ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
How to Use this Catalog
1.
2.
3.
4.
5.
6.
7.
8.
9.
NAME = procedure NAME in the laboratory system
Please be aware that this may vary in other systems.
Mnemonic = test abbreviation used to place orders in the lab system
ABBR – abbreviation of test NAME [lab use]
Department – the lab department responsible for performing and reporting the test.
Site codes – defines where tests are performed.
a)
ML - Main Lab [ACMH]
b)
Mayo – Mayo Medical Laboratories
c)
AKMC - Allegheny Valley Hospital
d)
UPMC Renal – University of Pittsburgh Medical Center – Renal Testing Division
CPT – Current Procedural Terminology [AMA] billing codes.
Charge – this amount will be applied to responsible financial party for the test or procedure. Charges are
Subject to change on a random basis and should be verified each time the need arises.
Billing code – the ACMH code that is linked to the CPT for the test.
Questions regarding this catalog may be directed to Sandy Geibel at [724] 543-8885.
NAME: 1 HR GLUCOSE
MNEMONIC: 1GLU
ABBR: 1 HR GLU
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82952
CPT TYPE: CPT-4
CHARGE:
34.00 BILLING CD: 00203
CONTAINER: YEL-SST
NAME: 5 HYDROXYINDOLEACETIC ACID,U
MNEMONIC: 5HIAA
ABBR: 5HIAA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83497
CPT TYPE: CPT-4
CHARGE:
92.00 BILLING CD: 65006
CONTAINER: UR24-ACE
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
10.0
HIAA
5CD
5VOL
COMPONENTS
5-HIAA,QUANTITATIVE 24 HOUR
COLLECTION DURATION
TOTAL VOLUME
CPT-4
NAME: 5' NUCLEOTIDASE, S
MNEMONIC: 5NU
ABBR: 5NU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83915
CPT TYPE: CPT-4
CHARGE:
87.00 BILLING CD: 65275
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.2 MAX ML:
1.0
This space intentionally left blank.
1
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: 6 MONOACETYLMORPHINE,URINE
MNEMONIC: 6MAM
ABBR: 6-MAM,U
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83925
CPT TYPE: CPT-4
CHARGE:
212.00 BILLING CD: 65453
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
2.1 MAX ML:
20.0
COMPONENTS
ADRGU
ADULTERANTS SURVEY
R6MAM
RESULT 6MAM
I6MAM
INTERPRETATION 6 MAM
COC6MAM
CHAIN OF CUSTODY 6MAM
NAME: 11-DEOXYCORTISOL
MNEMONIC: 11DC
ABBR: 11DC
OTHER MNEMONIC: COMPOUND S
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82634
CPT TYPE: CPT-4
CHARGE:
186.00 BILLING CD: 65003
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.25 MAX ML:
0.3
NAME: 14-3-3 PROTIEN,CSF
MNEMONIC: CSF1433
ABBR: CSF1433
OTHER MNEMONIC: CJD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65672
CONTAINER: CSF#4
COLLECTION INSTRUCTION
REFERIGERATE ASAP
ALIQUOT: CSF#4
MIN ML:
1.0 MAX ML:
1.0
NAME: 17-HYDROXYPROGESTERONE, SERUM
MNEMONIC: 17HYD
ABBR: 17HYD
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83498
CPT TYPE: CPT-4
CHARGE:
208.00 BILLING CD: 65013
CONTAINER: RED10
ALIQUOT: TT
MIN ML:
0.6 MAX ML:
1
NAME: 17-KETOSTEROID FRACTIONATION,URINE
MNEMONIC: U17KET
ABBR: U17KET
OTHER MNEMONIC:
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 83593
CPT TYPE: CPT-4
CHARGE:
482.00 BILLING CD: 65259
CONTAINER: UR24
ALIQUOT: FRZ-URINE
MIN ML:
2.6 MAX ML:
5.0 [CONTINUED]
17KDUR
17KV
U11OHET
U11OHAN
U11KETOET
17-KETOSTEROID FRACTIONATION,URINE
COMPONENTS
DURATION
VOLUME
11-HYDROXYETIOCHOLANOLONE, UR
11-HYDROXYANDROSTERONE, URINE
11-KETOETHIOCHOLANONE, URINE
[CONTINUED]
2
3
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: 17-KETOSTEROID FRACTIONATION,URINE CONTINUED
U11KETOAN 11-KETOANDROSTERONE, URINE
UPREGTRI
PREGNANETRIOL, URINE
UETIOCH
ETIOCHOLANOLONE, URINE
UANDRO
ANDROSTERONE, URINE
NAME: 18-HYDROXYCORTICOSTERONE, S
MNEMONIC: 18HYD
ABBR: 18HYD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83519
CPT TYPE: CPT-4
CHARGE:
146.00 BILLING CD: 65434
CONTAINER: RED10
COLLECTION INSTRUCTION
SEPARATE SERUM FROM CELLS WITHIN 1 HR /FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
2.0 MAX ML:
3.0
NAME: A1AT CLEARANCE FECES & BLOOD
MNEMONIC: A1AC
ABBR: A1AC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82103
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 65438
CONTAINER: ST24
COLLECTION INSTRUCTION
FREEZE STOOL AND SERUM
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
FRZ-SERUM
0.5
1.0
COMPONENTS
A1ACL
A1A CLEARANCE
A1A24F
ALPHA 1 ANTITRYPSIN,24HR,FECES
A1A
ALPHA-1-ANTITRYPSIN, SERUM
82103
CPT-4
192.00 65347
A1AF
ALPHA 1 ANTITRYPSIN,RANDOM,F
82103
CPT-4
192.00 65347
NAME: ABILIFY LEVEL
MNEMONIC: ABF
ABBR: ABF
OTHER MNEMONIC: ARIPIPRAZOLE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82542
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 66856
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.2 MAX ML:
2.0
NAME: ACETAMINOPHEN LEVEL
MNEMONIC: ACTM
ABBR: ACTM
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 82003
CPT TYPE: CPT-4
CHARGE:
151.00 BILLING CD: 30674
CONTAINER: RED3
NAME: ACETOACETATE, SERUM
MNEMONIC: ACTA
ABBR: ACTA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82486
CPT TYPE: CPT-4
CHARGE:
320.00 BILLING CD: 65283
CONTAINER: LAV ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
3.0
SST10
STC
4
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ACETONE LEVEL
MNEMONIC: ACET
ABBR: ACETONE
OTHER MNEMONIC: KETONE
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82009
CPT TYPE: CPT-4
CHARGE:
31.00 BILLING CD: 30677
CONTAINER: YEL
NAME: ACETYLCHOLINE (MYASTHENIA) PNL
MNEMONIC: MGP
ABBR: MG EVALUATION
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
2.0 MAX ML:
3.0
COMPONENTS
ACER
ACETYLCHOLINE REC. BINDING AB
83519
ACERM
ACETYLCHOLINE REC MODULATING A
83519
STMA
STRIATIONAL (MUSCLE) AB
83520
CPT-4
CPT-4
CPT-4
NAME: ACETYLCHOLINE REC. BINDING AB
MNEMONIC: ACER
ABBR: ACER
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83519
CPT TYPE: CPT-4
CHARGE:
146.00 BILLING CD: 65326
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
NAME: ACETYLCHOLINESTERASE,AF
MNEMONIC: ACETAM
ABBR: ACEATM
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82013
CPT TYPE: CPT-4
CHARGE:
104.00 BILLING CD: 65215
CONTAINER: STC
COLLECTION INSTRUCTION
1.0 ML AMNIOTIC FLUID REFRIGERATED
ALIQUOT: STC
MIN ML:
1.0 MAX ML:
1.0
NAME: ACETYLCHOLINESTERASE,RBC
MNEMONIC: ACRBC
ABBR: ACRBC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82482
CPT TYPE: CPT-4
CHARGE:
41.00 BILLING CD: 19667
CONTAINER: LAV
COLLECTION INSTRUCTION
MUST ARRIVE AT MAYO WITHIN 72 HOURS MON-THURS ONLY
ALIQUOT: LAV
MIN ML:
2.5 MAX ML:
4.0
NAME: ACYLCARNITINES,QN,PLASMA
MNEMONIC: ACARN
ABBR: ACARN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82017
CPT TYPE: CPT-4
CHARGE:
177.00 BILLING CD: 65570
CONTAINER: GREEN
COLLECTION INSTRUCTION:
DRAW BEFORE NEXT MEAL
CONTINUED
146.00 65326
146.00 52972
103.00 58557
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ACYLCARNITINES,QN,PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
CONTINUED
0.1 MAX ML:
1.0
NAME: ADDITIONAL BACTERIAL ID PROC [LAB USE ONLY]
MNEMONIC: ABIDM
ABBR: ABIDM
OTHER MNEMONIC: 87077
DEPT: LNP
SITE: MAYO
TURN AROUND HOURS:
CPT: 87077
CPT TYPE: CPT-4
CHARGE:
84.00 BILLING CD: 55169
NAME: ADENINE NUCLEOTIDES
MNEMONIC: ADN
ABBR: ADN
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 82030
CPT TYPE: CPT-4
CHARGE:
201.00 BILLING CD: 66696
CONTAINER: BLUE
ALIQUOT: BLUE
MIN ML:
1 MAX ML:
1
ATP
ADP
ATPADP
ANITP
COMPONENTS
ATP
ADP
ATP/ADP
AD NUC INTERPRETATION
NAME: ADENOSINE DEAMINASE,BLOOD
MNEMONIC: ADSD
ABBR: ADSD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82657
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 66066
CONTAINER: YEL-ACDB
ALIQUOT: YEL-ACDB
MIN ML:
1.0 MAX ML:
4.0
NAME: ADENOVIRUS ANTIBODY
MNEMONIC: ADEN
ABBR: ADEN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86603
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 65485
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.2 MAX ML:
1.0
NAME: ADRENOCORTICOTROPIC HORMONE
MNEMONIC: ACTH
ABBR: ACTH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82024
CPT TYPE: CPT-4
CHARGE:
296.00 BILLING CD: 65299
CONTAINER: LAV
COLLECTION INSTRUCTION
DRAW BLOOD INTO ICE COOLED LAV.SPIN/FREEZE PLASMA IMMEDIATE
ALIQUOT: FRZ-PLASMA
MIN ML:
0.5 MAX ML:
1.0
NAME: ADULTERANTS SURVEY
MNEMONIC: ADRGU
ABBR: ADULTERANTS
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
COMPONENTS
ACRE
CREATININE,U
ASG
SPECIFIC GRAVITY
APH
PH CONTINUED
5
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ADULTERANTS SURVEY CONTINUED
AOX
OXIDANTS
ANIT
NITRITES
ACOM
COMMENT
NAME: AFB CULTURE
MNEMONIC: AFBC
ABBR: AFB CULTURE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87116
CPT TYPE: CPT-4
CHARGE:
230.00 BILLING CD: 65191
CONTAINER: STC
COLLECTION INSTRUCTION
*ORDER AFBS WITH ALL CULTURES*BLOOD & BONE MARR NOT ACCEPTED
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
AFBCSS
AFBCR
AFBCSI
AFBCRS
COMPONENTS
AFB CULTURE SOURCE
AFB CULTURE RESULT
AFB CULT SPECIAL INFORMATION
AFB CULTURE REPORT STATUS
NAME: AFB SMEAR
MNEMONIC: AFBS
ABBR: AFB SMEAR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87206
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 65170
CONTAINER: STC
COLLECTION INSTRUCTION
ORDER AFBC ALSO!!
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
COMPONENTS
AFBSS
AFB SMEAR SPECIMEN SOURCE
AFBR
AFB SMEAR RESULT
AFBSI
AFB SMEAR SPECIAL INFORMATION
AFBRS
AFB SMEAR REPORT STATUS
NAME: AFP AMNIOTIC FLUID
MNEMONIC: AFPA
ABBR: AFPA
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82106
CPT TYPE: CPT-4
CHARGE:
93.00 BILLING CD: 65355
CONTAINER: STC
ALIQUOT: OTHER
MIN ML:
1.0
MAX ML:
1.0
NAME: AFP SINGLE MARKER SCREEN,S
MNEMONIC: AFP1
ABBR: AFP1
OTHER MNEMONIC: MAFP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82105
CPT TYPE: CPT-4
CHARGE:
129.00 BILLING CD: 65394
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
RMSS
RECALCULATED MATERNAL SCREEN
COLLD
COLLECTION DATE
BD
BIRTHDATE
CONTINUED
NAME: AFP SINGLE MARKER SCREEN,S CONTINUED
6
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
AGE
CALCULATED AGE AT EDD
MW
MATERNAL WEIGHT (LB)
MWKG
MATERNAL WEIGHT (KG)
INSULIN
INSULIN DEPENDENT DIABETES?
RACE
RACE
NUMF
NUMBER OF FETUSES
IVF
IVF PREGNANCY ?
GAUS
GESTATION BY U/S
USDATE
ULTRASOUND DATE
EDDUS
EDD BY U/S
LMP
LAST MENST PERIOD
EDDLMP
EDD BY LMP
GADATE
GESTATION BY DATES
DATEE
DATE OF ESTIMATE
GAPE
GA ON DATE OF PHYSICAL EXAM
DATEPE
DATE OF PHYSICAL EXAM
GACDUS
GA BY U/S SCAN
GACDD
GA BY DATES
GACDPE
GA BY PHYSICAL EXAM
GAU
GA USED IN RISK ESTIMATE
AFPR
AFP
AFPIN
INTERPERATION
AFPCOM
ADDITIONAL COMMENTS
FOLLOWUP RECOMMMENDED FOLLOW UP
AFPTESTINF GENERAL TEST INFORMATION
AFPOINFO
AFP OTHER INFORMATION
NAME: AFP, FOUR MARKER SCREEN
MNEMONIC: AFP4
ABBR: AFP4
OTHER MNEMONIC: AFP3
QUAD
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 81511
CPT TYPE: CPT-4
CHARGE:
141.00 BILLING CD: 66659
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
3.0
COMPONENTS
RMSS
RECALCULATED MATERNAL SCREEN
COLLD
COLLECTION DATE
BD
BIRTHDATE
AGE
CALCULATED AGE AT EDD
MW
MATERNAL WEIGHT (LB)
MWKG
MATERNAL WEIGHT (KG)
INSULIN
INSULIN DEPENDENT DIABETES?
RACE
RACE
NUMF
NUMBER OF FETUSES
IVF
IVF PREGNANCY ?
GAUS
GESTATION BY U/S
USDATE ULTRASOUND DATE
EDDUS
EDD BY U/S
LMP
LAST MENST PERIOD
EDDLMP EDD BY LMP
GADATE
GESTATION BY DATES
DATEE
DATE OF ESTIMATE
GAPE
GA ON DATE OF PHYSICAL EXAM CONTINUED
NAME: AFP, FOUR MARKER SCREEN CONTINUED
7
8
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DATEPE
DATE OF PHYSICAL EXAM
GACDUS
GA BY U/S SCAN
GACDD
GA BY DATES
GACDPE
GA BY PHYSICAL EXAM
GAU
GA USED IN RISK ESTIMATE
AFPR
AFP
UE3
UE3
HCGAFP
HCG TOTAL
INHIBIN
INHIBIN
DOWNR
DOWN SCREEN RISK ESTIMATE
DOWNA
DOWN MATERNAL AGE RISK
TRIR
TRISOMEY 18 RISK ESTIMATE
AFPIN
INTERPERATION
AFPCOM
ADDITIONAL COMMENTS
FOLLOWUP RECOMMMENDED FOLLOW UP
AFPTESTINF GENERAL TEST INFORMATION
AFPOINFO
AFP OTHER INFORMATION
ESTR
ESTRIOL,PREGNANT FEMALES ONLY
82677
CPT-4
NAME: AFP,TUMOR MARKER,CSF
MNEMONIC: AFPTMCSF
ABBR: AFPTMCSF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86316
CPT TYPE: CPT-4
CHARGE:
160.00 BILLING CD: 65474
CONTAINER: CSF#1
COLLECTION INSTRUCTION
SEND 1 ML FROZEN CSF
ALIQUOT: FRZ-CSF
MIN ML:
0.5 MAX ML:
0.5
NAME: ALBUMIN
MNEMONIC: ALB
ABBR: ALB
OTHER MNEMONIC:
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82040
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00319
CONTAINER: MINT-PST
NAME: ALBUMIN,PERICARDIAL FLUID
MNEMONIC: ALBPC
ABBR: ALB PERIC
OTHER MNEMONIC:
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82042
CPT TYPE: CPT-4
CHARGE:
12.00 BILLING CD: 63512
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: ALBUMIN,PERITONEAL FLUID
MNEMONIC: ALBPT
ABBR: ALB PERIT
OTHER MNEMONIC:
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82042
CPT TYPE: CPT-4
CHARGE:
12.00 BILLING CD: 63512
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: ALBUMIN,PLEURAL FLUID
142.00
65118
9
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: ALBPL
ABBR: ALB PLEUR
DEPT: BF
SITE: ML
TURN AROUND HOURS: CONTINUED NEXT PAGE
NAME: ALBUMIN,PLEURAL FLUID CONTINUED
CPT: 82042
CPT TYPE: CPT-4
CHARGE:
12.00 BILLING CD: 63512
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: ALBUMIN,SYNOVIAL FLUID
MNEMONIC: ALBSY
ABBR: ALB SYN
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82042
CPT TYPE: CPT-4
CHARGE:
12.00 BILLING CD: 63512
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: ALCOHOL SCREEN, URINE
MNEMONIC: ALCU
ABBR: ALCU
OTHER MNEMONIC: VOLATILE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84600
CPT TYPE: CPT-4
CHARGE:
174.00 BILLING CD: 65411
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
10.0 MAX ML:
10.0
NAME: ALDOLASE
MNEMONIC: ALDO
ABBR: ALDO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82085
CPT TYPE: CPT-4
CHARGE:
69.00 BILLING CD: 65315
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.25 MAX ML:
1.0
NAME: ALDOSTERONE, 24 HR URINE
MNEMONIC: ALDOU
ABBR: ALDOU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82088
CPT TYPE: CPT-4
CHARGE:
227.00 BILLING CD: 65331
CONTAINER: UR24-ACE
COLLECTION INSTRUCTION: MUST BE 24 HOUR URINE. RANDOM URINE UNACCEPTABLE
ALIQUOT: UR24
MIN ML:
11.0 MAX ML:
11.0
NAME: ALDOSTERONE, SERUM
MNEMONIC: ALDOS
ABBR: ALDOS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82088
CPT TYPE: CPT-4
CHARGE:
227.00 BILLING CD: 65323
CONTAINER: RED10
ALIQUOT: FREEZE
MIN ML:
2.5 MAX ML:
2.5
NAME: ALK PHOSHATASE ISOENZYMES
MNEMONIC: ALPISO
ABBR: ALPISO
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: FASTING
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
ALPT
ALK PHOS,TOTAL
84075
CPT-4
39.00
66044
10
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
APIB
ALK PHOS ISO-BONE
84080
CPT-4
NAME: ALK PHOSHATASE ISOENZYMES [CONTINUED]
APIML
ALK PHOS ISO MACRO HEPATIC
APII
ALK PHOS ISO-INTESTINE
APIL
ALK PHOS ISO-LIVER
APIP
ALK PHOS ISO-PLACENTA
115.00
65339
NAME: ALKALINE PHOSPHATASE
MNEMONIC: ALKP
ABBR: ALKP
OTHER MNEMONIC:
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84075
CPT TYPE: CPT-4
CHARGE:
39.00 BILLING CD: 00323
CONTAINER: MINT-PST
NAME: ALLERGEN IGG
MNEMONIC: ALLIGG
ABBR: ALLIGG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86001
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 66377
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1
NAME: ALLERGEN SPECIFIC IGE ANTIBODY
MNEMONIC: RASTIV
ABBR: RAST
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86003
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 54649
CONTAINER: RED10
COLLECTION INSTRUCTION
SEND TO MAYO USE ALLERGEN REQUEST FORM
ALIQUOT: TT
MIN ML:
1 MAX ML:
1
NAME: ALPHA 1 ANTITRYPSIN,RANDOM,FECES
MNEMONIC: A1AF
ABBR: A1AF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82103
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 65347
CONTAINER: STC
COLLECTION INSTRUCTION: RANDOM FECAL COLLECTIONS ONLY
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
NAME: ALPHA FETOPROTEIN TUMOR MARKER
MNEMONIC: AFPT
ABBR: AFPT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82105
CPT TYPE: CPT-4
CHARGE:
129.00 BILLING CD: 65394
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1
NAME: ALPHA-1-ACID GLYCOPROTEIN
MNEMONIC: A1GLY
ABBR: A1GLY
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83883
CPT TYPE: CPT-4
CHARGE:
107.00 BILLING CD: 65239
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1
NAME: ALPHA-1-ANTITRYPSIN PHENOTYPE
CONTINUED
11
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: A1AP
ABBR: A1AP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.25
COMPONENTS
A1A
ALPHA-1-ANTITRYPSIN, SERUM
82103
A1APH
ALPHA-1-ANTITRYPSIN PHENOTYPE
82104
CPT-4
CPT-4
NAME: ALPHA-1-ANTITRYPSIN PROFILE
MNEMONIC: A1ATP
ABBR: A1ATP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: BOTH BLOOD AND SERUM REQUIRED
ALIQUOT: LAV
MIN ML:
0.5 MAX ML:
2.5
SERUM
0.5
1.0
COMPONENTS
INTA1A
INTERPRETATION A1ATP
81332
CPT-4
A1A
ALPHA-1-ANTITRYPSIN, SERUM
82103
CPT-4
HYB
HYBRIDIZATION
83896
CPT-4
EXT
MOLECULAR EXTRACTION
83890
CPT-4
AMP
AMPLIFICATION
83898
CPT-4
AMP2
AMPLIFICATION 2
83898
CPT-4
192.00 65347
113.00 65270
314.00 66994
192.00 65347
30.00 55065
91.00 55430
212.00 65588
212.00 65588
NAME: ALPHA-1-ANTITRYPSIN, SERUM
MNEMONIC: A1A
ABBR: A1A
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82103
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 65347
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: ALPHA-SUBUNIT PITUITARY MARKER
MNEMONIC: APGH
ABBR: APGH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 66406
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.35 MAX ML:
1.0
NAME: ALPRAZOLAM, SERUM
MNEMONIC: ALPRA
ABBR: ALPRA
OTHER MNEMONIC: XANAX
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82491
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 66074
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
3.0
NAME: ALT/SGPT
MNEMONIC: ALT
ABBR: ALT
OTHER MNEMONIC: SGPT
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84460
CPT TYPE: CPT-4
CHARGE:
29.00 BILLING CD: 00329
CONTAINER: MINT-PST
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ALUMINUM, 24 HOUR URINE
MNEMONIC: ALU
ABBR: ALU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82108
CPT TYPE: CPT-4
CHARGE:
195.00 BILLING CD: 65370
CONTAINER: UR24
COLLECTION INSTRUCTIONNO PRESERVATIVE. RECORD TOTAL VOLUME
ALIQUOT: URINE
MIN ML:
2.0
MAX ML:
10
NAME: ALUMINUM, SERUM
MNEMONIC: AL
ABBR: AL
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82108
CPT TYPE: CPT-4
CHARGE:
195.00 BILLING CD: 65370
CONTAINER: RYLBLPLAIN
COLLECTION INSTRUCTION: USE METAL FREE ALIQUOT
ALIQUOT: METAL FREE
MIN ML:
0.5 MAX ML:
2.0
NAME: AMIKACIN LEVEL TROUGH
MNEMONIC: AMIKT
ABBR: AMIKT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80150
CPT TYPE: CPT-4
CHARGE:
163.00 BILLING CD: 65363
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.4 MAX ML:
1.0
NAME: AMIKACIN PEAK LEVEL
MNEMONIC: AMIKP
ABBR: AMIKP
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80150
CPT TYPE: CPT-4
CHARGE:
163.00 BILLING CD: 65363
CONTAINER: RED10
COLLECTION INSTRUCTION: SPIN WITHIN 2 HR OF DRAW. FREEZE.
ALIQUOT: FRZ-SERUM
MIN ML:
0.4 MAX ML:
1.0
NAME: AMINO ACID QUANT,PLASMA
MNEMONIC: AAS
ABBR: AAS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82139
CPT TYPE: CPT-4
CHARGE:
459.00 BILLING CD: 65011
CONTAINER: GREEN
COLLECTION INSTRUCTION: FASTING REQUIRED FREEZE
ALIQUOT: FRZ-PLASMA
MIN ML:
0.5 MAX ML:
0.5
NAME: AMINO ACIDS, QUANT, RANDOM ,U
MNEMONIC: AAPD
ABBR: AAPD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82139
CPT TYPE: CPT-4
CHARGE:
459.00 BILLING CD: 84745
CONTAINER: STC
ALIQUOT: FRZ-URINE
MIN ML:
1.0 MAX ML:
13.0
COMPONENTS:
AAPDR
AMINO ACID QUANT. RESULT
NAME: AMINOLEVULINIC ACID, 24 HR UR
12
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: ALAU
ABBR: ALAU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82135
CPT TYPE: CPT-4
CHARGE:
128.00 BILLING CD: 65307
CONTAINER: UR24
COLLECTION INSTRUCTION: PROTECT FROM LIGHT
ALIQUOT: FRZ-URINE
MIN ML:
10 MAX ML:
10
NAME: AMINOLEVULINIC DEHYDRATASE,RBC
MNEMONIC: ALAD
ABBR: ALA-D
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82657
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 65461
CONTAINER: GRN ON ICE
ALIQUOT: GREEN
MIN ML:
3.0 MAX ML:
3.0
NAME: AMIODARONE, SERUM
MNEMONIC: AMIO
ABBR: AMIO
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 53138
CONTAINER: RED10
COLLECTION INSTRUCTION: COLLECT NO SOONER THAN 12 HOURS AFTER LAST DOSE.
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
3.0
NAME: AMITRIPTYLINE/NORTRIP & TOTAL
MNEMONIC: AMIP
ABBR: AMIP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.1 MAX ML:
3.0
COMPONENTS
AMITRP
AMITRIPTYLINE
80152
CPT-4
NORT
NORTRIPTYLINE
80182
CPT-4
NORAM
AMITRIP/NORTRIPTYLINE TOTAL
138.00 65371
103.00 65119
NAME: AMLIFICATION, SIGNAL
MNEMONIC: AMFT
ABBR: AMFT
OTHER MNEMONIC: 83908
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83908
CPT TYPE: CPT-4
CHARGE:
157.00 BILLING CD: 65788
NAME: AMMONIA
MNEMONIC: NH3
ABBR: AMM
OTHER MNEMONIC: AMM
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 82140
CPT TYPE: CPT-4
CHARGE:
87.00 BILLING CD: 00351
CONTAINER: GREEN
COLLECTION INSTRUCTION: COLLECT ON ICE AT MAIN CAMPUS
NAME: AMOXAPINE LEVEL
MNEMONIC: AMO
ABBR: AMO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65023 CONTINUED
NAME: AMOXAPINE LEVEL CONTINUED
13
14
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1
MAX ML:
2.0
NAME: AMOXICILLIN,SERUM
MNEMONIC: AMXN
ABBR: AMXN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: AMPHETAMINE CONFIRM,URINE
MNEMONIC: AMPHU
ABBR: AMPHU
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
20.0
COMPONENTS
APCF
GC/MS CONFIRMATION-AMPHETAMINE
IAAM
IMMUNOASSAY AMPHETAMINES
APHT
AMPHETAMINE
82145
CPT-4
PHT
PHENTERMINE BY GC/MS
82145
CPT-4
MPHT
METHAMPHETAMINE BY GC/MS
PEHD
PSEUDOEPHEDRINE/EPHEDRIN GC/MS
PHPL
PHENYLPROPANOLAMINE
MDA
MDA (ECSTASY METABOLITE) GC/MS
MDMA
MDMA (ECSTASY) BY GC/MS
IAMPH
INTERPRETATION AMPHETAMINES
CMAMP
COMMENT AMPHETAMINE CONFIRM
COCAMP CHAIN OF CUSTODY
147.00 65027
147.00 65027
NAME: AMPHETAMINE,SERUM
MNEMONIC: AMPH
ABBR: AMPH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66012
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.2 MAX ML:
5.0
NAME: AMPHETAMINES,CONFIRM,MECONIUM
MNEMONIC: AMMEC
ABBR: AMMEC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
ALIQUOT: STOOL
MIN ML:
1 MAX ML:
1
COMPONENTS
AMMC
AMPHETAMINE MECONIUM
82145
MAMMC
METHAMPHETAMINE MECONIUM
82145
MDAMC
MDA MECONIUM
MDEAMC
MDEA MECONIUM
MDMAMC
MDMA MECONIUM
AMPIMC
AMPHETAMINE MECONIUM INTERP
COCAMPMC CHAIN OF CUSTODY AMP MEC CONF
CPT-4
CPT-4
147.00 66299
147.00 19563
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: AMPLICATION 2 [REFLEX TEST]
MNEMONIC: AMPL2
ABBR: AMPL2
OTHER MNEMONIC: 8390191
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8390191
CPT TYPE: CPT-4
CHARGE:
149.00 BILLING CD: 66082
NAME: AMPLICATION, FIRST 2 SEQUENCES [REFLEX TEST]
MNEMONIC: AMP12
ABBR: AMP12
OTHER MNEMONIC: 83900
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83900
CPT TYPE: CPT-4
CHARGE:
311.00 BILLING CD: 65667
NAME: AMPLIFICATION
MNEMONIC: AMPL
ABBR: AMPLIFICATION
OTHER MNEMONIC: 83901
DEPT: LR
SITE: HEMA
TURN AROUND HOURS:
CPT: 83901
CPT TYPE: CPT-4
CHARGE:
149.00 BILLING CD: 59287
NAME: AMPLIFICATION
[REFLEX TEST]
MNEMONIC: AMP
ABBR: AMP
OTHER MNEMONIC: 83898
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83898
CPT TYPE: CPT-4
CHARGE:
212.00 BILLING CD: 65588
NAME: AMPLIFICATION 2
MNEMONIC: AMP2
ABBR: AMP2
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83898
CPT TYPE: CPT-4
CHARGE:
212.00 BILLING CD: 65588
NAME: AMYLASE LEVEL
MNEMONIC: AMY
ABBR: AMY
OTHER MNEMONIC: AML
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82150
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00324
CONTAINER: MINT-PST
NAME: AMYLASE, URINE RANDOM
MNEMONIC: UAMR
ABBR: UR AMY
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82150
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00324
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: AMYLASE,PERICARDIAL FLUID
MNEMONIC: AMYPC
ABBR: AMY PERIC
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82150
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00324
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
THIS SPACE INTENTIONALLY LEFT BLANK.
15
16
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: AMYLASE,PERITONEAL FLUID
MNEMONIC: AMYPT
ABBR: AMY PERIT
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82150
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00324
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: AMYLASE,PLEURAL FLUID
MNEMONIC: AMYPL
ABBR: AMY PLEUR
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82150
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00324
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: AMYLASE,SYNOVIAL FLUID
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82150
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00324
CONTAINER: ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: ANA, HEP-2 SUBSTRATE
MNEMONIC: ANAH
ABBR: ANAH
OTHER MNEMONIC: ANA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.4 MAX ML:
0.5
COMPONENTS
ANAHR
ANA, HEP-2 , RESULT
86038
CPT-4
94.00
65154
NAME: ANA,BODY FLUID
MNEMONIC: ANAFL
ABBR: ANAFL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86038
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 65154
CONTAINER: VIAL
ALIQUOT: VIAL
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
ANAFS
ANA FLUID SOURCE
ANAFR
ANA FLUID TITER
ANAFP
ANA FLUID PATTERN
NAME: ANCA PANEL FOR VASULITIS,S
MNEMONIC: ANCAV
ABBR: ANCAV
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
PR3
MYAB
PROTEINASE 3 ANTIBODY
MYELOPEROXIDASE ANTIBODIES
83516
83520
CPT-4
CPT-4
THIS SPACE INTENTIONALLY LEFT BLANK.
