalog CHLORDIAZEPOXIDE Order Code: CDIAZ 1140 Epic Code LAB4035 Synonym LIBRIUM, Limbitrol, Nordiazepam CPT 80346 G0480 Method HPLC-UV Scheduled Monday - Friday CODE COMPONENT 1140 Department TOXSO Specimen 2.5 ml plasma (Min: 1.25 ml) REFERENCE RANGE Age CDIAZ Demoxepam CDIAZ Norchlorizaepoxide Container CHLORD 1 day to >100 year 500 - 1000 mcg/mL NORD Processing Instructions 1 green top tube, Li Heparin Storage Temp Refrigerate Refrigerate Test Information Grey top or red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected. CHLORIDE Order Code: CL 1041 Epic Code LAB59 Synonym CL CPT 82435 Method Ion Selective Electrode Scheduled Sunday - Saturday COMPONENT 1041 CODE Department CHM Age CL Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Chloride Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 CL 1 day to 19 year 96 - 110 mEQ/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 78 of 405 C Sparrow Laboratories Online Test Catalog CHLORIDE, 24HR URINE Order Code: UCL24 1392 Epic Code LAB4083 Synonym CL 24 Hour Urine, 24 hr urine chloride CPT 82436 Method Ion Specific Electrode Scheduled Sunday - Saturday CODE COMPONENT 1392 Department CHM REFERENCE RANGE Age Ref Code: Sparrow Specimen CL 24 HR Urine UCLC UCL24 CL Non 24 Hr Ur UCL1 UCL24 Urine Volume UVOL Measured - in mL UCL24 Collection Time CINTV Time - in hours Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to >100 year UCL24 24 hr urine container, no preservative 110 - 250 mEQ/24Hr Processing Instructions Storage Temp Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial and FREEZE. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Refrigerate Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. End collection after saving first specimen of second morning. Additional Information When multiple tests are ordered the following preservatives are acceptable: Boric Acid or 50% Acetic acid CHLORIDE, RANDOM URINE Order Code: UCLR 1380 Epic Code LAB374 Synonym CL Urine, Urine chloride CPT 82436 Method Ion Selective Electrode Scheduled Sunday - Saturday Department CHM Specimen 20 ml single void urine sample (Min: 5 ml) Container Urine container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 79 of 405 C Sparrow Laboratories Online Test Catalog CHLORIDE, SWEAT Order Code: SWTCL 1040 Epic Code LAB1726 Synonym Sweat Chloride CPT 89230 82435 89360 Method Iontophoresis Scheduled Monday - Friday CODE COMPONENT 1040 REFERENCE RANGE Department SPCHM Age Specimen Sweat Chloride Result SWCL2 borderline 40 - 60 mEQ/L SWTCL Sweat Chloride Result SWCL2 Dx for CF > - 60 mEQ/L SWTCL Sweat Chloride Result SWCL2 normal 0 - 40 mEQ/L Container sweat collection 1 day to >100 year SWTCL Processing Instructions Filter paper Storage Temp By appointment only. The technique requires the application of a tiny (painless) electrical current that medically stimulates maximum sweat production. Room Temperature Test Information Call 517-364-7800 to schedule the test. Test available only at the main Laboratory location at Sparrow Hospital, 1215 E. Michigan Ave, Lansing Patient Information Please call Client Services at (517) 364-7800 or (800) 884-2522 to schedule an appointment. Test requires approximately 1.5 hrs. CHOLESTEROL Order Code: CHOL 1042 Epic Code LAB60 Synonym Total Cholesterol, CHOL CPT 82465 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1042 REFERENCE RANGE Department CHM Age CHOL Cholesterol CHOL Cholesterol CHOL 125 - 200 mg/dL male Age Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube CHOL female 1 day to >100 year 19 year to >100 year 110 - 170 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Patient Information Fasting specimen preferred. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:01 AM Page 80 of 405 C Sparrow Laboratories Online Test Catalog CHOLESTEROL / HDL RATIO Order Code: CHDLR 1253 Synonym Cardiac Risk Factor, CHOL, HDL Epic Code LAB4054 Test Component CHOL,HDL CPT 83718 82465 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1253 REFERENCE RANGE Department CHM Specimen 1 ml serum (Min: 0.5 ml) Test Information Age CHDLR HDL CHDLR 1 day to >100 year HDL M 3.4 - High Risk (3X) CHDL F 11.0 - % CHDLR Cholesterol HDL Ratio CHDL F 11.0 - % CHDLR Cholesterol CHOL F 3.3 - CHDLR High Risk (3X) CHDL M 23.0 - % CHDLR Cholesterol HDL Ratio CHDL M 23.0 - % CHDLR HDL HDL F 7.0 - mg/dL CHDLR High Risk (3X) CHDL M 9.6 - % CHDLR Cholesterol HDL Ratio CHDL M 9.6 - % Container 1 gold top SST clot tube Processing Instructions mg/dL mg/dL Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. CHOL/HDL RATIO is also a component of LIPID PROFILE. CHOLESTEROL, FRACTIONATE IF ELEVATED Order Code: CHLFX 1278 Epic Code LAB4062 Synonym CHOL, Lipoprotein CPT 82465 Scheduled Department CHM Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright for 30 min. at room temperature, then centrifuge. 9/21/2016 8:09:01 AM Storage Temp Refrigerate Page 81 of 405 C Sparrow Laboratories Online Test Catalog CHROMIUM, S Order Code: CHROM 6841 Epic Code LAB967 Synonym Cr, Metals CPT 82495 Method Graphite Furnace Atomic Absorption Spectrometry Scheduled Tuesday, Thursday at CODE COMPONENT 6841 Mayo Department MREF Age CHROM Ref Code: CRS Specimen 3 ml serum (Min: 0.5 ml) REFERENCE RANGE Chromium Container CHROM 1 day to >100 year 0.0 - 0.3 UG/L Processing Instructions Royal blue top PLAIN, trace element tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Place serum in a metal free container. CHROMOGRANIN A Order Code: CGA 2082 Epic Code LAB4161 Synonym CHRO-A, CGA CPT 86316 Method Enzyme Immunoassay Scheduled Monday - Friday at Mayo CODE COMPONENT 2082 Department MREF Ref Code: CGAK Specimen 1 ml serum (min 0.5 ml) REFERENCE RANGE Age CGA Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Chromogranin A CGA 1 day to >100 year 0 - 93 ng/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperture, then centrifuge, separate, transfer to plastic tube and freeze 9/21/2016 8:09:02 AM Storage Temp Frozen Page 82 of 405 C Sparrow Laboratories Online Test Catalog CHROMOSOMAL MICROARRAY, CONGENITAL, B Synonym Molecular karyotype, SNP array, Congenital array Order Code: CMACB 10330 Epic Code LAB4805 CPT 81229 Method Chromosomal Microarray (CMA) Using Affymetrix Cytoscan HD Scheduled Monday-Friday at Mayo Department MREF Ref Code: CMACB Specimen Container 3 mL Whole blood - EDTA and 3 1 Lavender top EDTA tube; 1 mL Whole blood Na Heparin (min. green top sodium heparin 2 mL) Processing Instructions Gently invert several times to mix blood. Send both the EDTA and Na Heparin specimens in original tubes. Storage Temp Room Temperature Test Information Useful for first-tier, postnatal test for individuals with multiple anomalies that are not specific to well-delineated genetic syndromes, apparently nonsyndromic developmental delay or intellectual disability, or autism spectrum disorders as recommended by the American College of Medical Genetics (ACMG). An appropriate follow-up test for individuals with unexplained developmental delay or intellectual disability, autism spectrum disorders, or congenital anomalies with a previously normal conventional chromosome study. Additional Information **New Test Added 8/09/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 83 of 405 C Sparrow Laboratories Online Test Catalog CHROMOSOMAL MICROARRAY, PRENATAL Synonym Molecular karyotype, Prenatal Screen, Whole genome array Order Code: CMAP 10488 Epic Code LAB4806 CPT 81229 Method Chromosomal Microarray (CMA) using Affymetrix Cytoscan HD Scheduled Monday - Friday at Mayo Department MREF Ref Code: CMAP Specimen Container 20-30 mg Chorionic Villi/CVS (Min. 5 mg); 20- 30 ml Amniotic Fluid (Min. 5 ml) 15-mL tube containing 15-mL of transport media for CVS; Amniotic fluid vial Processing Instructions Storage Temp Collection Instructions for CVS: 1. Collect specimen by the transabdominal or transcervical method. 2. Transfer chorionic villi to a Petri dish containing transport medium. 3. Using a stereomicroscope and sterile forceps, assess the quality and quantity of the villi and remove any blood clots and maternal decidua. Refrigerate Collection Instructions Amniotic Fluid: 1. Optimal timing for specimen collection is during 14 to 18 weeks of gestation, but specimens collected at other weeks of gestation are also accepted. Provide gestational age at the time of amniocentesis. 2. Discard the first 2 mL of amniotic fluid. Additional Information: Bloody specimens are undesirable. Test Information Useful for prenatal diagnosis of copy number changes (gains or losses) across the entire genome and determining the size, precise breakpoints, gene content, and any unappreciated complexity of abnormalities detected by other methods such as conventional chromosome and FISH studies See Mayo Medical Laboratories for additional information. Additional Information **New Test Added 8/09/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 84 of 405 C Sparrow Laboratories Online Test Catalog CHROMOSOME ANALYSIS, AMNIOTIC FLUID Order Code: CHRAF 10326 Epic Code LAB4800 Synonym Karyotype, trisomy studies CPT 88291 88235 Method Cell Culture followed by Chromosome Analysis Scheduled Monday-Friday at Mayo Department MREF Ref Code: CHRAF Specimen Container 20-25 mL Amniotic fluid, (Min. 10 mL) screw capped amniotic fluid vial Processing Instructions Storage Temp Refrigerate Collection Instructions: 1. Optimal timing for specimen collection is during 14 to 18 weeks of gestation, but specimens collected at other weeks of gestation are also accepted. 2. Discard the first 2 mL of amniotic fluid. Test Information Useful for prenatal diagnosis of chromosome abnormalities, including aneuploidy (ie, trisomy or monosomy), structural abnormalities and balanced rearrangements. Additional Information **New Test Added 8/09/16 CHROMOSOME ANALYSIS, CHORIONIC VILLUS Synonym Chorionic villus sampling, CVS Chromosome analysis Order Code: CHRCV 10324 Epic Code LAB4798 CPT 88291 88235 Method Cell Culture followed by Chromosome Analysis Scheduled Monday-Friday at Mayo Department MREF Ref Code: CHRCV Specimen Container 3 mL Whole blood - EDTA and 3 1 Lavender top EDTA tube; 1 mL Whole blood Na Heparin (Min. green top sodium heparin 2 mL) Processing Instructions Gently invert several times to mix blood. Send specimens in original tubes. Storage Temp Room Temperature Test Information Useful for prenatal diagnosis of chromosome abnormalities, including aneuploidy (ie, trisomy or monosomy), structural abnormalities, and balanced rearrangements Additional Information **New Test Added 8/09/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 85 of 405 C Sparrow Laboratories Online Test Catalog CHROMOSOME ANALYSIS, CONGENITAL, B Order Code: CHRCB 10325 Epic Code LAB4799 Synonym Trisomy studies, Karyotype, PUBS CPT 88230 88291 Method Cell Culture with Mitogens followed by Chromosome Analysis Scheduled Monday-Friday at Mayo Department MREF Ref Code: CHRCB Specimen Container 5 mL whole blood; Cord blood (Min. 2 mL) Processing Instructions 1 green top tube, Na Heparin Storage Temp Room Temperature Submit ONE specimen type. Indicate on the order what sample type. Gently invert several times to mix blood. Send specimen in original tube. Test Information Useful for diagnosis of congenital chromosome abnormalities, including aneuploidy, structural abnormalities, and balanced rearrangements. Additional Information **New Test Added 8/09/16 CITRATE EXCRETION, 24 HR URINE Order Code: CITR 6765 Epic Code LAB377 Synonym 24 Hr Urine, Citric Acid CPT 82507 Method Spectrophotometry Scheduled Wednesday CODE COMPONENT 6765 Department MREF Age Ref Code: CITR Specimen CITR Cirate Excertion, U CITRT CITR Collection Duration TM51 CITR Citrate Concentration CITC1 Container 24 hour urine collection; Submit entire collection or 20 ml aliquot Test Information REFERENCE RANGE 24 hr urine container; Add 10 grams Boric acid preservative at the start of collection 1 day to >100 years Processing Instructions Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Storage Temp Refrigerate Useful for diagnosing risk factors for patients with calcium kidney stones. Monitoring results of therapy in patients with calcium stones or renal tubular acidosis. Patient Information Void and discard first morning urine. Place all subsequent urines in container for the next 24 hrs. End collection after saving first specimen from the following morning. Additional Information May use Toluene, added at the start of the collection for shared Oxalate, U 24 hr urine collections. Boric acid may be added within 4 hours of completed collection. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 86 of 405 C Sparrow Laboratories Online Test Catalog CLINITEST FOR REDUCING SUGARS Order Code: CLIN 1596 Epic Code LAB554 Synonym Reducing Sugars CPT 84377 Method Benedict's Copper Reduction Reaction Scheduled Sunday - Saturday Department HEM Specimen Container 2 ml single void urine (Min: 1 ml) Urine container, no preservative Processing Instructions Storage Temp Refrigerate Refrigerate CLOMIPRAMINE, S Order Code: CLOMG 10516 Epic Code LAB4817 Synonym ** NEW TEST 9/20/16, Replaces 7737/FCLOM, Anafranil CPT 80335 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday-Friday at Mayo CODE COMPONENT 10516 Department MREF REFERENCE RANGE Age Ref Code: CLOM Specimen CLOMG Clomipramine 80902 CLOMG Norclomipramine 7983 CLOMG Clomipramine+Norclomipram ine 7984 Container 1 mL Serum (Min. 0.25 mL) 1 Plain red top tube Processing Instructions 1 day to >100 years 230 - 450 ng/mL Storage Temp Draw specimen immediately before next scheduled dose (minimum 12 hours after last dose). Refrigerate Allow specimen to clot for 30 min. at room temperature. Centrifuge and separate serum from cells within 2 hours of draw. Transfer with pipette to plastic vial. Test Information Useful for determining whether a poor therapeutic response is attributable to noncompliance and for monitoring serum concentration of clomipramine and norclomipramine to assist in optimizing the administered dose. Additional Information ** New Test 9/20/2016, Replaces test 7737/FCLOM For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 87 of 405 C Sparrow Laboratories Online Test Catalog CLOT TO HOLD Order Code: CLOT 1617 Epic Code LAB286 Synonym Specimen Hold CPT Scheduled Sunday - Saturday CODE COMPONENT 1617 REFERENCE RANGE Department BLB Age CLOT Specimen 5 ml EDTA Whole Blood Clot to Hold Container 1 to CLOT Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate DO NOT USE GEL BARRIER TUBE, Refrigerate Test Information Hold tube for Blood Bank orders Patient Information Sample label MUST contain patient's name, date of birth, AND social security number. Additional Information To schedule transfusion, call Sparrow Hospital Admission Orders at (517) 364-2720 CLOZAPINE Order Code: CLOZ 6805 Epic Code LAB4222 Synonym CLOZARIL CPT 80159 Method Gas Chromatography with Flame Ionization and Nitrogen Phospate Detection (GC-FID/NPD) Gas Chromtography Mass Spectrophotometry Scheduled Monday - Friday CODE COMPONENT 6805 Age Department TOX CLOZ Specimen 2.5 ml serum (Min: 1.25 ml) REFERENCE RANGE Container 1 Plain red top tube Clozapine CLOZ 1 day to >100 year 100 - 700 ng/mL Processing Instructions Refrigerate - Specimen may be spun down once received in the main lab. Storage Temp Refrigerate Additional Information Specimens collected in gel separator tubes will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 88 of 405 C Sparrow Laboratories Online Test Catalog CMV ANTIBODIES IGG/IGM Order Code: CMVGM 1841 Synonym Cytomegalovirus Epic Code LAB4144 Test Component 8092,8091 CPT 86644 86645 Method Latex Agglutination and ELISA Scheduled Tuesday, Friday Department IMM Specimen Container 2 ml serum (Min: 1 ml) 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information IgG and IgM antibodies. The presence of IgM class antibodies or a four-fold or greater rise in the IgG titer of paired sera generally indicates recent infection. Stable levels of IgG generally indicate past exposure. CMV ANTIBODY IGG Order Code: CMVIG 8092 Epic Code LAB467 Synonym Cytomegalovirus Ab CPT 86644 Method Enzyme Immunoassay (EIA) Scheduled Tuesday and Friday Department IMM Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. CMV ANTIBODY IGM Order Code: CMVIM 8091 Epic Code LAB957 Synonym Cytomegalovirus CPT 86645 Method Chemiluminescent Enzyme Immunoassay Scheduled Tuesday and Friday Department IMM Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:02 AM Storage Temp Refrigerate Page 89 of 405 C Sparrow Laboratories Online Test Catalog CMV DNA DETECT/QUANT, P Order Code: CMVQU 10237 Epic Code LAB913 Synonym Cytomegalovirus CPT 87497 Method Polymerase chain reaction (PCR) Scheduled Monday-Saturday at Mayo COMPONENT 10237 CODE Department MREF REFERENCE RANGE Age CMVQU Ref Code: CMVQU Specimen CMV Container 1.2 mL Plasma, (Min. 0.7 mL) 1 Lavender top EDTA tube ove plasma from cells within 6 hrs of draw, freeze immediately. X61861 1 day to >100 year Not - Detected IU/mL Processing Instructions Storage Temp Frozen Draw lavendar EDTA tube, spin down and remove plasma from cells within 6 hours from Draw. Freeze immediately. Test Information Useful for detection and quantification of cytomegalovirus (CMV) viremia, monitoring CMV disease progression and response to antiviral therapy. Additional Information A result of "Detected, but <137 IU/mL (<2.14 log IU/mL)" indicates that CMV DNA is detected in the plasma, but the assay cannot accurately quantify the CMV DNA present below this level. COAG FACTOR II ASSAY, P Order Code: COAF2 10161 Epic Code LAB4624 Synonym FII Activity, Prothrombin CPT 85210 Method Prothrombin Clot-Based Assay Scheduled Monday - Friday at Mayo Department MREF Ref Code: F_2 Specimen 1.0 mL Platelet-poor plasma Container Processing Instructions 1 light blue top tube, NaCitrate LT BLUE CITRATE, SPIN, TRANSFER PLASMA, SPIN AGAIN, TRANSFER PLASMA AND FREEZE For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Storage Temp Frozen Page 90 of 405 C Sparrow Laboratories Online Test Catalog COAGULOPATHY PROFILE Order Code: COAPR 6655 Synonym Fibrinogen, Homocysteine, Protein S, Protein C, ATIII, Lupus Anticoagulant, Epic Code LAB4481 Anti-Cardiolipin, APTT Test Component Factor V Leiden, aPTT, Prothrombin G20210 Mutation, CPT Anti-Cardiolipin Antibody, Lupus Anticoagulant, ATIII, Homocysteine, Fibrinogen, Protein S, Protein C Scheduled Department SPCO Specimen Whole blood, Plasma and Serum Container 2 lavender top EDTA tubes, 2 light blue citrate and 1 red top tube Processing Instructions Storage Temp Room Temperature See individual Tests for instructions. Patient Information Patient must be fasting for Homocysteine levels. (Atleast 4 hours) COBALT, S Order Code: COS 10164 Epic Code LAB4627 Synonym CO CPT 83789 Method Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) Scheduled Monday - Friday at Mayo Department MREF Ref Code: COS Specimen 2 mL serum, (min. 0.5 mL) Container Royal blue top PLAIN, trace element tube, Mayo supply T184 Processing Instructions Storage Temp Allow the specimen to clot for 30 minutes; then centrifuge the specimen to separate serum from the cellular fraction. Remove the stopper. Carefully pour specimen into a Mayo metal-free, polypropylene vial, avoiding transfer of the cellular components of blood. Do not insert a pipet into the serum to accomplish transfer, and do not ream the specimen with a wooden stick to assist with serum transfer. Refrigerate Additional Information New Test 2015, Added to Test catalog 12/14/15 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 91 of 405 C Sparrow Laboratories Online Test Catalog COCCIDIOIDES PRECIPITIN Order Code: COCPC 1689 Epic Code LAB791 Synonym Coccidioides Antibody CPT 86635 Method Immunodiffusion Scheduled Monday-Friday; afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. CODEINE Order Code: COD 2531 Epic Code LAB4419 Synonym Tylenol 3 CPT 80361 Method Gas Chromatography / Mass Spectrometry (GC/MS) Scheduled Monday - Friday Department TOX Specimen 2.5 ml plasma (Min: 1.25 ml) Container 1 green top tube, Li or Na heparin Processing Instructions Storage Temp Refrigerate Refrigerate Additional Information Grey top or plain red top tube also acceptable. Specimens collected in gel separator tubes will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 92 of 405 C Sparrow Laboratories Online Test Catalog COENZYME Q10 REDUCED AND TOTAL Order Code: Q10 7092 Synonym COQ, Q10, CO Q10 Epic Code LAB4260 Test Component Reduced CoQ10, Total CoQ10 and % reduced CoQ10 CPT 82542 Method HPLC with Electrochemical Detection Scheduled Tuesday, Thursday at CODE COMPONENT 7092 Mayo REFERENCE RANGE Department MREF Age Specimen CoQ10 Total Q10 Q10 Q10 433 - 1532 mcg/L CoQ10 Reduced Comment 415 - 1480 mcg/L Percent Reduced Comment 92 - 98 % Container 1.0 ml Plasma (Min 0.5 ml) Test Information Q10 1 day to >100 years Processing Instructions 1 Green top tube, Na Heparin Storage Temp Frozen Immediately place specimen on ice if centrifugation is delayed. Spin, separate plasma and freeze in plastic vial. CoQ10 is sensitive to specimen handling and transport temperatures. Failure to follow the specimen handling and transportation recommendations may lead to false-positive results. Hemolyzed samples will be rejected. Patient Information Patient must be fasting for atleast 8 hours. Additional Information Primary Coenzyme Q10 deficiency is rare and characterized by exercise intolerance, recurrent myoglobinuria, developmental delays, ataxia and seizures. CoQ10 has also been implicated in disease processes associated with aging and in statin induced myalgia COLD AGGLUTININ TITER, S Order Code: CAGG 10168 Epic Code LAB4631 Synonym Cold Aggl CPT 86156 85157 Method CACNH Screen; CATTH: Titration-Red Cell Agglutination at 4 C Titer CODE COMPONENT 10168 REFERENCE RANGE Scheduled Monday - Friday at Mayo Age 1 day to >100 years Department MREF CAGG Cold Agglutinin Screen CACNH Negative - Ref Code: CAGG CAGG Cold Agglutinin Titer CATTH <1:64 - Specimen 4 mL serum, (min. 1.2 mL) Test Information Container 1 Plain red top tube Processing Instructions Do not refrigerate before separation of serum from red cells. Separate serum from red cells immediately. Serum may be refrigerated after separation. Ely after blood clots. Titer Storage Temp Refrigerate Useful for detection of cold agglutinins in patients with suspected cold agglutinin disease. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 93 of 405 C Sparrow Laboratories Online Test Catalog COLLAGEN TYPE II AB Order Code: FFTYC 10177 Epic Code LAB4640 Synonym FTYC CPT 83520 Method Enzyme Linked Immunosorbent Assay (ELISA) Scheduled Monday - Friday at Mayo Department MREF Ref Code: FFTYC Specimen 3 mL serum (min. 1 mL) Container Processing Instructions 1 gel barrier SST tube Storage Temp Refrigerate Draw SST or plain red top. Allow specimen to clot for 30 minutes, centrifuge and transfer serum to plastic vial. Additional Information New Test 2015, Added to Test catalog 12/14/15 COMPLEMENT, TOTAL Order Code: MCOMP 1913 Epic Code LAB154 Synonym CH 100, CH 50, CH100, Complement Activity CPT 86162 Method Radial Immunodiffusion (RID) Scheduled Tuesday, Friday CODE COMPONENT 1913 Department MREF Age MCOMP Specimen 2 ml serum (Min: 1.5 ml) REFERENCE RANGE Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 TL Complement Activity MCOMP 1 day to >100 year 63 - 145 U Processing Instructions Allow blood to completely clot (> 30 min.) upright on ice, then centrifuge. Pour serum into plastic vial and freeze immediately. Non-frozen specimens will be rejected. 9/21/2016 8:09:02 AM Storage Temp Frozen Page 94 of 405 C Sparrow Laboratories Online Test Catalog COMPLETE BLOOD COUNT w DIFF Order Code: CBCWD Synonym CBC, Cell Count Epic Code LAB293 Test Component WBC, RBC, HGB, HCT, MCV,MCH, MCHC, PLT, DIFF CPT 85025 1503 Method Automated Hematology Analyzer Scheduled Sunday - Saturday CODE COMPONENT 1503 REFERENCE RANGE Department HEM Age CBCWD Hemoglobin HGB M 12.6 - 16.5 g/dL CBCWD Hemoglobin HGB F 12.0 - 15.0 g/dL CBCWD Hematocrit HCT M 42.0 - 49.5 % CBCWD Hematocrit HCT F 36.0 - 45.0 % CBCWD MCV MCV 80 - 100 CU MICR CBCWD MCH MCH 27.0 - 33.0 MMCG CBCWD MCHC MCHC 31 - 37 % CBCWD Neutrophils NEUT 49 - 81 % CBCWD Lymphocytes LYM 14 - 41 % CBCWD Eosinophils EOS 0 - 6.0 % CBCWD Platelet Count PLT CBCWD Monocytes MONO 0 - 11 % CBCWD BASOPHILS BASO 0 - 3.0 % Age Specimen 4 ml whole blood (Min 0.5 ml) 16 year to >100 year Container 1 Lavender top EDTA tube Processing Instructions 1 day to >100 year 150 - 400 K/CU MM Storage Temp Gently invert multiple times to mix the EDTA anticoagulant with the whole blood sample. Refrigerate Additional Information See individual test components for all age specific reference ranges. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 95 of 405 C Sparrow Laboratories Online Test Catalog COMPREHENSIVE PANEL Order Code: CMP 8177 Synonym CMP, Comprehensive Metabolic Panel, COMP Epic Code LAB17 Test Component CA, ALK PHOS, BILI, PROT, ALB, BUN, CREA, GLUC, AST, ALT, Lytes & eGFR CPT 80053 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 8177 REFERENCE RANGE Department CHM Age CMP Sodium NA 135 - 145 mEq/L Age Bilirubin-Total BILI CMP BUN BUN CMP Albumin ALB 3.6 - 5.0 g/dL CMP Total Protein TP 6.0 - 8.0 g/dL 0.2 - 1.2 mg/dL Age CMP AST (SGOT) CMP Creatinine CMP Calcium CMP Potassium (K+) 2 year to >100 year 6 - 23 mg/dL Age AST 4 year to >100 year 10 year to >100 year 10 - 40 U/L Age CREAT 11 year to >100 year 0.6 - 1.4 mg/dL Age 17 year to >100 year CA 8.0 - 10.5 mg/dL K 3.5 - 4.9 mEq/L Age 20 year to >100 year CMP ALK. Phosphatase ALP CMP ALT (SGPT) ALT 2 - 45 U/L CMP Glucose GLU 65 - 99 mg/dL CMP Chloride CL 96 - 110 meq/L CMP CO2 0 - 120 U/L F/M Age 1 ml serum (Min: 0.5 ml) 2 week to >100 year CMP Age Specimen 3 days to >100 year Container 1 gold top SST clot tube CO2 1 day to >100 year 20.0 - 30.0 mmol/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Find all ages reference ranges under individual tests. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 96 of 405 C Sparrow Laboratories Online Test Catalog COPPER Order Code: CU 1369 Epic Code LAB817 Synonym CU CPT 82525 Method Inductively Coupled Plasma (ICP) emmission Spectroscopy Scheduled Monday - Saturday at Mayo CODE COMPONENT 1369 Department MREF REFERENCE RANGE Age CU Ref Code: CUS Specimen Copper Container 2 ml serum CU 1 day to >100 year 0.75 - 1.45 mcg/mL Processing Instructions Royal blue top PLAIN, trace element tube Storage Temp Refrigerate Centrifuge royal blue top and place serum in a metal-free pour off tube. COPPER, 24HR URINE Order Code: UCU24 1054 Epic Code LAB380 Synonym Cu Urine, 24 hour urine Copper CPT 82525 Method ICP-MS Scheduled Monday - Friday at Mayo CODE COMPONENT 1054 Department MREF REFERENCE RANGE Age Ref Code: CUU Specimen UCU24 Collection Duration COL19 8 - 24 hours UCU24 Copper, Ur CUMYO 15 - 60 mcg/L UCU24 Copper-24HR Urine CU24H Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 16 year to >100 year 24 hr urine container, no preservative not established Processing Instructions Storage Temp Preservative may be added within 4 hours of collection. Keep refrigerated during and after collection. Refrigerate Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Test Information Useful for Investigation of Wilson disease and obstructive liver disease. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information The following alternative preservatives are acceptable if multiple assays are requested: 6N HCL; 50% Acetic Acid For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 97 of 405 C Sparrow Laboratories Online Test Catalog CORD BLOOD EVAL Order Code: CORD 1645 Synonym Neonatal blood bank work up Epic Code LAB892 Test Component Neonatal ABO, Rh, DAT, Immune Study and Antibody screen if indicated. CPT Method Hemagglutination Scheduled Sunday - Saturday CODE COMPONENT 1645 REFERENCE RANGE Department BLB Age CORD Specimen Cord Blood or Whole blood (min. 2.0 ml) CORD Studies Container to ABO Processing Instructions 1 Plain red top tube with Cord Blood sample or 2 Lav EDTA Microtainers Storage Temp IInpatient: bring directly to laboratory, without delay. Do not centrifuge, Bring directly to blood bank. Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Refrigerate If the specimen is a cord blood, it must also be labeled with the word "CORD". Patient Information Provide maternal antibody history (within last 3 months) and diagnosis, as available. CORTISOL Order Code: CORT 1959 Epic Code LAB61 Synonym Total Cortisol CPT 82533 Method Immunochemiluminescence Scheduled Sunday - Saturday COMPONENT 1959 CODE REFERENCE RANGE Department CHM Age CORT Cortisol CORT Cortisol CORT 4.3 - 19.8 mcg/dL AM Age Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 CORT PM 1 day to >100 year 1 day to >100 year 3.1 - 15.0 mcg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:02 AM Storage Temp Refrigerate Page 98 of 405 C Sparrow Laboratories Online Test Catalog CORTISOL FREE, 24 HR URINE Order Code: UCORT 1966 Epic Code LAB568 Synonym Cortisone, COCOU, Free Cortisol CPT 82530 Method Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday -Saturday at Mayo Department MREF Ref Code: CORTU Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container Processing Instructions Storage Temp Refrigerate Add 10 grams of Boric Acid within 4 hours of completion of the collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information Specimens collected in Boric Acid or 50% Acetic Acid are acceptable CORTROSYN STIMULATION TEST Order Code: CORST Synonym CORTISOL STIM, CST, CORTICOSTERIODS, ACTH Epic Code LAB711 Test Component Baseline, 30 min. 60 min., and Interpretation CPT 8145 Method Advia Centaur, Direct Chemiluminescence, Competitive Scheduled Monday - Friday Department CHM Specimen Container 1 ml of serum (min:0.3) - PER DRAW 1 gel barrier SST clot tube PER DRAW Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Patient Information OUTPATIENTS* MUST BE *SCHEDULED With Infusion Center. 517-364-5510. Include cortrosyn worksheet. Appointments are scheduled for 7 am, Monday through Friday. Cortrosyn worksheet. Additional Information Draw baseline immediately prior to admin of cortrosyn. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 99 of 405 C Sparrow Laboratories Online Test Catalog COXSACKIE A ACUTE ANTIBODY PANEL Order Code: CAAAB 8123 Epic Code LAB4315 Synonym Enterovirus, Hand Foot Mouth Dis CPT Scheduled Monday - Friday at Focus Laboratory Department MICSO Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. COXSACKIE A CONVALESCENT Order Code: CAPAB 8124 Epic Code LAB4316 Synonym Enterovirus, Hand Foot Mouth Dis CPT 86658 Scheduled Monday - Friday at Focus Laboratory Department MICSO Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Additional Information Test performed at Focus Laboratories COXSACKIE B CONV. ANTIBODY PANEL Order Code: COXBC 8098 Epic Code LAB4307 Synonym COX B1 Ab, COX B2, B3,B4, B5, B6 Ab CPT Scheduled Monday - Friday at Focus Laboratory Department MICSO Specimen 3 ml serum (Min: 2 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Additional Information Test performed at Focus Laboratories For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 100 of 405 C Sparrow Laboratories Online Test Catalog C-PEPTIDE, S Order Code: CPEP2 10250 Epic Code LAB4725 Synonym Cpeptide CPT 84681 Method Chemiluminescent microparticle immunoassay (CMIA) Scheduled Wednesday; afternoon shift COMPONENT 10250 CODE REFERENCE RANGE Department MSER Age CPEP2 Specimen 1.5 ml serum (Min. 0.30 mL) C-Peptide Container CPEP2 1 day to >100 year 0.8 - 3.9 ng/mL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer serum to plastic vial and refrigerate. CPK Order Code: CPK 1059 Epic Code LAB62 Synonym CK, Creatine Phosphokinase CPT 82550 Method Spectrophotometry Scheduled Sunday - Saturday COMPONENT 1059 CODE REFERENCE RANGE Department CHM Age CPK CPK M 0 - 400 U/L CPK CPK CPK F 0 - 400 U/L CPK CPK CPK M 0 - 200 U/L CPK CPK CPK F 0 - 155 U/L Age Specimen 1 ml serum (Min: 0.5 ml) 1 day to 1 year CPK Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 1 year to >100 year Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:02 AM Storage Temp Refrigerate Page 101 of 405 C Sparrow Laboratories Online Test Catalog C-REACTIVE PROTEIN Order Code: CRP 1775 Epic Code LAB149 Synonym CRP CPT 86140 Method Fluorescent Polarization Immunoassay Scheduled Sunday - Saturday COMPONENT 1775 CODE Department CHM Age CRP Specimen REFERENCE RANGE CRP Container 1 ml serum or plasma (Min: 0.5 ml) 1 gel barrier SST tube or 1 green top tube, Li heparin For Customer Service call 517-364-7800 or 800-884-2522 CRP 1 day to >100 year 0 - 1.0 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:02 AM Storage Temp Refrigerate Page 102 of 405 C Sparrow Laboratories Online Test Catalog CREATININE Order Code: CREAT 1057 Epic Code LAB66 Synonym CREAT CPT 82565 Method Spectrophotometry, kinetic Scheduled Sunday - Saturday CODE COMPONENT 1057 Department CHM REFERENCE RANGE Age CREAT Creatinine CREAT CREAT Creatinine CREAT CREAT Creatinine CREAT CREAT Creatinine 0.0 - 0.5 mg/dL Age CREAT CREAT CREAT 11 year to >100 year CREAT Creatinine CREAT CREAT Creatinine EGFR Neg for CKD Greater than - 60 mg/dL CREAT Creatinine EGFR Moderately Decreased 59 - 30 mg/dL CREAT Creatinine EGFR Severely Decreased 29 - 15 mg/dL CREAT Creatinine EGFR Kidney Failure 14 - 0 mg/dL 0.0 - 1.4 mg/dL Age 1 ml serum (Min: 0.5 ml) 9 year to 11 year 0.0 - 1.0 mg/dL Age Specimen 8 year to 9 year 0.0 - 0.9 mg/dL Age Creatinine 7 year to 8 year 0.0 - 0.8 mg/dL Age CREAT 6 year to 7 year 0.0 - 0.7 mg/dL Age Creatinine 5 year to 6 year 0.0 - 0.6 mg/dL Age CREAT 1 day to 5 year Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 1 day to >100 year Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:02 AM Storage Temp Refrigerate Page 103 of 405 C Sparrow Laboratories Online Test Catalog CREATININE CLEARANCE, 12 HR URINE Order Code: UCRC4 8199 Synonym CREAT, Timed Urine Epic Code LAB4328 Test Component 6637,1057 CPT Method Spectrophotometry, kinetic Scheduled Sunday - Saturday in CHM Department CHM Ref Code: Sparrow Specimen Timed Urine - 12 Hr Container 24 hr urine container For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate urine during collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. 9/21/2016 8:09:02 AM Storage Temp Refrigerate Page 104 of 405 C Sparrow Laboratories Online Test Catalog CREATININE CLEARANCE, U Order Code: UCRCL Synonym CR CL, 24 hr Urine, Creat Clear Epic Code LAB818 Test Component 1057 CPT 82575 1056 Method Spectrophotometry, kinetic Scheduled Sunday - Saturday CODE COMPONENT 1056 REFERENCE RANGE Department CHM Age Ref Code: Sparrow UCRCL Collection Interval CINTV time - in hours UCRCL Total Volume UVOL measured - in mL UCRCL Patient Height HT required - in Inches UCRCL Patient Weight WT required - in lbs UCRCL Body surface area UCRCL CREAT NON 24HR UCRE1 UCRCL Creatinine-24 Hr UCREC F 800 - 1800 mg/24Hr UCRCL Creatinine-24 Hr UCREC M 1000 - 2000 mg/24Hr UCRCL Creatinine Clearance UCRCC F 75 - 115 mL/min UCRCL Creatinine Clearance UCRCC M 85 - 125 mL/min UCRCL Creatinine, serum CREA1 UBSA not reported Container 24 hour urine collection; Submit entire collection or 20 ml aliquot, plus 1 mL serum 24 hr urine container; no preservative and 1 gold top SST clot tube Processing Instructions calc. - m2 0.0 - 1.0 mg/dL Age Specimen 1 day to >100 year 11 year to >100 years 0.0 - 1.4 mg/dL Storage Temp Serum MUST be drawn within 24 hours before or after urine collection. Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Measure the total volume, then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Refrigerate **Patient Height and Weight required** Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information No preservatives acceptable. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 105 of 405 C Sparrow Laboratories Online Test Catalog CREATININE, 24 HOUR URINE Order Code: UCR24 1322 Epic Code LAB712 Synonym CREAT, 24 hour urine creatinine CPT 82570 Method Spectrophotometry, Kinetic Scheduled Sunday - Saturday Department CHM Ref Code: Sparrow Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot Processing Instructions Storage Temp 24 hr urine container, no Refrigerate during collection. Measure the total volume. Then preservative or may be thoroughly mix the 24 urine in the container and transfer 20 mL into collected with any preservative a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Refrigerate Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information When multiple 24 hr urine tests are ordered, Boric acid, 6N HCL and 50% Acetic acid are acceptable. CREATININE, URINE, RANDOM Order Code: UCRER 1319 Epic Code LAB384 Synonym CREAT CPT 82570 Method Spectrophotometry, Kinetic Scheduled Sunday - Saturday Department CHM Specimen 20 ml single void urine sample (Min: 5 ml) Container Urine container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:02 AM Storage Temp Refrigerate Page 106 of 405 C Sparrow Laboratories Online Test Catalog CRYOGLOBULIN Order Code: CRYOG 1061 Epic Code LAB713 Synonym CRYO, Cryofibrinogen CPT 82595 82585 Method Precipitation Scheduled Monday - Friday at Mayo CODE COMPONENT 1061 REFERENCE RANGE Department MREF Age CRYOG Ref Code: CRGSP Specimen Cryoglobulin Container 5 ml serum (clot at 37°C) and 3 ml EDTA plasma. CRYOG M or F 1 day to >100 year see report - see report % Processing Instructions Storage Temp Ambient 1 Plain red top tube Allow serum tube to clot for 1 hour at 37 C, then centrifuge at room PREWARMED and 1 lavender temperature. Place serum and plasma in aliquot tubes. Label as top tube, EDTA PREWARMED serum or plasma, and "clotted at 37°C". Test Information Specimen must be drawn at Sparrow Hospital or at other hospital laboratory and must reach lab within 4 hours of draw. Patient Information Pre-warm collection tubes at 37 degrees C; separate plasma immediately; allow serum to clot at 37 degrees C, then separate serum immediately after centrifugation. Additional Information Specimens collected in gel separator tubes are not acceptable CRYOPRECIPITATE Order Code: CRY 1614 Epic Code LAB486 Synonym CRYO CPT 36430 Method Hemagglutination Scheduled Sunday - Saturday Department BLB Specimen 5 ml whole blood (Min: 2 ml) Container 1 - 7 ml Lavender top tube, EDTA Processing Instructions Orders for cryoprecipitate, may not require a specimen collection. One blood type required every 12 months prior to a transfusion. Storage Temp Refrigerate If specimen needed: specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Specimen Must be collected by Sparrow personnel. Test Information Indications for Use of Cryoprecipitate: treatment or prevention of bleeding due to significant hypofibrinogenemia. Additional Information One blood type required every 12 months prior to transfusion. Call blood bank with questions about date of last ABO/Rh type - 517-364-2020. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 107 of 405 C Sparrow Laboratories Online Test Catalog CRYPTOCOCCAL ANTIGEN, CSF Order Code: CAGFL 1439 Epic Code LAB927 Synonym CRYPTO, CSF CPT 86403 Method Latex Agglutination Scheduled Sunday - Saturday Department MIC Specimen 1 ml CSF (Min: 0.5 ml) Container Sterile tube Processing Instructions Storage Temp Refrigerate Refrigerate CRYPTOCOCCAL ANTIGEN, SERUM Order Code: CAGBL Synonym CRYPTO, Crypto Ag Blood, Cryptococcus neoformans 1438 Epic Code LAB779 CPT 86403 Method Latex Agglutination Scheduled Monday-Friday Department MIC Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. CRYPTOSPORIDIUM EXAM Refrigerate Order Code: EXCRY 8107 Epic Code LAB4436 Synonym Cryptosporidiosis CPT 87207 Method Direct exam Scheduled Sunday - Saturday Department MIC Specimen 5 ml feces (Min: 1 ml) Container Formalin and PVA vials (part of Para-Pak) Clean dry container/Grey tub for inpatients only For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Fill to line indicator on vial and invert multiple times. Inpatients refrigerate unpreserved containers. Must be sent to microbiology within 2 hours of collection. 9/21/2016 8:09:02 AM Storage Temp Room Temperature Page 108 of 405 C Sparrow Laboratories Online Test Catalog CSF IGG INDEX Order Code: SFIN 4525 Epic Code LAB555 Synonym CSF, IGG, IGG INDEX CPT 82040 82042 82784 Method Nephelometry Scheduled Monday - Saturday at Mayo CODE COMPONENT 4525 Department MREF REFERENCE RANGE Age Ref Code: SFIN CSF IgG Index CFIGG 0.00 - 0.85 SFIN CSF IgG CSIGG 0.0 - 8.1 mg/dL SFIN CSF Albumin ALBCF 0.0 - 27.0 mg/dL SFIN Serum Albumin ALBS 3200 - 4800 mg/dL SFIN CSF IgG/Albumin IGALF 0.00 - 0.21 SFIN Serum IgG/Albumin IGALS 0.0 - 0.4 SFIN CSF Synthesis Rate SYNRT 0 - 12 mg/24h SFIN Serum IgG Age Specimen 1 ml CSF fluid and 1 ml serum 1 day to >100 year SFIN Container 1 CSF plastic vial and 1 gel barrier SST clot tube IGGS 18 years to >100 year 767 - 1590 mg/dL Processing Instructions Storage Temp Refrigerate Refrigerate cerebrospinal fluid. Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Both cerebrospinal fluid and serum must be submitted CULTURE, AEROBIC Order Code: CXAER 8063 Synonym Bacterial culture, Sensitivity, Wound culture Epic Code LAB897 Test Component Aerobic Culture with gram stain, ID and sensitivity included when indicated CPT 87070 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Sterile swab Container Sterile container, swab Processing Instructions Storage Temp Keep at Room temperature. Include site and source on the label with 2 unique identifiers; First and Last name, and DOB or Sparrow MRN. Ambient Test Information Aerobic culture only. Indicated for lesions and superficial wounds. Additional Information Clean area with sterile saline or alcohol swab prior to sampling. Collect from deep leading edge. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:02 AM Page 109 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, AEROBIC & ANAEROBIC Order Code: CXAAN 8044 Synonym Bacterial culture, C&S, Wound, Abcess culture, Aerobic and Anaerobic Epic Code LAB4291 culture Test Component Aerobic and Anaerobic Cultures with gram stain, ID and sensitivity included when CPT 87070 indicated Method Culture Scheduled Sunday - Saturday CODE COMPONENT 8044 Department MIC Age Specimen 1 day to >100 years CXAAN Anaerobic CXANA No - Growth CXAAN Aerobic CXAER No - Growth Container Varies: Tissue (1 cm), body fluid (1 ml) or swab site Test Information REFERENCE RANGE Sterile container, Swabs: require Aerobic culturette (dual swabs) and Anaerobic culturette Processing Instructions Storage Temp Clean sampling area with sterile saline and or alcohol swab. Collect from deep leading edge. Tissue: collect aseptically to submit 1 cm fresh tissue in a sterile container. Keep sample moist; add a couple drops of nonbacteriostatic saline. Expedite specimen to microbiology lab and keep at room temperature. Room Temperature When appropriate, cultures will include antimicrobial susceptibility testing to guide treatment and to determine whether the strain of bacteria present is likely to respond to specific antibiotics. Additional Information **Tissue and Fluid preferred over swab. Label container with 2 unique identifiers; First and Last name, and DOB or Sparrow MRN. Site and Source information required: examples: Right Foot, toe deep abscess; Lower back ulcer. Other: aspirate, blister, boil, incision, lesion, mass, nodule, pustule, rash, tissue, vesicle, etc. CULTURE, ACTINOMYCES Order Code: CXACT 8106 Epic Code LAB4311 Synonym Actinomyces israelii, Anaerobe CPT 87075 Method Culture Scheduled Processed Daily Department MIC Specimen Abcess, wounds, biopsy or sterile body fluid Container Anaerobic swab or anaerobic container system For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Anaerobic transport swabs may be held at RT for <= 24hrs. All others, process with in 1 hour. Document site and source with collection date and time on container. 9/21/2016 8:09:03 AM Storage Temp Ambient Page 110 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, ANTHRAX SCREEN Order Code: CXANX 2222 Epic Code LAB4166 Synonym B. anthracis, Bacillus anthracis CPT 87081 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container Sterile swab, or stool specimen Sterile swab, clean container or Cary Blair vial for stools Processing Instructions Storage Temp Ambient Swabs in transport system may be held at room temperature for up to 24 hours. Additional Information Nasal swabs should be collected within 24 hrs of exposure. CULTURE, BLOOD Order Code: CXBLD 1427 Synonym Septic, Bacteria Sepsis Epic Code LAB462 Test Component Aerobic and Anaerobic Cultures CPT 87040 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container 18 ml whole blood (Min: 8 ml); 1-3 2 Blood Culture Bottles ml for children Aerobic Plus w ARDs, Grey top (fill 8–10 ml) and Anaerobic Purple top (8-10 ml). Use 1 Bactec pink pediatric bottle for age 12 and under. Test Information Processing Instructions Use ChloraPrep, 1-step Frepp, skin prep kit for appropriate venipuncture asceptic blood collection technique. Collection site prep, for adults, locate vein, remove Frepp – pinch ampule to break. Place sponge on arm at site & push down to saturate the sponge / scrub for 30 seconds. Air-dry for 30 seconds. Gently invert the bottles several times to mix contents. Keep at Room Temp. for transport Storage Temp Ambient 2 -SPS (yellow top) tubes may be used by Sparrow Emergency Dept caregivers and/or Sparrow Hospital IV nurse collection ONLY. Patient Information For minimum volumes- Adult patients: *12 ml Total: fill 8 ml in aerobic (grey) bottle and 4 ml to anaerobic (purple) bottle. *10 ml Total: add 7 ml in aerobic and 3 ml in anaerobic bottle. *8 ml Total: add 5 ml to aerobic and 3 ml to anarobic bottle. Additional Information For butterfly collections use Vacutainer Brand Luer adapters. Clean tops of bottles with 70% Isopropyl alcohol pads. Label both blood culture vials with First & Last Name and DOB. Indicate the date/time of collection, collector’s initials and the site of collection. Refer to Blood Culture Collection procedure for newborn/infant skin prep procedure. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 111 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, BLOOD - ANTIBIOTIC Order Code: CXARD 1912 Epic Code LAB4149 Synonym ARDS, Resin bottle, Blood culture CPT 87040 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container 20 ml whole blood (Min: 13 ml); 3 ml pediatric (Min: 1 ml) Adult: 1 Purple Bactec and 1 grey Bactec/PLUS bottle. Pediatric (12 and under): Add 3 ml blood directly into pink BACTEC bottle. Processing Instructions Storage Temp Ambient Transport to lab immediately. DO NOT REFRIGERATE. Use appropriate venipuncture asceptic blood collection technique CULTURE, BLOOD FOR FUNGUS Order Code: CXFNB 1428 Epic Code LAB242 Synonym Fungal Culture CPT 87103 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container 10 ml (Min: 6 ml) For children < 2 years, 1.5 ml in pediatric isolator. Test Information DuPont Isolator Atube or Pediatric Isolator Processing Instructions Room temperature Storage Temp Ambient This test is for mold and diphasic fungus. If you suspect yeasts (e.g., Candida), order Blood Cultures. Additional Information Specimens collected in BACTEC bottles are not acceptable. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 112 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, BODY FLUID AEROBIC Order Code: CXFAE 7601 Synonym Body Fluid, Fluids, Synovial fluid, Pleural fluid Epic Code LAB4276 Test Component Aerobic Culture with Gram stain; ID and sensitivity included when indicated CPT 87070 Method Culture Scheduled Sunday - Saturday Department MIC Specimen 2 ml Fluid (Min. 0.5 ml) Container Sterile screw top container, Sterile syringe or Plain Red top tube Processing Instructions Storage Temp Ambient Document fluid site and source on container and on the order example, synovial fluid, right knee. Test Information Body fluid type must be specified and written on the order. Additional Information Body Fluid Types: Abdominal Fluid, Peritoneal Fluid, Bile, Duodenal Fluid, Chest Fluid, Pericardial, Thoracentesis Fluid, Pleural Fluid, Dialysate Fluid, Amniotic Fluid, Seroma Fluid, or Synovial Fluid CULTURE, C. DIPHTHERIAE Order Code: CXDIP Synonym Diphtheria Culture, Corynebacterium diphtheria 1440 Epic Code LAB4088 CPT 87081 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Throat swab Container Culturette II Swab For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions DO NOT REFRIGERATE. TRANSPORT TO LAB PROMPTLY. 9/21/2016 8:09:03 AM Storage Temp Ambient Page 113 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, CEREBROSPINAL FLUID Order Code: CXCSF 1437 Synonym Culture, CSF Epic Code LAB268 Test Component GRAM, CXCSF CPT 87070 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container 1 ml CSF (Min: 0.5 ml) Sterile tube Processing Instructions Storage Temp Ambient Transport to lab immediately. DO NOT REFRIGERATE. Second (2nd) tube should be used for culture. Test Information Gram stain slide, Stat, and culture Additional Information Please indicate upon order if viral PCR testing is requested (HSV, VZV or EV). CULTURE, CERVICAL/VAGINAL Order Code: CXCV 1448 Synonym Genital Culture Epic Code LAB465 Test Component Culture findings. No Gram Stain reported. CPT 87070 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container Cervix, vaginal, Endocervical Culturette II Aerobic Swab Processing Instructions Storage Temp Ambient Room temperature Test Information For suspected yeast infections, it is recommended to order a Yeast Culture (1433). For STD testing - GC, Chlamydia and Trichomonas testing available by PCR - Order 6970/NGRNG, 6971/CTRNG & 10148/ TRIVG collect Aptima swab or urine transport vial. Additional Information This test should NOT be ordered for urethral, penis or placenta. No Gram stain is reported with the culture. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 114 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, CHLAMYDIA TRACHOMATIS Order Code: FCTRC 10226 Synonym CT, C. TRACH, CXCT Epic Code LAB244 Test Component Z0725 - c. Trachomatis Culture, Z2085 - Source CPT 87110 87110 Method Cell Culture Scheduled Department MICSO Ref Code: FCTRC Specimen Container Genital, Fluids, Eye, Rectal, Tissue (fresh) Test Information Swab in Viral Transport Media (Chlamydia) Processing Instructions Storage Temp Frozen Collect specimen into viral-chlamydia transport media (M4, M5). Freeze immediately. Source required. Test Performed by: Focus Diagnostics, Inc. Specimen Container Genital, Fluids, Eye, Rectal, Tissue (fresh) Swab in Viral Transport Media (Chlamydia) Processing Instructions Storage Temp Frozen Collect specimen into viral-chlamydia transport media (M4, M5). Freeze immediately. Source required. Test Information Test Performed by: Focus Diagnostics, Inc. CULTURE, FLUID AEROBIC AND ANEROBIC Order Code: CXBF 1429 Synonym Body Fluid Epic Code LAB269 Test Component Aerobic and anaerobic cultures, Gram stain; ID and sensitivity included when CPT 87070 indicated Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container Misc. Body Fluid 2 ml (Min: 0.5 ml) Sterile container, sterile syringe (needle removed) or anaerobic transport tube Processing Instructions Collect in an anaerobic transport tube. We recommend collecting 0.5 mL from the aspirated site in an anaerobic transport tube. For sample volumes > 20 mL, aseptically inject 10 mL fluid into an Aerobic (grey top) blood culture bottle and 10 mL fluid into an Anaerobic (purple top) blood culture bottle. Document Site and Source on the order. Storage Temp Ambient Test Information Indicate body fluid types on the order. Additional Information Fluid Types: Abdominal fluid, Peritoneal fluid, Bile, Duodenal Fluid, Chest fluid, Pericardial, Thoracentesis fluid, Pleural fluid, Dialysate Fluid, Amniotic fluid, Seroma fluid, or Synovial fluid For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 115 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, FUNGAL Order Code: CXFUN 1443 Epic Code LAB240 Synonym Mycelia, Fungus, Mycology Culture CPT 87102 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Skin scraping, hair, nail; body fluids, biopsy, respiratory specimens. Container Culturette II, Sterile container or Black paper envelope Processing Instructions Storage Temp Collect scrapings into the black paper envelope and place in a sterile cup. The black envelope may be used to recover skin, nail or hair samples. The contrast between the sample and dark paper allow visualization of even small amounts of scrapings. Keep at room temperature Room Temperature Test Information Negative cultures held 4 weeks. Additional Information Diagnosis, site and source very critical. CULTURE, GC Order Code: CXGON 6737 Epic Code LAB235 Synonym Neisseria Gonorrhoeae CPT 87081 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Various sources Container Call client services for transport media For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Storage Temp Expedite to microbiology lab at Room temperature. For non genital sources, clearly label specimen with identifiers and site. 9/21/2016 8:09:03 AM Ambient Page 116 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, LEGIONELLA Order Code: CXLEG 1451 Epic Code LAB902 Synonym Legionnaires, pneumonia CPT 87081 Method Culture Scheduled Sunday - Saturday CODE COMPONENT 1451 Department MIC REFERENCE RANGE Age CXLEG Specimen Legionella species Container 2 ml respiratory sample or Tissue (min. 1 ml) Sterile container CXLEG 1 day to >100 years No Growth - Negative Processing Instructions Storage Temp Expedite to microbiology lab. Keep at room temperature Room Temperature Test Information The Legionellaceae bacteria are ubiquitous in natural fresh water habitats, allowing them to colonize man-made water supplies, which may then serve as the source for human infections. Legionella pneumophila and the related species, Legionella bozemanii, Legionella dumoffii, Legionella gormanii, Legionella micdadei, Legionella longbeachae, and Legionella jordanis have been isolated from patients with pneumonia (Legionnaires disease). The organism has been isolated from lung tissue, bronchoalveolar lavage, pleural fluid, transtracheal aspirates, and sputum. The signs, symptoms, and radiographic findings of Legionnaires disease are generally nonspecific. Additional Information Lung biopsy or Respiratory specimen types: Bronchial washings, bronchoalveolar lavage, pleural fluid, sputum or transtracheal aspirates. Negative cultures held 10 days. CULTURE, OPHTHALMIC Order Code: CXOPH 6759 Epic Code LAB943 Synonym Eye, Ocular Culture CPT 87070 Scheduled Department MIC Specimen Retina, corneal scrappings, tear duct Container Inoculated media, Swab or sterile container For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Expedite specimen to microbiology lab at room temperature. Document exact site submitted. 