124.00 65391
103.00 65688
RED10
SST10
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ANDROSTENEDIONE, SERUM
MNEMONIC: AND
ABBR: AND
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82157
CPT TYPE: CPT-4
CHARGE:
225.00 BILLING CD: 65387
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: ANGIOTENSIN CONVERTING ENZYME
MNEMONIC: ACE
ABBR: ACE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82164
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 65395
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: ANGIOTENSIN CONVERTING EZ(CSF)
MNEMONIC: ACEF
ABBR: ACEF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82164
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 65395
CONTAINER: CSF#4
ALIQUOT: FRZ-CSF
MIN ML:
0.5 MAX ML:
1.0
NAME: ANTI-CARDIOLIPIN ABS
MNEMONIC: ACA
ABBR: ACA
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: BLUE
COLLECTION INSTRUCTION: 2 BLUE ON ICE/SPIN & FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
2.0 MAX ML:
2.0
COMPONENTS
ACAG
ANTI-CARDIOLIPIN IgG
86147
CPT-4
199.00 65602
ACAM
ANTI-CARDIOLIPIN IgM
8614791
CPT-4
199.00 65456
NAME: ANTI-CARDIOLIPIN IgA
MNEMONIC: ACAA
ABBR: ACAA
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 86147
CPT TYPE: CPT-4
CHARGE:
199.00 BILLING CD: 65571
CONTAINER: BLUE
COLLECTION INSTRUCTION: SEPARATE AND FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
3.0
NAME: ANTI-DNASE B
MNEMONIC: ADNASE
ABBR: ADNASE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86215
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 19642
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.0
NAME: ANTI-GLIADIN IGA ANTIBODY
MNEMONIC: GLIADA
ABBR: GLIADA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83516
CPT TYPE: CPT-4
CHARGE:
124.00 BILLING CD: 65416
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
17
18
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ANTI-GLIADIN IGG ANTIBODY
MNEMONIC: GLIADG
ABBR: GLIADG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83516
CPT TYPE: CPT-4
CHARGE:
124.00 BILLING CD: 66342
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
NAME: ANTI-GLOMERULAR BASEMENT MEMBRANE
MNEMONIC: GB
ABBR: GB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65765
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.35 MAX ML:
0.5
NAME: ANTI-JO 1
MNEMONIC: AJO
ABBR: AJO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86235
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 84734
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: ANTI-MITOCHONDRIAL ANTIBODY
MNEMONIC: AMA
ABBR: AMA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83516
CPT TYPE: CPT-4
CHARGE:
124.00 BILLING CD: 65489
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.5
NAME: ANTI-PARIETAL CELL ANTIBODY
MNEMONIC: APCAB
ABBR: APCAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83516
CPT TYPE: CPT-4
CHARGE:
124.00 BILLING CD: 65770
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: ANTI-PHOSPHOLIPID AB IGG & IGM
MNEMONIC: APA
ABBR: APA
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
2.0 MAX ML:
2.0
COMPONENTS
APAG
ANTI-PHOSPHOLIPID IGG
86147
CPT-4
APAM
ANTI-PHOSPHOLIPID IGM
8614791
CPT-4
199.00 53048
199.00 65531
NAME: ANTI-STREPTOLYSIN O TITER
MNEMONIC: ASOT
ABBR: ASOT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86060
CPT TYPE: CPT-4
CHARGE:
63.00 BILLING CD: 00421
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.0
19
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ANTIMONY, URINE
MNEMONIC: ANTU
ABBR: ANTU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83018
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: STC
ALIQUOT: METAL FREE
MIN ML:
0.2 MAX ML:
10.0
NAME: ANTITHROMBIN III, ACTIVITY
MNEMONIC: AT3
ABBR: AT3
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 85300
CPT TYPE: CPT-4
CHARGE:
142.00 BILLING CD: 65055
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
COMPONENTS
ATR3
ANTITHROMBIN 3, ACTIVITY
AT3C
ANTI-THROMBIN III COMMENT
NAME: APC RESISTANCE
MNEMONIC: APC
ABBR: APC
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85307
CPT TYPE: CPT-4
CHARGE:
162.00 BILLING CD: 65408
CONTAINER: BLUE C
OLLECTION INSTRUCTION: FREEZE PLASMA ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: APOLIPOPROTEIN A-1 AND B
MNEMONIC: AAB
ABBR: AAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: LAV
COLLECTION INSTRUCTION: FAST(12-14 HR). NO ALCOHOL FOR 24 HR
ALIQUOT: PLASMA
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
APOA
APOLIPOPROTEIN A-1, PLASMA
82172
CPT-4
120.00 58362
APOB
APOLIPOPROTEIN B, PLASMA
82172
CPT-4
120.00 65435
NAME: APOLIPOPROTEIN A-1, PLASMA
MNEMONIC: APOA
ABBR: APOA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82172
CPT TYPE: CPT-4
CHARGE:
120.00 BILLING CD: 58362
CONTAINER: LAV
COLLECTION INSTRUCTION: FAST (12-14 HR) NO ALCOHOL FOR 24 HR
ALIQUOT: PLASMA
MIN ML:
1 MAX ML:
1.0
NAME: APOLIPOPROTEIN B, PLASMA
MNEMONIC: APOB
ABBR: APOB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82172
CPT TYPE: CPT-4
CHARGE:
120.00 BILLING CD: 65435
CONTAINER: LAV
COLLECTION INSTRUCTION
FASTING (12-14HR); NO ALCOHOL 24 HRS
ALIQUOT: PLASMA
MIN ML:
1 MAX ML:
1.0
LAV
LAV
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: APOLIPOPROTEIN E GENOTYPING
MNEMONIC: APOE
ABBR: APOE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: YEL-ACD
ALIQUOT: YEL-ACD
MIN ML:
3.0 MAX ML:
3.0
NAME: APTT (PT NOT ON HEPARIN)
MNEMONIC: APTN
ABBR: APTN
OTHER MNEMONIC: PTT NOT ON HEP
DEPT: COAG
SITE: ML
TURN AROUND HOURS:
CPT: 85730
CPT TYPE: CPT-4
CHARGE:
57.00 BILLING CD: 00427
CONTAINER: BLUE
NAME: APTT (PT ON HEPARIN)
MNEMONIC: APTY
ABBR: APTY
OTHER MNEMONIC: PTT ON HEPARIN
DEPT: COAG
SITE: ML
TURN AROUND HOURS:
CPT: 85730
CPT TYPE: CPT-4
CHARGE:
57.00 BILLING CD: 00427
CONTAINER: BLUE
NAME: APTT MIXING STUDY (ITXM)
MNEMONIC: APTTMX
ABBR: APTTMX
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85732
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: ARGININE VASOPRESSIN
MNEMONIC: ARGV
ABBR: ARGV
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84588
CPT TYPE: CPT-4
CHARGE:
447.00 BILLING CD: 19517
CONTAINER: LAV
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
2.0
NAME: ARSENIC, 24 HOUR URINE
MNEMONIC: ARSU
ABBR: ARSU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82175
CPT TYPE: CPT-4
CHARGE:
216.00 BILLING CD: 65028
CONTAINER: UR24
COLLECTION INSTRUCTION: NO PRESERVATIVE, NO SEAFOOD 48HR PRIOR, REFRIG WITHIN 4 HRS
ALIQUOT: UR24
MIN ML:
10.0 MAX ML:
10.0
NAME: ARSENIC, BLOOD
MNEMONIC: ASBLD
ABBR: ASBLD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82175
CPT TYPE: CPT-4
CHARGE:
216.00 BILLING CD: 65242
CONTAINER: RYLBLUEDTA
COLLECTION INSTRUCTION: SEND WHOLE BLOOD
ALIQUOT: RYLBLUE
MIN ML:
1 MAX ML:
1
20
21
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ARTERIAL BLOOD GAS PROFILE
MNEMONIC: ABG
ABBR: ABG
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: CAPPED SYRINGE ON ICE IN BIOHAZARD BAG
CABG
% OXYHEMOG
ABGHB
HBCO
METHGB
COMPONENTS
ARTERIAL BLOOD GAS
% OXYHEMOGLOBIN
ARTERIAL BLOOD GAS HB
CARBOXYHEMOGLOBIN
METHEMOGLOBIN
82805
CPT-4
154.00
00347
82375
CPT-4
86.00
00442
NAME: ARTERIAL CORD GASES
MNEMONIC: ACG
ABBR: ARTERIAL CORD G
OTHER MNEMONIC:
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82803
CPT TYPE: CPT-4
CHARGE:
142.00 BILLING CD: 63658
CONTAINER: CAPPED SYRINGE ON ICE IN BIOHAZRD BAG
COMPONENTS
ACPH
ARTERIAL CORD PH
ACPCO2
ARTEIAL CORD PARTIAL PCO2
ACPO2
ARTERIAL CORD PO2
ACHCO3
ARTERIAL CORD HCO3
ACBE
ARTERIAL CORD BASE EXCESS
ACCO2
ARTERIAL CORD CO2 CONTENT
NAME: ARYLSULFATASE A, 24 HR URINE
MNEMONIC: ARLU
ABBR: ARLU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84311
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 65278
CONTAINER: UR24
COLLECTION INSTRUCTION: *NO PRESERVATIVE*
ALIQUOT: UR24
MIN ML:
10.0 MAX ML:
10.0
COMPONENTS
ARYLS
ARYLSULFATASE A URINE
NAME: ARYLSULFATASE A, LEUKOCYTES
MNEMONIC: ARYL
ABBR: ARYL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82657
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 66068
CONTAINER: YEL-ACD
COLLECTION INSTRUCTION: M-THURS ONLY/MUST ARRIVE AT MAYO W/IN 96 HRS OF COLLECT
ALIQUOT: YEL-ACD
MIN ML:
5.0 MAX ML:
7.0
ARYLA
ARYLI
ARYLRR
ARYLDR
COMPONENTS
ARYLSULFATASE A LEUKOCYTES
INTERPRETATION ARYL
REASON FOR REFFERAL ARYL
REVIEWED BY ARYL
22
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ASCARIS,IGE
MNEMONIC: ASCR
ABBR: ASCR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86003
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 54649
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: ASPERGILLUS ANTIBODIES
MNEMONIC: ASPAB
ABBR: ASPAB
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
0.1 MAX ML:
1.0
ASPF
ASPNG
ASPFL
COMPONENTS
ASPERGILLUS FUMIGATUS
86606
ASPERGILLUS NIGER
8660691
ASPERGILLUS FLAVUS
8660659
CPT-4
CPT-4
CPT-4
163.00 65477
163.00 65482
163.00 65879
NAME: AST/SGOT
MNEMONIC: AST
ABBR: AST
OTHER MNEMONIC: SGOT
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84450
CPT TYPE: CPT-4
CHARGE:
29.00 BILLING CD: 00328
CONTAINER: MINT-PST
NAME: AUTO DIFF
[LAB USE ONLY]
MNEMONIC: ADIF
ABBR: AUTO DIFF
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
COLLECTION INSTRUCTION: LEAVE KATHY A NOTE;WHEN USING;BILLING NEEDS EDITED.
NE%
LY%
MO%
EO%
BA%
IG%
NE#
LY#
MO#
EO#
BA#
IG#
REPORTAUTO
ADDMDIFF T
COMPONENTS
NEUTROPHILS %
LYMPHOCYTES %
MONOCYTES %
EOSINOPHIL %
BASOPHILS%
IMMATURE GRANS
NEUTROPHILS #
LYMPHOCYTES #
MONOCYTES #
EOSINOPHILS #
BASOPHILS#
IMMATURE GRANS#
REPORT AUTO DIFF?
ADD MANUAL DIFF?
NAME: B-HYDROXYBUTYRATE, SERUM
MNEMONIC: BHYD
ABBR: BHYD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82010
CPT TYPE: CPT-4
CHARGE:
78.00 BILLING CD: 58644
CONTAINER: SST10
COLLECTION INSTRUCTION: FREEZE
ALIQUOT: FREEZE
MIN ML:
0.5 MAX ML:
0.5
23
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: B.PERTUSSIS AB, IGG IMMUNOBLOT
MNEMONIC: BPGIB
ABBR: BPGIB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8661591
CPT TYPE: CPT-4
CHARGE:
102.00 BILLING CD: 65472
NAME: B12
MNEMONIC: B12
ABBR: B12
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82607
CPT TYPE: CPT-4
CHARGE:
81.00 BILLING CD: 09525
CONTAINER: RED3
NAME: B2 GLYCOPROTEIN 1 AB
MNEMONIC: B2G
ABBR: B2G
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
B2GG
B2 GLYCOPROTEIN IGG
86146
CPT-4
B2GA
B2 GLYCOPROTEIN IGA
86146
CPT-4
B2GM
B2 GLYCOPROTEIN IGM
86146
CPT-4
242.00 63669
242.00 66387
242.00 66379
NAME: BABESIA MICROTI IGG
MNEMONIC: BABG
ABBR: BABG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86753
CPT TYPE: CPT-4
CHARGE:
137.00 BILLING CD: 65795
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.15 MAX ML:
0.5
NAME: BABESIA MICROTI IgG & IgM
MNEMONIC: BAB
ABBR: BABESIA AB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.2 MAX ML:
1.0
COMPONENTS
BABG
BABM
BABI
BABESIA MICROTI IGG
BABESIA MICROTI IGM
INTERPRETATION BABESIA
86753
8675359
CPT-4
CPT-4
137.00 65795
137.00 65868
NAME: BACTERIA ID, AEROBIC (mAYO)
MNEMONIC: BIDO
ABBR: BIDO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87077
CPT TYPE: CPT-4
CHARGE:
84.00 BILLING CD: 55169
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
NAME: BACTERIA ID, ANAEROBIC (MAYO)
MNEMONIC: BID
ABBR: BID
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87076
CPT TYPE: CPT-4
CHARGE:
71.00 BILLING CD: 65860
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
SST10
24
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: BARBITURATE CONFIRMATION,URINE
MNEMONIC: BARBIU
ABBR: BARBITU COMFIRM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82205
CPT TYPE: CPT-4
CHARGE:
151.00 BILLING CD: 65036
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
20.0
COMPONENTS
IABARB
IMMUNOASSAY SCREEN BARBITURATE
GCBARB
GC/MS CONFIRMATION BARBITURATE
BUTA
BUTALBITAL BY GC/MS
AMBARB
AMOBARBITAL BY GC/MS
PBARB
PENTOBARBITAL BY GC/MS
SBARB
SECOBARBITAL BY GC/MS
PHBARB
PHENOBARBITAL BY GC/MS
IBARB
INTERPRETATION
CMBARB
COMMENT BARBITURATE CONFIRM
COCBARB
CHAIN OF CUSTODY BARBIITURATE
NAME: BARBITURATES, SERUM
MNEMONIC: BAR
ABBR: BAR
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 82205
CPT TYPE: CPT-4
CHARGE:
151.00 BILLING CD: 65036
CONTAINER: RED10
ALIQUOT: TT
MIN ML:
1 MAX ML:
1
NAME: BARTONELLA ANTIBODY,IGG & IGM
MNEMONIC: BART
ABBR: BART
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1
COMPONENTS
BAHG
BARTONELLA HENSELAE IGG
86611
CPT-4
BAHM
BARTONELLA HENSELAE IGM
86611
CPT-4
BAQG
BARTONELLA QUINTANA IGG
86611
CPT-4
BAQM
BARTONELLA QUINTANA IGM
86611
CPT-4
142.00 55428
142.00 55439
142.00 55427
142.00 55440
NAME: BARTONELLA BY RAPID PCR
MNEMONIC: BARPCR
ABBR: BARPCR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87798
CPT TYPE: CPT-4
CHARGE:
356.00 BILLING CD: 65483
CONTAINER: OTHER
COLLECTION INSTRUCTION: TISSUE SPECIMENS ONLY
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
NAME: BASIC METABOLIC PROFILE
MNEMONIC: BMBP
ABBR: BMBP
OTHER MNEMONIC: BMP
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 80048
CPT TYPE: CPT-4
CHARGE:
223.00 BILLING CD: 66999
CONTAINER: MINT-PST
25
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
GLU
BUN
CREA
NA
K
CL
CO2
GAP
CA
BASIC METABOLIC PROFILE COMPONENTS
GLUCOSE,RANDOM
82947
CPT-4
BLOOD UREA NITROGEN
84520
CPT-4
CREA W/ GFR
SODIUM
84295
CPT-4
POTASSIUM
84132
CPT-4
CHLORIDE
82435
CPT-4
CARBON DIOXIDE LEVEL
82374
CPT-4
ANION GAP
ALCIUM LEVEL
82310
CPT-4
NAME: BASO FUNCTION TEST
MNEMONIC: BFT
ABBR: BFT
DEPT: LR
SITE: IBT
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: GREEN
COLLECTION INSTRUCTION; LAB MUST RECEIVE WITHIN 48 HRS STORE RT
ALIQUOT: GREEN
MIN ML:
3 MAX ML:
10
25.00 00703
21.00 00304
36.00 65639
25.00 00313
25.00 00510
25.00 09902
36.00
00306
26
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
BAT
HIST
BFT2
BASO FUNTION TEST COMPONENTS
BASOPHIL ACTIVATION TEST
86352
CPT-4
HISTAMINE LEVEL, PLASMA
83088
CPT-4
BASO FUNCTION TEST HRT
86352
CPT-4
646.00 66273
444.00 65388
646.00 66273
NAME: BCR/ABL MAJOR
MNEMONIC: BCRJ
ABBR: BCRJ
OTHER MNEMONIC: 81206
DEPT: LNP
SITE: NEOGL
TURN AROUND HOURS:
CPT: 81206
CPT TYPE: CPT-4
CHARGE: 1540.00 BILLING CD: 66802
NAME: BCR/ABL MINOR
MNEMONIC: BCRN
ABBR: BCRN
OTHER MNEMONIC: 81207B
DEPT: LNP
SITE: NEOGL
TURN AROUND HOURS:
CPT: 81207
CPT TYPE: CPT-4
CHARGE: 1540.00 BILLING CD: 66810
NAME: BENZODIAZEPINE CONFIRMATION,URINE [REFLEX TEST]
MNEMONIC: BENZO
ABBR: BENZO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80154
CPT TYPE: CPT-4
CHARGE:
199.00 BILLING CD: 65413
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
20.0
COMPONENTS
GCBENZ
GC/MS CONFIRMATION BENZO
IABENZ
IMMUNOASSAY SCREEN-BENZO
NDZ
NORDIAZEPAM BY GC/MS
OXZ
OXAZEPAM BY GC/MS
LRZ
LORAZEPAM BY GC/MS
TMZ
TEMAZEPAM BY GC/MS
OFZ
OH-ETHYL-FLURAZEPAM BY GC/MS
CNZ
7-NH-CLONAZEPAM BY GC/MS
AAZ
ALPHA OH-ALPRAZOLAM BY GC/MS
FTZ
7-NH-FLUNITRAZEPAM BY GC/MS
ATZ
ALPHA OH-TRIAZOLAM BY GC/MS
IBENZ
INTERPRETATION
COCBENZ
CHAIN OF CUSTODY BENZODIAZEP
CMBENZ
COMMENT BENZO CONFIRM
NAME: BENZTROPINE LEVEL, SERUM
MNEMONIC: BENT
ABBR: BENT
OTHER MNEMONIC: COGENTIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82491
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 66100
CONTAINER: RED10 COLLECTION INSTRUCTION: NO SST'S
ALIQUOT: SERUM
MIN ML:
2.0 MAX ML:
3.0
LAV
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: BETA CROSSLAPS
MNEMONIC: CTX
ABBR: CTX
OTHER MNEMONIC: B-CTX
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82523
CPT TYPE: CPT-4
CHARGE:
122.00 BILLING CD: 66816
CONTAINER: RED10
COLLECTION INSTRUCTION: FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: BETA-2-MICROGLOBULIN
MNEMONIC: B2M
ABBR: B2M
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82232
CPT TYPE: CPT-4
CHARGE:
125.00 BILLING CD: 65446
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: BETA-2-MICROGLOBULIN,URINE
MNEMONIC: B2MU
ABBR: B2MU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82232
CPT TYPE: CPT-4
CHARGE:
125.00 BILLING CD: 65446
CONTAINER: STC
COLLECTION INSTRUCTION: CHECK BOOK
ALIQUOT: FRZ-URINE
MIN ML:
0.5 MAX ML:
5.0
NAME: BETA-2-TRANSFERRIN,CSF & FLUID
MNEMONIC: B2MCSF
ABBR: B2-MICRO CSF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86335
CPT TYPE: CPT-4
CHARGE:
130.00 BILLING CD: 65530
CONTAINER: STC
ALIQUOT: FREEZE
MIN ML:
0.5 MAX ML:
1.0
NAME: BICARBONATE
MNEMONIC: HCO3
ABBR: HCO3
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82374
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 09902
CONTAINER: GREEN
COLLECTION INSTRUCTION: COLLECT ON ICE DELIVER TO CHEMISTRY ASAP
NAME: BILE ACIDS, SERUM
MNEMONIC: BILE
ABBR: BILE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82239
CPT TYPE: CPT-4
CHARGE:
175.00 BILLING CD: 65874
CONTAINER: RED10
COLLECTION INSTRUCTION: FASTING (8HR)
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
1.0
NAME: BILE EXAM(CHOL & BILI CRYSTAL)
MNEMONIC: BIE
ABBR: BIE
OTHER MNEMONIC: CRYSTALS,BILE
DEPT: UR
SITE: ML
TURN AROUND HOURS:
CPT: 89060
CPT TYPE: CPT-4
CHARGE:
101.00 BILLING CD: 63648
CONTAINER: STC
27
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: BILIRUBIN TOTAL, FLUID
MNEMONIC: FTBIL
ABBR: FTBIL
OTHER MNEMONIC: TBILF
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82247
CPT TYPE: CPT-4
CHARGE:
51.00 BILLING CD: 00333
CONTAINER: GREEN
NAME: BILIRUBIN, AMNIOTIC FLUID
MNEMONIC: BILAF
ABBR: BILIAF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82247
CPT TYPE: CPT-4
CHARGE:
51.00 BILLING CD: 65853
CONTAINER: VIAL
COLLECTION INSTRUCTION: PROTECT FROM LIGHT
ALIQUOT: FRZ-AMBER
MIN ML:
1.0 MAX ML:
3.5
NAME: BILIRUBIN, FRACTIONATED
28
29
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: FBIL
DEPT: CHEM
SITE: ML
CONTAINER: YEL-SST
TBILI
DBILI
BILIRUBIN,TOTAL
BILIRUBIN,DIRECT
ABBR: FBIL
TURN AROUND HOURS:
COMPONENTS
82247
82248
CPT-4
CPT-4
51.00 00333
34.00 58562
NAME: BILIRUBIN,DIRECT
MNEMONIC: DBIL
ABBR: DBIL
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82248
CPT TYPE: CPT-4
CHARGE:
34.00 BILLING CD: 58562
CONTAINER: MINT-PST
NAME: BILIRUBIN,TOTAL
MNEMONIC: TBIL
ABBR: TBIL
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82247
CPT TYPE: CPT-4
CHARGE:
51.00 BILLING CD: 00333
CONTAINER: MINT-PST
NAME: BISMUTH
MNEMONIC: BIS
ABBR: BISMUTH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83018
CPT TYPE: CPT-4
CHARGE:
237.00 BILLING CD: 65845
CONTAINER: RYLBLUEDTA
ALIQUOT: METAL FREE
MIN ML:
0.2 MAX ML:
2.0
COMPONENTS
BISR
BISMUTH RESULT
NAME: BK (POLYOMA) VIRUS BY PCR,P
MNEMONIC: BKV
ABBR: BKV
DEPT: LR
SITE: UPMC-MB
TURN AROUND HOURS:
CPT: 87799
CPT TYPE: CPT-4
CHARGE:
449.00 BILLING CD: 65516
CONTAINER: LAV
ALIQUOT: PLASMA
MIN ML:
0.25 MAX ML:
1.0
COMPONENTS
BK
BK VIRUS RESULT
YEL-SST
YEL-SST
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
BKC
COPIES/ML BKV
NAME: BK VIRUS DNA BY PCR, URINE
MNEMONIC: BKVU
ABBR: BKVU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87799
CPT TYPE: CPT-4
CHARGE:
449.00 BILLING CD: 65500
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
10.0 MAX ML:
15.0
NAME: BLASTOMYCES AB,EIA
MNEMONIC: BLABI
ABBR: BLABI
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86612
CPT TYPE: CPT-4
CHARGE:
81.00 BILLING CD: 59758
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: BLOOD UREA NITROGEN
MNEMONIC: BUN
ABBR: BUN
OTHER MNEMONIC:
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84520
CPT TYPE: CPT-4
CHARGE:
21.00 BILLING CD: 00304
CONTAINER: MINT-PST
NAME: BONE ALKALINE PHOSPHATASE,S
MNEMONIC: BSAP
ABBR: BSAP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84080
CPT TYPE: CPT-4
CHARGE:
115.00 BILLING CD: 65339
CONTAINER: SST
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.6
NAME: BORDETELLA PERTUSSIS BY PCR
MNEMONIC: BPPCR
ABBR: BPPCR
OTHER MNEMONIC: WHOOPING COUGH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87801
CPT TYPE: CPT-4
CHARGE:
368.00 BILLING CD: 65419
CONTAINER: STARSWAB
COLLECTION INSTRUCTION: NASOPHARYNGEAL ONLY!!
ALIQUOT: STARSWAB
MIN ML:
1 MAX ML:
1
COMPONENTS
BPS
BP SOURCE
BPR
BP RESULT
BPPR
B.PARAPERTUSSIS PCR
BPSI
BP SPECIAL INFORMATION
BPRS
BP REPORT STATUS
NAME: BORDETELLA PERTUSSIS IGG AB
MNEMONIC: BPAB
ABBR: BPAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.25 MAX ML:
1.0
COMPONENTS
BPGPT
B.PERTUSSIS IGG PT
86615
CPT-4
BPG2
B.PERTUSSIS IGG FHA
8661591
CPT-4
102.00 66435
102.00 65472
30
31
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: BORDETELLA PERTUSSISS AB
MNEMONIC: BPAGM
ABBR: BPAGM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION
Separate serum from cells immediately
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
1.0
COMPONENTS
MNEMONIC
NAME
CPT CODE
CPT TYPE
CONTAINER
BPM
BPG
BPA
B.PERTUSSIS AB,IGM
B.PERTUSSIS AB,IGG
B.PERTUSSIS AB,IGA
86615
86615
86615
CPT-4
CPT-4
CPT-4
CHARGE
102.00 66443
102.00 66435
102.00 66451
NAME: BROMIDE
MNEMONIC: BRO
ABBR: BRO
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84311
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 65060
CONTAINER: LAV
COLLECTION INSTRUCTION: SEND LAV DO NOT SPIN
ALIQUOT: LAV
MIN ML:
1.5 MAX ML:
3.0
NAME: BRUCELLA AB SCREEN IGG & IGM
MNEMONIC: BRU
ABBR: BRU
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
BILLING CD
32
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: SERUM
BRUG
BRUM
IBRUC
MIN ML:
1.1 MAX ML:
2.0
COMPONENTS
BRUCELLA AB SCREEN IGG
86622
CPT-4
BRUCELLA AB SCREEN IGM
8662291
CPT-4
INTREPRETATION BRUCELLA
42.00 55054
42.00 65649
NAME: BRUCELLA AB,AGGLUTINATION
MNEMONIC: BRUCT
ABBR: BRUCT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86622
CPT TYPE: CPT-4
CHARGE:
42.00 BILLING CD: 55054
CONTAINER: SST
ALIQUOT: SERUM
MIN ML:
0.25 MAX ML:
0.5
NAME: BUPRENORPHINE AND METABOLITE
MNEMONIC: BUPM
ABBR: BUPRENORPHINE
OTHER MNEMONIC: BUTRAN
SUBOXONE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83925
CPT TYPE: CPT-4
CHARGE:
212.00 BILLING CD: 66032
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
0.3 MAX ML:
1.0
COMPONENTS
BU
BUPRENORPHINE
NBU
NORBUPRENORPHINE
NAME: C-PEPTIDE, SERUM
MNEMONIC: CPEPZ
ABBR: CPEPZ
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84681
CPT TYPE: CPT-4
CHARGE:
160.00 BILLING CD: 65448
CONTAINER: SST10
COLLECTION INSTRUCTION: FASTING
ALIQUOT: FRZ-SERUM
MIN ML:
0.4 MAX ML:
0.5
COMPONENTS
CPEP
C-PEPTIDE,S
NAME: C-REACTIVE PROTEIN (CARDIAC)
MNEMONIC: CRPHS
ABBR: CRPHS
OTHER MNEMONIC: CRPH
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 86141
CPT TYPE: CPT-4
CHARGE:
137.00 BILLING CD: 63759
CONTAINER: YEL-SST
ALIQUOT: YEL-SST
MIN ML:
1 MAX ML:
NAME: C1 ESTERASE INHIBIT,FUNCTIONAL
MNEMONIC: C1I
ABBR: C1I
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65810
CONTAINER: RED ON ICE
COLLECTION INSTRUCTION
FASTING/FREEZE IMMEDIATELY
ALIQUOT: FRZ-SERUM
MIN ML:
0.1
MAX ML:
1.0
1
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: C1 ESTERASE INHIBITOR ANTIGEN
MNEMONIC: C1
ABBR: C1
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65802
CONTAINER: RED10
COLLECTION INSTRUCTION: FASTING PREFERRED (12 HOUR)
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: CA15-3 ANTIGEN
MNEMONIC: CA153
ABBR: CA 15-3
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86300
CPT TYPE: CPT-4
CHARGE:
219.00 BILLING CD: 66090
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.25 MAX ML:
0.5
NAME: CA27.29
MNEMONIC: BR27
ABBR: CA27
OTHER MNEMONIC: CA27
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86300
CPT TYPE: CPT-4
CHARGE:
219.00 BILLING CD: 65087
CONTAINER: RED10
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
NAME: CADMIUM, BLOOD
MNEMONIC: CAD
ABBR: CAD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82300
CPT TYPE: CPT-4
CHARGE:
145.00 BILLING CD: 65084
33
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: RYLBLUEDTA
ALIQUOT: RYLBLUEDTA
MIN ML:
1 MAX ML:
COMPONENTS
CADB
CADMIUM, BLOOD
1
NAME: CADMIUM,24 HOUR URINE
MNEMONIC: CADU
ABBR: CADU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82300
CPT TYPE: CPT-4
CHARGE:
145.00 BILLING CD: 65084
CONTAINER: UR24
COLLECTION INSTRUCTION
24 HOUR COLLECTION - NO PRESERVATIVE!
ALIQUOT: UR24
MIN ML:
10.0 MAX ML:
10.0
NAME: CAFFEINE LEVEL
MNEMONIC: CAF
ABBR: CAF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80155
CPT TYPE: CPT-4
CHARGE:
82.00 BILLING CD: 66879
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.4 MAX ML:
1.0
NAME: CALCITONIN
MNEMONIC: CALT
ABBR: CALT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82308
CPT TYPE: CPT-4
CHARGE:
205.00 BILLING CD: 65100
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.4 MAX ML:
0.8
NAME: CALCIUM CREATININE RATIO URINE
MNEMONIC: CACR
ABBR: CACR RATIO UR
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
COMPONENTS
34
35
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
UCREA
UCCR
UCAC
CREATININE, URINE
CA/CREA RATIO URINE
CALCIUM, URINE
82570
82340
CPT-4
CPT-4
51.00
25.00
00200
63640
STC
STC
NAME: CALCIUM IONIZED
MNEMONIC: CALI
ABBR: CALI
OTHER MNEMONIC: CAI
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82330
CPT TYPE: CPT-4
CHARGE:
107.00 BILLING CD: 65959
CONTAINER: YEL-SST
NAME: CALCIUM LEVEL
MNEMONIC: CA
ABBR: CA
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82310
CPT TYPE: CPT-4
CHARGE:
36.00 BILLING CD: 00306
CONTAINER: MINT-PST
NAME: CALCIUM, URINE
MNEMONIC: UCAC
ABBR: UCAC
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82340
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 63640
CONTAINER: STC
NAME: CALCIUM, URINE 24 HOUR
MNEMONIC: CA24
ABBR: CA24
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82340
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 05081
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00 63600
UCAC
CALCIUM, URINE
82340
CPT-4
25.00 63640
UCAT
CALCIUM, 24 HOUR URINE
NAME: CALCIUM,IONIZED
MNEMONIC: CAI*
ABBR: CAI
OTHER MNEMONIC:
DEPT: LR
SITE: ML
TURN AROUND HOURS:
CPT: 82330
CPT TYPE: CPT-4
CHARGE:
107.00 BILLING CD: 65062
CONTAINER: YEL-SST
COLLECTION INSTRUCTION
FULL TUBE*CLOT 30 MINUTES*SPIN*DO NOT OPEN*REF
STC
36
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: YEL-SST
ICA
ICAPH
IONIZED CA
PH
MIN ML:
1.75 MAX ML:
COMPONENTS
CPT-4
3.5
NAME: CALCIUM/ALBUMIN/ADJUSTED CALCI
MNEMONIC: CAB
ABBR: CALCIUM/ALBUMIN
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CONTAINER: MINT-PST
COMPONENTS
CA
CALCIUM LEVEL
82310
CPT-4
ACAL
ADJUSTED CALCIUM
ALB
ALBUMIN
82040
CPT-4
36.00
00306
MINT-PST
25.00
00319
MINT-PST
NAME: CALPROTECTIN (STOOL)
MNEMONIC: CALP
ABBR: CALP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83993
CPT TYPE: CPT-4
CHARGE:
189.00 BILLING CD: 65821
CONTAINER: STC
ALIQUOT: STOOL
MIN ML:
1 MAX ML:
1
NAME: CANCER ANTIGEN 125
MNEMONIC: CA125
ABBR: CA125
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86304
CPT TYPE: CPT-4
CHARGE:
204.00 BILLING CD: 66179
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.25 MAX ML:
1.0
NAME: CANDIDA ALBICANS AG DETECTION
MNEMONIC: CAAG
ABBR: CAAG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86403
CPT TYPE: CPT-4
CHARGE:
79.00 BILLING CD: 66023
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.4 MAX ML:
1.0
NAME: CANDIDA ALBICANS IGG,IGA,IGM
MNEMONIC: CAN
ABBR: C. ALBICANS AB
37
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.25 MAX ML:
1.0
COMPONENTS
CANG
CANDIDA IGG
86628
CPT-4
CANA
CANDIDA IGA
8662891
CPT-4
CANM
CANDIDA IGM
8662891
CPT-4
NAME: CANNABINOIDS (THC), SERUM
MNEMONIC: THCS
ABBR: SERUM THC
OTHER MNEMONIC: MARIJUANA,SERUM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
3.0 MAX ML:
10.0
COMPONENTS
THC1
TETRAHYDROCANNABINOL,SERUM
82542
THC2
CARBOXY-THC
82542
CPT-4
135.00 58848
135.00 65556
135.00 65556
CPT-4
191.00
191.00 65488
NAME: CAPILLARY BLOOD GAS
MNEMONIC: CBG
ABBR: CAPILLARY BLOOD
OTHER MNEMONIC:
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82803
CPT TYPE: CPT-4
CHARGE:
142.00 BILLING CD: 63658
CONTAINER: CAPBG
COMPONENTS
VPH
PH, VENOUS
82800
CPT-4
44.00 00331
VPCO2
VENOUS PCO2
GREEN
VPO2
VENOUS PO2
VHCO3
VENOUS HCO3
VO2
VENOUS CO2 CONTENT
VBE
VENOUS BASE EXCESS
NAME: CARBAMAZEPINE (TEGRETOL) LEVEL
MNEMONIC: CARB
ABBR: CARBAM
OTHER MNEMONIC: TEG
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80156
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 13581
CONTAINER: RED3
NAME: CARBOHYDRATE ANTIGEN 19-9
MNEMONIC: CA19
ABBR: CA19
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
65488
GREEN
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT: 86301
CPT TYPE: CPT-4
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
CHARGE:
1
MAX ML:
219.00 BILLING CD: 65554
1
NAME: CARBON DIOXIDE LEVEL
MNEMONIC: CO2
ABBR: CO2
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82374
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 09902
CONTAINER: MINT-PST
NAME: CARBOXY-THC CONFIRMATION,MEC
MNEMONIC: THCFM
ABBR: THCFM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 66315
CONTAINER: STOOL
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
COMPONENTS
RTHC
RESULT THC MEC
THCIM
INTERPRETATION THC MEC
COCTM
CHAIN OF CUSTODY THC MEC
NAME: CARBOXYHEMOGLOBIN
MNEMONIC: HBCO
ABBR: CO
OTHER MNEMONIC: CARBON MONOXIDE
COHB
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82375
CPT TYPE: CPT-4
CHARGE:
86.00 BILLING CD: 00442
CONTAINER: GREEN
COLLECTION INSTRUCTION: COLLECT ON ICE
NAME: CARCINOEMBRYONIC ANTIGEN
MNEMONIC: CEA
ABBR: CEA
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82378
CPT TYPE: CPT-4
CHARGE:
162.00 BILLING CD: 19660
CONTAINER: RED3
NAME: CARNITINE
MNEMONIC: CARN
OTHER MNEMONIC:
ABBR: CARN
38
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82379
CPT TYPE: CPT-4
CHARGE:
208.00 BILLING CD: 65310
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.2 MAX ML:
0.5
NAME: CAROTENE , BETA , S
MNEMONIC: CAROB
ABBR: CAROB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82380
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65108
CONTAINER: RED10
COLLECTION INSTRUCTION: PROTECT FROM LIGHT
ALIQUOT: AMBER
MIN ML:
0.3 MAX ML:
1.0
NAME: CATACHOLAMINE FRACT, FREE,U
MNEMONIC: CATFUZ
ABBR: CATFUZ
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82384
CPT TYPE: CPT-4
CHARGE:
194.00 BILLING CD: 65641
CONTAINER: UR24-ACE
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
10.0
CAT
CCD
CVOL
CNOR
CEP
CDOP
COMPONENTS
CATECHOLAMINE RESULT
COLLECTION DURATION CATFUZ
URINE VOLUME CATFUZ
NOREPINEPHRINE
EPINEPHRINE
DOPAMINE
NAME: CATECHOLAMINES FRACT, PLASMA
MNEMONIC: CATFU
ABBR: CATFU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82384
CPT TYPE: CPT-4
CHARGE:
194.00 BILLING CD: 65728
CONTAINER: OTHER
COLLECTION INSTRUCTION: SPECIAL INSTRUCTIONS: SCHEUDLE W/ MED ONC TEAM TUES-FRI
*SUPINE & STANDING*
ALIQUOT: FRZ-STAND
MIN ML:
2.0 MAX ML:
7.0
FRZ-SUPINE
2.0
7.0
NAME: CBC
MNEMONIC: CBC
DEPT: HEMA
SITE: ML
ABBR: CBC
TURN AROUND HOURS:
39
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT: 85027
CPT TYPE: CPT-4
CHARGE:
47.00 BILLING CD: 00401
CONTAINER: LAV
COMPONENTS
WBC
WHITE BLOOD CELL COUNT
CWBC
CORRECTED WHITE BLOOD COUNT
RBC
RED BLOOD CELL COUNT
HGBN
HEMOGLOBIN
HCTN
HEMATOCRIT
MCV
MCV
MCH
MCH
MCHC
MCHC
RDW-CV
RDW-CV
RDW-SD
RDW-SD
PLTC
PLATELET COUNT
SUSPECT
SUSPECT FLAG
DIFINIT
DIFINIT FLAG
ADDPLTE
ADD PLATELET EXAM?
ADDNRBC
ADD AUTO NRBC
SC
SMEAR SCREEN
NAME: CBC FOR DONORS NO CHARGE
MNEMONIC: CBDO
ABBR: CBDO
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CONTAINER: LAV
COMPONENTS
WBC
WHITE BLOOD CELL COUNT
CWBC
CORRECTED WHITE BLOOD COUNT
RBC
RED BLOOD CELL COUNT
HGBN
HEMOGLOBIN
HCTN
HEMATOCRIT
MCV
MCV
MCH
MCH
MCHC
MCHC
RDW-CV RDW-CV
RDW-SD
RDW-SD
PLTC
PLATELET COUNT
SUSPECT SUSPECT FLAG
DIFINIT
DIFINIT FLAG
ADDPLTE ADD PLATELET EXAM?
ADDNRBC ADD AUTO NRBC
SC
SMEAR SCREEN
NAME: CBC W/DIFF
MNEMONIC: CBCD
DEPT: HEMA
SITE: ML
CONTAINER: LAV
ABBR: CBC W/DIFF
TURN AROUND HOURS:
40
ACMH LAB TEST CATALOG
41
UPDATED AUGUST 2014
CBC W/DIFF COMPONENTS
WBC
WHITE BLOOD CELL COUNT
CWBC
CORRECTED WHITE BLOOD COUNT
RBC
RED BLOOD CELL COUNT
HGBN
HEMOGLOBIN
HCTN
HEMATOCRIT
MCV
MCV
MCH
MCH
MCHC
MCHC
RDW-CV
RDW-CV
RDW-SD
RDW-SD
PLTC
PLATELET COUNT
ADIF
AUTO DIFF
SUSPECT
SUSPECT FLAG
DIFINIT
DIFINIT FLAG
ADDPLTE
ADD PLATELET EXAM?
ADDMORP ADD RBC MORPHOLOGY?
ADDNRBC ADD AUTO NRBC
SC
SMEAR SCREEN
NAME: CC/BRONCHOALVEOLAR LAVAGE
MNEMONIC: CCBRON
ABBR: CELL COUNT BRON
OTHER MNEMONIC: BAL
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89051
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00122
CONTAINER: STC
LAB NOTE: CHECK WITH ALL DEPARTMENTS. FREQUENTLY A SHARED SPECIMEN.
COMPONENTS
BRWBC
BRONCHOALVEOLAR WBC
BRNE%
BRONCHOALVEOOLAR NEUTROPHIL %
BRLY%
BRONCHOALVEOOLAR LYMPH %
BREO%
BRONCHOALVEOOLAR EOS%
BRMAC
BRONCHOALVEOOLAR MACROPHAGES
BRCOMM
BRONCHOALVEOLAR COMMENT
NAME: CD4 (HELPER CELLS)
MNEMONIC: CD4H
DEPT: LR
SITE: MAYO
ABBR: CD4H
TURN AROUND HOURS:
NAME: CD4 T-CELL COUNT
MNEMONIC: CD4
ABBR: CD4
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: LAV
COLLECTION INSTRUCTION: MUST ARRIVE WITHIN 48 HOURS * SEND LAV TUBE * ROOM TEMP
42
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: LAV
MIN ML:
0.2 MAX ML:
3.0
CD4 T-CELL COUNT COMPONENTS
CD45
CD45 LYMPH COUNT
%CD3
%CD3 (T CELLS)
%CD4
%CD4 (HELPER CELLS)
%CD8
%CD8 (SUPP'R CELLS)
CD3
CD3 (T CELLS)
86359
CPT-4
203.00 55057
CD4H
CD4 (HELPER CELLS)
CD8
CD8 (SUPP'R CELLS)
HS
H/S RATIO
86360
CPT-4
254.00 55056
NAME: CELIAC DISEASE COMPREHENSIVE
MNEMONIC: CELC
ABBR: CELC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: YEL-ACDB
COLLECTION INSTRUCTION: BOTH BLOOD AND SERUM REQUIRED
ALIQUOT: SST
MIN ML:
1.5 MAX ML:
2.0
YEL-ACDB
3.0
7.0
COMPONENTS
MIGA
IMMUNOGLOBULIN A (MAYO)
82784
CPT-4
DQA1
DQ ALPHA 1
81376
CPT-4
DQB1
DQ BETA 1
81376
CPT-4
CELG
CELIAC GENE PAIRS PRESENT?
CELI
INTERPERTATION CELC
97.00 65037
749.00 66619
749.00 66619
NAME: CELL CNT/DIFF,PERICARDIAL FLD
MNEMONIC: CCPC
ABBR: CC/DF PERICARD
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89051
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00122
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1 MAX ML:
100
COMPONENTS
PCSR
SOURCE, PERICARDIAL FLUID
PCC
COLOR, PERICARDIAL FLUID
PCAPP
APPEARANCE, PERICARDIAL FLUID
PCWBC
WBC, PERICARDIAL FLUID
PCRBC
RBC, PERICARDIAL FLUID
PCNE%
NEUTROPHILS,FLUID
PCLY%
LYMPHOCYTES, PERICARDIAL FLUID
PCMO%
MONOCYTES/MACROPH,PERICARDIA%
PCEO%
EOSINOPHIL, PERICARDIAL FLUID
PCNE#
NEUTROPHILS,PERICARDIAL#
PCLY#
LYMPHOCYTE,PERICARDIAL#
PCMO#
MONOCYTE/MACROPHA,PERICARDIAL#
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
PCEO#
TCCF
EOSINOPHILS,PERICARDIAL#
TOTAL # OF CELLS CNTED SLIDE
NAME: CELL COUNT CSF - DIFF REFLEXED IF CELLS PRESENT
MNEMONIC: CCCSF
ABBR: CCCSF
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: CSF#2
COLLECTION INSTRUCTION:
ALIQUOT: CSF#1
MIN ML:
1 MAX ML:
1
COMPONENTS
CSFC
COLOR, CSF
CSFAPP
APPEARANCE, CSF
CSFWBC
WBC, CSF
CSFRBC
RBC, CSF
ADDCSFDIFF ADD CSF DIFF?
NAME: CELL COUNT/DIFF,PERITONEAL FLD
MNEMONIC: CCPT
ABBR: CC/DF PERITON
OTHER MNEMONIC:
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89051
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00122
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1 MAX ML:
1
COMPONENTS
PTSR
SOURCE, PERITONEAL FLUID
PTC
COLOR, PERITONEAL FLUID
PTAPP
APPEARANCE, PERITONEAL FLUID
PTWBC
WBC, PERITONEAL FLUID
PTRBC
RBC, PERITONEAL FLUID
PTNE%
NEUTROPHIL, PERITONEAL FLUID
PTLY%
LYMPHOCYTE, PERITONEAL FLUID
PTMO%
MONOCYTE/MACROPHAGE,PERITONEAL
PTEO%
EOSINOPHIL, PERITONEAL FLUID
PTNE#
NEUTROPHIL,PERITONEAL#
PTLY#
LYMPHOCYTE,PERITONEAL#
PTMO#
MONOCYTE/MACROPHAGE,PERITONEAL
PTEO#
EOSINOPHIL,PERITONEAL#
TCCF
TOTAL # OF CELLS CNTED SLIDE
NAME: CELL COUNT/DIFF,PLEURAL FLD
MNEMONIC: CCPL
ABBR: CC/DF PLEURAL
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89051
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00122
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1 MAX ML:
1
43
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CELL COUNT/DIFF,PLEAURAL FLUID COMPONENTS
PLSR
SOURCE, PLEURAL FLUID
PLC
COLOR, PLEURAL FLUID
PLAPP
APPEARANCE, PLEURAL FLUID
PLWBC
PLEURAL FLUID WBC
PLRBC
RBC, PLEURAL FLUID
PLNE%
NEUTROPHIL, PLEURAL FLUID
PLLY%
LYMPHOCYTES, PLEURAL FLUID
PLMO%
MONOCYTE/MACROPHAGE,PLEURAL%
PLEO%
EOSINOPHIL, PLEURAL FLUID
PLNE#
NEUTROPHIL,PLEURAL FLUID #
PLLY#
LYMPHOCYTE,PLEURAL #
PLMO#
MONOCYTE/MACROPHAGE,PLEURAL#
PLEO#
EOSINOPHIL,PLEURAL#
TCCF
TOTAL # OF CELLS CNTED SLIDE
NAME: CELL COUNT/DIFF,SYNOVIAL FLUID
MNEMONIC: CCSY
ABBR: CC/DIF SYNOVIAL
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89051
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00122
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1 MAX ML:
1
CELL COUNT/DIFF,SYNOVIAL FLUID COMPONENTS
SYSR
SOURCE, SYNOVIAL FLUID
SYC
COLOR, SYNOVIAL FLUID
SYAPP
APPEARANCE, SYNOVIAL FLUID
SYWBC
WBC, SYNOVIAL FLUID
SYRBC
RBC, SYNOVIAL FLUID
SYNE%
NEUTROPHILS, SYNOVIAL FLUID
SYLY%
LYMPHOCYTES, SYNOVIAL FLUID
SYMO%
MONOCYTES/MACROPHAGES,SYN%
SYEO%
EOSINOPHILS,SYNOVIAL
SYNE#
NEUTROPHILS,SYNOVIAL
SYLY#
LYMPHOCYTES,SYNOVIAL
SYMO#
MONOCYTES/MACROPHAGES,SYN
SYEO#
EOSINOPHIL,SYNOVIAL
TCCSY
TOTAL NUMBER OF CELLS COUNTED
NAME: CENTROMERE ANTIBODIES, IgG
MNEMONIC: ACAB
ABBR: ACAB
OTHER MNEMONIC: CREST
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65437
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
1.0
NAME: CERULOPLASMIN
MNEMONIC: CER
DEPT: LR
SITE: MAYO
ABBR: CER
TURN AROUND HOURS:
44
45
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT: 82390
CPT TYPE: CPT-4
CONTAINER: SST10
COLLECTION INSTRUCTION
FASTING PREFERRED
ALIQUOT: SST
MIN ML:
NAME: CHEM 6
MNEMONIC: CHM6
DEPT: CHEM
SITE: ML
CPT:
CPT TYPE:
CONTAINER: MINT-PST
BUN
CREA
NA
K
CL
CO2
GAP
1
MAX ML:
84.00 BILLING CD: 65132
1.0
ABBR: CHM6
TURN AROUND HOURS:
CHARGE:
BILLING CD:
COMPONENTS
BLOOD UREA NITROGEN
84520
CREA W/ GFR
SODIUM
84295
POTASSIUM
84132
CHLORIDE
82435
CARBON DIOXIDE LEVEL
82374
ANION GAP
NAME: CHEM 7
MNEMONIC: CHM7
DEPT: CHEM
SITE: ML
CPT:
CPT TYPE:
CONTAINER: MINT-PST
GLU
BUN
CREA
NA
K
CL
CO2
GAP
CHARGE:
CPT-4
21.00
CPT-4
CPT-4
CPT-4
CPT-4
00304
MINT-PST
36.00 65639
25.00 00313
25.00 00510
25.00 09902
MINT-PST
MINT-PST
MINT-PST
MINT-PST
ABBR: CHM7
TURN AROUND HOURS:
CHARGE:
BILLING CD:
COMPONENTS
GLUCOSE,RANDOM
BLOOD UREA NITROGEN
CREA W/ GFR
SODIUM
POTASSIUM
CHLORIDE
CARBON DIOXIDE LEVEL
ANION GAP
82947
84520
CPT-4
CPT-4
25.00 00703
21.00 00304
84295
84132
82435
82374
CPT-4
CPT-4
CPT-4
CPT-4
36.00 65639
25.00 00313
25.00 00510
25.00 09902
NAME: CHLAMYDIA SEROLOGY,SERUM
MNEMONIC: CHLAB
ABBR: CHLAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.2 MAX ML:
1.0
CHLAMYDIA SEROLOGY COMPONENTS
46
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CHPNG
CHPNM
CHPSG
CHPSM
CHTRG
CHTRM
CHLAMYDIA PNEUMONIAE IGG
CHLAMYDIDA PNEUMONIAE IGM
CHLAMYDIA PSITTACI IGG
CHLAMYDIA PSITTACI IGM
CHLAMYDIA TRACHOMATIS IGG
CHLAMYDIA TRACHOMATIS IGM
86631
86632
8663191
8663291
8663191
8663291
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
63.00 65690
140.00 55063
63.00 65706
140.00 65674
63.00 65706
140.00 65674
NAME: CHLAMYDIA TRACHOMATIS RNA
MNEMONIC: CTRNA
ABBR: CTRNA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87491
CPT TYPE: CPT-4
CHARGE:
161.00 BILLING CD: 58561
CONTAINER: APTIMA SWAB
ALIQUOT: APTIMA
MIN ML:
1 MAX ML:
1
APTIMAU
2.0
20.0
COMPONENTS
SCTRNA
SOURCE CTRNA
RCTRNA
CHLAMYDIA RESULT
NAME: CHLAMYDIA/NEISSERIA AMPLIF RNA
MNEMONIC: CGRNA
ABBR: CGRNA
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: APTIMA
COLLECTION INSTRUCTION: Swab or urine
ALIQUOT: APTIMA
MIN ML:
1 MAX ML:
1
APTIMAU
2.0
20
COMPONENTS
CTRNA
CHLAMYDIA TRACHOMATIS RNA
87491
GCRNA
NEISSERIA GONORRHOEAE RNA
87591
CPT-4
CPT-4
NAME: CHLORDIAZEPOXIDE, SERUM
MNEMONIC: CHLD
ABBR: CHLD
OTHER MNEMONIC: LIBRIUM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80154
CPT TYPE: CPT-4
CHARGE:
199.00 BILLING CD: 66422
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.1 MAX ML:
3.0
NAME: CHLORIDE
MNEMONIC: CL
ABBR: CL
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82435
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00510
CONTAINER: MINT-PST
161.00 58561
161.00 59909
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: CHLORIDE RANDOM URINE
MNEMONIC: CLUR
ABBR: CLUR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82436
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 65940
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
1.0 MAX ML:
5.0
NAME: CHLORIDE, FLUID
MNEMONIC: FCL
ABBR: CHLORIDE, FLUID
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82438
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 63536
CONTAINER: GREEN
NAME: CHLORIDE,24 HR URINE
MNEMONIC: CLU
ABBR: CLU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82436
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 65940
CONTAINER: UR24
ALIQUOT: URINE
MIN ML:
0.25 MAX ML:
5.0
NAME: CHOLESTEROL LEVEL
MNEMONIC: CHOL
ABBR: CHOL
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82465
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00316
CONTAINER: MINT-PST
NAME: CHOLESTEROL,PERICARDIAL FLUID
MNEMONIC: CHOLPC
ABBR: CHOL PERIC
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82465
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00316
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: CHOLESTEROL,PERITONEAL FLUID
MNEMONIC: CHOLPT
ABBR: CHOL PERIT
47
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82465
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00316
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: CHOLESTEROL,PLEURAL FLUID
MNEMONIC: CHOLPL
ABBR: CHOL PLEUR
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82465
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00316
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: CHOLESTEROL,SYNOVIAL FLUID
MNEMONIC: CHOLSY
ABBR: CHOL SYN
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82465
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00316
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: CHROMIUM, SERUM
MNEMONIC: CHROM
ABBR: CHROM
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82495
CPT TYPE: CPT-4
CHARGE:
86.00 BILLING CD: 59764
CONTAINER: RYLBLPLAIN
COLLECTION INSTRUCTION: COLLECT IN ROYAL BLUE SERUM TUBE. USE METAL FREE
ALIQUOT.
ALIQUOT: METAL FREE
MIN ML:
1 MAX ML:
1
NAME: CHROMOGRANIN A, SERUM
MNEMONIC: CHROA
ABBR: CHROA
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86316
CPT TYPE: CPT-4
CHARGE:
160.00 BILLING CD: 65794
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.2 MAX ML:
0.5
NAME: CHROMOSOMAL MICROARRAY,B
MNEMONIC: CMAC
ABBR: CMAC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81229
CPT TYPE: CPT-4
CHARGE: 6173.00 BILLING CD: 66948
48
49
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: LAV
COLLECTION INSTRUCTION: GREEN AND LAV NEEDED
ALIQUOT: GREEN
MIN ML:
3.0 MAX ML:
3.0
LAV
3.0
3.0
NAME: CHROMOSOME ADDITIONAL CELLS
MNEMONIC: CHRC
ABBR: CHRC
OTHER MNEMONIC: 88285
DEPT: LR
SITE: HEMA
TURN AROUND HOURS:
CPT: 88285
CPT TYPE: CPT-4
CHARGE:
334.00 BILLING CD: 58665
NAME: CHROMOSOME ANAL, AUTOPSY/POC
MNEMONIC: CHRPC
ABBR: CHRPC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: STC
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
COMPONENTS
TC
TISSUE CULTURE FOR PC
88233
CPT-4
CHROS
CHROMOSOME STUDY
88299
CHRPCI
INTERPERTATION CHRPCI
NAME: CHROMOSOME ANAL, CONGENTIAL,BL
MNEMONIC: CHROCD
ABBR: CHROCD
OTHER MNEMONIC: KAROTYPE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: GREEN
COLLECTION INSTRUCTION: ROOM TEMP
ALIQUOT: GREEN
MIN ML:
2.0 MAX ML:
5.0
COMPONENTS
TCCH
TISSUE CULTURE CHROM ANALYSIS
88230
CACD
CONGENTIAL DISORDER CHROMOSOME
88262
CHRI
INTERPRETATION
752.00
55066
GREEN
0.00 58645
CPT-4
CPT-4
NAME: CHROMOSOME ANALYSIS 20-25 CELL
MNEMONIC: CHRA20
ABBR: 88264
OTHER MNEMONIC: 88264
DEPT: LR
SITE: HEMA
TURN AROUND HOURS:
CPT: 88264
CPT TYPE: CPT-4
CHARGE: 1211.00 BILLING CD: 66034
639.00 58364
944.00 65714
0 .00 58645
50
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: CHROMOSOME ANALYSIS KAROTYPE LAB U SE ONLY
MNEMONIC: CHRK
ABBR: CHRK
OTHER MNEMONIC: 88261
DEPT: LR
SITE: HEMA
TURN AROUND HOURS:
CPT: 88261
CPT TYPE: CPT-4
CHARGE: 1884.00 BILLING CD: 65513
COLLECTION INSTRUCTION:
DO NOT ORDER FOR KATHY'S USE ONLY!!
NAME: CHROMOSOME ANALYSIS,AF
MNEMONIC: CHRA
ABBR: CHRA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
ALIQUOT: FLUID
MIN ML:
10 MAX ML:
25
COMPONENTS
CHROMA RESULT CHRA
88269
CHRKA
CHROMOSOM,ADDITIONAL KARYOTYPE
88280
TCAF
TISSUE CULTURE FOR AF
88235
CHRAI
INTERPERTATION,CHRA
CPT-4
CPT-4
CPT-4
NAME: CHROMOSOME ANALYSIS,AF
MNEMONIC: CHAF
ABBR: CHAF
OTHER MNEMONIC: 88269
DEPT: LR
SITE: ML
TURN AROUND HOURS:
CPT: 88269
CPT TYPE: CPT-4
CHARGE:
888.00 BILLING CD: 55073
NAME: CHROMOSOME BANDING
MNEMONIC: CBAND
ABBR: CBAND
OTHER MNEMONIC: 88283
DEPT: LNP
SITE: HEMA
TURN AROUND HOURS:
CPT: 88283
CPT TYPE: CPT-4
CHARGE:
684.00 BILLING CD: 66885
NAME: CHROMOSOME MORPHOMETERIC ANAL
MNEMONIC: CMORH
ABBR: CMORPH
OTHER MNEMONIC: 88367
DEPT: LNP
SITE: HEMA
TURN AROUND HOURS:
CPT: 88367
CPT TYPE: CPT-4
CHARGE:
856.00 BILLING CD: 66116
888.00 55073
363.00 58643
539.00 55072
0.00 58645
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: CHYLOMICRONS
MNEMONIC: CLMI
DEPT: SC
SITE: ML
CONTAINER: YEL-SST
ABBR: CHYLOMICRONS
TURN AROUND HOURS:
NAME: CHYMOPAPAIN,IGE
MNEMONIC: CHYIGE
ABBR: CHYIGE
OTHER MNEMONIC: DIACTIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86003
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 65892
CONTAINER: SST
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
NAME: CITRATE EXCRETION,URINE
MNEMONIC: CITU
ABBR: CITRATE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82507
CPT TYPE: CPT-4
CHARGE:
188.00 BILLING CD: 19934
CONTAINER: UR24-BOR
COLLECTION INSTRUCTION: 24 HR URINE
ALIQUOT: URINE
MIN ML:
1.0 MAX ML:
5.0
COMPONENTS
CEXR
CITRATE EXCRETION,24 HR UR
CPT-4
CITD
COLLECTION DURATION
CITV
URINE VOLUME
CITC
CITRATE CONCENTRATION
NAME: CK ISOENZYME ELECTROPHORESIS
MNEMONIC: ISCK
ABBR: ISCK
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
COMPONENTS
CKE
CK ISOENZYME ELECTROPHORESIS
CKTA
TOTAL CK ACTIVITY (MAYO)
CKMM
CK MM
82552
CPT-4
57.00
19532
51
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CKMB
CKBB
CK MB
CK BB
NAME: CKMB WITH RELATIVE INDEX
MNEMONIC: MBRI
ABBR: CKMB WITH RELAT
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CONTAINER: YEL-SST
ALIQUOT: YEL-SST
MIN ML:
1 MAX ML:
1
COMPONENTS
CK
CREATINE KINASE
82550
CPT-4
48.00 00325
MINT-PST
CK-MB
CK-MB
82553
CPT-4
66.00 09889
RED3
%NDX
%CK-MB INDEX
NAME: CLINITEST, URINE
MNEMONIC: UCLIN
OTHER MNEMONIC: CLINI
DEPT: UR
SITE: ML
METHOD CODE LAB USE ONLY
ABBR: CLINITEST
TURN AROUND HOURS:
NAME: CLOMIPRAMINE,SERUM
MNEMONIC: CLND
ABBR: CLOMIPRAMINE
OTHER MNEMONIC: ANAFRAIL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82542
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 66689
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.6 MAX ML:
3.0
COMPONENTS
CLOM
CLOMIPRAMINE
DCLOM
DESMETHYLCLOMIPRAMINE
NAME: CLONAZEPAM (KLONOPIN)
MNEMONIC: CZP
ABBR: CZP
OTHER MNEMONIC: RIVOTRIL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80154
CPT TYPE: CPT-4
CHARGE:
199.00 BILLING CD: 65140
CONTAINER: RED
ALIQUOT: SERUM
MIN ML:
2.0 MAX ML:
2.5
NAME: CLOSTRIDIUM DIFFICILE TOXIN
MNEMONIC: CDFF
ABBR: CDFF
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 87493
CPT TYPE: CPT-4
CHARGE:
231.00 BILLING CD: 66270
52
53
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: NONSTERILE CONTAINER
COLLECTION INSTRUCTION: RECEIVE WITHIN 2 HOURS OF COLLECTION
NAME: CLOSURE TIME
MNEMONIC: CT
ABBR: *CLOSURE TIME*
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 85576
CPT TYPE:
CHARGE: 230.00
BILLING CD: 65936
CONTAINER: BLUE
COLLECTION INSTRUCTION: ROOM TEMP
* DO NOT SPIN *
*DO NOT USE THE VACUUM TUBE SYSTEM*
NAME: CLOSURE TIME,COLLAGEN/ADP [REFLEX TEST]
MNEMONIC: CADP
ABBR: CADP
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 8557659
CPT TYPE: CPT-4
CHARGE:
230.00 BILLING CD: 65944
NAME: CLOZAPINE,SERUM
MNEMONIC: CLOZS
ABBR: CLOZS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.6 MAX ML:
1.0
COMPONENTS
CLON
CLOZAPINE
80159
CPT-4
NORC
NORCLOZAPINE
CLOZT
COMBINED TOTAL
108.00
66887
NAME: CMV BY PCR, BODY FLUIDS
MNEMONIC: CMVPCRF
ABBR: CMVPCRF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87496
CPT TYPE: CPT-4
CHARGE:
356.00 BILLING CD: 65433
CONTAINER: OTHER
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CMV BY PCR ALIQUOT: FLUID
MIN ML:
0.5
MAX ML:
0.5
NAME: CMV DNA DETECT/QUANT
MNEMONIC: CMVDNA
ABBR: CMVDNA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87497
CPT TYPE: CPT-4
CHARGE:
449.00 BILLING CD: 65544
CONTAINER: LAV
ALIQUOT: FRZ-PLASMA
MIN ML:
2.5 MAX ML:
2.5
NAME: COBALT,SERUM
MNEMONIC: COB
ABBR: COB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83018
CPT TYPE: CPT-4
CHARGE:
237.00 BILLING CD: 55144
CONTAINER: ROYAL BLUE PLAIN
COLLECTION INSTRUCTION: SEE BOOK
ALIQUOT: ROYAL BLUE
MIN ML:
0.5 MAX ML:
2.0
NAME: COCAINE CONFIRMATION,U
MNEMONIC: COCU
ABBR: COCAINE CONFIRM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82520
CPT TYPE: CPT-4
CHARGE:
237.00 BILLING CD: 65075
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
20.0
COMPONENTS
IACOC
IMMUNOASSAY COCAINE
GCCC
GC/MS CONFIRMATION COCAINE
CCN
COCAINE BY GC/MS
BZG
BENZOYLECGONINE BY GC/MS
ICOCA
INTERPRETATION COCAINE
COCOC
CHAIN OF CUSTODY COCAINE
CMCC
COMMENT COCAINE
NAME: COCAINE MECONIUM CONFIRMATION
MNEMONIC: COKEM
ABBR: COKEM
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82520
CPT TYPE: CPT-4
CHARGE:
237.00 BILLING CD: 66291
CONTAINER: STOOL
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
COMPONENTS
CCAMC
COCAINE MECONIUM
BZCMC
BENZOYLECGONINE
CCHMC
COCAETHYLENE
HBZG
M-HYDROXYEBEZOYLECGONINE
COKEMI
INTERPRETATION COCAINE MEC
COCCCM
CHAIN OF CUSTODY MEC COCAINE
NAME: COCAINE, WHOLE BLOOD
MNEMONIC: COC
ABBR: COCAINE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66021
CONTAINER: GRAY
ALIQUOT: GRAY
MIN ML:
3.0 MAX ML:
7.0
54
ACMH LAB TEST CATALOG
55
UPDATED AUGUST 2014
NAME: COCCIDIOIDES ANTIBODY, SERUM
MNEMONIC: COCAB
ABBR: COCAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86635
CPT TYPE: CPT-4
CHARGE:
126.00 BILLING CD: 65956
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.5 MAX ML:
2.0
NAME: COENZYME Q10,REDUCED AND TOTAL
MNEMONIC: Q10
ABBR: Q10
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82492
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 65436
CONTAINER: GRN ON ICE
COLLECTION INSTRUCTION: FASTING*IMMEDIATELY PLACE SPEC IN WET ICE*PROCESS W/IN 3
HR
ALIQUOT: FRZ-PLASMA
MIN ML:
0.3 MAX ML:
0.5
COMPONENTS
CQ10R
CQ10 REDUCED
CQ10T
CQ10 TOTAL
CQ10%
CQ10 %REDUCED
CQ10I
INTERPRETATION Q10
NAME: COLD AGGLUTININ SCREEN
MNEMONIC: COG
ABBR: COLD AGG SCREEN
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 86156
CPT TYPE: CPT-4
CHARGE:
35.00 BILLING CD: 61304
CONTAINER: PINK
COLLECTION INSTRUCTION” PLACE IN WARM SAND BOX FROM MICRO AS SOON AS
COLLECTED.