9/21/2016 8:09:03 AM Storage Temp Room Temperature Page 117 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, RESPIRATORY Order Code: CXRES 7600 Synonym Sputum, Upper Respiratory, Lower Respiratory, Respiratory Culture Epic Code LAB4275 Test Component Culture with Gram stain; ID and sensitivity included when indicated CPT 87070 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container Sputum, Trach Asp, Bronchial, Max. Sinus, Nasopharyngeal Sterile container Processing Instructions Storage Temp Refrigerate Specimen is stable for 2 hours at room temperature. Specimen must be labeled with patient first and last name, date of birth or MRN and Source Test Information Useful for an aid in the diagnosis of lower respiratory bacterial infections including pneumonia. Patient Information Early morning sample is best. Have patient gargle and rinse mouth with water. Instruct patient to collect sputum from deep cough directly into sterile container; do not hold in mouth. Additional Information Samples with >25 epithelial cells indicate contamination with mouth flora and require recollection. No gram stain reported for Nasal and NP samples. CULTURE, STOOL - CAMPYLOBACTER Order Code: CXSCM 6645 Epic Code LAB1290 Synonym Stool Culture, Enteric Pathogen CPT 87046 Method Culture Scheduled Sunday - Saturday Department MIC Specimen 5 ml feces (Min: 1 ml) Container Cary Blair transport media Yellow top vial Processing Instructions Fill stool sample to line indicator on cary blair vial. Keep at Room Temperature. Storage Temp Ambient Additional Information Must order Salmonella and Shigella Culture (CXSSS/6630) along with this test for outpatient orders. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 118 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, STOOL - HEMORRHAGIC E.COLI Order Code: CXSEC 8103 Epic Code LAB4308 Synonym E.Coli O157:H7, Enteric Pathogen CPT 87046 Method Culture Scheduled Sunday - Saturday Department MIC Specimen 5 ml feces (Min: 1 ml) Container Cary Blair Media Processing Instructions Storage Temp Refrigerate Gently mix specimen in the cary blair vial. Refrigerate CULTURE, STOOL - SALMONELLA & SHIGELLA Order Code: CXSSS 6630 Synonym Stool Culture, Enteric Pathogen, E. Coli 0157, Shiga toxin Epic Code LAB4040 Test Component E. Coli 0157, Shiga Toxin by EIA CPT 87045 Method Culture Scheduled Sunday - Saturday Department MIC Specimen 5 ml feces (Min: 1 ml) Container Cary Blair transport media Yellow top vial Processing Instructions Fill stool sample to line indicator on cary blair vial. Keep at Room Temperature. Storage Temp Ambient Test Information Inpatient specimens without preservative must be received within 2 hours in microbiology. Recommend Cary Blair Media Patient Information Stool submitted in diaper unacceptable Additional Information ** First required order type for Stool Cultures. Order other enteric pathogens separately. Clean dry container (accepted for inpatients only) For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 119 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, STOOL - VIBRIO Order Code: CXSVB 8040 Epic Code LAB1289 Synonym Enteric CPT 87046 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container 5 ml feces (Min: 1 ml) Clean dry container (inpatient only) or Cary-Blair transport media Processing Instructions Storage Temp Ambient Room temperature Test Information Outpatient orders must also inlcude an order for salmonella/shigella culture (test 6630). Inpatient orders collected without preservative must be receivd in microbiology within 2 hours. Patient Information Stool submitted in diaper unacceptable. CULTURE, STOOL - YERSINIA Order Code: CXSYR 6644 Epic Code LAB1288 Synonym Stool Culture, Enteric Pathogen CPT 87046 Method Culture Scheduled Sunday - Saturday Department MIC Specimen 5 ml feces (Min: 1 ml) Container Cary Blair transport media Yellow top vial Processing Instructions Fill sample to line indicator on cary blair vial. Keep at Room Temperature. Storage Temp Ambient Test Information Outpatient orders must also inlcude an order for salmonella/shigella culture, CXSSS. Patient Information Stool submitted in diaper unacceptable Additional Information Clean dry container (accepted for inpatients only) For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 120 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, STOOL -AEROMONAS & PLEISIOMONAS Order Code: CXSAP 6631 Epic Code LAB4053 Synonym Stool culture, Enteric Pathogen, CPT 87046 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container 5 ml feces (Min: 1 ml) Cary Blair transport media Yellow top vial Processing Instructions Storage Temp Ambient Fill stool sample to line indicator on cary blair vial. Keep at Room Temperature. Test Information Outpatient orders must also include an order for salmonella/shigella culture, CXSSS. Additional Information Clean dry container (accepted for inpatients only) CULTURE, STOOL ENTERIC PATHOGENS Order Code: CXSTO 1467 Synonym Salmonella, Shigella, E. Coli, Campy, Yersinia, Inpatient Stool Culture Epic Code LAB223 Test Component Salmonella, Shigella, E.Coli0157, Campylobacter, Yersinia, Vibrio, Aeromonas, CPT 87045 and Shiga Toxin by EIA Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container 5 ml feces (liquid) or walnut-sized formed Cary Blair Media (Para-pak yellow lid vial) or grey tub for inpatient only - submit promptly to lab Processing Instructions Storage Temp Unpreserved specimens are accepted only for inpatient if collected in clean, dry container and received in microbiology within 2 hours. Specimens preserved in Formalin, SAV, or PVA will be rejected. Ambient Test Information This test is for Hospital inpatients ONLY. Order individual tests for outpatients. Includes screening for Salmonella, Shigella, Campylobacter, Yersinia, Vibrio, Aeromonas For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 121 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, THROAT Order Code: CXTHR 1470 Epic Code LAB228 Synonym Strep Throat CPT 87070 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Pharynx, tonsillar fossa Container Culturette II, Aerobic swab Processing Instructions Storage Temp Ambient Room temperature CULTURE, UREAPLASMA & MYCOPLASMA Order Code: CXMU 1453 Epic Code LAB944 Synonym Ureaplasma, Mycoplasma CPT 87109 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Urethral or cervical swab, semen, biopsy tissue, urine or nasopharyngeal from infants Container Sterile container or Culturette II swab Processing Instructions Place specimen in (M4RT) Viral Transport media. Storage Temp Refrigerate Test Information Mycoplasma hominis, Ureaplasma urealyticum For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 122 of 405 C Sparrow Laboratories Online Test Catalog CULTURE, URINE Order Code: CXURN 1474 Epic Code LAB239 Synonym UTI, C&S CPT 87086 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Container Clean catch, catheter, cystoscopic, suprapubic urines (Min: 1 ml) Grey top C&S tube (min. 3.0 ml). Sterile urine container, if < 3.0 ml sample Processing Instructions Storage Temp Ambient Urine Grey Top C&S Tube with Sterile Transfer Straw Kit - Start by gently swirling the closed specimen cup from the clean catch urine collection. Next, open the kit which includes the grey top C&S vacutainer tube and the sterile transfer straw. Insert the straw end of the transfer device into the open urine cup and pierce the grey top tube with the needle adapter. Vacuum from the tube will draw up the urine specimen. Test Information Colony count, identification of significant isolates. Patient Information Please follow Clean Catch Urine instructions. Additional Information Grey top Specimen must NOT be shared: Preservatives contained in the C&S tube inhibits contamination and enhances pathogen growth. These same preservatives interfere with urinalysis testing and/or microscopic sediment examination. CULTURE, YEAST Order Code: CXYST 1433 Epic Code LAB241 Synonym Candida albicans CPT 87102 Method Culture Scheduled Sunday - Saturday Department MIC Specimen Miscellaneous Container Sterile container, Culturette II swab, urine culture Grey top C&S tube Processing Instructions Indicate collection site and source on the Vial. Refrigerate Storage Temp Refrigerate Test Information For sensitivity due to treatment failures, call Microbiology direct at 517-364-2543. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 123 of 405 C Sparrow Laboratories Online Test Catalog CYANIDE Order Code: CYAN 2522 Epic Code LAB972 Synonym CPT 82600 Method Spectrophotometer Scheduled Monday - Friday Department TOX Specimen 4 ml whole blood (Min: 2.0 ml) Container Processing Instructions 1 gray top tube, NaFl Storage Temp Refrigerate Refrigerate. Do not centrifuge. CYCLIC CITRULLINATED PEPTIDE AB (ANTI-CCP) Order Code: CCPAB 2072 Epic Code LAB851 Synonym CCP, ANTI CCP, CIT, CITRU CPT 86200 Method Enzyme Immunoassay (EIA) Scheduled 7 days a week; morning and afternoon shift CODE COMPONENT 2072 Department MSER Specimen 1 ml serum (Min: 0.5ml) REFERENCE RANGE Age 1 day to >100 year CCPAB Cyclic Citrullinated Ab CCPAB Negative 0.0 - 19.9 units CCPAB Cyclic Citrullinated Ab CCPAB Weakly Positive 40.0 - 59.9 units CCPAB Cyclic Citrullinated Ab CCPAB Positive CCPAB Cyclic Citrullinated Ab CCPAB Equivocal Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 > or = - 60.0 units 20.0 - 39.9 units Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centifuge. 9/21/2016 8:09:03 AM Storage Temp Refrigerate Page 124 of 405 C Sparrow Laboratories Online Test Catalog CYCLOSPORIN Order Code: CYCLO 1025 Epic Code LAB874 Synonym Neoral, Sandimmune, CSA, Gengraf CPT 80158 Method High Pressure Liquid Chromatography (HPLC) Scheduled Monday - Friday CODE COMPONENT 1025 Department TOX REFERENCE RANGE Age CYCLO Specimen Cyclosporine Container 1 ml whole blood (Min: 0.5 mL) 1 Lavender top EDTA tube CYCLO 1 day to >100 year 100 - 400 ng/mL Processing Instructions Storage Temp Refrigerate DO NOT OPEN TOP. DO NOT CENTRIFUGE. Send whole blood Test Information Therapeutic range applies to trough specimens. Additional Information Submitting the minimum specimen volume makes it impossible to repeat the test. A minimum volume may result in a QNS result, requiring a second specimen to be collected. CYSTATIN C WITH ESTIMATED GFR, S Order Code: CYSTC 10296 Epic Code LAB4760 Synonym Cystatin C, eGFR CPT 82610 Method Immunoturbidimetric Scheduled Monday - Friday at Mayo Department MREF Ref Code: CYSTC Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Cystatin C: Useful for an index of glomerular filtration rate, especially in patients where serum creatinine may be misleading (eg, very obese, elderly, or malnourished patients) and assessing renal function in patients suspected of having kidney disease Additional Information ** NEW TEST ADDED 02/22/2016 ** For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 125 of 405 C Sparrow Laboratories Online Test Catalog CYSTIC FIBROSIS MUTATION PANEL Order Code: CFPAN 10206 Synonym CF Screen Epic Code LAB4683 Test Component 23 CFTR mutations plus 4 variants recommended by the ACMG and ACOG, plus CPT 81220 16 of the world’s most common and North American’s prevalant mutations. Method PCR Scheduled Twice a week CODE COMPONENT 10206 Department MDX REFERENCE RANGE Age Specimen CFPAN Race or Ethnicity provided CFRCE CFPAN CF Result CFRST CFPAN CF Mutation Found CFPOS CFPAN Race or Ethnicity CFRAC CFPAN Comment CFCMT CFPAN Additional Information CFINF Container 10 mL whole blood (Min: 5.0 mL) 2 Lavender top EDTA tubes preferred or ACD tube acceptable 1 day to >100 years Processing Instructions Storage Temp Whole blood Specimen must NOT be shared with other departments. Do not freeze specimens. Maintain whole blood at room temp (20-25°C or 68-77°F) at clinic & during transport. Room Temperature Test Information Genotyping is performed using Multiplex Polymerase Chain Reaction (PCR), Allele Specific Primer Extension (ASPE) and Tag Sorting using the Luminex 100/200xMAPTM platform. This test is intended for Carrier testing and is performed at Sparrow Molecular diagnostics. Patient Information Patient ethnicity (European Caucasian, Ashkenazi Jewish, African American, Hispanic American, Asian American or other and mixed ethnicity). Indication for performing the test (carrier or diagnostic). Family history (positive or negative for CF). Additional Information Specimens that are not accompanied with the necessary Required patient information will be tested only after obtaining the required additional information. CYSTICERCOSIS ANTIBODY Order Code: CYSAB 8065 Epic Code LAB1082 Synonym Cystic Ab CPT 86682 Method Enzyme Immunoassay (EIA) Scheduled Monday, Wednesday, Friday, Saturday Department MREF Ref Code: CYSWB Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:03 AM Storage Temp Refrigerate Page 126 of 405 C Sparrow Laboratories Online Test Catalog CYSTINURIA PROFILE, QNT, 24 hr URINE Order Code: CYSTP 6642 Epic Code LAB387 Synonym Amino Acid Screen, Cystine CPT 82136 Method Ion-Exchange Chromatography Scheduled Monday - Friday at Mayo CODE COMPONENT 6642 Department MREF REFERENCE RANGE Age Ref Code: CYSQN Collection Duration COLD9 time - in hours CYSTP Total Volume UVOL8 measured - in mL CYSTP Reviewed by MRVB1 Age Cystine CYSTN 11 - 53 mcmol/24hr CYSTP Lysine LYSIN 19 - 140 mcmol/24hr CYSTP Ornithine ORNIT 3 - 16 mcmol/24hr CYSTP Arginine ARGIN 10 - 25 mcmol/24hr 16 year to >100 years CYSTP Cystine CYSTN 28 - 115 mcmol/24hr CYSTP Lysine LYSIN 32 - 290 mcmol/24hr CYSTP Ornithine ORNIT 5 - 70 mcmol/24hr CYSTP Arginine ARGIN 13 - 64 mcmol/24hr Container 24 hour urine collection; Submit entire collection or 10 ml aliquot 3 year to 15 years CYSTP Age Specimen 3 year to >100 years CYSTP 24 Hr Urine container; Add 20 mL of toluene as preservative at start of collection or refrigerate during collection Processing Instructions Storage Temp Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial and FREEZE. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Frozen Test Information Quantitative results are provided for Cystine, Arginine, Lysine and Ornithine Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information When multiple tests are ordered, only Toluene or refrigeration is acceptable. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 127 of 405 C Sparrow Laboratories Online Test Catalog CYTOLOGY, NON GYN, FLUIDS Order Code: CYTO 1843 Epic Code LAB4001 Synonym CYTO, Abdominal cells, Urine cyto, FLD, Effusion CPT Method Microscopy Scheduled Monday-Saturday Department CYT Specimen 20 ml aliquot plus 20 ml of cytology fixative or 50% alcohol. Send additional aliquot plus clots unfixed. Container Processing Instructions Clean container large enough to allow addition of fixative. Also closed bag or bottle of unfixed portion. Storage Temp Refrigerate Refrigerate Patient Information Indicate anatomic site and clinical history, especially any previous cancer history. D-DIMER Order Code: DIMER 1266 Epic Code LAB313 Synonym FDP, FSP CPT 85379 Method Immunoturbidometric Scheduled Monday-Saturday COMPONENT 1266 CODE Department COA Age DIMER Specimen 1 ml plasma REFERENCE RANGE Container 1 Light blue top tube, NaCitrate (3.2%) D-Dimer D-DIMER Processing Instructions Centrifuge blue top and remove plasma. 1 day to >100 year 0 - 1.59 mg/L Storage Temp Refrigerate Test Information If the specimen cannot be tested within 8 hours of collection, freeze plasma. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 128 of 405 D Sparrow Laboratories Online Test Catalog D-DIMER DVT/PE Order Code: DVT 6854 Epic Code LAB1120 Synonym FSP,FDP CPT 85379 Method Photo-Optical Scheduled Sunday - Saturday Department COA Specimen Container 2 ml plasma (min: 1 ml) 1 Light blue top tube, NaCitrate (3.2%) Processing Instructions Storage Temp Frozen Centrifuge specimen and freeze plasma in plastic tube. DEOXYCORTISOL, SERUM Order Code: DEOXY 1301 Epic Code LAB975 Synonym 11-Deoxycorticosteroid, Tetrahydro CPT 82634 Scheduled Department MREF Specimen Container 2 ml serum (Min. 0.30 ml) 1 Plain red top tube or gel barrier SST tube Processing Instructions Storage Temp Refrigerate Centrifuge and send 0.3 mL serum refrigerated. Morning draw is preferred. DESMOGLEIN 1 and 3, S Order Code: DSG13 10165 Epic Code LAB4628 Synonym DSG1, DSG3 CPT 83516 83516 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday; 8 a.m. at Mayo Department MREF Ref Code: DSG13 Specimen 1.0 mL serum (min. 0.5 mL) Container 1 Plain red top tube preferred Processing Instructions Gel barrier acceptable. Allow the specimen to clot for 30 minutes; then centrifuge. Storage Temp Refrigerate Test Information Useful for preferred screening test for patients suspected to have an autoimmune blistering disorder of the skin or mucous membranes (pemphigus). Additional Information New Test 2015, Added to Test catalog 12/14/15 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 129 of 405 D Sparrow Laboratories Online Test Catalog DEXAMETHASONE SUPPRESSION TEST Order Code: DEXSP 1286 Epic Code LAB4065 Synonym Cortisol stimulation test CPT 82533 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1286 REFERENCE RANGE Department CHM 1 day to >100 year Age DEXSP Specimen Dexamethasone Suppression Container 1 ml serum (Min: 0.5 ml) DEXSP 0.0 - 5.0 mcg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Patient Information Instruct patient to ingest 1 mg of dexamethasone at 11:00 p.m. Draw blood sample for cortisol analysis at 8:00 am the following day. DHEA Order Code: DHEA 1265 Epic Code LAB522 Synonym Dehydroepiandrosterone CPT 82626 Method Radioimmunoassy (RIA) Scheduled Mon. Wed, Friday at Mayo COMPONENT 1265 CODE REFERENCE RANGE Department CHM Age DHEA DHEA DHEA M 2.3 - 12.8 ng/dL DHEA DHEA DHEA F 1.2 - 10.9 ng/dL DHEA DHEA DHEA M 1.2 - 9.2 ng/dL DHEA DHEA DHEA F 0.5 - 5.4 ng/dL Age Specimen 2 ml serum (Min: 0.6 ml) 19 year to 49 year Container 1 Plain red top tube 50 year to >100 year Processing Instructions Allow blood to clot upright 30 minutes at room temprerature, then centrifuge. Pour serum into a plastic tube and freeze. Storage Temp Refrigerate Additional Information EDTA plasma is an acceptable specimen. Specimen can be frozen after arrival in laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 130 of 405 D Sparrow Laboratories Online Test Catalog DHEA SULFATE Order Code: DHEAS 1312 Epic Code LAB524 Synonym Dehydroepiandrosterone Sulfate, DHEA-S,DHEAS CPT 82627 Method Chemiluminescence Scheduled Monday, Wednesday, CODE COMPONENT 1312 Friday REFERENCE RANGE Department CHM Age Specimen DHEA-Sulfate DHEAS M 80.0 - 560.0 ug/dL DHEAS DHEA-Sulfate DHEAS F 35.0 - 430.0 ug/dL Container 2 ml serum (Min: 0.5 ml) 1 day to >100 year DHEAS Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. DIAZEPAM and NORDIAZEPAM, S Order Code: MDIA 10224 Epic Code LAB4703 Synonym Benzodiazepines, Valium, Tranxene CPT 80346 G0480 Method High-Performance Liquid Chromatography (HPLC) Scheduled Thursdays at Mayo CODE COMPONENT 10224 Department MREF Age Ref Code: DIA Specimen 3.0 ml Serum (Min: 1.1 ml) REFERENCE RANGE 1 day to >100 year MDIA Nordiazepam X2475 0.2 - 1.0 mcg/mL MDIA Diazepam X8629 0.2 - 0.8 mcg/mL MDIA Diazepam & Nordiazepam X2459 0.4 - 1.8 mcg/mL Container 1 Plain red top tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for assessing compliance, monitoring for appropriate therapeutic level and assessing toxicity. Toxic Level >= 5.0 mcg/mL For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 131 of 405 D Sparrow Laboratories Online Test Catalog DIC SCREEN Order Code: DIC 1121 Synonym Diseminated intravascular coagulation, Ddimer Epic Code LAB4028 Test Component PT, INR,APTT, FIBRINOGEN, D-DIMER, PLATELET COUNT CPT Method PT, APTT, FIB: Photo-Optical, D-DIMER: Immunoturbidometric, Scheduled Sunday - Saturday Department COA Specimen Container Plasma and Whole Blood Processing Instructions 1 Light blue top tube, NaCitrate (3.2%) / 1 Lavender top tube, EDTA Storage Temp Room Temperature INPATIENT - ALL SPECIMENS, BRING DIRECTLY TO LABORATORY, WITHOUT DELAY Test Information Inpatient testing Additional Information INR (Internal Normalized Ratio). INR value is useful only for patients on oral anticoagulants such as Coumarin. DIGOXIN Order Code: DIG 1953 Epic Code LAB23 Synonym Lanoxin, Digitek, DIG CPT 80162 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1953 Department CHM Age DIG Specimen 1 ml plasma (Min: 0.5 ml) Test Information REFERENCE RANGE Digoxin Container 1 green top tube, Li heparin DIG Processing Instructions Refrigerate 1 day to >100 year 0.8 - 2.0 ng/mL Storage Temp Refrigerate Sample must be obtained 6 to 8 hours after last dose. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 132 of 405 D Sparrow Laboratories Online Test Catalog DIHYDROTESTOSTERONE Order Code: DHTS 1326 Epic Code LAB977 Synonym DHT CPT 80327 G0480 Method RIA after oxidation and extraction Scheduled Tuesday, Friday at Mayo CODE COMPONENT 1326 REFERENCE RANGE Department MREF Age DiHydrotestosterone DHTS M 150 - 1240 pg/mL DHTS DiHydrotestosterone DHTS F 50 - 250 pg/mL DHTS DiHydrotestosterone DHTS M 150 - 980 pg/mL DHTS DiHydrotestosterone DHTS F 50 - 137 pg/mL Age Specimen Container Serum 20 year to 39 year DHTS 1 Plain red top tube 40 year to >100 year Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 1-25 DIHYDROXYVITAMIN D Order Code: DHVD 6804 Epic Code LAB536 Synonym calcitriol CPT 82652 Method Cartridge Extraction and Radioimmunoassay (RIA) Scheduled Monday - Friday at Mayo Department MREF Ref Code: DHVD Specimen Container 4 ml serum (Min: 1.5 ml) Test Information 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Useful as a second-order test in the assessment of vitamin D status, especially in patients with renal disease and differential diagnosis of hypercalcemia. Patient Information Draw specimen following a minimum 4 hour fast. Additional Information While 1,25-dihydroxy vitamin D is the most potent vitamin D metabolite, levels of the 25-OH forms of vitamin D more accurately reflect the body's vitamin D stores. Consequently, 25-Hydroxyvitamin D2 and D3, Serum is the preferred initial test for assessing vitamin D status. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 133 of 405 D Sparrow Laboratories Online Test Catalog DIPHENHYDRAMINE Order Code: DPHM 40006 Epic Code LAB4408 Synonym Benadryl, Nytol, Unisom, Sominex, Compoz, Genahist, Hydramine CPT 80375 Method GC-FID/NPD Scheduled Monday - Friday CODE COMPONENT 40006 Department TOX REFERENCE RANGE Age DPHM Specimen Diphenhydramine Container 2.5 ml plasma (Min: 1.25 ml) DPHMB 1 day to >100 year 100 - 1000 ng/mL Processing Instructions 1 gel barrier SST tube Storage Temp Refrigerate Refrigerate Test Information Grey top or red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected DIPHTHERIA TOXOID IgG Ab, S Order Code: DIPGS 10245 Epic Code LAB4718 Synonym DIP Vaccine Response CPT 86317 Method Enzyme Immunoassay (EIA) Scheduled Monday - Friday at Mayo CODE COMPONENT 10245 Department MREF Age Ref Code: DIPGS Specimen 1 day to >100 year DIPGS DIiptheria Toxoid IgG Ab DIPG Vaccinated Positive - ≥ 0.01 IU/mL DIPGS DIiptheria Toxoid IgG Ab DIPG Unvaccinated Negative - < 0.01 IU/mL Container 1 ml serum (Min: 0.4 ml) Test Information REFERENCE RANGE 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Useful for determining a patient’s immunological response to diphtheria toxoid vaccination. Additional Information Interpretation: results > or =0.01 IU/mL suggest a vaccine response. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Replaces test 8075/DIPAB Page 134 of 405 D Sparrow Laboratories Online Test Catalog DIRECT COOMBS Order Code: DAT 1611 Epic Code LAB274 Synonym Antiglobulin Test, Direct, DAT CPT 86880 Method Hemagglutination Scheduled Sunday - Saturday CODE COMPONENT 1611 Department BLB Age DAT Specimen 4 ml whole blood (Min: 2 ml) REFERENCE RANGE Direct coombs Container 1 day to >100 years DAT Negative - Processing Instructions 1 Lavender top EDTA tube Storage Temp Ambient INPATIENT: Bring directly to laboratory, without delay. OUTPATIENT: Keep at room temperature or refrigerate. Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Patient Information Provide transfusion history (within last 3 months), current medications and diagnosis, as available. Specimen 4 ml whole blood (Min: 2 ml) Container Processing Instructions 1 Lavender top EDTA tube Storage Temp Ambient INPATIENT: Bring directly to laboratory, without delay. OUTPATIENT: Keep at room temperature or refrigerate. Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Patient Information Provide transfusion history (within last 3 months), current medications and diagnosis, as available. DISACCHARIDASE SCREEN AND PH Order Code: SREDX 1571 Epic Code LAB109 Synonym Stool pH & Reducing Substance CPT 83986 Method Clinitest Method Scheduled Sunday - Saturday CODE COMPONENT 1571 Department HEM Specimen 2 ml feces (fresh) REFERENCE RANGE Age SREDX Clinitest Post-Hydrolysis STPST SREDX Clinitest Pre-Hydrolysis CTPRE SREDX Stool pH Container Stool container, no preservative. For Customer Service call 517-364-7800 or 800-884-2522 1 day to >100 years STPH Processing Instructions TRANSPORT TO LAB PROMPTLY. Sample must be received in hematology within 2 hours 9/21/2016 8:09:03 AM Storage Temp Refrigerate Page 135 of 405 D Sparrow Laboratories Online Test Catalog DISOPYRAMIDE Order Code: DISOP 1190 Epic Code LAB1393 Synonym Norpace CPT 80299 Method Immunoassay Scheduled Sunday - Saturday at Mayo CODE COMPONENT 1190 Department TOX Age DISOP Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Disopyramide Container DISOP 1 day to >100 year 2.0 - 4.5 mcg/mL Processing Instructions 1 green top tube, Li heparin Storage Temp Refrigerate Refrigerate Additional Information Specimens collected in plain red top tubes and specimens collected with common anti-coagulants are acceptable. ANTI- DNASE B TITER Order Code: DNASE 1846 Epic Code LAB4460 Synonym D-NASE Antibody CPT 86215 Method Enzyme Inhibition Scheduled Twice weekly CODE COMPONENT 1846 Department QST REFERENCE RANGE Age DNASE Anti-DNASE B DNASE Anti-DNASE B DNASE Anti-DNASE B DNASE 0 - 85 Titer Age DNASE Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube 5 year to 16 year 0 - 170 Titer Age DNASE 1 day to 5 year 16 year to >100 year 0 - 85 Titer Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Anti-Dnase is performed on all normal ASO titers For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:03 AM Page 136 of 405 D Sparrow Laboratories Online Test Catalog DONOR DIRECTED Order Code: DIR 1554 Epic Code LAB4487 Synonym Donor Unit CPT Method Red Cross Scheduled Monday - Friday CODE COMPONENT 1554 REFERENCE RANGE Department BLB Age DIR Specimen Directed Unit Container Blood Unit Collection to DIR Processing Instructions No Specimen Storage Temp Refrigerate To order a Donor Directed transfusion, place this order for number of units, donor directed. Then Call Lansing Red Cross for more information or to set up a directed donation. Test Information Handled by Lansing Red Cross DOXEPIN AND NORDOXEPIN, S Order Code: DOXP 10203 Synonym Adapin, Sinequan, Nordox Epic Code LAB4669 Test Component Doxepin, Nordoxepin CPT 80335 80166 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Saturday at Mayo CODE COMPONENT 10203 Department MREF Age Ref Code: DXPIN Specimen DOXP Doxepin MDOXP DOXP Nordoxepin MNORD DOXP Doxepin and Nordoxepin MDXNO Container 1.0 mL serum (min. 0.25 mL) Test Information REFERENCE RANGE 1 Plain red top tube 1 day to >100 year 50 - 150 ng/mL Processing Instructions Draw specimen immediately before next scheduled dose (or at a minimum 12 hours after last dose). Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Serum must be separated from cells within 2 hours of draw. Storage Temp Refrigerate Useful for monitoring therapy, evaluating potential toxicity, evaluating patient compliance. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 137 of 405 D Sparrow Laboratories Online Test Catalog DRUG ABUSE PANEL, URINE Order Code: DAPU4 1277 Epic Code LAB4061 Synonym DAPUA, TCA CPT 80301 Method Enzyme Immunoassay, Spot Tests Scheduled Sunday - Saturday CODE COMPONENT 1277 Department CHM REFERENCE RANGE Age DAPU4 Specimen Container 20 ml single void urine sample (Min: 10 ml) Urine container, no preservative Drug Panel DAPU4 Processing Instructions 1 day to >100 years All Comp. - Neg Storage Temp Refrigerate Refrigerate Test Information Amphetamines, Barbiturates, Benzodazepines, Cocaine metabolites, Opiates, Phencyclidine, Phenothiazines, Propoxyphenes, Salicylates. Additional Information Presumptive positive tests will have confirmatory testing in Toxicology Specimen Container 20 ml single void urine sample (Min: 10 ml) Test Information Urine container, no preservative Processing Instructions Storage Temp Refrigerate Refrigerate Amphetamines, Barbiturates, Benzodazepines, Cocaine metabolites, Opiates, Phencyclidine, Phenothiazines, Propoxyphenes, Salicylates. Additional Information Presumptive positive tests will have confirmatory testing in Toxicology For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 138 of 405 D Sparrow Laboratories Online Test Catalog DRUG SCREEN, COMPREHENSIVE Order Code: CDS 2510 Epic Code LAB4447 Synonym DRUG, Base line Comprehensive drug screen CPT 80301 Method Immunoasssay, Gas chromatography/Mass Spectrometry (GCMS) Scheduled Monday - Friday CODE COMPONENT 2510 Department TOX Age CDS Specimen Container 20 ml Random Urine (Min.: 5mL urine), 5 ml plasma/serum, or 20 mL gastric contents (Min: 20 ml gastric contents) Test Information REFERENCE RANGE Urine container, no preservative Drug Screen, Comprehensive CDS Processing Instructions Refrigerate. Do not centrifuge. Male or Female 1 day to >100 year Negative - Negative Storage Temp Refrigerate Screening and confirmatory testing (if necessary) will be performed on urine specimen. Qualitative testing on plasma can be added if appropriate. Patient Information Contact toxicology to add on quantitative level of confirmed drugs. Specimen Container 20 ml Random Urine (Min.: 5mL urine), 5 ml plasma/serum, or 20 mL gastric contents (Min: 20 ml gastric contents) Urine container, no preservative Processing Instructions Refrigerate. Do not centrifuge. Storage Temp Refrigerate Test Information Screening and confirmatory testing (if necessary) will be performed on urine specimen. Qualitative testing on plasma can be added if appropriate. Patient Information Contact toxicology to add on quantitative level of confirmed drugs. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 139 of 405 D Sparrow Laboratories Online Test Catalog DRUGS OF ABUSE PANEL Order Code: DAPU5 10205 Synonym Medical Drug Screen, Compliance monitoring drug screen Epic Code LAB4675 Test Component Amphetamines, Barbiturates, Benzodazepines, Cocaine metabolites, Opiates, CPT 80301 Phencyclidine (PCP) Method Enzyme Immunoassay, Spot Test Scheduled Sunday - Saturday CODE COMPONENT 10205 Department TOX Age Specimen DAPU5 Amphetamines D3AMP DAPU5 Specific Gravity Val. Check U4SPG DAPU5 pH Validity Check U4PHV DAPU5 THC UTHC3 DAPU5 PCP PCPU3 DAPU5 Oxycodone UOXC4 DAPU5 Opiates OPIU3 DAPU5 Methadone UM3TH DAPU5 Ecstasy UXTC4 DAPU5 Barbs BRBU3 DAPU5 Benzodiazepines BNZU3 DAPU5 Cocaine BEUM3 Container 10 ml Random urine sample Test Information REFERENCE RANGE Sterile urine container Male or Female Processing Instructions Refrigerate 1 day to >100 year Negative - Negative Storage Temp Refrigerate Medical Drug Screen Test reported Presumptive Positive for Screen with Confirmation to Follow Additional Information Specimen 10 ml Random urine sample Replaces DSU10 Container Sterile urine container Processing Instructions Refrigerate Storage Temp Refrigerate Test Information Medical Drug Screen Test reported Presumptive Positive for Screen with Confirmation to Follow Additional Information Replaces DSU10 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 140 of 405 d Sparrow Laboratories Online Test Catalog dsDNA ANTIBODY Order Code: DSDNA 1762 Epic Code LAB648 Synonym AB To Native DNA (n-DNA), Double -Stranded CPT 86225 Method Indirect Immunofluorescence (IFA) Scheduled Monday, Wednesday, CODE COMPONENT 1762 Friday Department IMM Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE Age DSDNA dsDNA Antibody DSDNR DSDNA dsDNA Antibody TITER Container 1 gold top SST clot tube 1 day to >100 year Neg < - 1:10 Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Titer, if positive. EBV EARLY ANTIGEN Order Code: EBVE 1934 Epic Code LAB654 Synonym EBV-EA, Early Antigen CPT 86663 Method Indirect Immunoflorescencse (IFA) Scheduled Monday, Thursday Department IMM Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:04 AM Storage Temp Refrigerate Page 141 of 405 E Sparrow Laboratories Online Test Catalog EBV PANEL Order Code: EBV 1930 Epic Code LAB863 Synonym ANTI-EBV, VCA IGG, VCA IGM, EBNA, EPSTEIN-BARR CPT 86664 Method Indirect Immunofluorescence (IFA) Scheduled Monday, Thursday CODE COMPONENT 1930 Department IMM Age Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE 6 year to >100 year EBV VCA IgG VIGG Negative - Titer EBV VCA IgM VIGM Negative - Titer EBV EBNA (Nuclear) EBNA Negative - Titer Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. EBV VCA IgG Order Code: VIGGT 5901 Epic Code LAB1730 Synonym EPSTEIN-BARR CPT 86663 Scheduled Monday, Thursday Department IMM Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. ECHINOCOCCUS ANTIBODY Order Code: ECHIG 8066 Epic Code LAB1234 Synonym Hydatid Disease CPT 86682 Method Enzyme Immunoassay (EIA) Scheduled Monday, Wednesday, Friday, Saturday Department MREF Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:04 AM Storage Temp Refrigerate Page 142 of 405 E Sparrow Laboratories Online Test Catalog ECHOVIRUS ACUTE ANTIBODY PANEL Order Code: EVAAB 8126 Epic Code LAB4317 Synonym Enterovirus CPT 86658 Scheduled Department MICSO Specimen Container 2 ml serum (Min: 1 ml) 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Additional Information Test performed at Focus Laboratories EFFEXOR Order Code: EFFEX 6852 Epic Code LAB4234 Synonym Venlafaxine CPT 80338 Method High Performance Liquid Chromatography with Ultraviolet Detection (HPLC-UV) Scheduled Department TOX Specimen 3.0 ml plasma Test Information Container 1 green top tube, Na Heparin Processing Instructions Centrifuge green top tube and pour plasma into a plastic tube. Storage Temp Refrigerate Red top - gel barrier tubes and green top tubes lithium heparin are not acceptable. Specimen collected in plain red top or lavender top EDTA tubes are acceptable For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 143 of 405 E Sparrow Laboratories Online Test Catalog ELECTROLYTES Order Code: LYTES 1249 Synonym Serum Electrolytes, NA, K+, CO2, CL Epic Code LAB16 Test Component NA,K+,CO2,CL,GAP CPT 80051 Method Ion Selective Electrodes Scheduled Sunday - Saturday CODE COMPONENT 1249 Department CHM REFERENCE RANGE Age LYTES Potassium (K+) K 3.5 - 4.9 meq/L Age Specimen 3 ml serum (Min: 1 ml) LYTES GAP LYTES Chloride LYTES CO2 LYTES Sodium Container 17 year to >100 year AGAP 1 day to >100 year 2 - 16 CL 96 - 110 meq/L CO2 20.0 - 30.0 mmol/L NA 135 - 145 meq/L Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Sodium, Potassium, Chloride, Carbon Dioxide, Anion Gap ELECTROLYTES, URINE, RANDOM Order Code: ULYTE 1205 Epic Code LAB565 Synonym LYTES, ELEC CPT 84300 84133 82436 Method Ion Selective Electrodes Scheduled Sunday - Saturday CODE COMPONENT 1205 Department CHM Specimen 20 ml single void urine sample (Min: 5 ml) REFERENCE RANGE Age ULYTE NA-NON-24 Hr-Ur ULYTNA ULYTE CL-Non 24 Hr Ur ULYTCL ULYTE K-NON-24 Hr Ur ULYTK Container Urine container, no preservative Processing Instructions Refrigerate to Storage Temp Refrigerate Test Information Sodium, Potassium, Chloride For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 144 of 405 E Sparrow Laboratories Online Test Catalog ENDOMYSIAL ANTIBODIES IGA, SERUM Order Code: AEA 8029 Epic Code LAB774 Synonym Antimesothelial Antibody, Celiac Disease CPT 86255 Method Indirect Immunofluorescence Assay Scheduled Tuesday and Friday, CODE COMPONENT 8029 Dayshift Department IMM Specimen 1.5 ml serum (Min: 0.5 ml) REFERENCE RANGE Age AEA Endomysial IgA AEA Endomysial IgA Titer Container 1 gold top SST clot tube EIGA EIGAT 1 day to >100 years Negative <1:10 - Processing Instructions Storage Temp Refrigerate or Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Specimen stable 7 days refrigerated or frozen 21 days. ENTAMOEBA HISTOLYTICA ANTIBODY Order Code: EHIST 1670 Epic Code LAB4113 Synonym E.Histolytica, Amebic Antibody CPT 86753 Method Enzyme Immunoassay (EIA) Scheduled Mon. Wed, Friday at Mayo Department MREF Ref Code: SAM Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:04 AM Storage Temp Refrigerate Page 145 of 405 E Sparrow Laboratories Online Test Catalog ENTEROVIRUS BY PCR Order Code: PCEVG Synonym COXSACKIEVIRUS, Echovirus, Hand Foot Mouth Disease, Enterovirus D68 8134 Epic Code LAB1333 CPT 87498 Method PCR Scheduled Monday - Friday, varies Department MDX Specimen Container 1 ml CSF Min. 0.5 ml), 1 gm Stool, Rectal, NP, throat, genital, lesion or eye swabs, Plasma, Respiratory samples (BAL, tracheal aspirate, NP and nasal washing) Non- respiratory tissue samples (Aortic Valves) Processing Instructions CSF in Sterile container, EDTA tube, culturette swab for throat specimens or Floq swab for NP samples, viral transport media (VTM) Storage Temp CSF, centrifuge to remove blood before freezing. Swabs: transport at RT. Throat swabs, NP Floq Swabs and Stool placed in VTM, keep at 2-8˚C. Freeze stool if not placed into VTM immediately upon receipt. Plasma: centrifuge within 2 hrs of Refrigerate or Frozen Test Information Interpretation: A positive result indicates the presence of Enterovirus in the specimen. Enterovirus D68 is included and can be detected with this test. Additional Information Enterovirus D68 testing requires an nasopharyngeal (NP) Floq swab source. ENTEROVIRUS BY PCR, Blood Order Code: BLEV 10243 Epic Code LAB4714 Synonym EV Blood Test, EV virus CPT 87498 Method PCR Scheduled Monday - Saturday in DNA Lab CODE COMPONENT 10243 Department MDX Age BLEV Specimen 2 ml plasma (Min. 0.5 mL) REFERENCE RANGE Enterovirus Container 1 - 7 ml Lavender top tube, EDTA BLEV 1 day to >100 year Not - Detected Processing Instructions Centrifuge EDTA tube and separate plasma within 4 hours. Storage Temp Refrigerate Test Information The detection of enterovirus is based upon transcription of specific enterovirus RNA sequences followed by PCR amplification and detection. A positive PCR result should be considered in conjunction with clinical presentation and additional established diagnostic tests. A negative PCR result indicates only the absence of enterovirus RNA in the sample tested and does not exclude the diagnosis of disease. Equivocal results are those that fall between the lowest limit of detection and the background level. Additional Information ** New Test available at Sparrow Molecular Lab 6/09/15. This test or one or more of its components was developed and its performance characteristics determined by Sparrow Laboratories. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. Sparrow Laboratories is certified under CLIA-88 as qualified to perform high complexity clinical laboratory testing. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 146 of 405 E Sparrow Laboratories Online Test Catalog EOSINOPHILS, NASAL Order Code: NEOS 1507 Epic Code LAB328 Synonym Nasal Eosinophils CPT 89190 Method Wright Stain, Microscopy Scheduled Sunday - Saturday Department HEM Specimen Container Have patient vigorously blow nose Clean container, swab into plastic wrap, then fold and place wrap in clean urine container. A swab of the nose (Nasopharyngeal Calgi-Swab Type I) may be used. Processing Instructions Storage Temp Refrigerate Refrigerate EOSINOPHILS, PUSTULE Order Code: POES 1532 Epic Code LAB4095 Synonym CPT 87205 Method Wright Stain, Microscopy Scheduled Sunday - Saturday Department HEM Specimen Container Glass slides prepared from pustule slide Processing Instructions Storage Temp Ambient Room temperature, unfixed. EOSINOPHILS, SPUTUM Order Code: SEOS 1539 Epic Code LAB4097 Synonym CPT 87205 Method Wright Stain, Microscopy Scheduled Sunday - Saturday Department HEM Specimen 0.5 ml sputum or air dried slide Container Sputum Cup For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:04 AM Storage Temp Refrigerate Page 147 of 405 E Sparrow Laboratories Online Test Catalog EOSINOPHILS, URINE Order Code: UEOS 1597 Epic Code LAB4102 Synonym Urine EOS CPT 89051 Method Wright Stain, Microscopy Scheduled Sunday - Saturday Department HEM Specimen Container Processing Instructions 10 ml single void urine (Min: 2 ml) Urine container, no preservative Storage Temp Refrigerate Refrigerate ERYTHROPOIETIN Order Code: EPO 1070 Epic Code LAB873 Synonym Epogen, EPO, Hematopoietin, Hemopoietin, Polycythemia CPT 82668 Method Automated Immunochemiluminometric Assay (ICMA) Scheduled Monday - Friday at Mayo CODE COMPONENT 1070 Department MREF Ref Code: EPO Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE Age EPO Erythropoietin Container 1 gel barrier SST tube, (Heparin plasma specimens are acceptable) EPO 1 day to >100 year 2.6 - 18.5 mIU/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze serum in plastic tube. Specimens may be frozen after arrival in Central Processing. Storage Temp Refrigerate or Frozen Test Information An aid in distinguishing between primary and secondary polycythemia. Differentiating between appropriate secondary polycythemia (eg, high-altitude living, pulmonary disease, tobacco use) and inappropriate secondary polycythemia (eg, tumors) Identifying candidates for erythropoietin (EPO) replacement therapy (eg, chronic renal failure). For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 148 of 405 E Sparrow Laboratories Online Test Catalog ESSENTIAL FATTY ACID Order Code: ESSFA 1071 Epic Code LAB987 Synonym C12-C22, Fatty Acid Profile Essential CPT 82542 Method Gas Chromatography-Mass Sprectromety (GC-MS) Scheduled Monday - Friday at MAYO Department MREF Ref Code: FAPEP Specimen 4 ml serum (Min: 1.5 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Frozen Transfer serum to plastic vial and freeze. (Specimens collected in heparin and EDTA are acceptable.) C1 ESTERASE INHIBITOR AG, S Order Code: C1ESR 6842 Epic Code LAB4232 Synonym Esterase CPT 83520 Method Nephelometry Scheduled Monday-Saturday at Mayo Department MREF Specimen 1 ml serum. (min. 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze serum in plastic tube. Storage Temp Refrigerate Test Information Specimen may be frozen after arrival in Laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 149 of 405 E Sparrow Laboratories Online Test Catalog ESTRADIOL, SERUM Order Code: EST 1072 Epic Code LAB523 Synonym E2, Hormone CPT 82670 Scheduled Sunday - Saturday COMPONENT 1072 CODE REFERENCE RANGE Department CHM Age EST Estradiol EST EST Estradiol EST EST Estradiol EST Age Age Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube 12 years to >100 years 0 - 433 pg/mL F M 1 day to 12 years 0 - 59 pg/mL F 1 day to >100 years 0 - 47 pg/mL Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate. ESTRIOL Order Code: ESTRL 1260 Epic Code LAB4057 Synonym E3, UE3 - Unconjugated Estriol CPT 82677 Method Fluoroimmunometric Scheduled Monday - Friday at Mayo Department MREF Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information This test is intended to monitor the course of pregnancy. Normal values are limited based on gestational age. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 150 of 405 E Sparrow Laboratories Online Test Catalog ESTROGEN TOTAL Order Code: TOTES 1291 Epic Code LAB981 Synonym EST, ESTRONE, E1 CPT 82672 Scheduled Department MREF Specimen 2 ml serum (Min: 0.5 ml) Container Processing Instructions Storage Temp Room Temperature 1 gold top SST clot tube ESTRONE Order Code: ESTRR 9037 Epic Code LAB982 Synonym E1 CPT 82679 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo Department MREF Ref Code: E1 Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:04 AM Storage Temp Refrigerate Page 151 of 405 E Sparrow Laboratories Online Test Catalog ETHOSUXIMIDE (Zarontin) Order Code: ETHSX 1188 Epic Code LAB683 Synonym Zarontin CPT 80168 Method Immunoassay Scheduled Sunday - Saturday at Mayo CODE COMPONENT 1188 REFERENCE RANGE Department MREF Specimen 1.0 ml plasma (min. 0.5 ml) Age 1 day to >100 year ETHSX Ethosuximide ETHSX 40 - 75 ug/mL ETHSX Toxic Concentration ETHSX 40 - 75 ug/mL ETHSX Ethosuximide ETHSX > or = - 100 ug/mL ETHSX Toxic Concentration ETHSX > or = - 100 ug/mL Container Processing Instructions 1 green top tube, Li Heparin Storage Temp Refrigerate Centrifuge, transfer plasma to a plastic tube. Additional Information Specimens collected in plain red tops and EDTA plasma are acceptable. ETHYLENE GLYCOL Order Code: EG 1015 Epic Code LAB714 Synonym Antifreeze CPT 82693 Method Gas Chromatography with Flame Ionization Detection (GC-FID) Scheduled Sunday - Saturday CODE COMPONENT 1015 Department TOXSO Specimen 2.5 ml plasma (Min: 1.25 ml) REFERENCE RANGE Age 1 day to >100 year EG Ethylene Glycol ETGLY Negative - EG Propylene Glycol PRGLY None - Detected Container 1 green top tube, Li Heparin Processing Instructions Refrigerate mg/dL Storage Temp Refrigerate Test Information Grey top and red top are also acceptable specimens. Specimens collected in serum separator tubes will be rejected For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 152 of 405 E Sparrow Laboratories Online Test Catalog EVEROLIMUS, B Order Code: EVROL 10169 Epic Code LAB4632 Synonym Afinitor, Evero, Zortress CPT 80169 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday -Sunday at Mayo CODE COMPONENT 10169 REFERENCE RANGE Department MREF Age EVROL Ref Code: EVROL Specimen Everolimus, B Container 3.0 ml whole blood (Min. 1 mL) 1 Lavender top EDTA tube EVROL 1 day to >100 years 3 - 8 ng/mL Processing Instructions Storage Temp Refrigerate Do Not centrifuge. Send in Original tube Test Information Useful for management of everolimus immunosuppression in solid organ transplants. Patient Information Draw sample immediately before next scheduled dose. Additional Information Send specimen in original tube. EWING SARCOMA, RT-PCR Order Code: EWS 10287 Epic Code LAB4756 Synonym Translocation 11;22, Translocation 21;22 CPT 81401 81401 Method Reverse Transcriptase Polymerase Chain Reaction Scheduled Monday - Friday; Varies at Mayo Department MREF Ref Code: EWS Specimen Container Tissue containing tumor cells Varies; Surgical Path Specimens, FFPE tissue with a minimum of 5% tumor cell population Processing Instructions Storage Temp Process all specimens into Formalin-fixed, paraffin-embedded (FFPE) blocks prior to submission. Slides: If submitting slides, a minimum of ten, 4- to 5-micron thick, unstained slides are required. Room Temperature Test Information Useful for supporting a diagnosis of Ewing sarcoma and primitive neuroectodermal tumors. See Special Instructions/ Information Sheet at mayomedicallaboratories.com Additional Information ** NEW TEST ADDED 01/22/2016 ** A quality specimen is essential for evaluation. Submit only tissue containing tumor cells; minimal tissue is required for evaluation. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 153 of 405 E Sparrow Laboratories Online Test Catalog EXTRACTABLE NUCLEAR ANTIGENS Order Code: ENA 1742 Synonym ENA, RNP, Smith, Anti-RO, Anti-LA, Sjogrens, Autoantibodies, Epic Code LAB852 Scleroderma, CTD Test Component SS-A (Ro), SS-B (La), SM, RNP, SM/RNP, Jo-1, SCL-70 CPT 86235 Method Enzyme Immunoassay (EIA) Scheduled Twice a week - Monday, Wednesday CODE COMPONENT 1742 Department IMM Age ENA Specimen ENA Screen Result Container 2 ml serum (Min: 1 ml) Test Information REFERENCE RANGE SCRLT 1 day to >100 year Negative - Negative Processing Instructions 1 gold top SST clot tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temp. Spin then transfer serum to plastic vial and freeze. Useful for determining possible autoimmune connective tissue diseases such as Sjogren Syndrome, Lupus, Sceroderma or Polymyositis. Additional Information Positive ENA Screen automatically reflexes to ENAAG full panel FACTOR IX ASSAY Order Code: FAC9 1081 Epic Code LAB308 Synonym FIX, Coag, F9 CPT 85250 Method Photo-optical Scheduled Monday - Friday CODE COMPONENT 1081 Department SPCO Age FAC9 Specimen 2 ml frozen plasma (Min: 1 ml) REFERENCE RANGE Container 1 Light blue top tube, NaCitrate (3.2%) Factor Assay IX FAC9 Processing Instructions Centrifuge. Transfer plasma to plastic vial and freeze. 1 day to >100 year 70 - 150 % of Normal Storage Temp Frozen Patient Information Provide patient diagnosis and medication history, as available. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 154 of 405 F Sparrow Laboratories Online Test Catalog FACTOR V ASSAY Order Code: FAC5 1078 Epic Code LAB304 Synonym FV, Coag, F5 CPT 85220 Method Photo-optical Clot Detection Scheduled Monday - Friday CODE COMPONENT 1078 REFERENCE RANGE Department SPCO Age FAC5 Specimen 2 ml frozen plasma (Min: 1 ml) Factor Assay V Container 1 Light blue top tube, NaCitrate (3.2%) FAC5 1 day to >100 year 70 - 150 % of Normal Processing Instructions Storage Temp Frozen Centrifuge. Transfer plasma to plastic vial and freeze. FACTOR V LEIDEN Order Code: FAC5L 6784 Epic Code LAB346 Synonym R506Q MUTATION, FV, FAC5L CPT 81241 Method Real-time PCR Scheduled Twice weekly Department MDX Specimen 5 ml EDTA whole blood Container 1 Lavender top EDTA tube Processing Instructions Do not centrifuge lavender top - EDTA Storage Temp Refrigerate Additional Information Acceptable specimens: Whole blood (lavender EDTA, lt blue citrate or yellow ACD) For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 155 of 405 F Sparrow Laboratories Online Test Catalog FACTOR VII ASSAY Order Code: FAC7 1079 Epic Code LAB305 Synonym FVII, Coag, F7, Prothrombin, Factor VII Activity CPT 85230 Method Photo-optical Scheduled Monday - Friday CODE COMPONENT 1079 Department SPCO REFERENCE RANGE Age FAC7 Specimen Factor Assay VII Container 2 ml frozen plasma (Min: 1 ml) FAC7 1 day to >100 year 70 - 150 % of Normal Processing Instructions 1 Light blue top tube, NaCitrate (3.2%) Storage Temp Frozen Centrifuge. Transfer plasma to plastic vial and freeze. Test Information Useful for investigation of a prolonged prothrombin time. Diagnosing congenital deficiency of coagulation factor VII and evaluating acquired deficiencies associated with liver disease, oral anticoagulant therapy, and vitamin K deficiency. Patient Information Provide patient diagnosis and medication history, as available. FACTOR VIII ASSAY Order Code: FAC8 1080 Epic Code LAB306 Synonym AHF, Antihemophilic Factor, FVIII CPT 85240 Method Photo-optical Scheduled Monday - Friday CODE COMPONENT 1080 Department SPCO Age FAC8 Specimen 2 ml frozen plasma (Min: 1 ml) REFERENCE RANGE Container 1 Light blue top tube, NaCitrate (3.2%) Factor Assay VIII FAC8 Processing Instructions Centrifuge. Transfer plasma to plastic vial and freeze. 1 day to >100 year 70 - 150 % of Normal Storage Temp Frozen Patient Information Provide patient diagnosis and medication history, as available. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 156 of 405 F Sparrow Laboratories Online Test Catalog FACTOR VIII INHIBITOR EVALUATION Order Code: F8INH 10278 Epic Code LAB4746 Synonym F8, Factor 8 Inhibitor Profile CPT 85240 Method Clot-Based Assay Scheduled Monday - Friday; Varies at Mayo CODE COMPONENT 10278 Department MREF Ref Code: F8INH Specimen 3 ml Platelet-poor plasma (Min. 2 ml) REFERENCE RANGE Age F8INH Coag F8 activity Container F8A 18 years to >100 years 55 - 200 % Processing Instructions Storage Temp Frozen 1 Light blue top tube, NaCitrate Spin tubes down, transfer plasma to a plastic vial, and spin plasma again. Freeze specimens immediately at < or =-40 degrees C, if possible. Test Information Useful for detecting the presence and titer of a specific factor inhibitor directed against coagulation factor VIII. Additional Information ** NEW TEST 01/21/2016 ** Replaces test 1086/FAC8I FACTOR X ASSAY Order Code: FAC10 1082 Epic Code LAB758 Synonym FX, Coag, F10 CPT 85260 Method Photo-optical Scheduled Monday - Friday CODE COMPONENT 1082 Department SPCO Age FAC10 Specimen 2 ml frozen plasma (Min: 1 ml) REFERENCE RANGE Container 1 Light blue top tube, NaCitrate (3.2%) Factor Assay X FAC10 Processing Instructions Centrifuge. Transfer plasma to plastic vial and freeze. 1 day to >100 year 70 - 150 % of Normal Storage Temp Frozen Patient Information Provide patient diagnosis and medication history, as available. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 157 of 405 F Sparrow Laboratories Online Test Catalog FACTOR XI ASSAY Order Code: FAC11 1083 Epic Code LAB309 Synonym FXI, Coag, F11, Factor 11 Activity CPT 85270 Method Photo-optical Scheduled Monday - Friday CODE COMPONENT 1083 Department MREF Age FAC11 Ref Code: F_11 Specimen 2 ml frozen plasma (Min: 1 ml) REFERENCE RANGE Factor Assay XI Container FAC11 1 day to >100 year 60 - 135 % of Normal Processing Instructions 1 Light blue top tube, NaCitrate (3.2%) Storage Temp Frozen Centrifuge. Transfer plasma to plastic vial and freeze. Patient Information Provide patient diagnosis and medication history, as available. FACTOR XII ASSAY Order Code: FAC12 1084 Epic Code LAB310 Synonym FXII, Coag, F12, Factor 12 Activity CPT 85280 Method Photo-optical Scheduled Monday - Friday CODE COMPONENT 1084 Department MREF Ref Code: F_12 Specimen 2 ml frozen plasma (Min: 1 ml) REFERENCE RANGE Age FAC12 Container 1 Light blue top tube, NaCitrate (3.2%) Factor Assay XII FAC12 Processing Instructions Centrifuge. Transfer plasma to plastic vial and freeze. 1 day to >100 year 60 - 160 % of Normal Storage Temp Frozen Patient Information Provide patient diagnosis and medication history, as available. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 158 of 405 F Sparrow Laboratories Online Test Catalog FACTOR XIII ASSAY Order Code: FAC13 1373 Epic Code LAB1113 Synonym FXIII, F13, Factor 13 CPT 85290 Method Solubility Scheduled Sunday - Saturday at Mayo Department MSPEC Specimen Container 3.0 ml plasma (min: 1 ml) 1 Light blue top tube, NaCitrate (3.2%) Processing Instructions Storage Temp Frozen Centrifuge blue top tube, recentrifuge plasma, then freeze double spun plasma in plastic tube. Test Information Always collect a pilot tube (7 - 10 ml red top) before collection of blue top. Discard pilot tube. Additional Information Specimen should be centrifuged twice to ensure removal of platelets. FANCONIS ANEMIA Order Code: FANAN 3057 Epic Code LAB4174 Synonym FANCC, Carrier screening Fanconis CPT 88248 Method Polymerase Chain Reaction (PCR) analysis Scheduled Tuesday am at Mayo Department MREF Ref Code: FANCP Specimen Container 2.6 mL whole blood (min. 0.5 mL), 1 Yellow top ACD tube or 20 mL Amniotic fluid (min. 10 mL) lavender top EDTA, sterile or 5 mg Chorionic Villi fluid container Processing Instructions Gently invert multiple times, maintain at room temperature and send in original tube or vial. Store chorionic villi refrigerated. Storage Temp Room Temperature Test Information Useful for Carrier screening for Fanconi anemia in individuals of Ashkenazi Jewish ancestry and prenatal diagnosis of Fanconi anemia in at-risk pregnancies Used for confirmation of suspected clinical diagnosis of Fanconi anemia in individuals of Ashkenazi Jewish ancestry. Additional Information Due to the complexity of prenatal testing, consultation with the laboratory is required for all prenatal testing. Prenatal specimens can be sent Monday through Thursday and must be received by 5 p.m. CST on Friday in order to be processed appropriately. All prenatal specimens must be accompanied by a maternal blood specimen. Order MATCC / Maternal Cell Contamination, Molecular Analysis on the maternal specimen. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 159 of 405 F Sparrow Laboratories Online Test Catalog FAT, FECES Order Code: FCLFT 1085 Epic Code LAB392 Synonym Fecal Fat, Lipids-Stool CPT 82710 Method Nuclear Magnetic Resonance Spectoscopy Scheduled Monday - Friday at MAYO CODE COMPONENT 1085 Department MREF Ref Code: FATF Specimen Stool specimen (48 hr or 72 hour) or Random REFERENCE RANGE Age 1 day to >100 year FCLFT Collection Duration COLD3 Preferred: 48 - 72 hours FCLFT Total Weight WGT1 Minimum 5- FCLFT Percent Fat PCFAT FCLFT Total Fat Container Stool Container - Lrg Mayo TFAT Grams < - 20 % fat 2.0 - 7.0 g/24 hr Processing Instructions Storage Temp Refrigerate Refrigerate during collection. Send to Mayo, Frozen (Specimen may be frozen after arrival in laboratory). Please call Client Services at (517) 364-7800 for required collection container and instructions. Patient Information 1) Note length of collection period; 2) Barium interferes with test procedure. FAT, URINE Order Code: URFAT 1593 Epic Code LAB391 Synonym SUDAN CPT 89125 Method Sudan IV Stain Scheduled Sunday - Saturday Department HEM Specimen Container 15 ml single void urine (Min: 5 ml) Urine container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:04 AM Storage Temp Refrigerate Page 160 of 405 F Sparrow Laboratories Online Test Catalog FENTANYL, S Order Code: FENTS 2011 Epic Code LAB4155 Synonym Sublimaze, Duragesic, Actiq, Fentora CPT 80354 Method Gas Chromatography / Mass Spectrometry Scheduled Monday - Friday COMPONENT 2011 CODE REFERENCE RANGE Department MREF Age FENTS Specimen 2.5 ml serum (Min: 1.25 ml) Fentanyl Container FENTS Male or Female 1 day to >100 year 1 - 3 ng/mL Processing Instructions 1 Plain red top tube Storage Temp Allow blood to clot, Spin down within 2 hours of draw. Gel barrier tubes. ** No Refrigerate Test Information Grey top and red top are also acceptable specimens. Specimens collected in serum separator tubes will be rejected FERRITIN Order Code: FER 1955 Epic Code LAB68 Synonym FER CPT 82728 Method Immunochemiluminescence Scheduled Sunday - Saturday COMPONENT 1955 CODE REFERENCE RANGE Department CHM Specimen 1 ml serum (Min: 0.5 ml) Age 1 day to >100 year FER Ferritin FER F 7 - 292 ng/mL FER Ferritin FER M 14 - 224 ng/mL Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:04 AM Storage Temp Refrigerate Page 161 of 405 F Sparrow Laboratories Online Test Catalog FETAL FIBRONECTIN Order Code: FFN 8215 Epic Code LAB287 Synonym FFN CPT 82731 Method Immunochromographic Scheduled Sunday, Saturday Department COA Specimen Special swab in buffer Container Fetal Fibronectin swab Processing Instructions Storage Temp Refrigerate Refrigerate specimen Test Information Specimen should arrive at laboratory within 12 hours of collection. FFP Order Code: FFP 1618 Epic Code LAB487 Synonym Fresh Frozen Plasma CPT 36430 Method Transfusion Scheduled Sunday - Saturday Department BLB Specimen 7 ml whole blood (Min: 2 ml) Additional Information Container 1 Lavender top EDTA tube Processing Instructions Do not centrifuge Storage Temp Refrigerate One blood type required every 12 months prior to transfusion. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 162 of 405 F Sparrow Laboratories Online Test Catalog FIBRINOGEN Order Code: FIB 1088 Epic Code LAB314 Synonym FIB, Coag CPT 85384 Method Clot detection Scheduled Monday-Saturday CODE COMPONENT 1088 Department COA REFERENCE RANGE Age FIB Fibrinogen FIB FIB Fibrinogen FIB FIB Fibrinogen FIB FIB Fibrinogen 200 - 300 mg/dL Age FIB FIB Specimen Container 2 ml plasma (Min: 1 ml) 1 Light blue top tube, NaCitrate (3.2%) 11 year to 16 year 154 - 448 mg/dL Age Fibrinogen 6 year to 11 years 157 - 400 mg/dL Age FIB 1 year to 6 years 170 - 405 mg/dL Age Fibrinogen 1 Mon to 1 year 80 - 380 mg/dL Age FIB 1 day to 30 days FIB 16 year to >100 year 150 - 450 mg/dL Processing Instructions Storage Temp Refrigerate Refrigerate if sample will be transported to SRL within 8 hours of acquisition. DO NOT CENTRIFUGE DO NOT OPEN TOP If longer storage time is anticipated, transfer plasma to plastic vial and freeze. Flow Cytometry, Peripheral Blood Order Code: FLOW 2160 Epic Code LAB4165 Synonym FLOW, Leukemia, Lymphoma CPT Scheduled Monday - Saturday Department IMM Specimen Whole Blood Container 1 yellow top ACD tube and 1 lavendar top EDTA tube Processing Instructions Do not spin. Keep specimens at room temperature Storage Temp Ambient Test Information Specimens submitted in green-top (sodium heparin) are acceptable. CBC results obtained within the previous 24 hours can be substituted for the lavendar-top specimen. A diagnosis must be provided to ensure the correct test battery is performed. Additional Information For flow cytometry analysis of alternative specimen types, see test 1931. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:04 AM Page 163 of 405 F Sparrow Laboratories Online Test Catalog FLUORIDE, P Order Code: FL 10171 Epic Code LAB4633 Synonym FL CPT 82735 Method Ion-Selective Electrode (ISE) Scheduled Tuesdays at 8 am Department MREF Ref Code: FL Specimen Container 3.0 mL plasma, (min. 1.2 mL) Processing Instructions 1 green top tube, Na heparin Storage Temp Refrigerate Draw green top sodium heparin tube Test Information Useful for assessing accidental fluoride ingestion and monitoring patients receiving sodium fluoride for bone disease or patients receiving voriconazole therapy. FLUOXETINE, S Order Code: FLUOX 6806 Epic Code LAB4223 Synonym PROZAC, NORFLUOXETINE CPT 80299 Method High Performance Liquid Chromatography (HPLC) with Ultraviolet Detection Scheduled Monday - Friday at Mayo CODE COMPONENT 6806 Department TOX Age FLUOX Specimen 5 ml serum (min: 2.5 ml) REFERENCE RANGE Container 2 Plain red top tubes Fluoxetine FLUOX 1 day to >100 year 200 - 1100 ng/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Additional Information Red top tubes required - gel-barrier tubes are not acceptable. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 164 of 405 F Sparrow Laboratories Online Test Catalog FOLIC ACID Order Code: FOLAT 1960 Epic Code LAB69 Synonym Folate CPT 82746 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1960 REFERENCE RANGE Department CHM Age FOLAT Specimen 1 ml serum (Min: 0.5 ml) Folate Container FOLAT 1 day to >100 year 5.38 - 9999.00 ng/mL Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Protect from light by foil wrap or pour off in amber tube. FOLLICLE STIMULATING HORMONE Refrigerate Order Code: FSH 1095 Epic Code LAB86 Synonym FSH, Gonadotropins CPT 83001 Method Immunochemiluminescence Scheduled Sunday - Saturday COMPONENT 1095 CODE REFERENCE RANGE Department CHM Age FSH FSH FSH FSH FSH FSH FSH 1.4 - 18.1 mIU/mL M Age FSH Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 F 1 year to 60 year 0.0 - 33.4 mIU/mL F Age FSH 1 year to 80 year 60 year to >100 year 23.0 - 116.3 mIU/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:05 AM Storage Temp Refrigerate Page 165 of 405 F Sparrow Laboratories Online Test Catalog FORMIC ACID, U Order Code: FFRM 10185 Epic Code LAB4650 Synonym Formaldehyde CPT 83921 82750 Method Colorimetry (C)/Gas Chromatography (GC) Scheduled Monday-Saturday at NMS Labs Department MREF Ref Code: FFRM Specimen 3 ml Urine, Random Container Sterile urine container Processing Instructions Storage Temp Send random urine collection in a plastic urine container. FRAGILE X SYNDOME, MOLECULAR ANALYSIS Synonym FXTAS, Martin-Bell Syndrome, POF, Premature ovarian failure Refrigerate Order Code: FXS 10327 Epic Code LAB4801 CPT 81243 Method Polymerase Chain Reaction (PCR)-Based Assay Utilizing Agena Mass Array Platform Scheduled Monday-Friday at Mayo Department MREF Ref Code: FXS Specimen Container Varies; 3 mL Whole blood, 20 mL 1 Lavender top EDTA tube for Amniotic fluid, 20 mg Chorionic villi whole blood; Amnio vial; Transport media vial for CV Processing Instructions Submit one specimen type, Monday-Thursday ONLY. Storage Temp Room Temp or Refrigerate Test Information Useful for determination of carrier status for individuals with a family history of fragile X syndrome or X-linked mental retardation or confirmation of a diagnosis of fragile X syndrome, fragile X tremor/ataxia syndrome, or premature ovarian failure caused by expansions in the FMR1 gene Also useful for Prenatal diagnosis of fragile X syndrome when there is a documented FMR1 expansion in the family. Additional Information **New Test Added 8/09/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 166 of 405 F Sparrow Laboratories Online Test Catalog FRANCISELLA ANTIBODY Order Code: FRANC 8073 Epic Code LAB1216 Synonym Q Fever, Tularemia CPT 86000 Method Agglutination Scheduled Monday, Wednesday at Mayo Department MREF Specimen 2 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. FREE CARBAMAZEPINE Order Code: CARFT 6731 Epic Code LAB4213 Synonym Tegretol Free, Carbamazepine CPT 80157 Method Membrane Separation / Immunoassay Scheduled CODE COMPONENT 6731 Department MREF Age CARFT Specimen 3 ml serum (Min: 2 ml) REFERENCE RANGE Free Carbamazepine Container 1 Plain red top tube, EDTA plasma specimens are acceptable For Customer Service call 517-364-7800 or 800-884-2522 CARFT 1 day to >100 year 0.5 - 4.0 ug/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:05 AM Storage Temp Refrigerate Page 167 of 405 F Sparrow Laboratories Online Test Catalog FREE FATTY ACIDS Order Code: FFA 1091 Epic Code LAB986 Synonym Non Esterified Fatty Acids, NEFA CPT 82725 Method Enzymatic Colorimetric Scheduled Monday - Friday at Mayo CODE COMPONENT 1091 REFERENCE RANGE Department MREF Age FFA Ref Code: FFA Specimen Total Free Fatty Acids Container 1 ml Serum (min. 0.5 ml) FFA 16 year to >100 year 0.00 - 0.72 mmol/L Processing Instructions 1 Plain red top tube or gel barrier SST tube Storage Temp Frozen Spin down within 45 minutes of draw. Transfer to plastic vial and Immediately freeze specimen. Test Information Interpretation of abnormally high levels of free fatty acids are associated with uncontrolled diabetes mellitus and with conditions that involve excessive release of a lipoactive hormone such as epinephrine, norepinephrine, glucagon, thyrotropin, and adrenocorticotropin. Patient Information Patient should fast for 12 to 14 hours; however, in prolonged fasting or starvation, free fatty acid levels rise as much as 3fold. Patient should abstain from alcohol for at least 24 hours. Additional Information In order to eliminate the generation of free fatty acids from triglycerides by serum lipases (causing erroneous elevations), serum should be frozen soon after it is drawn and shipped frozen. FREE PHENYTOIN Order Code: PHETF 6730 Epic Code LAB176 Synonym Dilantin Free and Total CPT 80186 Method Membrane Separation / Fluorscence Polarization Immunoassay (FPIA) Scheduled Sunday - Saturday at Mayo CODE COMPONENT 6730 Department MREF Age PHETF Specimen 4 ml plasma (Min: 1.5 ml) REFERENCE RANGE Free Phenytoin Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 PHETF Processing Instructions 1 day to >100 year 1.0 - 2.0 mcg/mL Storage Temp Centrifuge lavender tube, transfer plasma to plastic vial and freeze. Specimen can be frozen after arrival in Laboratory. Plasma collected with anti-coagulants other than EDTA are acceptable. 9/21/2016 8:09:05 AM Refrigerate Page 168 of 405 F Sparrow Laboratories Online Test Catalog FRUCTOSAMINE Order Code: FRUCT 1154 Epic Code LAB1013 Synonym Glycated Protein CPT 82985 Method Colorimetric Rate Reaction Scheduled Monday - Sunday at Mayo CODE COMPONENT 1154 Department MREF REFERENCE RANGE Age FRUCT Ref Code: FRUCT Specimen Fructosamine Container 1.0 mL Serum (Min. 0.25 mL) FRUCT 1 day to >100 year 200 - 285 umol/L Processing Instructions Storage Temp Refrigerate 1 gel barrier SST tube, or plain Serum gel tubes centrifuge within 2 hours of collection. Red-top red top acceptable plain tubes, centrifuge and aliquote witin 2 hours of collection. Send serum in plastic vial and refrigerate during transport. Test Information Useful for assessing intermediate-term glycemic control. Additional Information Test update 12/14/15 to add result code. FUNGAL ANTIBODIES (COMP.FIXATION) Order Code: FUNAB 1682 Epic Code LAB4116 Synonym COMP FIX, Complement Fixation CPT 86331 Method Complement fixation Scheduled Monday-Friday Department MDCH Specimen 2 ml serum (Min: 1 ml) Test Information Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Histoplasma, Blastomyces, Coccidioides; Michigan Department of Public Health For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 169 of 405 F Sparrow Laboratories Online Test Catalog FUNGAL ISOLATE IDENTIFICATION Order Code: FUNID 6851 Epic Code LAB1296 Synonym Fungal ID CPT 87106 Method Varies by isolate Scheduled Sunday - Saturday Department MIC Specimen 1 plate or slant Container 1 plate or 1 slant Processing Instructions Storage Temp Ambient Room temperature FUNGAL PRECIPITINS Order Code: FUNPC 1684 Synonym Fungal Antibody, Fungus antibodies Epic Code LAB4118 Test Component Histoplasma, blastomyces, coccidioides, aspergillus CPT 86606 86612 86635 Method Immunodiffusion Scheduled Monday-Friday; afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. FUNGAL STAIN Order Code: STFUN 1420 Epic Code LAB905 Synonym Fungal Gram Stain CPT 87205 Method Light Microscopy Scheduled Sunday - Saturday Department MIC Specimen Skin scrapings, hair, body fluids biopsy or respiratory specimens Container Processing Instructions Sterile container or sterile swab Room Temperature For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Storage Temp Ambient Page 170 of 405 F Sparrow Laboratories Online Test Catalog FUNGITELL, S Order Code: FUNGS 10229 Epic Code LAB4498 Synonym Beta-D glucan CPT 87449 Method Limulus Amebocyte Lysate (LAL) Pathway Scheduled Monday-Saturaday at COMPONENT 10229 Viracor-IBT Lab CODE REFERENCE RANGE Department MREF Age Ref Code: FUNGS Specimen Fungitell Glucan Indeterminate 60 - 79 pg/mL FUNGS Fungitell Glucan Negative 0 - 60 pg/mL FUNGS Fungitell Glucan Positive >= - 80 pg/mL Container Serum (Min: 0.3 ml) 1 day to >100 year FUNGS Processing Instructions 1 gold top SST clot tube Storage Temp Frozen Collect 3-5 mL blood in serum gel tube (SST). Centrifuge specimen within 2 hours. Ship serum gel tube frozen. Note: DO NOT ALIQUOT SPECIMEN Test Information The Fungitell assay does not detect certain fungal species such as the genus Cryptococcus or Zygomycetes (Absidia, Mucor and Rhizopus), which produce very low levels of (1-3)-Beta-D-Glucan. In addition, the yeast phase of Blastomyces dermatitidis produces little (1-3)-Beta-D-Glucan and may not be detected by the assay. Additional Information Glucan values of greater than or equal to 80 pg/mL are interpreted as positive. GABAPENTIN Order Code: NEURO 8053 Epic Code LAB470 Synonym Neurontin CPT 80171 Method High-Performance Liquid Chromatography (HPLC) Scheduled Monday - Friday at Mayo CODE COMPONENT 8053 Department IMM Ref Code: GABA Specimen 1 ml serum (Min: 0.2 ml) REFERENCE RANGE Age NEURO Container 1 Plain red top tube Neurontin NEURO 1 day to >100 year 2.0 - 20.0 mcg/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Therapeutic ranges are based on specimens drawn at trough (ie, immediately before the next dose). For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 171 of 405 G Sparrow Laboratories Online Test Catalog GAMMA GLUTAMYL TRANSPEPTIDASE Order Code: GGT 1098 Epic Code LAB85 Synonym GGT CPT 82977 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1098 REFERENCE RANGE Department CHM Age GGT Gamma GT GGT GGT Gamma GT GGT Age Specimen Container 1 ml serum (Min: 0.5 ml) 1 day to >100 year 0 - 35 U/L F 1 day to >100 year 0 - 60 U/L M Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. GASTRIN, SERUM Order Code: GAST 1099 Epic Code LAB80 Synonym CPT 82941 Method Radioimmunoassay (RIA) Scheduled Monday-Friday at Mayo COMPONENT 1099 CODE Department MREF Ref Code: GAST Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE Age GAST Gastrin Container 1 gold top SST clot tube GAST 1 day to >100 year 0 - 200 pg/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze serum in plastic tube. Storage Temp Frozen Patient Information Patient must be fasting. Additional Information EDTA plasma is acceptable. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 172 of 405 G Sparrow Laboratories Online Test Catalog GENTAMICIN Order Code: GENT 1976 Epic Code LAB27 Synonym Garamycin, Gent CPT 80170 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1976 REFERENCE RANGE Department CHM Specimen 1 ml plasma Age 1 day to >100 years GENT Gentamicin GENT Peak 4.0 - 10.0 mcg/mL GENT Gentamicin GENT Trough 0.0 - 2.0 mcg/mL Container Processing Instructions 1 green top tube, Li heparin Storage Temp Refrigerate Refrigerate Patient Information DRAW TIMES: PEAK: 30 minutes to one hour after the end of a 30-minute infusion; or one hour after IM dose, TROUGH: immediately prior to the next dose. GHB SCREEN WITH CONFIRMATION, B Order Code: FGHSP 10225 Epic Code LAB4705 Synonym Gamma-Hydroxybutyric Acid, Date Rape CPT 80304 Method Liquid Chromatography with Tandem Mass Spectrometry (LC/MS/MS) Scheduled Twice a week CODE COMPONENT 10225 Department MREF Age FGHSP Specimen 5 ml serum (Min. 2.0 ml) or plasma REFERENCE RANGE GHB Screen, Serum or Plasma Container GHB Serum or Plasma Processing Instructions Negative cutoff 1 day to >100 year ≤ - 5.0 ug/mL Storage Temp 1 Plain red top tube or 1 green Allow blood to clot upright 30 minutes, then centrifuge. Specimens top tube, Na Heparin collected in gel barrier tubes NOT acceptable. Refrigerate Test Information Performed by Medtox Laboratories, Inc. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 173 of 405 G Sparrow Laboratories Online Test Catalog GHB SCREEN WITH CONFIRMATION, UR Order Code: FGHSU 10227 Epic Code LAB4706 Synonym Gamma-Hydroxybutyric Acid, Date Rape Drug CPT 80304 Method Gas Chromatography with Flame Ionization Detection (GC-FID) Scheduled Twice a week CODE COMPONENT 10227 REFERENCE RANGE Department MREF Age FGHSU Specimen GHB Screen, Urine Container 10 ml Random urine Sterile urine container GHB URINE 1 day to >100 year ≤ - 5.0 mcg/mL Cutoff Processing Instructions Storage Temp Collect 10 mL random urine without preservatives. Ship refrigerated in a plastic container. Refrigerate Test Information Performed by Medtox Laboratories, Inc. GI DISTRESS PANEL Order Code: GIDP 10188 Synonym Celiac Disease, TTG, Gliadin Epic Code LAB4653 Test Component TTSGA,TSTTG,AGLIG,AGLIA,FOOD CPT Method ImmunoCAP; FEIA Scheduled Monday - Friday Department IMM Specimen 3 ml serum (Min: 2 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information TTSGA - Tissue Transglutaminase Ab, IgA, TSTTG - Tissue Transglutaminase Ab, IgG, AGLIG - Anti-Gliadin IgG, AGLIA Anti-Gliadin IgA, FOOD Allergy Panel For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 174 of 405 G Sparrow Laboratories Online Test Catalog GIARDIA ANTIGEN Order Code: GAGST 1409 Epic Code LAB252 Synonym Parasite CPT 87329 Method ELISA Scheduled Tuesday, Friday Department MIC Specimen Container 5 ml feces (Min: 1.0 ml) 10% Formalin (Para-pak pink lid) Processing Instructions Storage Temp Refrigerate Refrigerate immediately, freeze unpreserved specimen if not tested within 24 hours. Specimens preserved in SAV, Cary Blair, or PVA will be rejected. GIARDIA LAMBLIA Ab, IFA Order Code: GRAB 10196 Synonym Giardia Antibody Epic Code LAB4662 Test Component Z0586 CPT 86674 Method Immunofluorescence Assay (IFA Scheduled Monday - Saturday at Focus Department MREF Ref Code: GRAB Specimen 1.0 mL serum, (min. 0.075 mL) Additional Information Container 1 Plain red top tube Processing Instructions Storage Temp Draw blood in a plain, red-top tube(s). Spin down and send 1 mL of serum refrigerated. Refrigerate Note: Serum gel tube is acceptable, but must pour off into a plastic vial. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 175 of 405 G Sparrow Laboratories Online Test Catalog GLIADIN ANTIBODIES Order Code: AGLID 8028 Epic Code LAB725 Synonym Anti-Gliadin; Celiac, Deamidated Gliadin Ab CPT 83516 82516 Method FEIA Scheduled Monday, Thursday CODE COMPONENT 8028 Department IMM Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE Age 1 day to >100 year AGLID Gliadin IgG AGLIG 0 - 10 U/mL AGLID Gliadin IgA AGLIA 0 - 10 U/mL Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for evaluating patients suspected of having celiac disease; this includes patients with symptoms compatible with celiac disease, patients with atypical symptoms, and individuals at increased risk of celiac disease. Useful for evaluating the response to treatment with a gluten-free diet. Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for evaluating patients suspected of having celiac disease; this includes patients with symptoms compatible with celiac disease, patients with atypical symptoms, and individuals at increased risk of celiac disease. Useful for evaluating the response to treatment with a gluten-free diet. Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for evaluating patients suspected of having celiac disease; this includes patients with symptoms compatible with celiac disease, patients with atypical symptoms, and individuals at increased risk of celiac disease. Useful for evaluating the response to treatment with a gluten-free diet. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 176 of 405 G Sparrow Laboratories Online Test Catalog ANTI- GLOMERULAR BASEMENT MEMBRANE AB Order Code: AGBMA 1735 Epic Code LAB727 Synonym ANTI-GBM CPT 83520 Method Enzyme-Linked Immunoabssorbent Assay (ELISA)''' Scheduled Monday Friday at Mayo CODE COMPONENT 1735 Department MREF Specimen 4 ml serum (Min: 1 ml) REFERENCE RANGE 1 day to >100 year Age AGBMA ANTI-GBM AGBMA Negative 0 - 20.9 U AGBMA ANTI-GBM AGBMA Negative 0 - 20.9 U AGBMA ANTI-GBM AGBMA Negative 0 - 20.9 U AGBMA ANTI-GBM AGBMA Weak pos. 21.0 - 30.0 U AGBMA ANTI-GBM AGBMA Weak pos. 21.0 - 30.0 U AGBMA ANTI-GBM AGBMA Weak pos. 21.0 - 30.0 U AGBMA ANTI-GBM AGBMA Positive > - 30.1 U AGBMA ANTI-GBM AGBMA Positive > - 30.1 U AGBMA ANTI-GBM AGBMA Positive > - 30.1 U Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temp, then centrifuge. GLUCAGON Order Code: GLUCA 1302 Epic Code LAB1005 Synonym Hypoglycemia, GLP CPT 82943 Method Radioimmunodassay (RIA) Scheduled Monday, Thursday at Mayo CODE COMPONENT 1302 Department MREF Ref Code: GLP Specimen 3 ml plasma Min. 0.50 ml) REFERENCE RANGE Age GLUCA Glucagon Container 1 Lavender top EDTA tube prechilled For Customer Service call 517-364-7800 or 800-884-2522 GLUCA Processing Instructions Pre-chill 1 Lavender (EDTA); place specimen in ice bath, centrifuge, and freeze plasma immediately. 9/21/2016 8:09:05 AM 1 day to >100 year 0 - 60 pg/mL Storage Temp Frozen Page 177 of 405 G Sparrow Laboratories Online Test Catalog GLUCOSE BODY FLUID Order Code: BFLGL 1366 Epic Code LAB186 Synonym Body Fluid, Glucose CPT 82945 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Specimen 1 ml body fluid Container Processing Instructions Storage Temp Refrigerate Sterile container or 1 green top Refrigerate tube, Li heparin GLUCOSE CSF Order Code: CFGLU 1370 Epic Code LAB185 Synonym Cerebrospinal Fluid Glucose, CSF CPT 82945 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Specimen 1 ml CSF (Min: 0.5 ml) Container Processing Instructions 1 sterile tube Storage Temp Refrigerate Refrigerate GLUCOSE 6 PHOSPHATE DEHYDROGENASE Order Code: G6PD 1273 Epic Code LAB4058 Synonym G-6-PD Quantitative, G6PD CPT 82955 Method Spectrophotometric Kinetic Scheduled Monday-Friday at Mayo COMPONENT 1273 CODE Department MREF Ref Code: G6PD Specimen 4 ml whole blood (Min: 1 ml) REFERENCE RANGE Age G6PD Container 1 yellow top ACD tube (Solution B) For Customer Service call 517-364-7800 or 800-884-2522 G-6-PD G6PD Processing Instructions Refrigerate. DO NOT CENTRIFUGE. 9/21/2016 8:09:05 AM 1 day to >100 year 8.6 - 18.6 U/G OF Hgb Storage Temp Refrigerate Page 178 of 405 G Sparrow Laboratories Online Test Catalog 3 HR GLUCOSE TOLERANCE, GESTATIONAL Order Code: 3GTT Epic Code LAB164 Synonym GLU, Gest Tolerance, 3 Hour Tolerance, 3GT CPT 82952 Scheduled CODE COMPONENT 6834 Age Fasting Glucose, Urine UGL01 Negative - 3GTT Fasting Glucose GLFST 65 - 95 mg/dL 3GTT 1 hr Glucose GL1H 0 - 172 mg/dL 3GTT 2 hr Glucose GL2H 0 - 150 mg/dL 3GTT 3 hr Glucose GL3H 0 - 135 mg/dL 3GTT 3 hr Tolerance Interpretation 3GTI1 Not - Present Urine container and Multiple gray top tubes Processing Instructions Storage Temp Refrigerate Fasting Urine, Fasting blood draw, then draw sample each hour. GLUCOSE TOLERANCE-2HR 82952 12 year to >100 year 3GTT Container 1 ml plasma (Min: 0.5 ml) 82952 REFERENCE RANGE Department CHM Specimen 6834 Order Code: 2GTT 6788 Synonym 2 Hour GTT Epic Code LAB169 Test Component Urine glucose, fasting glucose specimen, 2 hour blood glucose and interpretation CPT 82951 results Method spectrophotometry Scheduled Sunday - Saturday Department CHM Specimen Container 2 ml plasma and 1 random Urine specimen 2 grey top NaFl tubes, Fasting and 2 hour (Urine container) Processing Instructions If urine is Negative for Glucose, draw fasting specimen and give patient 75 grams of glucola. Next, in 2 hours, draw second specimen. Storage Temp Refrigerate Test Information Used to screen for, diagnose, and monitor hyperglycemia, hypoglycemia, diabetes, and pre-diabetes Patient Information Patient should maintain a high carbohydrate diet for 3 days prior to testing. Patient should be fasting 8 hours or more the day of the test. Non-pregnant adults receive 75 grams of glucose, pregnant females receive 100 grams of glucose. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 179 of 405 G Sparrow Laboratories Online Test Catalog GLUCOSE, 1 HR POST PRANDIAL Order Code: GL1PP 8011 Epic Code LAB879 Synonym GLU CPT 82947 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Specimen Container Fasting urine and 3 ml serum (min: 1ml) Processing Instructions Sterile urine container and 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 mimutes at room temperature, then centrifuge Patient Information Patient should maintain a high carbohydrate diet for 3 days prior to test. Patient must be fasting for 8 hours or more. Nonpregnant adults receive 75 grams glucose, pregnant females receive 100 grams glucose. GLUCOSE, 2 HOUR POST PRANDIAL Order Code: GL2PP 1107 Epic Code LAB4025 Synonym 2 HR PP Glucose CPT 82947 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1107 Department CHM Age GL2PP Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Glucose-2 Hour PP Container 1 gold top SST clot tube GL2PP 1 day to >100 year 65 - 139 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge immediately. Storage Temp Refrigerate Patient Information Obtain sample 2 hours after high carbohydrate meal. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 180 of 405 G Sparrow Laboratories Online Test Catalog GLUCOSE, 24 HOUR URINE Order Code: UGL24 1372 Epic Code LAB396 Synonym GLU, 24 hr urine glucose CPT 82945 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Ref Code: Sparrow Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container; Add benzoic and boric acid tablets as a preservative at the start of collection. Processing Instructions Storage Temp Refrigerate Refrigerate during collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information When multiple 24 hr urine tests are ordered, Boric acid and 50% Acetic acid are acceptable. GLUCOSE, 2-HOUR POST-GLUCOLA Order Code: GL2GL 1210 Epic Code LAB4046 Synonym GLU CPT 82950 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge immediately. Storage Temp Refrigerate Patient Information Obtain sample 2 hours after ingestion of 75 gm Glucola test meal. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 181 of 405 G Sparrow Laboratories Online Test Catalog GLUCOSE, FASTING Order Code: GLU 1105 Epic Code LAB81 Synonym FBS, GLU CPT 82947 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1105 Department CHM Age GLU Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Glucose Fasting Container GLU 1 month to >100 year 65 - 99 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge immediately. Patient Information Patient must be fasting for at least 8 hours. GLUCOSE, GESTATIONAL DIABETES SCREEN Order Code: 1HGST 1102 Epic Code LAB4023 Synonym Glucose 1 Hr/Glucola, GDS, 1 hour Gest CPT 82950 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday COMPONENT 1102 CODE Department CHM Age 1HGST Specimen REFERENCE RANGE Glucose Container 1HGST 1 day to >100 year 65 - 134 mg/dL Processing Instructions Storage Temp 1 ml plasma or serum (Min: 0.5 ml) 1 gray top tube, NaFl or 1 gold For serum gel barrier, allow blood to clot upright 30 minutes at top SST clot tube room temperature, then centrifuge. Refrigerate Test Information Screening for gestational diabetes test. Patient Information Fasting not required. Drink should be consumed within 5 minutes. Obtain blood 1 hour after 50 gm glucola. Additional Information Plasma from a Gray top potassium oxalate/Sodium fluoride tube is acceptable. ** New ACOG References Ranges updated March 2016. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 182 of 405 G Sparrow Laboratories Online Test Catalog GLUCOSE, RANDOM Order Code: GLRND 1371 Epic Code LAB82 Synonym RBS CPT 82947 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge immediately. GLUCOSE, URINE, RANDOM Order Code: UGLUR 1348 Epic Code LAB4535 Synonym GLU, urine glucose CPT 82945 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Specimen 20 ml single void sample (Min: 5 ml) Container Urine container, no preservative. Processing Instructions Storage Temp Refrigerate Refrigerate GRAM STAIN Order Code: GRAM 1445 Epic Code LAB250 Synonym GS, Smear CPT 87205 Method Stain, microscopic Scheduled Sunday - Saturday Department MIC Specimen Any site or fluid Container Specimen in sterile container, labeled slide Processing Instructions Room temperature Storage Temp Ambient Test Information Include anatomic site and source. Additional Information Slides submitted must be fixed with methanol. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 183 of 405 G Sparrow Laboratories Online Test Catalog ANTI- GRANULOCYTIC ANTIBODY Order Code: AGAB 1757 Epic Code LAB1176 Synonym Anti-Leukocyte Antibodies, Leukocyte, Granulocyte Ab CPT 86021 Method Indirect Immunofluorescence Scheduled Monday-Friday Department MREF Specimen 2 ml serum (Min: 0.5 ml) Container Processing Instructions 1 Plain red top tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Patient Information Only pre-transfusion reaction samples are acceptable. GROUP B STREP SCREEN Order Code: PCBSB Synonym STREP SCREEN, GYN, BETA, GROUP B, GROUP B BY PCR 1412 Epic Code LAB922 CPT 87653 Method PCR Scheduled Variable, Monday -Friday CODE COMPONENT 1412 Department MDX Age PCBSB Specimen Vaginal/ rectal swab REFERENCE RANGE Group B Strep Container Culturette II Aerobic swab (NOT accepted: Calcium alginate and wooden shafted swabs) PCBSB Processing Instructions 1 day to >100 year Not Detected - Storage Temp Submit both swabs in original transport sheath. Room temperature or refrigerated up to 5 days, Once received in laboratory, must be incubated in LIM broth for minimum of 8 hours prior to extraction. Amniotic Fluid- 2-8˚C or frozen. Room Temperature Test Information Group B Strep (GBS), bacterium Streptococcus agalactiae, is the leading cause of neonatal sepsis, morbidity and mortality. CDC guidelines for prevention of GBS disease in newborns recommend prenatal screening for GBS colonization in all pregnant women at 35-37 weeks gestation as well as intrapartum antibiotic prophylaxis for patients identified as GBS positive. Patient Information Collect specimen between 35 to 37 weeks gestation. Please indicate patient allergy to penicillin upon order. Additional Information Susceptibility testing of isolates from PCN allergic patients will be performed on request from samples submitted for PCR. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 184 of 405 G Sparrow Laboratories Online Test Catalog GROWTH HORMONE Order Code: GRWTH 1111 Epic Code LAB525 Synonym hGH (Human Growth Hormone), Somatotrophic Hormone CPT 83003 Method Two-Site Immunoenzymatic (Sandwich) Assay Scheduled Tuesday, Thursday CODE COMPONENT 1111 REFERENCE RANGE Department MREF Age GRWTH Growth Hormone GRWTH GRWTH Growth Hormone GRWTH Age Specimen Container 1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube M 1 day to >100 year 0.0 - 10.0 ng/mL F 1 day to >100 year 0.0 - 5.0 ng/mL Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Patient Information Patient must be fasting. Additional Information EDTA and heparin plasma specimens are acceptable. H. PYLORI BREATH TEST Order Code: HPYBR 10084 Epic Code LAB572 Synonym Helicobacter, Ulcer test, Urea breath test CPT 83013 Method Infared spectrophotometry Scheduled Monday - Friday at Mayo Department MREF Ref Code: UBT Specimen Container Breath Test Information UBT Breath Test Kit Processing Instructions Patient must be Fasting (1 hour), prior to breath test. Kit bag must be Full. Storage Temp Room Temperature Diagnostic testing for Helicobacter pylori infection in patients suspected to have active Helicobacter pylori infection or for monitoring response to therapy. Patient Information Patient should not have taken most antacids for two weeks prior to testing. This includes both prescription and over the counter drugs. Additional Information Do not order for pediatric patients. Alternative test for the diagnosis of active Helicobacter pylori infection in patients younger than 18 years of age is6843/HPYAG H. pylori antigen, Feces. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 185 of 405 H Sparrow Laboratories Online Test Catalog H. PYLORI STOOL ANTIGEN Order Code: HPYAG 6843 Epic Code LAB397 Synonym Helicobacter CPT 87338 Method Microwell based enzyme immunoassay Scheduled Monday - Friday Department MIC Specimen 5 grams ( gram min.) stool or fecal material Container Clean, dry container Processing Instructions Storage Temp Refrigerate Refrigerate immediately. Freeze if testing will be delayed beyond 72 hours. Test Information Preserved specimens in 10% formalin, SAV, PVA, Cary Blair, transport media, or swabs will be rejected. HALOPERIDOL Order Code: HALD 8143 Epic Code LAB191 Synonym HALDOL CPT 80173 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Mnday - Friday at Mayo Department MREF Ref Code: HALO Specimen 2 ml serum (Min: 1.0 ml) Container 1 Plain red top tube Processing Instructions Refrigerate Storage Temp Refrigerate Additional Information Test includes Haloperidol and reduced Haloperidol. Red top tube-gel barrier are not acceptable. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 186 of 405 H Sparrow Laboratories Online Test Catalog HAPTOGLOBIN Order Code: HAPT 1113 Epic Code LAB89 Synonym Hemoglobin-Binding Protein; HAPT; HAPTO CPT 83010 Method Nephelometry Scheduled Monday- Friday (Evenings) CODE COMPONENT 1113 Department STL Age HAPT Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Haptoglobin Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 HAPT 1 day to >100 year 15 - 185 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:05 AM Storage Temp Refrigerate Page 187 of 405 H Sparrow Laboratories Online Test Catalog BETA- HCG QUANTITATIVE, SERUM Order Code: BHCG 1325 Epic Code LAB143 Synonym Human Chorionic Gonadotropin CPT 84702 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1325 REFERENCE RANGE Department CHM Age BHCG Gestational Quant BhCG BHCG BHCG Gestational Quant BhCG BHCG BHCG Gestational Quant BhCG BHCG BHCG Gestational Quant BhCG Age BHCG BHCG BHCG Gestational Quant BhCG BHCG BHCG Gestational Quant BhCG BHCG BHCG Gestational Quant BhCG BHCG 1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 2 month to 3 month 10000 - 100000 mIU/mL Age Container 6 week to 8 week 15000 - 200000 mIU/mL Age Specimen 5 week to 6 week 10000 - 100000 mIU/mL Age BHCG 4 week to 5 week 1000 - 50000 mIU/mL Age Gestational Quant BhCG 3 week to 4 week 500 - 10000 mIU/mL Age BHCG 2 week to 3 week 100 - 5000 mIU/mL Age Gestational Quant BhCG 1 week to 2 week 50 - 500 mIU/mL Age BHCG 0.2 week to 1 week 5 - 50 mIU/mL F M 1 day to >100 year < - 5 mIU/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:05 AM Storage Temp Refrigerate Page 188 of 405 H Sparrow Laboratories Online Test Catalog HCV FIBROSURE Order Code: LCHFS Synonym Actitest, Fibrosure, Fibrotest, Hepatitis C Virus Fibrosure 10313 Epic Code LAB4503 CPT 82172 82247 82977 Scheduled Department SOO Specimen 3.5 mL serum Container 1 gold top SST clot tube Processing Instructions Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer to plastic vial and Freeze. Test Information Replaces test 7088/FHCVF HCV FibroSURE Additional Information ** New Test added June 21, 2016 HCV GENOTYPING Order Code: LCHCG 10308 Epic Code Synonym Reflex HCV Genotype CPT 87902 Scheduled Department SOO Ref Code: 550475 Specimen 2 mL EDTA plasma Container 1 - 7 ml Lavender top tube, EDTA Processing Instructions Test ordered by MDX caregivers. Only submit samples that contain a HCV viral load >1000 IU/Ml Storage Temp Frozen Test Information Order Test Quantitative Viral Load/Genotype: HCVQG/ LAB915. If indicated, the genotype is ordered. Additional Information Hepatitis C Viral Load >1,000 IU/mL, performed at Sparrow MDX Lab will be sent for Genotype. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 189 of 405 H Sparrow Laboratories Online Test Catalog HDL CHOLESTEROL Order Code: HDL 1281 Epic Code LAB101 Synonym HDL, High Density Lipoprotein CPT 83718 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1281 REFERENCE RANGE Department CHM Age Specimen HDL HDL F 35 - 75 mg/dL HDL HDL HDL M 30 - 60 mg/dL Container 1 ml serum (Min: 0.5 ml) 1 day to >100 year HDL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information An HDL result of < 40 mg/dl is a risk factor for CHD. HDL is also a component of a lipid profile HE4 HUMAN EPIDIDYMIS PROTEIN Order Code: HE4EP 10249 Epic Code LAB4726 Synonym Ovarian CPT 86305 Method Chemiluminescent Microparticle (CMIA) Scheduled Wednesday; afternoon shift CODE COMPONENT 10249 Department MSER Age HE4EP Specimen Container 1.5 mL serum Test Information REFERENCE RANGE 1 gel barrier SST tube HE4 Protein HE4EP Processing Instructions Male or Female 1 day to >100 year 0 - 141 pmol/L Storage Temp Only serum collected in serum separator accepted. Centrifuge and refrigerate within 24 hrs or freeze to -20 C. Refrigerate The HE4 assay is a biomarker for ovarian cancer. A positive change in HE4 is defined as an increase in the value that was at least 20% greater than the previous value of the test. Values obtained with different assay methods or kits may be different and cannot be used interchangeably. Test result cannot be interpreted as absolute evidence for the presence of malignant disease. Additional Information Samples with lipemia, hemolysis, or particulate matter will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:05 AM Page 190 of 405 H Sparrow Laboratories Online Test Catalog HEAVY METAL SCREEN, URINE Order Code: UHMET 1114 Epic Code LAB398 Synonym Cadmium, Lead, Arsenic, Mercury CPT 82175 82300 83655 Method Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) Scheduled Monday - Saturday at Mayo CODE COMPONENT 1114 Department MREF REFERENCE RANGE Age Ref Code: HMSU Arsenic UARSN UHMET Arsenic Concentration UARSC UHMET Lead ULEAD UHMET Lead Concentration UPBCN 0 - 4 mcg/Specim UHMET Collection Duration COLD4 up to - 24 hours UHMET Volume UVOL3 Measure - in mL 0 - 35 mcg/Specim Age Specimen Test Information UHMET Mercury UMERC UHMET Mercury Concentration UHGCN UHMET Cadmium UHMET Cadmium Concentration Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to >100 year UHMET 24 hr urine container, no preservative 16 year to >100 year 0 - 9 mcg/Specim UCAD UCDCN 0.0 - 1.3 mcg/Specim Processing Instructions Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Storage Temp Refrigerate Useful screening test for detection of arsenic, Mercury, cadmium, lead or exposure. Patient Information No seafood 48 prior to collection start or during collection. Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information The following preservatives are acceptable if multiple assays are requested: 50% Acetic Acid, 6N HCI For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 191 of 405 H Sparrow Laboratories Online Test Catalog HEAVY METALS SCRN WITH DEMOGRAPHICS Order Code: HMDB Synonym ** NEW TEST 9/20/16, Replaces 8165/HVMTB, Arsenic, Cadmium, Mercury, Hg, Lead, PB 10515 Epic Code LAB4816 CPT 83825 82175 82300 Method Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) Scheduled Monday-Saturday at Mayo CODE COMPONENT 10515 Department MREF Ref Code: HMDB Specimen Whole blood (Min. 0.3 mL) REFERENCE RANGE Age 1 day to >100 years HMDB Arsenic ARSNB 0 - 12 ng/mL HMDB Lead LEADB 0.0 - 4.9 mcg/dL HMDB Cadmium CADMB 0.0 - 4.9 ng/mL HMDB Mercury HMSHG 0 - 9 ng/mL HMDB Venous or Capillary VENCP HMDB Street Address PTADD HMDB City PCITY HMDB State PSTTE HMDB Zip code PZIP HMDB County PCTY HMDB Guardian First Name GRFNM HMDB Guradian Last Name GRLNM HMDB Race PRACE HMDB Patient Employer PTEM6 HMDB Patient Ethnicity PTET6 HMDB Patient Occupation PTOC6 HMDB Health Care Provider Name MDOR6 Container 1 Dark blue top EDTA (Heavy Metals only) Processing Instructions Send specimen in original tube Storage Temp Refrigerate Additional Information ** New Test 9/20/2016, Replaces test 8165/HVMTB For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 192 of 405 H Sparrow Laboratories Online Test Catalog HELICOBACTER PYLORI IGG Order Code: PYLOR 6641 Epic Code LAB158 Synonym H. Pylori Antibody CPT 86677 Method Enzyme Immunoassay (EIA) Scheduled Monday, Wednesday and Friday CODE COMPONENT 6641 REFERENCE RANGE Department IMM Age PYLOR Specimen 1 ml serum (Min: 0.5 ml) H Pylori Container 1 gold top SST clot tube PYLOR 1 day to >100 year 0.0 - 0.8 U/mL Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HELICOBACTER UREA SCREEN Order Code: HELIC 1791 Epic Code LAB4479 Synonym HP-Fast, CLO Test CPT 87081 Method Urease Production Scheduled Sunday - Saturday Department MIC Specimen 2 - 3 mm biopsy tissue Container Clo-Test media Processing Instructions Room Temperature Storage Temp Ambient Test Information Clo-Test media can be obtained from laboratory (517-364-7800) OR (1-800-884-2522) For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 193 of 405 H Sparrow Laboratories Online Test Catalog HEMATOCRIT Order Code: HCT 7821 Epic Code LAB289 Synonym HCT,CRIT CPT 85014 Method Automated Hematology Analyzer Scheduled Sunday - Saturday CODE COMPONENT 7821 REFERENCE RANGE Department HEM Age HCT Hematocrit HCT HCT Hematocrit HCT HCT Hematocrit HCT HCT Hematocrit 33 - 53 % Age HCT HCT 7 year to 16 year 35 - 42 % Age 16 year to >100 year HCT Hematocrit HCT M 38 - 49.5 % HCT Hematocrit HCT F 36 - 45 % Container 4 ml whole blood (Min: 0.5 ml) 5 year to 7 year 33 - 41 % Age Specimen 2 year to 5 year 30 - 40 % Age Hematocrit 3 month to 2 year 31 - 41 % Age HCT 1 day to 3 month 1 Lavender top EDTA tube Processing Instructions Storage Temp Refrigerate Refrigerate HEMO MONTHLY PRE PANEL Order Code: HMTHP 6690 Epic Code LAB4546 Synonym Test Component 1503,RBC,WBC,HGB,HCT,MCV,MCH,MCHC,PLT,1172,1002,1055,1234,1030,104 CPT 1,1057,1136,1179,1174,1185,1230 Method Varies Scheduled Daily Department PAN Specimen serum and whole blood Container 1 gel barrier SST tube, 1 lavender top tube, EDTA For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Clot tube: Allow blood to clot upright 30 minutes at room temperature, then centrifuge. CBC: gently invert multiple times to mix EDTA with whole blood. 9/21/2016 8:09:06 AM Storage Temp Refrigerate Page 194 of 405 H Sparrow Laboratories Online Test Catalog HEMOCHROMATOSIS HFE GENE ANALYSIS, B Synonym Hereditary hemochromatosis, HLA-H Gene, HFE Gene, H63D, C282Y Order Code: HFE 10328 Epic Code LAB4802 CPT 81256 Method Polymerase Chain Reaction (PCR)-Based Assay Utilizing Agena Mass Array Platform Scheduled Monday-Friday at Mayo Department MREF Ref Code: HFE Specimen Container 2.5 mL whole blood (Min. 0.5 mL) 1 Lavender top EDTA tube or 1 yellow top ACD tube Processing Instructions Gently invert several times to mix blood. Send specimens in original tubes. Storage Temp Room Temperature Test Information Useful for establishing or confirming the clinical diagnosis of hereditary hemochromatosis (HH) in adults or predictive testing with appropriate genetic counseling for family history of HH. Useful for testing of individuals with increased transferrin-iron saturation in serum and serum ferritin. HFE genetic testing is NOT recommended for population screening. Additional Information **New Test Added 8/09/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 195 of 405 H Sparrow Laboratories Online Test Catalog HEMOGLOBIN Order Code: HGB 7832 Epic Code LAB291 Synonym HGB CPT 85018 Method Automated Hematology Analyzer Scheduled Sunday - Saturday CODE COMPONENT 7832 REFERENCE RANGE Department HEM Age Hemoglobin HGB M 12.6 - 16.5 g/dL HGB Hemoglobin HGB F 12.0 - 15.0 g/dL HGB Hemoglobin HGB 13.5 - 19.5 g/dL Age HGB Hemoglobin HGB HGB Hemoglobin HGB Hemoglobin HGB HGB Hemoglobin HGB 4 ml whole blood (Min: 0.5 ml) 5 year to 7 year 11.4 - 13.6 g/dL Age Container 2 year to 5 year 10.5 - 13.5 g/dL Age HGB 3 month to 2 year 9.5 - 13.5 g/dL Age Specimen 16 year to >100 year HGB 7 year to 16 year 11.4 - 13.9 g/dL Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate Refrigerate Additional Information Limited Access Test, Must Be Collected at SPB/Sparrow Professional Building. Specimen must be tested within 4 hours of collection. HEMOGLOBIN A1C Order Code: HA1C 1298 Epic Code LAB90 Synonym HBA1C,GLYCO HGB,Glycohemoglobin CPT 83036 Method HPLC Scheduled Monday - Saturday CODE COMPONENT 1298 Department CHM Age HA1C Specimen 2 ml whole blood (Min: 0.5 ml) REFERENCE RANGE Glycohgb-HGA1C Container 1 **Pink top tube - K3EDTA New tube type, effective 4-0815 HA1C Processing Instructions Gently invert the tube multiple times. Refrigerate 1 day to >100 year 4.0 - 6.0 % Storage Temp Refrigerate Additional Information Green top (lithium heparin) tubes no longer accepted. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 196 of 405 H Sparrow Laboratories Online Test Catalog HEMOGLOBIN FRACTIONATION Order Code: FXHGB 1116 Epic Code LAB4026 Synonym Hgb Electrophoresis, HGB fx CPT 83020 Method Electrophoresis Scheduled Monday - Friday Department SPCHM Specimen Container 2 ml whole blood (Min: 0.5 ml) Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate Refrigerate. DO NOT CENTRIFUGE. HEMOGLOBIN, PLASMA Order Code: PHGB 1115 Epic Code LAB92 Synonym Free Hemoglobin CPT 83051 Method Spectrophotometry Scheduled Monday - Sunday at Mayo CODE COMPONENT 1115 Department MREF REFERENCE RANGE Age PHGB Ref Code: PLHBB Specimen Hemoglobin-Plasma Container 2 ml plasma (Min: 0.5 ml) 1 Lavender top EDTA tube PHGB 18 year to >100 year 0.0 - 15.0 mg/dL Processing Instructions Storage Temp Centrifuge immediately. Remove plasma and refrigerate. (Heparinized plasma is acceptable.) Refrigerate Test Information Useful for determining whether hemolysis is occurring from a transfusion reaction, mechanical fragmentation of RBCs or relative comparison to baseline levels in ECMO and cVAD patients to assess pump disruption. HEMOSIDERIN, URINE Order Code: HMSDU 1574 Epic Code LAB399 Synonym Iron stain, Prussian blue CPT 83070 Method Iron Stain Scheduled Sunday - Saturday Department HEM Specimen 10 ml first morning void urine Container Urine container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:06 AM Storage Temp Refrigerate Page 197 of 405 H Sparrow Laboratories Online Test Catalog HEPARIN ANTI-Xa ASSAY, P Order Code: HEPN Synonym Anti-10a, Lovenox, Enoxaparin, Low-Molecular Weight Heparin 10198 Epic Code LAB4664 CPT 85520 Method Chromogenic Method on STA-R Evolution Scheduled Monday - Sunday at Mayo Department MREF Ref Code: HEPN Specimen 1.0 mL PLT Poor Plasma Container Processing Instructions Storage Temp Frozen 1 Light blue top tube, NaCitrate Spin, remove plasma, and spin plasma again. Freeze immediately in plastic vial and send frozen. Test Information Useful for measuring heparin concentration: -In patients treated with low molecular weight heparin preparations -In presence of prolonged baseline APTT, (eg, lupus anticoagulant, "contact factor" deficiency, etc.) -When unfractionated heparin dose needed to achieve desired APTT prolongation is unexpectedly higher (>50%) than expected. Additional Information Plasma specimen must be depleted of platelets by repeat centrifugation before freezing. HEPARIN-PF4 ANTIBODY, S Order Code: HITAB 7755 Epic Code LAB766 Synonym HEP Induced Platelet Antibody, HIT CPT 86022 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday-Saturday at Mayo Department MREF Specimen 1 ml Serum, (Min. 0.5 ml) Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Storage Temp Allow blood to clot upright 30 minutes, then centrifuge. Next transfer to plastic vial and Freeze. Get barrier tubes NOT accepted. 9/21/2016 8:09:06 AM Frozen Page 198 of 405 H Sparrow Laboratories Online Test Catalog HEPATIC LIVER PROFILE Order Code: LFP 1334 Synonym Liver Battery, LFP, Liver Profile Epic Code LAB4068 Test Component ALT,AST,LDH,ALK PHOS CPT 80076 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1334 REFERENCE RANGE Department CHM Age LFP LDH LDH 100 - 1000 U/L Age LFP AST(SGOT) AST LFP ALK Phosphatase ALP LDH 0 - 380 U/L M or F LDH ALK Phosphatase ALP LFP AST(SGOT) AST LFP AST(SGOT) 0 - 105 U/L AST LDH AST(SGOT) AST 10 year to 17 year LFP ALK Phosphatase ALP F 0 - 350 U/L LFP ALK Phosphatase ALP M 0 - 500 U/L Age 10 year to >100 year LFP ALT(SGPT) ALT 2 - 45 U/L LFP AST(SGOT) AST 10 - 40 U/L LFP ALK Phosphatase ALP F 0 - 200 U/L LFP ALK Phosphatase ALP M 0 - 300 U/L LFP ALK Phosphatase ALP M or F LFP LDH LDH Age Age Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 17 year to 20 year 20 year to >100 years 0 - 120 U/L Age 1 ml serum (Min: 0.5 ml) 5 year to 10 year 0 - 50 U/L Age Specimen 2 year to 22 year 100 - 350 U/L Age LFP 1 year to 5 year 0 - 70 U/L Age LDH 1 day to 2 year 0 - 550 U/L M or F Age LFP 1 month to 2 year 100 - 550 U/L Age LFP 1 day to 6 month 0 - 120 U/L Age LFP 1 day to 1 month 22 year to >100 year 98 - 192 U/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:06 AM Storage Temp Refrigerate Page 199 of 405 H Sparrow Laboratories Online Test Catalog HEPATITIS A IGM ANTIBODY Order Code: HEPAM 1972 Epic Code LAB798 Synonym Anti-HAV IgM, Hepatitis, CPT 86709 Method Enzyme Immunoassay Scheduled 7 days a week; morning and afternoon shift Department MSER Specimen Container 2 ml serum (Min: 1 ml) 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HEPATITIS A, IgG Refrigerate Order Code: HEPAG 10213 Epic Code LAB4684 Synonym HEP A, HAV CPT 86708 Method EIA Scheduled Monday, Wednesday; afternoon shift Department MSER Specimen 1.5 mL serum Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Detected IgG anti-HAV antibodies mean that the patient has had a hepatitis A viral infection. About 8 to 12 weeks after the initial infection with hepatitis A virus, IgG anti-HAV antibodies appear and remain in the blood for lifelong protection (immunity) against HAV. This test is also used for determination of immune status in patients with previous HAV infection or HAV vaccination. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 200 of 405 H Sparrow Laboratories Online Test Catalog HEPATITIS A, IGG AND IGM PANEL Order Code: HEGAP 10215 Epic Code LAB797 Synonym HEP A, HEP Antibody, HPA, HAV CPT 86708 86709 Method EIA Scheduled Monday, Wednesday; COMPONENT 10215 afternoon shift CODE Department MSER Specimen 1.0 mL serum REFERENCE RANGE Age HEGAP HAV IgM HEPAM HEGAP HAV IgG HEPAG Container 1 gold top SST clot tube 1 day to >100 years Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HEPATITIS B CORE ANTIBODY Refrigerate Order Code: HEPBC 1971 Epic Code LAB1242 Synonym Anti-HBc, Hepatitis CPT 86704 Method Enzyme Immunoassay (EIA) Scheduled 7 days a week; morning and afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Hepatitis B Core IgM, if positive. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 201 of 405 H Sparrow Laboratories Online Test Catalog HEPATITIS B CORE IGM ANTIBODY Order Code: HPBCM 5709 Epic Code LAB549 Synonym IGM,HBCab, HEP B CPT 86705 Method Microparticle Enzyme Immunoassay (MEIA) Scheduled 7 days a week; morning and afternoon shift CODE COMPONENT 5709 Department MSER Age HPBCM Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE Hepatitis B Core IgM Ab Container HPBCM 999 year to 0 year 0-8 Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate. HEPATITIS B SURFACE ANTIBODY Order Code: HBSAB 1968 Epic Code LAB472 Synonym ANTI-HBs, HBs Ab, Hepatitis, HBV CPT 86706 Method Enzyme Immunoassay (EIA) Scheduled 7 days a week; morning and afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HEPATITIS B SURFACE ANTIGEN Order Code: HBSA 1951 Epic Code LAB471 Synonym HBs Ag, Australian Ag, HEP, HEP B, HBSAG, HBV CPT 87340 Method Enzyme Immunoassay (EIA) Scheduled 7 days a week; morning and afternoon shift COMPONENT 1951 CODE Department MSER Age HBSA Specimen 4 ml serum (Min: 2 ml) REFERENCE RANGE HBS AG Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 HBSA 1 day to >100 year Non - Reactive Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:06 AM Storage Temp Refrigerate Page 202 of 405 H Sparrow Laboratories Online Test Catalog HEPATITIS B VIRAL LOAD PCR Order Code: HBDVL 2242 Synonym Quant Hep B, HB PCR, PCR, HEP B Viral Load, HBV Epic Code LAB951 Test Component Hepatitis B DNA Viral Load and Log 10 CPT 87517 Method Taqman PCR Scheduled Weekly CODE COMPONENT 2242 Department MDX REFERENCE RANGE Age Specimen HBDVL Ultraquant HBDVR HBDVL HBV Log HLG10 Container 5 ml EDTA Plasma (Min: 2 ml) 1 day to >100 years Processing Instructions 2 Lavender top EDTA tubes Storage Temp Refrigerate Centrifuge. Transfer plasma from cells within 4 hours. Split plasma into 2 screw capped vials. Test Information EPIC Order -Code LAB951 HEPATITIS Be ANTIGEN & ANTIBODY Order Code: HEPBE 8067 Epic Code LAB4296 Synonym HEP Be, Hep Be Antibody CPT 86707 Method Enzyme Immunoassay (EIA) Scheduled Sunday - Friday at Mayo CODE COMPONENT 8067 Department QST Ref Code: Z2462 Specimen 3 ml serum (Min: 1.5 ml) REFERENCE RANGE Age 1 day to >100 years HEPBE Hepatitis Be Antibody HEPBB Non - reactive HEPBE Hepatitis Be Antigen HEPBG Non - reactive Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Frozen Test Information Used in the differential diagnosis, staging, and prognosis of hepatitis B infection. HBeAg indicates active HBV replication. Infectivity is evaluated based on HBeAg and HBsAg. When HBeAg persists longer than 10 weeks, the patient is likely to develop chronic hepatitis and be a carrier. HBeAb appears in the early convalescence of HBV infection. With carrier state and chronic hepatitis, HBeAb may not develop. Additional Information Test performed at Specialty Labs For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 203 of 405 H Sparrow Laboratories Online Test Catalog HEPATITIS C ANTIBODY Order Code: HEPC 1400 Epic Code LAB868 Synonym ANTI-HCV, HEP C, HCV Ab CPT 86803 Method Enzyme Immunoassay (EIA) Scheduled 7 days a week; morning and afternoon shift Department MSER Specimen Container 2 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HEPATITIS C QNT VIRAL LOAD/GENOTYPE Refrigerate Order Code: HCVQG 6860 Synonym HEP C, HCV, Hepatitis C Viral Load, HCV Genotype Epic Code LAB915 Test Component Possible reported classifications include: 1,1b, 1&2, 1&3, 1&3h, 1&4,1&6, 2, 2&3, CPT 87522 2&3h, 2&4, 2&5, 2&6, 3, 3h, 3&5, 3&6, 4, 4&5, 6, 6a, as well as novel types. Method PCR Scheduled Monday - Saturday at Specialty Department MDX Specimen Container 10 ml frozen plasma (min: 3 ml) 3 Lavender top tubes, EDTA Processing Instructions Within 4 hours of collection, centrifuge lavender tubes, equally divide plasma into 2 separate plastic tubes and freeze. Storage Temp Frozen If collected in an EDTA gel barrier tube (Pearl or PPT) separate plasma ASAP and label “PPT”. Test Information Clinical outcomes are genotype-dependent and differ with regard to disease severtiy and responses to (PEG) interferon and Ribiviran Comination Therapy. Studies also have suggested that in chronic infections associated with genotype 1 and 4, high viral Additional Information Hepatitis C Virus is genetically quite diverse, comprising more than 6 distinct genotypes over 11 common subtypes. In the US, genotype 1 is the most common genotype, followed by genotypes 2b and 3a. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 204 of 405 H Sparrow Laboratories Online Test Catalog HEPATITIS C VIRUS QUALITATIVE Order Code: HPCLG 8062 Epic Code LAB4295 Synonym HEP C, HCV, Hepatitis C Qual CPT 87521 Method PCR Scheduled Tuesday - Friday Department MDX Specimen Container 5 ml EDTA plasma Processing Instructions 2 Lavender top EDTA tubes Storage Temp Frozen Within 2 hours of collection, centrifuge tubes, separate and freeze in separate plastic vials. HEPATITIS C VIRUS RNA QUANT VIRAL LOAD Order Code: HCVQN 8218 Epic Code LAB887 Synonym HEP C, PCR, HCV, Hep C Virus, Hepatitis C Viral Load CPT 87522 Method PCR Scheduled Monday - Friday CODE COMPONENT 8218 Department MDX Specimen 5 ml EDTA plasma REFERENCE RANGE Age HCVQN HCV Result (DNA) HCVQV HCVQN HCV RNA HCVQR Container 2 Lavender top EDTA tubes Processing Instructions 1 day to >100 years Not - Detected Storage Temp Within 2 hours of collection, centrifuge tubes, separate plasma and freeze in separate plastic vials. Frozen Test Information Hepatitis C Virus (HCV) Viral Load (Quantitative) is used to confirm chronic HCV infection, monitor chronic HCV disease progression and response to therapy. This assay is performed using an FDA-cleared assay with a quantitative reportable range of 15 - 100,000,000 IU/mL HCV RNA. Positive Hepatitis C viral load less than 15 IU/mL are not quantified and are reported as "Detected". Additional Information Sparrow Laboratory is certified under CLIA-88 as qualified to perform high complexity clinical laboratory testing. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 205 of 405 H Sparrow Laboratories Online Test Catalog HEPATITIS DELTA ANTIBODY Order Code: HEPDA 8068 Epic Code LAB1240 Synonym HEP D, HDVAB, HDV CPT 86692 Method Enzyme Immunoassay (EIA) Scheduled Wednesday at Specialty Department MSPEC Specimen 2 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HEPATITIS PANEL Refrigerate Order Code: HEPAN 6660 Synonym HBsAg, HBc-IgM, HAV-IgM, HCV, Viral Hepatitis Markers Epic Code LAB4476 Test Component 1951,5709,1972,1400 CPT 80074 Method Microparticle Enzyme Immunoassay (MEIA) Scheduled 7 days a week; morning and afternoon shift CODE COMPONENT 6660 Department MSER Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Age HEPAN Hepatitis B Surface Ag HEPAN Hepatitis B Core IgM Ab HPBCM HEPAN Hepatitis A IgM Ab HEPAM HEPAN Hepatitis C Ab Container 1 gold top SST clot tube 1 day to >100 years HBSA HEPC Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information HBsAg, HBc-IgM, HAV-IgM, HCV For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 206 of 405 H Sparrow Laboratories Online Test Catalog HERPES I & II IGG/IGM ANTIBODY Order Code: HSVGM 1842 Synonym Herpes Serology, HSV Antibodies, Herpes antibody Epic Code LAB4145 Test Component HSVG1,HSVG2,HSVMA CPT 86695 Method Indirect Immunofluorescence (IFA) Scheduled Tuesday Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information Group test which includes IgG and IgM antibodies to HSV type I and type II HERPES I & II, IGM ANTIBODY Order Code: HSVMA 8093 Epic Code LAB4305 Synonym Herpes Select, HSV CPT 86694 Method Enzyme Immunoassay (EIA) Scheduled Tuesday Department MSER Specimen 1 ml serum (Min: 0.5 ml) Test Information Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Total HSV IgM antibody reported. Does not differentiate between type I and type II. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 207 of 405 H Sparrow Laboratories Online Test Catalog HERPES TYPE I/II by PCR, Blood Order Code: BLHSV 10241 Synonym HSV on Blood, Herpes Simplex Virus Epic Code LAB4712 Test Component BLHS1; BLHS2; BLHSD CPT 87529 Method PCR Scheduled Monday - Saturday in DNA Lab CODE COMPONENT 10241 REFERENCE RANGE Department MDX Age Specimen Sample Type BLHS1 BLHSV HSV Type II BLHS2 BLHSV HSV BLHSD Container 2 ml plasma (min. 0.5 mL) Test Information BLHSV 1 - 7 ml Lavender top tube, EDTA 1 day to >100 year Blood Not - Detected Processing Instructions Centrifuge and separate plasma from cells within 4 hours of collection. Storage Temp Refrigerate The detection of Herpes Simplex Virus Type I (HSV I) and Herpes Simplex Virus Type II (HSV II) is based on real-time amplification and detection of specific HSV DNA sequences by PCR from total DNA extracted from the specimen. Probes specific for HSV I and HSV II are used to identify and differentiate the products of the PCR amplification. The diagnosis of HSV I or HSV II should not rely solely upon the result of a PCR assay. A positive PCR result should be considered in conjunction with clinical presentation and additional established diagnostic tests. A negative PCR result indicates only the absence of HSV I or HSV II DNA in a sample tested and does not exclude the diagnosis of disease. Equivocal results cannot be determined to be positive or negative. Additional Information ** New Test available 6/09/15. This test or one or more of its components was developed and its performance characteristics determined by Sparrow Laboratories. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. Sparrow Laboratories is certified under CLIA-88 as qualified to perform high complexity clinical laboratory testing. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 208 of 405 H Sparrow Laboratories Online Test Catalog HERPES TYPES I AND II BY PCR Order Code: PCHSV 8069 Epic Code LAB4297 Synonym HSV, CSF, Herpes Simplex Virus CPT 87529 Method PCR Scheduled Monday, Wednesday, Friday CODE COMPONENT 8069 Department MDX REFERENCE RANGE Age Specimen Specimen Type SPMO4 Type - Varies PCHSV HSV I PCRHV Not - Detected PCHSV HSV II PCRH2 PCHSV HSV DNA PCRHD Container 1 ml CSF/Body fluid, 1.5 ml Respiratory washings or aspirate, Throat, Dermal or Genital lesions 1 day to >100 year PCHSV Sterile screw capped sterile vial, culture transport swab for lesions Not - Detected Processing Instructions Maintain sterility and forward promptly. For CSF-Freeze 1 ml Storage Temp Refrigerate or Frozen Test Information HSV causes clinical manifestations in both normal and immuno-compromised hosts. Infected anatomical sites include lips, oral cavity, eyes, genital tract, skin and CNS. Disseminated HSV may occur in immunocompromised patients and is usually fatal. Additional Information Specimen source MUST be specified on request form for processing. Specimens grossly contaminated with blood may inhibit the PCR and produce false negative results. Calcium alginate tipped swab or transport swab containing gel is not acceptable for PCR For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 209 of 405 H Sparrow Laboratories Online Test Catalog HERPES VIRUS 6 IGG & IGM Ab TO EARLY AG Order Code: HRP6A 8082 Epic Code LAB4303 Synonym HHV6, Human Herpesvirus CPT 86790 Method Enzyme Immunoassay (EIA) Scheduled Monday, Wednesday, Friday at Specialty Department MSPEC Specimen Container 2 ml serum (Min: 1 ml) Specimen 1 gold top SST clot tube Container 2 ml serum (Min: 1 ml) Specimen 1 gold top SST clot tube Container 2 ml serum (Min: 1 ml) 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Processing Instructions Refrigerate Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HEXOSAMINIDASE A AND TOTAL Refrigerate Refrigerate Order Code: HEXOA Synonym Acetylglucosaminedase A and B,Beta-N-Acetylglucosaminidase, GM2 Gangliosidosis Disease, Tay Sachs Disease,Sandhoff Disease 1117 Epic Code LAB4027 CPT 83080 Method Heat Inactivation, Fluorometric, Automated Scheduled Department MREF Ref Code: NAGW Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze serum in a plastic tube. (Specimens may be frozen after arrival in Central Processing.) Storage Temp Frozen Additional Information Serum assay results are often ambiguous on pregnant females and will not be run. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 210 of 405 H Sparrow Laboratories Online Test Catalog HIGH SENSITIVITY CRP Order Code: HSCRP 6717 Epic Code LAB150 Synonym HSCRP, Cardiac Risk CPT 86141 Method Chemiluminescence Scheduled Monday, Wednesday, CODE COMPONENT 6717 Friday Department IMM REFERENCE RANGE Age HSCRP Specimen High Sensitivity CRP Container 1 ml serum (Min: 0.5 ml) HSCRP 1 day to >100 year 0.000 - 0.300 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HISTAMINE, P Order Code: FHSPL 10178 Epic Code LAB4641 Synonym HIST CPT 83088 Method Enzyme Immunoassay (EIA) Scheduled Mon. Tues. Thursday, Mayo Forward COMPONENT 10178 CODE Department MREF Age FHSPL Ref Code: FHSPL Specimen Histamine Container 3.0 mL plasma EDTA (min. 1.0 mL) Test Information REFERENCE RANGE 1 Lavender top EDTA tube FHSPL 1 day to >100 year < 1.0 - Processing Instructions Cool immediately on ice and centrifuge within 20 minutes of the collection. (Centrifuge: 1500 rpm for 10 minutes at 4 degrees C.) Carefully remove 1 mL of EDTA plasma from the upper part of the tube. Freeze plasma and send frozen in a plastic vial. ng/mL Storage Temp Frozen Test Performed by: Viracor-IBT Laboratories, Lee's Summit, MO 64086 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 211 of 405 H Sparrow Laboratories Online Test Catalog HISTONE ANTIBODY Order Code: AHAR 6624 Epic Code LAB4032 Synonym Histone Ab CPT 83516 Method Indirect Immunofluorescence (IFA) Scheduled Tuesday - Saturday Department MREF Ref Code: HIS Specimen 2 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature; then centrifuge. HISTOPLASMA AG, U Order Code: UHIST 5152 Epic Code LAB400 Synonym H. capsulatum Ag, H. Polysaccharide Antigen CPT 87385 Method Enzyme Immunoassay (EIA) Scheduled Monday - Friday at Mayo CODE COMPONENT 5152 REFERENCE RANGE Department MREF Ref Code: UHIST Specimen 3.0 ml Urine (min. 2.5 ml) Age 1 day to >100 year UHIST Histoplasma Ag Result HISTQ Negative 0.00 - 0.10 UHIST Histoplasma Ag Value DEXHU Positive > or - = 0.50 Container Sterile urine container Processing Instructions Collect a random urine and submit unpreserved. Storage Temp Refrigerate Test Information Useful for aid in the diagnosis of Histoplasma capsulatum infection. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 212 of 405 H Sparrow Laboratories Online Test Catalog HISTOPLASMA PRECIPITIN Order Code: HSTPC 1683 Epic Code LAB795 Synonym Histoplasma Antibody CPT 86698 Method Immunodiffusion Scheduled Monday-Friday; afternoon shift CODE COMPONENT 1683 REFERENCE RANGE Department MSER Age Specimen HSTPC Histoplasma precipitins Hband HSTPH HSTPC Histoplasma precipitins Mband HSTPM Container 1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube 1 day to >100 years Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. HIV 1 DNA QUALITATIVE - INFANT ONLY Order Code: HIVD1 10299 Epic Code LAB4763 Synonym Proviral DNA, Newborn HIV test CPT 87535 Method PCR Scheduled Tuesday, Thursday at Specialty Department QST Specimen 4 ml whole blood (min. 2 mL) Container 2 Lavender top EDTA tubes Processing Instructions Gently invert to mix whole blood with EDTA. Do not spin, Refrigerate Storage Temp Refrigerate Test Information Used to test newborns from HIV positive mothers ONLY. This test is NOT a Viral Load. Patient Information If patient is older than 18 months, order test 8001/HIVLD/LAB919, HIV Viral load by PCR Additional Information ** NEW TEST CODE ADDED 02/22/2016 ** Specimen Collection information change - ** EDTA WHOLE BLOOD REFRIGERATED ** For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 213 of 405 H Sparrow Laboratories Online Test Catalog HIV 1 RNA QUANT SENSITIVE VIRAL LOAD Order Code: HIVLD 8001 Epic Code LAB919 Synonym HIV-QUANT, Viral-Load CPT 87536 Method PCR Scheduled Monday - Friday CODE COMPONENT 8001 Department MDX REFERENCE RANGE Age Specimen HIV-1 RNA log 10 HIVLG 0 - 1.2 HIVLD HIV-1 RNA Ultrasens. Viral load HIVUS 0 - 19 copies/ml Container 5 ml EDTA plasma (Min: 3 ml) 1 day to >100 year HIVLD Processing Instructions 2 Lavender top EDTA tubes Storage Temp Frozen Within 2 hours of collection, centrifuge tubes, separate plasma and freeze in separate plastice vials. Test Information SPARROW LABS HIV AG AND AB COMBO TEST Order Code: HIVCB Synonym HIVCB, Human Immunodeficiency Virus, AIDS, HIV Combo 10144 Epic Code LAB4606 CPT 87389 Method Chemiluminescent microparticle immunoassay Scheduled 7 days a week; morning and afternoon shift CODE COMPONENT 10144 Department MSER Age HIVCB Specimen 1 ml serum (Min: 0.2 ml) REFERENCE RANGE HIV Antigen - Ab I and II Container 1 gold top SST clot tube HIVCB Processing Instructions 1 day to >100 year Non - Reactive Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Submit to microbiology lab in original container. Do not aliquot. Refrigerate Test Information Detection of human immunodeficiency virus (HIV) p24 antigen and antibodies to HIV type 1 (HIV-1 group M and group O) and/or type 2 (HIV-2) in human serum. Additional Information This Test replaces test 1414, HIV Ab screen. Reactive (Positive) samples will be confirmed with the HIV Antibody I and II Differentiation test 10214. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 214 of 405 H Sparrow Laboratories Online Test Catalog HIV-1 GENOTYPIC PR-RT RESISTANCE, P Synonym HIV Drug Resistance, AIDS, Human Immunodeficiency Virus Order Code: HIVGP 10246 Epic Code LAB4719 CPT 87901 Method Reverse Transcription-PCR (RT-PCR), and DNA Sequencing Scheduled Twice a week at Mayo Department MREF Ref Code: HIVPR Specimen Container 2.2 mL plasma (Min 1.2 mL) 1 Lavender top EDTA tube Processing Instructions Storage Temp Spin down and remove plasma from cells within 6 hours of draw. Freeze plasma specimen immediately. Frozen Test Information This test is intended to be used to monitor known HIV-positive infections. It is not intended for primary detection of HIV infections. Specimens submitted for HIV-1 genotyping should contain > or =500 copies/mL of HIV-1 RNA. HLA A,B,C (CLASS I) TYPING Order Code: HLA 1722 Synonym Class I Histocompatibility Typing, Tissue Typing Epic Code LAB4131 Test Component HLA-A, HLA-B, HLA-Bw, HLA-Cw and the Interpretation CPT 81372 Method Lymphocyte Cytotoxicity Scheduled Monday - Friday at MSU Laboratory Department MSU Specimen 20 ml whole blood Container 1 yellow top ACD tube Processing Instructions Room temperature. DO NOT CENTRIFUGE. DO NOT REFRIGERATE. Specimen must be received by central laboratory within 24 hours of collection. Storage Temp Ambient Test Information HLA-A, B, and C Loci, Class I For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 215 of 405 H Sparrow Laboratories Online Test Catalog HLA-B27 ANTIGEN Order Code: HLB27 1731 Epic Code LAB869 Synonym Alkylosing Spondylytis CPT 86812 Method Flow cytometry Scheduled Monday-Friday CODE COMPONENT 1731 Department IMM REFERENCE RANGE Age HLB27 Ref Code: HLA-B27 Specimen HLA-B27 antigen Container 6 ml whole blood (Min. 1.5 ml) HLB27 1 day to >100 years Negative - Processing Instructions 1 yellow top ACD tube, preferred; 7 ml lavender top EDTA tube acceptable Storage Temp Ambient Room temperature. DO NOT CENTRIFUGE. DO NOT REFRIGERATE. Specimen must be received within 72 hours of collection. Test Information HLA-B27 antigen is positive in over 90% of Caucasians with ankylosing spondylitis (AS), but only 50% of Blacks with AS. Only 1% of HLA-B27 positive Caucasians will develop AS, but radiologic sacroileitis will be found in approximately 10%. Patient's with Reiter's Disease appear to have a more severe disease course when they are HLA-B27 positive. HLA-B5701 GENOTYPE, ABACAVIR, B Order Code: HLA57 10314 Epic Code LAB4770 Synonym HLA B5701, B 5701, HLA Genotype CPT 81381 Method Qualitative Allele-Specific Real-Time PCR Scheduled Tuesday and Friday at Mayo CODE COMPONENT 10314 Department MREF Ref Code: HLA57 Specimen 3 mL whole blood EDTA REFERENCE RANGE Age HLA57 HLA-B 5701 Result 89346 HLA57 HLA-B 5701 Interpretation 29315 HLA57 HLA-B 5701 Reviewed by 29316 Container 1 Lavender top EDTA tube Processing Instructions Submit specimen in original tube 1 day to >100 years Storage Temp Ambient Test Information Identifying individuals with an increased risk of hypersensitivity reactions to abacavir, based on the presence of the human leukocyte antigen HLA-B*57:01 allele Additional Information ** New Test added April 27, 2016 ** For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 216 of 405 H Sparrow Laboratories Online Test Catalog HOMOCYSTEINE, PLASMA Order Code: HCY 8031 Epic Code LAB93 Synonym HCY CPT 83090 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 8031 Department CHM Age HCY Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE Homocysteine(Plasma) Container 1 Lavender top EDTA tube HCY 1 year to >100 year 3.7 - 13.9 umol/L Processing Instructions Centrifuge within 30 minutes. Transfer plasma to plastic vial and refrigerate immediately. Storage Temp Refrigerate or Frozen Patient Information Patient must be fasting for atleast 4 hours. Normal values refer to fasting specimens only. Additional Information Specimen Stability: Refrigerated Plasma 48 hours, Frozen plasma 13 weeks. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:06 AM Page 217 of 405 H Sparrow Laboratories Online Test Catalog HOMOVANILLIC ACID (HVA), U Order Code: HVAGR 6683 Epic Code LAB401 Synonym HVA, 24 hr urine homovanillic acid CPT 83150 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Stable Isotope Dilution Analysis Scheduled Monday-Friday at Mayo CODE COMPONENT 6683 Department MREF REFERENCE RANGE Age Ref Code: HVA HVAGR HVA Child HVACH HVAGR HVA Child HVACH HVAGR HVA Child HVACH HVAGR HVA Child 0.0 - 35.0 mg/g Cr Age HVACH HVACH HVADT 1 day to >100 year HVAGR Collection Duration COL22 time - in hours HVAGR Total Volume UVLM2 measure - in mL Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 15 year to >100 year 0.0 - 8.0 mg/24 hour Age Specimen 10 day to 14 years 0.0 - 9.0 mg/g Cr Age HVA Adult 5 year to 9 years 0.0 - 15.0 mg/g Cr Age HVAGR 2 year to 4 year 0.0 - 25.0 mg/g Cr Age HVA Child 1 year to 2 year 0.0 - 30.0 mg/g Cr Age HVAGR 1 day to 1 year 24 hr urine container; Add 25 ml of 50% acetic acid as preservative Processing Instructions Storage Temp Refrigerate during collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Refrigerate Patient Information Void and discard first morning urine specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information NO OTHER alternative preservatives accepted. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 218 of 405 H Sparrow Laboratories Online Test Catalog HPVHR GENOTYPE 16 and 18/45 Order Code: HPVRX 10183 Epic Code LAB4649 Synonym HPV, High Risk, Reflex CPT 87624 87625 Method NAAT Scheduled Monday - Friday CODE COMPONENT 10183 Department MDX Specimen Cervical, Endocervical or Vaginal collection REFERENCE RANGE Age 1 day to >100 years HPVRX Source HPVRX HPV Result HRSK2 Negative - HPVRX Reflex 16, 18, 45 HPTYP Not - Indicated HPVRX Genotype 16, 18, 45 H1618 Container SRC2 Processing Instructions Storage Temp Ambient Thin Prep vial or SurePath vial Collect a sufficient amount of cells for both Pap smear and HPV analysis Test Information Reflex Positive HPV to perform Genotyping for 16 and 18 HSV 1/HSV 2 IGG ANTIBODY Order Code: HSVGG 8021 Epic Code LAB4284 Synonym herpes Select, HSV Select, Herpes IgG CPT 86696 Scheduled Tuesday; afternoon shift Department MSER Specimen 3 ml serum (Min: 2 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 219 of 405 H Sparrow Laboratories Online Test Catalog HSV1 IGG Order Code: HSVG1 10132 Epic Code LAB? Synonym Herpes, HSV, Select CPT 86696 Method ELISA Scheduled Tuesday; afternoon shift Department MSER Specimen 1 mL serum (min. 0.5 mL) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Separate serum from cells and transport refrigerated. HSV2 IGG Order Code: HSVG2 10131 Epic Code LAB4602 Synonym Herpes Select, HSV CPT 86696 Method ELISA Scheduled Tuesday; afternoon shift Department MSER Specimen 1 mL serum (min. 0.5 mL) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Separate serum from cells and transport refrigerated. HTLV I/II ANTIBODY Order Code: HTLVS Synonym Human T-Cell Lymphotropic Virus Types I and II 1287 Epic Code LAB4066 CPT 86687 Method Enzyme Immunoassay (EIA) Scheduled Monday - Friday at Mayo Department MREF Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 220 of 405 H Sparrow Laboratories Online Test Catalog HUMAN PAPILLOMA VIRUS (HPV) Order Code: HPV 7025 Epic Code LAB4257 Synonym HPV, High Risk CPT 87624 Method Hybrid capture / Nucleic Acid Hybrid individual signal amplification Scheduled Monday - Friday CODE COMPONENT 7025 REFERENCE RANGE Department MDX Age HPV Specimen HIGH Risk Types Container Cervical, endocervical or vaginal collection Test Information HPV High Risk 1 day to >100 year Negative - Processing Instructions Storage Temp Ambient Thin Prep vial or SurePath vial Store at room temperature Only High Risk types are detected. A positive result indicates the presence of Human Papilloma Virus high risk types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and/or 68. Additional Information Positive High Risk HPV may have reflex testing for HPV 16/18 GENOTYPING - Order codes HPVRX, #10183, Epic LAB4649 HYDROCODONE Order Code: HYDRC Synonym Hycodan, Vicodin, Anexsia, Dolorex Forte, Hycet, Liquicet, Lorcet, Lortab, Maxidone, Norco, Polygesic, Stagesic, Xodol, Zydone 1244 Epic Code LAB4049 CPT 80361 Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD) Scheduled Monday - Friday CODE COMPONENT 1244 Department TOX Age HYDRC Specimen 2.5 ml plasma (Min: 1.25 ml) REFERENCE RANGE Hydrocodone Container 1 green top tube, Na Heparin HYDRC 1 day to >100 year 10 - 40 ng/mL Processing Instructions Centrifuge tube and refrigerate plasma. Storage Temp Refrigerate Test Information Grey top or red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 221 of 405 H Sparrow Laboratories Online Test Catalog HYDROMORPHONE, plasma Order Code: HYDRM 2533 Epic Code LAB4421 Synonym Dilaudid CPT 80361 Method Gas Chromatography / Mass Spectrometry (GC/MS) Scheduled Monday - Friday CODE COMPONENT 2533 REFERENCE RANGE Department TOX 1 day to >100 year Age HYDRM Specimen Hydromorphonee Container 2.5 ml plasma (Min: 1.25 ml) HYDRM Processing Instructions 1 green top tube, Li or Na heparin Storage Temp Refrigerate Grey-top or red-top Tube acceptable. Reject if collected in gel barrier tube. Additional Information Grey top or plain red top tube also acceptable. Specimens collected in gel separator tubes will be rejected. 5- HYDROXYINDOLEACETIC ACID, U Order Code: 5HISR Synonym Serotonin Urine, 5-Hydroxyindoleacetic Acid, 24 hr urine 5HIAA, 5-HIAA 1196 Epic Code LAB352 CPT 83497 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at MAYO CODE COMPONENT 1196 Department MREF REFERENCE RANGE Age 5HISR Ref Code: HIAA Specimen 5-HIAA-Serotonin Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container; Add 25 ml of 50% acetic acid preservative. Note: for children under 5 yrs, add 15 mL of acetic acid. 5HISR Processing Instructions 1 day to >100 year < or = - 8 mg/24Hr Storage Temp Refrigerate Measure the total volume, then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Test Information Userful for biochemical diagnosis and monitoring of intestinal carcinoid syndrome. Caution, Intake of food with a high content of serotonin and or numerous medications taken within 48 hours of the urine collection and during could result in falsely elevated 5-HIAA excretion. Patient Information NOTE: Patient diet restrictions: Patient should limit the following foods to 1 serving per day (48 hours prior and during collection): Limit the following to 1 serving per day: - Fruits [including bananas, cantaloupe, grapefruit, kiwifruit, melons, pineapple, plantains, plums] - Vegetables [avocados, dates, eggplant, tomatoes and tomato products] - Nuts [including hickory nuts, butternuts, pecans, walnuts] - Caffeinated beverages Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information The following alternative preservatives are acceptable if multiple assays are requested: Boric acid, 6N HCL For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 222 of 405 H Sparrow Laboratories Online Test Catalog 17- HYDROXYPREGNENOLONE Order Code: 17HPG 8007 Epic Code LAB530 Synonym 17OH-Pregenolone CPT 84143 84143 Method Radioimmunoassay (RIA) After Column Chromatography Scheduled Mon. Wed. and Friday at Mayo Department MREF Ref Code: 17OHP Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into a plastic tube and freeze. Refrigerate or Frozen Test Information Specimen can be frozen after arrival in laboratory 17- HYDROXYPROGESTERONE, S Order Code: 17HYP Synonym Progesterone, 17-Hydroxy, 17 Alphahydroxy progesterone 8144 Epic Code LAB720 CPT 83498 83498 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Tuesday, Thursday, Saturday at Mayo Department MREF Ref Code: OHPG Specimen 1 ml serum (Min: 0.5 ml) Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 223 of 405 H Sparrow Laboratories Online Test Catalog HYPERSENSITIVITY PNEUMONITIS Order Code: HSPNA 1675 Epic Code LAB1202 Synonym Allergic Alveolitis, Farmers Lung CPT 87106 Method Immunodiffusion Scheduled Monday-Friday Department MSER Specimen 2 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Micropolyspora faeni, Thermoactinomyces vulgaris, pigeon serum, Aureobasidium pullulans, and Aspergillus fumigatus. IFE, SERUM Order Code: IFE 1122 Epic Code LAB174 Synonym Immunoelectrophoresis, Immunofixation, IEP CPT 86334 Method Immunofixation Electrophoresis Scheduled Monday - Friday CODE COMPONENT 1122 Department SPCHM Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Age IFE IFE Interpretation IFTRP IFE Total Protein TPIFE Container 1 gold top SST clot tube 1 day to >100 years Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information Total Protein, Immunofixation Electrophoresis Additional Information The lab will perform this test automatically if serum protein electrophoresis indicates monoclonal protein For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 224 of 405 I Sparrow Laboratories Online Test Catalog IgE RESPIRATORY DISEASE PROFILE Order Code: RSPDX 6966 Synonym Respiratory, Allergy, Asthma Epic Code LAB4245 Test Component Oak, Elm, Maple tree/box elder, Common silver birch, Cocksfoot Grass, Redtop CPT 86003 bentgrass, Rough marsh elder, Common ragweed, House dust mite, House dust mite, Mold Aspergillus, Mold Penicillium, Mold Alternaria, Mold Cladosporium, Cat and Dog Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 3 ml serum (Min: 2 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information A Total IgE test 1773, should also be ordered with this profile Patient Information Patient does NOT need to discontinue allergy medications. IGE, (F1) EGG WHITE Order Code: F1 Synonym EGG WHITE,F1 Epic Code Test Component F1 CPT 86003 5673 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Specimen 0.5 ml serum (Min: 0.2 ml) Container 1 gold top SST clot tube Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Storage Temp Refrigerate Page 225 of 405 I Sparrow Laboratories Online Test Catalog IGE, (F2) MILK Order Code: F2 Synonym MILK,F2 Epic Code Test Component F2 CPT 86003 5674 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Specimen 0.5 ml serum (Min: 0.2 ml) Container 1 gold top SST clot tube Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. IGE, (F20) ALMOND Refrigerate Order Code: F20 Synonym RAST Almond, F20 Epic Code Test Component F20 CPT 86003 Refrigerate 7234 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 226 of 405 I Sparrow Laboratories Online Test Catalog IGE, (F4) WHEAT Order Code: F4 Synonym WHEAT,F4 Epic Code Test Component F4 CPT 86003 5675 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. IGE, (F75) EGG YOLK Order Code: F75 Synonym EGG YOLK, F75 Epic Code Test Component F75 CPT 86003 Refrigerate 5751 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. IGE, (F79) GLUTEN Order Code: F79 Synonym RAST Gluten, F79 Epic Code Test Component F79 CPT 86003 Refrigerate 7238 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 227 of 405 I Sparrow Laboratories Online Test Catalog IGE, (FP1) NUT SCREEN Order Code: FP1 8147 Synonym NUT Screen, FP1 Epic Code LAB4320 Test Component FP1 CPT 86003 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upritht 30 minutes at room temperature, then centrifuge. Refrigerate Test Information Peanut, Hazelnut, Brazil Nut, Almond, Coconut IGE, (M1) PENICILLIUM NOTATUM Order Code: M1 Synonym PENICULLIUM NOTATUM,M1 Epic Code Test Component M1 CPT 86003 5731 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 228 of 405 I Sparrow Laboratories Online Test Catalog IgE, CHILDHOOD ALLERGY PANEL Order Code: CHILD 6722 Synonym Pediatric Panel, Allergy Epic Code LAB4212 Test Component E1,E5,F1,F2,F3,F4,F13,F14,F24,F256,D1,D2,I6,M2,M6 CPT 86003 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday CODE COMPONENT 6722 REFERENCE RANGE Department ALL Age Specimen Test Information CHILD E1 Cat Epithelium and Dander E1 absent CHILD Total IgE IGE Allergen CHILD I6 Cockroach I6 low CHILD E5 Dog Dander E5 moderate 0.35 - 0.70 kU/L CHILD F1 Egg white F1 high 0.71 - 3.50 kU/L CHILD F3 Fish, Cod F3 very high 3.51 - 17.50 kU/L CHILD D1 Derm. Pteronyssinus D1 4 17.51 - 50.0 kU/L CHILD D2 Derm. Farinae D2 5 50.10 - 100 kU/L CHILD F2 Milk F2 6 100.1 - and up kU/L CHILD M2 Clad. Herbarum M2 CHILD M6 Alt. Alternata (Tenuis) M6 CHILD F13 Peanut F13 CHILD F14 Soybean F14 CHILD F4 Wheat F4 CHILD F24 Shrimp F24 CHILD F256 Walnut F256 Container 3 ml serum (Min: 2 ml) to 1 gold top SST clot tube 0 - 0 kU/L Class - Concentration kU/L 0 - 0.34 kU/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Cat Epithelium and Dander, Dog Dander, Cockroach, Egg White, Milk, Wheat, Peanut, Soybean, Cod fish, Shrimp, Walnut, Alternaria Alternata (Tenuis), Clad. Herbarum, Dermatophagoides Farinae, and D. pteronyssinus Patient Information Patient does NOT need to discontinue allergy medications. Additional Information A Total IgE test 1773, should also be ordered with this profile For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 229 of 405 I Sparrow Laboratories Online Test Catalog IGE, FOOD ALLERGY PANEL Order Code: FOOD 6695 Epic Code LAB4202 Synonym Food Panel, Allergy CPT 86003 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday CODE COMPONENT 6695 REFERENCE RANGE Department ALL Specimen 3 ml serum (Min: 2 ml) Age 6 wks to >100 year FOOD IgE Egg White F1 Absent FOOD IgE Sesame Seed F10 Low 0.35 - 0.70 KU/L FOOD IgE, Peanut F13 Moderate 0.71 - 3.50 KU/L FOOD IgE Soybean F14 High 3.51 - 17.50 KU/L FOOD IgE Milk F2 Very high 17.51 - 50.0 KU/L FOOD IgE, Clam F207 Very high 50.10 - 100.0 KU/L FOOD IgE Shrimp F24 Very high 100.1 - and up KU/L FOOD IgE Walnut F256 FOOD IgE Fish, Cod F3 FOOD IgE Scallops F338 FOOD IgE Wheat F4 FOOD IgE, Maize, Corn F8 Container 1 gold top SST clot tube 0 - 0.34 KU/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Egg white, Milk, Peanut, Soybean, Wheat, Maize- corn, Fish- cod, clam, Shrimp, Walnut, Scallop Patient Information Patient does NOT need to discontinue allergy medications. Additional Information A Total IgE test 1773, should also be ordered with this profile For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 230 of 405 I Sparrow Laboratories Online Test Catalog IGE, INSECT VENOM PANEL Order Code: VENOM 6687 Synonym Insect Panel, Venom, Allergy Epic Code LAB4200 Test Component I1,I2,I3,I4,I5,I6 CPT 86003 86003 86003 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday Department ALL Specimen Container 3 ml serum (Min: 2 ml) Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information Honeybee, White-faced Hornet, Common Wasp, Yellow Jacket, Paper Wasp, Yellow Hornet, Cockroach Patient Information I1,I2,I3,I4,I5,I6 IGE, SEAFOOD PANEL Order Code: SEA 6685 Synonym Seafood Panel, Allergy Epic Code LAB596 Test Component F3,F23,F24,F40,F41,F37,F80 CPT 86003 86003 86003 Method ImmunoCAP Specific IgE Scheduled Monday, Thursday CODE COMPONENT 6685 Department ALL Specimen 3 ml serum (Min: 2 ml) Test Information REFERENCE RANGE Age SEA F3 Fish, COD F3 SEA F23 CRAB F23 SEA F24 SHRIMP F24 SEA F37 BLUE MUSSEL F37 SEA F40 TUNA F40 SEA F41 SALMON F41 SEA F80 LOBSTER F80 Container 1 gold top SST clot tube 1 day to >100 years Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Fish-Cod, Crab, Shrimp, Tuna, Salmon, Blue Mussel, Lobster For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 231 of 405 I Sparrow Laboratories Online Test Catalog IGE,(F202) CASHEW Order Code: F202 Synonym Allergen, Cashew, F202, Nut Epic Code Test Component F202 CPT 86003 7735 Method ImmunoCAP Specific IgE Scheduled Monday and Thursday COMPONENT 7735 CODE REFERENCE RANGE Department ALL Specimen 0.5 ml serum (Min: 0.2 ml) Age 1 day to >100 year F202 Level F202 4 17.51 - 50.00 F202 High F202 0 0.0 - 0.34 kU/L F202 Level F202 1 0.35 - 0.70 F202 High F202 1 0.35 - 0.70 kU/L F202 Level F202 2 0.71 - 3.50 F202 High F202 2 0.71 - 3.50 kU/L F202 Level F202 0 0.0 - 0.34 F202 High F202 3 3.51 - 17.50 kU/L F202 High F202 4 17.51 - 50.00 kU/L F202 Level F202 5 50.10 - 100.00 F202 High F202 5 50.10 - 100.00 kU/L F202 Level F202 6 > - 100 F202 High F202 6 > - 100 kU/L F202 Level F202 3 3.51 - 17.50 F202 High F202 CLASS Concentration - F202 Level F202 CLASS Concentration - Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM kU/L Storage Temp Refrigerate Page 232 of 405 I Sparrow Laboratories Online Test Catalog IGF-1, LC/MS, S Order Code: IGFMS 10304 Epic Code LAB4775 Synonym IGF1 Insulin Like Growth Factor I, Somatomedin-C CPT 84305 Method Liquid Chromatography-Mass Spectrometry (LC/MS) Scheduled Sunday through Friday; at Mayo CODE COMPONENT 10304 Department MREF Age Ref Code: IGFMS Specimen 1 mL serum ( min. 0.3 mL) REFERENCE RANGE 1 day to >100 years IGFMS IGF-1 62750 Available Mayo - website ng/mL IGFMS Z-score 35781 Available Mayo - website ng/mL Container 1 Plain red top tube Processing Instructions Storage Temp Refrigerate Gel Barrier Acceptable. Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Lab sendouts submit Frozen. Test Information Useful for evaluation of growth disorders. Evaluation of growth hormone deficiency or excess in children and adults. Monitoring of recombinant human growth hormone treatment. Follow-up of individuals with acromegaly and gigantism. Additional Information ** New Test added April 27, 2016 ** Replaces test number 6792/IGFI IGG SUBCLASSES 1, 2, 3, 4 Order Code: IGSUB 1549 Epic Code LAB1001 Synonym Immunoglobin G SUBCLASSES CPT 82787 Method Nephelometry Scheduled Monday - Saturday at Mayo Department MREF Ref Code: IGGS Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge and freeze serum. Storage Temp Refrigerate Test Information Specimen may be frozen after arrival in Laboratory For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 233 of 405 I Sparrow Laboratories Online Test Catalog IMMUNE PANEL Order Code: IMMUN 1760 Synonym IMMUNE Complex Epic Code LAB4141 Test Component ANAS, AMA, ASMA, ATG, ATA, C3, C4, MCOMP, IGG, IGA, IGM CPT Scheduled Department IMM Specimen 2 ml Serum Container Processing Instructions Room Temperature See individual tests For Customer Service call 517-364-7800 or 800-884-2522 Storage Temp 9/21/2016 8:09:07 AM Page 234 of 405 I Sparrow Laboratories Online Test Catalog IMMUNOGLOBIN A Order Code: IGA 1329 Epic Code LAB73 Synonym IGA CPT 82784 Method Turbidimetric Scheduled Monday-Friday COMPONENT 1329 CODE Department STL REFERENCE RANGE Age IGA IgA IGA IGA IgA IGA IGA IgA IGA IGA IgA 5 - 64 mg/dL Age IGA IGA IGA IgA IGA IGA IgA IGA IGA IgA IGA IGA IgA IGA 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 16 year to 18 year 55 - 377 mg/dL Age 1 ml serum (Min: 0.5 ml) 13 year to 16 year 47 - 317 mg/dL Age Container 10 year to 13 year 45 - 285 mg/dL Age Specimen 7 year to 10 year 33 - 258 mg/dL Age IGA 4 year to 7 year 26 - 232 mg/dL Age IgA 1 year to 4 year 24 - 192 mg/dL Age IGA 8 month to 1 year 17 - 94 mg/dL Age IgA 5 month to 8 month 10 - 87 mg/dL Age IGA 1 day to 5 month 18 year to >100 year 50 - 400 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 235 of 405 I Sparrow Laboratories Online Test Catalog IMMUNOGLOBIN G Order Code: IGG 1333 Epic Code LAB71 Synonym IGG CPT 82784 Method Turbidimetric Scheduled Monday-Friday COMPONENT 1333 CODE Department STL REFERENCE RANGE Age IGG IgG IGG IGG IgG IGG IGG IgG IGG IGG IgG 602 - 1630 mg/dL Age IGG IGG IGG IgG IGG IGG IgG IGG IGG IgG IGG IGG IgG IGG IGG IgG IGG For Customer Service call 517-364-7800 or 800-884-2522 12 year to 17 year 697 - 1593 mg/dL Age 1 gold top SST clot tube 9 year to 12 year 774 - 1641 mg/dL Age 1 ml serum (Min: 0.5 ml) 6 year to 9 year 688 - 1500 mg/dL Age Container 3 year to 6 year 518 - 1447 mg/dL Age Specimen 2 year to 3 year 470 - 1224 mg/dL Age IGG 1 year to 2 year 123 - 1005 mg/dL Age IgG 7 month to 1 year 269 - 913 mg/dL Age IGG 4 month to 7 month 80 - 512 mg/dL Age IgG 1 month to 4 month 146 - 648 mg/dL Age IGG 1 day to 1 month 17 year to >100 year 564 - 1765 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 236 of 405 I Sparrow Laboratories Online Test Catalog IMMUNOGLOBIN M Order Code: IGM 1331 Epic Code LAB72 Synonym IGM CPT 82784 Method Turbidimetric Scheduled Monday-Friday COMPONENT 1331 CODE Department STL REFERENCE RANGE Age IGM IgM IGM IGM IgM IGM IGM IgM IGM IGM IgM 0 - 29 mg/dL Age IGM IGM IGM IgM IGM IGM IgM IGM IGM IgM IGM IGM IgM IGM IGM IgM IGM For Customer Service call 517-364-7800 or 800-884-2522 12 year to 17 year 39 - 330 mg/dL Age 1 gold top SST clot tube 9 year to 12 year 36 - 240 mg/dL Age 1 ml serum (Min: 0.5 ml) 6 year to 9 year 44 - 242 mg/dL Age Container 3 year to 6 year 42 - 212 mg/dL Age Specimen 2 year to 3 year 60 - 225 mg/dL Age IGM 1 year to 2 year 29 - 221 mg/dL Age IgM 7 month to 1 year 21 - 155 mg/dL Age IGM 4 month to 7 month 15 - 107 mg/dL Age IgM 1 month to 4 month 11 - 116 mg/dL Age IGM 1 day to 1 month 17 year to >100 year 53 - 375 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 237 of 405 I Sparrow Laboratories Online Test Catalog IMMUNOGLOBULIN D Order Code: IGD 8146 Epic Code LAB4319 Synonym IGD, Ig-D CPT 82784 Method Nephelometry Scheduled Monday - Saturday at Mayo CODE COMPONENT 8146 REFERENCE RANGE Department MREF Age IGD Ref Code: IGD Specimen 2 ml serum (Min: 0.5 ml) IgD Container IGD 1 day to >100 year 0 - 10.0 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. IMMUNOGLOBULIN, FREE LIGHT CHAINS Order Code: IMFLC Synonym Kappa, Lambda, IgG Kappa/Lambda, IG Kappa, IG Lambda, FLC Kappa 7756 Epic Code LAB4282 CPT 83883 Method Nephelometry Scheduled Monday - Friday at Mayo CODE COMPONENT 7756 Department MREF Ref Code: FLCP Specimen 1.0 ml serum ( Min: 0.5 ml) REFERENCE RANGE Age IMFLC Kappa/Lambda FLC Ratio IMFLC IG Lambda Free Chain Container 1 gold top SST clot tube 1 day to >100 year KLRAT 0.26 - 1.65 mg/dL LFLC 0.57 - 2.63 mg/dL Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Useful for monitoring patients with monoclonal light chain diseases but no M-spike on protein electrophoresis. Additional Information An elevated kappa and lambda FLC may occur due to polyclonal hypergammaglobulinemia or impaired renal clearance. A specific increase in FLC (eg, FLC K/L ratio) must be demonstrated for diagnostic purposes. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 238 of 405 I Sparrow Laboratories Online Test Catalog IMMUNOGLOBULINS, QUANTITATIVE Order Code: QIA 1191 Synonym QIA, IGG, IGM, IGA Epic Code LAB4043 Test Component IGG,IGA,IGM CPT 82784 82784 82784 Method Turbidimetric Scheduled Monday - Friday Department STL Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. INFECTIOUS MONO SCREEN Order Code: EBMON 2045 Epic Code LAB482 Synonym Ebstein Bar Virus, EBV if MONO Negative CPT 86308 86664 Method Rapid Chromatographic Immunoassay Scheduled Monday - Saturday Department IMM Specimen 1 mL serum, plasma or whole blood acceptable Container 1 gold top SST clot tube Processing Instructions Storage Temp Room Temperature Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Automatically orders a reflex EBV panel if Mono screen is Negative. INFLAMMATORY BOWEL DISEASE PANEL Order Code: INBDP 6963 Epic Code LAB1230 Synonym IBD 1ST STEP CPT 83520 83520 86255 Method Specfic Antibody detection Scheduled Monday - Friday at Prometheus Lab Department MREF Ref Code: IBDP Specimen 5 ml serum (min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 239 of 405 I Sparrow Laboratories Online Test Catalog INFLIXIMAB QN WITH REFLEX TO AB, S Order Code: LCIFX 10300 Epic Code LAB4778 Synonym Remicade, Anti-TNF inhibitor CPT 80299 82397 Scheduled Department SOO Ref Code: INFXR Specimen Container Serum 1 gold top SST clot tube Processing Instructions Storage Temp Frozen Allow specimen to clot for 30 minutes, then centrifuge. Additional Information ** New test - live June 2016 INFLUENZA A AND B DIRECT ANTIGEN Order Code: INFAB 1978 Epic Code LAB272 Synonym FLU, H FLU, FLU A, FLU B CPT 87804 Method Enzyme Immunoassay (EIA) Scheduled Sunday - Saturday Department MIC Specimen Container NP Floq Swab, 2 ml nasal washing Viral Transport Media (VTM), Sterile tube Processing Instructions Collect in saline - Sterile screw capped tube or Floq swab in viral transport media. The Nasal-pharyngeal wash should be cloudy in 1 - 2 ml of saline. Submit outpatient specimens in Viral Transport Media. Storage Temp Refrigerate Test Information Rapid Influenza A/B tests lack the desired sensitivity and specificity. Confirmation of negative and positive rapid tests by PCR methodology is recommended if clinically indicated. Call Sparrow Microbiology Department (517)364-2543 to request confirmation by PCR. Additional Information For optimal recovery and to maximize sensitivity and specificity, the specimen of choice is a NP Wash or NP Floq swab. Throat swabs or nasal swabs do not contain adequate numbers of epithelial cells, essential for detection of virus using rapid detection methods. Sensitivity of rapid EIA methodology for 2009 H1N1 Influenza A virus is 10-70% per CDC. Sensitivity of rapid EIA methodology for H3N2v Influenza A virus is 0%. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 240 of 405 I Sparrow Laboratories Online Test Catalog INFLUENZA AB, by PCR Order Code: PCRIP 10021 Synonym FLU A, FLU B, FLU AB, Influenza A and B Epic Code LAB4361 Test Component Includes FLU A, FLU B, Influenza Virus CPT 87798 Method PCR Scheduled Daily (During season) Department MDX Specimen Container Processing Instructions Storage Temp Refrigerate Nasopharyngeal (NP), Respiratory FLOQ swab or Saline wash in Submit swab placed into M4/M5 viral transport media (VTM). NP specimens (Nasal saline washing, sterile screw cap vial; Preferred aspirate/saline wash should be cloudy and sent in sealed plastic BAL, bronchial washing, tracheal vial or VTM vial. aspirate, sputum). Cerebrospinal Fluid Additional Information CSF specimens - Submit 0.5mL CSF in sterile screw cap container. Unacceptable Specimens: Gel swab or wooden shafted swabs. INFLUENZA VIRUS A ANTIBODIES Order Code: INFGM 8070 Epic Code LAB4298 Synonym FLU CPT 86710 Method Immunofluorescence Scheduled Monday - Friday at Mayo Department MREF Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:07 AM Storage Temp Refrigerate Page 241 of 405 I Sparrow Laboratories Online Test Catalog INHIBIN B, S Order Code: INHB 10252 Epic Code LAB4728 Synonym INHIB CPT 83520 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Tuesday, Thursday at Mayo Department MREF Ref Code: INHB Specimen Container 0.5 mL Serum (Min. 0.2 mL) 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow tube to clot at Room temperature then spin. Test Information Useful for as an aid in the diagnosis of granulosa cell tumors and mucinous epithelial ovarian tumors. Monitoring of patients with granulosa cell tumors and epithelial mucinous-type tumors of the ovary known to overexpress inhibin B. As an adjunct to follicle-stimulating hormone testing during infertility evaluation. Additional Information *** New Test Active 8/11/15 *** INSULIN (Fasting) Order Code: INSF 1962 Epic Code LAB828 Synonym INS CPT 83525 Method Chemiluminescence Scheduled Monday Department IMM Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Patient Information Patient must be fasting. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 242 of 405 I Sparrow Laboratories Online Test Catalog INSULIN ANTIBODY Order Code: INSAB 1123 Epic Code LAB649 Synonym Anti-Insulin CPT 86337 Method Radioimmunoassay (RIA) Scheduled Monday, Thursday at Mayo CODE COMPONENT 1123 Department MREF REFERENCE RANGE Age Ref Code: INAB INSAB % BINDING BEEF BINBF INSAB % BINDING HUMAN BINHN 0 - 3.0 % Binding Age Specimen Container 1 ml serum (Min: 0.3 ml) 1 gold top SST clot tube 1 day to >100 year 1 day to >100 year 0 - 3.0 % Binding Processing Instructions Storage Temp Refrigerate or Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer plasma into a plastic tube. Patient Information Patient must be fasting. Additional Information Specimens may be frozen after arrival in the laboratory. EDTA and heparin plasmas are acceptable specimens. INSULIN, FREE AND TOTAL, S Order Code: INSFT 10264 Epic Code LAB4734 Synonym 10179/FINS, Free Insulin CPT 83525 83525 Method Electrochemiluminescence Immunoassay Scheduled Monday - Saturday at Mayo Department MREF Ref Code: INSFT Specimen Container Serum Volume: 1 mL (Min. 0.5 mL) Test Information 1 Plain red top tube preferred, Acceptable: gel barrier SST tube Processing Instructions Centrifuge within 2 hours and transfer serum to plastic vial then Freeze. Sample may be sent refrigerated then frozen once it reaches Sparrow Lab. Storage Temp Frozen Useful for assessing free (bioactive) insulin concentrations in patients with known or suspected insulin antibodies. Patients treated with exogenous insulin preparations might develop autoantibodies against insulin. If significant differences between the total and free insulin concentrations are detected, the presence of insulin antibodies is suspected. Patient Information Patient must be Fasting (8 hours) For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:07 AM Page 243 of 405 I Sparrow Laboratories Online Test Catalog INSULIN-LIKE GROWTH FACTOR BP3, S Synonym IGFBP-3, Binding Protein 3, Somatomedin C Binding Protein Order Code: IGFB3 10253 Epic Code LAB4729 CPT 83520 Method Enzyme-Labeled Chemiluminescent Immunometric Assay Scheduled Monday - Saturday at Mayo Department MREF Ref Code: IGFB3 Specimen 1.0 mL serum (min. 0.3 mL) Container 1 Plain red top tube or gel barrier SST tube Processing Instructions Storage Temp Frozen Allow blood to clot at room temperature for 30 min., then centrifuge and transfer to a plastic vial. Test Information Useful for Diagnosing growth disorders, Diagnosing adult growth hormone deficiency and monitoring of recombinant human growth hormone treatment. Useful as a possible adjunct to insulin-like growth factor 1 and growth hormone in the diagnosis and follow-up of acromegaly and gigantism. Additional Information *** New Test 8/19/15 *** INTRINSIC FACTOR BLOCKING AB Order Code: INFBA 6785 Epic Code LAB857 Synonym IF Blocking,Type 1 Intrinsic Factor Antibody CPT 86340 Method Radioimmunoassay (RIA) Scheduled Monday - Friday at Mayo Department MREF Ref Code: IFBA Specimen 3 ml serum (Min: 2 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into plastic vial and freeze. Specimen may be frozen after arrival in Laboratory. 9/21/2016 8:09:08 AM Storage Temp Refrigerate Page 244 of 405 I Sparrow Laboratories Online Test Catalog IODINE, 24 Hour Urine Order Code: UIODN 2043 Epic Code LAB4157 Synonym 24 hr urine Iodine CPT 83789 Method ICP-MS Scheduled Monday, Wednesday, CODE COMPONENT 2043 Friday at Mayo REFERENCE RANGE Department MREF Age UIODN Ref Code: UIOD Specimen Iodine, 24 hour urine Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container; No preservative required UIODN 16 years to >100 years 93 - 1,125 mcg/specimen Processing Instructions Storage Temp For aliquots, Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Refrigerate Refrigerated preferred, can be at room temperature. Specimen MUST be refrigerated within 4 hours after collection. Test Information Interpretation: Daily urinary output <90 mcg/specimen suggests dietary deficiency. Values >1,000 mcg/specimen may indicate dietary excess, but more frequently suggest recent drug or contrast media exposure. Caution: Administration of iodine-based contrast media and drugs, like amiodarone, will yield elevated results. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information When multiple tests are ordered, specimens collected with 50% acetic acid is acceptable. IODINE, S Order Code: IOD 10197 Epic Code LAB4663 Synonym CPT 83018 Method Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) Scheduled Mon, Tues, Wed, Friday; 5 p.m. Department MREF Ref Code: IOD Specimen 1.0 mL Serum (Min. 0.3 mL) Container Royal blue top PLAIN, trace element tube Processing Instructions Draw dark blue Monoject trace element tube and send serum in metal free vial, refrigerated. Storage Temp Refrigerate Test Information Useful for determination of iodine overload Monitoring iodine levels in individuals taking iodine-containing drugs. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 245 of 405 I Sparrow Laboratories Online Test Catalog TOTAL IRON Order Code: IRON 3102 Epic Code LAB94 Synonym FE CPT 83540 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 3102 REFERENCE RANGE Department CHM Age Specimen Iron IRON F 50 - 150 mcg/mL IRON Iron IRON M 65 - 150 mcg/mL Container 1 ml serum (Min: 0.5 ml) 1 year to >100 year IRON 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. IRON ABSORPTION STUDY Order Code: IRAB 1126 Epic Code LAB4030 Synonym FE, Iron Studies CPT Method Spectrophotometry Scheduled Sunday - Saturday Department CHM Specimen Container 1.5 ml serum (Min: 1 ml) PER DRAW 1 gel barrier SST clot tube PER DRAW Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Fasting iron; fasting iron binding cap; 15-minute, 30-minute, 60-minute, 90-minute, 120-minute iron. Patient Information Please call Client Services at (517) 364-7800 or (800) 884-2522 to schedule the test. Patient needs Rx from Physician for 650 mg ferrous sulfate or 960 mg ferrous gluconate. Rx must be filled before coming to lab. Patient must be fasting (8 hour fast). Additional Information Patient will have 6 blood draws and remain at lab for approximately 2.5 hours, ingest 940 mg ferrous gluconate( 4/240 mg tablets)or 650 mg ferrous sulfate( 2/325mg tablets). For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 246 of 405 I Sparrow Laboratories Online Test Catalog IRON PROFILE Order Code: IRONP 1124 Synonym Fe, Profile, TIBC Epic Code LAB829 Test Component IRON,TIBC,% Saturation CPT 83550 83540 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1124 REFERENCE RANGE Department CHM Age Specimen Test Information IRONP Total Iron IRON IRONP Iron Binding Capacity TIBC 270 - 440 mcg/dL IRONP Iron Saturation SAT 20 - 50 % Container 1 ml serum (Min: 0.5 ml) 1 day to >100 year 50 - 150 mcg/dL F Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Report contains Total Iron, Total Iron Binding concentration and % Saturation ISLET ANTIGEN 2 ANTIBODY, S Order Code: IA2 10251 Epic Code LAB4727 Synonym IA2AB, IA2, Islet Cell CPT 86341 Method Radioimmunoassay RIA Scheduled Tuesday, Thursday at Mayo COMPONENT 10251 CODE Department MREF Ref Code: IA2 Specimen 1 mL Serum, Min. 0.75 mL REFERENCE RANGE Age IA2 IA2 Container 1 Plain red top tube or gel barrier SST tube IA2 1 day to >100 years < or - =0.02 nmol/L Processing Instructions Allow specimen to clot at room temperature then spin. Storage Temp Refrigerate Test Information Useful for Clinical distinction of type 1 from type 2 diabetes mellitus. Identification of individuals at risk of type 1 diabetes (including high-risk relatives of patients with diabetes) Prediction of future need for insulin treatment in adult-onset diabetic patients. Additional Information *** New Test Active 8/11/15 *** For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 247 of 405 I Sparrow Laboratories Online Test Catalog ANTI- ISLET CELL ANTIBODY Order Code: GAD65 Synonym GAD Antibodies, Anti-Glutamic Acid Decarboxylase, Stiffman Syndrome 6619 Epic Code LAB4463 CPT 86341 Method Indirect Immunoperoxidase Stain Scheduled Tuesday, Friday CODE COMPONENT 6619 Department MREF Age GAD65 Ref Code: GD65S Specimen 3 ml serum (Min: 1 ml) REFERENCE RANGE Glutamic Acid Decarboxylase Container GAD65 1 day to >100 year 0.00 - 0.02 nmol/L Processing Instructions 1 Plain red top tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. ISLET CELL CYTOPLASMIC Ab, IgG Order Code: FISLC 10181 Epic Code LAB4643 Synonym Cytoplasmic Islet Cell Antibody CPT 86341 Method Semi-Quantitative Indirect Fluorescent Antibody Scheduled Monday, Wednesday and Friday at Arup CODE COMPONENT 10181 Department MREF Ref Code: FISLC Specimen 1.0 mL serum (Min. 0.3 mL REFERENCE RANGE Age FISLC Islet Cell IgG Ab Container 1 gold top SST clot tube Z2641 1 day to >100 years < - 1:4 titer Processing Instructions Draw SST or plain red top. Allow specimen to clot for 30 minutes, centrifuge and transfer serum to plastic vial. Storage Temp Refrigerate Test Information Islet cell antibodies (ICAs) are associated with type 1 diabetes (TID), an autoimmune endocrine disorder. ICAs may be present years before the onset of clinical symptoms. To calculate Juvenile Diabetes Foundation (JDF) units: multiply the titer x 5 (1:8 8 x 5 = 40 JDF Units). Test Performed by: ARUP Laboratories Additional Information Test added to Online Test Catalog Feb. 2016 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 248 of 405 I Sparrow Laboratories Online Test Catalog ISOHEMAGLUTININ TITER Order Code: ISOA 1606 Epic Code LAB4105 Synonym ABO TITER CPT 86940 Method Hemagglutination Scheduled Monday-Saturday Department BLB Specimen Container 7 ml whole blood (Min: 4 ml) 1 Lavender top EDTA tube Processing Instructions Storage Temp Refrigerate Refrigerate Patient Information Provide transfusion history (last 3 months), as available. Indicate if patient is immunosuppressed. Test not performed if patient is less than 6 months old. ITRACONAZOL, S Order Code: ITCON 10199 Synonym Sporanox, Hydroxyitraconazole Epic Code LAB4665 Test Component Itraconazole and Hydroxyitraconazole CPT 80299 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo Department MREF Ref Code: ITCON Specimen 1 ml serum (Min; 0.30 ml) Container 1 Plain red top tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for verifying systemic absorption of orally administered itraconazole. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 249 of 405 J Sparrow Laboratories Online Test Catalog JAK2 V617F MUTATION DETECTION, B Order Code: JAK2B Synonym Tyrosine Kinase mutation, Janus kinase 2 gene 10329 Epic Code LAB4804 CPT 81270 Method Point Mutation Detection in DNA Using Quantitative Polymerase Chain Reaction (PCR) Scheduled Monday-Friday at Mayo Department MREF Ref Code: JAK2B Specimen 4.0 mL whole blood (Min. 1.5 mL) Container 1 Lavender top EDTA tube or 1 yellow top ACD tube Processing Instructions Storage Temp Gently invert several times to mix blood. Send specimen in original tube. Room Temperature Test Information Useful for aiding in the distinction between a reactive blood cytosis and a chronic myeloproliferative disorder. Additional Information **New Test Added 8/09/16 JAK2 V617F MUTATION DETECTION, BM Synonym JAK2 Bone Marrow, Tyrosine Kinase mutation, Janus kinase 2 gene Order Code: JAK2M 10487 Epic Code LAB4803 CPT 81270 Method Point Mutation Detection in DNA Using Quantitative Polymerase Chain Reaction (PCR) Scheduled Monday - Friday at Mayo Department MREF Ref Code: JAK2M Specimen 2 mL Bone Marrow (Min. 1 mL) Container 1 Lavender top EDTA tube or yellow top ACD accepted Processing Instructions Storage Temp Gently invert several times to mix blood. Send specimen in original tube. Room Temperature Test Information Useful for aiding in the distinction between a reactive blood cytosis and a chronic myeloproliferative disorder Additional Information **New Test Added 8/09/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 250 of 405 J Sparrow Laboratories Online Test Catalog ANTI- JO-1 Order Code: JO 8013 Epic Code LAB4485 Synonym Histidyl-T RNA Synthetase Ab, Polymyostis Antibody CPT 86235 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Sunday - Friday at Mayo Department IMM Specimen Container 2 ml serum (Min: 1 ml) Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. KAPPA-LAMBDA LIGHT CHAINS, 24 HOUR URINE Order Code: SIMLC 10005 Epic Code LAB734 Synonym 24 Hr Urine Light Chains, Immuno Light Chains CPT 83883 83883 Method Nephelometry Scheduled Monday-Saturday at Specialty Lab CODE COMPONENT 10005 Department MSPEC REFERENCE RANGE Age Ref Code: Z1741U Specimen SIMLC Total Urine Volume SVOL2 SIMLC Kappa Light Chain Urine SIMMK SIMLC Kappa Chain 24 hr SKC24 SIMLC Lambda Light Chain Urine SLALC SIMLC Lambda Chain 24hr SLA24 Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container, no preservative 1 day to >100 years Processing Instructions Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Storage Temp Refrigerate Test Information Polyclonal immunoglobulin light chains (kappa and lambda) normally occur in a ratio of 2:1, whereas monoclonal immunoglobulin light chains exhibit only one type of light chain, either kappa or lambda. A kappa:lambda ratio outside of 2:1 is an indication of a monoclonal gammopathy. Patient Information Void and discard first morning urine. Place all subsequent urines in container for the next 24 hrs. End collection after saving first specimen from the following mornin Additional Information NO PRESERVATIVES Acceptable. ** Test added to online catalog 8/01/16. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 251 of 405 K Sparrow Laboratories Online Test Catalog KEPPRA Order Code: LVKEP 1247 Epic Code LAB477 Synonym Levetiracetam CPT 80177 Method High-Performance Liquid Chromatograhy (HPLC) Scheduled Monday - Saturday at Mayo CODE COMPONENT 1247 Department MREF REFERENCE RANGE Age LVKEP Specimen Keppra (Levetiracetam) Container 2 ml serum (Min. 1 ml) LVKEP 1 day to >100 year 3.0 - 63.0 Ug/mL Processing Instructions 1 Plain red top tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. KETONES Order Code: ACET 1000 Epic Code LAB44 Synonym ACET CPT 82010 Scheduled Sunday - Saturday COMPONENT 1000 CODE Department CHM Age ACET Specimen Acetone Container 2 ml serum (Min: 1.0 ml) Test Information REFERENCE RANGE 1 gold top SST clot tube ACET 1 day to >100 year NEGATIVE - Processing Instructions Storage Temp Ambient Allow blood to clot upright 30 minutes at room temperature, then centrifuge. No hemolyzed specimens. Can not use blood in lab if cap has been removed. KETONES, URINE QUALITATIVE Order Code: URKET 1576 Epic Code LAB403 Synonym ACETONE CPT 81003 Method Dipstick Scheduled Sunday - Saturday Department HEM Specimen 1 ml urine Container Sterile urine container For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Collect an early AM specimen preferred. 9/21/2016 8:09:08 AM Storage Temp Refrigerate Page 252 of 405 K Sparrow Laboratories Online Test Catalog KIT EXON 11, MUTATION ANALYSIS Order Code: KIT11 Synonym Melanoma, GIST, Gastrointestinal Stromal Tumor, GST11 10283 Epic Code LAB4750 CPT 81404 Method Polymerase Chain Reaction (PCR) and Sequencing Scheduled Monday - Friday; Varies at Mayo Department MREF Ref Code: KIT11 Specimen Container Varies; Surgical Path Specimens, FFPE tissue Surgical Path Specimens, FFPE tissue Processing Instructions Storage Temp Room Temperature Formalin-fixed, paraffin-embedded (FFPE) tissue block with a minimum of 60% tumor cell population. Acceptable: Unstained slides with a minimum of 40% tumor population; slides may be stained and/or scraped. Test Information Useful for the diagnosis and management of patients with gastrointestinal stromal tumors or melanomas and the identification of a mutation in exon 11 of the KIT gene. Additional testing algorithms and special instructions available at mayomedicallaboratories.com, KIT11 -Gastrointestinal Stromal Tumor (GIST) Testing & KIT Mutation for Melanoma Testing Additional Information ** NEW TEST ADDED 01/22/2016 ** A pathology/diagnostic report including a brief history is required. If available, include KIT Immunostain results. KIT EXON 13, MUTATION ANALYSIS Order Code: KIT13 Synonym Melanoma, GIST, Gastrointestinal Stromal Tumor, GST13 10284 Epic Code LAB4751 CPT 81404 Method Polymerase Chain Reaction (PCR) and Sequencing Scheduled Monday - Friday; Varies at Mayo Department MREF Ref Code: KIT13 Specimen Container Varies; Surgical Path Specimens, FFPE tissue Test Information Surgical Path Specimens, FFPE tissue Processing Instructions Formalin-fixed, paraffin-embedded (FFPE) tissue block with a minimum of 60% tumor cell population. Acceptable: Unstained slides with a minimum of 40% tumor population; slides may be stained and/or scraped. Storage Temp Room Temperature Useful for the diagnosis and management of patients with gastrointestinal stromal tumors or melanomas and the identification of a mutation in exon 13 of the KIT gene. Additional testing algorithms and special instructions available at mayomedicallaboratories.com, KIT13 - Gastrointestinal Stromal Tumor (GIST) Testing & KIT Mutation for Melanoma Testing Additional Information ** NEW TEST ADDED 01/22/2016 ** include KIT Immunostain results. For Customer Service call 517-364-7800 or 800-884-2522 A pathology/diagnostic report including a brief history is required. If available, 9/21/2016 8:09:08 AM Page 253 of 405 K Sparrow Laboratories Online Test Catalog KIT EXON 17, MUTATION ANALYSIS Order Code: KIT17 10285 Epic Code LAB4752 Synonym Melanoma, GIST, Gastrointestinal Stromal Tumor, GST17 CPT 81404 Method Polymerase Chain Reaction (PCR) and Sequencing Scheduled Monday - Friday; Varies at Mayo Department MREF Ref Code: KIT17 Specimen Container Varies; Surgical Path Specimens, FFPE tissue Processing Instructions Surgical Path Specimens, FFPE tissue Storage Temp Room Temperature Formalin-fixed, paraffin-embedded (FFPE) tissue block with a minimum of 60% tumor cell population. Acceptable: Unstained slides with a minimum of 40% tumor population; slides may be stained and/or scraped. Test Information Useful for the diagnosis and management of patients with gastrointestinal stromal tumors or melanomas and the identification of a mutation in exon 17 of the KIT gene. Additional testing algorithms and special instructions available at mayomedicallaboratories.com, KIT17 - Gastrointestinal Stromal Tumor (GIST) Testing & KIT Mutation for Melanoma Testing Additional Information ** NEW TEST ADDED 01/22/2016 ** A pathology/diagnostic report including a brief history is required. If available, include KIT Immunostain results. KLEIHAUER-BETKE Order Code: KLEI 1615 Epic Code LAB762 Synonym Acid Elution Stain, Fetal Hemoglobin, Fetal Maternal Bleed CPT 85460 Method Stain Scheduled Sunday - Saturday CODE COMPONENT 1615 Department BLB Age KLEI Specimen 2 ml whole blood (Min: 1 ml) REFERENCE RANGE Fetal Cells Container 1 Lavender top EDTA tube KLEI Processing Instructions Refrigerate 10 yr to >100 year NEGATIVE - Storage Temp Refrigerate Test Information Hold tube for Blood Bank orders Additional Information Label tube with first name, last name, date of birth and initials of person who identified and collected the specimen, with date and time of collection. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 254 of 405 K Sparrow Laboratories Online Test Catalog KOH PREP Order Code: KOH 1450 Epic Code LAB251 Synonym Fungus Smear, KOH, Potassium Hydroxide CPT 87210 87220 Method Microscopic Scheduled Sunday - Saturday Department MIC Specimen Container Tissue, sputum, skin scrapings, corneal scrapings, hair, nail clippings. Processing Instructions Sterile specimen container Storage Temp Ambient Room temperature LACTATE Order Code: LACID 1130 Epic Code LAB95 Synonym Lactic Acid CPT 83605 Method Enzymatic Scheduled Sunday - Saturday COMPONENT 1130 CODE Department CHM Age LACID Specimen Lactate Container 1 ml plasma (Min: 0.5 ml) Test Information REFERENCE RANGE 1 green top tube, Li Heparin LACID 1 day to >100 year 0.2 - 1.8 mmol/L Processing Instructions Outpatients: Immediately place tube in ice slurry. Centrifuge within 30 min., transfer plasma to plastic vial and freeze Storage Temp Frozen Special handling requirements for inpatients and outpatient specimen collection. Additional Information Inpatients - Draw 1mL whole blood (green-top tube or heparinized syringe). Immediately place in ice slurry, deliver to lab, test within 30 min. of collection. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 255 of 405 L Sparrow Laboratories Online Test Catalog LACTATE CSF Order Code: CLAC 1311 Epic Code LAB187 Synonym CSF CPT 83605 Method Ion - selective electrode Scheduled Sunday - Saturday CODE COMPONENT 1311 Department CHM Age CLAC Specimen 0.4 ml CSF (Min: 0.2 ml) REFERENCE RANGE Lactate-CSF Container CLAC 1 day to >100 year 0.0 - 2.8 MMOL/L Processing Instructions 1 CSF tube Storage Temp Frozen Centrifuge, freeze supernatent LACTATE DEHYDROGENASE Order Code: LDH 1136 Epic Code LAB96 Synonym LDH CPT 83615 Method Spectrophotometry Scheduled Sunday - Saturday COMPONENT 1136 CODE Department CHM REFERENCE RANGE Age LDH LDH LDH LDH LDH LDH LDH 100 - 1000 U/L Age LDH LDH Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 LDH 2 year to 22 year 100 - 350 U/L Age LDH 1 month to 2 year 100 - 550 U/L Age LDH 1 day to 1 month 22 year to >100 year 100 - 225 U/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:08 AM Storage Temp Refrigerate Page 256 of 405 L Sparrow Laboratories Online Test Catalog LACTATE DEHYDROGENASE ISOENZYMES Order Code: LDHIS 1134 Epic Code LAB97 Synonym LDH Electrophoresis, LDH IsoenzymeE CPT 83625 Method Electrophoresis densitometry and Photometric Rate Scheduled Monday-Friday at Mayo Department MREF Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Ambient Allow blood to clot upright 30 minutes. Plain, red-top tube or a serum gel tubes accepted. Spin down, send 2.0 mL of serum at ambient temperature. Frozen will be rejected. Test Information Total LDH and Isoenzyme fractions Patient Information Patients's age required on processing form. Additional Information This test is no longer recommended as a cardiac marker. It has been replaced by Troponin-I. If total LDH is <225 U/L, LDH isoenzyme assay is not indicated. LACTOFERRIN DETECTION, F Order Code: FLACT 10191 Epic Code LAB4656 Synonym FLACF CPT 83630 Method Qualitative Enzyme-Linked Immunosorbent Assay Scheduled Monday - Saturday at Mayo Department MREF Ref Code: FLACF Specimen 5 gr stool unpreserved, or stool preserved in Cary-Blair media.. (Min. 1 gr.) Container Gray tub or Cary Blair vial Processing Instructions Freeze or refrigerate Storage Temp Refrigerate or Frozen Test Information Test Performed by: ARUP Laboratories, Salt Lake City, UT For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 257 of 405 L Sparrow Laboratories Online Test Catalog LACTOSE TOLERANCE Order Code: LTT 1131 Epic Code LAB4033 Synonym CPT Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Specimen Container 1 ml serum (Min: 0.5 ml) PER DRAW Processing Instructions 1 gel barrier SST clot tube PER DRAW Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge immediately. Test Information Fasting, 30 minutes, one (1) hour, 1.5 hour, two (2) hour glucose measurements. Patient Information Patient must fast 6 to 8 hours. Adults will receive a 50 gram dose of lactose; children will receive 2 grams per kg body weight. Additional Information This test needs to be scheduled to ensure the proper test meal preparation and consumption. LAMOTRIGINE, SERUM Order Code: LAMO 6708 Epic Code LAB475 Synonym Lamictal CPT 80175 Method High Turbulence Liquid Chromatography - Tandem Mass Spectrometry (HTLC - MS/MS) Scheduled Monday - Sunday at Mayo CODE COMPONENT 6708 Department MREF Ref Code: LAMO Specimen 1 ml serum (Min: 0.2 ml) REFERENCE RANGE Age LAMO Lamotrigine Container 1 gold top SST clot tube LAMO Processing Instructions 1 day to >100 years 2.5 - 15.0 mcg/Ml Storage Temp Allow to clot upright, then centrifuge, transfer serum to plastic tube. Refrigerate Test Information Useful for monitoring serum concentration of lamotrigine and assessing compliance. Additional Information Serum separator tube acceptable but serum should be removed from gel within 24 hours. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 258 of 405 L Sparrow Laboratories Online Test Catalog LDH BODY FLUID Order Code: FLDH 1143 Epic Code LAB4036 Synonym Body Fluid CPT 83615 Method Spectrophotometry Scheduled Sunday - Saturday Department CHM Specimen 10 ml fluid (Min: 1 ml) Container Processing Instructions Clean container Storage Temp Refrigerate Refrigerate LDL, DIRECT MEASURE Order Code: LDLDG 6862 Epic Code LAB102 Synonym Low Density Lipoprotein CPT 83721 Method Ultracentrifugation / Selective Precipitation / Enzymatic Scheduled Monday - Thursday at Mayo Department MREF Specimen Container Processing Instructions 3.0 ml serum (Min: 3.0 ml). 1 gold top SST clot tube Draw a separate tube if additional tests are requested Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. LEAD, BLOOD Order Code: LEAD 1138 Epic Code LAB98 Synonym Pb CPT 83655 Method Atomic Absorption (AA) Scheduled Monday - Friday COMPONENT 1138 CODE Department TOX Age LEAD Specimen 2.0 ml whole blood (Min: 1.0 ml) REFERENCE RANGE LEAD Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 LEAD Processing Instructions DO NOT CENTRIFUGE. Send whole blood 9/21/2016 8:09:08 AM 1 day to 15 year 0 - 9.9 mcg/dL Storage Temp Refrigerate Page 259 of 405 L Sparrow Laboratories Online Test Catalog LEAD, URINE Order Code: ULEAD 1139 Epic Code LAB404 Synonym PB (Lead), Urine, Random or 24 hour Lead CPT 83655 83655 Method Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) Scheduled Monday-Friday at Mayo CODE COMPONENT 1139 Department MREF REFERENCE RANGE Age ULEAD Ref Code: PBU Specimen Lead Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container; no preservative ULEAD 1 day to >100 year 0 - 80 Processing Instructions Storage Temp Refrigerate Refrigerate - Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information Specimens collected for other than a 24-hour time period are reported in unit of ug/L, for which reference values are not established. The following preservatives are acceptable if multiple assays are requested: 50% Acetic Acid LEGIONELLA ANTIBODY Order Code: LEGAB 1666 Epic Code LAB476 Synonym Legionella Serology CPT 86713 Method Hemagglutination Scheduled Monday - Friday at MDCH Lab Department MDCH Specimen 4 ml serum (Min: 2 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Patient Information Acute and convalescent samples 10-14 days apart preferred. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 260 of 405 L Sparrow Laboratories Online Test Catalog LEGIONELLA ANTIGEN, URINE Order Code: LEGAU 2241 Epic Code LAB886 Synonym Leg Ag, Legionnaires' Disease CPT 87449 Method Rapid Immunochromatographic Membrane Assay Scheduled Monday - Sunday CODE COMPONENT 2241 Department MIC REFERENCE RANGE 1 day to >100 year Age LEGAU Specimen Legionella Ag Container 2 ml random urine LEGAU Negative - Processing Instructions Sterile urine container, no preservative necessary but boric acid is acceptable Storage Temp Refrigerate Random urine, specimen is stable for 24 hrs at room temperature. Refrigerated sample stable up to 14 days LEGIONELLA, DIRECT EXAM Order Code: STLEG 1452 Epic Code LAB4452 Synonym DFA, Legionnaires Disease, pneumonia CPT 87278 Method Direct Fluorescence, DFA Scheduled Tuesday, Friday CODE COMPONENT 1452 Department MIC REFERENCE RANGE Age STLEG Specimen Container 2 ml respiratory sample or Tissue (min. 1 ml) Sterile container Legionella species STLEG Processing Instructions Expedite to microbiology lab. Keep at room temperature 1 day to >100 years Negative - Storage Temp Room Temperature Additional Information Lung biopsy or Respiratory specimen types: Bronchial washings, bronchoalveolar lavage, pleural fluid, sputum or transtracheal aspirates For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 261 of 405 L Sparrow Laboratories Online Test Catalog LEPTOSPIRA CULTURE Order Code: SLPCX 8104 Epic Code LAB4309 Synonym LEPCULT CPT 87070 Method Culture Scheduled Result available in 28 to 30 days Department QST Specimen Container 10 ml heparinized plasma, 4 ml CSF (min. 1.0 ml), or 10 ml Urine Processing Instructions 1 green top tube, heparin for whole blood. Sterile container for urine, CSF tube for Spinal fluid. Storage Temp CSF or Heparinized Whole Blood or Neutralized Urine - add a weak acid or base solution (pH 7.0) ONLY! Keep specimen at Ambient Temp. Room Temperature Test Information During week one, detection in blood or CSF most successful. After that time, and for several months, Leptospires may be intermittently shed in urine. Additional Information Test performed for Sparrow by Focus Technologies LEPTOSPIRA IGM Order Code: FLEPM 10517 Epic Code LAB4818 Synonym ** NEW TEST 9/20/16, Replaces 8081/LEPTO CPT 86720 Method Qualitative Immunoblot Scheduled Monday and Thursday at ARUP CODE COMPONENT 10517 Department MREF Ref Code: FLEPM Specimen 1 mL serum (Min. 0.5 mL) REFERENCE RANGE Age FLEPM Leptospira IgM Container 1 gold top SST clot tube FLEPM Processing Instructions 1 day to >100 years Negative - Storage Temp Allow blood to clot at room temperature for 30 min. Then centrifuge and send 1 mL of serum refrigerated in plastic vial. Refrigerate Additional Information ** New Test 9/20/2016, Replaces test 8081/LEPTO For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 262 of 405 L Sparrow Laboratories Online Test Catalog LEUKEMIA/LYMPHOMA PANEL Order Code: IMPHE 1931 Epic Code LAB1729 Synonym Flow Cytometry CPT Method Flow Cytometry Scheduled Monday - Saturday CODE COMPONENT 1931 REFERENCE RANGE Department IMM Specimen Bone marrow, tissue, joint fluid, CSF Age IMPHE Case Number CASE IMPHE Case Number CASE Container 1 day to >100 year Processing Instructions Bone marrow, tissue, joint fluid, CSF Storage Temp Ambient Maintain specimens at room temperataure. Test Information Interpretation included in histopathology report LIDOCAINE Order Code: LIDO 1028 Epic Code LAB685 Synonym Xylocaine, Xylocard, Lanacane CPT 80176 Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD) Scheduled Monday - Friday CODE COMPONENT 1028 Department TOX Specimen 2.5 ml serum (Min: 1.25 ml) REFERENCE RANGE Age LIDO Specimen Type GCS13 LIDO Lidocaine LIDOC Container 1 Plain red top tube 1 day to >100 year 1.5 - 5.0 mcg/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Additional Information Specimens collected in gel separator tubes will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 263 of 405 L Sparrow Laboratories Online Test Catalog LIPASE Order Code: LIPAS 1141 Epic Code LAB99 Synonym Pancreatic Enzyme CPT 83690 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1141 REFERENCE RANGE Department CHM Age LIPAS Specimen 1 ml serum (Min: 0.5 ml) Lipase LIPAS Container 1 day to >100 year 7 - 60 U/L Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. LIPID PROFILE Order Code: LIPID 1321 Synonym Cororonary Risk Panel Epic Code LAB18 Test Component CHOL,TRIG,HDL, Calc. LDL CPT 80061 Method Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1321 REFERENCE RANGE Department CHM Age LIPID Cholesterol CHOL LIPID Triglycerides TRIG LIPID HDL HDL LIPID VLDL VLDL LIPID LDL- Calc 110 - 170 mg/dL Age 1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube 30 year to 40 year 10 - 150 mg/dL Age Container 1 day to >100 year 35 - 75 mg/dL F Age Specimen 1 day to 30 year 10 - 140 mg/dL Age LDL 1 day to 19 year 50 year to >100 year 10 - 190 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Includes CHOL, TRIG, HDL, Calculated LDL, CHOL/HDL ratio Patient Information Patient must fast 12 -14 hours Additional Information A Direct Measure LDL is recommended when the patient's triglyceride levels are over 400 mg/dl. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 264 of 405 L Sparrow Laboratories Online Test Catalog LIPOPROTEIN a Order Code: LIPA 9028 Epic Code LAB563 Synonym Lp(a) apoprotein, APO a CPT 83695 Method Automated Turbidimetric Immunoassay Scheduled Monday - Saturday at Mayo CODE COMPONENT 9028 Department MREF REFERENCE RANGE Age LIPA Ref Code: LIPA Specimen Lipoprotein a Container 1 ml (Min:0.5 ml) LIPA 1 day to >100 year 0 - 30 mg/dL Processing Instructions 1 Plain red top tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze in plastic tube. Test Information Useful for Cardiovascular disease (CVD) risk refinement in patients with moderate or high risk based on conventional risk factors. Patient Information Patient must be fasting 12-14 hours. LITHIUM Order Code: LITH 1145 Epic Code LAB29 Synonym LI CPT 80178 Method Ion Selective Electrode Scheduled Sunday - Saturday COMPONENT 1145 CODE Department CHM Age LITH Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Lithium Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 LITH 1 day to >100 year 0.5 - 1.2 mmol/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:08 AM Storage Temp Refrigerate Page 265 of 405 L Sparrow Laboratories Online Test Catalog LIVER PANEL Order Code: LIVER 8187 Synonym Hepatic Panel, Liver Function, LFP Epic Code LAB20 Test Component ALP, Total BILI, Direct and Indirect BILI, ALB, AST, ALT and Total Protein CPT 80076 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 8187 REFERENCE RANGE Department CHM Age LIVER Bilirubin-Indirect BILII 0.0 - 0.9 mg/dL LIVER Bilirubin-Total BILIT 0.2 - 1.2 mg/dL LIVER Total Protein LIVER Age 6.0 - 8.0 g/dL Albumin ALB 3.6 - 5.0 g/dL LIVER AST (SGOT) AST LIVER ALK Phosphatase ALP LIVER ALT (SGPT) LIVER Bilirubin-Direct Container 1 gold top SST clot tube BILID 20 year to >100 year 0 - 120 U/L M/F Age ALT 10 year to >100 year 10 - 40 U/L Age 1 ml serum (Min: 0.5 ml) 4 year to >100 year TP Age Specimen 2 W to >100 year 1 day to >100 year 2 - 45 U/L 0.0 - 0.3 mg/dL Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. LIVER/KIDNEY MICROSOME TYPE 1 ANTIBODY Order Code: LKMAB 2005 Epic Code LAB4154 Synonym LKM ANTIBODIES CPT 86376 Method Enzyme-Linked Immunosorbant Assay (ELISA) Scheduled Mon. Wed, Friday at Mayo Department MREF Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:08 AM Storage Temp Refrigerate Page 266 of 405 L Sparrow Laboratories Online Test Catalog LORAZEPAM Order Code: LOR 8034 Epic Code LAB4287 Synonym ATIVAN CPT 80299 Method Gas Chromatography / Mass Spectrometry (GC/MS) Scheduled Monday - Friday Department TOX Specimen Container 2.5 ml plasma (Min: 1.25 ml) Processing Instructions 1 green top tube, Li or Na Heparin Storage Temp Refrigerate Grey-top and plain red-top also acceptable. Reject if collected in gel separator tube. Test Information Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected LUNG CANCER - ROS1 (6q22), FISH, Ts Order Code: ROS1F 10277 Epic Code LAB4745 Synonym Lung Carcinoma, Non-small cell lung cancer, NSCLC CPT 88291 Method Fluorescence In Situ Hybridization (FISH) Scheduled Monday - Friday at Mayo CODE COMPONENT 10277 Department MREF Ref Code: ROS1F Specimen Tissue REFERENCE RANGE Age ROS1F Interpretive Report Container 1 day to >100 years ROS1F Processing Instructions Tissue block preferred, Tissue or slides Storage Temp Ambient Submit a formalin-fixed, paraffin-embedded (FFPE) tumor tissue block. Blocks prepared with alternative fixation methods may be acceptable; provide fixation method used. Slides - Instructions: prepare four consecutive, unstained, 5 micronthick sections placed on positively charged slides, and 1 hematoxylin and eosin-stained slide. Test Information Useful for identifying ROS1 gene rearrangements in patients with late-stage, lung adenocarcinomas that are negative for EGFR mutations and ALK rearrangements. Patient Information Specimen must be drawn from patient prior to Factor Replacement Therapy. Additional Information ** NEW TEST 01/21/2016 ** This test does not include a pathology consult. For more information, go to mayomedicallaboratories.com. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 267 of 405 L Sparrow Laboratories Online Test Catalog LUNG CANCER, EGFR With ALK REFLEX Order Code: EGFRR 10275 Epic Code LAB4744 Synonym Non-small cell lung cancer, Tumor CPT 81235 Method Polymerase Chain Reaction (PCR) and Fluorescence In Situ Hybridization (FISH) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) Scheduled Monday - Friday at Mayo Department MREF Ref Code: EGFRR Specimen Container Tissue Processing Instructions Tissue block preferred, or slides Storage Temp Ambient Formalin-fixed, paraffin-embedded tissue block (preferred) or 2 slides stained with hematoxylin-and-eosin and 10 unstained, nonbaked slides with 5-microns thick sections of the tumor tissue. Test Information Useful for identifying non-small cell lung cancers that may benefit from treatment with epidermal growth factor receptortyrosine kinase or anaplastic lymphoma kinase inhibitors Additional Information ** Pathology report must accompany specimen in order for testing to be performed. LUPUS ANTICOAGULANT Order Code: LUPUS 1109 Epic Code LAB478 Synonym Russell Vipor Venom CPT 85730 Method Clot detection Scheduled Monday - Friday CODE COMPONENT 1109 Department SPCO REFERENCE RANGE Age Specimen LUPUS APTT LUPUS LAC Screen LA1 LUPUS LAC Confirm LA2 LUPUS Mixing Study LAMIX LUPUS Lupus Anticoagulant LUPUS Ortho APTT Container 4 ml frozen plasma (two 2 ml aliquots) and 3 ml serum 2 Light blue top tubes, NaCitrate (3.2%) and 1 plain red top tube LPTT 1 day to >100 year 27 - 37 Sec 0 - 0 Sec LA LRVBY Processing Instructions Centrifuge. Transfer citrate plasma to plastic vial and freeze. Refrigerate clot tube. Storage Temp Frozen Test Information Lupus sensitive APTT, Hexagonal Lipid Assay, Anti-Cardiolipin (platelet neutralization, mixing studies, and plasma agarose, if indicated). Additional Information Red Top Tube transported at refrigerator temperature. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:08 AM Page 268 of 405 L Sparrow Laboratories Online Test Catalog LUTEINIZING HORMONE Order Code: LH 1148 Epic Code LAB87 Synonym LH CPT 83002 Method Immunochemiluminescence Scheduled Sunday - Saturday Department CHM Specimen 1 ml serum (Min: 0.5 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. LYME ANTIBODIES Order Code: LYMAB 1844 Epic Code LAB4146 Synonym Borrelia Burgdorferi antibody CPT 86618 Method ELISA Scheduled Monday; afternoon shift CODE COMPONENT 1844 Department MSER Age LYMAB Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE IgG and IgM Antibodies Container 1 gold top SST clot tube LYMAB 1 day to >100 years Negative - Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Detects both IgG and IgM antibodies. This is a reportable disease; Positives will be sent to the local (county) public health department. Additional Information Positive reflex to Western blot, LYMWB For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 269 of 405 M Sparrow Laboratories Online Test Catalog MAGNESIUM Order Code: MG 1151 Epic Code LAB103 Synonym MG CPT 83735 Method Spectrophotometry, Dye Binding Scheduled Sunday - Saturday CODE COMPONENT 1151 Department CHM REFERENCE RANGE Age MG Specimen Magnesium Container 1 ml serum (Min: 0.5 ml) MG 1 day to >100 year 1.3 - 2.1 meq/L Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. MAGNESIUM, URINE Refrigerate Order Code: UMG24 1118 Epic Code LAB406 Synonym Mg-Urine, 24 hr urine CPT 83735 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1118 Department CHM REFERENCE RANGE Age Ref Code: Sparrow Specimen Mg 24HR URINE UMGC UMG24 Mg Non 24HR UR UMG1 UMG24 Measured Volume UVOL measure - in mL UMG24 Collection Time CINTV Time - in hours Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to >100 year UMG24 24 hour urine container, no preservative 6.0 - 10.0 mEq/24Hr Processing Instructions Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Storage Temp Refrigerate Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information Must acidify before testing; add 6N HCL For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 270 of 405 M Sparrow Laboratories Online Test Catalog MALARIA SMEAR Order Code: MALAR 1519 Epic Code LAB883 Synonym Babesia, Plasmodium CPT 87207 Method Wright Giemsa Stain, Microscopy Scheduled Sunday - Saturday Department HEM Specimen 4 ml whole blood (Min: 1 ml) Container Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate Refrigerate Patient Information Collect sample during period of fever or chill MANGANESE Order Code: MANGN 1152 Epic Code LAB1050 Synonym Mn (Serum) CPT 83785 Method Graphite Furnace Atomic Absorption Spectometry Scheduled Tuesday, Thursday at Mayo CODE COMPONENT 1152 Department MREF Ref Code: MNS Specimen 2 ml serum (Min: 2 ml) REFERENCE RANGE Age MANGN Manganese Container Royal blue top PLAIN, trace element tube MANGN 1 day to >100 year 0.40 - 0.85 ng/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer into a metal-free plastic vial. Storage Temp Refrigerate Additional Information Specimen delayed by 48 hours should be frozen. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 271 of 405 M Sparrow Laboratories Online Test Catalog MDS, FISH Order Code: MDSF Synonym Myelodysplastic Syndrome, Isodicentric 20q - idic(20), Myeloproliferative neoplasms 10269 Epic Code LAB4737 CPT 88291 Method Fluorescence In Situ Hybridization (FISH) Scheduled Monday - Friday at Mayo Department MREF Specimen Container 7-10 mL Whole blood, minimum 2 1 green top tube, Na Heparin mL/1-2 mL Bone marrow, minimum: 1 mL Processing Instructions Storage Temp Ambient Invert several times to mix blood or bone marrow. Other anticoagulants are not recommended and are harmful to the viability of the cells. Test Information Useful for detecting a neoplastic clone associated with the common chromosome abnormalities seen in patients with myelodysplastic syndromes or other myeloid malignancies. MEASLES IgG ANTIBODY Order Code: MEASL 1411 Epic Code LAB657 Synonym Rubeola CPT 86765 Method Enzyme Immunoassay (EIA) Scheduled Monday; afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:09 AM Storage Temp Refrigerate Page 272 of 405 M Sparrow Laboratories Online Test Catalog MECONIUM DRUG SCREEN 7 Order Code: MCSCR 10182 Epic Code LAB4644 Synonym Drug Screen, Newborn drugs of abuse screen CPT Method Liquid Chromatography Mass Spectrometry/Mass Spectrometry Scheduled Monday-Saturday at Warde Lab CODE COMPONENT 10182 REFERENCE RANGE Department SO Ref Code: MECO7 Specimen 5.0 grams Meconium (1.0 g Minimum) Age MCSCR Drug Components Container Sterile screw cap container MCSCR 1 day to >100 years Negative - Processing Instructions Storage Temp Refrigerate Collect all meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears. Send specimen or multiple sample collections from the same patient should be combined in one container. Test Information Useful for identifying illicit drug use during pregnancy by detecting drugs or metabolites in meconium specimens. Additional Information Stability: Room Temperature: 72 hours; Refrigerated: 14 days; Frozen: 1 year MEPERIDINE and NORMPERIDINE, P/S Order Code: MEP 2534 Epic Code LAB4422 Synonym Demerol CPT 80362 Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD) Scheduled Monday - Friday Department TOXSO Specimen 2.5 ml plasma (Min: 1.25 ml) Container Processing Instructions Storage Temp Refrigerate 1 green top tube, Li or Na heparin Additional Information Grey top or plain red top tube also acceptable. Specimens collected in gel separator tubes will be rejected. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 273 of 405 M Sparrow Laboratories Online Test Catalog MERCURY, BLOOD Order Code: MERCB 9039 Epic Code LAB831 Synonym Hg, metal CPT 83825 Method Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) Scheduled Monday - Saturday at Mayo CODE COMPONENT 9039 Department TOX Age MERCB Specimen 5 ml whole blood (Min: 2 ml) REFERENCE RANGE Mercury Container 1 royal blue top tube-EDTA MERCB 1 day to >100 year 0 - 9.0 ng/mL Processing Instructions Storage Temp Refrigerate Do not centrifuge. METANEPHRINES, P Order Code: PMETA 1285 Synonym Metanephrines Fractionated Free Epic Code LAB4064 Test Component Metanephrine, Normetanephrine CPT 83835 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Saturday at Mayo Department MREF Ref Code: PMET Specimen 2 ml plasma (Min: 1.0 ml) Container 1 Lavender top EDTA tube Processing Instructions Centrifuge and transfer plasma to a plastic vial. Freeze plasma. Storage Temp Refrigerate or Frozen Test Information Useful for screening test for presumptive diagnosis of catecholamine-secreting pheochromocytomas or paragangliomas. Additional Information Specimen may be frozen after arrival in the laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 274 of 405 M Sparrow Laboratories Online Test Catalog METANEPHRINES, U Order Code: UMETA 1275 Epic Code LAB409 Synonym Metanephrines Fractionated, 24 hour Metanephrine CPT 83835 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday-Saturday at Mayo CODE COMPONENT 1275 Department MREF REFERENCE RANGE Age UMETA Ref Code: METAF Specimen Metanephrines Container 24 hour urine collection; Submit entire collection or 20 ml aliquot UMETA 1 day to >100 year 0.0 - 1.3 mg/24Hr Processing Instructions 24 hr urine container; Add 10 grams Boric acid preservative prior to collection. For pediatric patients, add 3 grams boric acid. Storage Temp Refrigerate Refrigerate - Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information When multiple 24 hr urine tests are ordered, Boric acid, 6N HCL, 50% Acetic acid and Na2CO3 are acceptable. METAPNEUMOVIRUS BY PCR Order Code: PCRMG 10038 Epic Code LAB4364 Synonym Respiratory Virus, Human Metapneumovirus CPT 87798 Method PCR Scheduled Monday, Wednesday, Friday CODE COMPONENT 10038 Department MDX Specimen Nasopharyngeal (NP) or throat swab, Respiratory specimens (Nasal washing, BAL, bronchial washing, tracheal aspirate, sputum) Adeno/Para only: CSF Adeno only: Eye Additional Information REFERENCE RANGE Age PCRMG Specimen Type SPM13 PCRMG Virus PCRMO Container FLOQ swab or Saline wash in sterile screw cap vial; Preferred. Respiratory specimens: into 3ml saline in sterile container or 3ml viral transport media. Processing Instructions Not - Detected Storage Temp Submitted swabs are placed into M4/M5 viral transport media. NP aspirate/saline wash should be cloudy and sent in sealed plastic vial or VTM vial. Culturette II swab/ polyester, rayon or nylon tipped swab acceptable. wooden shafted swabs. For Customer Service call 517-364-7800 or 800-884-2522 1 day to >100 year 9/21/2016 8:09:09 AM Refrigerate Unacceptable Specimens: Gel swab or Page 275 of 405 M Sparrow Laboratories Online Test Catalog METHADONE Order Code: METHO 7751 Epic Code LAB1054 Synonym DOLOPHINE CPT 80358 Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD) Scheduled Monday - Friday CODE COMPONENT 7751 Department TOX Age METHO Specimen 2.5 ml serum (Min: 1.25 ml) REFERENCE RANGE Methadone Container METHO Male or Female 1 day to >100 year 50 - 100 ng/mL Processing Instructions 1 Plain red top tube, 10 mL Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Additional Information Specimens collected in gel separator tubes will be rejected. METHEMOGLOBIN Order Code: METHB 1157 Epic Code LAB91 Synonym CPT 83050 Method Oximetry Scheduled Sunday - Saturday CODE COMPONENT 1157 Department CHM Age METHB Specimen 2 ml whole blood (Min: 0.5 ml) REFERENCE RANGE Methemoglobin Container 1 green top tube, Li heparin For Customer Service call 517-364-7800 or 800-884-2522 METHB Processing Instructions Refrigerate. DO NOT CENTRIFUGE. 9/21/2016 8:09:09 AM 1 day to >100 year 0.0 - 1.5 % Storage Temp Refrigerate Page 276 of 405 M Sparrow Laboratories Online Test Catalog METHEMOGLOBIN and SULFHEMOGLOBIN, Blood Order Code: MSHGB 1216 Epic Code LAB4047 Synonym Methemgb, Sulfhgb CPT 83050 83060 Method Spectrophotometry Scheduled Monday-Saturday CODE COMPONENT 1216 Department MREF Ref Code: MET Specimen 2 ml whole blood (Min: 1ml) REFERENCE RANGE Age MSHGB SULF-HBG Container 1 Lavender top EDTA tube MSHGB 1 day to >100 year 0.0 - 1.0 % Processing Instructions Storage Temp Refrigerate Refrigerate Test Information Includes methemoglobin and sulfhemoglobin Patient Information Patient age required METHOTREXATE Order Code: METRX 1355 Epic Code LAB481 Synonym CPT 80299 Method Fluorescent Polarization Immunoassay Scheduled Sunday - Saturday Department CHM Specimen 1 ml plasma (Min: 0.5 ml) Container 1 green top tube, Li heparin For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:09 AM Storage Temp Refrigerate Page 277 of 405 M Sparrow Laboratories Online Test Catalog METHYLMALONIC ACID Order Code: MMAS 8189 Epic Code LAB835 Synonym MMA, Cobalamin Deficiency, B12 Deficiency CPT 83921 Method Liquid Chromatography-Tandem Mass Spectometry (LC-MS/MS) Stable Isotope Dilution Analysis Scheduled Monday - Friday at Mayo CODE COMPONENT 8189 REFERENCE RANGE Department MREF Age MMAS Ref Code: MMAS Specimen 3 ml serum (Min: 1.5 ml) Methymalonic Acid Container MMAS 1 day to >100 year 0.00 - 0.40 nmol/mL Processing Instructions 1 Plain red top tube preferred Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Separate serum into plastic vial. Serum red top tubegel barrier acceptable. Test Information Interpretation: In pediatric patients, markedly elevated methylmalonic acid values indicate a probable diagnosis of methylmalonic acidemia. Additional confirmatory testing must be performed. In adults, moderately elevated values indicate a likely cobalamin (vitamin B12) deficiency. Additional Information Specimen must be frozen within 24 hours of collection. MEXILETINE Order Code: MEXIL 6807 Epic Code LAB4224 Synonym MEXITIL CPT 80299 Method High Pressure Liquid Chromatogrphy (HPLC) Scheduled Monday - Saturday at Mayo CODE COMPONENT 6807 Department TOX Age MEXIL Specimen 5 ml plasma (Min: 5 ml) REFERENCE RANGE Mexiletine Container 2 Lavender top EDTA tubes MEXIL 1 day to >100 year 0.75 - 2.00 mcg/mL Processing Instructions Centrifuge and transfer plasma to a plastic tube. Storage Temp Refrigerate Test Information Specimens collected in plain red top tubes are acceptable. Red top gel-barrier tubes are not acceptable. Patient Information Patient must be on medication 3 days prior to collection. Collect specimen just before administration of the next dose. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 278 of 405 M Sparrow Laboratories Online Test Catalog MHPG, 24 HOUR URINE Order Code: LCMHP 10320 Epic Code LAB4787 Synonym 3-Methoxy-4-Hydroxyphenylglycol, 24 hr Urine MHPG CPT 82542 Method High Pressure Liquid Chromatography Scheduled Monday - Saturday at Reference lab CODE COMPONENT 10320 Department SOO REFERENCE RANGE Age Ref Code: 803193 Specimen LCMHP Total volume L0240 LCMHP MHPG L0241 LCMHP MHPG, 24 Hr Urine L0242 LCMHP Measured Volume LCTV1 Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container, no preservative 1 day to >100 years Processing Instructions Storage Temp Refrigerate during collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Refrigerate Test Information Use to monitor levels of urinary 3-methoxy-4-hydroxyphenylglycol (MHPG), a metabolite of norepinephrine. Patients with either high or low levels of MHPG have demonstrated marked sleep disturbance, which may be related to unipolar depression. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information ** New Test added June 21, 2016 ** Replaces test number 1066/MHPG When multiple 24 hr urine tests are ordered, 50% Acetic acid is acceptable. MICROALBUMIN, TIMED URINE Order Code: UMALG 6808 Epic Code LAB4225 Synonym ALB, 24 hr urine microalbumin CPT 82043 Method Spectrometry Scheduled Sunday - Saturday Department CHM Ref Code: Sparrow Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot Test Information 24 hr urine container, no preservative Processing Instructions Storage Temp Keep refrigerated. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Refrigerate Collections that contain acid additives are not acceptable. Label container with name, date, time collection started and when finished. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 279 of 405 M Sparrow Laboratories Online Test Catalog MICROALBUMIN, U Order Code: UMAR 6738 Epic Code LAB4443 Synonym ALB, Random Urine Microalb CPT 82043 Method Turbidimetric Scheduled Monday - Friday CODE COMPONENT 6738 Department STL Specimen 20 ml single void urine sample (Min: 5 ml) REFERENCE RANGE Age 1 day to >100 year UMAR Microalbumin-Random UMAR 0.0 - 19.9 mcg/mL UMAR Microalbumin-Random UMAR 0.0 - 19.9 mg/dL Container Processing Instructions Urine container, no preservatives Storage Temp Refrigerate Refrigerate MICROALBUMIN/CREATININE RATIO Order Code: MACRE Synonym MA/CREAT, Random or 24 hr urine microalbumin creat ratio 8138 Epic Code LAB689 CPT 82043 82570 Method Sprectrophotometry Scheduled Monday - Friday CODE COMPONENT 8138 Department STL Ref Code: Sparrow Specimen 5 ml urine (Min: 1 ml ) REFERENCE RANGE Age MACRE Microalbumin-Random UMAR MACRE MicroAlb/Creat. Ratio MCRAT Container Sterile urine container For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate random urine 9/21/2016 8:09:09 AM 1 day to >100 year 0.00 - 19.9 mcg/mL 0.0 - 20 mg/g Storage Temp Refrigerate Page 280 of 405 M Sparrow Laboratories Online Test Catalog ANTI- MITOCHONDRIAL ANTIBODY Order Code: AMA 1737 Epic Code LAB513 Synonym AMA, Mitochondrial Ab CPT 85316 86256 Method Indirect Immunofluorescence (IFA) Scheduled Tuesday, Friday CODE COMPONENT 1737 Department IMM Specimen 3 ml serum (Min: 0.5 ml) REFERENCE RANGE Age AMA Antibody Result AMAR AMA Titer AMAT Container 1 gold top SST clot tube to Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temp, then centrifuge. Test Information Titer, if positive MIXING STUDY Order Code: MIX Synonym APTT/PT Mixing Studies, APTT/PT Correction Studies 1051 Epic Code LAB4013 CPT 85732 Method Photo-optical clot detection Scheduled Monday - Friday Department COA Specimen 2 ml frozen plasma (Min: 1 ml) Container 1 Light blue top tube, NaCitrate (3.2%) Processing Instructions Storage Temp Frozen Centrifuge. Transfer plasma to plastic vial and freeze. MONO TEST Order Code: MONO 1776 Epic Code LAB4506 Synonym Monospot, Infectious Mono, Heterophile CPT 86308 Method Latex Agglutination Scheduled Sunday - Saturday Department HEM Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:09 AM Storage Temp Refrigerate Page 281 of 405 M Sparrow Laboratories Online Test Catalog MORPHINE, BLOOD Order Code: MOR Synonym Astramorph, Duramorph, Infumorph, Kadian, Morphine Sulfate, MS Contin, MSIR, Oramorph, RMS, Roxanol 2532 Epic Code LAB4420 CPT G0480 Method Gas Chromatography / Mass Spectrometry (GC/MS) Scheduled Monday - Friday Department TOXSO Specimen Container 2.5 ml plasma (Min: 1.25 ml) Processing Instructions Storage Temp Refrigerate 1 green top tube, Li or Na heparin Additional Information Grey top or plain red top tube also acceptable. Specimens collected in gel separator tubes will be rejected. MRSA SCREENING Order Code: PCMSG 9195 Synonym Methicillin Resistant Staph Aureus, Staph Epic Code LAB1747 Test Component SPM14; PCRMR CPT 87641 Method PCR Scheduled Monday, Wednesday, Friday Department MDX Specimen Nasal specimen- Anterior Nares (nose) Container Swab collection - Red-Top Copan swab in stuart's media Processing Instructions Insert one swab into each nostril, roll 5 times, place swab in it's container Storage Temp Refrigerate Test Information This test is useful for preoperative and surveillance screening for MRSA (Methicillin- resistant Staphylococcus aureus). Additional Information If the MRSA Screen is ordered with a respiratory culture, collect a separate swab for the respiratory culture. Calciumalginate swab or transport gel is not acceptable for PCR For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 282 of 405 M Sparrow Laboratories Online Test Catalog MSSA/MRSA SCREEN - S. AUREUS , PCR Order Code: PCRSG 10244 Synonym Resistant Staph. Surveillance, SA Epic Code LAB4717 Test Component SPM18; PCRSA CPT 87640 87641 Method PCR Scheduled Daily in DNA Lab Department MDX Specimen Nasal only Container Swab, culturette II, aerobic swab Processing Instructions Label swab with Patient first and last name, date of birth and source, Nasal. Refrigerate. Storage Temp Refrigerate Test Information This test is useful for preoperative screening for MRSA (Methicillin- resistant Staphylococcus aureus) and MSSA (methicillin‐ sensitive Staphylococcus aureus). Additional Information ** New Sparrow Molecular Lab Test available June 9, 2015. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 283 of 405 M Sparrow Laboratories Online Test Catalog MTHFR 677/1298 MUTATION, Blood Order Code: MTFRX Synonym ** NEW TEST** replaces 6961/MMTFG, Methyloentetrahydrofolate Reductase 10500 Epic Code LAB4809 CPT 81291 Method Real-Time PCR Scheduled Once a week CODE COMPONENT 10500 Department MDX Age Specimen 1 day to >100 years MTFRX C677T Gene C677T Absent - mutation MTFRX A1298C Gene A1298 Absent - mutation MTFRX Reviewed By: MTRVB Container 5 ml whole blood (Min: 2 ml) Test Information REFERENCE RANGE Processing Instructions 1 - 7 ml Lavender top tube, Invert several times to mix blood. EDTA or 1 yellow top ACD tube Send specimen in original tube. Storage Temp Room Temperature Hyperhomocysteinemia, high blood levels of homocysteine, especially in individuals with insufficient folate is a risk factor for cerebrovascular disease, cerebral vein thrombosis, coronary artery disease, myocardial infarction, and venous thrombosis. The levels of homocysteine in the serum are influenced by both genetic and environmental factors. One mutation, C677T, results in the MTHFR enzyme being 20% less efficient in metabolizing homocysteine, thus increasing serum levels, especially when plasma folate levels are at the lower end of normal. Five percent of Caucasians and 1.4% of AfricanAmericans are C677T homozygotes, and are likely to have Hyperhomocysteinemia. A second mutation, A1298C, is also relatively common. Data suggests that combined heterozygosity for the two mutations may result in features similar to those of C677T homozygotes. Neither heterozygosity nor homozygosity for A1298C has been shown to be a risk factor for hyperhomocysteinemia. In patients with hyperhomocysteinemia, follow-up testing for the MTHFR mutation might be warranted to rule it out as a causative. Hyperhomocysteinemia has been found in women who have experienced two or more early pregnancy losses, placental infarction, and fetal growth retardation, but MTHFR mutation as a cause for early pregnancy loss is still controversial. Homozygosity for C677T has been shown to have a two- to threefold increased risk for neural tube defects (NTDs), such as anencephaly and spina bifida, and compound heterozygosity for C677T and A1298C may also be a risk factor for NTDs. Dietary folic acid supplementation before the fourth week of gestation is well documented in reducing the recurrence risk for open neural tube defects by approximately 75%. It may act by normalizing homocysteine levels. Genetic counseling is recommended. Additional Information ** NEW MTHFR TEST performed at Sparrow, Molecular Diagnostics Lab, added 8/31/16. Replaces sendout test code 6961 /MMTFG /LAB4244 This test is a direct mutation analysis using PCR amplification, signal generation and release cleavage of sequence alleles (Invader Plus Chemistry, Hologic, Madison, WI) For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 284 of 405 M Sparrow Laboratories Online Test Catalog MUMPS SEROLOGY Order Code: MUMP2 1410 Epic Code LAB4085 Synonym Mumps Antibodies CPT 86735 Method Immunofluorescence Scheduled Monday - Friday at Mayo Department MREF Specimen 2 ml serum (Min: 1 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. MYASTHENIA GRAVIS (MG) EVALUATION, ADULT Order Code: MGA1 10512 Epic Code LAB4814 Synonym ** NEW TEST 9/20/16, Replaces 8057/MGRAV CPT 83519 83520 Method ARBI, ARMO, GANG, GD65S, VGKC: Radioimmunoassay (RIA) STR: Enzyme Immunoassay (EIA) CODE COMPONENT 10512 REFERENCE RANGE Scheduled Monday-Friday at Mayo Age Department MREF MGA1 Ach Receptor (Muscle) Binding Ab ARBI Ref Code: MGA1 MGA1 Ach Receptor (Muscle) Modulating Ab ACMAB MGA1 AChR Ganglionic Neuronal Ab GANG MGA1 CRMP-5-IgG Western blot CRMWS MGA1 GAD65 Ab GD65S MGA1 MG Adult Interpretation MGEAI MGA1 Neuronal (V-G) K+ Channel Ab VGKC MGA1 Striational (striated muscle) Ab STR Specimen 3 mL serum (Min. 2 mL) Container 1 gold top SST clot tube 1 day to >100 years Processing Instructions Allow blood to clot upright for 30 min. at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful for Initial evaluation of patients aged 20 or older with symptoms and signs of acquired myasthenia gravis (MG). Evaluating bone marrow transplant recipients with suspected graft-versus-host disease, particularly if weakness has appeared. Additional Information ** New Test 9/20/2016, Replaces test 8057/MGRAV For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 285 of 405 M Sparrow Laboratories Online Test Catalog MYCOPHENOLIC ACID Order Code: MPA 6979 Epic Code LAB4248 Synonym CELLCEPT, MYCO, MOFERTIL, MPA CPT 80180 Method Tandem Mass Spectrophotometry Scheduled Monday - Saturday at Mayo CODE COMPONENT 6979 Department MREF Specimen 1.0 ml serum (Min: 0.1 ml) REFERENCE RANGE Age 1 day to >100 year MPA MPA Glucuronide MPA 35 - 100 ug/ml MPA Mycophenolic Acid (MPA) MPA 35 - 100 ug/ml MPA MPA Glucuronide MPA 1.0 - 3.5 ug/ml MPA Mycophenolic Acid (MPA) MPA 1.0 - 3.5 ug/ml Container 1 Plain red top tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information Monitoring therapy with CellCept is useful to ensure adequate blood levels and avoid overimmunosuppression. A trough level, drawn just prior to the next dose, is required. If drawn at other times, the reference ranges given do not apply. Additional Information Red black gel-barrier tube is NOT acceptable. MYCOPLASMA PNEUMONIAE IGG Order Code: MYCPG 6001 Epic Code LAB656 Synonym Walking Pneumonia, Cold Agglutinin CPT 86738 Scheduled Tuesday; afternoon shift Department MSER Specimen 1 ml serum Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:09 AM Storage Temp Refrigerate Page 286 of 405 M Sparrow Laboratories Online Test Catalog MYCOPLASMA PNEUMONIAE IGG/IGM Order Code: MYCGM 6000 Synonym Walking Pneumonia, Cold Agglutinin Epic Code LAB4189 Test Component MYCPG,MYCPM CPT 86738 Scheduled Tuesday; afternoon shift Department MSER Specimen 1 ml serum Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information Specific IgM antibodies to M. pneumoniae are usually detected in patients with a recent primary and reactivated infections. IgM antibodies to M.pneumoniae have been shown to persist for long periods, 2-12 months in some patients. Specimens obtained too early may not contain detectable levels of IgM Ab. If a M.pneumoniae infection is suspected, a 2nd specimen should be collected in 7-14 days and tested. Positive test results may not be valid in patients who have received recent blood product transfusions. MYCOPLASMA PNEUMONIAE IGM Order Code: MYCPM 1679 Epic Code LAB799 Synonym Cold Agglutinin Titer CPT 86738 Method Enzyme Immunoassay (EIA) Scheduled Monday-Friday; afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Specific IgM antibodies to Mycoplasma pneumoniae are usually detected in patients with a recent primary and reactivated infections. IgM antibodies to M.pneumoniae have been shown to persist for extended periods (2-12 months) in some patients. Specimens obtained too early during infection may not contain detectable levels of IgM antibody. If a M.pnumoniae infection is suspected, a second specimen should be collected in 7-14 days and tested. Patient Information Positive test results may not be valid in patients who have received blood transfusions within the past few months. These test results should be used in conjunction with information from the clinical evaluation and other available diagnostic procedures. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 287 of 405 M Sparrow Laboratories Online Test Catalog ANTI- MYELIN ANTIBODY Order Code: AMYAB 1696 Epic Code LAB4125 Synonym Myelin IgG Antibody CPT 88347 Method IFA Scheduled Monday - Friday at Mayo Department MREF Specimen 1 ml serum Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. MYELIN BASIC PROTEIN Order Code: MBPR 1698 Epic Code LAB190 Synonym CSF, Myelin BP CPT 83873 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday, Thursday at Mayo CODE COMPONENT 1698 Department QST Age MBPR Specimen 2 ml CSF (Min: 0.25 ml) REFERENCE RANGE Myelin Basic Protein Container 1 CSF tube MBPR 1 day to >100 year 0 - 15 ng/mL Processing Instructions Storage Temp Frozen (Specimen may be frozen after arrival in Laboratory) MYELOPEROXIDASE ANTIBODIES Refrigerate Order Code: MYPXR 9032 Epic Code LAB4342 Synonym ANCA, ACPA, MPO CPT 83516 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday - Friday at Mayo Department MREF Ref Code: MPO Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:09 AM Storage Temp Refrigerate Page 288 of 405 M Sparrow Laboratories Online Test Catalog MYOCARDIAL ANTIBODY, S Order Code: MCA 10200 Epic Code LAB4666 Synonym Anti-Cardiac Muscle Antibodies • Cardiac Muscle Antibodies • CMA (Cardiac Muscle Antibodies) • Heart Antibodies CPT 86255 86256 Method Indirect Immunofluorescence Scheduled Department MREF Ref Code: MCA Specimen Container 0.5 mL serum (Min. 0.2 mL) Processing Instructions 1 Plain red top tube Storage Temp Refrigerate Serum gel acceptable. Spin and send serum refrigerated." Test Information Will titer if indicated. MYOGLOBIN Order Code: SMYO 8004 Epic Code LAB105 Synonym cardiac, myo CPT 83874 Method Immunoassay Scheduled Sunday - Saturday at Mayo CODE COMPONENT 8004 REFERENCE RANGE Department CHM Age Specimen Test Information SMYO Myoglobin SMYO F 14 - 66 ng/mL SMYO Myoglobin SMYO M 17 - 106 ng/mL Container 3 ml plasma or serum (Min: 1 ml) 1 day to >100 year 1 green top tube, Li Heparin / 1 gel barrier SST clot tube Processing Instructions Centrifuge, separate plasma and refrigerate. For clot tubes, allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Red/black gel barrier tube is acceptable. Additional Information Specimen stable for 8 hrs at room temperature and up to 48 hrs if refrigerated. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 289 of 405 M Sparrow Laboratories Online Test Catalog MYOGLOBIN, URINE Order Code: UMYO 1582 Epic Code LAB412 Synonym Urine Myoglobin CPT 83874 Method Ultrafilration, Dipstick Detection Scheduled Sunday - Saturday Department HEM Specimen Container Processing Instructions 15 ml single void urine (Min: 2 ml) Urine container, no preservative Storage Temp Refrigerate Refrigerate MYOSITIS AB 2 PANEL Order Code: FMYOP 10190 Epic Code LAB4655 Synonym Anti-Jo, MyoMarker Panel 2 CPT 83516 86235 83516x Method RIPA and Enzyme Immunoassay (EIA) Scheduled Batched weekly, Mayo Forward CODE COMPONENT 10190 Department MREF Ref Code: FMYOP Specimen 3 ml serum (Min. 1.5 ml) REFERENCE RANGE Age FMYOP JO-1 FMYOP PM/SCL Container 1 gold top SST clot tube 1 day to >100 year JO-1 PM/SCL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Useful to evaluate Anti-Jo 1 Abs found in subset of myositis patients characterized by interstitial lung disease, systemic polyarthritis, Raynaud’s Phenomena,fever and Mechanic’s Hand (anti-synthetase syndrome). Useful for Anti-Jo 1 as a marker for interstitial lung disease in polymyositis. Additional Information Forwarded to RDL Reference Laboratory, Inc. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 290 of 405 N Sparrow Laboratories Online Test Catalog NEISSERIA GONORRHOEAE RNA BY APTIMA Order Code: NGRNG 6970 Epic Code LAB4246 Synonym GC, APTIMA, N GONOR CPT 87591 Method Transcription-Mediated Amplification (TMA) Scheduled Sunday - Saturday CODE COMPONENT 6970 Department MDX REFERENCE RANGE Age Specimen NGRNG Specimen Type SPM15 NGRNG N. gonorrhoeae NGRNA Container Cervical, vaginal, urethral, self collect vaginal swab or random, "First Catch" urine collection. Aptima collection Vials: Swab, self collect Vag swab, Urine vial. Liquid PAP vial - Thin Prep or SurePath 1 day to >100 years Negative - Processing Instructions Storage Temp Female vag/cervical specimen step 1 - use the white swab provided to wipe away mucus and discard this swab. 2 - collect sample with the blue swab. Male urethral collection, use blue swab only. Place swab in vial, break at score line. "First catch", initial stream urine collect in sterile urine cup; then transfer to Aptima urine vial. Fill to fluid level line – approx. 2 ml. Room Temperature Test Information This is a reportable disease; Positives will be sent to the local (county) public health department. Patient Information For urine collections, patient should not have urinated for at least 1 hour prior to specimen collection. Self-collect kits (orange vials/Vag swab) and patient instructions provided by the lab PSC staff. Additional Information May be combined with other STD test orders - GC, Chlamdydia and Trichomonas. When ordering a PAP screen and STD testing we recommend sending the liquid vial for PAP plus submit Aptima vial (blue swab) for GC, CT and TRVG. NEONATAL BLOOD BANK EVALUATION Order Code: CORDS 10270 Epic Code LAB892 Synonym Cord Blood Eval, Cord Workup CPT Method Hemagglutination Scheduled Monday-Saturday Department BLB Specimen Cord Blood Test Information Container 1 Plain red top tube Processing Instructions Take to Blood Bank Storage Temp Ambient Cord ABO, RH and DAT, Immune Study, Maternal Antibody Screen For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 291 of 405 N Sparrow Laboratories Online Test Catalog ANTI- NEUTROPHIL CYTOPLASMIC ANTIBODY Order Code: CYNAB Synonym ANCA, ACPA, Cytoplasmic Neutrophilic Antibody, Wegener's Disease 6827 Epic Code LAB458 CPT 86255 Method Indirect immunofluorescent technique Scheduled Sunday - Friday at Mayo Department MREF Ref Code: ANCA Specimen 1 ml serum (Min: 0.2 ml) Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Additional Information This test should not be mistaken for granulocyte antibodies. NIACIN (NICOTINIC ACID) Order Code: FNIAC 10298 Epic Code LAB4762 Synonym Vitamin B3 CPT 84591 Method High Performance Liquid Chromatography (HPLC) Scheduled Varies at Cambridge Biomedical Inc. CODE COMPONENT 10298 Department MREF Ref Code: FNIAC Specimen 4 mL plasma (min. 1 mL) REFERENCE RANGE Age FNIAC Niacin FNIAC Container 1 Lavender top EDTA tube 10 years to >100 years 0.50 - 8.45 ug/mL Processing Instructions Spin down and transfer to a plastic Amber vial (T192) to protect from light within 30 minutes of collection. Freeze and send EDTA plasma frozen on dry ice. Storage Temp Frozen Test Information Test Performed By: Cambridge Biomedical Inc. Additional Information ** NEW TEST ADDED 02/22/2016 ** For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 292 of 405 N Sparrow Laboratories Online Test Catalog NICOTINE AND COTININE, QUANTITATIVE Order Code: UNICT 6657 Epic Code LAB414 Synonym Tobacco, Cotinine CPT 80323 G6055 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo. CODE COMPONENT 6657 Department MREF Age Ref Code: NICOU Specimen 3 ML. Urine (min. 2 ml) REFERENCE RANGE UNICT Nornicotine UNICT Cotinine UNICT Anabasine UNICT Nicotine Container 1 day to >100 years NORNI 0.0 - 2.0 ng/mL COTI 0.0 - 5.0 ng/mL ANABA 0.0 - 2.0 ug/mL NICO 0.0 - 2.0 ng/mL Processing Instructions Storage Temp Refrigerate Sterile urine container, random Refrigerate random urine. sample Test Information Used to monitor tobacco use and to monitor replacement therapy to verify that it is adequate. Reference ranges pertain to a Non-tobacco user with no passive exposure. Patient Information Specimen must be collected at draw station (do not have patient collect at home). May be poured off after patient drops off urine cup. Indicate whether patient is on patch therapy NICOTINE AND COTININE, SERUM Order Code: NICOT 10119 Synonym Tobacco, Cotinine Epic Code LAB4577 Test Component COTIN, NICOR CPT 80323 G0480 Method LC MS/MS Scheduled Monday - Friday at Mayo COMPONENT 10119 CODE Department MREF Ref Code: NICOS Specimen 2 ml serum (Min. 2 ml) REFERENCE RANGE Age 1 day to >100 year NICOT Nicotine NICOR Male or Female < - 3.0 ng/ml NICOT Cotinine COTIN Male or Female < - 3.0 ng/ml Container 1 Plain red top tube, NO Gel barrier Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Knowledge of time elapsed between last dose and specimen collection is important for result interpretation. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:09 AM Page 293 of 405 N Sparrow Laboratories Online Test Catalog N-TELOPEPTIDE, 24 HR URINE Order Code: NTXGP 6865 Epic Code LAB816 Synonym NTX, 24 hr urine NTX CPT 82523 Method Vitros E Ci Competitive Assay Scheduled Monday - Saturday at Mayo Department MREF Ref Code: NTXPR Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot; 5 ml urine (min: 1 ml) for Random urine Processing Instructions 24 hr urine container; no preservative Storage Temp Refrigerate Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Test Information 24 hour urine collection is preferred. Random urines are accepted; the specimen of choice is the second random void of the day. Patient Information Void and discard first morning urine specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information When multiple tests are ordered the following preservatives are acceptable: Boric Acid NT-PRO BNP, S Order Code: PBNP Synonym N-Terminal, B-Type Natriuretic Peptide, NT Pro BNP, ProBNP 10297 Epic Code LAB4761 CPT 83880 Method Electrochemiluminescence Immunoassay Scheduled Monday - Sunday at Mayo CODE COMPONENT 10297 Department MREF Ref Code: PBNP Specimen 1 ml serum (Min: 0.3 ml) REFERENCE RANGE Age PBNP ProBNP Container 1 gold top SST clot tube 1 day to >100 years PBNP Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer to plastic vial within 2 hours of collection. Storage Temp Refrigerate Test Information Useful aid in the diagnosis of congestive heart failure. Additional Information ** NEW TEST ADDED 02/22/2016 ** For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 294 of 405 N Sparrow Laboratories Online Test Catalog SERUM - NTX Order Code: SNTX 9031 Epic Code LAB4341 Synonym N-Telopeptide, Cross-Linked, NTX CPT 82523 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Wednesday at Specialty CODE COMPONENT 9031 REFERENCE RANGE Department QST Age SNTX Serum-NTX SNTX SNTX Serum-NTX SNTX SNTX Serum-NTX SNTX Male or Female Age Container 1 ml serum (Min:0.5 ml) Call - Call nmol BCE/L 19 year to >100 year 5.4 - 24.2 nmol BCE/L Male Age Specimen 1 day to 18 years 19 year to >100 year 6.2 - 19.0 nmol BCE/L Female Processing Instructions 1 gold top SST clot tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze in plastic tube. 5' NUCLEOTIDASE Order Code: 5NUDS 1160 Epic Code LAB4038 Synonym Nucleotidase CPT 83915 Method Enzyme Kinetic Scheduled Mon. Wed, Friday at Mayo CODE COMPONENT 1160 Department QST Age 5NUDS Specimen 1 ml serum (Min: 0.2 ml) Additional Information REFERENCE RANGE 5'NUCLEOTIDASE Container 1 gold top SST clot tube 5NUDS 1 day to >100 year 4.0 - 11.5 U/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze serum in plastic tube. Storage Temp Refrigerate or Frozen Specimen may be frozen after arrival in laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 295 of 405 O Sparrow Laboratories Online Test Catalog O2 SATURATION, ARTERIAL Order Code: AOSTM 1164 Epic Code LAB718 Synonym Oxygen, SAT CPT 82810 Method Oximetry Scheduled Sunday - Saturday Department CHM Specimen 2 ml whole blood (Min: 0.5 ml) Container ABG syringe Processing Instructions Storage Temp Store and transport in ice water. Sample must be analyzed within 1 hour of drawing. Refrigerate Additional Information Specimens collected in green top tubes(lithium heparin) are acceptable. OB PANEL Order Code: OBPAN 6661 Synonym Obstetrical Panel (Medicare Approved) Epic Code LAB4521 Test Component CBC, HEP B Surface Ag, RUBELLA Ab, RPR, ABO RH and Ab Screen CPT Scheduled Department PAN Specimen Container 10 ml whole blood (Min: 5 ml) and 2 Lavender top EDTA tubes 4 ml serum (Min: 2 ml) and 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Refrigerate OCCULT BLOOD (Diagnostic) Order Code: OCBLD Synonym BLOOD FECES,STOOL OCCULT BLOOD,FECAL BLOOD,GUIAC 1459 Epic Code LAB694 CPT 82272 Method Colorimetric Scheduled Sunday - Saturday Department MIC Specimen Clean dry container Container Clean dry container or Occult Blood card For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Room temperature 9/21/2016 8:09:10 AM Storage Temp Ambient Page 296 of 405 O Sparrow Laboratories Online Test Catalog OCCULT BLOOD GASTRIC Order Code: OCCGA 1595 Epic Code LAB696 Synonym Gastric CPT 82271 Method Colorimetric Scheduled Sunday - Saturday Department HEM Specimen Container Gastric aspirate Sterile container Processing Instructions Storage Temp Refrigerate Refrigerate OCCULT BLOOD SCREENING Order Code: OCBSC 8135 Epic Code LAB695 Synonym GUIAC, STOOL, FECAL CPT 82270 82270 Method Hemoccult Scheduled Sunday - Saturday Department PSC Specimen Container Feces, occult blood card Occult blood card Processing Instructions Storage Temp Ambient Submit 3 separate specimens. Label with date and time collected. OLANZAPINE Order Code: OLNZA 6861 Epic Code LAB4547 Synonym ZYPREXA CPT 82542 Method Liquid Chromatography / Tandem Mass Spectrometty (LC/MS/MS) Scheduled Varies at Mayo Department TOX Specimen 2.0 ml plasma (min: 1 ml) Container 1 green top tube, Na Heparin Processing Instructions Centrifuge tube and pour plasma into a plastic tube. Storage Temp Refrigerate Test Information Green top -lithium heparin or red top - gel barrier tubes, are not acceptable. Red top - plain or lavender-EDTA tubes are acceptable For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 297 of 405 O Sparrow Laboratories Online Test Catalog OLIGOCLONAL BAND BY IEF WITH IGG Order Code: OLIGG 1092 Epic Code LAB4021 Synonym CSF, Isoelectric Focusing, MS Panel CPT 83916 Method High-Resolution Electrophoresis Scheduled Monday - Friday Department CHM Specimen 2.5 ml CSF (Min: 2 ml) and 2 ml serum (Min: 1 ml) Specimen 2.5 ml CSF (Min: 2 ml) and 2 ml serum (Min: 1 ml) Container 1 sterile tube for CSF and 1 gold top SST clot tube Container 1 sterile tube for CSF and 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate serum and CSF. Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate serum and CSF. ONCOLOGY ONLY ANC Refrigerate Refrigerate Order Code: ONANC 10209 Epic Code LAB4679 Synonym Absolute Neutrophil Count CPT Scheduled Monday - Saturday Department HEM Specimen 2 mL whole blood (Min: 0.5 mL) Container 1 Lavender top EDTA tube Processing Instructions Gently invert multiple times to mix whole blood with anticoagulant. Storage Temp Refrigerate Test Information Preliminary result. Please see final differential result for finalized Absolute Neutrophil Count. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 298 of 405 O Sparrow Laboratories Online Test Catalog OPEN HEART PREOP BLOOD BANK Order Code: HEART 9958 Synonym OPEN, HEART, XM Epic Code LAB4437 Test Component ABO, RH, Cold Screen, Antibody Screen, 4 unit crossmatch CPT Method Crossmatch Scheduled Sunday - Saturday Department BLB Specimen Container 5 ml whole blood (Min. 2 ml) Processing Instructions 1 Lavender top EDTA tube Storage Temp Ambient Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Patient Information Provide transfusion history (within last 3 months) and diagnosis, as available. Additional Information If cold screen is positive a thermal range study will be completed. ORGANIC ACID, U Order Code: UORGA Synonym Alkaptonuria, Fumaric Acid, Malonic Acid, Ethylmalonic Acid, EMA 1282 Epic Code LAB418 CPT 83919 Method Gas-Chromatography-Mass Spectrometry (GC-MS) Scheduled Monday-Friday at Mayo CODE COMPONENT 1282 Department MREF REFERENCE RANGE Age Ref Code: OAU UORGA Total Volume SVOL1 UORGA Organic Acid UORGA measure - in mL Age Specimen Container 20 ml single void urine sample (Min: 3 ml) Test Information Urine container, no preservative Processing Instructions 1 day to 6 month 1 day to >100 year 0 - 40 Storage Temp Frozen Frozen Useful for diagnosis of inborn errors of metabolism. Patient Information Please provide family history, clinical condition (asymptomatic or acute episode), diet, and drug therapy information as available. Additional Information Urine specimen should be frozen as soon as possible. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 299 of 405 O Sparrow Laboratories Online Test Catalog OSMOLALITY URINE Order Code: UOSMO 1367 Epic Code LAB420 Synonym OSMOL CPT 83935 Method Freezing point depression. Scheduled Monday-Saturday CODE COMPONENT 1367 Department CHM Age UOSMO Specimen 10 ml single void urine sample (Min: 1 ml) REFERENCE RANGE Osmolality-Urine Container UOSMO 1 day to >100 year 250 - 1200 MOSM/KG Processing Instructions Urine container, no preservative Storage Temp Refrigerate Refrigerate OSMOLALITY, SERUM Order Code: OSMO 1161 Epic Code LAB107 Synonym OSMOL CPT 83930 Method Freezing point depression. Scheduled Sunday - Saturday CODE COMPONENT 1161 Department CHM Age OSMO Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE Osmolality-Serum Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 OSMO 1 day to >100 year 280 - 295 MOSM/KG Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:10 AM Storage Temp Refrigerate Page 300 of 405 O Sparrow Laboratories Online Test Catalog OSMOTIC FRAGILITY Order Code: OSFRG 1544 Epic Code LAB1134 Synonym RBC Osmotic Fragility Studies, RBC Fragility CPT 85557 Method Osmotic Lysis Scheduled Monday - Saturday at Mayo CODE COMPONENT 1544 Department MREF REFERENCE RANGE Age Specimen Control Vial SCTRL normal - OSFRG Interpretive Comment OSFCM with - report OSFRG 0.75 g/dL NaCl (Incubated) OSF75 1 - 11 % hemol OSFRG 0.65 g/dL NaCl (Incubated) OSF65 4 - 40 % hemol OSFRG 0.60 g/dL NaCl (Incubated) OSF60 14 - 74 % hemol OSFRG 0.50 g/dL NaCl (Incubated) OSF05 3 - 53 % hemol Container 5 ml fresh EDTA whole blood (Min: 3 ml) 1 year to >100 year OSFRG 1 - 7 ml Lavender top tube, EDTA Processing Instructions Storage Temp Refrigerate. Include a specimen collected from a normal patient. Refrigerate Test Information Test is helpful in confirming or detecting mild spherocytosis. Useful for - Suspected hereditary spherocytic hemolytic anemia. Additional Information Must send a control specimen drawn from non-related individual. OSTEOCALCIN Order Code: OSTEO 8035 Epic Code LAB1060 Synonym OSCAL CPT 83937 Method Immunoradiometric Assay Scheduled Wednesday, Friday at Mayo Department MREF Ref Code: OSCAL Specimen 2 ml serum (min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature then centrifuge and freeze serum. Storage Temp Refrigerate Test Information Specimen may be frozen after arrival in laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 301 of 405 O Sparrow Laboratories Online Test Catalog OUTPATIENT RHOGAM Order Code: OPRHO 9957 Synonym Antenatal Rhogam Injection Epic Code LAB4473 Test Component ABO, RH, Antibody Screen, and 1 vial RhIG injection CPT Scheduled Department BLB Specimen Container 5 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Processing Instructions Storage Temp Refrigerate Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Patient Information Provide transfusion history (within last 3 months) and diagnosis, as available. OVA AND PARASITE Order Code: OVAP 1460 Epic Code LAB955 Synonym Amoeba, Stool, O&P CPT 87177 Method Microscopy Scheduled Monday-Friday Department MIC Specimen Stool / feces Test Information Container Para-pak stool preservatives, 3 containers PVA, Formalin and Cary Blair Processing Instructions Storage Temp PVA and Formalin Required. Fill each vial to the line indicator level on the container. Secure the screw cap and invert the vial multiple times to mix with preservative. Label sample with First and Last name, date and time of collection. Refrigerate Unpreserved specimens greater than 2 hours old will be rejected For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 302 of 405 O Sparrow Laboratories Online Test Catalog OXALATE, 24 HR URINE Order Code: OXU 1162 Epic Code LAB421 Synonym 24 hr urine ox CPT 83945 Method Enzymatic Scheduled Monday-Friday at Mayo COMPONENT 1162 CODE Department MREF REFERENCE RANGE Age OXU Ref Code: OXU Specimen Oxalate Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hour urine container; Add Toluene at the start of collection or refrigerate during collection OXU 1 day to >100 year 0.11 - 0.46 mmol/24Hr Processing Instructions Storage Temp Refrigerate If Toluene is not added at the start of the collection, keep container refrigerated throughout the collection time. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Patient Information Avoid taking large doses (>2 g orally/24 hours) Vitamin C during collection. Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information Lab Processing information: Specimen must be at a pH between 4.5 and 8. The following alternative preservatives are acceptable if multiple assays are requested: Thymol OXAZEPAM, S Order Code: FOXAZ 10218 Epic Code LAB4698 Synonym Serax CPT 80346 G0480 Scheduled Department TOX Ref Code: FOXAZ Specimen serum Container Processing Instructions Refrigerate 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Storage Temp 9/21/2016 8:09:10 AM Page 303 of 405 O Sparrow Laboratories Online Test Catalog OXCARBAZEPINE METABOLITE (MHC), S Order Code: TRILP 1283 Epic Code LAB484 Synonym Trileptel, MHC, MHD CPT 80183 Method High-Turbulence Liquid Chromatography Mass Spectrometry (HTLC-MS/MS) Scheduled Tuesday - Saturday at Mayo Department MREF Ref Code: OMHC Specimen Container 1 mL serum (min. 0.2 mL) Processing Instructions 1 Plain red top tube or 1 sst clot tube Storage Temp Refrigerate Collection Instructions: 1. Draw specimen immediately before next scheduled dose. 2. Spin down within 2 hours of draw. Test Information Useful for monitoring serum concentration during oxcarbazepine therapy. Also used for assessing compliance or assessing potential toxicity. OXYCODONE Order Code: OXBCO Synonym Percodan, Oxycontin, Endocet, Percocet, Roxicet, Tylox, Endodan, Percodan, Roxiprin, Combunox 6853 Epic Code LAB4432 CPT 80365 Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD) Scheduled Monday - Friday CODE COMPONENT 6853 Department TOX Age OXBCO Specimen 2.5 mL plasma (Min: 1.25 mL) REFERENCE RANGE Oxycodone Container OXBCO 1 day to >100 year 10 - 100 ng/mL Processing Instructions Storage Temp Refrigerate 1 green top tube, Li or Na Heparin Test Information Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 304 of 405 P Sparrow Laboratories Online Test Catalog PANCREATIC POLYPEPTIDE Order Code: PAPOL 2080 Epic Code LAB4159 Synonym HPP, Human Pancreatic Polypeptide, PP CPT 83519 Method RIA Scheduled Monday, Wednesday at Mayo CODE COMPONENT 2080 REFERENCE RANGE Department MREF Age Ref Code: HPP PAPOL Pancreatic Polypeptide PAPOL PAPOL Pancreatic Polypeptide PAPOL PAPOL Pancreatic Polypeptide PAPOL PAPOL Pancreatic Polypeptide 0 - 227 pg/mL Age PAPOL PAPOL Specimen Container EDTA plasma (min 0.4 ml) 1 Lavender top EDTA tube 60 year to 69 year 0 - 311 pg/mL Age Pancreatic Polypeptide 50 year to 59 year 0 - 290 pg/mL Age PAPOL 40 year to 49 year 0 - 269 pg/mL Age Pancreatic Polypeptide 30 year to 39 year 0 - 248 pg/mL Age PAPOL 20 year to 29 year PAPOL 70 year to 79 year 0 - 331 pg/mL Processing Instructions Storage Temp Frozen Draw lavender top tube and place on ice. Spin tube and freeze plasma. Patient Information Patient must be fasting PARANEOPLASTIC AutoAntibody EVAL, S Order Code: PARAN 6640 Epic Code LAB4195 Synonym Nuclear Antibody, Channel Antibody Test Component Neuronal Nuclear Ab Type 1,2 & 3, Glial Nuclear Ab Type 1, Purkinje Cell Cyto. Ab CPT 83519 83520 86256 Type 1, 2 & Tr, Amphiphysin Ab, CRMP-5-IgG, Striated Muscle Ab, P/Q-Type & NType Ca Channel Ab, Acetylcholine Recpt Ab, AChR Ganglionic Neuronal Ab Method Indirect Immunofluorescence,Enzyme Immunoassay,Radioimmunoprecipitation Assay Scheduled Monday - Friday at Mayo Department MREF Ref Code: PAVAL Specimen 4 mL serum (Min: 2.0mL) Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer serum to plastic vial and refrigerate. Storage Temp Refrigerate Test Information Test also includes - Neuronal (V-G) K Channel Ab Additional Information Hemolyzed specimens are unacceptable. Western blot testing and/or GAD65 and/or Ach Receptor Blocking antibodies will be performed, at extra charge, if indicated by results of initial testing. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 305 of 405 P Sparrow Laboratories Online Test Catalog PARASITE ID Order Code: PARID 8182 Epic Code LAB247 Synonym Vector, Tick, Worm, Fly, Scabies CPT Method Microscopy, or other Scheduled Monday-Saturday Department MIC Specimen Parasite, location varies Container Processing Instructions Sterile container, Glass slides or Preservative vial Storage Temp Room Temperature Label specimen with suspected parasite type (arthropod, worm, scabies etc.,) and document body collection site. Submit whole worms, worm segments or other objects in 70% alcohol or 10% formalin vial. B. Submit arthropods in a clean, dry container. Test Information Indicate history and suspected parasite information on order. Additional Information For suspected Scabies, using 2 slides, labeled with patient name and DOB, place skin scraping onto on slide in single layer (do not place large diameter tissue). Place second slide over the top of the first slide to seal the tissue. Tape the slides tightly together so that they do not move. Place slides in slide holder or place in sterile cup to prevent breakage. Label container with test name: Parasite ID, suspect: scabies, Source: skin scraping and site (right arm, left leg etc.) PARATHYROID HORMONE (PTH) Order Code: PTHI 1743 Epic Code LAB108 Synonym PTH, Intact CPT 83970 Method Advia Centaur, Direct Chemiluminescence, Sandwich-two site Scheduled Monday-Friday CODE COMPONENT 1743 Department CHM Specimen 2 ml plasma (Min: 0.5 ml), preferred, or serum Additional Information REFERENCE RANGE Age 1 day to >100 year PTHI PTH-Intact PTHI 14.0 - 55.7 pg/mL PTHI Phosphorous PTHI 14.0 - 55.7 mg/dL PTHI Calcium PTHI 14.0 - 55.7 mg/dL PTHI PTH-Intact PTHI 14.0 - 55.7 pg/mL Container 1 - 7 ml Lavender top tube, EDTA / 1 gel barrier SST clot tube is acceptable Processing Instructions Centrifuge, transfer plasma to plastic vial and refrigerate within 1 HOUR. Alternate specimen, 1.0 ml Serum transfer into plastic vial and freeze within 2 hours Storage Temp Refrigerate or Frozen Serum may also be used but must be frozen immediately. Plasma specimens are good for 8 hrs room temp., 72 hrs refrigerated, indefinitly if frozen. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 306 of 405 P Sparrow Laboratories Online Test Catalog PARATHYROID RELATED PEPTIDE Order Code: PTHRP 2090 Epic Code LAB704 Synonym PTH, PARATHYROID HORMONE, PTH RELATED PRO CPT 82397 Method Immunochemiluminometric Assay Scheduled Monday and Thursday at Mayo CODE COMPONENT 2090 Department MREF Age PTHRP Specimen 2 ml EDTA Plasma (min: 0.3 ml) REFERENCE RANGE PTH Related Peptide Container 1 Lavender top EDTA tube prechilled PTHRP 1 day to >100 year 0 - 19 PMOL/L Processing Instructions Storage Temp Frozen Centrifuge. Transfer plasma into plastic tube and freeze. ANTI- PARIETAL CELL ANTIBODY Order Code: PCA 1721 Synonym PCA,PARIETAL CELL Antibody, Parietal Epic Code LAB514 Test Component Antibody and Titer CPT 86255 Method Indirect Immunofluorescence (IFA) Scheduled Tuesday and Friday Department IMM Specimen 3 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Refrigerate Test Information Titer, if positive PAROXETINE Order Code: PAROX 6709 Epic Code LAB4207 Synonym PAXIL CPT 80299 Method High Performance Liquid Chromatography with Fluorescence Detection (HPLC-FL) Scheduled Monday-Saturday at Mayo Department TOX Specimen 3 ml serum (Min: 0.6 ml) Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Sodium Heparin and EDTA plasma are acceptable specimens. Red top - gel barrier tubes are not acceptable. 9/21/2016 8:09:10 AM Storage Temp Refrigerate Page 307 of 405 P Sparrow Laboratories Online Test Catalog PARVOVIRUS B19 IGG AND IGM ANTIBODIES Order Code: PAR19 6626 Epic Code LAB800 Synonym B-19 Antibody, Fifth Disease CPT 86747 86747 86747 Method Enzyme Immunoassay (EIA) - IgG, Western Blot- IgM Scheduled Monday-Saturday at Mayo Department MICSO Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. PARVOVIRUS B19 PCR, P Order Code: PARVP 10208 Epic Code LAB4678 Synonym Fifth Disease, 5th CPT 87798 Method PCR Scheduled Monday - Friday at Mayo Department MREF Ref Code: PARVP Specimen 0.5 ml plasma (0.2 mL) Container 1 Lavender top EDTA tube Processing Instructions Spin and separate plasma. Storage Temp Refrigerate Test Information Useful for diagnosing erythrovirus B19 (parvovirus) infection. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 308 of 405 P Sparrow Laboratories Online Test Catalog PENTOBARBITAL Order Code: PENTB 1386 Epic Code LAB4081 Synonym Nembutal CPT 80345 Method High Pressure Liquid Chromatography with Ultraviolet Detection (HPLC-UV) Scheduled Sunday - Saturday CODE COMPONENT 1386 Department TOX Age PENTB Specimen 1 mL plasma (Min: 0.5mL) REFERENCE RANGE Pentobarbital Container 1 green top tube, Li heparin PENTB 1 day to >100 year 1 - 5 mcg/mL Processing Instructions Storage Temp Refrigerate Deliver to toxicology immediately Test Information Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected Ph URINE Order Code: URPH 1583 Epic Code LAB4100 Synonym CPT 83986 Method pH Meter Scheduled Sunday - Saturday Department HEM Specimen 5 ml single void urine (Min: 2 ml) Container Urine container, no preservative Processing Instructions Refrigerate Storage Temp Refrigerate Patient Information Early AM sample preferred For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 309 of 405 P Sparrow Laboratories Online Test Catalog PH, VENOUS Order Code: PH 1165 Epic Code LAB75 Synonym Blood gas pH CPT 82800 Method Ion selective electrode Scheduled Sunday - Saturday Department CHM Specimen 2 ml whole blood (Min: 0.5 ml) Container Processing Instructions Storage Temp ABG syringe or lithium heparin Store and transport in ice water. Sample must be analyzed within 1 hour of drawing. Refrigerate Additional Information Specimens collected in green top tubes(lithium heparin) are acceptable. PHENOBARBITAL Order Code: PHENB 1387 Epic Code LAB30 Synonym PHENO CPT 80184 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1387 Department CHM Age PHENB Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE Phenobarbital Container PHENB 1 day to >100 year 15.0 - 40.0 mcg/mL Processing Instructions 1 green top tube, Li heparin Storage Temp Refrigerate Refrigerate PHENYTOIN Order Code: PHENY 1067 Epic Code LAB31 Synonym Dilantin CPT 80185 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1067 Department CHM Age PHENY Specimen REFERENCE RANGE Phenytoin Container 1 ml plasma or serum (Min: 0.5 ml) 1 green top tube, Li heparin or 1 gel barrier clot tube For Customer Service call 517-364-7800 or 800-884-2522 PHENY 1 day to >100 year 10.0 - 20.0 mcg/mL Processing Instructions Inpatient: collect in Green top, Lithium heparin. Outpatients: Serum specimens - allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:10 AM Storage Temp Refrigerate Page 310 of 405 P Sparrow Laboratories Online Test Catalog PHERESIS PLATELETS Order Code: PP 1633 Epic Code LAB1720 Synonym PLTS, Platelets product CPT 36430 Scheduled Sunday - Saturday Department BLB Specimen 5 ml whole blood (Min. 2 ml) Container Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate Do not centrifuge. Take directly to blood bank. Additional Information One blood type required every 12 months prior to transfusion. Anti PHOSPHATIDYLCHOLINE PANEL Order Code: FCLNE 10159 Epic Code LAB4622 Synonym Phosphatidycholine Antibodies CPT 83520 83520 83520 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Wednesday at Cambridge Biomedical Inc. CODE COMPONENT 10159 Department MREF Ref Code: FCLNE Specimen 3 ml serum (Min. 0.5 ml) REFERENCE RANGE Age 1 day to >100 year FCLNE Phosphatidylcholine IgA Z0141 < - 12.0 U/mL FCLNE Phosphatidylcholine IgM Z0149 < - 12.0 U/mL FCLNE Phosphatidylcholine IgG Z0140 < - 12.0 U/mL Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Spin down and send 3 mL of serum frozen in a plastic vial. Serum gel tube is acceptable. 9/21/2016 8:09:10 AM Storage Temp Frozen Page 311 of 405 P Sparrow Laboratories Online Test Catalog ANTI PHOSPHATIDYLETHANOLAMINE PANEL Order Code: FPHET 10187 Epic Code LAB4652 Synonym CPT 83520 83520 83520 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Wednesday, Mayo Forward Department MREF Ref Code: FPHET Specimen 3 ml serum (min: 1.0 ml) Container Processing Instructions 1 Plain red top tube Storage Temp Frozen Draw blood in a plain red-top tube(s), serum gel tube is acceptable. Spin down and send serum frozen in a plastic vial. PHOSPHORUS Order Code: PHOS 1174 Epic Code LAB113 Synonym Phosphate, PO4, Inorganic Phosphorus, Phos CPT 84100 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1174 Department CHM REFERENCE RANGE Age PHOS Phosphorous PHOS PHOS Phosphorous PHOS PHOS Phosphorous PHOS PHOS Phosphorous PHOS 4.0 - 9.0 mg/dL Age 1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 5 year to 17 year 4.0 - 6.0 mg/dL Age Container 1 year to 5 year 4.0 - 7.0 mg/dL Age Specimen 1 day to 1 year 17 year to >100 year 2.5 - 4.5 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:10 AM Storage Temp Refrigerate Page 312 of 405 P Sparrow Laboratories Online Test Catalog PHOSPHORUS, 24 HOUR URINE Order Code: UPO24 1340 Epic Code LAB4069 Synonym PO4 Urine, Phos 24 hr urine, 24 hr urine phos CPT 84105 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1340 REFERENCE RANGE Department CHM Age Ref Code: Sparrow Specimen PHOS 24 hour urine UPHOC UPO24 PHOS Non- 24 Hr urine UPHO1 UPO24 Collection Time CINTV Time - in hours UPO24 Measured Volume UVOL measure - in mL Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to >100 year UPO24 24 hr urine container; Preservative added after collection. 0.4 - 1.3 g/24Hr Processing Instructions Storage Temp Refrigerate Refrigerate during collection. Measure the total volume, then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information Preservative is added after collection: add 30 ml of 6 N HCl prior to assaying. When multiple tests are ordered the following preservatives are acceptable: Boric Acid; 50% Acetic Acid PHOSPHORUS, URINE, RANDOM Order Code: UPHOR 1320 Epic Code LAB427 Synonym PO4 CPT 84105 Method Spectrophotometry Scheduled Sunday - Saturday Department CHM Specimen 20 ml single void urine sample (Min: 5 ml) Container Urine container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:10 AM Storage Temp Refrigerate Page 313 of 405 P Sparrow Laboratories Online Test Catalog PINWORM SMEAR Order Code: EXPIN 1463 Epic Code LAB248 Synonym Scotch tape test, Enterobius vermicularis CPT 87172 Method Microscopic Scheduled Monday-Friday Department MIC Specimen Container Perianal "scotch tape" prep Specimen Pinworm paddle collection kit Container Perianal "scotch tape" prep Pinworm paddle collection kit Processing Instructions Storage Temp Ambient Room temperature Processing Instructions Storage Temp Ambient Room temperature PLASMA CELL PROLIFERATIVE DISORDER, FISH Synonym Monoclonal Gammopathy of Unknown Significance (MGUS), Multiple Myeloma, MYC (8q24.1) rearrangement, Plasma Cell Leukemia Order Code: PCPDF 10274 Epic Code LAB4742 CPT 88291 88291 Method Cytoplasmic Immunoglobulin (cIg) Staining Followed by Fluorescence In Situ Hybridization (FISH) Scheduled Monday - Friday at Mayo Department MREF Ref Code: PCPDF Specimen 1 to 3 mL bone marrow specimen Container 1 green top tube, Na Heparin For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Invert tube several times to mix bone marrow/specimen. Blood is acceptable (only if there are circulating plasma cells documented by Hematopathologic evaluation). 9/21/2016 8:09:10 AM Storage Temp Ambient Page 314 of 405 P Sparrow Laboratories Online Test Catalog PLASMINOGEN, Activity-Plasma Order Code: PLSMN 1125 Epic Code LAB847 Synonym Plasminogen Functional -plasma CPT 85420 Method Amidolysis of Chromoginic Substrate Scheduled Mon. Wed, Friday at Mayo CODE COMPONENT 1125 REFERENCE RANGE Department MREF Age PLSMN Ref Code: PSGN Specimen Plasminogen Container 2 ml plasma (Min: 0.5 ml plasma) PLSMN 1 day to >100 year 80 - 140 % of Normal Processing Instructions 1 Light blue top tube, NaCitrate (3.2%) Storage Temp Frozen Centrifuge twice. Transfer plasma to plastice vial and freeze. Additional Information Spin down blue top, remove plasma, spin plasma again and place second plasma in a plastic tube. Freeze immediately. Double-centrifuged specimens are critical for accurate reaults, as platelet contamination may cause spurious results. PLATELET ANTIBODY SCREEN, S Order Code: PLABN Synonym ** NEW TEST 9/20/16, Replaces test 10248/PLAB, PLT Ab, Platelet Antibody 10511 Epic Code LAB4813 CPT 86022 Method Solid Phase Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday-Friday at Mayo CODE COMPONENT 10511 Department MREF Age PLABN Ref Code: PLABN Specimen Platelet Allo-Antibodies Container 1.5 mL serum (Min. 0.5 mL) Test Information REFERENCE RANGE 1 Plain red top tube PLABN 1 day to >100 years Not - Applicable Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Frozen Useful for detecting allo-antibodies to epitopes on platelet glycoproteins IIb/IIIa, Ib/Ix, Ia/IIa, IV and HLA Class I antigens to evaluate cases of immune mediated refractoriness to platelet transfusions, post-transfusion purpura -, or neonatal alloimmune thrombocytopenia Patient Information Appropriate Dx for this Test: PTR, Refractory to Platelet Transfusion NAIT, Neonatal alloimmune thrombocytopenia (NAIT) PTP, Post-transfusion purpura (PTP) which are usually associated with platelet-specific antibodies Additional Information ** New Test 9/20/2016, Replaces test 10248/PLAB Do not collect within 72 hours of a platelet transfusion. Transfused platelets will interfere with this assay. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 315 of 405 P Sparrow Laboratories Online Test Catalog PLATELET ANTIBODY, WB Order Code: PLTAB 1724 Epic Code LAB4132 Synonym Anti-Platelet Ab, Autoantibody, PLT Ab CPT 86022 Method Antibody detection Scheduled Monday - Friday at MSU laboratory CODE COMPONENT 1724 REFERENCE RANGE Department MSU Age Specimen PLTAB Patient's Platelets PTPLT PLTAB Platelet's Plasma PTPLA PLTAB Platelet Associated IgG PTIGG PLTAB Tested by Container 10 ml whole blood 1 day to >100 year 0 - 500 Mol. IgG/Plt MTB Processing Instructions 2 Light blue top tubes, NaCitrate (3.2%) Storage Temp Specimen must remain at Room temperature. Do not centrifuge. Ambient Test Information Recommended for the diagnosis of immune thrombocytopenia (ITP) or autoimmune thrombocytopenia. Tests that are optimized to detect antibodies bound to the platelets will be useful in these situations. Additional Information Includes circulating and bound Auto-antibodies. This test is not intended for Allo-antibody serum testing. Order 10511/PLABN for suspected PTR, PTP, and NIAT. PLATELET COUNT Order Code: PLT 1523 Epic Code LAB301 Synonym PLT CPT 85049 Method Automated Hematology Analyzer Scheduled Sunday - Saturday CODE COMPONENT 1523 Department HEM Age PLT Specimen 4 ml whole blood (Min: 0.6 ml) REFERENCE RANGE Platelet Count Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 PLT Processing Instructions Refrigerate 9/21/2016 8:09:10 AM 1 day to >100 year 150 - 400 K/CU MM Storage Temp Refrigerate Page 316 of 405 P Sparrow Laboratories Online Test Catalog PLATELET FUNCTION ANALYSIS Order Code: PFA 7823 Epic Code LAB318 Synonym PFA, PLT Function CPT 85576 Method Dade PFA-100 Scheduled Monday - Friday CODE COMPONENT 7823 REFERENCE RANGE Department SPHEM Age Collagen/Epinephrine CEPI 97 - 202 SEC PFA Collagen/ADP CADP 66 - 124 SEC PFA Collagen/ADP CADP 58 - 122 SEC PFA Collagen/Epinephrine CEPI 72 - 172 SEC Age Age 16 year to >100 year Hemoglobin HGBN F 12.0 - 15.0 PFA Hemoglobin HGBN M 12.6 - 16.5 PFA Platelet Count PLTN PFA Interpretation INTPF Container 5 ml EDTA whole blood (min. 2 ml) and 5 ml sodium citrate whole blood (min. 2 ml) 10 year to >100 years PFA Age Specimen 1 day to 10 year PFA 1 Light blue top tube, NaCitrate (3.2%) and 1 Lavender top tube, EDTA 1 day to >100 year 150 - 400 K/uL Processing Instructions Storage Temp Room Temperature DO NOT SPIN. Expedite to main lab in original tubes at Room Temperature. Do not refrigerate. PMH, PI-LINKED AG,B Order Code: PLINK Synonym Acid Hemolysin, CD55, CD59, FLAER, GPI-Linked Antigen, Ham-Crosby Sugar-Water Test, Blood, Hemolytic Anemia, Paroxysmal Nocturnal Hemoglobinuria (PNH) 10194 Epic Code LAB4098 CPT 84597 88185 Method Immunophenotyping Scheduled Monday - Saturday at Mayo Department MREF Ref Code: PLINK Specimen Container 3.2 mL Whole blood (Min. 1.0 mL) Yellow top ACD tube Processing Instructions Do not transfer blood to other containers. **Must arrive at Mayo within 72 hrs of draw. Storage Temp Room Temperature Test Information Useful for screening for and confirming the diagnosis of paroxysmal nocturnal hemoglobinuria (PNH) Monitoring patients with PNH. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 317 of 405 P Sparrow Laboratories Online Test Catalog PORPHOBILINOGEN DEAMINASE (PBGD), WB Order Code: PBGDG Synonym ** NEW TEST 9/20/16, Replaces 10083/PBGD, PBG Deaminase 10510 Epic Code LAB4812 CPT 82657 Method Enzymatic End point/Spectrofluorometric Scheduled Monday, Wednesday, Friday at Mayo CODE COMPONENT 10510 Department MREF Ref Code: PBGD Specimen Whole blood (Min. 3 mL) REFERENCE RANGE Age PBG Deaminase PBGDW PBGDG PBG Deaminase PBGDW indeterminate PBGDG PBG Deaminase PBGDW dimished PBGDG PBGD Interpretation Container 1 green top tube, Na Heparin 16 year to >100 years ≥ - 7.0 nmol/L/sec PBGDG 6.0 - 6.9 nmol/L/sec < - 6.0 nmol/L/sec PBGDI Processing Instructions Storage Temp Tube must be Full. Gently invert to mix anticoagulant with whole blood and place on wet ice. Acceptable: Lavender top (EDTA) or green top (lithium heparin) Refrigerate Test Information Useful for confirmation of a diagnosis of acute intermittent porphyria (AIP). Patient Information Patient should abstain from alcohol for 24 hours. Additional Information ** New Test 9/20/2016, Replaces test 10083/PBGD For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:10 AM Page 318 of 405 P Sparrow Laboratories Online Test Catalog PORPHYRINS, URINE Order Code: UPORQ 1177 Epic Code LAB433 Synonym Porphyrins Fractionation Urine, 24 hr urine porphyrins CPT 84120 84110 Method High Pressure Liquid Chromatography (HPLC) Scheduled Monday-Saturday at Mayo CODE COMPONENT 1177 REFERENCE RANGE Department MREF Ref Code: PQNU Specimen Age 1 day to >100 year UPORQ Collection Duration COLD5 24 - Hr Hours UPORQ Urine Volume UVOL4 measure - in mL UPORQ Uroporphyrins UROPO 0 - 30 nmol/24Hr UPORQ Heptacarboxylporphyrin HEPTA 0 - 9 nmol/24Hr UPORQ Hexacarboxylporphyrin HEXAC 0 - 8 nmol/24Hr UPORQ Pentacarboxylporphyrin PENTA 0 - 10 nmol/24Hr UPORQ Coproporphyrins COPRO F 0 - 168 nmol/24Hr UPORQ Coproporphyrins COPRO M 0 - 230 nmol/24Hr UPORQ Porphobilinogen PORPB 0 - 2.2 mcmol/24Hr UPORQ Porphyrins, QN Interpretation PORQN 0.0 - 1.5 Container 24 hour urine collection; Submit 24 hr urine container; Add 5 g entire collection; protect from light Na2CO3 preservative prior to collection, Submit aliquot in amber urine bottle Processing Instructions Storage Temp Add 5 grams of Na2CO3 (sodium carbonate-T272) as preservative. This preservative is intended to achieve a pH of > 7. Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer into special Amber colored 60 mL plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Refrigerate Test Information Useful for preferred screening test during symptomatic periods for acute intermittent porphyria, hereditary coproporphyria, and variegate porphyria. Patient Information Patient should abstain from alcohol for at least 24 hours prior to collection, as well as during collection. Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information Protect specimen from light during and after collection. NO OTHER Preservatives accepted; Na2CO3 ONLY may be used if multiple assays are requested. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 319 of 405 P Sparrow Laboratories Online Test Catalog POSTVASECTOMY, SPERM CHECK Order Code: PVSCK 1520 Epic Code LAB891 Synonym Semen Analysis, Vasectomy CPT 89321 Scheduled Monday-Friday CODE COMPONENT 1520 Department HEM 1 day to >100 year Age PVSCK Specimen Total ejaculate REFERENCE RANGE Sperm count Container PVSCK 0 - 0 Million\mL Processing Instructions Dry sterile, plastic vial Storage Temp Ambient Room temperature Patient Information Sample must arrive within 24 hours of collection. Submit specimen Monday through Friday only. POTASSIUM Order Code: K 1179 Epic Code LAB114 Synonym K+, electrolytes CPT 84132 Method Ion Selective Electrode Scheduled Sunday - Saturday CODE COMPONENT 1179 Department CHM REFERENCE RANGE Age K Potassium K K Potassium K K Potassium K K Potassium 4.0 - 6.4 MEQ/L Age 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 1 year to 17 year 3.5 - 5.5 MEQ/L Age Specimen 3 month to 1 year 3.7 - 5.6 MEQ/L Age K 1 day to 3 month 17 year to >100 year 3.5 - 4.9 MEQ/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge immediately. 9/21/2016 8:09:11 AM Storage Temp Refrigerate Page 320 of 405 P Sparrow Laboratories Online Test Catalog POTASSIUM, 24 HOUR URINE Order Code: UK24 Synonym K Urine 24 Hour, K+ Urine, 24 Hr K, 24 hour urine potassium 1339 Epic Code LAB436 CPT 84133 Method Ion Selective Electrode Scheduled Sunday - Saturday Department CHM Ref Code: Sparrow Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container; no preservative Processing Instructions Storage Temp Refrigerate during collection. Measure the total volume, then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. Refrigerate Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. POTASSIUM, URINE, RANDOM Order Code: UKR 1338 Epic Code LAB434 Synonym K Urine, K+ Urine CPT 84133 Method Ion Selective Electrode Scheduled Sunday - Saturday Department CHM Specimen 20 ml single void urine sample (Min: 5 ml) Container Urine container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:11 AM Storage Temp Refrigerate Page 321 of 405 P Sparrow Laboratories Online Test Catalog PREALBUMIN Order Code: PALB 8153 Epic Code LAB115 Synonym ALB CPT 84134 Method Turbidimetric Scheduled Monday - Friday CODE COMPONENT 8153 Department STL Age PALB Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE PreAlbumin Container 1 gold top SST clot tube PALB 1 day to >100 year 18 - 45 mg/dL Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. PREGABALIN Order Code: FPRGA 10087 Synonym LYRICA Epic Code LAB4390 Test Component FPRGA CPT 80299 Method Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) Scheduled Varies Department MREF Ref Code: FPRGA Specimen 1 mL of Serum or 1 mL Plasma (Min. 0.25 mL) Container Processing Instructions Storage Temp 1 Plain red top tube or 1 green Allow blood to clot, spin down and send refrigerated in a plastic vial. top tube, Na heparin Refrigerate Test Information Test Performed by Medtox Laboratories, Inc. PREGNANCY TEST SERUM Order Code: PREGS 1970 Epic Code LAB144 Synonym Beta-HCG Qualitative serum, HCG, BHCG CPT 84703 Method Immunoconcentration Scheduled Sunday - Saturday Department CHM Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:11 AM Storage Temp Refrigerate Page 322 of 405 P Sparrow Laboratories Online Test Catalog PREGNANCY TEST URINE Order Code: URHCG 1586 Epic Code LAB437 Synonym Chorionicgonadotropin Qualitative, HCG,UCG CPT 84703 Method Immunoconcentration Scheduled Sunday - Saturday Department HEM Specimen 5 ml single void urine (Min: 1 ml) early AM sample preferred Container Processing Instructions Urine container, no preservative Storage Temp Refrigerate Refrigerate PRIMIDONE Order Code: PRIMG 1158 Epic Code LAB485 Synonym Mysoline CPT 80188 Method Immunoassay Scheduled Monday - Friday at Specialty Department CHM Specimen 1 ml serum (Min: 0.5 mL) Container Processing Instructions 1 Plain red top tube Storage Temp Refrigerate Refrigerate Test Information Plain red-top only. Specimens collected in gel separator tube will be rejected. PROCAINAMIDE Order Code: PROC 1184 Epic Code LAB33 Synonym Promestyl, NAPA CPT 80192 Method Fluorescence Polarization Immunoassay Scheduled Sunday - Saturday CODE COMPONENT 1184 Department CHM Age PROC Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE NAPA Container 1 green top tube, Li heparin For Customer Service call 517-364-7800 or 800-884-2522 NAPA Processing Instructions Refrigerate 9/21/2016 8:09:11 AM 1 day to >100 year 4.0 - 10.0 mcg/mL Storage Temp Refrigerate Page 323 of 405 P Sparrow Laboratories Online Test Catalog PROCALCITONIN,S Order Code: PCT 10142 Synonym PROCT Epic Code LAB4601 Test Component PCT-Procalcitonin CPT 84145 Method Homogeneous Automated Immunofluorescent Assay Scheduled Monday-Saturday at Mayo CODE COMPONENT 10142 REFERENCE RANGE Department MREF Ref Code: PCT PCT PROCT PCT <2.0 ng/mL at birth Age PCT Specimen 0.7 mL Serum (Min. 0.25 mL) 0 day to 72 hours Age PROCT Container PCT Over 72 hrs old ≤ - 20.0 ng/mL 3 day to >100 year ≤ - 0.15 ng/mL Processing Instructions 1 Plain red top tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Send Refrigerated Test Information Diagnosis of bacteremia and septicemia in adults and children (including neonates). Additional Information Gel barrier tube not accepted. PROGESTERONE Order Code: PROG 1182 Epic Code LAB529 Synonym PRG CPT 84144 Method Chemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1182 REFERENCE RANGE Department CHM Age PROG Progesterone PROG 0.15 - 28.03 ng/mL F Age PROG Progesterone PROG Age Progesterone PROG F PROG Progesterone PROG M 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 60 day to >100 years 0.00 - 0.73 ng/mL Age Specimen 40 year to 60 years 0.00 - 28.03 ng/mL F PROG 1 day to 40 year 1 day to >100 years 0.28 - 1.22 ng/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:11 AM Storage Temp Refrigerate Page 324 of 405 P Sparrow Laboratories Online Test Catalog PROLACTIN Order Code: PROLA 1183 Epic Code LAB531 Synonym CPT 84146 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1183 REFERENCE RANGE Department CHM Age PROLA Prolactin PROLA PROLA Prolactin PROLA PROLA Prolactin PROLA Age 1 ml serum (Min: 0.5 ml) Container 60 years to >100 year 1.8 - 20.3 ng/mL F Age Specimen 1 day to 60 year 2.8 - 29.2 ng/mL F 1 day to >100 years 2.1 - 17.7 ng/mL M Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. PROMETHEUS THIOPURINE METABOLITE Order Code: FPMET 10236 Epic Code LAB4340 Synonym Pro-Predict, 6-TGN, 6-MMPN, Imuran CPT 82542 82542 Method High Performance Liquid Chromatograph (HPLC) Scheduled Monday - Friday at Prometheus CODE COMPONENT 10236 Department MREF Ref Code: FPMET Specimen 5 ml whole blood REFERENCE RANGE Age FPMET 6-TGN Z1501 FPMET 6-TGN Assessment Z1502 FPMET 6-MMPN Z1503 FPMET 6-MMPN Assessment Z1504 Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Send whole blood, do not spin. 9/21/2016 8:09:11 AM 1 day to >100 year 230 - 400 pmole/8x10(8)RBC < - 5700 pmole/8x10(8)rbc Storage Temp Refrigerate Page 325 of 405 P Sparrow Laboratories Online Test Catalog PROTEIN RANDOM URINE Order Code: UTPR 1323 Epic Code LAB439 Synonym Protein Urine Random CPT 84156 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 1323 Department CHM REFERENCE RANGE 1 day to >100 year Age UTPR Specimen Protein-Non 24HR Urine Container 20 ml single void urine sample (Min: 5 ml) UTPR 0.0 - 14.0 mg/dL Processing Instructions Urine container, no preservative Storage Temp Refrigerate Refrigerate PROTEIN C ANTIGEN, P Order Code: PCAG 10280 Epic Code LAB4747 Synonym Protein C Ag, Protein C immunologic, CPT 85302 Method Enzyme-Linked Immunosorbent Assay (ELISA Scheduled Monday - Friday at Mayo CODE COMPONENT 10280 Department MREF Age PCAG Ref Code: PCAG Specimen Protein C Ag Container 3 ml Platelet-poor plasma (Min. 2 ml) Test Information REFERENCE RANGE PCAG 18 years to >100 years 70 - 150 % Processing Instructions Storage Temp 1 Light blue top tube, NaCitrate Spin tubes down, transfer plasma to a plastic vial, and spin plasma again. Freeze specimens immediately at < or =-40 degrees C, if possible. Frozen Userful for differentiating congenital Type I protein C deficiency from Type II deficiency. Assay of protein C functional activity (PROTC/1127/LAB489 - Protein C Activity at Sparrow Lab) is recommended for initial laboratory evaluation of patients suspected of having congenital protein C deficiency (personal or family history of thrombotic diathesis). Patient Information If the patient is being treated with Coumadin, this should be noted. Coumadin will lower protein C. Additional Information ** NEW TEST ADDED 01/22/2016 ** For Customer Service call 517-364-7800 or 800-884-2522 Each coagulation assay requested should have its own vial. 9/21/2016 8:09:11 AM Page 326 of 405 P Sparrow Laboratories Online Test Catalog PROTEIN C, ACTIVITY Order Code: PROTC 1127 Epic Code LAB489 Synonym Functional CPT 85303 Method Chromogenic Scheduled Tuesday, Thursday COMPONENT 1127 CODE Department SPCO REFERENCE RANGE Age PROTC Protein C PROTC PROTC Protein C PROTC PROTC Protein C PROTC PROTC Protein C 24 - 40 % Age PROTC PROTC Specimen Container 2 ml frozen plasma (Min: 1 ml) 1 Light blue top tube, NaCitrate (3.2%) 11 years to 16 years 59 - 112 % Age Protein C 6 years to 11 years 64 - 125 % Age PROTC 1 year to 6 years 50 - 134 % Age Protein C 1 month to 1 year 28 - 124 % Age PROTC 1 day to 1 month PROTC Processing Instructions Centrifuge. Transfer plasma to plastic vial and freeze. 