56
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
COLD AGGLUTININ SCREEN ALIQUOT: PINK
MIN ML:
1
MAX ML:
NAME: COLLAGEN BINDING ASSAY
MNEMONIC: CBA
ABBR: CBA
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85246
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
NAME: COMMENT-DRUG SCREEN
MNEMONIC: COM
ABBR: COM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
:
NAME: COMPLEMENT C1Q COMPONENT
MNEMONIC: C1Q
ABBR: C1Q
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86160
CPT TYPE: CPT-4
CHARGE:
93.00 BILLING CD: 65818
CONTAINER: SST10
COLLECTION INSTRUCTION: FASTING
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: COMPLEMENT C2, FUNCTIONAL
MNEMONIC: C2
ABBR: C2
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86161
CPT TYPE: CPT-4
CHARGE:
121.00 BILLING CD: 66024
CONTAINER: RED ON ICE
COLLECTION INSTRUCTION:FASTING PREFERRED
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1
NAME: COMPLEMENT C3
MNEMONIC: C3
ABBR: C3
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86160
CPT TYPE: CPT-4
CHARGE:
93.00 BILLING CD: 65068
CONTAINER: SST10
1
57
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: SERUM
MIN ML:
0.5
MAX ML:
1.0
NAME: COMPLEMENT C4
MNEMONIC: C4
ABBR: C4
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86160
CPT TYPE: CPT-4
CHARGE:
93.00 BILLING CD: 65076
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: COMPLEMENT C7 FUNCTIONAL
MNEMONIC: C7
ABBR: C7
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86161
CPT TYPE: CPT-4
CHARGE:
121.00 BILLING CD: 65737
CONTAINER: RED10
COLLECTION INSTRUCTION: ON ICE/FREEZE IMMEDIATELY/FASTING
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: COMPLEMENT,TOTAL (CH50)
MNEMONIC: CH50
ABBR: CH50
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86162
CPT TYPE: CPT-4
CHARGE:
155.00 BILLING CD: 65156
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: COMPREHENSIVE METOBOLIC PROFIL
MNEMONIC: CPA
ABBR: CPA
OTHER MNEMONIC: CHEM20
CMP
CPB
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 80053
CPT TYPE: CPT-4
CHARGE:
261.00 BILLING CD: 59896
CONTAINER: MINT-PST
COMPONENTS
GLU
GLUCOSE,RANDOM
82947
CPT-4
25.00 00703
BUN
BLOOD UREA NITROGEN
84520
CPT-4
21.00 00304
CREA
CREA W/ GFR
NA
SODIUM
84295
CPT-4
36.00 65639
K
POTASSIUM
84132
CPT-4
25.00 00313
CL
CHLORIDE
82435
CPT-4
25.00 00510
CO2
CARBON DIOXIDE LEVEL
82374
CPT-4
25.00 09902
CONTINUED
58
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CA
ACAL
TP
ALB
GLOB
TBIL
AST
ALT
ALKP
CALCIUM LEVEL
ADJUSTED CALCIUM
TOTAL PROTEIN
ALBUMIN
GLOBULIN
BILIRUBIN,TOTAL
AST/SGOT
ALT/SGPT
ALKALINE PHOSPHATASE
82310
CPT-4
36.00
00306
84155
82040
CPT-4
CPT-4
50.00
25.00
00318
00319
82247
84450
84460
84075
CPT-4
CPT-4
CPT-4
CPT-4
51.00
29.00
29.00
39.00
00333
00328
00329
00323
NAME: CONNECTIVE TISSUE DIS CASCADE
MNEMONIC: CTDC
ABBR: CTDC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
MANA
ANA (MAYO)
86038
CPT-4
CDI
INTERPRETATION CDTC
CCP
CYCLIC CITRULLINATED PEPTID AB
86200
94.00
CPT-4
65154
135.00
65449
SST10
NAME: CONSULT,COMPREHENSIVE
MNEMONIC: PC4
ABBR: PC4
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 88325
CPT TYPE: CPT-4
CHARGE:
265.00 BILLING CD: 65663
NAME: COPPER, 24 HR URINE
MNEMONIC: UCOP
ABBR: UCOP
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82525
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 65188
CONTAINER: UR24
COLLECTION INSTRUCTION: NO PRESERVATIVE. RECORD TOTAL VOLUME.
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
NAME: COPPER,SERUM
MNEMONIC: COP
ABBR: COP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82525
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 65180
CONTAINER: RYLBLPLAIN
ALIQUOT: METAL FREE
MIN ML:
0.25 MAX ML:
1.0
NAME: CORTISOL,FREE,24 HR URINE
MNEMONIC: COR24
ABBR: COR24
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82530
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 65196
CONTAINER: UR24-BOR
COLLECTION INSTRUCTION: ADD BORIC ACID PRIOR TO COLLECTION. RECORD TOTAL VOLUME
ALIQUOT: URINE
MIN ML:
3.0 MAX ML:
5.0
COMPONENTS
CORR
RESULT CORTISOL,U
CORCD
COLLECTION DURATION CORTISOL
CORV
URINE VOLUME CORTISOL
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: CORTISOL,FREE,S
MNEMONIC: CORTF
ABBR: CORTF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82530
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 66310
CONTAINER: RED
ALIQUOT: SERUM
MIN ML:
0.7 MAX ML:
2.0
NAME: CORTISOL,SALIVA
MNEMONIC: CORS
ABBR: CORS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82530
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 66029
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
0.6 MAX ML:
1
NAME: CORTISOL,SERUM
MNEMONIC: CORT
ABBR: CORTISOL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82533
CPT TYPE: CPT-4
CHARGE:
126.00 BILLING CD: 65204
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
0.5
COMPONENTS
CORTI
CORTISOL,RANDOM
COAM
CORTISOL, AM
COPM
CORTISOL, PM
59
60
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: CORTROSYN STIMULATION, SERUM
MNEMONIC: CORTS
ABBR: CORTS
OTHER MNEMONIC: ACTHSTIM
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
COLLECTION INSTRUCTION: BASELINE, 30MIN POST INJECTION, 60 MIN POST
COMPONENTS
CORBASE CORTISOL BASELINE
82533
CPT-4
126.00 65204
COR30
CORTISOL 30 MINUTES
82533
CPT-4
126.00 65204
COR60
CORTISOL 60 MINUTES
82533
CPT-4
126.00 65204
NAME: COXSACKIE A AB PANEL,S
MNEMONIC: COXA
ABBR: COXA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
CXA2
COXSACKIE A AB TYPE 2
86658
CPT-4
CXA4
COXSACKIE A AB TYPE 4
8665891
CPT-4
CXA7
COXSACKIE A AB TYPE 7
8665891
CPT-4
CXA9
COXSACKIE A AB TYPE 9
8665891
CPT-4
CXA10
COXSACKIE A AB TYPE 10
8665891
CPT-4
CXA16
COXSACKIE A AB TYPE 16
8665891
CPT-4
104.00
103.00
103.00
103.00
103.00
103.00
65083
65405
65405
65405
65405
65405
NAME: COXSACKIE B AB PANEL,S
MNEMONIC: COXB
ABBR: COXB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
CX1
COXSACKIE B AB TYPE 1
86658
CPT-4
CX2
COXSACKIE B AB TYPE 2
8665891
CPT-4
CX3
COXSACKIE B AB TYPE 3
8665891
CPT-4
CX4
COXSACKIE B AB TYPE 4
8665891
CPT-4
CX5
COXSACKIE B AB TYPE 5
8665891
CPT-4
CX6
COXSACKIE B AB TYPE 6
8665891
CPT-4
104.00
103.00
103.00
103.00
103.00
103.00
65091
65405
65405
65405
65405
65405
NAME: CPA WITH LIVER
MNEMONIC: CPAL
ABBR: CPA WITH LIVER
OTHER MNEMONIC: CPA AND LIVER CONTINUED
BASELINE
30MIN SST
60MIN SST
61
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: CHEM
SITE: ML
CPT:
CPT TYPE:
CONTAINER: MINT-PST
CPA
PST
DBIL
COMPONENTS
COMPREHENSIVE METOBOLIC PROFIL
BILIRUBIN,DIRECT
NAME: CREA W/ GFR
MNEMONIC: CREA
DEPT: CHEM
SITE: ML
CPT:
CPT TYPE:
CRE
GFR
TURN AROUND HOURS:
CHARGE:
BILLING CD:
CREATININE
CALCULATED GFR
82248
80053
CPT-4
ABBR: CREA
TURN AROUND HOURS:
CHARGE:
BILLING CD:
COMPONENTS
82565
CPT-4
CPT-4
34.00
37.00
261.00
58562
63584
NAME: CREATINE KINASE
MNEMONIC: CK
ABBR: CK
OTHER MNEMONIC: CKS
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82550
CPT TYPE: CPT-4
CHARGE:
48.00 BILLING CD: 00325
CONTAINER: MINT-PST
NAME: CREATINE KINASE ISOENZYMES
MNEMONIC: CKIS
ABBR: CKIS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
CKT
CK TOTAL (MAYO)
82550
CPT-4
CKER
CK ISOENZYME ELEC
48.00
65989
NAME: CREATININE
MNEMONIC: CRE
ABBR: CRE
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82565
CPT TYPE: CPT-4
CHARGE:
37.00 BILLING CD: 63584
CONTAINER: MINT-PST
59896
MINT-PST
MINT-PST
MINT-
62
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: CREATININE BEDSIDE
MNEMONIC: ACREN
ABBR: ACREN
OTHER MNEMONIC: CREGFR
DEPT: NURSE
SITE: ML
TURN AROUND HOURS:
CPT: 82565
CPT TYPE: CPT-4
CHARGE:
37.00 BILLING CD: 66354
NAME: CREATININE CLEARANCE, 24 URINE
MNEMONIC: CRCL
ABBR: CREAT CLEAR
DEPT: LNP
SITE: ML
TURN AROUND HOURS:
CPT: 82575
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 00352
CONTAINER:
COMPONENTS
CRE
CREATININE
82565
CPT-4
37.00 63584
URCRECL
URINE CREATININNE CLEARANCE
MINT-PST
NAME: CREATININE, FLUID
MNEMONIC: CRTF
ABBR: CREAT FLD
OTHER MNEMONIC: CREATF
FCREA
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82570
CPT TYPE: CPT-4
CHARGE:
51.00 BILLING CD: 63528
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: CREATININE, TIMED URINE
MNEMONIC: UCREAT
ABBR: CREA TIMED
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82570
CPT TYPE: CPT-4
CHARGE:
51.00 BILLING CD: 00200
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00 63600
UCREA
CREATININE, URINE
82570
CPT-4
51.00 00200
UCRT
CREATININE URINE TIMED
NAME: CREATININE, URINE
MNEMONIC: UCREA
ABBR: UCREA
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82570
CPT TYPE: CPT-4
CHARGE:
51.00 BILLING CD: 00200
CONTAINER: STC
STC
63
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: CREATININE,RANDOM URINE
MNEMONIC: CREU
ABBR: CRE,UR
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82570
CPT TYPE: CPT-4
CHARGE:
51.00 BILLING CD: 00200
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: CREDIT MACROSCOPIC LAB USE ONLY
MNEMONIC: CRMAC
ABBR: CREDIT
OTHER MNEMONIC: CREDIT
DEPT: UR
SITE: ML
TURN AROUND HOURS:
CPT: 81003
CPT TYPE: CPT-4
CHARGE:
-20.00 BILLING CD: 63758
NAME: CRP (INFLAMMATION)
MNEMONIC: CRPI
ABBR: CRPI
OTHER MNEMONIC: CRP
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 86140
CPT TYPE: CPT-4
CHARGE:
30.00 BILLING CD: 63751
CONTAINER: YEL-SST
NAME: CRYOGLOBULINS (SERUM & PLASMA)
MNEMONIC: CRYOG
ABBR: CRYOG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION: SPIN LAV. PUT 2 REDS IN WATER BATH. CLOT FOR 1 HOUR. SPIN
ALIQUOT: PLASMA
MIN ML:
1.0 MAX ML:
1.0
SERUM
3.0
5.0
COMPONENTS
CRYF
CRYOFIBRINOGEN
82585
CPT-4
44.00 84648
CRYO
CRYOGLOBULIN
82595
CPT-4
51.00 84792
NAME: CRYPTOCOCCAL ANTIGEN
MNEMONIC: CRPA
ABBR: CRPA
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 86317
CPT TYPE: CPT-4
CHARGE:
116.00 BILLING CD: 66018
CONTAINER: RED10
64
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CRYPTOCOCCAL ANTIGENT ALIQUOT: NT
MIN ML:
1
MAX ML:
NAME: CRYPTOCOCCAL ANTIGEN TITER
MNEMONIC: CRPAT
ABBR: CRPAT
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CONTAINER: RED
ALIQUOT: NT
MIN ML:
1 MAX ML:
1
NAME: CRYPTOSPORIDIUM ANTIGEN, FECES
MNEMONIC: CRYA
ABBR: CRYA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87328
CPT TYPE: CPT-4
CHARGE:
74.00 BILLING CD: 66398
CONTAINER: PPARA
COLLECTION INSTRUCTION
PART OF O&P WORKUP
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
NAME: CRYSTALS,SYNOVIAL FLUID
MNEMONIC: CRYS
ABBR: CRYS
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89060
CPT TYPE: CPT-4
CHARGE:
101.00 BILLING CD: 00089
CONTAINER: LAV
NAME: CYANIDE, BLOOD
MNEMONIC: CYAN
ABBR: CYAN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82600
CPT TYPE: CPT-4
CHARGE:
209.00 BILLING CD: 65220
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
3.0 MAX ML:
3.0
NAME: CYCLIC AMP,URINARY EXCRETION
MNEMONIC: CAMPU
ABBR: CAMPU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82030
CPT TYPE: CPT-4
CHARGE:
201.00 BILLING CD: 65342
CONTAINER: STC
COLLECTION INSTRUCTION: BOTH URINE AND SERUM REQUIRED
1
65
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CYCLIC AMP ALIQUOT: FRZ-URINE
SERUM
MIN ML:
10.0
0.5
MAX ML:
13.0
1.0
NAME: CYCLIC CITRULLINATED PEPTID AB
MNEMONIC: CCP
ABBR: CCP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86200
CPT TYPE: CPT-4
CHARGE:
135.00 BILLING CD: 65449
CONTAINER: SST10
ALIQUOT: TT
MIN ML:
0.5 MAX ML:
1.0
NAME: CYCLOSPORINE
MNEMONIC: CYLM
ABBR: CYLM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80158
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 65501
CONTAINER: LAV
COLLECTION INSTRUCTION: SEND ONE LAV. DO NOT CENTRIFUGE.
ALIQUOT: LAV
MIN ML:
2.5 MAX ML:
3.0
COMPONENTS
CYCLO
CYCLOSPORINE
CPT-4
CYDLD
DATE OF LAST DOSE
CYTLD
TIME OF LAST DOSE
CYDOSE
DOSE
NAME: CYSTATIN C, SERUM
MNEMONIC: CYSC
ABBR: CYSC
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82610
CPT TYPE: CPT-4
CHARGE:
140.00 BILLING CD: 65716
CONTAINER: SST
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.0
NAME: CYSTIC FIBROSIS MUTATION PANEL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81220
CPT TYPE: CPT-4
CHARGE: 5984.00 BILLING CD: 66603
CONTAINER: LAV
COLLECTION INSTRUCTION: RT/SEND PT INFO SHEET/M-THUR ONLY
ALIQUOT: LAV
MIN ML:
2.5 MAX ML:
4.0
OTHER
1
1
66
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CFSPEC
CFSID
CFSO
CFOD
CFRR
CFMET
CFRESULT
CFINTPR
EXCF
CFAMEN
CFREV
CFREL
MUTEZ
EXT
NUC
AMP12
NUC2
NUC3
NUC4
NUC5
NUC6
NUC7
NUC8
NUC9
NUC10
NUC11
NUC12
NUC13
NUC14
NUC15
NUC16
NUC17
NUC18
NUC19
NUC20
NUC21
NUC22
NUC23
NUC24
NUC25
NUC26
NUC27
NUC28
NUC29
NUC30
NUC31
NUC32
NUC33
NUC34
NUC35
NUC36
NUC37
NUC38
NUC39
NUC40
CYSTIC FIBROSIS MUTATION PANEL COMPONENTS
CF SPECIMEN
CF SPECIMEN ID
CF SOURCE
CF ORDER DATE
CF REASON FOR REFFERAL
CF METHOD
CF RESULT
CF INTERPRETATION
EXTRACTION PERFORMED?
CF AMENDMENT
CF REVIEWED BY
CF RELEASE DATE
MUTATION ID BY ENZYMATIC
83914
CPT-4
157.00
MOLECULAR EXTRACTION
83890
CPT-4
91.00
NUCLEIC ACID PROBE
83896
CPT-4
30.00
AMPLICATION, FIRST 2 SEQU
83900
CPT-4
311.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROGE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
NUCLEIC ACID PROBE
8389691
CPT-4
30.00
65643
55430
55065
65667
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
65586
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: CYSTINE, 24 HR URINE, QUANT
67
68
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: CYSU
ABBR: CYSU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82136
CPT TYPE: CPT-4
CHARGE:
166.00 BILLING CD: 65932
CONTAINER: UR24
COLLECTION INSTRUCTION: SEND 10 ML ALIQUOT FROZEN. RECORD TOTAL VOLUME
ALIQUOT: FRZ-URINE
MIN ML:
1.0 MAX ML:
5.0
NAME: CYTOCHROME P450 2C19
MNEMONIC: CYP2C19
ABBR: CYP2C19
OTHER MNEMONIC: CLOPIDOGREL
PLAVIX
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81225
CPT TYPE: CPT-4
CHARGE: 3003.00 BILLING CD: 66627
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
0.3 MAX ML:
3.0
COMPONENTS
2C19I
INTERPRETATION 2C19
EXT
MOLECULAR EXTRACTION
83890
CPT-4
AMPL
AMPLIFICATION
83901
CPT-4
AMP12
AMPLICATION, FIRST 2 SEQUENCES
83900
CPT-4
AMPL2
AMPLICATION 2
8390191
CPT-4
AMPL3
AMPLICATION 3
8390191
CPT-4
DIGES
DIGESTION
83892
CPT-4
ELPR
ELECTROPHORESIS
83894
CPT-4
SPR
SEPARATION
83909
CPT-4
91.00
149.00
311.00
149.00
149.00
50.00
51.00
157.00
55430
59287
65667
66082
66082
52614
52613
65796
NAME: CYTOLOGY TESTING SEND ON MANUAL REQUISITION COMPLETE ALL FIELDS ON FORM
MNEMONIC: CYTO
ABBR: CYTO
DEPT: CY
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
NAME: CYTOMEGALOVIRUS AB, IGG
MNEMONIC: CMVG
ABBR: CMVG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86644
CPT TYPE: CPT-4
CHARGE:
120.00 BILLING CD: 65067
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: CYTOMEGALOVIRUS AB, IGG & IGM
MNEMONIC: CMV
ABBR: CMV
69
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
1.0
CYTOMEGALOVIRUS AB, IGG COMPONENTS
CMVG
CYTOMEGALOVIRUS AB, IGG
86644
CPT-4
120.00 65067
CMVM
CYTOMEGALOVIRUS AB, IGM
86645
CPT-4
147.00 53415
NAME: CYTOMEGALOVIRUS AB, IGM
MNEMONIC: CMVM
ABBR: CMVM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86645
CPT TYPE: CPT-4
CHARGE:
147.00 BILLING CD: 53415
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: CYTOPLASMIC NEUTROPHIL AB
MNEMONIC: ANCA
ABBR: ANCA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86255
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 65797
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
COMPONENTS
ANCAB
CYTOPLASMIC NEUTROPHILIC AB
C-ANCA
C-ANCA
P-ANCA
P-ANCA
NAME: DDIMER
MNEMONIC: DIMER
ABBR: DDIMER
OTHER MNEMONIC:
DEPT: COAG
SITE: ML
TURN AROUND HOURS:
CPT: 85379
CPT TYPE: CPT-4
CHARGE:
83.00 BILLING CD: 65968
CONTAINER: BLUE
NAME: DEHYDROEPIANDROSTERONE SULFATE
MNEMONIC: DHEAS
ABBR: DHEAS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82627
CPT TYPE: CPT-4
CHARGE:
171.00 BILLING CD: 65102
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.25 MAX ML:
0.8
SST10
SST10
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: DEHYDROEPIANDROSTERONE,SERUM
MNEMONIC: DHEA
ABBR: DHEA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82626
CPT TYPE: CPT-4
CHARGE:
194.00 BILLING CD: 65578
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
1 MAX ML:
1.0
COMPONENTS
DHEA1
DEHYDROEPIANDROSTERONE, SERUM
DHEA2
DEHYDROEPIANDROSTERONE, SERUM
NAME: DESIPRAMINE
MNEMONIC: DES
ABBR: DES
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80160
CPT TYPE: CPT-4
CHARGE:
129.00 BILLING CD: 19698
CONTAINER: RED10
COLLECTION INSTRUCTION: DRAW 12 HOURS AFTER LAST DOSE
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1.0
NAME: DEXTROMETHORPHAN
MNEMONIC: DEXP
ABBR: DEXP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82542
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 66181
CONTAINER: GREEN
ALIQUOT: PLASMA
MIN ML:
0.6 MAX ML:
3.0
NAME: DIAZEPAM & NORDIAZEPAM, SERUM
MNEMONIC: DIAZE
ABBR: DIAZE
OTHER MNEMONIC: CHLORAZEPATE
TRANXENE
VALIUM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80154
CPT TYPE: CPT-4
CHARGE:
199.00 BILLING CD: 65099
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.1 MAX ML:
3.0
70
71
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DIA
NDIA
NDDIA
DIAZEPAM & NORDIAZEPAM COMPONENTS
DIAZEPAM
NORDIAZEPAM LEVEL
DIAZEPAM AND NORDIAZEPAM
NAME: DIC PROFILE
MNEMONIC: DIC
DEPT: COAG
SITE: ML
PLTC
PTO
INR
FIB
DIMER
SCORE
ABBR: DIC
TURN AROUND HOURS:
COMPONENTS
PLATELET COUNT
PROTHROMBIN TIME
85610
CPT-4
INR
FIBRINOGEN
85384
CPT-4
DDIMER
85379
CPT-4
SCORE (DIC)
34.00
75.00 00418
83.00 65968
NAME: DIGESTION
MNEMONIC: DIGES
ABBR: DIGES
OTHER MNEMONIC: 83892
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 83892
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 52614
NAME: DIGOXIN LEVEL
MNEMONIC: DGN
ABBR: DIG
OTHER MNEMONIC: DIG
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80162
CPT TYPE: CPT-4
CHARGE:
78.00 BILLING CD: 09520
CONTAINER: RED3
NAME: DIHYDROTESTOSTERONE, SERUM
MNEMONIC: DIH
ABBR: DIH
OTHER MNEMONIC: DHT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82651
CPT TYPE: CPT-4
CHARGE:
277.00 BILLING CD: 65252
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
2.0
NAME: DILUTE RUSSELL VIPER VENOM
MNEMONIC: DRVV
ABBR: DRVV
00419
72
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85613
CPT TYPE: CPT-4
CHARGE:
104.00 BILLING CD: 59436
CONTAINER: BLUE
COLLECTION INSTRUCTION: BLUE ON ICE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
NAME: DIPHTHERIA AB IGG, SERUM
MNEMONIC: DIPA
ABBR: DIPA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86648
CPT TYPE: CPT-4
CHARGE:
203.00 BILLING CD: 84698
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: DIRECT LDL
MNEMONIC: LDLM
ABBR: LDLM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83701
CPT TYPE: CPT-4
CHARGE:
255.00 BILLING CD: 66646
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
3.0
COMPONENTS
LDLC
LDL CHOL
NAME: DIRECTIGEN FOR MENINGITIS CSF
MNEMONIC: DIR
ABBR: BACTERIA AG CSF
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: CSF#1
ALIQUOT: CSF#1
MIN ML:
2.0 MAX ML:
2.0
COMPONENTS
HNFB
H.INFLUENZAE TYPE B
86403
CPT-4
SPNE
S.PNEUMONIAE
8640359
CPT-4
STCB
STREPTOCOCCUS GROUP B
8640359
CPT-4
NMBEC
N.MENINGITIDIS GRP B/E.COLI K1 8640359
CPT-4
NMCW
N.MENINGITIDIS C/W135
8640359
CPT-4
NMAY
N.MENINGITIDIS GRP A/Y
8640359
CPT-4
79.00
79.00
79.00
79.00
79.00
79.00
NAME: DISOPYRAMIDE (NORPACE)
MNEMONIC: DIS
ABBR: DIS
OTHER MNEMONIC: PACE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65086
65842
65850
65850
65850
65850
65850
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER FORDISOPYRAMIDE: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1.0
NAME: DNA PROBE
MNEMONIC: DNA
ABBR: DNA
OTHER MNEMONIC: 88271
DEPT: LR
SITE: IMPATH
TURN AROUND HOURS:
CPT: 88271
CPT TYPE: CPT-4
CHARGE:
129.00 BILLING CD: 65768
NAME: DNA, DOUBLE STRAND AB IGG
MNEMONIC: ADNADS
ABBR: ADNADS
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86225
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 65004
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.35 MAX ML:
0.5
NAME: DOXEPIN AND NORDOXEPIN
MNEMONIC: DOX
ABBR: DOX
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION: REFRIGERATE AS OF 1/15/05
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
3.0
COMPONENTS
DOXE
DOXEPIN LEVEL
80166
CPT-4
NDOXE
NORDOXEPIN
80299
CPT-4
NDOX
NORDOXEPIN & DOXEPIN
128.00 65260
108.00 65473
NAME: DRUG OF ABUSE,S (PAIN CLINIC)
MNEMONIC: DRGS
ABBR: DRGS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66431
CONTAINER: RED10
COLLECTION INSTRUCTION: Medtox lab code 20318
ALIQUOT: PLASMA
MIN ML:
3.0 MAX ML:
7.0
SERUM
3.0
7.0
NAME: DRUG SCR VITREOUS FL, P MORTEM
MNEMONIC: DRGV
ABBR: DRGV
DEPT: LR
SITE: MEDTOX
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66865
CONTAINER: GRAY
ALIQUOT: GRAY
MIN ML:
5.0 MAX ML:
5.0
NAME: DRUG SCREEN FOR EMPLOYMENT (7)
MNEMONIC: DRGEMP
ABBR: DRGEMP
DEPT: LR
SITE: MEDTOX
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66410
CONTAINER: URINE
ALIQUOT: URINE
MIN ML:
1 MAX ML:
1
COMPONENTS
EAMP
AMPHETAMINES, EMPLOYMENT
EBAR
BARBITURATES,EMPLOYMENT CONTINUED
73
74
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
EBZ
ECOC
EOP
EPCP
ETHCU
EPOS
BENZODIAZEPINES,EMPLOYMENT
COCAINE,EMPLOYMENT
OPIATES,EMPLOYMENT
PHENCYCLIDINE,EMPLOYMENT
THC EMPLOYMENT
ARE THERE ANY POSITIVES?
NAME: DRUG SCREEN URINE
MNEMONIC: DSU
ABBR: DSU
DEPT: TOX
SITE: ML
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66314
CONTAINER: STC
COMPONENTS
MNEMONIC
NAME
TCA
TRICYCLICS, URINE
BARU
BARBITURATES, URINE
MTD
METHADONE, URINE
BZO
BENZODIAZEPINE, URINE
THCU
CANNABINOIDS, URINE
OPI
OPIATE, URINE
AMPU
AMPHETAMINES, URINE
COCAU
COCAINE, URINE
PCP2
PHENCYCLIDINE (PCP), URINE
PPX
PROPOXYPHENE, URINE
MAMP
METHAMPHETAMINES, URINE
ACETU
ACETAMIN/PARACETAMOL, URINE
OXYD
OXYCODONE
BPPU
BUPRENORPHINE SCREEN,U
G0434
CPT-4
91.00
NAME: DRUG SCREEN,PAIN CLINIC,U
MNEMONIC: DRGPC
ABBR: DRGPC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: STC
COMPONENTS
ADRGU
ADULTERANTS SURVEY
DRGAU
DRUGS OF ABUSE, U
G0431
AO
ETHANOL
AOC
ALCOHOL CHARGE
82055
AM
AMPHETAMINES
MDMAE
MDMA (ECSTASY)
BA
BARBITURATES
BE
BENZODIAZEPINES
CC
COCAINE (PAIN CLINIC SCREEN)
MD
METHADONE
OP
OPIATES
PH
PHENCYCLIDINE
PR
PROPOXYPHENE
TH
TETRAHYDROCANNABINOL
CM
COMMENT DRGPC NEL
COCDRG
CHAIN OF CUSTODY-DRUG SCREENS
OPIU
OPIATES,CONFIRM,U
83925
66957
CPT-4
477.00
66322
CPT-4
109.00
65139
CPT-4
212.00
66370
75
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: DRUG SCREEN,POST MORTEM,BLOOD &URINE
MNEMONIC: DRGPMBU
ABBR: DRGPMBU
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CONTAINER: STC
COLLECTION INSTRUCTION: **SEND WHOLE BLOOD AND URINE**
ALIQUOT: GRAY
MIN ML:
50.0 MAX ML:
50.0
STC
50.0
50.0
COMPONENTS
DRGPM
DRUG SCREEN,POST MORTEM,BLOOD
G0431
CPT-4
DRGPMU
DRUG SCREEN,POST MORTEM,URINE
G0431
CPT-4
NAME: DRUG SCREEN,POST MORTEM,BLOOD
MNEMONIC: DRGPM
ABBR: DRGPM
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66298
CONTAINER: GRAY
COLLECTION INSTRUCTION
**SEND WHOLE BLOOD**SUBMIT DRUG HISTORY AND CHAIN OF CUSTODY
ALIQUOT: GRAY
MIN ML:
50.0 MAX ML:
50.0
COMPONENTS
CASE
CASE NUMBER
DRUGPM
SCREEN,DRUG,BLOOD
MESG
MESSAGE
NAME: DRUG SCREEN,POST MORTEM,URINE
MNEMONIC: DRGPMU
ABBR: DRGPMU
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66306
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
50.0 MAX ML:
50.0
NAME: DRUG SCREEN,PRESCRIP/OTC,BLOOD
MNEMONIC: DRGP
ABBR: DRGP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66298
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
2.1 MAX ML:
5.25
NAME: DRUG SCREEN,PRESCRIP/OTC,URINE
MNEMONIC: DRGOTC
ABBR: DRGOTC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66306
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
2.1 MAX ML:
30.0
COMPONENTS
RDRG
RESULT-DRUG SCREEN,OTC
CPT-4
SDRUG
SUSPECT DRUG
COCDOTC
COC OTC DRUG SCREEN,U
NAME: DRUGS OF ABUSE SCRN,MECONIUM
MNEMONIC: DRGMEC
ABBR: DRGMEC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66330
CONTAINER: STC
477.00 66298
477.00 66306
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: STOOL
AMPM
MAMPM
CCM
OPM
PCM
THCM
AMPMC
CCMC
OPMC*
PCPMC*
CCMEC
MIN ML:
1 MAX ML:
5
DRUGS OF ABUSE SCREEN MECONIUM, COMPONENTS
AMPHETAMINE, MECONIUM
METHAMPHETAMINE MECONIUM
COCAINE MECONIUM
OPIATES MECONIUM
PHENCYCLIDINE MECONIUM
CANNABINOIDS MECONIUM
AMPHETAMINE MECONIUM CONFIRM
82145
CPT-4
147.00 66299
COCAINE MECONIUM CONFIRMATION
82520
CPT-4
237.00 66291
OPIATES MECONIUM CONFIRMATION
83925
CPT-4
212.00 66307
PHENCYCLIDINE MECONIUM CONFIRM
83992
CPT-4
144.00 66275
CHAIN OF CUSTODY MECONIUM
NAME: DRUGS OF ABUSE, U
MNEMONIC: DRGAU
ABBR: DRGAU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: G0431
CPT TYPE: CPT-4
CHARGE:
477.00 BILLING CD: 66322
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
30 MAX ML:
30
COMPONENTS
AO
ETHANOL
AM
AMPHETAMINES
MDMAE MDMA (ECSTASY)
BA
BARBITURATES
BE
BENZODIAZEPINES
CC
COCAINE (PAIN CLINIC SCREEN)
MD
METHADONE
OP
OPIATES
PH
PHENCYCLIDINE
PR
PROPOXYPHENE
TH
TETRAHYDROCANNABINOL
CM
COMMENT DRGPC NEL
NAME: DRVV MIX
MNEMONIC: DRVVMX
DEPT: LR
SITE: ITXM
ABBR: DRVVMX
TURN AROUND HOURS:
NAME: E. HISTOLTICA ANTIBODY, SERUM
MNEMONIC: EHAB
ABBR: EHAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86753
CPT TYPE: CPT-4
CHARGE:
137.00 BILLING CD: 65617
CONTAINER: SST10
ALIQUOT: FRZ-SERUM
MIN ML:
0.15 MAX ML:
0.5
NAME: EBNA CONTROL
MNEMONIC: EBNAQC
DEPT: SC
SITE: ML
ABBR: EBNAQC
TURN AROUND HOURS:
NAME: EBV (EPSTEIN BARR) AB PANEL
MNEMONIC: EBV
ABBR: EBV AB PROFILE
OTHER MNEMONIC:
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
76
77
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: SST10
EBVG
EBVIGM
EBNA
SCOREEBV
ALIQUOT: SST
MIN ML:
0.5
EBV AB COMPONENTS
EBV VCA IGG AB,S
86665
EPSEIN-BARR VIRUS IgM
86665
EBV NUCLEAR Ag Ab
86664
SCORE EBV
MAX ML:
1.0
CPT-4
CPT-4
CPT-4
123.00 66705
123.00 66752
120.00 66760
NAME: EBV DNA BY PCR,QUANT, BLOOD
MNEMONIC: EBVQ
ABBR: EBVQ
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87799
CPT TYPE: CPT-4
CHARGE:
449.00 BILLING CD: 65635
CONTAINER: LAV
COLLECTION INSTRUCTION: SEND 5 ML EDTA WHOLE BLOOD REFRIG
ALIQUOT: LAV
MIN ML:
0.25 MAX ML:
5.0
NAME: EBV EARLY ANTIGEN ,IGG, AB,S
MNEMONIC: EBVE
ABBR: EBVE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86663
CPT TYPE: CPT-4
CHARGE:
102.00 BILLING CD: 65150
CONTAINER: RED10
NAME: EBV IGM CONTROL
MNEMONIC: EBVMQC
DEPT: SC
SITE: ML
ABBR: EBVMQC
TURN AROUND HOURS
NAME: ECHO VIRUS ANTIBODIES PANEL
MNEMONIC: ECHOAB
ABBR: ECHO ABS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
ECHO30
ECHO VIRUS TYPE 30 AB
86658
CPT-4
ECHO4
ECHO VIRUS TYPE 4 AB
86658
CPT-4
ECHO7
ECHO VIRUS TYPE 7 AB
86658
CPT-4
ECHO9
ECHO VIRUS TYPE 9 AB
86658
CPT-4
ECHO11
ECHO VIRUS TYPE 11 AB
86658
CPT-4
NAME: EHRLICHIA ANTIBODY PANEL
MNEMONIC: EHR
ABBR: EHR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.25 MAX ML:
0.5
COMPONENTS
HGE
HUMAN GRAN EHRLICHIOSIS AB
86666
EHRC
EHRLICHIA/CHAFFEENSIS AB, IGG
86666
CPT-4
CPT-4
104.00
104.00
104.00
104.00
104.00
66212
66579
66587
66595
66204
57.00 61432
57.00 61432
NAME: EHRLICHIA/CHAFFEENSIS AB, IGG
MNEMONIC: EHRC
ABBR: EHRC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86666
CPT TYPE: CPT-4
CHARGE:
57.00 BILLING CD: 61432
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.15 MAX ML:
0.5
SST10
SST10
78
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ELECTROLYTES
MNEMONIC: ELEC
ABBR: LYTES
OTHER MNEMONIC: LYTES
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 80051
CPT TYPE: CPT-4
CHARGE:
89.00 BILLING CD: 59890
CONTAINER: MINT-PST
COMPONENTS
NA
SODIUM
84295
CPT-4
36.00 65639
K
POTASSIUM
84132
CPT-4
25.00 00313
CL
CHLORIDE
82435
CPT-4
25.00 00510
CO2
CARBON DIOXIDE LEVEL
82374
CPT-4
25.00 09902
GAP
ANION GAP
NAME: ELECTROLYTES,QN,RANDOM,FECES
MNEMONIC: LYTSF
ABBR: ELEC, QN, FECES
OTHER MNEMONIC: STLY
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: STC
COLLECTION INSTRUCTION: MINIMUM OF 10g OF VERY LIQUID STOOL
ALIQUOT: FREEZE
MIN ML:
10.0 MAX ML:
10.0
COMPONENTS
STNA
SODIUM,RANDOM,FECES
84302
STK
POTASSIUM,RANDOM,FECES
84999
CPT-4
STCL
CHLORIDE,RANDOM,FECES
82438
CPT-4
STMG
MAGNESIUM, FECES
83735
CPT-4
STOSM
OSMOLALITY, FECES
84999
CPT-4
STOG
OSMOTIC GAP,F
STPS
PHOSPHORUS,F
84100
MINT-PST
MINT-PST
MINT-PST
MINT-PST
315.00 65626
38.00 58700
53.00 65631
315.00 84679
NAME: ELECTRON MICROSCOY
MNEMONIC: EM
ABBR: EM
OTHER MNEMONIC: 88348R
DEPT: LNP
SITE: ML
TURN AROUND HOURS:
CPT: 88348
CPT TYPE: CPT-4
CHARGE:
704.00 BILLING CD: 84771
NAME: ELECTROPHORESIS PROT,UR,RANDOM
MNEMONIC: PEU
ABBR: PEU
OTHER MNEMONIC: UPE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
25 MAX ML:
50
COMPONENTS
ALBUR
ALBUMIN,RANDOM,U
84166
UA1GR
ALPHA-1-GLOBULIN,RANDOM,U
UA2GR
ALPHA-2-GLOBULIN,RANDOM,U
BGUR
BETA-GLOBULIN,RANDOM,U
GGUR
GAMMA-GLOBULINS,RANDOM,U
AGRU
A/G RATIO,RANDOM,U
MSKUR
M SPIKE
MSK2UR
M SPIKE 2,RANDOM,U
IMPRUR
IMPRESSION MPSUR
TPUR
TOTAL PROTEIN MPSUR
84156
CPT-4
206.00
65707
CPT-4
50.00
05071
79
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ELECTROPHORESIS PROTEIN,CSF
MNEMONIC: CSFEL
ABBR: ELECTROPHOR,BF
OTHER MNEMONIC: BFEL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84166
CPT TYPE: CPT-4
CHARGE:
206.00 BILLING CD: 65707
CONTAINER: FLUID
COLLECTION INSTRUCTION
CSF OR BODY FLUID
ALIQUOT: CSF#1
MIN ML:
4.0 MAX ML:
10.0
FLUID
4.0
10.0
ELECTROPHORESIS PROTEIN,CSF COMPONENTS
CSFP
TOTAL PROTEIN, CSF
84157
CPT-4
50.00 00205
CSFE
ELECTROPHORESIS, CSF
NAME: ELECTROPHORESIS,HEMOGLOBIN
MNEMONIC: HGBE
ABBR: HGB ELECT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1.0 MAX ML:
3.0
COMPONENTS
A2F
HEMOGLOBIN A2 & F
83021
ELPH
HGB ELECTROPHORESIS,B
83020
RFX2
REFLEX LEVEL 2?
AGAR
AGAR ELEC CONFIRMS
HGBS
HEMOGLOBIN S SCREEN,BLOOD
85660
CPT-4
CPT-4
191.00
195.00
19551
19547
CPT-4
NAME: ELECTROPHORESIS,SERUM PROTEIN
MNEMONIC: SPE
ABBR: SPE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: WILL REFLEX A IMMUNOFIXATION IF NEEDED.
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
TPROT**
TOTAL PROTEIN (SPE)
84155
CPT-4
50.00
ALBUM**
ALBUMIN (SPE)
A1G**
ALPHA-1-GLOBULINS
84165
CPT-4
93.00
A2G**
ALPHA-2-GLOBULINS
BG**
BETA GLOBULINS
GG*
GAMMA GLOBULINS
AG**
A/G RATIO (SPE)
SPEIM
SPE IMPRESSION
MSKS**
M SPIKE SERUM
MSKS2
M SPIKE 2
66071
65130
NAME: ELECTROPHORESIS,U PROTEIN 24HR
MNEMONIC: PEU24
ABBR: URINE PROT ELEC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: UR24
COLLECTION INSTRUCTION: ABSOLUTE MIN VOLUME 25 ML
ALIQUOT: URINE
MIN ML:
25.0 MAX ML:
50.0
ELECTROPHORESIS,U PROTEIN 24HR COMPONENTS
UTPR
PROTEIN,TOTAL,U
84156
CPT-4
50.00 05071
PEUTPU
TOTAL PROTEIN URINE (PEU)
CONTINUED
80
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ELECTROPHORESIS,U PROTEIN 24HR CONTINUED
PEUD
COLLECTION DURATION
PEUV
URINE VOLUME
PEUC
CONCENTRATION
PEUTP
TOTAL PROTEIN (PEU)
ELPU
ELECTROPHORESIS, PROTEIN URINE
UPTE
PROTEIN ELECTROPHORESIS,U
ALBU
ALBUMIN, URINE
UA1G
ALPHA-1-GLOBULIN,URINE
UA2G
ALPHA-2-GLOBULIN
BGU
BETA-GLOBULIN
GGU
GAMMA-GLOBULINS
AGR
A/G RATIO
MSK
M SPIKE
MSK2
SPIKE
IMPR
IMPRESSION PEU
84156
84166
84166
CPT-4
CPT-4
CPT-4
50.00 05071
206.00 65707
206.00 65707
NAME: ENCAINIDE PROFILE
MNEMONIC: ENC
DEPT: LR
SITE: ML
CPT:
CPT TYPE:
ABBR: ENCAINIDE PRF
TURN AROUND HOURS:
CHARGE:
BILLING CD:
COMPONENTS
ENCAIN
ENCAINIDE LEVEL
ODE
O-DEMETHYLENCANIDE LEVEL (ODE)
MODE
3-METHOXY-ODE
NAME: ENDOMYSIAL ANTIBODY (IGA)
MNEMONIC: AEA
ABBR: AEA
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86256
CPT TYPE: CPT-4
CHARGE:
63.00 BILLING CD: 65861
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
2.0
NAME: ENTEROVIRUS RNA BY PCR
MNEMONIC: EVPCR
ABBR: EVPCR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87498
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: CSF#1
ALIQUOT: CSF#1
MIN ML:
0.5 MAX ML:
1.0
OTHER
1
1
NAME: EOSINOPHIL COUNT
MNEMONIC: EOSC
ABBR: EOSC
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 85009
CPT TYPE: CPT-4
CHARGE:
39.00 BILLING CD: 65960
CONTAINER: LAV
COMPONENTS
MNEMONIC
NAME
CPT CODE
CPT TYPE
CHARGE
CONTAINER
WBC
WHITE BLOOD CELL COUNT
EO%
EOSINOPHIL %
EOSA
ABSOLUTE EOS (CALCULATED)
BILLING CD
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: EOSINOPHIL, URINE
MNEMONIC: EOSU
ABBR: EOSU
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 87205
CPT TYPE: CPT-4
CHARGE:
37.00 BILLING CD: 65952
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: EOSINOPHIL,SPUTUM
MNEMONIC: EOSP
ABBR: EOSP
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89190
CPT TYPE: CPT-4
CHARGE:
43.00 BILLING CD: 00440
CONTAINER: STC
NAME: EPIDERMAL ANTIBODY, SERUM
MNEMONIC: AEAB
ABBR: AEAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86255
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 65015
CONTAINER: SST
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
2.0
NAME: ERYTHROCYTE SEDIMENTATION RATE
MNEMONIC: ESR
ABBR: ESR
OTHER MNEMONIC:
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 85651
CPT TYPE: CPT-4
CHARGE:
31.00 BILLING CD: 00409
CONTAINER: LAV
NAME: ERYTHROPOIETIN (EPO), SERUM
MNEMONIC: ERY
ABBR: ERY
OTHER MNEMONIC: EPO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82668
CPT TYPE: CPT-4
CHARGE:
167.00 BILLING CD: 19541
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.6
NAME: EST/PROG RECEPTOR ASSAY, FROZ
MNEMONIC: ERAPRAF
ABBR: ERA PRA FROZ
DEPT: LR
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
COMPONENTS
ERA
ESTROGEN RECEPTOR ASSAY
ERAQ
ESTROGEN RECEPT QUANT
PRA
PROGESTERONE RECEPT ASSAY
PRAQ
PROGESTERONE RECEPT QUANT
NAME: ESTRADIOL
MNEMONIC: DIOL
ABBR: DIOL
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82670
CPT TYPE: CPT-4
CHARGE:
209.00 BILLING CD: 19707
CONTAINER: RED3
81
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: ESTRIOL,UNCONJUGATED, SERUM
MNEMONIC: EST
ABBR: EST
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82677
CPT TYPE: CPT-4
CHARGE:
142.00 BILLING CD: 65118
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.5
NAME: ESTROGENS,E1+E2,FRACTIONATED
MNEMONIC: ESTF
ABBR: ESTF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION: SERUM MUST BE SEPARATED FROM GEL WITHIN 24 HR OF
COLLECTION
ALIQUOT: SERUM
MIN ML:
0.6 MAX ML:
1.2
COMPONENTS
ESTRA
ESTRADIOL, MAYO
82670
CPT-4
209.00 66228
E1F
ESTRONE, SERUM
82679
CPT-4
261.00 65534
RED10
NAME: ESTRONE, SERUM
MNEMONIC: E1F
ABBR: E1F
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82679
CPT TYPE: CPT-4
CHARGE:
261.00 BILLING CD: 65534
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.2
NAME: ETHOSUXIMIDE (ZARONTIN) LEVEL
MNEMONIC: ETHO
ABBR: ETHO
OTHER MNEMONIC: ZARONTIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80168
CPT TYPE: CPT-4
CHARGE:
126.00 BILLING CD: 65268
CONTAINER: RED10
COLLECTION INSTRUCTION: REMOVE SERUM FROM CELLS WITHIN 2 HRS
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: ETHYLENE GLYCOL
MNEMONIC: ETHG
ABBR: ETHG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82693
CPT TYPE: CPT-4
CHARGE:
140.00 BILLING CD: 65131
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
2.0
NAME: EUGLOBIN LYSIS TIME
MNEMONIC: ECL
ABBR: ECL
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85360
CPT TYPE: CPT-4
CHARGE:
73.00 BILLING CD: 51371
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.5 MAX ML:
2.0
NAME: EVALUATION GLUCOSE PACKAGE LAB USE
MNEMONIC: EAC
ABBR: EAC
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CONTAINER: CAPILLARY SPECIMEN
CONTINUED
82
83
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
EVALUATION GLUCOSE ALIQUOT: AP
MIN ML:
1
COMPONENTS
EAD
EVALUATION ACCUCHEK (INFANT)
GLU
GLUCOSE,RANDOM
82947
CPT-4
MAX ML:
25.00
1
00703
MINT-PST
NAME: EVEROLIMUS,B
MNEMONIC: EVERO
ABBR: EVERO
OTHER MNEMONIC: AFINITOR
ZORTRESS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80169
CPT TYPE: CPT-4
CHARGE:
80.00 BILLING CD: 66895
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1.0 MAX ML:
3.0
NAME: EXTRACTABLE NUCLEAR AG EVAL
MNEMONIC: ENAE
ABBR: ENAE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
SSA
SS-A/Ro ANTIBODY
86235
SSB
SS-B/La ANTIBODY
8623591
SM
SM (SMITH) AB, IGG,SERUM
8623591
RNP
RNP AB,IGG,S
8623591
SCL70
SCLERODERMA AB
8623591
AJO
ANTI-JO 1
86235
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
138.00 65058
138.00 65536
138.00 65645
138.00 65012
138.00 65637
138.00 84734
NAME: FACTOR 5 MUTATION LEIDEN
MNEMONIC: F5MU
ABBR: F5MU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81241
CPT TYPE: CPT-4
CHARGE:
306.00 BILLING CD: 66940
CONTAINER: YEL-ACD
COLLECTION INSTRUCTION: DO NOT SPIN, 72 HR STABILITY
ALIQUOT: YEL-ACD
MIN ML:
1 MAX ML:
1
COMPONENTS
F5SPEC SPECIMEN
F5SID
SPECIMEN ID
F5S
SOURCE
F5OD
ORDER DATE
F5RR
REASON FOR REFERRAL
F5M
METHOD
F5RS
RESULT F5MU
F5INTP
INTERPRETATION F5
83912
CPT-4
110.00 53046
F5AMEN AMENDMENT
F5RV
REVIEWED BY:
F5RD
RELEASE DATE
EXTR
MOLECULAR EXTRACTION
83891
CPT-4
98.00 59285
NUC
NUCLEIC ACID PROBE
83896
CPT-4
30.00 55065
MUT
MUTATION SCREEN
83903
CPT-4
160.00 65720
DIGE
DIGESTION
83892
CPT-4
50.00 52614
NUC2
NUCLEIC ACID PROBE
8389691
CPT-4
30.00 65586
NUC3
NUCLEIC ACID PROBE
8389691
CPT-4
30.00 65586
NUC4
NUCLEIC ACID PROBE
8389691
CPT-4
30.00 65586
NUC5
NUCLEIC ACID PROGE
8389691
CPT-4
30.00 65586
AMFT
AMLIFICATION, SIGNAL
83908
CPT-4
157.00 65788
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: FACTOR 8 INHIBITOR, PLASMA
MNEMONIC: F8AB
ABBR: F8AB
OTHER MNEMONIC: ANTI-VIII
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85335
CPT TYPE: CPT-4
CHARGE:
296.00 BILLING CD: 65430
CONTAINER: BLUE
COLLECTION INSTRUCTION: DRAW 1 BLUE ON ICE. SPIN AND FREEZE PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
NAME: FACTOR II
MNEMONIC: F2
ABBR: F2
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85210
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 65198
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: FACTOR IX
MNEMONIC: F9
ABBR: F9
OTHER MNEMONIC:
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85250
CPT TYPE: CPT-4
CHARGE:
154.00 BILLING CD: 65230
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: FACTOR V
MNEMONIC: F5
ABBR: F5
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85220
CPT TYPE: CPT-4
CHARGE:
117.00 BILLING CD: 51359
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: FACTOR VII
MNEMONIC: F7
ABBR: F7
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85230
CPT TYPE: CPT-4
CHARGE:
154.00 BILLING CD: 65276
CONTAINER: BLUE
COLLECTION INSTRUCTION
FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: FACTOR VIII:C
MNEMONIC: F8
ABBR: F8
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85240
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 51361
CONTAINER: BLUE
COLLECTION INSTRUCTION
FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
84
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: FACTOR X
MNEMONIC: F10
ABBR: F10
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85260
CPT TYPE: CPT-4
CHARGE:
154.00 BILLING CD: 65284
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1.0
NAME: FACTOR XI
MNEMONIC: F11
ABBR: F11
OTHER MNEMONIC:
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85270
CPT TYPE: CPT-4
CHARGE:
154.00 BILLING CD: 65292
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: FACTOR XII
MNEMONIC: F12
ABBR: F12
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85280
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 51365
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE ASAP
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: FACTOR XIII ANTIGEN
MNEMONIC: F13
ABBR: F13
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85290
CPT TYPE: CPT-4
CHARGE:
82.00 BILLING CD: 65247
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
F13A
SUBUNIT A
F13B
SUBUNIT B
FXIII
FACTOR XIII AG
NAME: FAT, FECES, QUANT
MNEMONIC: FFAT
ABBR: FFAT
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 82710
CPT TYPE: CPT-4
CHARGE:
130.00 BILLING CD: 65486
CONTAINER: ST72
COLLECTION INSTRUCTION
24, 48 OR 72 HOUR COLLECTION...FROZEN
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
NAME: FAX RESULT
MNEMONIC: FAX
ABBR: FAX RESULT
DEPT: LAB
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
INSTRUCTIONS: ADD THIS TEST WHEN PLACING ORDERS TO BE MANUALLY FAXED
85
86
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: FE SAT (TRANSFERRIN SAT)
MNEMONIC: ISAT
ABBR: ISAT
OTHER MNEMONIC: TRANSFERRIN SAT
DEPT: LNP
SITE: ML
TURN AROUND HOURS:
FE
IRON (FE)
83540
CPT-4
183.00 00344
TIBC
TOTAL IRON BINDING CAPACITY
83550
CPT-4
IRONSAT
IRON SATURATION %
NAME: FEBRILE AGGLUTININS
MNEMONIC: FA
ABBR: FA
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
TYPHO
SALMONELLA O,TYPE VI
86768
TYPHHD
SALMONELLA O,TYPE D
8676891
TYPHOA
SALMONELLA H,TYPE A
8676891
TYPHHB
SALMONELLA H, TYPE B
8676891
TYPHH
SALMONELLA H, TYPE d
8676891
BRUG
BRUCELLA AB SCREEN IGG
86622
BRUM
BRUCELLA AB SCREEN IGM
8662291
MINT-PST
62.00 00177
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
NAME: FELBATOL, SERUM
MNEMONIC: FELB
ABBR: FELB
OTHER MNEMONIC: FELBAMATE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82491
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 65432
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1.0
NAME: FENTANYL AND METABOLITES,U
MNEMONIC: FENTY
ABBR: FENTY
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65837
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
2.1 MAX ML:
3.0
COMPONENTS
FENT
FENTANYL
NFENT
NORFENTANYL
INTF
INTERPRETATION FENTANYL
COCF
CHAIN OF CUSTODY FENTANYL
NAME: FERRITIN
MNEMONIC: FER
ABBR: FER
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82728
CPT TYPE: CPT-4
CHARGE:
101.00 BILLING CD: 19720
CONTAINER: RED3
NAME: FETAL FIBRONECTIN
MNEMONIC: FFN
ABBR: FFN
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 82731
CPT TYPE: CPT-4
CHARGE:
194.00 BILLING CD: 63913
CONTAINER: LABEL
YEL-SST
143.00 65755
143.00 65763
143.00 65763
143.00 65763
143.00 65763
42.00 55054
42.00 65649
87
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: NT
MIN ML:
1
MAX ML:
1
NAME: FETAL LUNG MATURITY PROFILE
MNEMONIC: FLM
ABBR: FLM
OTHER MNEMONIC: LS
DEPT: LR
SITE: MAGEE
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: FLUID
COLLECTION INSTRUCTION: PACK ON ICE. MUST ARRIVE BEFORE 1 PM.
ALIQUOT: FLUID
MIN ML:
1 MAX ML:
1
COMPONENTS
FLMR
FLM RESULT
83664
CPT-4
126.00 66888
LBC
LAMELLAR BODY COUNT
83664
CPT-4
126.00 66888
FLMP
FLM PROBABILITY OF RDS
LSR
LECITHIN/SPHINGOMYELIN RATIO
83661
CPT-4
384.00 53947
NAME: FIBRIN DEGRATION PROD,(ITXM)
MNEMONIC: FDPX
ABBR: FDPX
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 85362
CPT TYPE: CPT-4
CHARGE:
61.00 BILLING CD: 51372
CONTAINER: BLUE
COLLECTION INSTRUCTION
SEPARATE PLASMA FROM CELLS WITHIN 1 HR OF COLLECTION-FREEZE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
1.0
NAME: FIBRINOGEN
MNEMONIC: FIB
ABBR: FIB
DEPT: COAG
SITE: ML
TURN AROUND HOURS:
CPT: 85384
CPT TYPE: CPT-4
CHARGE:
75.00 BILLING CD: 00418
CONTAINER: BLUE
ALIQUOT: BLUE
MIN ML:
1 MAX ML:
1
NAME: FIBRINOGEN ANTIGEN
MNEMONIC: FBGA
ABBR: FBGA
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85385
CPT TYPE: CPT-4
CHARGE:
76.00 BILLING CD: 66877
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
1.0
NAME: FISH 22q11.2 DEL,VCF,DIGEORGE
MNEMONIC: 22Q
ABBR: 22Q
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
ALIQUOT: GREEN
MIN ML:
2.0 MAX ML:
5.0
FISH 22q11.2 DEL, VCF,DIGEORGE continued
COMPONENTS
22INTERP
22Q11.2 DEL INTERPRETATION
DNA
DNA PROBE
88271
DNA2
DNA PROBE 2
8827191
HYB3
HYBRIDIZATION,10-30 CELLS
88273
CPT-4
CPT-4
CPT-4
0.00 58645
129.00 65768
122.00 65784
265.00 65579
88
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: FISH FOR TELOMERIC REGIONS
MNEMONIC: FISHT
ABBR: FISHT
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
COMPONENTS
FISHTI
INTERPERTATION
0.00 58645
DNA
DNA PROBE
88271
CPT-4
129.00 65768
DNA2
DNA PROBE 2
8827191
CPT-4
122.00 65784
HYB3
HYBRIDIZATION,10-30 CELLS
88273
CPT-4
265.00 65579
HYBC2
HYBRIDIZATION,CHROMOSOME SITU
8827391
CPT-4
265.00
DNA3
DNA PROBE 3
8827191
CPT-4
122.00 65784
DNA4
DNA PROBE 4
8827191
CPT-4
122.00 65784
DNA5
DNA PROBE 5
8827191
CPT-4
122.00 65784
DNA6
DNA PROBE 6
8827191
CPT-4
122.00 65784
DNA7
DNA PROBE 7
8827191
CPT-4
122.00 65784
DNA8
DNA PROBE 8
8827191
CPT-4
122.00 65784
DNA9
DNA PROBE 9
8827191
CPT-4
122.00 65784
DNA10
DNA PROBE 10
8827191
CPT-4
122.00 65784
DNA11
DNA PROBE 11
8827191
CPT-4
122.00 65784
DNA12
DNA PROBE 12
8827191
CPT-4
122.00 65784
DNA13
DNA PROBE 13
8827191
CPT-4
122.00 65784
DNA14
DNA PROBE 14
8827191
CPT-4
122.00 65784
DNA15
DNA PROBE 15
8827191
CPT-4
122.00 65784
DNA16
DNA PROBE 16
8827191
CPT-4
122.00 65784
DNA17
DNA PROBE 17
8827191
CPT-4
122.00 65784
DNA18
DNA PROBE 18
8827191
CPT-4
122.00 65784
DNA19
DNA PROBE 19
8827191
CPT-4
122.00 65784
DNA20
DNA PROBE 20
8827191
CPT-4
122.00 65784
DNA21
DNA PROBE 21
8827191
CPT-4
122.00 65784
DNA22
DNA PROBE 22
8827191
CPT-4
122.00 65784
DNA23
DNA PROBE 23
8827191
CPT-4
122.00 65784
DNA24
DNA PROBE 24
8827191
CPT-4
122.00 65784
DNA25
DNA PROBE 25
8827191
CPT-4
122.00 65784
DNA26
DNA PROBE 26
8827191
CPT-4
122.00 65784
DNA27
DNA PROBE 27
8827191
CPT-4
122.00 65784
DNA28
DNA PROBE 28
8827191
CPT-4
122.00 65784
DNA29
DNA PROBE 29
8827191
CPT-4
122.00 65784
DNA30
DNA PROBE 30
8827191
CPT-4
122.00 65784
DNA31
DNA PROBE 31
8827191
CPT-4
122.00 65784
DNA32
DNA PROBE 32
8827191
CPT-4
122.00 65784
DNA33
DNA PROBE 33
8827191
CPT-4
122.00 65784
DNA34
DNA PROBE 34
8827191
CPT-4
122.00 65784
DNA35
DNA PROBE 35
8827191
CPT-4
122.00 65784
DNA36
DNA PROBE 36
8827191
CPT-4
122.00 65784
DNA37
DNA PROBE 37
8827191
CPT-4
122.00 65784
DNA38
DNA PROBE 38
8827191
CPT-4
122.00 65784
DNA39
DNA PROBE 39
8827191
CPT-4
122.00 65784
DNA40
DNA PROBE 40
8827191
CPT-4
122.00 65784
DNA41
DNA PROBE 41
8827191
CPT-4
122.00 65784
65594
89
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: FISH PRODUCT OF CONCEPTION
MNEMONIC: FISHPOC
ABBR: FISHPOC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
COMPONENTS
FISHI
INTERPERTATION
DNA
DNA PROBE
88271
CPT-4
DNA2
DNA PROBE 2
8827191
CPT-4
HYB5
HYBRIDIZATION, 100-300 CELLS
88275
DNA3
DNA PROBE 3
8827191
CPT-4
DNA4
DNA PROBE 4
8827191
CPT-4
DNA5
DNA PROBE 5
8827191
CPT-4
DNA6
DNA PROBE 6
8827191
CPT-4
DNA7
DNA PROBE 7
8827191
CPT-4
DNA8
DNA PROBE 8
8827191
CPT-4
CONTAINER: OTHER
0.00 58645
129.00 65768
122.00 65784
CPT-4
416.00
122.00 65784
122.00 65784
122.00 65784
122.00 65784
122.00 65784
122.00 65784
NAME: FK506 (TACROLIMUS)
MNEMONIC: FK506
ABBR: FK506
OTHER MNEMONIC: TACROLIMUS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80197
CPT TYPE: CPT-4
CHARGE:
75.00 BILLING CD: 58472
CONTAINER: LAV
COLLECTION INSTRUCTION: DO NOT CENTRIFUGE
ALIQUOT: LAV
MIN ML:
1.0 MAX ML:
3.0
COMPONENTS
FKT
TACROLIMUS
DATEF
DATE OF LAST DOSE FK506
TIMEF
TIME OF LAST DOSE FK506
DOSEF
DOSE,MG FK506
NAME: FLECAINIDE LEVEL
MNEMONIC: FLE
ABBR: FLE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65533
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.1 MAX ML:
3.0
NAME: FLOW CHARGE
MNEMONIC: FLOWCG
ABBR: FLOWCG
OTHER MNEMONIC: 88185
DEPT: LNP
SITE: HEMA
TURN AROUND HOURS:
CPT: 88185
CPT TYPE: CPT-4
CHARGE:
168.00 BILLING CD: 66546
NAME: FLOW CHARGE
MNEMONIC: FLOW1
ABBR: FLOW1
OTHER MNEMONIC: 88184
DEPT: LR
SITE: HEMA
TURN AROUND HOURS:
CPT: 88184
CPT TYPE: CPT-4
CHARGE:
341.00 BILLING CD: 65546
NAME: FLUCYTOSINE, SERUM
MNEMONIC: FLUC
ABBR: FLUC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82491
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 19604
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.3 MAX ML:
1.0
65595
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: FLUID MISC.
MNEMONIC: FLD MISC
DEPT: CHEM
SITE: ML
ABBR: FLUID MISC.