16 years to >100 years 75 - 149 % Storage Temp Frozen Patient Information Patient should not be taking coumarin. Indicate if patient or family members have a history of thrombosis at an early age (<40 years). For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 327 of 405 P Sparrow Laboratories Online Test Catalog PROTEIN ELECTROPHORESIS, SERUM Order Code: SPE 1069 Epic Code LAB119 Synonym Protein Fractionation, SPEP CPT 84165 Method Electrophoresis Scheduled Monday - Friday CODE COMPONENT 1069 Department SPCHM Specimen 2 ml serum (Min: 1 ml) REFERENCE RANGE Age 1 day to >100 year SPE Total Protein SPE Albumin ALBSP 3.20 - 4.50 gm/dL SPE Albumin ALBPC 48.5 - 62.7 % SPE Beta globulin BETSP 0.80 - 1.30 gm/dL SPE Beta globulin BETPC 12.2 - 17.4 % SPE Alpha-1-Globulin AL1SP 0.20 - 0.40 gm/dL SPE Alpha-1-Globulin AL1PC 2.7 - 5.2 % SPE Gamma Globulin GAMSP 0.50 - 1.50 gm/dL SPE Gamma Globulin GAMPC 8.3 - 19.6 % SPE Alpha-2-Globulin AL2SP 0.60 - 1.00 gm/dL Container 1 gold top SST clot tube TPSP 6.0 - 8.0 g/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information If a monoclonal protein is detected, an Immuno Fixation Electrophoresis is done. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 328 of 405 P Sparrow Laboratories Online Test Catalog PROTEIN FRACTIONATION, URINE Order Code: UPE 1288 Epic Code LAB438 Synonym Urine Protein Electrophoresis, IFE, Protein Electo CPT 84166 Method Electrophoresis Scheduled Monday-Friday CODE COMPONENT 1288 Department SPCHM REFERENCE RANGE Age Ref Code: Sparrow Specimen Protein, Urine UTPPE 0 - 10 mg/dL UPE Protein 24 hr Urine UTPE2 0.0 - 150.0 mg/24hr UPE Measured Volume UVOLU measured - UPE Interpretation UPEIN Container 20 ml single void urine sample (min: 10 ml), First morning specimen preferred. 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to >100 year UPE Urine container, no preservative Processing Instructions Refrigerate - Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: preservative added; start date and time; end of collection date and time; total volume measurement. mL Storage Temp Refrigerate Test Information Urine protein and urine protein electrophoresis Patient Information For 24 hour urine collections: Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 329 of 405 P Sparrow Laboratories Online Test Catalog PROTEIN S Order Code: PROTS 6694 Epic Code LAB491 Synonym Clotting Factor CPT 85305 Scheduled CODE COMPONENT 6694 Department SPCO REFERENCE RANGE Age PROTS Protein S Activity PROTS PROTS Protein S Activity PROTS PROTS Protein S Activity PROTS PROTS Protein S Activity 27 - 47 % Activity Age PROTS PROTS Specimen Container 2 ml plasma (Min: 1 ml) 1 Light blue top tube, NaCitrate (3.2%) PROTS 11 day to 16 year 65 - 140 % Activity Age Protein S Activity 6 year to 11 years 64 - 154 % Activity Age PROTS 1 year to 6 years 67 - 136 % Activity Age Protein S Activity 1 month to 1 year 29 - 162 % Activity Age PROTS 1 day to 1 month 16 day to >100 years 50 - 120 % Activity Processing Instructions Storage Temp Frozen Centrifuge, transfer plasma to plastic vial and freeze immediately. Test Information Decreased Protein S activity can be the result of acquired states (e.g. Vitamin K deficiency, liver disease, oral anticoagulant therapy with coumarin) or an inherited deficiency. Patients who are APCR positive, or those having recent thrombotic events, may also have low Protein S. Suggest further clinical evaluation. PROTEIN S ANTIGEN, P Order Code: PRSAG 6846 Epic Code LAB760 Synonym FREE and Total Protein S CPT 85306 Method Automated Latex Aggulination Scheduled Monday - Friday at Mayo Department MREF Ref Code: PSTF Specimen Container 2 ml plasma in two separate vials 1 Light blue top tube, NaCitrate (3.2%) Processing Instructions Centrifuge blue top, remove plasma and place equal amounts in two plastic vials and freeze Storage Temp Frozen Test Information Free Protein S is performed on all specimens. Total Protein S is not indicated when the Free Protein S exceeds 65% in males and 55% in females For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 330 of 405 P Sparrow Laboratories Online Test Catalog PROTEIN, CEREBROSPINAL FLUID Order Code: CFTP 1186 Epic Code LAB195 Synonym CSF Protein, CSF CPT 84157 Method Spectrophotometry, Dye Binding Scheduled Sunday - Saturday CODE COMPONENT 1186 Department CHM REFERENCE RANGE Age CFTP Protein-CSF CFTP CFTP Protein-CSF CFTP 20 - 80 mg/dL Age Specimen 1 ml CSF (Min: 0.5 ml) Container 1 day to 1 month 1 month to >100 year 15 - 45 mg/dL Processing Instructions 1 CSF tube Storage Temp Refrigerate Refrigerate PROTEIN, TOTAL Order Code: TP 1185 Epic Code LAB118 Synonym TP CPT 84155 Method Spectrophotometry, Biuret Scheduled Sunday - Saturday CODE COMPONENT 1185 Department CHM REFERENCE RANGE Age TP Total Protein TP Total Protein TP 3.9 - 7.9 g/dL Age TP Total Protein TP Total Protein TP Total Protein TP TP Total Protein TP 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 2 year to 4 year 5.3 - 8.0 g/dL Age Specimen 1 year to 2 year 4.1 - 7.5 g/dL Age TP 6 month to 1 year 4.1 - 7.4 g/dL Age TP 1 month to 6 month 3.6 - 7.4 g/dL Age TP 1 day to 1 month 4 year to >100 year 6.0 - 8.0 g/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:11 AM Storage Temp Refrigerate Page 331 of 405 P Sparrow Laboratories Online Test Catalog PROTEIN, TOTAL 24 HR URINE Order Code: UTP24 1202 Epic Code LAB441 Synonym 24 Hr Urine Protein CPT 84156 Method Spectrophotometry, Dye Binding Scheduled Sunday - Saturday CODE COMPONENT 1202 REFERENCE RANGE Department CHM 1 day to >100 year Age Ref Code: Sparrow Specimen UTP24 Protein-24Hr Ur UTP1 0 - 150 mg/24Hr UTP24 Protein-NON 24Hr UTPC 0.0 - 14.0 mg/dL UTP24 Collection Time CINTV time - in hours Container 24 hour urine collection; Submit entire collection or 20 ml aliquot Processing Instructions 24 hr urine container; no preservative Storage Temp Refrigerate Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information The following alternative preservatives are acceptable if multiple assays are requested: Boric acid PROTEIN/CREATININE RATIO, U Order Code: PRCRR 6367 Epic Code LAB743 Synonym CREAT, PROT, TP/Creat Ratio CPT Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 6367 Department CHM Specimen 10 ml urine (Min: 0.5 ml) REFERENCE RANGE Age PRCRR Protein/Creat Ratio PRCRR Protein Random Urine UTPR PRCRR CREAT Random Urine UCRER Container Sterile urine container For Customer Service call 517-364-7800 or 800-884-2522 1 day to >100 years PROCR 0.0 - 14.0 mg/dL Processing Instructions Requires a random urine collection. Store urine refrigerated. 9/21/2016 8:09:11 AM Storage Temp Refrigerate Page 332 of 405 P Sparrow Laboratories Online Test Catalog PROTEINASE 3 AB (PR3), S Order Code: PR3AB 10073 Epic Code LAB4382 Synonym ACPA, Antineutrophil Cytoplasmic Antibodies, ANCA, Anticytoplasmic Autoantibodies CPT 83516 Method Multiplex Flow Immunoassay Scheduled Monday - Saturday at Mayo CODE COMPONENT 10073 REFERENCE RANGE Department MREF Age Ref Code: PR3 Specimen Test Information Proteinase 3 Ab PR3AB Negative 0 - < 0.4 U PR3AB Proteinase 3 Ab PR3AB Equivocal 0.4 - 0.9 U PR3AB Proteinase 3 Ab PR3AB Positive Container 0.5 mL serum (min. 0.35 mL) 1 day to >100 year PR3AB 1 gold top SST clot tube ≥ 1.0 - Processing Instructions U Storage Temp Allow blood to clot upright, then centrifuge. Send serum refrigerated. Refrigerate Useful for evaluating patients suspected of having Wegener granulomatosis (WG). PROTHROMBIN G20210 MUTATION Order Code: PGMUT 6656 Epic Code LAB834 Synonym PGMUT, Mutation, Factor II CPT 81240 Method Real time PCR Scheduled Twice Weekly Department MDX Specimen 5 ml. EDTA whole blood (min. 3 ml) Container Processing Instructions 1 Lavender top EDTA tube / Refrigerate light blue citrate or yellow ACD accepted Storage Temp Refrigerate Additional Information ACD,Sodium Citrate, or Sodium Heparin whole blood specimens are acceptable, For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 333 of 405 P Sparrow Laboratories Online Test Catalog PROTHROMBIN TIME Order Code: PT 1187 Epic Code LAB320 Synonym PT, Protime, INR CPT 85610 Method Photo-optical Scheduled Sunday - Saturday CODE COMPONENT 1187 Department COA Specimen 2 ml plasma (Min: 1 ml); strict adherence to a 1:10 anticoagulant to blood ratio (i.e., 1 part sodium citrate + 9 parts blood) required. REFERENCE RANGE Age 16 year to >100 year PT PT PTI 9.0 - 11.5 Seconds PT INR INR 2.0 - 3.0 Container Processing Instructions 1 Light blue top tube, NaCitrate (3.2%) Storage Temp Ambient ***NEW PROCESSING INSTRUCTIONS DECEMBER 18, 2014*** Transport to lab at Room Temperature within 24 hours of collection. DO NOT CENTRIFUGE. DO NOT OPEN TOP. If longer storage time is anticipated, centrifuge, transfer plasma to plastic vial and freeze. Test Information INR (Internal Normalized Ratio). INR value is useful only for patients on oral anticoagulants such as Coumarin. PROTOPORPHYRINS, ZINC Order Code: ZPP 10086 Epic Code LAB1085 Synonym NEZPP CPT 84202 Method Hematofluorometry Scheduled Tuesday, Thursday at Warde CODE COMPONENT 10086 Department SO Ref Code: NEZPP Specimen 1 ml whole blood (Min: 0.5 ml) REFERENCE RANGE Age ZPP Zinc Complexed Container 1 Royal blue-top tube, EDTA For Customer Service call 517-364-7800 or 800-884-2522 ZPP 1 day to >100 year 0 - 69 umol ZPP/mol heme Processing Instructions Protect from light by wrapping tube in foil then Refrigerate. Alternative specimen, Lavendar top EDTA. 9/21/2016 8:09:11 AM Storage Temp Refrigerate Page 334 of 405 P Sparrow Laboratories Online Test Catalog FREE PSA Order Code: PSATF 6864 Epic Code LAB171 Synonym PSA-Free, Prostatic Specific Antigen CPT 84154 Method Dual Monoclonial Chemiluminescent Immunoassay Scheduled Monday - Saturday at Mayo Department MREF Specimen 1 ml frozen serum Container Processing Instructions 1 gold top SST clot tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour off serum and freeze. PSA (DIAGNOSTIC) Order Code: PSADX 7820 Epic Code LAB4456 Synonym Prostate Specific Antigen (Diagnostic) CPT 84153 Method Immunochemiluminescence Scheduled Sunday - Saturday COMPONENT 7820 CODE Department CHM Age PSADX Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE PSA Container PSADX 1 day to >100 year 0 - 4.00 ng/mL Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. PSA (SCREENING) Refrigerate Order Code: PSA 1935 Epic Code LAB116 Synonym Prostate Specific Antigen (Screening) CPT G0103 84153 Method Chemiluminscent Immunoassay Scheduled Daily COMPONENT 1935 CODE Department CHM Age PSA Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE PSA Container 1 gold top SST clot tube PSA 1 day to >100 year 0.0 - 4.0 ng/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Patient Information Not payable by most insurance carriers when ordered as a screening test. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 335 of 405 P Sparrow Laboratories Online Test Catalog PSEUDOCHOLINESTERASE Order Code: PCHOL 1341 Epic Code LAB965 Synonym Cholinesterase (Pseudo), Total, Serum Cholinesterase (Pseudochol) CPT 82480 Method Photometric, Acetylthiocholine Substrate Scheduled Sunday - Saturday at Mayo CODE COMPONENT 1341 REFERENCE RANGE Department MREF Ref Code: PCHES Age Pseudocholinesterase PCHOL M 3100 - 6500 U/L PCHOL Pseudocholinesterase PCHOL M 11 - 25 U/L PCHOL Pseudocholinesterase PCHOL F 7 - 20 U/L Age Pseudocholinesterase PCHOL F 1800 - 6600 U/L PCHOL Pseudocholinesterase PCHOL F 8 - 21 U/L PCHOL Pseudocholinesterase PCHOL F 2550 - 6800 U/L PCHOL Pseudocholinesterase PCHOL F 9 - 22 U/L PCHOL Pseudocholinesterase PCHOL F PCHOL Pseudocholinesterase PCHOL Age Container 1 gold top SST clot tube F 50 year to >100 year 49 year to 59 year 11 - 24 U/L Age 1 ml serum (Min. 0.25 ml) 18 year to 50 year PCHOL Age Specimen 1 day to >100 year PCHOL 59 year to >100 year 11 - 25 U/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Must centrifuge and separate serum within 2 hours of collection. Storage Temp Refrigerate Test Information Useful for monitoring exposure to organophosphorus insecticides and monitoring patients with liver disease, particularly those undergoing liver transplantation. Additional Information Reference values have not been established for patients that are <18 years of age. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 336 of 405 P Sparrow Laboratories Online Test Catalog PYRUVATE (PYRUVIC ACID) Order Code: PYRU 6809 Epic Code LAB744 Synonym CPT 84210 Method Enzymatic Scheduled Monday, Wednesday, CODE COMPONENT 6809 Friday at Specialty Department MREF Perchloric Acid treated plasma 1 day to >100 year Age PYRU Specimen REFERENCE RANGE Pyruvate (Pyruvic Acid) Container PYRU 0.3 - 1.5 mg/dL Processing Instructions 1 Lavender top EDTA tube prechilled Storage Temp Within 1 minute of collection, add 4ml pre-chilled 7% or 8% Perchloric Acid to 4ml whole blood. Let stand 10 min., then centrifuge and remove supernatant. Provide volumes of whole blood and percholic acid with specimen. Refrigerate Test Information Collect in lavender-top tube, place on ice immediately, and deliver immediately to laboratory for processing Additional Information Perchloric acid can be obtained from the laboratory. Call 517.364.7800 or 1-800-844-2522. It is recommended that this test be collected at the Sparrow Hospital drawsite to ensure proper processing of specimen. PYRUVATE KINASE Order Code: PRYKN 6674 Epic Code LAB1087 Synonym PK CPT 84220 Method Spectrophotometry Scheduled Mon. Wed, Friday at Mayo CODE COMPONENT 6674 Department MREF Age PRYKN Specimen 1 ml whole blood REFERENCE RANGE Container Syringe Pyruvate Kinase PRYKN 1 day to >100 year 9.0 - 22.0 U/G OF HGB Processing Instructions Collect 1 ml of whole blood in a syringe. Immediately transfer exactly 1 ml of whole blood into special tube containing 2.5 ml of 6% Perchloric Acid. Shake vigorously and then refrigerate. Storage Temp Refrigerate Test Information Tubes containig 2.5 ml of 6% Perchloric Acid can be obtained by calling the laboratory at 517-364-7800 OR 1-800-844-2522 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 337 of 405 Q Sparrow Laboratories Online Test Catalog QUANTIFERON TB GOLD Order Code: QTFTB 2023 Epic Code LAB1196 Synonym TB, GOLD, QFT-G, QFT CPT 86480 Method ELISA Scheduled Tuesday - Friday CODE COMPONENT 2023 Department IMM REFERENCE RANGE Age Quantiferon TB Qualitative QNTTB QTFTB Quantiferon Nil QFNIL QTFTB Quantiferon TB - Nil QTBAG QTFTB Quantiferon Mitogen minus Nil QFMIT QTFTB M. tuberculosis infection NOT likely Negative Nil ≤ 8.0 TB Ag- Nil <0.35 - Mit - Nil ≥ 0.5 IU/mL QTFTB M. tuberculosis infection NOT likely Negative Nil ≤ 8.0 TB Ag - Nil - ≥0.35 & < 25% of Nil value IU/mL Mitogen - Nil - ≥ 0.5 QTFTB QTFTB M. tuberculosis infection is Likely POSITIVE Nil ≤ 8.0 QTFTB 1 ml whole blood each tube TB Ag - Nil ≥ 0.35 - & ≥ 25% of Nil value IU/ml Mitogen - Nil - Any QTFTB Possible Impaired Cellular Immune Response Indeterminate Nil ≤ 8.0 TB - Nil <0.35 or ≥ 0.35 - Mit. - Nil ≥ 0.5 IU/mL QTFTB High Nil background Indeterminate Nil > 8.0 TB Ag - Nil - Any IU/mL QTFTB Specimen 1 day to >100 year QTFTB Result Invalid Container 3 tubes - NIL, TB Antigen and Mitogen Mitogen - Nil - Any Processing Instructions Storage Temp Shake tubes 10 times just firmly enough to ensure the enire inner surface of the tube is coated with blood to dissolve antigens on the walls. DO NOT centrifuge and maintain specimen at room temperature. Ambient Test Information The test is approved as an aid for diagnosing both active TB disease and latent TB infection (LTBI). Patient Information Special processing and tube requirements, Only trained personnel may collect specimens. Additional Information Sample must be no more than 12 hours old when they arrive in the lab. old when they arrive at the laboratory For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 338 of 405 Q Sparrow Laboratories Online Test Catalog QUINIDINE Order Code: QUIN 1192 Epic Code LAB192 Synonym Quinidex CPT 80194 Method Fluorescence Polarization Immunoassay Scheduled Sunday - Saturday CODE COMPONENT 1192 Department MREF Age QUIN Ref Code: QUIND Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE Quinidine Container 1 green top tube, Li heparin QUIN 1 day to >100 year 2.0 - 5.0 mcg/mL Processing Instructions Storage Temp Refrigerate Refrigerate RABIES ANTIBODY, VACCINE RESPONSE Order Code: RABAB 8076 Epic Code LAB854 Synonym Rabies Titer CPT 86317 Scheduled Michigan Department of Health Department MDCH Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:11 AM Storage Temp Refrigerate Page 339 of 405 R Sparrow Laboratories Online Test Catalog RAS/RAF TARGETED GENE PANEL BY NGS Order Code: RAFSP 10240 Epic Code LAB4716 Synonym Tumor PANEL, KRAS CPT 81275 81210 Method PCR-Based Next Generation Sequencing Scheduled Weekly, varies at Mayo Department MREF Ref Code: RASFP Specimen Container Tissue or Cytology Varies Processing Instructions Storage Temp Formalin-fixed, paraffin-embedded (FFPE) tissue block (preferred) or 1 slide stained with hematoxylin and eosin and 10 unstained, non-baked slides with 5-microns thick sections of the tumor tissue with at least 6 mm area of tissue and 20% tumor nuclei, 1 stained and coverslipped cytology slide with at least 5000 total nucleated cells and at least 20% tumor cells. Room Temperature Test Information Useful for identifying tumors that may respond to targeted therapies by assessing multiple gene targets simultaneously. For more information, visit Mayomedicallaboratories.com Additional Information Pathology report must accompany specimen in order for testing to be performed. RBCS Order Code: PRB 1652 Epic Code LAB282 Synonym PACKED RED CELLS CPT 36430 Method XM Scheduled Sunday - Saturday Department BLB Specimen 7 ml whole blood (Min: 2 ml) Container 1 Lavender top EDTA tube Processing Instructions Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Storage Temp Refrigerate Additional Information If type and screen has not been completed within the past 3 days one will be completed. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 340 of 405 R Sparrow Laboratories Online Test Catalog RENAL PANEL Order Code: RENAL 9118 Synonym KIDNEY Epic Code LAB19 Test Component CAL,PHOS,ALB,BUN,CREA,GLUC,NA,K+,CO2,CL,GAP,GFR CPT 80069 Method Spectrophotometry Scheduled Sunday - Saturday CODE COMPONENT 9118 REFERENCE RANGE Department CHM Age RENAL BUN BUN 6 - 23 mg/dL Age RENAL Creatinine RENAL Albumin CREAT 3.6 - 5.0 g/dL Age Potassium (K+) RENAL Phosphorous RENAL 1 ml serum (Min: 0.5 ml) 17 year to >100 year K 3.5 - 4.9 meq/L PHOS 2.5 - 4.5 mg/dL Calcium CA 8.0 - 10.5 mg/dL RENAL Chloride CL RENAL CO2, Total RENAL Sodium Na 135 - 145 meq/L RENAL Glucose GLU 65 - 100 mg/dL Age Specimen 11 year to >100 year 0.6 - 1.4 mg/dL ALB RENAL 2 year to >100 year Container 1 gold top SST clot tube 1 day to >100 year 96 - 110 meq/L CO2 20.0 - 30.0 mmol/L Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. RENIN ACTIVITY, PLASMA Order Code: RENIN 1194 Epic Code LAB532 Synonym CPT 84244 Method Radioimmunoassay (RIA) Scheduled Monday - Friday at MAYO Department MREF Specimen 3 ml plasma (Min: 1.5 ml) Container 2 Lavender top EDTA tubes chilled Processing Instructions Storage Temp Place tubes in ice water for 10 minutes, then centrifuge 10 minutes. Transfer plasma to a plastic vial and freeze immediately. Frozen Patient Information Please call Client Services at (517) 364-7800 or (800) 884-2522 for low sodium diet. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:11 AM Page 341 of 405 R Sparrow Laboratories Online Test Catalog RESPIRATORY VIRAL PANEL BY PCR Order Code: PCRRP 10031 Synonym Resp, RSV, FLU A, FLU B, INFLUENZA Epic Code LAB4363 Test Component INFLUENZA A/B and RSV CPT 87798 87502 Method PCR Scheduled Daily (During season) CODE COMPONENT 10031 Department MDX REFERENCE RANGE Age PCRRP Specimen Influenza A/B or RSV Container Nasopharyngeal (NP) or throat swab, Respiratory: Nasal washing, BAL, bronchial washing, tracheal aspirate, sputum. Cerebrospinal Fluid (CSF) PCRIA 1 day to >100 year Not - Detected Processing Instructions Storage Temp Refrigerate FLOQ swab or Saline wash in Submit swab placed into M4/M5 viral transport media (VTM). Other sterile screw cap vial; Preferred respiratory specimens: submit in 3ml saline in sterile container or VTM vial. Refrigerated 2-8C. Test Information Includes RSV, FLU A, FLU B, INFLUENZA virus Additional Information CSF specimens - Submit 0.5mL CSF in sterile screw cap container. Culturette II swab/ polyester, rayon or nylon tipped swab acceptable. Unacceptable Specimens: Gel swab or wooden shafted swabs. RETICULOCYTE COUNT Order Code: RETIC 1526 Epic Code LAB296 Synonym RETIC CPT 85045 Method Automated Hematology Analyzer Scheduled Sunday - Saturday Department HEM Specimen 4 ml whole blood (Min: 1 ml) Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 342 of 405 R Sparrow Laboratories Online Test Catalog RHEUMATOID FACTOR Order Code: RF 1778 Epic Code LAB206 Synonym RA, RF, RHF, RA Latex CPT 86430 Scheduled Monday-Friday CODE COMPONENT 1778 Department STL REFERENCE RANGE Age RF Specimen Rheumatoid Factor Container 2 ml serum (Min: 1 ml) 1 gold top SST clot tube RF 1 day to >100 year 0 - 14 IU/mL Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. POST-PARTUM RHOGAM WORKUP Refrigerate Order Code: PPRHO 1621 Epic Code LAB4111 Synonym RHOGAM, RHIG CPT 86901 86900 86850 Method Hemagglutination Scheduled Sunday - Saturday Department BLB Specimen 7 ml whole blood (Min: 2 ml) Container 1 Lavender top EDTA tube Processing Instructions Refrigerate Storage Temp Refrigerate Patient Information Rho Gam injections are availiable only at the hospital laboratory Monday - Friday, 7 A.M. - 7P.M. and Saturday, Sunday and holidays 7 A.M. - 1 P.M.. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 343 of 405 R Sparrow Laboratories Online Test Catalog RIBOFLAVIN (VITAMIN B2), P Order Code: VITB2 10210 Epic Code LAB4680 Synonym VITB2 CPT 84252 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Tuesday, Thursday at Mayo Department MREF Ref Code: VITB2 Specimen 1 ml plasma (Min: 0.5 ml) Container 1 green top tube, Li Heparin Processing Instructions Storage Temp Centrifuge and transfer plasma into an amber tube to protect from light. Refrigerate or Frozen Patient Information Patient must fast for 12 - 14 hours. RISPERIDONE Order Code: RISPD 6863 Epic Code LAB4235 Synonym 9-Hydroxyrisperidone CPT 82542 Method Liquid-Chromtography / Tandem Mass Spectometry (LC/MS/MS) Scheduled Monday - Sunday at Mayo Department TOX Specimen 3.0 ml plasma (min: 1 ml) Container 1 green top tube, Na Heparin For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Centrifuge green top and pour plasma into plastic tube. 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 344 of 405 R Sparrow Laboratories Online Test Catalog RISTOCETIN COFACTOR Order Code: RISTO 1049 Epic Code LAB335 Synonym von Willebrand Factor CPT 85245 Method Aggregometry Scheduled Every other week CODE COMPONENT 1049 REFERENCE RANGE Department SPCO Age RISTO Specimen 6 ml frozen plasma (Min: 3 ml) Ristocetin Cofactor Container RISTO 1 day to >100 year 64 - 163 % Activity Processing Instructions 2 Light blue top tubes, NaCitrate (3.2%) Storage Temp Frozen Centrifuge. Transfer plasma to plastic vial and freeze. Patient Information Patient should be medication free for at least ten (10) days prior to testing. RITALIN Order Code: RTLIN 6811 Epic Code LAB4227 Synonym Methylphenidate, MTB CPT 80360 80360 Method Gas Chromatographty / Nitrogen Phosphorus Detection (GC-NPD) Scheduled Monday - Saturday at Mayo CODE COMPONENT 6811 Department MREF Ref Code: RIT Specimen 3 ml plasma (min: 1 ml) REFERENCE RANGE Age RTLIN RITALIN Container Processing Instructions 1 green top tube, Na Heparin Test Information Test Performed By: RTLIN Centrifuge green top and freeze 3 ml of plasma 1 day to >100 year 5.0 - 20.0 ng/mL Storage Temp Frozen Medtox Laboratories, Inc. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 345 of 405 R Sparrow Laboratories Online Test Catalog RNICU FFP ALQ Order Code: AQF 1644 Synonym Fresh Frozen Plasma Epic Code LAB1740 Test Component Fresh frozen plasma CPT Scheduled Department BLB Specimen Container whole blood Cord blood or microtainers Processing Instructions Storage Temp Refrigerate Take directly to blood bank. Do not centrifuge Additional Information One blood type required every 12 months prior to transfusion. RNICU PLT ALQ Order Code: AQP 1663 Epic Code LAB1724 Synonym PLATELETS CPT Scheduled Department BLB Specimen Container whole blood Additional Information Cord blood or microtainers Processing Instructions Storage Temp Refrigerate Take directly to blood bank. Do not centrifuge One blood type required prior to transfusion. RNICU RBC ALQ Order Code: AQR 1643 Epic Code LAB1724 Synonym PRBC, Syringe Test Component Pretransfusion testing includes a cord blood workup as well as an antibody screen. CPT Scheduled Department BLB Specimen Container Cord blood or microtainers Processing Instructions Take directly to blood bank. Do not centrifuge Storage Temp Refrigerate Additional Information Neonates less than 4 months of age do not require a crossmatch unless maternal antibodies are present. If maternal antibodies are present, a full crossmatch will be required with each unit selected to the patient. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 346 of 405 R Sparrow Laboratories Online Test Catalog ROCKY MOUNTAIN SPOTTED FEVER IGG ANTIBODY Order Code: ROCAB 8071 Epic Code LAB4299 Synonym Febrile Antigen, Rickettsia CPT 86757 86757 Scheduled Monday - Friday at Mayo Department MREF Specimen Container 2 ml serum (Min: 1 ml) 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. ROTAVIRUS Order Code: ROTAV 1481 Epic Code LAB443 Synonym GI Virus CPT 87425 Method Enzyme Immunoassay (EIA) Scheduled Monday-Friday Department MIC Specimen 5 ml fresh stool (Min: 1 ml) unpreserved Container Gray tub, or clean, dry container Processing Instructions Storage Temp Refrigerate Refrigerate immediately. Freeze if testing will be delayed beyond 72 hours. Test Information Specimens preserved in formalin, SAV, PVA, or Cary Blair will be rejected. RPR Order Code: RPR 1676 Epic Code LAB494 Synonym VDRL, KAHN, Wasserman CPT 86592 Method Agglutination Scheduled Monday-Friday; afternoon shift Department MSER Specimen 2 ml serum (Min: 1 ml) Test Information Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Titer and confirmation, if reactive. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 347 of 405 R Sparrow Laboratories Online Test Catalog RSV BY PCR Order Code: PCRRS 10022 Epic Code LAB4362 Synonym Respiratory Syncytial Virus CPT 87798 Method PCR Scheduled Monday - Friday Department MDX Specimen Container Processing Instructions Storage Temp Nasopharyngeal (NP), Respiratory FLOQ swab or Saline wash in Submitted swabs are placed into M4/M5 viral transport media. NP specimens (Nasal washing, BAL, sterile screw cap vial; Preferred aspirate/saline wash should be cloudy and sent in sealed plastic bronchial washing, tracheal vial or VTM vial. aspirate, sputum). Cerebrospinal Fluid (CSF) Refrigerate Additional Information CSF specimens - Submit 0.5mL CSF in sterile screw cap container. Culturette II swab/ polyester, rayon or nylon tipped swab acceptable. Unacceptable Specimens: Gel swab or wooden shafted swabs. RSV, DIRECT ANTIGEN Order Code: RSVDA 1482 Epic Code LAB4092 Synonym Respiratory Syncytial Virus Antigen CPT 87420 Method Enzyme Immunoassay (EIA) Scheduled Sunday - Saturday Department MIC Specimen Container 3 ml nasal washing in viral antigen Viral antigen tube tube (Min: 2 ml) For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 348 of 405 R Sparrow Laboratories Online Test Catalog RUBELLA ANTIBODY SCREEN Order Code: RUBEL 1674 Epic Code LAB496 Synonym TORCH, German Measles, 3 Day Measles CPT 86762 Method Latex Agglutination Scheduled Monday, Wednesday and Friday CODE COMPONENT 1674 Department IMM Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Age 1 day to >100 year RUBEL Rubella IgG RUBEL Non-Immune < 5.0 - RUBEL Rubella IgG RUBEL Indeterminate 5.0 - 9.9 IU/ml RUBEL Rubella IgG RUBEL Immune Container > or equal to - 10.0 IU/ml Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. RUBELLA ANTIBODY-IgM IU/ml Refrigerate Order Code: RUBAM 1990 Epic Code LAB865 Synonym German Measles CPT 86762 Method Enzyme Immunoassay (EIA) Scheduled Twice a week at Specialty Labs CODE COMPONENT 1990 Department MICSO Age RUBAM Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Rubella IgM Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 RUBAM 1 day to >100 year < - 0.9 EIA Units Processing Instructions Allow blood to clot upright 30 minutes at room temperature; then centrifuge. 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 349 of 405 S Sparrow Laboratories Online Test Catalog SACCHAROMYCES CEREVISIAE Ab, IgA, S Order Code: SCIGA 10089 Epic Code LAB4391 Synonym ASCA,Sacc, Anti saccharomyces, Celiac Disease, Crohn's Disease, IBD CPT 86671 Method ELISA Scheduled Monday - Friday at Mayo CODE COMPONENT 10089 Department MREF Age Ref Code: AASCA Specimen 0.5 ml serum (Min: 0.45ml) REFERENCE RANGE 1 day to >100 year SCIGA IGA SCIGA Negative 0 - ≤ 20.0 Units SCIGA IGA SCIGA Equivocal 20.1 - 24.9 Units SCIGA IGA SCIGA Weak Positive 25.0 - 34.9 Units SCIGA IGA SCIGA Positive Container > or = - 35.0 Units Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Helping clinicians distinguish between ulcerative colitis and Crohn's disease in patients suspected of having inflammatory bowel disease SACCHAROMYCES CEREVISIAE Ab, IgG, S Order Code: SCIGG 10090 Epic Code LAB4446 Synonym ASCA, Sacc, Celiac Disease, Crohn's Disease, IBD CPT 86671 Method ELISA Scheduled Monday - Friday at Mayo COMPONENT 10090 CODE Department MREF Age Ref Code: GASCA Specimen 0.5 ml serum (Min: 0.45ml) REFERENCE RANGE 1 day to >100 year SCIGG IGG SCIGG Negative 0.0 - 20.0 Units SCIGG IGG SCIGG Equivocal 20.1 - 24.9 Units SCIGG IGG SCIGG Weak Positive 25.0 - 34.9 Units SCIGG IGG SCIGG Positive 0 - ≤ 35.0 Units Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Test Information Helping clinicians distinguish between ulcerative colitis and Crohn's disease in patients suspected of having inflammatory bowel disease For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 350 of 405 S Sparrow Laboratories Online Test Catalog SALICYLATE Order Code: SALIC 1199 Epic Code LAB34 Synonym ASA, Aspirin CPT 80329 Method Fluorescence Polarization Immunoassay Scheduled Sunday - Saturday CODE COMPONENT 1199 Department CHM Age SALIC Specimen 1 ml plasma (Min: 0.5 ml) REFERENCE RANGE Salicylate Container SALIC 1 day to >100 year 15.0 - 30.0 mg/dL Processing Instructions 1 green top tube, Li heparin Storage Temp Refrigerate Refrigerate SALIVARY IGA Order Code: SIGAR 1344 Epic Code LAB4070 Synonym IGA Salivary CPT 82784 Method Radial Immunodiffusion (RID) Scheduled Monday - Thursday at Mayo CODE COMPONENT 1344 Department MREF Ref Code: FSAGA Specimen 3 ml of Saliva REFERENCE RANGE Age SIGAR Container Sterile container For Customer Service call 517-364-7800 or 800-884-2522 Salivary IgA SIGAR Processing Instructions Refrigerate 9/21/2016 8:09:12 AM 1 day to >100 year 6.2 - 14.5 mg/dL Storage Temp Refrigerate Page 351 of 405 S Sparrow Laboratories Online Test Catalog SALMONELLA Ab, EIA, S Order Code: FSMLA 10193 Synonym Sal Antibody Epic Code LAB4658 Test Component Z0566-Salmonella H, Type a, Z0567-Salmonella H, Type b, Z0568-Salmonella H, CPT 86768 86768 86768 Type d, Z0569-Salmonella O, Type Vi, Z0570-Salmonella O, Type D Method Enzyme Immunoassay (EIA) Scheduled Monday - Friday CODE COMPONENT 10193 REFERENCE RANGE Department MREF Age FSMLA Ref Code: FSMLA Specimen Container 1 mL of serum, (min. 0.2 mL) Test Information Salmonella Ab 1 Plain red top tube or gel barrier SST tube 1 day to >100 year Z0566 Processing Instructions Storage Temp Refrigerate Allow specimen to clot, spin and send refrigerated. (Serum gel tube is acceptable) Test Performed by: Focus Diagnostics, Inc. Antibodies to Salmonella flagellar (H) and somatic (O) antigens typically peak 3-5 weeks after infection. A positive result in this assay is equivalent to a titer of >=1:160 by tube agglutination (Widal). Results should not be considered as diagnostic unless confirmed by culture. ANTI- SCL 70 Order Code: SCL70 Synonym DNA Topoisomerase 1 Antibodies, SCL, Sclerodermal Antibody, Sjogren 6623 Epic Code LAB771 CPT 86235 Method EIA Scheduled Monday, Wednesday Department IMM Specimen 3 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 352 of 405 S Sparrow Laboratories Online Test Catalog SECOBARBITAL Order Code: SECOB 6716 Epic Code LAB4211 Synonym Seconal, Tuinal CPT 80299 Method High Performance Liquid Chromoatography with Ultraviolet Detection (HPLC-UV) Scheduled Monday - Friday CODE COMPONENT 6716 REFERENCE RANGE Department TOX Age SECOB Specimen 1 ml plasma (min: 0.5 ml) Secobarbital Container Secobarbital Male or Female 1 day to >100 year 1 - 5 mcg/mL Processing Instructions Storage Temp Refrigerate 1 green top tube, Li or Na heparin Test Information Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected SEDIMENTATION RATE Order Code: ESR 1528 Epic Code LAB322 Synonym Sed Rate, ESR, Wintrobe, Westergren CPT 85652 Method Westergren/Seditainer Scheduled Sunday - Saturday COMPONENT 1528 CODE REFERENCE RANGE Department HEM Specimen 4 ml whole blood (min: 0.6 ml) Age 1 day to >100 year ESR Sed Rate ESR F 0 - 20 mm/Hr ESR Sed Rate ESR M 0 - 15 mm/Hr Container 1 Streck seditainer tube or 1 lavender top-EDTA For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Do not spin. Refrigerate after collection. Lavendar tubes are stable for 12 hrs if refrigerated, 2 hrs at room trmperature. Streck seditainer tubes are stable for 72 hrs if refrigerated, 6 hrs at room temperature. 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 353 of 405 S Sparrow Laboratories Online Test Catalog SEMEN ANALYSIS Order Code: SEMEN 10101 Epic Code LAB216 Synonym Fertility, Sperm Count CPT 89322 Method **Sparrow Hospital Only Scheduled By Appointment; MondayFriday, 8 am - Noon Department FER Specimen Container Semen, complete ejaculate. Processing Instructions Dry, sterile, plastic vial Storage Temp Ambient Room temperature. Specimen must arrive in laboratory within 1 hour of collection Test Information Fertility assessment Patient Information ** Available by appointment only. To schedule, call 517.364.7800, (times available from 8 am -11 am M-F.) Collection kits with instructionsare available at any of our PSCLab locations. Additional Information Check in at Sparrow Main Hospital Lobby Information Desk - They will call Lab x42526 and a lab caregiver will come and the patient at the front desk. SEROTONIN, BLOOD Order Code: SEROB 1197 Epic Code LAB121 Synonym 5-Hydroxytryptamine, 5-HT, 5HT CPT 84260 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo CODE COMPONENT 1197 Department MREF Ref Code: SERWB Specimen 3 ml whole blood (Min. 1.5 ml) REFERENCE RANGE Age SEROB Serotonin Container 1 Lavender top EDTA tube SEROB 1 day to >100 year < or = - 330 ng/mL Processing Instructions Do not spin. Mix well then transfer 2.5 ml whole blood to special serotonin tube containing ascorbic acid (Mayo supply T259), and freeze immediately. Storage Temp Frozen Patient Information Monoamine oxidase (MAO) inhibitor drugs should be discontinued one week prior to specimen collection. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 354 of 405 S Sparrow Laboratories Online Test Catalog SERTRALINE Order Code: SERT 8052 Epic Code LAB4553 Synonym Zoloft CPT 80299 Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD) Scheduled Monday - Friday Department TOX Specimen 2.5 mL serum (Min: 1.25 mL) Container Processing Instructions 1 Plain red top tube, 10 mL Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Additional Information Specimens collected in gel separator tubes will be rejected. SEX HORMONE BINDING GLOBULIN Order Code: SHBG 1280 Epic Code LAB4063 Synonym Testosterone binding globulin, sex steroid binding protein,SBP CPT 84270 Method Chemiluminescent Scheduled Monday-Saturday CODE COMPONENT 1280 REFERENCE RANGE Department MREF Ref Code: SHBG Specimen 1 ml serum (Min: 0.25 ml) Age 1 day to >100 year SHGB Sex Hormone-Binding SHGB F (non-preg) 18 - 144 nmol/L SHGB Sex Hormone-Binding SHGB M 10 - 57 nmol/L Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Freeze serum in plastic tube. Storage Temp Refrigerate Test Information See Mayo online catalog SHBG Additional Information Specimen may be frozen after arrival in laboratory For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 355 of 405 S Sparrow Laboratories Online Test Catalog SICKLE CELL SCREEN Order Code: SSCR 1529 Epic Code LAB339 Synonym Hemoglobin S Solubility, SS CPT 85660 Method Solubility Scheduled Sunday - Saturday Department HEM Specimen 5 ml whole blood (Min: 1 ml) Container Processing Instructions 1 Lavender top EDTA tube Storage Temp Refrigerate Refrigerate SIROLIMUS, BLOOD Order Code: SIRLG 9038 Epic Code LAB875 Synonym Rapamycin, Rapamune CPT 80195 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday CODE COMPONENT 9038 Department TOX Age SIRLG Specimen 1 ml whole blood (Min: 0.5 ml) REFERENCE RANGE Sirolimus, Blood Container 1 Lavender top EDTA tube SIRLG Processing Instructions Do not centrifuge 3 day to >100 year 4.0 - 20.0 ng/mL Storage Temp Refrigerate Test Information Therapeutic range applies to trough specimens. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 356 of 405 S Sparrow Laboratories Online Test Catalog SLA AUTOANTIBODY Order Code: FSLAA 10192 Epic Code LAB4657 Synonym Soluble Liver Antigen Autoantibody CPT 83520 Method Enzyme Linked Immunosorbent Immunoassay (ELISA) Scheduled Wednesday, Mayo Forward CODE COMPONENT 10192 Department MREF Ref Code: FSLAA Specimen 1 ml Serum, (min. 0.3 mL) REFERENCE RANGE Age FSLAA SLA AutoAntibody Container 1 day to >100 year FSLAA Processing Instructions 1 Plain red top tube or gel barrier SST tube Storage Temp Spin down and send 1 mL of serum refrigerated in a plastic vial. Refrigerate Test Information Test Performed by: Quest Diagnostics Nichols Institute SMEAR TO PATHOLOGIST Order Code: SMEAR 1538 Epic Code LAB4450 Synonym PATH Review, Peripheral Smear Review CPT 85060 Method Light Microscopy Scheduled Sunday - Saturday CODE COMPONENT 1538 Department PATH Specimen EDTA Whole Blood REFERENCE RANGE Age SMEAR Reviewed by SMEAR RBC Comment RBCEC SMEAR MISC Comment MSCEC SMEAR Rec. Comment RECEC Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 1 day to >100 years PATH Processing Instructions Refrigerate 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 357 of 405 S Sparrow Laboratories Online Test Catalog ANTI- SMOOTH MUSCLE ANTIBODY Order Code: ASMA 1736 Epic Code LAB512 Synonym ASMA, Smooth Muscle Ab CPT 86255 Method Indirect Immunofluorescence (IFA) Scheduled Tuesday and Friday CODE COMPONENT 1736 Department IMM Specimen 3 ml serum (Min: 1 ml) REFERENCE RANGE 1 day to >100 years Age ASMA Antibody Result ASMAR ASMA Titer ASMAT Container Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temp, then centrifuge. Test Information Titer, if positive SODIUM Order Code: NA 1209 Epic Code LAB122 Synonym Na, Electrolyte CPT 84295 Method Ion Selective Electrode Scheduled Sunday - Saturday COMPONENT 1209 CODE Department CHM REFERENCE RANGE Age NA Sodium NA 136 - 144 mEq/L Age NA Specimen 1 ml serum (Min: 0.5 ml) Sodium Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 NA 1 day to 3 day 1 day to >100 year 135 - 145 mEq/L Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 358 of 405 S Sparrow Laboratories Online Test Catalog SODIUM, 24 HOUR URINE Order Code: UNA24 1343 Epic Code LAB446 Synonym NA Urine 24 Hour, 24 hr urine Na CPT 84300 Method Ion Selective Electrode Scheduled Sunday - Saturday CODE COMPONENT 1343 REFERENCE RANGE Department CHM Age Ref Code: Sparrow Specimen Sodium-24HR Ur UNAC UNA24 NA Non 24 HR Ur UNA1 UNA24 Collection Time CINTV Time - in hours UNA24 Measured Volume UVOL measure - in mL Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to >100 year UNA24 24 hr urine container; no preservative required 40 - 200 mEQ/24Hr Processing Instructions Storage Temp Refrigerate Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information The following alternative preservatives are acceptable if multiple assays are requested: Boric acid; 50% Acetic Acid SODIUM, URINE, RANDOM Order Code: UNAR 1342 Epic Code LAB444 Synonym NA Urine CPT 84300 Method Ion Selective Electrode Scheduled Sunday - Saturday Department CHM Specimen 20 ml single void urine sample (Min: 5 ml) Container Urine container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 359 of 405 S Sparrow Laboratories Online Test Catalog SPECIFIC GRAVITY Order Code: SGREF 1592 Epic Code LAB199 Synonym SG CPT 81003 Method Refractometer Scheduled Sunday - Saturday Department HEM Specimen 10 ml fluid (Min: 1 ml) Container Urine container, no preservative Processing Instructions Storage Temp Refrigerate Refrigerate SPOROTHRIX ANTIBODY Order Code: SPORA 1809 Epic Code LAB1218 Synonym CPT 86671 Method Agglutination Scheduled Mon. Wed, Friday at Mayo Department MREF Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. STOOL WBC Order Code: STWBC 1469 Epic Code LAB4445 Synonym Fecal Leukocytes CPT 87205 Method Direct Microscopic Exam Scheduled Sunday - Saturday Department MIC Specimen 5 ml feces (Min: 1 ml) Container Cary Blair Media (Para-pak yellow lid vial) or fresh grey tub - inpatient only, submit promptly Processing Instructions Storage Temp Ambient Transfer stool specimen to Carey Blair vial. Fill to volume indication line and invert multiple time to mix sample with preservative fluid. Test Information Preserved specimens in 10% Formalin, SAV, or PVA, or unpreserved specimens greater than 2 hours rejected For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 360 of 405 S Sparrow Laboratories Online Test Catalog STREP GROUP A, RAPID Order Code: BSRPD 1447 Epic Code LAB885 Synonym STREP SCREEN, BETA STREP CPT 87430 Method EIA, Culture Scheduled Sunday - Saturday Department MIC Specimen Throat swab Container Culturette II aerobic swab Processing Instructions Storage Temp Refrigerate Refrigerate STREP PNEUMONIAE AG, URINE Order Code: SPAGU 1436 Epic Code LAB4087 Synonym S. Pneumoniae, Pneumococcal Pneumonia CPT 87450 Method Agglutination Scheduled Sunday - Saturday Department MIC Specimen 2 ml Urine Container Sterile urine container Processing Instructions Storage Temp Refrigerate Collect random clean void urine and Refrigerate Test Information Single bacterial Ag, Strep Pneumonia ANTI- STRIATIONAL ANTIBODY Order Code: STMAB 1693 Epic Code LAB728 Synonym STRIATED MUSCLE Antibody, MYOID CPT 83520 Method Enzyme Immunoassay (EIA) Scheduled Mon, Wed, Thursday at Mayo Department MREF Specimen 1 ml serum (Min: 0.5 ml) Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 361 of 405 S Sparrow Laboratories Online Test Catalog SULFATE, 24 HR URINE Order Code: SULFU 10088 Synonym SU, 24 hr urine sulfate Epic Code LAB1096 Test Component USULF, COL23, MUV13, SULFC CPT 84392 Method High-Performance Liquid Chromatography (HPLC) Scheduled Monday - Friday at Mayo Department MREF Ref Code: SULFU Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot Processing Instructions 24 hr urine container, no preservative Storage Temp Keep refrigerated during and after collection. Specimen pH should be between 4.5 and 8 and will stay in this range if kept refrigerated. Refrigerate Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Test Information Urinary sulfate can be used to assess the nutrition intake of animal protein. It also can be a reflection of protein intake and can be assessed in patients with stone disease as related to stone supersaturation and prevention of stone disease. Additional Information Acceptable preservative types for shared testing collections: Boric Acid and Na2CO3 SYNOVIAL FLUID CRYSTALS Order Code: CCRYS 1535 Epic Code LAB213 Synonym JOINT FLUID CPT 89060 Method Polarized/Compensated Redlight Microscopy Scheduled Sunday - Saturday CODE COMPONENT 1535 Department HEM Specimen 2 ml synovial fluid (Min: 1 ml) REFERENCE RANGE Age CCRYS Crystalloid Material CCRYS Site Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 1 day to >100 years SYNCR SYTE Processing Instructions Refrigerate 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 362 of 405 S Sparrow Laboratories Online Test Catalog SYNOVIAL FLUID VISCOSITY Order Code: SYNVI 1274 Epic Code LAB4059 Synonym Joint Fluid CPT 85810 Scheduled Sunday - Saturday Department SPHEM Specimen Synovial fluid Container Processing Instructions Storage Temp Refrigerate 1 Plain red top tube, 1 Lavender top tube, EDTA SYNOVIAL SARCOMA, 18q11.2, FISH, Ts Order Code: SS18F 10286 Epic Code LAB4753 Synonym t(X;18), SS18, SYT CPT 88291 Method Fluorescence In Situ Hybridization (FISH) Scheduled Monday - Friday at Mayo Department MREF Ref Code: SS18F Specimen Tissue Container Tissue block preferred, or slides Processing Instructions Submit a formalin-fixed, paraffin-embedded (FFPE) tumor tissue block. Slide Instructions: Four consecutive, unstained, 5 micron-thick sections placed on positively charged slides, and 1 hematoxylin and eosin-stained slide. Storage Temp Room Temperature Test Information Userful for supporting the diagnosis of synovial sarcoma when used in conjunction with an anatomic pathology consultation. Additional Information ** NEW TEST ADDED 01/22/2016 ** A pathology report must be provided with each specimen. Blocks prepared with alternative fixation methods may be acceptable; provide fixation method used. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 363 of 405 T Sparrow Laboratories Online Test Catalog T3 FREE Order Code: FT3 8026 Epic Code LAB137 Synonym FREE T3, Free Triiodothyrenine CPT 84481 Method Immunochemiluminescence Scheduled Sunday - Saturday COMPONENT 8026 CODE Department CHM Age FT3 Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Free T3 Container FT3 1 day to >100 year 2.5 - 3.9 pg/mL Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. T3 TOTAL Refrigerate Order Code: T3 1964 Epic Code LAB136 Synonym Total T3, Triiodothyronine Total, T3 RIA CPT 84480 Method Immunochemiluminescence Scheduled Sunday - Saturday COMPONENT 1964 CODE Department CHM Age T3 Specimen 2 ml serum (Min: 1ml) REFERENCE RANGE Total T3 Container T3 1 day to >100 year 87 - 178 ng/dL Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. T4 FREE Refrigerate Order Code: FT4 1039 Epic Code LAB127 Synonym Free T4, Free Thyroxine CPT 84439 Method Immunochemiluminescence Scheduled Sunday - Saturday COMPONENT 1039 CODE Department CHM Age FT4 Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE FREE T4 Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 FT4 1 day to >100 year 0.61 - 1.37 ng/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:12 AM Storage Temp Refrigerate Page 364 of 405 T Sparrow Laboratories Online Test Catalog T4 TOTAL Order Code: T4 1948 Epic Code LAB126 Synonym T4, Total Thyroxine, Thyroxine CPT 84436 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1948 Department CHM REFERENCE RANGE Age T4 Total T4 T4 T4 Total T4 T4 T4 Total T4 T4 T4 Total T4 11.00 - 21.50 mcg/dL Age T4 T4 T4 Specimen 1 ml serum (Min: 0.5 ml) Total T4 Container 10 year to 15 years 5.50 - 11.70 mcg/dL Age T4 5 year to 10 year 6.40 - 13.30 mcg/dL Age Total T4 1 year to 5 year 7.30 - 15.00 mcg/dL Age T4 1 month to 1 year 5.90 - 16.30 mcg/dL Age Total T4 7 day to 1 month 8.20 - 17.10 mcg/dL Age T4 1 day to 7 day T4 15 year to >100 years 4.30 - 12.50 mcg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. TACROLIMUS, BLOOD Order Code: TACRL 8054 Epic Code LAB876 Synonym PROGRA-F, FK506, TACRO CPT 80197 Method Liquid-Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday CODE COMPONENT 8054 Department TOX Age TACRL Specimen 3 ml whole blood (Min: 2 ml) REFERENCE RANGE Tacrolimus Container 1 Lavender top EDTA tube TACRL Processing Instructions Do not centrifuge. Refrigerate 1 day to >100 year 5.0 - 15.0 ng/mL Storage Temp Refrigerate Test Information Therapeutic range applies to trough specimens. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 365 of 405 T Sparrow Laboratories Online Test Catalog FREE & TOTAL TESTOSTERONE, BIOAVAILABLE Order Code: TSTBF 7026 Epic Code LAB4258 Synonym TEST, BIO, Free, Total CPT 84402 84403 Method Equilibrium dialysis, liquid chromatrography-tandem mass spectrometry, differential precipitation Scheduled Monday - Friday at Mayo Department MREF Specimen 3.5 ml serum (Min: 2.6 ml) Container 1 Plain red top tube (no gel barrier) Processing Instructions Storage Temp Refrigerate Specimens collected in gel separator tubes will be rejected. Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Early Morning levels from young men are 50% higher than p.m. levels. Reference ranges are based on a.m. samples. Levels may flucturate widely between different days. Assessment of androgen status should be based on more than a single measurement. Additional Information This test is useful for evaluation as a second or third order test, for example, when abnormalities of SHBG are present. TESTOSTERONE, FREE Order Code: QTSTF 10292 Synonym Free Testosterone, TEST Epic Code LAB4757 Test Component TESTO, QTSTF CPT 84402 Method CALC + ICMA + LC/MS/MS Scheduled Monday - Friday at Quest Department QST Ref Code: 90572 Specimen 2.8 mL serum (min. 1.3 mL) Container 1 Plain red top tube Processing Instructions Storage Temp Room Temperature ** No Gel Barriers accepted. Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer serum into plastice vial and transport room temperature or refrigerated. Test Information Order both the Free Testosterone, QTSTF/10292/LAB4757 and the Total Testosterone, TESTO/1219/LAB124. Additional Information ** New Test 02/22/2016. Replaces 1284/ TESFT/ LAB173 Free and Total Testosterone - Please update your preference lists and test builds. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:12 AM Page 366 of 405 T Sparrow Laboratories Online Test Catalog TESTOSTERONE, TOTAL Order Code: TESTO 1219 Epic Code LAB124 Synonym TESTO, TEST, Male Hormone CPT 84403 Method Chemiluminescence Scheduled Monday, Wednesday, Friday CODE COMPONENT 1219 REFERENCE RANGE Department CHM Age Testosterone - Total TESTO F 20.0 - 80.0 ng/dL TESTO Testosterone - Total TESTO M 75.0 - 400.0 ng/dL TESTO Testosterone - Total TESTO female & male 1.0 - 20.0 ng/dL Age 10 year to 12 years TESTO Testosterone - Total TESTO F 1.0 - 44.0 ng/dL TESTO Testosterone - Total TESTO M 1.0 - 130.0 ng/dL Age Age 12 day to 14 years Testosterone - Total TESTO M TESTO Testosterone - Total TESTO M TESTO Testosterone - Total TESTO M TESTO Testosterone - Total TESTO F TESTO Testosterone - Total TESTO F 20.0 - 75.0 ng/dL TESTO Testosterone - Total TESTO M 300.0 - 1200.0 ng/dL TESTO Testosterone - Total TESTO M TESTO Testosterone - Total TESTO F TESTO Testosterone - Total TESTO 1.0 - 800.0 ng/dL Age 17 year to 19 years 19 year to 41 years 240.0 - 950.0 ng/dL Age 19 year to >100 years 1.0 - 55.0 ng/dL Age 1 Plain red top tube (no gel barrier) 12 year to 17 years 1.0 - 75.0 ng/dL Age Container 15 year to 17 years 100.0 - 1200.0 ng/dL Age M 14 day to 15 years 1.0 - 1200.0 ng/dL Age 1 ml serum (Min: 0.5 ml) 6 months to 10 years TESTO Age Specimen 1 day to 6 month TESTO 41 year to >100 years 130.0 - 700.0 ng/dL Processing Instructions Specimens collected in gel separator tubes not acceptable. Allow blood to clot upright 30 minutes at room temperature; then centrifuge. Storage Temp Refrigerate Test Information For both the Free and Total Testosterone test, order QTSTF/10292/LAB4757 and TESTO/1219/LAB124. Additional Information ** NO GEL Barrier Tubes Accepted. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 367 of 405 T Sparrow Laboratories Online Test Catalog TESTOSTERONE, TOTAL AND BIOAVAILABLE Order Code: TESBT 5593 Epic Code LAB4177 Synonym TESTOSTERONE, BIOAVAILABLE, TESTO CPT 84402 84403 Method Competitive Chemiluminescent immunoassay Scheduled Monday - Friday at Mayo Department MREF Specimen 4.0 ml serum (Min: 2.6 ml) Container Processing Instructions 1 Plain red top tube (no gel barrier) Storage Temp Refrigerate Specimens collected in gel barrier tubes will be rejected. Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information May be useful as a second or third order test for evaluating testosterone status, particularly if abnormalities in sex hormonebinding globulin function or levels are present. TETANUS TOXOID IgG, S Order Code: TTIGS 10247 Epic Code LAB658 Synonym C. tetani, Replaces TETNG/1826 CPT 86317 Method Enzyme Immunoassay (EIA) Scheduled Monday - Friday; 9 am at Mayo CODE COMPONENT 10247 Department MREF Ref Code: TTIGS Specimen 0.8 mL serum (min. 0.4 mL) Test Information REFERENCE RANGE Age TTIGS Tetanus IgG Abs TETG Positive TTIGS Tetanus IgG Value DEXTG Vaccinated Container 1 gold top SST clot tube 1 day to >100 year >= - 0.01 IU/mL Positive - Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. IU/mL Storage Temp Refrigerate Useful for assessment of an antibody response to the tetanus toxoid vaccine. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 368 of 405 T Sparrow Laboratories Online Test Catalog THC, QUANTITATIVE Order Code: THCQU 2521 Epic Code LAB4464 Synonym THC, MARJAUNA, CANNABINOIDS CPT 82542 Method Immunoassay Scheduled Contact Toxicology dept. 517-364-7400 Department TOX Specimen Container Urine Processing Instructions Storage Temp Refrigerate sterile urine cup THEOPHYLLINE Order Code: THEO 1221 Epic Code LAB35 Synonym Aminophylline, THEO CPT 80198 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1221 Department CHM REFERENCE RANGE Age THEO Specimen Theophylline Container 1 ml plasma (Min: 0.5 ml) THEO 1 day to >100 year 10.0 - 20.0 mcg/mL Processing Instructions 1 green top tube, Li heparin Storage Temp Refrigerate Refrigerate THIOCYANATE Order Code: THIO 1222 Epic Code LAB1099 Synonym THIO CPT 84430 Method Spectrophotometer Scheduled Monday - Friday CODE COMPONENT 1222 Department TOX Age THIO Specimen Thiocyanate Container 4 ml whole blood (min vol 2 ml plasma) Test Information REFERENCE RANGE 1 green top tube, Li or Na heparin THIO 1 day to >100 year 4 - 20 mcg/mL Processing Instructions Refrigerate whole blood, Toxicology Lab will centrifuge & process Storage Temp Refrigerate Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 369 of 405 T Sparrow Laboratories Online Test Catalog THIOPURINE METHYLTRANSFERASE, RBC Order Code: FATPM Synonym ** NEW TEST 9/20/16, Replaces 10212/TMPT, Myelosuppression, Imuran Toxicity, Myelotoxicity 10514 Epic Code LAB4682 CPT 82657 Method Enzymatic/Quantitative Liquid Chromatography-Tandem Mass Spectrometry Scheduled Monday, Wednesday, CODE COMPONENT 10514 Friday at ARUP Department MREF Age FATPM Ref Code: FATPM Specimen TPMT Container 5 mL Whole blood (Min. 3.0 mL) Additional Information REFERENCE RANGE FATPM normal activity 1 day to >100 years 24.0 - 44.0 U/mL Processing Instructions 1 - 7 ml Lavender top tube, EDTA Storage Temp Gently invert multiple times to mix anticoagulant. Submit specimen in original tube. Na or Li Heparin acceptable Refrigerate ** New Test 9/20/2016, Replaces test 10212/TPMT THYROGLOBULIN Order Code: TG 8009 Epic Code LAB533 Synonym TG CPT 84432 Method Immunochemiluminescence Scheduled Wednesday CODE COMPONENT 8009 Department IMM Age TG Specimen 3 ml serum (Min: 2 ml) REFERENCE RANGE Thyroglobin Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 TG 1 day to >100 year 1.6 - 59.9 ng/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour serum into a plastic tube and freeze. 9/21/2016 8:09:13 AM Storage Temp Frozen Page 370 of 405 T Sparrow Laboratories Online Test Catalog ANTI- THYROGLOBULIN ANTIBODY Order Code: ATG 1765 Epic Code LAB515 Synonym ATG, Thyroglobulin, Thyroid Ab CPT 86800 Method Indirect Immunofluorescence (IFA) Scheduled Monday, Wednesday, CODE COMPONENT 1765 Friday Department IMM 3 ml serum (Min: 1 ml) 1 day to >100 year Age ATG Specimen REFERENCE RANGE ANTI-THYROGLOBULIN AB Container ATG 0 - 40 IU/mL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Titer, if positive THYROID MICROSOMAL ANTIBODY (ATMA) Order Code: ATA Synonym ATA, Microsomal Ab, TPO, Thyroperoxidase Ab, Hashimoto Disease 1738 Epic Code LAB516 CPT 86376 Method Indirect Immunofluorescence (IFA) Scheduled Monday, Wednesday, CODE COMPONENT 1738 Friday Department IMM 3 ml serum (Min: 1 ml) 1 day to >100 year Age ATA Specimen REFERENCE RANGE Microsomal Ab Container ATA 0 - 35 IU/mL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temp, then centrifuge. THYROID STIMULATING IMMUNOGLOBULIN Order Code: TSI Synonym GRAVES DIS,LATS(LONG-ACTING THYROID STIMULATOR) 1146 Epic Code LAB746 CPT 84445 Method Recombinant Bioassay Scheduled Monday through Friday at Mayo CODE COMPONENT 1146 Department MREF Ref Code: TSI Specimen 1 mL serum, Min. 0.30 mL REFERENCE RANGE Age TSI Thyroid Stim Immunoglobulin Container 1 plain red top tube or 1 sst clot tube For Customer Service call 517-364-7800 or 800-884-2522 TSI Processing Instructions Allow sample to clot at room temperature for 30 minutes. 9/21/2016 8:09:13 AM 1 day to >100 year 0 - 13 Index Storage Temp Refrigerate Page 371 of 405 T Sparrow Laboratories Online Test Catalog THYROTROPIN RECEPTOR AB, S Order Code: TRECP 7741 Epic Code LAB574 Synonym TRAB, TBII, Thyrotropin receptor antibody CPT 83519 Method Electrochemiluminescence Immunoassay Scheduled Monday - Saturday at Mayo Department MREF Ref Code: THYRO Specimen Container 1 mL serum (Minimum Vol 0.5 mL) Processing Instructions 1 Plain red top tube preferred, Acceptable: gel barrier SST tube Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer serum to a plastic vial. Refrigerate Test Information Useful For first-line test for detection of thyrotropin receptor (TSHR) antibodies, and used in the following situations: Differential diagnosis of etiology of thyrotoxicosis in patients with ambiguous clinical findings and/or contraindicated (eg, pregnant) and diagnosis of clinically suspected Graves disease (eg, extrathyroidal manifestation of Graves disease include endocrine exophthalmos, pretibial myxedema, thyroid acropachy) in patients with normal thyroid function tests. Determining the risk of neonatal thyrotoxicosis in a fetus of a pregnant female with history Graves disease. THYROXINE BINDING GLOBULIN Order Code: TBGRS 1225 Epic Code LAB128 Synonym TGB,TBG CPT 84442 Method Solid-Phase Chemiluminescent Assay Scheduled Monday-Saturday at Mayo CODE COMPONENT 1225 REFERENCE RANGE Department MREF Specimen 1 ml serum (Min: 0.5 ml) Age 1 day to >100 year TBGRS TBG/Thyroxine Bind TBGRS M 12.0 - 26.0 UG/ML TBGRS TBG/Thyroxine Bind TBGRS F 11.0 - 27.0 UG/ML Container 1 gold top SST clot tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour specimen into a plastic tube and freeze. Storage Temp Refrigerate Additional Information Specimen may be frozen after arrival in Central Processing. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 372 of 405 T Sparrow Laboratories Online Test Catalog TISSUE TRANSGLUTAMINASE Ab, IgA Order Code: TTSGA 9034 Epic Code LAB723 Synonym TTG, TTSGA, Celiac Disease CPT 83516 Method Enzyme-Linked ImmunoAssay (ELISA) Scheduled Twice a week COMPONENT 9034 CODE Department IMM Specimen 1.5 ml serum (Min: 0.5 ml) REFERENCE RANGE Age 1 day to >100 year TTSGA TTG IgA TTSGA Negative 0.1 - 7.0 U/mL TTSGA TTG IgA TTSGA Equivocal >7.0 - 10.0 U/mL TTSGA TTG IgA TTSGA Positive Container 1 Plain red top tube or gel barrier SST tube >10.0 - 600.0 U/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Frozen Transfer serum into a plastic tube and freeze immediately. Test Information Used for Celiac Disease and Dermatitis Herpetiformis Testing. Antibody levels decline following institution of a gluten-free diet in patients with celiac disease. Additional Information ** New Processing Requirements: Store and submit specimen FROZEN Specimen 1.5 ml serum (Min: 0.5 ml) Container 1 Plain red top tube or gel barrier SST tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Frozen Transfer serum into a plastic tube and freeze immediately. Test Information Used for Celiac Disease and Dermatitis Herpetiformis Testing. Antibody levels decline following institution of a gluten-free diet in patients with celiac disease. Additional Information ** New Processing Requirements: Store and submit specimen FROZEN For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 373 of 405 T Sparrow Laboratories Online Test Catalog TISSUE TRANSGLUTAMINASE AB, IGA AND IGG Order Code: TSTGP 7091 Epic Code LAB4259 Synonym Celiac Disease, TTG, Transglutaminase, TSTGP CPT 83516 83516 Method Enzyme-Linked ImmunoAssay (ELISA) Scheduled Twice a week CODE COMPONENT 7091 REFERENCE RANGE Department IMM Age Specimen TTG IgG TSTTG 0.6 - 7.0 U/mL TSTGP TTG IgA TTSGA 0.6 - 7.0 U/mL Container 2 ml serum (Min: 0.5 ml) 1 day to >100 year TSTGP Processing Instructions 1 Plain red top tube or gel barrier SST tube Storage Temp Frozen Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer serum to a plastic vial and Freeze. Test Information Used for Celiac Disease and Dermatitis Herpetiformis Testing. Antibody levels decline following institution of a gluten-free diet in patients with celiac disease. Additional Information ** New Processing Requirements - Store and submit specimen FROZEN TOBRAMYCIN Order Code: TOBRR 1973 Epic Code LAB37 Synonym TOBRA CPT 80200 Method Fluorescent Polarization Immunoassay Scheduled Sunday - Saturday CODE COMPONENT 1973 REFERENCE RANGE Department CHM Specimen 2 ml plasma (Min: 1 ml) Age 1 day to >100 years TOBRR Tobramycin TOBRR Peak 5.0 - 10.0 mcg/mL TOBRR Tobramycin TOBRR Trough 1.0 - 2.0 mcg/mL Container 1 green top tube, Li heparin Processing Instructions Refrigerate Storage Temp Refrigerate Patient Information Draw times: PEAK: 30 minutes, after 30-minutes infusion immediately, after 60-minutes infusion one hour after IM dose, TROUGH: immediately prior to the next dose. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 374 of 405 T Sparrow Laboratories Online Test Catalog TOPIRAMATE, S Order Code: TOPIR 7753 Epic Code LAB498 Synonym Topamax CPT 80201 Method Fluorescence Polarization Immunoassay (FPIA) Scheduled Monday - Saturday at Mayo Department MREF Ref Code: TOPI Specimen 1 ml serum (Min: 0.5 ml) Container 1 Plain red top tube Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. NO GEL. Spin and transfer serum to plastic vial within 2 hours of collection. Storage Temp Refrigerate Test Information Red top gel-barrier tubes are not acceptable. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 375 of 405 T Sparrow Laboratories Online Test Catalog TOTAL IGE Order Code: IGE 1773 Epic Code LAB74 Synonym IgE Quantitative CPT 82785 Method Chemiluminescence Scheduled Monday, Friday CODE COMPONENT 1773 Department ALL REFERENCE RANGE Age IGE IgE-Quantitative IGE IGE IgE-Quantitative IGE IGE IgE-Quantitative IGE IGE IgE-Quantitative 0.3 - 1.0 U IgE/mL Age IGE IGE IGE IgE-Quantitative IGE IGE IgE-Quantitative IGE IGE IgE-Quantitative IGE IGE IgE-Quantitative IGE IGE IgE-Quantitative IGE IGE IgE-Quantitative IGE IGE IgE-Quantitative 31 year to 51 year 4.7 - 79.3 U IgE/mL Age For Customer Service call 517-364-7800 or 800-884-2522 20 year to 31 year 3.5 - 58.7 U IgE/mL Age 1 gold top SST clot tube 15 year to 20 year 6.1 - 96.5 U IgE/mL Age 3 ml serum (Min: 1 ml) 10 year to 15 year 6.5 - 110.8 U IgE/mL Age Container 9 year to 10 year 3.1 - 87.5 U IgE/mL Age Specimen 8 year to 9 year 5.0 - 71.4 U IgE/mL Age IGE 6 year to 8 year 2.2 - 95.1 U IgE/mL Age IGE 5 year to 6 year 7.9 - 55.8 U IgE/mL Age IgE-Quantitative 2 year to 5 year 1.3 - 34.5 U IgE/mL Age IGE 1 year to 2 year 0.5 - 15.1 U IgE/mL Age IgE-Quantitative 4 month to 1 year 0.5 - 11.8 U IgE/mL Age IGE 1 day to 4 month 51 year to >100 year 2.9 - 48.2 U IgE/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:13 AM Storage Temp Refrigerate Page 376 of 405 T Sparrow Laboratories Online Test Catalog TOTAL PROTEIN, 12HR URINE Order Code: UPR12 6836 Epic Code LAB4231 Synonym Protein CPT 84156 Method Spectrophotometry, Dye Binding Scheduled Sunday - Saturday CODE COMPONENT 6836 REFERENCE RANGE Department CHM Age Specimen Protein-Non 12HR UPR12 0.0 - 14.0 mg/dL UPR12 Protein-12HR UR UPR12 0.0 - 14.0 mg/12Hr Container Entire collection or 50 ml aliquot of well-mixed 12-hour collection 1 day to >100 year UPR12 24 hr urine container, no preservative Processing Instructions Storage Temp Must include total volume measurement. Refigerate Refrigerate Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 12 hours. Terminate collection after saving specimen collected at 12 hour termination of test. TOXOPLASMA ANTIBODY IGG Order Code: TOXAG 8055 Epic Code LAB501 Synonym Toxoplasma Gondii, Tox Ab, Tox IgG CPT 86777 Method Microparticle Enzyme Immunoassay (MEIA) Scheduled Monday Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:13 AM Storage Temp Refrigerate Page 377 of 405 T Sparrow Laboratories Online Test Catalog TOXOPLASMA GONDII ANTIBODY, IGM, S Order Code: TXM 10513 Epic Code LAB4815 Synonym ** NEW TEST 9/20/16, Replaces 1511/TOXMP, Tox IgM, Tox Ab CPT 86778 Method Enzyme Immunoassay (EIA) Scheduled Monday-Friday at Mayo CODE COMPONENT 10513 REFERENCE RANGE Department MREF Age TXM Ref Code: TXM Specimen T. gondii Antibody Container 1 ml serum, (Min. 0.8 mL) TXM 1 day to >100 years Negative - Processing Instructions 1 - gold top SST tube Storage Temp Refrigerate Allow blood to clot upright for 30 min. at room temperature, then centrifuge. Test Information Useful for detection of recent infection with Toxoplasma gondii. Additional Information ** New Test 9/20/2016, Replaces test 1511/TOXMP TPMT GENOTYPE, B Order Code: GTPMT 10307 Epic Code LAB4774 Synonym Thiopurine methyltransferase CPT 81401 Method PCR - 5'-Nuclease End-Point Allelic Discrimination Analysis Scheduled Monday through Friday at Mayo CODE COMPONENT 10307 REFERENCE RANGE Department MREF Age Ref Code: GTPMT Specimen Test Information TPMT Genotype Result 36016 TPMT*1/*1 - GTPMT TPMT Interpretation 36017 Normal TPMT - activity GTPMT TPMT Reviewed by 36018 Container 3 mL whole blood EDTA 1 day to >100 years GTPMT 1 Lavender top EDTA tube Processing Instructions Submit specimen in original tube genotype Name Storage Temp Ambient Useful for predicting potential for toxicity to thiopurine drugs (6-mercaptopurine, 6-thioguanine, and azathioprine). An interpretive report with the genotype and interpretive comment is provided based on the genotype. Additional Information ** New Test added April 27, 2016 ** For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 378 of 405 T Sparrow Laboratories Online Test Catalog Tramadol, plasma/serum Order Code: TRAM 40000 Epic Code LAB4404 Synonym Ultram, Ultracet CPT 80373 Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD) Scheduled Monday - Friday Department TOX Specimen 2.5 ml plasma (Min: 1.25 ml) Container Processing Instructions 1 green top tube, Li or Na heparin Storage Temp Refrigerate Red top plain tube for serum sample acceptable. No Gel barrier tubes may be used. Additional Information Plain red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected TRANSFERRIN Order Code: TRSF 1228 Epic Code LAB133 Synonym Iron Binding Protein CPT 84466 Method Turbidimetric Scheduled Monday-Saturday CODE COMPONENT 1228 Department STL Age TRSF Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Transferrin Container 1 gold top SST clot tube TRSF 1 day to >100 year 200 - 400 mg/dL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Patient Information Fasting specimen preferred For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 379 of 405 T Sparrow Laboratories Online Test Catalog TRAZODONE Order Code: TRZ 8041 Epic Code LAB4695 Synonym DESYREL CPT 80299 Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD) Scheduled Monday - Friday CODE COMPONENT 8041 Department TOX REFERENCE RANGE Age TRZ Specimen Desyrel (Trazodone) Container 3.0 ml serum (Min: 1.25 ml) TRZ 1 day to >100 year 500 - 1100 ng/mL Processing Instructions 1 Plain red top tube Storage Temp Frozen Draw plain red-top tube, spin and send 3 mL serum frozen in plastic vial. Collect blood 12 hrs after last dose following min of 5 days on traz odone. Test Information Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected TREPONEMA PALLIDUM, TOTAL Ab Order Code: TPAB 10127 Epic Code LAB1197 Synonym FTA, IFA, T. pallidum CPT 86780 Method IFA Scheduled Tuesday-Saturday at Specialty CODE COMPONENT 10127 Department MSPEC Ref Code: 2104 Specimen 1 ml serum (Min: 0.5 ml) Test Information REFERENCE RANGE Age TPAB Treponema Antibody Container 1 gold top SST clot tube Z2104 1 day to >100 year Non - Reactive Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Storage Temp Refrigerate Confirmatory serologic test for syphilis. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 380 of 405 T Sparrow Laboratories Online Test Catalog TRICHOMONAS VAGINALIS BY APTIMA Order Code: TRIVG 10148 Synonym TRICH, T VAG, STD, T. Vaginalis Epic Code LAB4614 Test Component SPM17; TRIVR CPT 87661 Method Transcription-Mediated Amplification (TMA) Scheduled Monday - Friday Department MDX Specimen Container Cervical, urethral, self collect vaginal swab or random, "First Catch" urine collection Aptima collection Vials: Swab, self collect Vag swab, Urine vial. Liquid PAP vial - Thin Prep or SurePath Processing Instructions Storage Temp Female vag/cervical specimen step 1 - use the white swab provided to wipe away mucus and discard this swab. 2 - collect sample with the blue swab. "First catch", initial stream urine collect in sterile urine cup; then transfer to Aptima urine vial. Fill to fluid level line - approx. 2 ml. Male urethral collection, use blue swab only. Place swab in vial, break at score line. Room Temperature Test Information The APTIMA T. vaginalis assay utilizes target capture, TMA. The superior performance of this method (100% sensitivity 99.6 % specificity) compared to wet-prep microscopic examination improves the screening, diagnosing and treatment of trichomonas vaginalis infection. T. vaginalis has been linked to several serious health outcomes including female infertility, PID and premature births. Patient Information Patient should not have urinated for at least 1 hour prior to specimen collection. Self-collect kits and patient instructions provided by the lab staff at our service center locations. Additional Information May be combined with other STD tests - GC and Chlamdydia. When ordering a PAP screen and STD testing we recommend sending the liquid vial for PAP plus submit Aptima vial (blue swab) for GC, CT and TRVG. Trichomonas testing when ordered with Wet Prep test may be submitted in saline or Diamond media. However, you must order a Wet prep test and the T. Vaginalis Aptima test: Codes WP + TRIVG. (Saline and Diamond media are NOT acceptable specimens for GC and Chlamydia orders) For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 381 of 405 T Sparrow Laboratories Online Test Catalog TRIGLYCERIDES Order Code: TRIG 1231 Epic Code LAB134 Synonym TRIG CPT 84478 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1231 Department CHM REFERENCE RANGE Age TRIG Triglycerides TRIG TRIG Triglycerides TRIG TRIG Triglycerides TRIG TRIG Triglycerides 10 - 140 mg/dL Age 1 ml serum (Min: 0.5 ml) 40 year to 50 year 10 - 160 mg/dL Age Container 30 year to 40 year 10 - 150 mg/dL Age Specimen 1 day to 30 year TRIG 50 year to >100 year 10 - 190 mg/dL Processing Instructions 1 gold top SST clot tube Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Patient Information Patient should fast overnight (12 -14 hours). TROPONIN-I Order Code: TROP2 6845 Epic Code LAB747 Synonym TROP CPT 84484 Method Chemiluminometic Immunoassay Scheduled CODE COMPONENT 6845 Department CHM Age TROP2 Specimen 3 ml plasma REFERENCE RANGE Troponin-I Container 1 green top tube, Li Heparin TROP2 Processing Instructions Centrifuge specimen, remove plasma and refrigerate. 1 day to >100 years 0.0 - 0.3 ng/mL Storage Temp Refrigerate Test Information Serum specimens are accepted, but may be rejected during testing process. Specimen 3 ml plasma Container 1 green top tube, Li Heparin Processing Instructions Centrifuge specimen, remove plasma and refrigerate. Storage Temp Refrigerate Test Information Serum specimens are accepted, but may be rejected during testing process. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 382 of 405 T Sparrow Laboratories Online Test Catalog TRXN-4 HOUR POST Order Code: TIP4H 4511 Synonym 4 HOUR POST TRANSFUSION REACTION STUDIES Epic Code LAB4425 Test Component Hemolysis Check & DAT CPT Scheduled Sunday - Saturday Department BLB Specimen Container 7 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Processing Instructions Storage Temp Refrigerate Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Test Information 4 hour post transfusion reaction studies. Additional Studies may be completed by direction of the SOP, pathologist, and/or physician. TRXN-POST TUBE Order Code: TIP1 4510 Synonym TRANSFUSION REACTION Epic Code LAB4424 Test Component Hemolysis Check & DAT CPT Scheduled Sunday - Saturday Department BLB Specimen Container 7 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Processing Instructions Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Storage Temp Refrigerate Test Information Immediate Transfusion reaction studies. Additional Studies may be completed by direction of the SOP, pathologist, and/or physician. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 383 of 405 T Sparrow Laboratories Online Test Catalog TRYPTASE Order Code: TRYRS 1255 Epic Code LAB827 Synonym Mast Cell Tryptase CPT 83520 Scheduled Monday, Wednesday at Mayo CODE COMPONENT 1255 Department MREF Age TRYRS Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE Tryptase Container TRYRS 1 day to >100 year 0.0 - 11.50 ng/mL Processing Instructions 1 gold top SST clot tube Storage Temp Allow blood to clot upright for 30 minutes at room temperature. Centrifuge, and freeze serum. Refrigerate Additional Information Specimen may be frozen after arrival in main lab. TSH Order Code: TSH 1939 Epic Code LAB129 Synonym Thyroid Stimulating Hormone CPT 84443 Method Immunochemiluminescence Scheduled Sunday - Saturday COMPONENT 1939 CODE Department CHM REFERENCE RANGE Age TSH TSH TSH TSH TSH 0.50 - 11.60 uIU/mL Age Specimen 1 ml serum (Min: 0.5 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 TSH 1 day to 1 month 1 month to >100 year 0.35 - 4.01 uIU/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:13 AM Storage Temp Refrigerate Page 384 of 405 T Sparrow Laboratories Online Test Catalog TUMOR NECROSIS FACTOR Order Code: FFTUM 10160 Epic Code LAB4623 Synonym TNF, Cachectin CPT 83520 Method Immunoassay Scheduled Mondays at Quest Department MREF Ref Code: FFTUM Specimen 1.0 ml serum (Min. 0.5 ml) Container Processing Instructions 1 Plain red top tube Storage Temp Frozen Allow specimen to clot, 10-15 minutes then centrifuge and transfer serum to plastic vial and freeze. Test Information Test performed by Quest TYPE AND SCREEN Order Code: TSWBA 1650 Epic Code LAB276 Synonym ABORH, AB, Pre-Surg, AB Screen CPT Scheduled Monday - Saturday CODE COMPONENT 1650 REFERENCE RANGE Department BLB Specimen 7 ml whole blood (Min: 2 ml) Age TSWBA ABO Type TSWBA Rh Type TSWBA Ab Screen TSWBA Blood Available Container 1 Lavender top EDTA tube 1 year to >100 year ABO Type A, B, O - or AB RH Type Pos. - or Neg MTS BAOH Negative see comments Processing Instructions Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the person collecting. Do not centrifuge. Take directly to blood bank. Storage Temp Refrigerate Test Information This test is used for patients who have been scheduled for surgery at Sparrow Hospital. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 385 of 405 U Sparrow Laboratories Online Test Catalog UREA NITROGEN, 24 HOUR URINE Order Code: UUN24 1208 Epic Code LAB748 Synonym UUN, 24 hr urine urea CPT 84540 Method Enzymatic Scheduled Sunday - Saturday CODE COMPONENT 1208 REFERENCE RANGE Department CHM Age Ref Code: Sparrow Specimen Urea Nitrogen 24 hr UUN24 7000 - 16000 mg/24Hr UUN24 Urea Nitrogen Ur UUN24 7000 - 16000 mg/dL Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to >100 year UUN24 Processing Instructions 24 hr urine container; no preservative required Storage Temp Refrigerate Keep refrigerated during and after collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information The following alternative preservatives are acceptable if multiple assays are requested: Boric acid; 50% Acetic Acid URIC ACID Order Code: URIC 1235 Epic Code LAB141 Synonym CPT 84550 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday COMPONENT 1235 CODE REFERENCE RANGE Department CHM Age URIC Uric Acid URIC M 2.5 - 7.0 mg/dL URIC Uric Acid URIC F 2.5 - 7.0 mg/dL URIC Uric Acid URIC M 3.5 - 8.0 mg/dL URIC Uric Acid URIC F 2.5 - 7.0 mg/dL Age Specimen 1 ml serum (Min: 0.5 ml) 1 day to 14 year Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 14 year to >100 year Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:13 AM Storage Temp Refrigerate Page 386 of 405 U Sparrow Laboratories Online Test Catalog URIC ACID, 24 HOUR URINE Order Code: UUA24 1347 Epic Code LAB841 Synonym 24 hour urine Uric acid CPT 84560 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Ref Code: Sparrow Specimen Container 24 hour urine collection; Submit entire collection or 20 ml aliquot 24 hr urine container, no preservative required Processing Instructions Storage Temp Refrigerate Refrigerate during collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information When multiple tests are ordered the following preservatives are acceptable: Boric Acid URIC ACID, URINE, RANDOM Order Code: UUAR 1010 Epic Code LAB4009 Synonym UR CPT 84560 Method Spectrophotometry, Enzymatic Scheduled Sunday - Saturday Department CHM Specimen 20 ml single void urine sample (Min: 5 ml) Container Urine container, no preservative For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate 9/21/2016 8:09:13 AM Storage Temp Refrigerate Page 387 of 405 U Sparrow Laboratories Online Test Catalog URINALYSIS Order Code: UA 1569 Epic Code LAB347 Synonym UA, URINE CPT 81003 Scheduled Sunday - Saturday Department HEM Specimen Container 15 ml single void urine (Min: 1 ml) 1 urine container, no preservative Processing Instructions Storage Temp Refrigerate Tightly seal the screw cap lid to prevent leaks. Refrigerate Test Information Microscopic urinalysis reflexed when Leukocyte esterase, blood, protein or nitrite is positive on the urinalysis. Patient Information Follow clean catch mid-stream instructions for collecting urine specimens. Additional Information Microscopic urinalysis performed on all children under 10 years of age. URINE CULTURE IF INDICATED Order Code: CSII 9988 Synonym Reflex Culture Epic Code LAB4355 Test Component UA CPT 87086 Method Clinitek (chemical analysis), microscopy, culture Scheduled Sunday - Saturday Department UA Specimen Container Clean catch, catheter, cystoscopic, suprapubic urines (Min: 5 ml) Test Information Sterile urine container Processing Instructions Refrigerate Storage Temp Refrigerate Reflex orders the urine culture if indicated. Patient Information Colony count and organism identification performed if any one of the following conditions are met: positive leukocyte esterase, positive nitrate, greater than 5 WBCs/hpf, presence of bacteria. Additional Information Added to Catalog 2/29/16 For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 388 of 405 V Sparrow Laboratories Online Test Catalog VALPROIC ACID Order Code: VALP 1365 Epic Code LAB24 Synonym Depakene, Depakote CPT 80164 Method Fluorescence Polarization Immunoassay Scheduled Sunday - Saturday CODE COMPONENT 1365 REFERENCE RANGE Department CHM Age VALP Specimen 1 ml plasma (Min: 0.5 ml) Valproic Acid Container VALP 1 day to >100 year 50.0 - 125.0 mcg/mL Processing Instructions 1 green top tube, Li heparin Storage Temp Refrigerate Refrigerate VANCOMYCIN Order Code: VANCO 1316 Epic Code LAB40 Synonym VANCO CPT 80202 Method Fluorescent Polarization Immunoassay Scheduled Sunday - Saturday CODE COMPONENT 1316 REFERENCE RANGE Department CHM Specimen 1 ml plasma (Min: 0.5 ml) Age 1 day to >100 years VANCO Vancomycin VANCO Peak 20.0 - 40.0 mcg/mL VANCO Vancomycin VANCO Trough 5.0 - 20.0 mcg/mL Container 1 green top tube, Li heparin Processing Instructions Refrigerate Storage Temp Refrigerate Patient Information Draw Times: Peak: 30 minutes after 1 hour infusion Trough: Immediately prior to next dose For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 389 of 405 V Sparrow Laboratories Online Test Catalog VANILLYLMANELIC ACID, U Order Code: VMAU 1195 Epic Code LAB452 Synonym VMA, 24 Urine VMA CPT 84585 Method Liquid Chromatography / Tandem Mass Spectrometry Scheduled Monday - Friday at MAYO CODE COMPONENT 1195 Department MREF REFERENCE RANGE Age Ref Code: VMA Collection Duration COL20 24 - VMAU Total Volume MUV11 measured - in mL VMAU VMA, Child VMAUC VMAU VMA, Child VMAUC VMAU VMA, Child VMAUC VMAU VMA, Child VMAUC VMAU VMA, Child VMAUC VMAU VMA, Adult Age 2 year to 4 year 5 year to 9 years < - 12.0 mg/g creatinine Age 10 year to 14 years < - 8.0 mg/g creatinine Age 24 hr urine container; Add 25 mL of 50% acetic acid prior to start of collection. Note: children < 5 yrs, add 15 mL of acetic acid. 1 year to 2 year < - 16.0 mg/g creatinine Age 24 hour urine collection; Submit entire collection or 20 ml aliquot 1 day to 1 year < - 22.5 mg/g creatinine Age Container hours < - 25.0 mg/g creatinine Age Specimen 1 day to >100 year VMAU UVMA 15 year to >100 year < - 8.0 mg/24hrs Processing Instructions Storage Temp Refrigerate during collection. Measure the total volume. Then thoroughly mix the 24 urine in the container and transfer 20 mL into a plastic aliquot vial. Label container with full name and date of birth. 24 hour urine collections require the following additional information with the order: -type of preservative if added; -start date and time; end of collection date and time; -total volume measurement Refrigerate Test Information Useful for screening children for catecholamine-secreting tumors with a 24 hour urine collection when requesting vanillylmandelic acid only. Supporting a diagnosis of neuroblastoma or monitoring patients with a treated neuroblastoma. Please note: LevoDopa and Bactrim may interfere with detection of the analyte. Discontinue use 24 hours prior to collection and during collection. Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for next 24 hours. Terminate collection after saving first specimen of second morning. Additional Information Refrigerate at start of collection. When multiple tests are requested on the same specimen the following preservatives are acceptable: 6N HCL; 6N HNO3; Boric Acid For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:13 AM Page 390 of 405 V Sparrow Laboratories Online Test Catalog VARICELLA (HERPES) ZOSTER IGG Order Code: VZVG 1835 Epic Code LAB162 Synonym Chicken Pox, Shingles, VZV CPT 86787 Method Enzyme Immunoassay (EIA) Scheduled Monday Department MSER Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube Processing Instructions Storage Temp Allow blood to clot upright 30 minutes at room temperature, then centrifuge. VARICELLA (HERPES) ZOSTER IGM/IGG Refrigerate Order Code: MYOVZ 6653 Epic Code LAB4196 Synonym Chicken Pox Antibody CPT 86787 86787 86787 Method Indirect Immunofluorescence (IFA)-IgM; ELISA-IgG Scheduled Tuesday, Thursday, Sunday at Mayo Department MREF Ref Code: VZGM Specimen 2 ml serum (Min: 1 ml) Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:14 AM Storage Temp Refrigerate Page 391 of 405 V Sparrow Laboratories Online Test Catalog VARICELLA BY PCR Order Code: PCRVG 10034 Synonym VZV, Zoster, Shingles, Chickenpox Epic Code LAB4439 Test Component SPM10,PCRVZ CPT 87798 Method PCR Scheduled Three days a week, CODE COMPONENT 10034 Sparrow MDX Department MDX REFERENCE RANGE Age Specimen PCRVG Specimen Type SPM10 PCRVG Varicella Virus PCRVZ Container 0.5 ml CSF or other body fluid. Additional sources: oral, genital, rectal, wound/lesion, eye, respiratory or tissue. 1 day to >100 years Not - Detected Processing Instructions Swab type: red top culturette in liquid Amies sheath or in viral transport media(VTM). Sterile container with screw cap for body fluids or CSF. Storage Temp Refrigerate Indicate site and source on the sample vial and on the order. 1.5 ml respiratory specimens submitted in sterile container. Tissue samples (non-respiratory) must be placed in viral transport medium. Test Information Varicella-zoster virus is the cause of both chickenpox and shingles, herpes zoster. VZV produces a generalized vesicular rash on the dermis (chickenpox) in normal children, usually before 10 years of age. After primary infection with VZV, the virus persists in latent form and may emerge later in life, clinically to cause a unilateral vesicular eruption, generally in a dermatomal distribution (shingles). Additional Information Culturette II swab/ polyester, rayon or nylon tipped swab acceptable. Unacceptable Specimens: Gel swabs, calcium alginate and wooden shafted swabs. VARICELLA ZOSTER BY PCR, Blood Order Code: BLVZV 10242 Epic Code LAB4713 Synonym VZV Blood Test, Herpes Zoster CPT 87798 Method PCR Scheduled Monday - Saturday in DNA Lab CODE COMPONENT 10242 Department MDX Age BLVZV Specimen Varicella Virus Container 2 ml plasma, (Min. 0.5 mL) Test Information REFERENCE RANGE 1 - 7 ml Lavender top tube, EDTA BLVZV Processing Instructions 1 day to >100 year Not - Detected Storage Temp Centrifuge EDTA and separate plasma within 4 hours of collection. Refrigerate immediately. Refrigerate The detection of Varicella Zoster Virus is based upon PCR amplification and detection. A positive PCR result should be considered in conjunction with clinical presentation and additional established diagnostic tests. A negative PCR result indicates only the absence of VZV DNA in the sample tested and does not exclude the diagnosis of disease. Equivocal results are those that fall between the lowest limit of detection and the background level. Additional Information ** New Test available 6/09/15. This test or one or more of its components was developed and its performance characteristics determined by Sparrow Laboratories. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. Sparrow Laboratories is certified under CLIA-88 as qualified to perform high complexity clinical laboratory testing. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 392 of 405 V Sparrow Laboratories Online Test Catalog VASOACTIVE INTESTINAL POLYPEPTIDE Order Code: VIP 1296 Epic Code LAB1107 Synonym VIP CPT 84586 Method Radioimmunoassay (RIA) Scheduled Monday, Wednesday at Mayo CODE COMPONENT 1296 REFERENCE RANGE Department MREF Age VIP Specimen 3 ml plasma Vasoactive Int Ply Container 1 Lavender top EDTA tube prechilled VIP 1 day to >100 year 0 - 75 pg/mL Processing Instructions Storage Temp Frozen Spin lavender tube and freeze plasma immediately VDRL (CSF) Order Code: VDRLC 1677 Epic Code LAB207 Synonym Cerebrospinal Fluid, VDRL, CSF CPT 86592 Method Agglutination Scheduled Sunday-Friday at Warde Department SO Specimen 1 ml CSF (Min: 0.5 ml) Container 1 CSF tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions Refrigerate (unless additional cultures requested) 9/21/2016 8:09:14 AM Storage Temp Refrigerate Page 393 of 405 V Sparrow Laboratories Online Test Catalog VENOUS BLOOD GASES Order Code: VBG 1240 Epic Code LAB79 Synonym VBG CPT 82803 Method Ion Selective Electrodes Scheduled Sunday - Saturday CODE COMPONENT 1240 Department CHM Age Specimen VBG FIO2 VBG O2 SAT Venous VBG CO2 VBG PCO2-Venous VBG PH VFIO2 1 day to >100 year 21 - 100 % O2 SAT 60.0 - 85.0 % CO2 20.0 - 30.0 MMOL/L PC02 VENOUS 42 - 55 mmHg PH Container Heparinized syringe on ice. Test Information REFERENCE RANGE 7.35 - 7.45 Processing Instructions 1 green top tube, Li heparin Storage Temp Refrigerate Store and transport tube in ice water. Sample must be analyzed within 1 hour of drawing. pH, pCO2, pO2, CO2, O2 Sat. Verapamil, plasma/serum Order Code: VERP 40012 Epic Code LAB4411 Synonym Calan, Covera-HS, Isoptin SR, Verelan CPT 80299 Method Gas Chromatography with Flame Ionization and Nitrogen Phospate Detection (GC-FID/NPD) Scheduled Monday - Friday COMPONENT 40012 CODE Department TOX Age VERP Specimen Verapamil Container 2.5 ml plasma (Min: 1.25 ml) Test Information REFERENCE RANGE Verapamil Male or Female 1 day to >100 year 100 - 1000 ng/mL Processing Instructions Storage Temp Refrigerate 1 green top tube, Li or Na heparin Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 394 of 405 V Sparrow Laboratories Online Test Catalog VIRUS CULTURE Order Code: CXVIR 1484 Synonym CMV, Viral Culture Epic Code LAB254 Test Component Possible sample types: Swab for vesicles, Urine, Body fluids, tissues or stool. CPT 87252 Method Tissue Culture Scheduled Sunday - Saturday Department MIC Specimen Miscellaneous Container Processing Instructions Swabs: in viral transport media Other: sterile container Storage Temp Refrigerate Refrigerate Test Information Write CMV if suspected. Additional Information For Vesicles, use a swab to scrape the basal layer, place in viral transport media. VITAMIN A Order Code: VITA 1241 Epic Code LAB580 Synonym Retinols CPT 84590 Method Liquid Chromatography - Tandem Mass Spectromtetry (LC-MS/MS) Scheduled Monday - Friday at MAYO COMPONENT 1241 CODE Department MREF Age VITA Specimen 0.5 ml serum (Min: 0.25 ml) REFERENCE RANGE Container Vitamin A VITA 1 day to >100 year see report - see report ug/L Processing Instructions 1 Plain red top tube, gel-barrier Centrifuge to separate serum, place serum in amber colored vial. tubes are not acceptable. Protect frozen specimen from light. May be frozen after arrival at Central Processing. Storage Temp Refrigerate or Frozen Patient Information Draw specimen following a 12 to14 hour fast. No alcohol or vitamins for 24 hours prior to the test. Infants, draw prior to next feeding.. Additional Information Specimens may be frozen after arrival in Central Processing. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 395 of 405 V Sparrow Laboratories Online Test Catalog VITAMIN B1, WHOLE BLOOD Order Code: FVBWB Synonym ** NEW TEST 9/20/16, Replaces 9035/TDP, VITB1, Thiamine 10518 Epic Code LAB4819 CPT 84425 Method Quantitative High Performance Liquid Chromatography Scheduled Sunday-Saturday at ARUP CODE COMPONENT 10518 Department MREF Age FVBWB Ref Code: FVBWB Specimen REFERENCE RANGE Vitamin B1, Thiamine Container FVBWB 1 day to >100 years 70 - 180 nmol/L Processing Instructions 3 mL Whole blood EDTA (Min. 0.6 1 - 7 ml Lavender top tube, mL) EDTA Storage Temp **DO NOT SPIN** Gently invert tube to mix anticoagulant. Protect from light - Pour into plastic Amber vial and freeze immediately. Frozen Additional Information ** New Test 9/20/2016, Replaces test 9035/TDP VITAMIN B12 Order Code: B12 1967 Epic Code LAB67 Synonym B12 CPT 82607 Method Immunochemiluminescence Scheduled Sunday - Saturday CODE COMPONENT 1967 Department CHM Age B12 Specimen 1 ml serum (Min: 0.5 ml) REFERENCE RANGE VITAMIN B12 Container 1 gold top SST clot tube For Customer Service call 517-364-7800 or 800-884-2522 B12 1 day to >100 year 211 - 911 pg/mL Processing Instructions Allow blood to clot upright 30 minutes at room temperature, then centrifuge. 9/21/2016 8:09:14 AM Storage Temp Refrigerate Page 396 of 405 V Sparrow Laboratories Online Test Catalog VITAMIN B6 Order Code: VTB6G 1307 Epic Code LAB120 Synonym B6, PALP (Pyridoxal 5-Phosphate), Pyridoxal 5-Phosphate (PALP), Pyridoxal Phosphate CPT 84207 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at MAYO Department MREF Ref Code: PLP Specimen Container 2 ml plasma (Min: 0.5 ml) Processing Instructions 1 green top tube, Li or Na heparin Storage Temp Separate plasma in refrigerated centrifuge, protect from light, and refrigerate or freeze Patient Information Patient should be fasting 12-24 hours prior to draw (infants draw prior to next feeding). Refrigerate or Frozen Patient must not ingest viatmin supplemtents for 24 hours prior to specimen collection. Additional Information Gel tubes are not acceptable. VITAMIN D2 and D3, 25-HYDROXYVITAMIN D Order Code: 25HYT Synonym VIT D, 25-Hydroxy, 25-OH Vitamin D, Fractionated Vitamin D 1246 Epic Code LAB4051 CPT 82306 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday CODE COMPONENT 1246 Department TOX Specimen 1 ml serum (Min: 0.25 ml) REFERENCE RANGE Age 25HYT 25-Hydroxyvitamin D2 25HD2 25HYT 25-Hydroxyvitamin D3 25HD3 25HYT 25-Hydroxy D Total 25HYD Container 1 gold top SST clot tube Total (D2+D3) 1 day to >100 years 25 - 80 Processing Instructions Allow blood to clot upright for 30 minutes at room temperature. then centrifuge. Storage Temp Refrigerate Test Information Grey top and red top tubes also acceptable Additional Information Specimen may be frozen and protected from light after arrival in laboratory. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 397 of 405 V Sparrow Laboratories Online Test Catalog VITAMIN E Order Code: VITE 1193 Epic Code LAB130 Synonym Alpha Tocopherol CPT 84446 Method Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at MAYO CODE COMPONENT 1193 REFERENCE RANGE Department MREF Age VITE Specimen 0.5 ml serum (Min: 0.25 ml) Container 1 Plain red top tube Vitamin E VITE 0 year to >100 year see report - see report mg/L Processing Instructions Storage Temp Refrigerate or Frozen Gel-barrier (SST) tubes are not acceptable. Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Pour specimen into plastic tube and protect from light Patient Information Patient must fast for 12-14 hour prior to the test. Additional Information Specimen can be frozen and protected from light after arrival in Central Processing. VITAMIN K1,S Order Code: VITK1 10195 Synonym VIT K, VITK1 Epic Code LAB4661 Test Component 62167-Vitamin K1 CPT 84597 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo Department MREF Ref Code: VITK1 Specimen 2 ml Serum (min. 0.75 mL) Container 1 Plain red top tube Processing Instructions Spin then separate serum to send in an amber vial to protect from light. Storage Temp Refrigerate Test Information Useful for assessment of circulating vitamin K1 concentration. Patient Information Fast overnight, 12-14 hours. For infants, draw prior to next feeding. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 398 of 405 V Sparrow Laboratories Online Test Catalog VMA AND HVA, U Order Code: VH Synonym Neuroblastoma, Homovanillic Acid, Vanillylmandelic Acid, 3-Methoxy-4Hydroxymandelic Acid 10273 Epic Code LAB4740 CPT 84585 84585 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo Department MREF Ref Code: VH Specimen Container 5 ml urine (Min. 2 ml) Test Information Processing Instructions Sterile urine container Storage Temp Refrigerate Collect a random urine and submit in a 10 ml plastic urine vial. Adjust urine pH to 1 to 5 with 50% acetic or HCl acid. Useful for supporting a diagnosis of neuroblastoma and for monitoring patients with a treated neuroblastoma. First preferred test for screening for catecholamine-secreting tumors in a random urine specimen when requesting both homovanillic acid and vanillylmandelic acid. VOLATILE SCREEN Order Code: VOLSC 7722 Synonym Methanol, Isopropanol, Acetone, Ethanol, Toxic alcohol screen Epic Code LAB4504 Test Component Methanol,Ethanol,Acetone,Isopropanol. CPT 84600 Method Gas Chromatography with Flame Ionization Detection (GC-FID) Scheduled Sunday - Saturday CODE COMPONENT 7722 Department TOX REFERENCE RANGE Age VOLSC Specimen Volatile Screen Container 0.5 mL plasma (Min: 0.2 mL) or 1.5 mL Urine 1 green top tube, Li or Na Heparin Volatile Screen Male or Female 1 day to >100 year see report - see report mg/dL Processing Instructions Do not centrifuge. Do not open tube. Refrigerate whole blood. Storage Temp Refrigerate Test Information Grey-top or red-top tube also acceptable. Specimens collected in gel separator tubes will be rejected. Do not use alchohol swab during collection. Do not open tube. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 399 of 405 V Sparrow Laboratories Online Test Catalog VON WILLEBRAND WORKUP Order Code: VWDP 1309 Synonym VWB, F8, Factor 8 activity, VWP, von Willebrand Panel Epic Code LAB1112 Test Component 1049,6818,1080,6840 CPT 85240 85244 85247 Method Photo-optical clot detection, rocket immuno electrophoresis, agregometry. Scheduled Every other week CODE COMPONENT 1309 Department SPCO REFERENCE RANGE Age VWDP FVIII-Related Ag F8AG 50 - 150 % Normal Age Factor Assay VIII FAC8 53.0 - 131.0 % Normal VWDP Ristocetin Co-Factor RISTO 46 - 153 % Activity 16 year to >100 year VWDP Ristocetin Co-Factor RISTO 45 - 200 % Activity VWDP Factor Assay VIII FAC8 70.0 - 149.0 % Normal Container 4 ml frozen plasma (two 2 ml aliquots) 11 year to 16 year VWDP Age Specimen 1 day to >100 year 2 Light blue top tubes, NaCitrate (3.2%) Processing Instructions Storage Temp Frozen Centrifuge. Transfer plasma to plastic vials and freeze. Test Information Factor VIII related antigen, Ristocetin Cofactor, Factor VIII assay, Pathologist interpretation. VORICONAZOLE, S Order Code: VORI 10228 Synonym VFEND, VORI Epic Code LAB4704 Test Component 88698-Voriconazole CPT 80299 Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Scheduled Monday - Friday at Mayo Department MREF Ref Code: VORI Specimen 2 ml Serum (Min. 0.6 mL) Container 1 Plain red top tube Processing Instructions Spin down within 2 hours of draw. Transfer to plastic vial. Storage Temp Refrigerate or Frozen Test Information Voriconazole (Vfend) is an antifungal agent approved for treatment of invasive aspergillosis and candidemia/candidiasis, as well as for salvage therapy for infections in patients refractory to or intolerant of other antifungal therapy. The drug inhibits the fungal enzyme 14a-sterol demethylase, a critical step in ergosterol biosynthesis. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 400 of 405 V Sparrow Laboratories Online Test Catalog VRE CULTURE SCREEN Order Code: CXVRE 8183 Epic Code LAB238 Synonym Vancomycin Resistant Enterococcus CPT 87081 Method Culture Scheduled Sunday - Saturday Department MIC Specimen stool, rectal swab Container Processing Instructions Sterile container or transport swabs Storage Temp Refrigerate Submit fresh specimen to microbiology lab. WBC Order Code: WBC 7840 Epic Code LAB299 Synonym White Cell Count CPT 85048 Method Automated Hematology Analyzer Scheduled Sunday - Saturday CODE COMPONENT 7840 Department HEM REFERENCE RANGE Age WBC WBC WBC WBC WBC WBC 5.0 - 20.0 K/CU MM Age WBC WBC WBC WBC 4 ml whole blood (Min: 1 ml) Container 1 Lavender top EDTA tube For Customer Service call 517-364-7800 or 800-884-2522 7 year to 16 year 4.5 - 13.5 K/CU MM Age Specimen 5 year to 7 year 5.5 - 15.5 K/CU MM Age WBC 2 year to 5 year 6.0 - 17.0 K/CU MM Age WBC 7 month to 2 year 6.0 - 17.5 K/CU MM Age WBC 3 month to 7 month 5.5 - 18.0 K/CU MM Age WBC 1 day to 3 month 16 year to >100 year 4.0 - 12.0 K/CU MM Processing Instructions Refrigerate 9/21/2016 8:09:14 AM Storage Temp Refrigerate Page 401 of 405 W Sparrow Laboratories Online Test Catalog WEST NILE VIRUS AB, IGG AND IGM, S Order Code: WNS 10288 Synonym WNV, Arbovirus, Flavivirus, Viral encephalitis, Mosquito borne encephalitis Epic Code LAB4755 CPT 86789 86788 Method Enzyme-Linked Immunosorbent Assay (ELISA) Scheduled Monday-Friday/Summer; Mon. Wed. Friday/Winter Mayo DepartmentatMREF Ref Code: WNS Specimen REFERENCE RANGE Age 1 day to >100 years WNS IgG Ab WNGS Negative - WNS IgM Ab WNMS Negative - WNS Interpretation WNVSI Included - with Report Container 0.5 ml serum (Min. 0.4 ml) CODE COMPONENT 10288 1 gold top SST clot tube Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Test Information Useful for laboratory diagnosis of infection with West Nile virus. Additional Information ** NEW TEST ADDED 01/22/2016 ** WET PREP, MICROSCOPIC Order Code: WP 1441 Epic Code LAB4455 Synonym Wet Mount, WP on saline, BV, YEAST CPT 87210 Method Light Microscopy Scheduled Sunday - Saturday Department MIC Specimen Vaginal secretions Container Processing Instructions Dacron Swab (Polyester Fiber- Send swab in clear plastic blue top conical tube with saline. tipped) or Culturette II Swab - Outpatients: Saline testing includes microscopy for WBC, Clue submit in 0.5 - 1.0 ml saline cells and Yeast, only. Order TRIVG (#10148) for Trichomonas by PCR. Storage Temp Room Temperature Test Information Microscopic Exam on Saline includes check for Clue Cells (BV), WBC and Yeast. Order Test 10148/TRIVG for Trichomonas (Aptima) by PCR. Additional Information Must submit swab in Diamond Media vial for microscopic wet prep test to include Trichomonas observation, along with Clue Cells, WBC, and Yeast. For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 402 of 405 W Sparrow Laboratories Online Test Catalog WET PREP, MOLECULAR Order Code: AFFRM Synonym WP, Wet prep, Hanging Drop, molecular wet prep, BD Affirm VPIII 10305 Epic Code LAB4769 CPT 87797 87480 87660 Method DNA Hybridization Scheduled Monday-Friday, twice a day CODE COMPONENT 10305 Department MDX REFERENCE RANGE Age Specimen Candida Species BDCAN negative - AFFRM Gardnerella vaginalis BDGRD negative - AFFRM Trichomonas vaginalis BDTRI negative - Container Vaginal Fluid - obtained with a swab 1 day to >100 years AFFRM BD Affirm Kit: Contains a swab, dropper, transport tube and cap Processing Instructions Storage Temp 1) prepare the tube by breaking the ampule in the dropper to add liquid to the tube. 2) remove swab from sheath and collect sample. 3) place swab in tube, break shaft at the score line and secure cap. 4) label tube with patient first and last name, date of birth or MRN. Room Temperature Test Information Wet prep test, DNA probe method, to determine the presense of Yeast (candida sp.), Garderella and Trichomonas. Additional Information ** New Test added April 27, 2016 ** Order BD Affirm Kits for specimen collection online in lab-portal, Lifepoint. **Special collection kit REQUIRED: saline, diamond media and Aptima tubes not acceptable for this method. WET PREP, TRICH/YEAST EXAM Order Code: YTSCR 1591 Synonym Hanging Drop, Wet Mount, Diamond Epic Code LAB4457 Test Component Wet prep and culture for yeast and trichomonas. CPT 87210 Method Light Microscopy Scheduled Sunday - Saturday Department MIC Specimen Vaginal secretions, urine sample Container Processing Instructions Swab in Diamond media, Transfer 1 ml urine sediment to diamonds media within 1 hour, Dacron (Polyester Fiver-tipped) Room temperature. DO NOT REFRIGERATE. Storage Temp Ambient Test Information Diamond media collection submitted at room temperature includes Clue Cells (BV), WBC, Yeast and Trichomonas. Additional Information Trichomonas Aptima recommended for Outpatient testing for improved sensitivity and specificity - Order 10148/ TRIVG For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 403 of 405 X Sparrow Laboratories Online Test Catalog D- XYLOSE ABSORPTION SERUM Order Code: FXATC 1324 Epic Code LAB454 Synonym XYLOSE CPT 84620 Method Spectrophotometry Scheduled Tuesdays and Thursdays Department MREF Specimen Container 1 ml serum and 3 ml urine Processing Instructions Storage Temp Frozen 1 gel barrier SST clot tube and Draw a fasting and 1 hour post dosage specimen. Allow sample to urine container clot then centrifuge. Remove serum from the cells ASAP and placed in a plastic vial. Test Information Several drugs can interfere with test results: Aspirin, Atropine, Cochicine, Digitalis, Indomethacin, MAO inhibitors, Nalidixic acid, Neomycin, Opium alkaloids, Phenelzine Patient Information Patient must arrive fasting Adults: 8 hours, Children: 6 hours (Min. 4 hours). A fasting specimen will be drawn. Then the patient will receive a xylose loading dose. Additional Information Please call Client Services at (517) 364-7800 or (800) 884-2522 to schedule an appointment for this test. ZINC, SERUM Order Code: ZINCG 1217 Epic Code LAB581 Synonym Zn (Serum) CPT 84630 Method Inductively Coupled Plasma Emission Spectroscopy Scheduled Sunday - Monday at Mayo COMPONENT 1217 CODE Department MREF Age ZINCG Specimen 2 ml serum (Min: 0.25 ml) REFERENCE RANGE Zinc Container Royal blue top PLAIN, trace element tube ZINC 1 day to 10 year 0.60 - 1.20 mcg/mL Processing Instructions Storage Temp Refrigerate Allow blood to clot upright 30 minutes at room temperature, then centrifuge. Transfer serum within 4 hours of specimen collection. Avoid hemolysis. Steps: remove stopper, carefully pour specimen into a Mayo metal-free, polypropylene vial, avoiding transfer of the cellular components. Do NOT insert a pipet into the serum and do NOT ream the specimen with a wooden stick to assist with serum transfer. Pour serum into a metal-free plastic tube. Test Information Detecting zinc deficiency. Zinc is an essential element; it is a critical cofactor for carbonic anhydrase, alkaline phosphatase, RNA and DNA polymerases, alcohol dehydrogenase, and many other physiologically important proteins. Zinc is a key element required for active wound healing. Additional Information If specimen will be delayed for more than 48 hours, freeze. Hemolyzed specimens will cause false elevation of serum zinc levels For Customer Service call 517-364-7800 or 800-884-2522 9/21/2016 8:09:14 AM Page 404 of 405 Z Sparrow Laboratories Online Test Catalog ZONISAMIDE, S Order Code: ZONIS 7759 Epic Code LAB504 Synonym Zonegran CPT 80203 Method HPLC Scheduled Monday through Thursday at Mayo Department MREF Ref Code: ZONI Specimen 2 mL serum (Min: 0.6 mL) Container 1 Plain red top tube For Customer Service call 517-364-7800 or 800-884-2522 Processing Instructions NO GEL TUBES; Allow blood to clot upright 30 minutes, then centrifuge. Separate serum from cells within 2 hours of draw. 9/21/2016 8:09:14 AM Storage Temp Refrigerate Page 405 of 405