TURN AROUND HOURS:
NAME: FLUORESCENT TREPONEMAL AB
MNEMONIC: FTA
ABBR: FTA
OTHER MNEMONIC:
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 86780
CPT TYPE: CPT-4
CHARGE:
69.00 BILLING CD: 65962
CONTAINER: RED3
ALIQUOT: RED3
MIN ML:
0.2 MAX ML:
1.0
NAME: FLUORIDE, PLASMA
MNEMONIC: FLUOR
ABBR: FLUOR
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82735
CPT TYPE: CPT-4
CHARGE:
155.00 BILLING CD: 19722
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1.2 MAX ML:
3.0
NAME: FLUOXETINE (PROZAC) LEVEL
MNEMONIC: FLUO
ABBR: FLUO
OTHER MNEMONIC: PROZ
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65322
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1.0
COMPONENTS
NORFLU
NORFLUOXETINE
FNF
FLUOXETINE & NORFLUOXETINE
NAME: FLUPHENAZINE LEVEL
MNEMONIC: FLUP
ABBR: FLUP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65709
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
3.0
NAME: FLURAZEPAM/DESALKYLFLURAZEPAM
MNEMONIC: FL
ABBR: FL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82742
CPT TYPE: CPT-4
CHARGE:
158.00 BILLING CD: 65236
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.3 MAX ML:
2.0
COMPONENTS
FLUR
FLURAZEPAM
DESAL
DESALKYFLURAZEPAM LEVEL
FLDE
FLURAZEPAM/DESALYFLURAZEPAM
NAME: FOLATE
MNEMONIC: FOL
ABBR: FOL
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82746
CPT TYPE: CPT-4
CHARGE:
81.00 BILLING CD: 09539 CONTAINER: RED3
90
91
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: FOLLICLE STIMULATING HORMONE
MNEMONIC: FSH
ABBR: FSH
OTHER MNEMONIC: IFSH
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83001
CPT TYPE: CPT-4
CHARGE:
122.00 BILLING CD: 19727
CONTAINER: RED3
NAME: FOOD ALLERGY PROFILE
MNEMONIC: IMMUNOCAP3
ABBR: IMMCAP3
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
2.0 MAX ML:
5.0
COMPONENTS
FO1
EGG WHITE IGE
86003
CPT-4
FO1C
CLASS F1
FO2
MILK IGE
86003
CPT-4
FO2C
CLASS F2
FO3
CODFISH IGE
86003
CPT-4
FO3C
CLASS F3
FO4
WHEAT F4
86003
CPT-4
59.00
65691
59.00
65691
59.00
65691
59.00
65691
92
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
FOOD ALLERGY PROFILE continued
FO4C
CLASS F4
FO8
CORN IGE
FO8C
CLASS F8
FO10
SESAME SEED IGE
FO10C
CLASS F10
FO13
PEANUT IGE
FO13C
CLASS F13
FO14
SOYBEAN IGE
FO14C
CLASS F14
FO24
SHRIMP IGE
FO24C
CLASS F24
FO207
CLAM IGE
FO207C
CLASS F207
FO256
WALNUT IGE
FO256C
CLASS F256
FO338
SCALLOP IGE
FO338C
CLASS F338
IGEQ
IGE,SERUM (QUEST)
ALLERGEN
ALLERGEN
ALLERGEN10 ALLERGEN X 10
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
82785
86003
CPT-4
CPT-4
128.00 65045
59.00 65691
0.00 66490
NAME: FRAGILE X, MOLECULAR ANALYSIS
MNEMONIC: FXMA
ABBR: FXMA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81243
CPT TYPE: CPT-4
CHARGE: 1167.00 BILLING CD: 66635
CONTAINER: YEL-ACDB
COLLECTION INSTRUCTION: ROOM TEMP
ALIQUOT: LAV
MIN ML:
1 MAX ML:
1
OTHER
1
1
COMPONENTS
FXMAI
INTERPRETATION AND REPORT
ELP
ELECTROPHORESIS
83894
CPT-4
INTPR
INTERPRETATION AND REPORT FXMA
EXTR
MOLECULAR EXTRACTION
83891
CPT-4
NUC
NUCLEIC ACID PROBE
83896
CPT-4
AMP
AMPLIFICATION
83898
CPT-4
DIGES
DIGESTION
83892
CPT-4
ELP2
ELECTROPHORESIS 2
83894
CPT-4
NUCT
NUCLEIC ACID TRANSFER
83897
CPT-4
51.00
52613
98.00
30.00
212.00
50.00
51.00
99.00
59285
55065
65588
52614
52613
59286
NAME: FRANCISELLA TULARENSIS AB
MNEMONIC: TULT
ABBR: TULT
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 86000
CPT TYPE: CPT-4
CHARGE:
77.00 BILLING CD: 65548
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1
NAME: FREE LIGHT CHAINS,SERUM
MNEMONIC: KLCH
ABBR: KLC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10 ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
KAPPA
KAPPA-FREE LIGHT CHAIN
83883
CPT-4
107.00 65715
LAMBDA
LAMBDA-FREE LIGHT CHAIN
8388359
CPT-4
107.00 65996
KLR
KAPPA/LAMBDA FLC RATIO
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: FREE PSA (TOTAL AND FREE)
MNEMONIC: FPSA
ABBR: FPSA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION
FREEZE WITHIN 3 HOURS
ALIQUOT: FRZ-SERUM
MIN ML:
1 MAX ML:
1
COMPONENTS
FRPSA
FREE PSA
84154
CPT-4
194.00 65111
TPSA
TOTAL PSA (MAYO)
84153
CPT-4
142.00 65127
RPSA
FREE PSA/PSA RATIO
NAME: FREE THYROXINE
MNEMONIC: FT4
ABBR: FT4
OTHER MNEMONIC: T4FR
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84439
CPT TYPE: CPT-4
CHARGE:
96.00 BILLING CD: 19726
CONTAINER: RED3
NAME: FRUCTOSAMINE, SERUM
MNEMONIC: FRUC
ABBR: FRUC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82985
CPT TYPE: CPT-4
CHARGE:
104.00 BILLING CD: 65207
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.5
NAME: FUNGAL ID
MNEMONIC: FID
ABBR: FID
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87106
CPT TYPE: CPT-4
CHARGE:
93.00 BILLING CD: 00261
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
COMPONENTS
FIDR
FUNGAL RESULT
SOURCEFID
SOURCE
FIDSI
SPECIAL INFORMATION
FIDRS
REPORT STATUS
NAME: FUNGAL IDENT PANEL B
MNEMONIC: FUNB
ABBR: FUNB
OTHER MNEMONIC: 87107
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87107
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 66697
NAME: FUNGITELL FOR (1,3)B-D GLUCANS
MNEMONIC: FFUNG
ABBR: FFUNG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87449
CPT TYPE: CPT-4
CHARGE:
110.00 BILLING CD: 65623
CONTAINER: SST
COLLECTION INSTRUCTION
SPIN WITHIN 2 HOURS
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
0.5
93
94
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: GABAPENTIN LEVEL
MNEMONIC: GAB
ABBR: GAB
OTHER MNEMONIC: NEURONTIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80171
CPT TYPE: CPT-4
CHARGE:
77.00 BILLING CD: 66903
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
0.5
NAME: GALAC-1-PHOS URIDYLTRANSFERASE
MNEMONIC: GALT
ABBR: GALT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82775
CPT TYPE: CPT-4
CHARGE:
31.00 BILLING CD: 65683
CONTAINER: LAV
COLLECTION INSTRUCTION: SEND WHOLE BLOOD REFRIG
ALIQUOT: LAV
MIN ML:
2.0 MAX ML:
5.0
NAME: GALACTOSE,QN,PLASMA
MNEMONIC: GALP
ABBR: GALP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82760
CPT TYPE: CPT-4
CHARGE:
121.00 BILLING CD: 65745
CONTAINER: GREEN
ALIQUOT: FRZ-PLASMA
MIN ML:
0.2 MAX ML:
0.5
NAME: GAMMA GLUTAMYL TRANSPEPTIDASE
MNEMONIC: GGT
ABBR: GGT
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82977
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 09818
CONTAINER: MINT-PST
NAME: GANGLIOSIDE ANTIBODY PANEL
MNEMONIC: GANG
ABBR: GANGLIOSIDE ABS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
GMGM1
IGG MONOSIALO GM1
83520
MMGM1
IGM MONOSIALO GM1
8352059
GAGM1
IGG ASIALO GM1
8352059
MAGM1
IGM ASIALO GM1
8352059
GDGD1B
IGG DISIALO GD1B
8352059
MDGD1B
IGM DISIALO GD1B
8352059
CGANG
COMMENT GANG
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
NAME: GASTRIN
MNEMONIC: GAS
ABBR: GAS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82941
CPT TYPE: CPT-4
CHARGE:
137.00 BILLING CD: 65324
CONTAINER: SST10
COLLECTION INSTRUCTION
8 HR FAST
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
103.00
94.00
94.00
94.00
94.00
94.00
65711
65719
65719
65719
65719
65719
95
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: GC SOURCE
MNEMONIC: GCS
ABBR: GCS
NAME: GENTAMICIN LEVEL PEAK
MNEMONIC: GENP
ABBR: GENP
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80170
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 41984
CONTAINER: RED3
NAME: GENTAMICIN LEVEL TROUGH
MNEMONIC: GENT
ABBR: GENT
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80170
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 41983
CONTAINER: RED3
NAME: GENTAMICIN RANDOM
MNEMONIC: GENR
ABBR: GENR
OTHER MNEMONIC: GENL
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80170
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 41983
CONTAINER: RED3
NAME: GIARDIA LAMBLIA AB PANEL,IFA
MNEMONIC: GLAB
ABBR: GLAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
2.0
COMPONENTS
GLG
GIARDIA LAMBLIA IgG
86674
CPT-4
GLM
GIARDIA LAMBLIA IgM
86674
CPT-4
GLA
GIARDIA LAMBLIA IGA
86674
CPT-4
GLABI
INTERPRETATION GLAB
113.00 66389
113.00 66397
113.00 66381
NAME: GLIADIN ANTIBODIES, IgG & IgA
MNEMONIC: GLIADABS
ABBR: GLIADIN AB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
COMPONENTS
GLIADG
ANTI-GLIADIN IGG ANTIBODY
83516
CPT-4
GLIADA
ANTI-GLIADIN IGA ANTIBODY
83516
CPT-4
124.00
124.00
NAME: GLUCAGON LEVEL, PLASMA
MNEMONIC: GLUC
ABBR: GLUC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82943
CPT TYPE: CPT-4
CHARGE:
154.00 BILLING CD: 65332
CONTAINER: LAV ON ICE
COLLECTION INSTRUCTION: FASTING
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
2.0
66342
65416
SST10
SST10
96
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: GLUCOSE BEDSIDE
MNEMONIC: GLUB
ABBR: GLUB
OTHER MNEMONIC: ACCUCHEK
GLUCOMETER
DEPT: PHLB
SITE: ML
TURN AROUND HOURS:
CPT: 82948
CPT TYPE: CPT-4
CHARGE:
33.00 BILLING CD: 66296
CONTAINER: STRIP
NAME: GLUCOSE PHOSPATE ISOMERASE,B
MNEMONIC: GPI
ABBR: GPI
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84087
CPT TYPE: CPT-4
CHARGE:
56.00 BILLING CD: 53807
CONTAINER: YEL-ACDB
ALIQUOT: YEL-ACDB
MIN ML:
6.0 MAX ML:
6.0
NAME: GLUCOSE URINE TIMED
MNEMONIC: TUGLU
ABBR: GLU TIMED
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82945
CPT TYPE: CPT-4
CHARGE:
32.00 BILLING CD: 63520
CONTAINER: UR24 HOUR CONTAINER
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00
UGLUC
URINE GLUCOSE
82945
CPT-4
32.00
UGLUT
URINE GLUCOSE TIMED
NAME: GLUCOSE,2HR PP
MNEMONIC: GLU2PP
ABBR: GLU2P
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 82947
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00703
CONTAINER: YEL-SST
NAME: GLUCOSE,CSF
MNEMONIC: CGLU
ABBR: CGLU
OTHER MNEMONIC: CSFG
GLUCSF
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82945
CPT TYPE: CPT-4
CHARGE:
32.00 BILLING CD: 63520
CONTAINER: CSF#1
ALIQUOT: CSF#1
MIN ML:
1 MAX ML:
1
NAME: GLUCOSE,PERICARDIAL FLUID
MNEMONIC: GLUPC
ABBR: GLUPC
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82945
CPT TYPE: CPT-4
CHARGE:
32.00 BILLING CD: 63520
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: GLUCOSE,PERITONEAL FLUID
MNEMONIC: GLUPT
ABBR: GLU PERIT
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82945
CPT TYPE: CPT-4
CHARGE:
32.00 BILLING CD: 63520
CONTAINER: GREEN ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
63600
63520
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: GLUCOSE,PLEURAL FLUID
MNEMONIC: GLUPL
ABBR: GLUPL
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82945
CPT TYPE: CPT-4
CHARGE:
32.00 BILLING CD: 63520
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: GLUCOSE,RANDOM
MNEMONIC: GLU
ABBR: GLU
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82947
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00703
CONTAINER: MINT-PST
NAME: GLUCOSE,RANDOM URINE
MNEMONIC: GLUU
ABBR: GLU,UR
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82945
CPT TYPE: CPT-4
CHARGE:
32.00 BILLING CD: 63520
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: GLUCOSE,RANDOM-STAT
MNEMONIC: GLUS
ABBR: GLUS
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82947
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00703
CONTAINER: MINT-PST
NAME: GLUCOSE,SYNOVIAL FLUID
MNEMONIC: GLUSY
ABBR: GLUSY
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 82945
CPT TYPE: CPT-4
CHARGE:
32.00 BILLING CD: 63520
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: GLUCOSE-6-PHOS DEHYDROGENASE
MNEMONIC: G6PD
ABBR: G6PD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82955
CPT TYPE: CPT-4
CHARGE:
77.00 BILLING CD: 65316
CONTAINER: YEL-ACDB
COLLECTION INSTRUCTION
WHOLE BLOOD..DO NOT SPIN
ALIQUOT: YEL-ACDB
MIN ML:
4.0 MAX ML:
4.0
NAME: GLUTAMIC ACID DECARBOXYLASE
MNEMONIC: GAD65
ABBR: GAD65
OTHER MNEMONIC: ANTI-GAD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86341
CPT TYPE: CPT-4
CHARGE:
214.00 BILLING CD: 65648
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.3 MAX ML:
1.0
97
98
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: GONADOTROPIN RELEASING HORMONE
MNEMONIC: GNRH
ABBR: GNRH
OTHER MNEMONIC: LHRH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83727
CPT TYPE: CPT-4
CHARGE:
518.00 BILLING CD: 51390
CONTAINER: RED10
COLLECTION INSTRUCTION
SEPARATE SERUM FROM CELLS IMMEDIATELY
ALIQUOT: FRZ-SERUM
MIN ML:
3.0 MAX ML:
3.0
NAME: GQ1B IGG ANTIBODY
MNEMONIC: GQ1B
ABBR: GQ1B
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65577
CONTAINER: RED10
COLLECTION INSTRUCTION: OVERNIGHT FASTING PREFERED
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: GROSS & MICRO EXAM LEVEL 4
MNEMONIC: GRM
ABBR: GRM
OTHER MNEMONIC: 88305R
DEPT: LNP
SITE: UPMC-HISTO TURN AROUND HOURS:
CPT: 88305
CPT TYPE: CPT-4
CHARGE:
298.00 BILLING CD: 66251
NAME: GTT1 OB 50 GRAMS GLUCOLA
MNEMONIC: OB50
ABBR: OB50
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82950
CPT TYPE: CPT-4
CHARGE:
56.00 BILLING CD: 65986
NAME: GTT2 NON-OB 75 GRAMS GLUCOLA
MNEMONIC: GTT2
ABBR: GTT2
OTHER MNEMONIC:
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82951
CPT TYPE: CPT-4
CHARGE:
91.00 BILLING CD: 09832
CONTAINER: YEL-SST
NAME: GTT3 NON-OB 75 GRAMS GLUCOLA
MNEMONIC: GTT3
ABBR: GTT3
OTHER MNEMONIC:
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82951
CPT TYPE: CPT-4
CHARGE:
91.00 BILLING CD: 09832
CONTAINER: YEL-SST
NAME: GTT3 OB 100 GRAMS GLUCOLA
MNEMONIC: OB100
ABBR: GTT3 OB 100 GRA
OTHER MNEMONIC: 0100
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82951
CPT TYPE: CPT-4
CHARGE:
91.00 BILLING CD: 09832
CONTAINER: YEL-SST
NAME: GTT4 NON-OB 75 GRAMS GLUCOLA
MNEMONIC: GTT4
ABBR: GTT4
DEPT: CHEM
SITE: ML
TURN AROUND HOURS: CPT: 82951
CHARGE:
91.00 BILLING CD: 09832 CONTAINER: YEL-SST
CPT TYPE: CPT-4
99
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: GTT5 NON-OB 75 GRAMS GLUCOLA
MNEMONIC: GTT5
ABBR: GTT5
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82951
CPT TYPE: CPT-4
CHARGE:
91.00 BILLING CD: 09832
CONTAINER: YEL-SST
NAME: GTT6 NON-OB 75 GRAMS GLUCOLA
MNEMONIC: GTT6
ABBR: GTT6
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 82951
CPT TYPE: CPT-4
CHARGE:
91.00 BILLING CD: 09832
CONTAINER: YEL-SST
NAME: H. PYLORI AB IGG
MNEMONIC: HPYG
ABBR: HPYG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86677
CPT TYPE: CPT-4
CHARGE:
115.00 BILLING CD: 65553
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.5
COMPONENTS
HPG
H.PYLORI AB IGG,S
HPGI
INDEX VALUE H IGG
NAME: H. PYLORI AB IGG,IGA,&IGM
MNEMONIC: HPGAM
ABBR: HPGAM
OTHER MNEMONIC: HPYGAM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.6 MAX ML:
0.6
COMPONENTS
HPYG
H. PYLORI AB IGG
86677
CPT-4
HPG
H.PYLORI AB IGG,S
HPYA
H.PYLORI AB,IGA,S
86677
CPT-4
HPA
H.PYLORI AB IGA
HPYM
H.PYLORI AB,IGM,S
86677
CPT-4
HPGM
H.PYLORI AB IGM
115.00
65553
SST10
115.00
65529
SST10
115.00
65031
NAME: H.PYLORI AB,IGA,S
MNEMONIC: HPYA
ABBR: HPYA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86677
CPT TYPE: CPT-4
CHARGE:
115.00 BILLING CD: 65529
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.3 MAX ML:
0.6
COMPONENTS
HPA
H.PYLORI AB IGA
HPAI
INDEX VALUE H.PYLORI IGA
NAME: H.PYLORI AB,IGM,S
MNEMONIC: HPYM
ABBR: HPYM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86677
CPT TYPE: CPT-4
CHARGE:
115.00 BILLING CD: 65031
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.3 MAX ML:
0.6
SST10
100
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
.CONTINUED
H. PYLORI AB,IGM,SCOMPONENTS
HPGM
H.PYLORI AB IGM
HPMI
INDEX VALUE H.PYLORI IGM
NAME: HAEMOPHILUS INFLUENZAE B IgG
MNEMONIC: HIB
ABBR: HIB
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 86684
CPT TYPE: CPT-4
CHARGE:
137.00 BILLING CD: 84703
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.3 MAX ML:
0.5
NAME: HALOPERIDOL (HALDOL) LEVEL
MNEMONIC: HAL
ABBR: HAL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
HALO
HALOPERIDOL
80173
CPT-4
HALR
REDUCED HALOPERIDOL
154.00
65459
NAME: HANTAVIRUS ANTIBODIES
MNEMONIC: HANTA
ABBR: HANTA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10
ALIQUOT: SST
MIN ML:
0.25 MAX ML:
1.0
COMPONENTS
HANTAG
HANTA VIRUS IGG
86790
CPT-4
139.00 65441
HANTAM
HANTA ANTIBODY,IGM
86790
CPT-4
139.00 65869
NAME: HAPTOGLOBIN
MNEMONIC: HAP
ABBR: HAP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83010
CPT TYPE: CPT-4
CHARGE:
98.00 BILLING CD: 65146
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: HCG,TUMOR MARKER
MNEMONIC: HCGT
ABBR: HCGT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84704
CPT TYPE: CPT-4
CHARGE:
151.00 BILLING CD: 65421
CONTAINER: RED10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
NAME: HCT
MNEMONIC: HCT
ABBR: HCT
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 85014
CPT TYPE: CPT-4
CHARGE:
21.00 BILLING CD: 53413
CONTAINER: LAV
NAME: HCV GENOSURE NS3/4A
MNEMONIC: HCNS3
ABBR: HCNS3
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87902
CPT TYPE: CPT-4
CHARGE: 1341.00 BILLING CD: 61439
101
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
HCV GENOSURE NS3/4A CONTINUED
CONTAINER: LAV
ALIQUOT: FRZ-PLASMA
MIN ML:
COMPONENTS: NS3
NS3/4A
0.6
MAX ML:
3.0
NAME: HDL CHOLESTEROL
MNEMONIC: HDL
ABBR: HDL
OTHER MNEMONIC: HDLC
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83718
CPT TYPE: CPT-4
CHARGE:
57.00 BILLING CD: 09934
CONTAINER: MINT-PST
NAME: HEAVY METALS SCREEN,BLOOD
MNEMONIC: HEVY
ABBR: HEVY
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: ROYAL BLUE EDTA
ALIQUOT: RYLBLUEDTA
MIN ML:
0.25 MAX ML:
5.0
COMPONENTS
ASBLD
ARSENIC, BLOOD
82175
MERC
MERCURY, BLOOD
83825
LEADH
LEAD, HEAVY METAL SCREEN
83655
CADB
CADMIUM, BLOOD
CPT-4
CPT-4
CPT-4
216.00 65242
136.00 65557
94.00 65101
NAME: HEAVY METALS, 24 HR URINE
MNEMONIC: HEVYU
ABBR: HEVYU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS: :
CONTAINER: UR24 CONTAINER
COLLECTION INSTRUCTION:
NO PRESERVATIVE,NO SEAFOOD 48 HRS PRIOR TO COLL,REF W/IN 4HR
ALIQUOT: UR24
MIN ML:
10.0 MAX ML:
10.0
COMPONENTS
HEVD
DURATION
HEVV
TOTAL VOLUME
ARSU
ARSENIC, 24 HOUR URINE
82175
CPT-4
216.00 65028
LEADU
LEAD,24 HR URINE
83655
CPT-4
94.00 19776
CADU
CADMIUM,24 HOUR URINE
82300
CPT-4
145.00 65084
MERCU
MERCURY, 24 HR URINE
83825
CPT-4
136.00 19789
NAME: HELICOBACT PYLORI BREATH TEST
MNEMONIC: HPBT
ABBR: HPBT
:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83013
CPT TYPE: CPT-4
CHARGE:
460.00 BILLING CD: 66369
CONTAINER: OTHER
COLLECTION INSTRUCTION: MUST ORDER SPECIAL KIT IN ADVANCE
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
NAME: HELICOBACTOR PYLORI AG, FECES
MNEMONIC: HPAG
ABBR: H PYLORI AG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87338
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: STC
ALIQUOT: FREEZE
MIN ML:
5 MAX ML:
5
UR24
UR24
UR24
UR24
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HEMOCHROMATOSIS,HEREDITARY
MNEMONIC: HHGA
ABBR: HHGA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81256
CPT TYPE: CPT-4
CHARGE:
908.00 BILLING CD: 66643
CONTAINER: LAV
COLLECTION INSTRUCTION: ROOM TEMP
ALIQUOT: LAV
MIN ML:
2.5 MAX ML:
4.0
COMPONENTS
HHGAI
INTERPRETATION AND REPORT
EXT
MOLECULAR EXTRACTION
83890
CPT-4
91.00 55430
AMP
AMPLIFICATION
83898
CPT-4
212.00 65588
AMP2
AMPLIFICATION 2
83898
CPT-4
212.00 65588
NAME: HEMOGLOBIN
MNEMONIC: HGB
ABBR: HGB
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 85018
CPT TYPE: CPT-4
CHARGE:
28.00 BILLING CD: 61308
CONTAINER: LAV
NAME: HEMOGLOBIN A2 & F
MNEMONIC: A2F
ABBR: HGB A2 & F
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83021
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 19551
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1.0 MAX ML:
3.0
COMPONENTS
HBA2
HB A2
HBF
HB F
NAME: HEMOGLOBIN F, BLOOD
MNEMONIC: FHGB
ABBR: FETAL HGB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83021
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 19551
CONTAINER: LAV
COLLECTION INSTRUCTION: SEND LAV
ALIQUOT: LAV
MIN ML:
1.0 MAX ML:
3.0
NAME: HEMOGLOBIN S SCREEN,BLOOD
MNEMONIC: HGBS
ABBR: HGB S
OTHER MNEMONIC: SDEX
SICKLE CELL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 85660
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: LAV
COLLECTION INSTRUCTION
SEND WHOLE BLOOD
ALIQUOT: LAV
MIN ML:
0.5 MAX ML:
1.0
NAME: HEMOSIDERIN, RANDOM URINE
MNEMONIC: HEMO
ABBR: HEMO
:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83070
CPT TYPE: CPT-4
CHARGE:
54.00 BILLING CD: 65380
CONTAINER: STC
COLLECTION INSTRUCTION: NO PRESERVATIVE.
ALIQUOT: URINE
MIN ML:
13.0 MAX ML:
13.0
102
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HEP B S AG CONFIRM TO MAYO
MNEMONIC: HBSAGMAYO
ABBR: HBSAGMAYO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: PLASMA IS AN UNACCEPTABLE SPECIMEN
ALIQUOT: FRZ-SERUM
MIN ML:
1 MAX ML:
1
NAME: HEPARIN COFACTOR II
MNEMONIC: HF2
ABBR: HF2
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 85130
CPT TYPE: CPT-4
CHARGE:
128.00 BILLING CD: 65724
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
0.5 MAX ML:
1.0
NAME: HEPARIN LEVEL/ANTI-Xa
MNEMONIC: HAXA
ABBR: HAXA
OTHER MNEMONIC: LMW HEPARIN
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85520
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 65399
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
HLMW
LMW HEPARIN LEVEL
HTYPE
TYPE OF HEPARIN
HUNF
UNF HEPARIN LEVEL
HORG
ORGARAN LEVEL
103
104
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HEPARIN PF4 PLATELET AB
MNEMONIC: HPAB
ABBR: HPAB
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 86022
CPT TYPE: CPT-4
CHARGE:
63.00 BILLING CD: 55098
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
PF4
HEPARIN PF4 PLATELET AB
PF4ABS
PF4 ABSORBANCE
NAME: HEPARIN PLATELET AB PANEL
MNEMONIC: HIT
ABBR: HIT
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CONTAINER: BLUE
COLLECTION INSTRUCTION
FZN PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
COMPONENTS
HPAB
HEPARIN PF4 PLATELET AB
86022
HPLTAGG
HEPARIN-INDUCED PLT AB (AGG)
86022
1
CPT-4
CPT-4
NAME: HEPARIN-INDUCED PLT AB (AGG)
MNEMONIC: HPLTAGG
ABBR: HPLTAGG
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 86022
CPT TYPE: CPT-4
CHARGE:
63.00 BILLING CD: 53538
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
NAME: HEPATITIS A AB IGM
MNEMONIC: HAVM
ABBR: HAVM
OTHER MNEMONIC: HAAM
DEPT: HEP
SITE: ML
TURN AROUND HOURS:
CPT: 86709
CPT TYPE: CPT-4
CHARGE:
116.00 BILLING CD: 58639
CONTAINER: SST10
NAME: HEPATITIS A ANTIBODY IGM
MNEMONIC: HAABM
ABBR: HAABM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86709
CPT TYPE: CPT-4
CHARGE:
116.00 BILLING CD: 58639
CONTAINER: SST10
COLLECTION INSTRUCTION: FREEZE
NAME: HEPATITIS A TOTAL AB, W/REFLEX
MNEMONIC: HAV
ABBR: HAV
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86708
CPT TYPE: CPT-4
CHARGE:
86.00 BILLING CD: 19638
CONTAINER: SST10
COLLECTION INSTRUCTION/REFLEX TEST
IF POSITIVE WILL REFLEX IGM
ALIQUOT: FRZ-SERUM
MIN ML:
0.3 MAX ML:
2.0
63.00 55098
63.00 53538
BLUE
BLUE
105
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HEPATITIS B CORE IGM AB
MNEMONIC: HBBC
ABBR: HBcM
OTHER MNEMONIC: HBCM
DEPT: HEP
SITE: ML
TURN AROUND HOURS:
CPT: 86705
CPT TYPE: CPT-4
CHARGE:
121.00 BILLING CD: 65695
CONTAINER: SST10
NAME: HEPATITIS B CORE TOTAL AB,S
MNEMONIC: HBC
ABBR: HBC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86704
CPT TYPE: CPT-4
CHARGE:
123.00 BILLING CD: 65186
CONTAINER: SST10
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: HEPATITIS B SURFACE AG,CONFIRM
MNEMONIC: HBSAGC
ABBR: HBSAGC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87341
CPT TYPE: CPT-4
CHARGE:
360.00 BILLING CD: 65618
COLLECTION INSTRUCTION: ORDERED ONLY WHEN MAYO REFLEXES
NAME: HEPATITIS B SURFACE ANTIBODY
MNEMONIC: HBSAB
ABBR: aHBs
OTHER MNEMONIC: HBAB
DEPT: HEP
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COMPONENTS
HBABQL
HEPATITIS B SURFACE AB, QUAL
HBABQN
HEPATITIS B SURFACE AB QUANT
86317
CPT-4
116.00
NAME: HEPATITIS B SURFACE ANTIGEN
MNEMONIC: HBSAG
ABBR: HBsAG
OTHER MNEMONIC: HBAG
DEPT: HEP
SITE: ML
TURN AROUND HOURS:
CPT: 87340
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 65687
CONTAINER: SST10
NAME: HEPATITIS BE ANTIBODY
MNEMONIC: HBEAB
ABBR: HBEAB
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86707
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 65172
CONTAINER: SST10
COLLECTION INSTRUCTION: FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: HEPATITIS BE ANTIGEN
MNEMONIC: HBEAG
ABBR: HBEAG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87350
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 65164
CONTAINER: SST10
COLLECTION INSTRUCTION: SPIN AND REMOVE FROM CLOT IMMEDIATELY
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
65703
SST10
106
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HEPATITIS BE ANTIGEN/ANTIBODY
MNEMONIC: HBEP
ABBR: HBEP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10 COLLECTION INSTRUCTION FREEZE
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
HEPATITIS BE ANTIGEN/ANTIBODY COMPONENTS
HBEAG
HEPATITIS BE ANTIGEN
87350
CPT-4
119.00 65164
HBEAB
HEPATITIS BE ANTIBODY
86707
CPT-4
119.00 65172
NAME: HEPATITIS BS AG,CADAVER
MNEMONIC: HBSAGCAD
ABBR: HBSAGCAD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87340
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 09830
CONTAINER: SST10
ALIQUOT: FRZ-SERUM
MIN ML:
1.5 MAX ML:
2.0
NAME: HEPATITIS C AB, CADAVERIC
MNEMONIC: HCVCAD
ABBR: HCVCAD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86803
CPT TYPE: CPT-4
CHARGE:
137.00 BILLING CD: 65290
CONTAINER: SST10
ALIQUOT: FREEZE
MIN ML:
0.5 MAX ML:
1.25
NAME: HEPATITIS C ANTIBODY
MNEMONIC: HCV
ABBR: aHCV
OTHER MNEMONIC: HCAB
DEPT: HEP
SITE: ML
TURN AROUND HOURS:
CPT: 86803
CPT TYPE: CPT-4
CHARGE:
137.00 BILLING CD: 65679
CONTAINER: SST10
NAME: HEPATITIS C GENOTYPE
MNEMONIC: HCVGT
ABBR: HCVGT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87902
CPT TYPE: CPT-4
CHARGE: 1341.00 BILLING CD: 61439
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
2.0
NAME: HEPATITIS C RNA RT-PCR, QUANT.
MNEMONIC: HCPCR
ABBR: HCPCR
OTHER MNEMONIC: HCVRNA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87522
CPT TYPE: CPT-4
CHARGE:
449.00 BILLING CD: 65334
CONTAINER: SST10
COLLECTION INSTRUCTION: FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
1.1 MAX ML:
2.2
NAME: HEPATITIS D ANTIBODY
MNEMONIC: HDA
ABBR: HDA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86692
CPT TYPE: CPT-4
CHARGE:
133.00 BILLING CD: 65549
CONTAINER: RED10
COLLECTION INSTRUCTION
ROOM TEMP
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1
SST10
SST10
107
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HEPATITIS E VIRUS, IGM
MNEMONIC: HEV
ABBR: HEV
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86790
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 65498
CONTAINER: SST10
ALIQUOT: FRZ-SERUM
MIN ML:
0.1 MAX ML:
0.5
NAME: HEPATITIS PROFILE ACUTE
MNEMONIC: HPPF
ABBR: HPPF
OTHER MNEMONIC: HEPP
DEPT: HEP
SITE: ML
TURN AROUND HOURS:
CPT: 80074
CPT TYPE: CPT-4
CHARGE:
250.00 BILLING CD: 65671
CONTAINER: SST10
COMPONENTS
HBSAG
HEPATITIS B SURFACE ANTIGEN
87340
CPT-4
99.00 65687
HAVM
HEPATITIS A AB IGM
86709
CPT-4
116.00 58639
HBBC
HEPATITIS B CORE IGM AB
86705
CPT-4
121.00 65695
HCV
HEPATITIS C ANTIBODY
86803
CPT-4
137.00 65679
NAME: HER2 BY FISH
MNEMONIC: HER2
ABBR: HER2 BY FISH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
COMPONENTS
HER2I
HER2I
MORA
MORPHOMETRIC ANAYLSIS,MANUAL
88368
MORA2
MORPHOMETRIC ANAYLSIS,MANUAL
8836891
DNA
DNA PROBE
88271
DNA2
DNA PROBE 2
8827191
HYB4
HYBRIDIZATION, 25-99 CELLS
88274
INTERP
INTERPRETATION-CYTOGENETICS
NAME: HEROIN (DIACETYLMORPHINE)
MNEMONIC: HER
ABBR: HER
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80101
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: GRAY
ALIQUOT: GRAY
MIN ML:
2.0 MAX ML:
10.0
NAME: HERPES I/II ANTIBODY, IGM
MNEMONIC: HSVM
ABBR: HSVM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86694
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 66220
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.4 MAX ML:
1.0
NAME: HERPES SIMPLEX BY PCR
MNEMONIC: HERP
ABBR: HERPES SIMP PCR
OTHER MNEMONIC: HSV
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87529
CPT TYPE: CPT-4
CHARGE:
353.00 BILLING CD: 58894
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
749.00
749.00
129.00
122.00
341.00
0.00
65515
65547
65768
65784
65507
58645
108
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: SWAB
HERPES SIMPLEX BY PCR
continued
ALIQUOT: SWAB
MIN ML:
1 MAX ML:
COMPONENTS
HERPS
HERPES SOURCE
HSV1
HSV1
HSV2
HSV2
HSVI
HSVI
HERPR
HERPES RESULT
HERPSI
HERPES SPECIAL INFORMATION
HERPRS
HERPES REPORT STATUS
1
NAME: HERPES SIMPLEX I&II,IGG &IGM
MNEMONIC: HSVAB
ABBR: HSV TYPE 1 & 2
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.8 MAX ML:
1.0
COMPONENTS
HSVIG
HERPES I ANTIBODY, IGG
86695
CPT-4
HSVIIG
HERPES II ANTIBODY,IGG
86696
CPT-4
HSVM
HERPES I/II ANTIBODY, IGM
86694
CPT-4
54.00 61433
204.00 65712
114.00 66220
NAME: HERPES SIMPLEX TYPE I &II,IGG
MNEMONIC: HSVIGG
ABBR: HSV I&II,IGG
:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
HSVIG
HERPES I ANTIBODY, IGG
86695
CPT-4
HSVIIG
HERPES II ANTIBODY,IGG
86696
CPT-4
54.00 61433
204.00 65712
NAME: HEXAGONAL LIPID NEUTRALIZATION
MNEMONIC: HEX
ABBR: HEX
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85597
CPT TYPE: CPT-4
CHARGE:
177.00 BILLING CD: 66000
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
NAME: HGB & HCT
MNEMONIC: HH
DEPT: HEMA
SITE: ML
CONTAINER: LAV
HGB
HCT
HEMOGLOBIN
HCT
ABBR: HH
TURN AROUND HOURS:
COMPONENTS
85018
CPT-4
85014
CPT-4
28.00 61308
21.00 53413
LAV
LAV
NAME: HISTAMINE 24 HR URINE
MNEMONIC: HISTU
ABBR: HISTU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83088
CPT TYPE: CPT-4
CHARGE:
444.00 BILLING CD: 65126
CONTAINER: UR24-HCL COLLECTION INSTRUCTION: ADD 10 ML 6N HCL
ALIQUOT: URINE
MIN ML:
2.0 MAX ML:
4.0
RED10
109
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HISTOCHEM STN W/ FRZN SECTION
MNEMONIC: HISF
ABBR: HISF
OTHER MNEMONIC: 88314R
DEPT: LNP
SITE: UPMC-HISTO TURN AROUND HOURS:
CPT: 88314
CPT TYPE: CPT-4
CHARGE:
71.00 BILLING CD: 66219
NAME: HISTOCHEMISTRY ENZYME
MNEMONIC: HIE
ABBR: HIE
OTHER MNEMONIC: 88319R
DEPT: LNP
SITE: UPMC-HISTO TURN AROUND HOURS:
CPT: 88319
CPT TYPE: CPT-4
CHARGE:
369.00 BILLING CD: 66227
NAME: HISTONE ANTIBODIES
MNEMONIC: AHA
ABBR: AHA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83516
CPT TYPE: CPT-4
CHARGE:
124.00 BILLING CD: 65604
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.45 MAX ML:
0.5
NAME: HISTOPLASMA ANTIBODIES PANEL
MNEMONIC: HISTOAB
ABBR: HISTOAB
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
0.5
COMPONENTS
HISTOM HISTOPLASMA MYCELIAL
86698
HISTOY HISTOPLASMA YEAST
86698
HISTOI
HISTOPLASMA IMMUNODIFFUSION
86698
HISTO
HISTOPLASMA ANTIBODY SCREEN
86698
CPT-4
CPT-4
CPT-4
CPT-4
NAME: HISTOPLASMA ANTIBODY SCREEN
MNEMONIC: HISTO
ABBR: HISTO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86698
CPT TYPE: CPT-4
CHARGE:
54.00 BILLING CD: 55727
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
2.0
NAME: HIV 1 & 2 ANTIBODY SCREEN
MNEMONIC: HIV
ABBR: HIV
OTHER MNEMONIC: HIV12I
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 86703
CPT TYPE: CPT-4
CHARGE:
153.00 BILLING CD: 64384
CONTAINER: YEL
NAME: HIV 1 RNA BY PCR
MNEMONIC: HIV1RNA
ABBR: HIV1RNA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87536
CPT TYPE: CPT-4
CHARGE:
888.00 BILLING CD: 65680
CONTAINER: LAV
COLLECTION INSTRUCTION: FROZEN PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
1.2 MAX ML:
2.5
54.00 84661
54.00 84661
54.00 84661
54.00 55727
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HIV-1 AB,IMMUNOFLOURESCENCE
MNEMONIC: HIVIF
ABBR: HIVIF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86689
CPT TYPE: CPT-4
CHARGE:
150.00 BILLING CD: 65450
NAME: HIV-1 GENTOYPE DRUG RESISTANCE
MNEMONIC: HIVGR
ABBR: HIVGR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87901
CPT TYPE: CPT-4
CHARGE: 2679.00 BILLING CD: 65660
CONTAINER: LAV
COLLECTION INSTRUCTION: REMOVE PLASMA FROM CELL WITHIN 4 HOURS
ALIQUOT: FRZ-PLASMA
MIN ML:
0.6 MAX ML:
2.0
NAME: HIV-1,WESTERN BLOT
MNEMONIC: HIV1
ABBR: HIV1
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86689
CPT TYPE: CPT-4
CHARGE:
150.00 BILLING CD: 65658
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
1.6
NAME: HIV-II AB
MNEMONIC: HIV2
ABBR: HIV2
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86702
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 61434
CONTAINER: SST10
COLLECTION INSTRUCTION FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
0.2 MAX ML:
0.5
NAME: HLA CLASS 1 TYPING (PCR)
MNEMONIC: HLA1
ABBR: HLA1
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81372
CPT TYPE: CPT-4
CHARGE: 1224.00 BILLING CD: 67088
CONTAINER: YEL-ACDB
ALIQUOT: YEL-ACDB
MIN ML:
3.0 MAX ML:
6.0
COMPONENTS
HLAA1
HLA A LOCUS SEROLOGY
HLAA2
HLA A LOCUS MOLECULAR
HLAB1
HLA B LOCUS 1 SEROLOGY
HLAB2
HLA B LOCUS MOLECULAR
HLAC1
HLA CW LOCUS SEROLOGY
HLAC2
HLA C LOCUS MOLECULAR
HLABW
HLA BW SEROLOGY
HLA1I
INTERPRETATION AND REPORT
83912
CPT-4
110.00 53046
ELP
ELECTROPHORESIS
83894
CPT-4
51.00 52613
EXT
MOLECULAR EXTRACTION
83890
CPT-4
91.00 55430
AMP
AMPLIFICATION
83898
CPT-4
212.00 65588
NAME: HLA-B27
MNEMONIC: HLAB27
ABBR: HLA-B27
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86812
CPT TYPE: CPT-4
CHARGE:
198.00 BILLING CD: 65396
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1.0 MAX ML:
6.0
110
ACMH LAB TEST CATALOG
111
UPDATED AUGUST 2014
HLAB27R
HLAINT
COMPONENTS
HLA-B27 RESULT
INTERPRETATION HLA B27
NAME: HOMOCYSTEINE
MNEMONIC: HOMC
ABBR: HOMC
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83090
CPT TYPE: CPT-4
CHARGE:
177.00 BILLING CD: 65532
CONTAINER:
COLLECTION INSTRUCTION: FAST-12HR PREFERED/SPIN WITHIN 4 HR
ALIQUOT: PLASMA
MIN ML:
0.15 MAX ML:
0.4
NAME: HOMOVANILLIC ACID 24 HR URINE
MNEMONIC: HOMU
ABBR: HOMU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83150
CPT TYPE: CPT-4
CHARGE:
162.00 BILLING CD: 65005
CONTAINER: UR24-ACE
ALIQUOT: UR24
MIN ML:
2.0 MAX ML:
6.0
NAME: HPV 16
MNEMONIC: HPV16
ABBR: HPV16
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER:
THIN PREP SPECIMEN SENT BY CYTOLOGY
NAME: HPV 18
MNEMONIC: HPV18
ABBR: HPV18
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: THIN PREP SPECIMEN SENT BY CYTOLOGY
NAME: HPV OTHER HIGH RISK TYPES
MNEMONIC: HPVO
ABBR: HPVO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER:THIN PREP SPECIMEN SENT BY CYTOLOGY
NAME: HPV TYPING DNA HYBRIDIZATION
MNEMONIC: HPVT
ABBR: HPVT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 88365
CPT TYPE: CPT-4
CHARGE:
235.00 BILLING CD: 66084
COLLECTION INSTRUCTION FORMALIN-FIXED PARAFFIN TISSUE BLK OR FORMALIN FIXED TISSUE
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
NAME: HPV W/ GENOTYPING,PCR,THINPREP
MNEMONIC: HPV
ABBR: HPV
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87621
CPT TYPE: CPT-4
CHARGE:
331.00 BILLING CD: 65735
CONTAINER: THINPREP
COLLECTION INSTRUCTION
USE THIS TEST FOR CYTOLOGY SPECIMENS
ALIQUOT: THINPREP
MIN ML:
1 MAX ML:
1
COMPONENTS
112
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
HPVSO
HPV16
HPV18
HPVO
HPV SOURCE
HPV 16
HPV 18
HPV OTHER HIGH RISK TYPES
CPT-4
NAME: HSV AND VZV BY PCR
MNEMONIC: HSVZV
ABBR: HSV & VZV PCR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SWAB
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
SWAB
1
1
COMPONENTS
VZPCR
VARICELLA ZOSTER, PCR
87798
CPT-4
VZRS
VARICELLA RESULT
HERP
HERPES SIMPLEX BY PCR
87529
CPT-4
356.00 65465
SWAB
353.00 58894
SWAB
NAME: HTLV CONFIRMATION
MNEMONIC: HTLVC
ABBR: HTLVC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86689
CPT TYPE: CPT-4
CHARGE:
150.00 BILLING CD: 65611
CONTAINER: SST10
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: HTLV I/II ANTIBODY
MNEMONIC: HTLVIII
ABBR: HTLVIII
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86687
CPT TYPE: CPT-4
CHARGE:
75.00 BILLING CD: 53384
CONTAINER: SST10
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: HU ABS SCRN W/RELFEX TO WBLOT
MNEMONIC: HUAB
ABBR: HUAB
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86255
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 84689
CONTAINER: RED10
COLLECTION INSTRUCTION OVERNIGHT FAST PREFERRED
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
0.5
NAME: HUMAN EPIDIDYMIS PROTEIN 4
MNEMONIC: HE4
ABBR: HE4
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86305
CPT TYPE: CPT-4
CHARGE:
199.00 BILLING CD: 66167
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.5
NAME: HUMAN GRAN EHRLICHIOSIS AB
MNEMONIC: HGE
ABBR: HGE
OTHER MNEMONIC: ANAPLASMA IGG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86666
CPT TYPE: CPT-4
CHARGE:
57.00 BILLING CD: 61432
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.15 MAX ML:
0.5
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HUMAN GROWTH HORMONE
MNEMONIC: HGH
ABBR: HGH
OTHER MNEMONIC: GH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83003
CPT TYPE: CPT-4
CHARGE:
129.00 BILLING CD: 65348
CONTAINER: SST10
COLLECTION INSTRUCTION: FASTING
ALIQUOT: SST
MIN ML:
0.6 MAX ML:
0.6
NAME: HUMAN HERPESVIRUS-6, BY PCR
MNEMONIC: HHV6
ABBR: HHV6
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87532
CPT TYPE: CPT-4
CHARGE:
356.00 BILLING CD: 65412
CONTAINER: LAV
ALIQUOT: PLASMA
MIN ML:
0.3 MAX ML:
1.0
NAME: HYBRIDIZATION
MNEMONIC: HYB
ABBR: HYB
OTHER MNEMONIC: 83896
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83896
CPT TYPE: CPT-4
CHARGE:
30.00 BILLING CD: 55065
NAME: HYBRIDIZATION
MNEMONIC: HYBX
ABBR: HYBRIDIZATION
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83896
CPT TYPE: CPT-4
CHARGE:
30.00 BILLING CD: 55065
NAME: HYBRIDIZATION, 100-300 CELLS
MNEMONIC: HYB5
ABBR: HYB5
OTHER MNEMONIC: 88275
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 88275
CPT TYPE: CPT-4
CHARGE:
416.00 BILLING CD: 65595
NAME: HYBRIDIZATION, >300 CELLS [reflex test]
MNEMONIC: HYB6
ABBR: HYB1
DEPT: LR
SITE: IMPATH
TURN AROUND HOURS:
CPT: 88275
CPT TYPE: CPT-4
CHARGE:
416.00 BILLING CD: 65595
NAME: HYBRIDIZATION,10-30 CELLS [reflex test]
MNEMONIC: HYB3
ABBR: HYB3
OTHER MNEMONIC: 88273
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 88273
CPT TYPE: CPT-4
CHARGE:
265.00 BILLING CD: 65579
NAME: HYPERSENSITIVITY PNEUMONITIS
MNEMONIC: PNEHP
ABBR: PNEHP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86606
CPT TYPE: CPT-4
CHARGE:
163.00 BILLING CD: 84787
CONTAINER: SST10 ALIQUOT: SST
MIN ML:
0.3 MAX ML:
0.5
113
114
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: HbA1C
MNEMONIC: A1CH
ABBR: A1CH
OTHER MNEMONIC: A1C
HEMOGLOBIN A1C
DEPT: CHEM
SITE: MAYO
TURN AROUND HOURS:
CPT: 83036
CPT TYPE: CPT-4
CHARGE:
63.00 BILLING CD: 19738
CONTAINER: LAV
NAME: ICTOTEST, URINE [reflex test]
MNEMONIC: ICTO
ABBR: ICTO
OTHER MNEMONIC: UICTO
DEPT: UR
SITE: ML
TURN AROUND HOURS:
NAME: IEF CONFIRMS
MNEMONIC: IEF
ABBR: IEF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82664
CPT TYPE: CPT-4
CHARGE:
369.00 BILLING CD: 55436
NAME: IGG SUBCLASSES,S
MNEMONIC: IGGS
ABBR: IGGS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
IGGT
IMMUNOGLOBULIN G, TOTAL
82784
CPT-4
97.00
IGG1
IGG SUBCLASS 1
82787
CPT-4
300.00 65171
IGG2
IGG SUBCLASS 2
82787
CPT-4
300.00 65171
IGG3
IGG SUBCLASS 3
82787
CPT-4
300.00 65171
IGG4
IGG SUBCLASS 4
82787
CPT-4
300.00 65171
65381
NAME: IGG SYNTHESIS RATE
MNEMONIC: IGIS
ABBR: IGIS
OTHER MNEMONIC: CSFIGGINDEX
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION
Serum and spinal fluid are required.
ALIQUOT: CSF#1
SST
CSFGI
CSFI
CSFIGG
CSFA
SEIGG
SALB
SIGGA
MIN ML:
0.5 MAX ML:
0.5
1.0
COMPONENTS
CSF IGG INDEX
CSF INDEX
CSF IGG
CSF ALBUMIN
SERUM IGG
SERUM ALBUMIN
SERUM IGG/ALBUMIN
NAME: IHC TO Mayo
MNEMONIC: IHCR
OTHER MNEMONIC:
[lab order only]
ABBR: IHCR
1.0
82784
82042
82784
82040
CPT-4
CPT-4
CPT-4
CPT-4
97.00
12.00
97.00
25.00
19524
65908
65381
65900
115
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: G0461
CPT TYPE: CPT-4
CHARGE:
134.00 BILLING CD: 66855
CONTAINER: SLIDES
COLLECTION INSTRUCTION: In the comment field, list the Mayo code for ea IHC request
NAME: IMIPRAMINE AND DESIPRAMINE
MNEMONIC: IMDE
ABBR: IMDE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
3.0
COMPONENTS
IMI
IMIPRAMINE (TROFRANIL) LEVEL
80174
DES
DESIPRAMINE
80160
IMIDES
IMIPRAMINE AND DESIPRAMINE
NAME: IMMUNE STATUS PNL
MNEMONIC: MMR
ABBR: MMR
OTHER MNEMONIC: MMRV
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION: MMR AND VZ
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
3.0
COMPONENTS
MMRM
MEASLES IMMUNE STATUS, TITER
MMRMU
MUMPS IMMUNE STATUS, TITER
MMRR
RUBELLA IMMUNE STATUS,TITER
MMG
MUMPS AB, IgG, S
VAZG
VARICELLA IGG AB,S
VZG
VARICELLA-ZOSTER IgG AB
VZGI
VARICELLA IGG AB INDEX
RBG
RUBELLA AB,IgG
RUBQ
RUBELLA IGG AB
RBGI
RUBELLA IGG AB INDEX
RUBOG
RUBEOLA ( MEASLES ) AB, IGG
CPT-4
CPT-4
104.00
129.00
86765
86735
86762
86735
86787
86787
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
136.00 65074
92.00 55591
97.00 65852
92.00 55591
105.00 65163
105.00 65163
86762
86762
CPT-4
CPT-4
97.00
97.00
66539
66539
86765
CPT-4
136.00
65074
NAME: IMMUNO STAINS EA ADD'L
MNEMONIC: IHCA
ABBR: IHCA
DEPT: LNP
SITE: MAYO
TURN AROUND HOURS:
CPT: G0462
CPT TYPE: CPT-4
CHARGE:
315.00 BILLING CD: 66863
NAME: IMMUNO STAINS/CONSULT
MNEMONIC: IHC
ABBR: IHC
OTHER MNEMONIC: 88342
G0461
DEPT: LNP
SITE: MAYO
TURN AROUND HOURS:
CPT: G0461
CPT TYPE: CPT-4
CHARGE:
134.00 BILLING CD: 66855
NAME: IMMUNO-CHILD ALLERGY FOOD/ENVI
MNEMONIC: IMMUNOCAP2
ABBR: IMMCAP2
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
19960
19698
116
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: SST
MIN ML:
5.0 MAX ML:
COMPONENTS
86003
FO1
EGG WHITE IGE
FO1C
CLASS F1
FO2
MILK IGE
FO2C
CLASS F2
FO3
CODFISH IGE
FO3C
CLASS F3
FO4
WHEAT F4
FO4C
CLASS F4
FO13
PEANUT IGE
FO13C
CLASS F13
FO14
SOYBEAN IGE
FO14C
CLASS F14
FO24
SHRIMP IGE
FO24C
CLASS F24
FO256
WALNUT IGE
FO256C
CLASS F256
IGEQ
IGE,SERUM (QUEST)
D1
D.PTERONYSSINUS IGE
D1C
CLASS D1
D2
D.FARINAE IGE
D2C
CLASS D2
ALLERGEN
ALLERGEN
E1
CAT DANDER IGE
E1C
CLASS E1
E5
DOG DANDER IGE
E5C
CLASS E5
ALLERGEN10 ALLERGEN X 10
I6
COCKROACH IGE
I6C
CLASS I6
M2
C.HERBARUM IGE
M2C
CLASS M2
M6
ALTERNARIA ALTERNATA IGE
M6C
CLASS M6
5.0
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
82785
86003
CPT-4
CPT-4
86003
CPT-4
59.00
86003
86003
CPT-4
CPT-4
59.00 65691
59.00 65691
86003
CPT-4
59.00
86003
CPT-4
0.00 66490
59.00 65691
128.00 65045
59.00 65691
65691
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
NAME: IMMUNOFLUORESCENT STAINING
MNEMONIC: IFS
ABBR: IFS
OTHER MNEMONIC: 88346
DEPT: LNP
SITE: MAYO
TURN AROUND HOURS:
CPT: 88346
CPT TYPE: CPT-4
CHARGE:
111.00 BILLING CD: 52960
NAME: IMMUNOGLOBULIN A
MNEMONIC: IGA
ABBR: IGA
DEPT: ELECT
SITE: ML
TURN AROUND HOURS:
CPT: 82784
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 66582
CONTAINER: SST10
NAME: IMMUNOGLOBULIN A (MAYO)
MNEMONIC: MIGA
ABBR: MIGA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82784
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 65037
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
117
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: IMMUNOGLOBULIN D
MNEMONIC: IGD
ABBR: IGD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82784
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1.0
NAME: IMMUNOGLOBULIN E
MNEMONIC: IGE
ABBR: IGE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82785
CPT TYPE: CPT-4
CHARGE:
128.00 BILLING CD: 65045
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.3 MAX ML:
0.5
NAME: IMMUNOGLOBULIN G
MNEMONIC: IGG
ABBR: IGG
DEPT: ELECT
SITE: ML
TURN AROUND HOURS:
CPT: 82784
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 66574
CONTAINER: SST10
NAME: IMMUNOGLOBULIN G (MAYO)
MNEMONIC: MIGG
ABBR: IGG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82784
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 65381
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: IMMUNOGLOBULIN M
MNEMONIC: IGM
ABBR: IGM
DEPT: ELECT
SITE: ML
TURN AROUND HOURS:
CPT: 82784
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 66590
CONTAINER: SST10
NAME: IMMUNOGLOBULIN M (MAYO)
MNEMONIC: MIGM
ABBR: IGM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82784
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 66459
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: IMMUNOGLOBULINS G,A,M
MNEMONIC: IGGAM
ABBR: IGGAM
DEPT: ELECT
SITE: ML
TURN AROUND HOURS:
CONTAINER: SST10
COMPONENTS
IGG
IMMUNOGLOBULIN G
82784
CPT-4
IGM
IMMUNOGLOBULIN M
82784
CPT-4
IGA
IMMUNOGLOBULIN A
82784
CPT-4
NAME: INFLUENZA TYPES A & B AB
MNEMONIC: HFLU
ABBR: HFLU
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
97.00 66574
97.00 66590
97.00 66582
SST10
SST10
SST10
118
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: SST
INFAAB
INFBAB
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
INFLUENZA A ANTIBODY
86710
INFLUENZA B ANTIBODY
8671091
CPT-4
CPT-4
NAME: INHIBIN A AND B (TUMOR MAKER)
MNEMONIC: INAB
ABBR: INHIBIN A & B
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.6 MAX ML:
1.0
COMPONENTS
INA
INHIBIN A, TUMOR MARKER,S
86336
CPT-4
INB
INHIBIN B,S
83520
CPT-4
150.00 65179
150.00 65538
995.00 65616
103.00 65708
NAME: INHIBIN A, TUMOR MARKER,S
MNEMONIC: INA
ABBR: INA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86336
CPT TYPE: CPT-4
CHARGE:
995.00 BILLING CD: 65616
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
0.6
NAME: INHIBIN B,S
MNEMONIC: INB
ABBR: INB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65708
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.4
NAME: INHIBIN,TOTAL
MNEMONIC: INHT
ABBR: INHT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65564
CONTAINER: RED10
COLLECTION INSTRUCTION RECOMMENDED FOR PERSONS OVER THE AGE OF 18.
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
1.5
NAME: INSULIN ANTIBODY
MNEMONIC: INSAB
ABBR: INSAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86337
CPT TYPE: CPT-4
CHARGE:
248.00 BILLING CD: 65069
CONTAINER: SST10
COLLECTION INSTRUCTION: FASTING REQUIRED
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: INSULIN GF BINDING PROTEIN-3
MNEMONIC: IGFBP
ABBR: IGFBP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65375
CONTAINER: SST10 COLLECTION INSTRUCTION FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
0.3 MAX ML:
0.8
NAME: INSULIN, FREE
MNEMONIC: FINS
ABBR: FINS
SST10
SST10
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83527
CPT TYPE: CPT-4
CHARGE:
121.00 BILLING CD: 66230
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.4 MAX ML:
1.0
NAME: INSULIN, SERUM
MNEMONIC: INS
ABBR: INS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83525
CPT TYPE: CPT-4
CHARGE:
128.00 BILLING CD: 65061
CONTAINER: RED10
COLLECTION INSTRUCTION FASTING REQUIRED-FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: INSULIN-LIKE GROWTH FACTOR II
MNEMONIC: IGF2
ABBR: IGF2
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83519
CPT TYPE: CPT-4
CHARGE:
146.00 BILLING CD: 65521
CONTAINER: RED10
COLLECTION INSTRUCTION SEPARATE WITHIN 1 HOUR AND FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
0.1 MAX ML:
0.5
NAME: INTERFERON NEUTRALIZING AB B-1
MNEMONIC: IFNB
ABBR: IFNB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86382
CPT TYPE: CPT-4
CHARGE:
365.00 BILLING CD: 59511
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
2.0 MAX ML:
2.0
COMPONENTS
IFN
INTERFERON NEUTRALIZING AB
TCIFN
TISSUE CULTURE IFN
87253
CPT-4
218.00 59434
NTV
NEUTRALIZATION TEST VIRAL
86382
CPT-4
365.00 59511
NAME: INTERLEUKIN 2 (IL-2)
MNEMONIC: IL2
ABBR: IL-2
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 58819
CONTAINER: SST10
COLLECTION INSTRUCTION: FREEZE IMMEDIATELY
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
NAME: INTERLEUKIN 6
MNEMONIC: IL6
ABBR: IL6
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 58819
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: INTERLEUKIN-2-RECEPTOR (IL-2R)
MNEMONIC: IL2R
ABBR: IL-2R
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84238
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
2.0
119
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: INTERP FLOW 2-8 MARKERS
MNEMONIC: FLOW8
ABBR: FLOW8
OTHER MNEMONIC: 88187
DEPT: LNP
SITE: ML
TURN AROUND HOURS:
CPT: 88187
CPT TYPE: CPT-4
CHARGE:
45.00 BILLING CD: 66246
NAME: INTERP FLOW 9-15 MARKERS [interpretative comment]
MNEMONIC: FLOW15
ABBR: FLOW15
OTHER MNEMONIC: 88188
DEPT: LNP
SITE: HEMA
TURN AROUND HOURS:
CPT: 88188
CPT TYPE: CPT-4
CHARGE:
214.00 BILLING CD: 66302
NAME: INTERP FLOW CYTO >16 MARKERS [interpretative comment]
MNEMONIC: FLOWINTR
ABBR: FLOW INTER CHG
OTHER MNEMONIC: 88189
DEPT: LR
SITE: HEMA
TURN AROUND HOURS:
CPT: 88189
CPT TYPE: CPT-4
CHARGE:
809.00 BILLING CD: 65523
NAME: INTERPRETATION AND REPORT [interpretative comment]
MNEMONIC: FXMAI
ABBR: FXMAI
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
NAME: INTERPRETATION AND REPORT [interpretative comment]
MNEMONIC: INTER
ABBR: INTER
OTHER MNEMONIC: 83912
CPT: 83912
CPT TYPE: CPT-4
CHARGE:
110.00 BILLING CD: 53046
NAME: INTERPRETATION-CYTOGENETICS [interpretative comment]
MNEMONIC: INTERP
ABBR: INTERPRETATION
OTHER MNEMONIC: 88291
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
0.00 BILLING CD: 58645
NAME: INTRINSIC FACTOR BLOCKING AB
MNEMONIC: IFAB
ABBR: IFAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86340
CPT TYPE: CPT-4
CHARGE:
163.00 BILLING CD: 65077
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
0.25 MAX ML:
1.0
COMPONENTS
IFABR
INTRINSIC FACTOR ANTIBODY
CPT-4
IFABC
INTRINSIC FACTOR COMMENT
NAME: IODINE TOTAL, 24 HR URINE
MNEMONIC: IODU
ABBR: IODU
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83789
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 65955
CONTAINER: UR24
COLLECTION INSTRUCTION RECORD TOTAL VOLUME
ALIQUOT: UR24
MIN ML:
10.0 MAX ML:
10.0
120
121
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: IODINE,S
MNEMONIC: IOD
ABBR: IOD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83789
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 65651
CONTAINER: ROYAL BLUE PLAIN
COLLECTION INSTRUCTION: METAL FREE COLLECTION AND TRANSPORT PROCEDURE
ALIQUOT: METAL FREE
MIN ML:
0.3 MAX ML:
1.0
NAME: IRON (FE)
MNEMONIC: FE
ABBR: FE
OTHER MNEMONIC: IRON
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83540
CPT TYPE: CPT-4
CHARGE:
183.00 BILLING CD: 00344
CONTAINER: MINT-PST
NAME: ISLET CELL AB SCREEN
MNEMONIC: ISLETS
ABBR: ISLETS
OTHER MNEMONIC:
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 83641
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
2.0
NAME: ISOPROPANOL, ALCOHOL
MNEMONIC: ISOP
ABBR: ISOP
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 84600
CPT TYPE: CPT-4
CHARGE:
174.00 BILLING CD: 66531
CONTAINER: GRAY
COLLECTION INSTRUCTION: DO NOT OPEN GRAY TOP TUBE AFTER COLLECTION
ALIQUOT: GRAY
MIN ML:
1 MAX ML:
1
COMPONENTS
ALCIS
ALCOHOL,ISOPROPYL
AC
ACETONE (WITH ISOPROPANOL)
NAME: JAK2 EXON 12-14 MUTATION
MNEMONIC: JAK2E
ABBR: JAK2E
OTHER MNEMONIC: 81403J
DEPT: LR
SITE: ML
TURN AROUND HOURS:
CPT: 81403
CPT TYPE: CPT-4
CHARGE:
735.00 BILLING CD: 66871
CONTAINER: CALL LAB EXT 8219
NAME: JAK2 POINT MUTATION
MNEMONIC: JAK2
ABBR: JAK2
OTHER MNEMONIC: 81207J
DEPT: LR
SITE: NEOGL
TURN AROUND HOURS:
CPT: 81270
CPT TYPE: CPT-4
CHARGE:
860.00 BILLING CD: 66786
CONTAINER: CALL LAB EXT 8219
COMPONENTS
JAK2I
INTERPRETATION JAK2
NAME: JCV POLYOMA VIRUS, PCR
MNEMONIC: JCV
ABBR: JCV
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CONTAINER: LAV
ALIQUOT: FRZ-PLASMA
MIN ML:
0.3
MAX ML:
0.7
122
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
COMPONENTS: JCVS - SOURCE JCV,
JCVR - JC POLYOMA VIRUS RESULT
NAME: KAROTYPE,CHROMOSOME
MNEMONIC: KARO
ABBR: KARO
OTHER MNEMONIC: 88280
DEPT: LNP
SITE: ML
TURN AROUND HOURS:
CPT: 88280
CPT TYPE: CPT-4
CHARGE:
363.00 BILLING CD: 58643
NAME: KEPPRA LEVEL (LEVETIRACETAM)
MNEMONIC: KEPP
ABBR: KEPP
OTHER MNEMONIC: LEVETIRACETAM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80177
CPT TYPE: CPT-4
CHARGE:
77.00 BILLING CD: 66919
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1
NAME: KETONE, URINE
MNEMONIC: UKET
DEPT: UR
CONTAINER: STC
ABBR: KETONE
NAME: KIDNEY STONE ANALYSIS
MNEMONIC: STONE
ABBR: STONE
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82365
CPT TYPE: CPT-4
CHARGE:
104.00 BILLING CD: 66869
CONTAINER: STC
COLLECTION INSTRUCTION: CLEAN DRY STONE AT ROOM TEMP
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
COMPONENTS
STA
KIDNEY STONE ANAYLSIS
STS
SOURCE STONE
STW
WEIGHT STONE
ST1
1ST CONSTITUENT
ST2
2ND CONSTITUENT
ST3
3RD CONSTITUENT
STNJ
NIDUS,MAJOR
STNN
NIDUS,MINOR
STSJ
SHELL,MAJOR
STSN
SHELL,MINOR
STC
STONE COMMENT
NAME: KRAS MUTATION DETECTION
MNEMONIC: KRAS
ABBR: KRAS
DEPT: LR
SITE: NEOGL
TURN AROUND HOURS:
CPT: 81275
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
IKRAS
KRAS MUTATION
83912
CPT-4
AMP3
AMPLIFICATION 3
83898
CPT-4
HYB
HYBRIDIZATION
83896
CPT-4
EXT
MOLECULAR EXTRACTION
83890
CPT-4
NUC
NUCLEIC ACID PROBE
83896
CPT-4
HYBR
HYBRIDIZATION
83896
CPT-4
AMP
AMPLIFICATION
83898
CPT-4
110.00
212.00
30.00
91.00
30.00
30.00
212.00
53046
65588
55065
55430
55065
55065
65588
123
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
AMP2
AMPLIFICATION 2
83898
CPT-4
KRAS MUTATION DETECTION [continued]
AMP4
AMPLIFICATION 4
83898
CPT-4
NUC2
NUCLEIC ACID PROBE
8389691
CPT-4
NUC3
NUCLEIC ACID PROBE
8389691
CPT-4
NUC4
NUCLEIC ACID PROBE
8389691
CPT-4
NUC5
NUCLEIC ACID PROGE
8389691
CPT-4
NUC6
NUCLEIC ACID PROBE
8389691
CPT-4
NUC7
NUCLEIC ACID PROBE
8389691
CPT-4
NEOG
NEOGENOMICS TESTING
212.00
65588
212.00 65588
30.00 65586
30.00 65586
30.00 65586
30.00 65586
30.00 65586
30.00 65586
NAME: LACTATE DEHYDROGENASE (LD),BF
MNEMONIC: LDBF
ABBR: LDBF
OTHER MNEMONIC: LDHCSF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83615
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 65935
CONTAINER: STC
ALIQUOT: FLUID
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
LD
LACTATE DEHYDROGENASE,BF
CPT-4
LDF
FLUID TYPE LDH
NAME: LACTIC ACID LEVEL
MNEMONIC: LAC
ABBR: LAC
OTHER MNEMONIC: VLA
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 83605
CPT TYPE: CPT-4
CHARGE:
105.00 BILLING CD: 06861
CONTAINER: GRAY
COLLECTION INSTRUCTION: COLLECT ON ICE NO TOURNIQET
ALIQUOT: GRAY
MIN ML:
1 MAX ML:
1
NAME: LACTIC ACID,CSF
MNEMONIC: LACCSF
ABBR: LACCSF
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 83605
CPT TYPE: CPT-4
CHARGE:
105.00 BILLING CD: 65903
CONTAINER: CSF#1
COLLECTION INSTRUCTION: FREEZE CSF
ALIQUOT: FRZ-CSF
MIN ML:
0.5 MAX ML:
1.0
NAME: LAMBERT-EATON SYNDROME EVAL
MNEMONIC: LES
ABBR: LES
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
3.0
COMPONENTS
ACER
ACETYLCHOLINE REC. BINDING AB
83519
ACERM
ACETYLCHOLINE REC MODULATING A 83519
STMA
STRIATIONAL (MUSCLE) AB
83520
CABP
CALCIUM CHANNEL BINDING AB,P/Q
83519
CABN
CALCIUM CHANNEL BIND AB N-TYPE
83519
NAME: LAMOTRIGINE (LAMICTAL) LEVEL
MNEMONIC: LAMOT
ABBR: LAMOT
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
146.00
146.00
103.00
146.00
146.00
65326
52972
58557
66366
66358
124
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80175
CPT TYPE: CPT-4
CHARGE:
77.00 BILLING CD: 66911
CONTAINER: RED10 ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1
NAME: LDH
MNEMONIC: LDH
ABBR: LDH
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83615
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 00326
CONTAINER: MINT-PST
NAME: LDH ISOENZYMES
MNEMONIC: LDHISO
ABBR: LDHISO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: FASTING/ 2 mL DIVIDED INTO 2 ALIQUOT TUBES
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
LDTM
LDH TOTAL MAYO
83615
CPT-4
44.00 65911
LDHM
LDH (MAYO)
83615
CPT-4
44.00 65911
LDHT
LDH TOTAL ACTIVITY
LDH1
LDH 1
83625
CPT-4
87.00 09540
LDH2
LDH 2
LDH3
LDH 3
LDH4
LDH 4
LDH5
LDH 5
NAME: LDH,PERICARDIAL FLUID
MNEMONIC: LDHPC
ABBR: LDH PERIC
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 83615
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 00326
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: LDH,PERITONEAL FLUID
MNEMONIC: LDHPT
ABBR: LDH PERIT
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 83615
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 00326
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: LDH,PLEURAL FLUID
MNEMONIC: LDHPL
ABBR: LDH PLEUR
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 83615
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 00326
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: LDH,SYNOVIAL FLUID
MNEMONIC: LDHSY
ABBR: LDH SYN
OTHER MNEMONIC:
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 83615
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 00326
CONTAINER: GREEN
125
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
LDH SYNOVIAL FLUID ALIQUOT: GREEN
MIN ML:
1
MAX ML:
NAME: LEAD,24 HR URINE
MNEMONIC: LEADU
ABBR: LEADU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83655
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 19776
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
10.0 MAX ML:
10.0
NAME: LEAD,BLOOD
MNEMONIC: LEAD
ABBR: LEAD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: RYLBLUEDTA
ALIQUOT: RYLBLUE
MIN ML:
1 MAX ML:
1
COMPONENTS
LR
LEAD,RESULT
83655
CPT-4
94.00
LST
LEAD STREET ADDRESS
LC
LEAD CITY
LSTA
LEAD STATE
LZIP
LEAD ZIP CODE
LCO
LEAD COUNTY
LGF
LEAD GUARDIAN, FIRST NAME
LGL
LEAD GUARDIAN, LAST NAME
LPH
LEAD HOME PHONE
LVC
LEAD VENUS OR CAPILLARY
LRC
LEAD RACE
65101
NAME: LECITHIN/SPHINGOMYELIN RATIO
MNEMONIC: LSR
ABBR: LSR
DEPT: LR
SITE: MAGEE
TURN AROUND HOURS:
CPT: 83661
CPT TYPE: CPT-4
CHARGE:
384.00 BILLING CD: 53947
COLLECTION INSTRUCTION: REFLEX PER MAGEE!!!
NAME: LEFLUNOMIDE
MNEMONIC: LFL
ABBR: LEFLUNOMIDE
OTHER MNEMONIC: ARAVA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 66884
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
1.0
NAME: LEGIONELLA AB, S
MNEMONIC: LEGAB
ABBR: LEGAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86713
CPT TYPE: CPT-4
CHARGE:
116.00 BILLING CD: 65142
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
0.5
NAME: LEPTOSPIRA ANTIBODY
MNEMONIC: LEPTOAB
ABBR: LEPTOAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86720
CPT TYPE: CPT-4
CHARGE:
143.00 BILLING CD: 65218
CONTAINER: SST10
1
126
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: SERUM
MIN ML:
0.15 MAX ML:
0.5
NAME: LEUCINE AMINOPEPTIDASE, SERUM
MNEMONIC: LEU
ABBR: LEU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83670
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 65093
CONTAINER: SST
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
1.0
NAME: LEUKOCYTE ALKALINE PHOSPHATASE
MNEMONIC: LAP
ABBR: LAP
DEPT: LR
SITE: AKMC
TURN AROUND HOURS:
CPT: 85540
CPT TYPE: CPT-4
CHARGE:
58.00 BILLING CD: 65106
CONTAINER: LAV
COLLECTION INSTRUCTION: ROOM TEMP*DO NOT REFRIGERATE!!*AVOID TRANSPORT FRI &
SAT*
ALIQUOT: GREEN
MIN ML:
1.0 MAX ML:
5.0
LAV
1.0
5.0
NAME: LIDOCAINE
MNEMONIC: LIDO
ABBR: LIDO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80176
CPT TYPE: CPT-4
CHARGE:
151.00 BILLING CD: 65114
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.4 MAX ML:
1.0
NAME: LIPASE
MNEMONIC: LIPA
ABBR: LIPA
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83690
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 00327
CONTAINER: MINT-PST
NAME: LIPASE,BODY FLUID
MNEMONIC: LIPF
ABBR: LIPF
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83690
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 65919
CONTAINER: STC
ALIQUOT: FREEZE
MIN ML:
0.5 MAX ML:
1.0
NAME: LIPID PROFILE
MNEMONIC: LIPD
ABBR: LIPD
OTHER MNEMONIC:
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 80061
CPT TYPE: CPT-4
CHARGE:
57.00 BILLING CD: 61307
CONTAINER: MINT-PST
COMPONENTS
CHOL
CHOLESTEROL LEVEL
82465
CPT-4
25.00 00316
HDL
HDL CHOLESTEROL
83718
CPT-4
57.00 09934
TRIG
TRIGLYCERIDES LEVEL
84478
CPT-4
25.00 00339
CLDL
LDL CHOLESTEROL CALCULATED
RISK
CHOLESTEROL RISK RATIO
NAME: LIPOPROTEIN A SERUM
MNEMONIC: LPA
ABBR: LPA
MINT-PST
MINT-PST
MINT-PST
127
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83695
CPT TYPE: CPT-4
CHARGE:
135.00 BILLING CD: 65666
CONTAINER: RED10 ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1.0
NAME: LIPOPROTEIN METABOLISM PROFILE
MNEMONIC: LIPE
ABBR: LIPE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: FASTING
ALIQUOT: SST
MIN ML:
2.0 MAX ML:
5.0
COMPONENTS
LIPM
LIPID PANEL (MAYO)
80061
CPT-4
LIPEL
LIPID ELECTROPHORESIS
82664
CPT-4
LIPOB
APOLIPOPROTEIN B
82172
CPT-4
57.00 51394
369.00 55436
120.00 65435
NAME: LIPOPROTEIN PHOSPHOLIPASE A2
MNEMONIC: PLAC
ABBR: PLAC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83698
CPT TYPE: CPT-4
CHARGE:
347.00 BILLING CD: 65429
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: LISTERIA ANTIBODY
MNEMONIC: LIST
ABBR: LIST
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86609
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: LITHIUM LEVEL
MNEMONIC: LI
ABBR: LI
OTHER MNEMONIC: LITH
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80178
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 09591
CONTAINER: RED3
NAME: LIVER DISEASE PANEL
MNEMONIC: LDP
ABBR: LDP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1.0
COMPONENTS
ANA*
ANTI-NUCLEAR ANTIBODY SCR/TITR
86038
AMA
ANTI-MITOCHONDRIAL ANTIBODY
83516
MITO
MITOCHONDRIAL ANTIBODIES
83516
LKAB
LIVER KIDNEY MICROSOMAL AB
86376
SMAB
SMOOTH MUSCLE ANTIBODY
86255
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
94.00
124.00
124.00
104.00
94.00
65154
65489
65489
53136
65182
SST10
SST10
SST10
SST10
128
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: LIVER KIDNEY MICROSOMAL AB
MNEMONIC: LKAB
ABBR: LKAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86376
CPT TYPE: CPT-4
CHARGE:
104.00 BILLING CD: 53136
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.5
NAME: LIVER PROFILE
MNEMONIC: LIVR
ABBR: LIV
OTHER MNEMONIC: HEPATIC
LIVER
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 80076
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 61310
CONTAINER: MINT-PST
COMPONENTS
TP
TOTAL PROTEIN
84155
CPT-4
50.00 00318
ALB
ALBUMIN
82040
CPT-4
25.00 00319
TBIL
BILIRUBIN,TOTAL
82247
CPT-4
51.00 00333
DBIL
BILIRUBIN,DIRECT
82248
CPT-4
34.00 58562
AST
AST/SGOT
84450
CPT-4
29.00 00328
ALT
ALT/SGPT
84460
CPT-4
29.00 00329
ALKP
ALKALINE PHOSPHATASE 84075
CPT-4
39.00 00323
MINT-PST
MINT-PST
MINT-PST
MINT-PST
MINT-PST
MINT-PST
MINT-PST
NAME: LORAZEPAM (ATIVAN) LEVEL
MNEMONIC: LOR
ABBR: LOR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82491
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 66414
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
2.0
NAME: LOXAPINE LEVEL, SERUM
MNEMONIC: LOX
ABBR: LOX
OTHER MNEMONIC: LOXITANE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82492
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 66028
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
2.0
NAME: LUPUS ANTICOAGULANT SCREEN
MNEMONIC: LUPS
ABBR: LUPS
OTHER MNEMONIC:
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
2.5 MAX ML:
3.0
COMPONENTS
MNEMONIC
NAME
CPT CODE
CPT TYPE
CHARGE BILLING CD
CONTAINER
PTX
PT (ITXM)
85610
CPT-4
34.00 51374
INRX
INR (ITXM)
TTX
THROMBIN TIME (ITXM)
85670
CPT-4
40.00 51376
TTI
TIS THROMBOPLASTIN INHIBIT
85705
CPT-4
84.00 53054
TTI50
TTI 1:50
85705
CPT-4
84.00 53054
TTI500
TTI 1:500
BLUE
BLUE
129
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DRVV
APTTXX*
APTTX
APTTMXX*
APTTMX
LUPSC
RT
DILUTE RUSSELL VIPER VENOM
APTT (ITXM)
APTT (ITXM)
APTT MIXING STUDY (ITXM)
APTT MIXING STUDY (ITXM)
LUPS COMMENT
REPTILASE TIME
85613
85730
85730
85732
85732
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
104.00
57.00
57.00
40.00
59436
51377
51377
53053
BLUE
85635
CPT-4
54.00
53390
BLUE
NAME: LUTEINIZING HORMONE
MNEMONIC: LH
ABBR: LH
OTHER MNEMONIC: ILH
LUTEINIZING
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83002
CPT TYPE: CPT-4
CHARGE:
109.00 BILLING CD: 19777
CONTAINER: RED3
NAME: LYME BY PCR, CSF OR SYNOVIAL
MNEMONIC: LYMEPCR
ABBR: LYME BY PCR
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87476
CPT TYPE: CPT-4
CHARGE:
356.00 BILLING CD: 58610
CONTAINER: CSF#3
ALIQUOT: CSF#1
MIN ML:
1.0 MAX ML:
1.0
FLUID
1.0
1.0
COMPONENTS
LYSS
SOURCE (LYME PCR)
LYPCR
RESULT LYME PCR
NAME: LYME DISEASE AB WESTERN BLOT ** THIS TEST MAY NOT BE ORDERED ALONE**
MNEMONIC: LYMEC
ABBR: LYME CONFIRM
OTHER MNEMONIC: LYME CONFIRMATION TEST
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST
COLLECTION INSTRUCTION
FOR LAB USE ONLY!
COMPONENTS
LYIGG
IGG WESTERN BLOT
86617
CPT-4
158.00 66853
LYBDG
LYME IGG BANDS
LYIGM
IGM WESTERN BLOT
86617
CPT-4
158.00 66861
LYBDM
LYME IGM BANDS
LYIN
LYME DISEASE INTERPRETATION
NAME: LYME DISEASE SCREENING
MNEMONIC: LYME
ABBR: LYME
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 86618
CPT TYPE: CPT-4
CHARGE:
122.00 BILLING CD: 66768
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1
NAME: LYSERGIC ACID DIETHYLAMIDE,U
MNEMONIC: LSDU
ABBR: LSD CONFIRM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
BLUE
BLUE
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT: 80299
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
20.0
COMPONENTS
IALSD
IMMUNOASSAY SCREEN LSD
LSD
LSD BY LC/MS/MS
LSD2
2-OXO-3-HYDROXY-LSD BY LC/MS
ILSD
INTERPRETATION LSD
COCLSD
CHAIN OF CUSTODY LSD
NAME: LYSIS OF CELLS
MNEMONIC: LYSIS
ABBR: LYSIS
OTHER MNEMONIC: 83907
DEPT: LNP
SITE: MAYO
TURN AROUND HOURS:
CPT: 83907
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 65951
NAME: LYSOZYME
MNEMONIC: LYSO
ABBR: LYSO
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 85549
CPT TYPE: CPT-4
CHARGE:
145.00 BILLING CD: 65117
CONTAINER: LAV
COLLECTION INSTRUCTION: FREEZE PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: MACROSCOPIC, URINE, REFLEX ONLY
MNEMONIC: UMACULT
ABBR: MACROSCOPIC
DEPT: UR
SITE: ML
TURN AROUND HOURS:
CPT: 81003
CPT TYPE: CPT-4
CHARGE:
20.00 BILLING CD: 00074
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
COMPONENTS
UCOL
COLOR, URINE
UAPR
APPEARANCE, URINE
UGL
GLUCOSE, URINE (UA)
UBI
BILIRUBIN, URINE
UKET
KETONE, URINE
SG
URINE SPECIFIC GRAVITY
UHGB
URINE HEMOGLOBIN
UPH
PH,URINE
CPT 81002
UTP
PROTEIN, URINE
UROB
UROBILINOGEN, URINE
UNITR
NITRATE, URINE REFLEX
ULEUR
URINE LEUKOCYTE ESTERASE REFLX
ORDER MICR ORDER MICROSCOPIC URINE
NAME: MAGNESIUM LEVEL
MNEMONIC: MG
ABBR: MG
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83735
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 65647
CONTAINER: MINT-PST
130
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: MAGNESIUM, URINE
MNEMONIC: MG24
ABBR: MG24
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83735
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 65669
CONTAINER: UR24 CONTAINER
COLLECTION INSTRUCTION: 24HR: NO PRESERVATIVE
ALIQUOT: UR24
MIN ML:
10.0 MAX ML:
10.0
NAME: MAGNESIUM,RBC
MNEMONIC: MGRBC
ABBR: MGRBC
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 83735
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 51404
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
0.2 MAX ML:
0.5
NAME: MALARIA SMEAR
MNEMONIC: MALS
ABBR: MALS
OTHER MNEMONIC:
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 87207
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 65759
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1 MAX ML:
1
SLIDE
1
2
NAME: MANGANESE, SERUM
MNEMONIC: MAN
ABBR: MAN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83785
CPT TYPE: CPT-4
CHARGE:
133.00 BILLING CD: 65757
CONTAINER: RYLBLPLAIN
ALIQUOT: METAL FREE
MIN ML:
0.4 MAX ML:
1.6
NAME: MEDICAL REVIEW OFFICER
MNEMONIC: MRO
ABBR: MRO
DEPT: LR
SITE: MEDTOX
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
32.00 BILLING CD: 66409
NAME: MELANIN, URINE
MNEMONIC: UMEL
DEPT: LR
SITE: ML
ABBR: MELANIN, URINE
TURN AROUND HOURS:
NAME: MEPERIDINE (DEMEROL) LEVEL
MNEMONIC: MEP
ABBR: MEP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83925
CPT TYPE: CPT-4
CHARGE:
212.00 BILLING CD: 65125
CONTAINER: GREEN
ALIQUOT: PLASMA
MIN ML:
0.6 MAX ML:
3.0
NAME: MEPHOBARBITAL & PHENOBARBITAL
MNEMONIC: MPH
ABBR: MPH
OTHER MNEMONIC: MEBARAL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82205
CPT TYPE: CPT-4
CHARGE:
151.00 BILLING CD: 65306
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.5 MAX ML:
5.0
131
132
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: MERCAPTOPURINE
MNEMONIC: MER
ABBR: MER
OTHER MNEMONIC: 6MP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82491
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 65512
CONTAINER: GREEN
ALIQUOT: PLASMA
MIN ML:
0.3 MAX ML:
2.0
NAME: MERCURY, 24 HR URINE
MNEMONIC: MERCU
ABBR: MERCU
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83825
CPT TYPE: CPT-4
CHARGE:
136.00 BILLING CD: 19789
CONTAINER: UR24
COLLECTION INSTRUCTION: NO PRESERVATIVE. RECORD TOTAL VOLUME REF WITH IN 4
HOURS
ALIQUOT: UR24
MIN ML:
10.0 MAX ML:
10.0
NAME: MERCURY, BLOOD
MNEMONIC: MERC
ABBR: MERC
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83825
CPT TYPE: CPT-4
CHARGE:
136.00 BILLING CD: 65557
CONTAINER: RYLBLUEDTA
COLLECTION INSTRUCTION: SEND WHOLE BLOOD
ALIQUOT: RYLBLUEDTA
MIN ML:
0.3 MAX ML:
1.0
NAME: MERCURY, URINE
MNEMONIC: UMERC
DEPT: LR
SITE: ML
CPT:
CPT TYPE:
UCR
UCRTT
MERCU
MERCUT
MERCUG
ABBR: UR MERC
TURN AROUND HOURS:
CHARGE:
BILLING CD:
COMPONENTS
CREATININE, URINE
CREAT,URINE TIMED TEST
MERCURY, 24 HR URINE
83825
CPT-4
MERCURY, 24 HOUR URINE
MERCURY URINE UG/G CR
136.00
19789
NAME: MESORIDAZINE LEVEL
MNEMONIC: MESORID
ABBR: MESORID
OTHER MNEMONIC: SERENTIL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84022
CPT TYPE: CPT-4
CHARGE:
213.00 BILLING CD: 65581
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
1.0
NAME: METANEPHRINES,FRACT, FREE,P
MNEMONIC: MET
ABBR: MET
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83835
CPT TYPE: CPT-4
CHARGE:
86.00 BILLING CD: 19790
CONTAINER: LAV
ALIQUOT: FRZ-PLASMA
MIN ML:
1.1 MAX ML:
COMPONENTS
2.5
UR24
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
METF
METANEPHRINES,FREE
NMETP*
NORMETANEPHRINE,FREE,PLASMA
NMETFP
NORMETANEPHRINE,FREE,PLASMA
NAME: METANEPHRINES,FRACTION,RANDOM
MNEMONIC: METR
ABBR: METR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83835
CPT TYPE: CPT-4
CHARGE:
86.00 BILLING CD: 19790
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
2.0 MAX ML:
5.0
COMPONENTS
NMET
NORMETANEPHRINE
METU
METANEPHRINES TOTAL URINE
NAME: METANEPHRINES,FRACTIONATED 24H
MNEMONIC: METNU
ABBR: METNU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83835
CPT TYPE: CPT-4
CHARGE:
86.00 BILLING CD: 19790
CONTAINER: UR24-ACE
COLLECTION INSTRUCTION: ADD 25 ML ACETIC ACID AT START OF COLLECTION
ALIQUOT: URINE
MIN ML:
2.0 MAX ML:
10.0
COMPONENTS
NMET
NORMETANEPHRINE
METU
METANEPHRINES TOTAL URINE
NAME: METHADONE CONFIRMATION,URINE
MNEMONIC: METHU
ABBR: METHU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83840
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 19791
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
10.0
COMPONENTS
GCMETH
C/MS CONFIRMATION METHADONE
IAMET
METHADONE IMMUNOASSAY SCREEN
EDDP
EDDP-BY GC-MS
METGC
METHADONE BY GC/MS
METINT
METHADONE INTERPRETATION
CMMET
COMMENT METHADONE
METCC
METHADONE CHAIN OF CUSTODY
NAME: METHADONE,SERUM
MNEMONIC: METD
ABBR: METD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83840
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 19791
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
4.5
NAME: METHAQUALONE CONFIRM,U
MNEMONIC: MQC
ABBR: MQC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65826
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
20
COMPONENTS
MQ
IMMUNOASSAY SCREEN MQ
GCMQ
METHAQUALONE BY GC/MS
133
134
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
IMQ
COCMQ
INTERPRETATION METHAQUALONE
CHAIN OF CUSTODY METHAQUALONE
NAME: METHEMOGLOBIN
MNEMONIC: METHGB
DEPT: BG
SITE: ML
CONTAINER: GREEN
ABBR: METHGB
TURN AROUND HOURS:
NAME: METHEMOGLOBIN & SULFHEMOGLOBIN
MNEMONIC: MSHG
ABBR: MSHG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
3.0 MAX ML:
3.0
COMPONENTS
MHGB
METHEMOGLOBIN
83050
CPT-4
SHGB
SULFHEMOGLOBIN
83060
CPT-4
44.00 53567
32.00 65609
NAME: METHOTREXATE, SERUM
MNEMONIC: METHOT
ABBR: METHOTREXATE
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65397
CONTAINER: RED10
COLLECTION INSTRUCTION: PROTECT FROM LIGHT
ALIQUOT: FRZ-AMBER
MIN ML:
0.5 MAX ML:
1.0
NAME: METHSUXIMIDE (CELONTIN) LEVEL
MNEMONIC: ME
ABBR: ME
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83858
CPT TYPE: CPT-4
CHARGE:
168.00 BILLING CD: 65124
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.2 MAX ML:
2.0
NAME: METHYLENETETRAHYDROFOLATE-5,10
MNEMONIC: MTHFR
ABBR: MTHFR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81291
CPT TYPE: CPT-4
CHARGE:
441.00 BILLING CD: 66789
CONTAINER: YEL-ACD
COLLECTION INSTRUCTION: Room temperature
ALIQUOT: YEL-ACD
MIN ML:
3.0 MAX ML:
7.0
COMPONENTS
MTHFRR
MTHFR RESULT
MTHFRI
MTHFR INTERPRETATION
83912
CPT-4
110.00
MTHFRRV MTHFR REVIEWED BY:
MTHFRS
MTHFR SPECIMEN
MTHFRSID MTHFR SPECIMEN ID
MTHFRSO
MTHFR SOURCE
MTHFROD MTHFR ORDER DATE
MTHFRRR
MTHFR REASON FOR REFFERAL
MTHFRM
MTHFR METHOD
MTHFRA
MTHFR AMENDMENT
MTHFRRD MTHFR RELEASE DATE
53046
135
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: METHYLMALONIC ACID, SERUM
MNEMONIC: MMA
ABBR: MMA
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 83921
CPT TYPE: CPT-4
CHARGE:
174.00 BILLING CD: 65981
CONTAINER: RED10 ALIQUOT: SERUM
MIN ML:
0.6 MAX ML:
1.5
NAME: METHYLMALONIC ACID, URINE
MNEMONIC: MMAU
ABBR: MMAU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83921
CPT TYPE: CPT-4
CHARGE:
174.00 BILLING CD: 65725
CONTAINER: STC
ALIQUOT: FRZ-URINE
MIN ML:
0.25 MAX ML:
5.0
NAME: METHYLPHENIDATE (RITALIN)
MNEMONIC: METHYLP
ABBR: METHYLP
OTHER MNEMONIC: RITALIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82542
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 66523
CONTAINER: GREEN
ALIQUOT: FRZ-PLASMA
MIN ML:
0.6 MAX ML:
2.0
NAME: MEXILETINE LEVEL
MNEMONIC: MEX
ABBR: MEX
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65565
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.1 MAX ML:
3.0
NAME: MICROALBUMIN URINE 24 HOUR
MNEMONIC: MCAB24
ABBR: MCAB24
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82043
CPT TYPE: CPT-4
CHARGE:
120.00 BILLING CD: 51396
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00 63600
MA
URINE MICROALBUMIN
MAC24
MA URINE 24 HOUR (CALCULATION)
NAME: MICROALBUMIN, URINE QUANT.
MNEMONIC: MCAB
ABBR: MICROALBUMIN, U
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82043
CPT TYPE: CPT-4
CHARGE:
120.00 BILLING CD: 51396
CONTAINER: STC
COMPONENTS
UCREA
CREATININE, URINE
82570
CPT-4
51.00 00200
MA
URINE MICROALBUMIN
MAC
MICROALBUMIN/CREATININE RATIO
NAME: MICROSCOPIC ANALYSIS
MNEMONIC: MICA
ABBR: MICA
OTHER MNEMONIC: 88262
DEPT: LR
SITE: NEOGL
TURN AROUND HOURS:
CPT: 88262
CPT TYPE: CPT-4
CHARGE:
944.00 BILLING CD: 65537
STC
136
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: MOLECULAR DIAGNOSTICS-RT
MNEMONIC: MDRT
ABBR: MDRT
OTHER MNEMONIC: 83902
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83902
CPT TYPE: CPT-4
CHARGE:
136.00 BILLING CD: 65596
NAME: MOLECULAR EXTRACTION [reflex test only]
MNEMONIC: EXT
ABBR: EXTRACTION
OTHER MNEMONIC: 83890
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83890
CPT TYPE: CPT-4
CHARGE:
91.00 BILLING CD: 55430
NAME: MOLECULAR EXTRACTION [reflex test only]
MNEMONIC: EXTR
ABBR: EXTR
OTHER MNEMONIC: 83891
DEPT: LR
SITE: HEMA
TURN AROUND HOURS:
CPT: 83891
CPT TYPE: CPT-4
CHARGE:
98.00 BILLING CD: 59285
NAME: MOLECULAR PATHOLOGY LEVEL 2 [reflex test only]
MNEMONIC: MP2
ABBR: MP2
OTHER MNEMONIC: 81401
DEPT: LR
SITE: ML
TURN AROUND HOURS:
CPT: 81401
CPT TYPE: CPT-4
CHARGE: 2833.00 BILLING CD: 66773
NAME: MOLECULAR PATHOLOGY LEVEL 3 [reflex test only]
MNEMONIC: MP3
ABBR: MP3
OTHER MNEMONIC: 81402
DEPT: LR
SITE: ML
TURN AROUND HOURS:
CPT: 81402
CPT TYPE: CPT-4
CHARGE: 1191.00 BILLING CD: 66834
NAME: MONOCLONAL PROTEIN STDY,RDM,U
MNEMONIC: MPSUR
ABBR: MPSUR
OTHER MNEMONIC: RMPSU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
25 MAX ML:
50
COMPONENTS
ALBUR
LBUMIN,RANDOM,U
84166
UA1GR
ALPHA-1-GLOBULIN,RANDOM,U
UA2GR
ALPHA-2-GLOBULIN,RANDOM,U
BGUR
BETA-GLOBULIN,RANDOM,U
GGUR
GAMMA-GLOBULINS,RANDOM,U
AGRU
A/G RATIO,RANDOM,U
MSKUR
M SPIKE
MSK2UR
M SPIKE 2,RANDOM,U
IMPRUR
IMPRESSION MPSUR
TPUR
TOTAL PROTEIN MPSUR
84156
IMFXUR
IMMUNOFIXATION,RANDOM,U
86335
NAME: MONOCLONAL PROTEIN STUDY URINE
MNEMONIC: MPSU
ABBR: MPSU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: UR24
CPT-4
CPT-4
CPT-4
206.00
50.00
130.00
65707
05071
66079
ACMH LAB TEST CATALOG
137
UPDATED AUGUST 2014
COLLECTION INSTRUCTION: ABSOLUTE MINIMUN VOLUME IS 25 ML FROM 24 HR COLLECTION
ALIQUOT: URINE
MIN ML:
25.0 MAX ML:
50.0
COMPONENTS
UTPR
PROTEIN,TOTAL,U
84156
CPT-4
50.00 05071
PEUD
COLLECTION DURATION
PEUV
URINE VOLUME
PEUC
CONCENTRATION
PEUTP
TOTAL PROTEIN (PEU)
84156
CPT-4
50.00 05071
MONOCLONAL PROTEIN STUDY URINE [continued]
ELPU
ELECTROPHORESIS, PROTEIN URINE
84166
CPT-4
206.00 65707
UPTE
PROTEIN ELECTROPHORESIS,U
84166
CPT-4
206.00 65707
ALBU
ALBUMIN, URINE
UA1G
ALPHA-1-GLOBULIN,URINE
UA2G
ALPHA-2-GLOBULIN
BGU
BETA-GLOBULIN
GGU
GAMMA-GLOBULINS
AGR
A/G RATIO
MSK
M SPIKE
IMPR
IMPRESSION PEU
IMFX
IMMUNOFIXATION,U
86335
CPT-4
130.00 66079
NAME: MONOCLONAL PROTEIN STUDY,S
MNEMONIC: MPSS
ABBR: MPSS
OTHER MNEMONIC: SPEP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: FOR ONCOLOGY PATIENTS - SPE AND IMMUNOFIXATION
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
SPE
ELECTROPHORESIS,SERUM PROTEIN
TPROT** TOTAL PROTEIN (SPE)
84155
CPT-4
50.00 66071
A1G**
ALPHA-1-GLOBULINS
84165
CPT-4
93.00 65130
IMFXS
IMMUNOFIXATION, SERUM
86334
CPT-4
171.00 66045
MSKS**
M SPIKE SERUM
MSKS2
M SPIKE 2
NAME: MONOTEST
MNEMONIC: MSPT
ABBR: MSPT
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 86308
CPT TYPE: CPT-4
CHARGE:
40.00 BILLING CD: 00562
CONTAINER: YEL
ALIQUOT: YEL
MIN ML:
1 MAX ML:
1
NAME: MONOTEST WITH REFLEX EBV
MNEMONIC: MSPTE
ABBR: MSPTE
OTHER MNEMONIC:
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 86308
CPT TYPE: CPT-4
CHARGE:
40.00 BILLING CD: 00562
CONTAINER: RED10
ALIQUOT: RED10
MIN ML:
1 MAX ML:
10
NAME: MORPHOMETRIC ANAYLSIS,MANUAL
MNEMONIC: MORA
ABBR: MORA
OTHER MNEMONIC: 88368
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
CPT: 88368
SITE: MAYO
TURN AROUND HOURS:
CPT TYPE: CPT-4
CHARGE:
749.00 BILLING CD: 65515
NAME: MORPHOMETRIC ANAYLSIS,MANUAL
MNEMONIC: MORA2
ABBR: MORA2
OTHER MNEMONIC: 8836891
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8836891
CPT TYPE: CPT-4
CHARGE:
749.00 BILLING CD: 65547
138
139
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: MULTIPLE SCLEROSIS(MS) PROFILE
MNEMONIC: MSP
ABBR: MS PROFILE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: Serum and spinal fluid are required.
ALIQUOT: CSF#1
MIN ML:
0.5 MAX ML:
1.0
SERUM
0.5
1.0
COMPONENTS
OLIGCSF OLIGOCLONAL BANDS, CSF
83916
CPT-4
OLIGS
OLIGOCLONAL BANDS,SERUM
83916
CPT-4
OLIGI
OLIGO BANDS INTERPRETATION
IGIS
IGG SYNTHESIS RATE
CSFIGG
CSF IGG
82784
CPT-4
CSFA
CSF ALBUMIN
82042
CPT-4
SEIGG
SERUM IGG
82784
CPT-4
SALB
SERUM ALBUMIN
82040
CPT-4
217.00 65346
217.00 53682
97.00 19524
12.00 65908
97.00 65381
25.00 65900
NAME: MUMPS AB, IgG, S
MNEMONIC: MMG
ABBR: MMG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86735
CPT TYPE: CPT-4
CHARGE:
92.00 BILLING CD: 55591
CONTAINER: SST
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
MUMPG
MUMPS VIRUS IGG ANTIBODY
86735
CPT-4
92.00
MMGI
INDEX VALUE MUMPS IGG
55591
NAME: MUMPS AB, IgM, S
MNEMONIC: MMM
ABBR: MMM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86735
CPT TYPE: CPT-4
CHARGE:
92.00 BILLING CD: 19448
CONTAINER: SST
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
MUMPM
MUMPS VIRUS IGM ANTIBODY
CPT-4
MMMI
INDEX VALUE MUMPS IGM
NAME: MUMPS ANTIBODY IGG & IGM
MNEMONIC: MUMP
ABBR: MUMP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.5
COMPONENTS
MUMPGM
MUMPS IGG & IGM
MMG
MUMPS AB, IgG, S
86735
MUMPG
MUMPS VIRUS IGG ANTIBODY
86735
MMM
MUMPS AB, IgM, S
86735
MUMPM
MUMPS VIRUS IGM ANTIBODY
CPT-4
CPT-4
CPT-4
92.00 55591
92.00 55591
92.00 19448
NAME: MUTATION ID BY ENZYMATIC
MNEMONIC: MUTEZ
ABBR: MUTEZ
OTHER MNEMONIC: 83914
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83914
CPT TYPE: CPT-4
CHARGE:
157.00 BILLING CD: 65643
140
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: MUTATION ID BY SEQUENCE
MNEMONIC: MUTID
ABBR: MUTID
OTHER MNEMONIC: 83904
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83904
CPT TYPE: CPT-4
CHARGE:
144.00 BILLING CD: 66434
CONTAINER:
NAME: MYCOBACTER TUBERCULOSIS BY PCR
MNEMONIC: MTBP
ABBR: MYCO TB BY PCR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87556
CPT TYPE: CPT-4
CHARGE:
458.00 BILLING CD: 58379
CONTAINER: STC
COLLECTION INSTRUCTION: Sputum 1mL/ tissue 5mm /BF or urine 1mL /stool 5 grams
ALIQUOT: STC
MIN ML:
1.0 MAX ML:
1.0
SSMTBP
RMTBP
SIMTBP
RSMTBP
COMPONENTS
SPECIMEN SOURCE MTBP
RESULT MTBP
SPECIAL INFORMATION MTBP
REPORT STATUS MTBP
NAME: MYCOBACTERIA CULTURE CONCENT
MNEMONIC: AFBT
ABBR: AFBT
OTHER MNEMONIC: TBT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87015
CPT TYPE: CPT-4
CHARGE:
65.00 BILLING CD: 00207
NAME: MYCOPLASMA HOMINI BY PCR
MNEMONIC: MPCR
ABBR: MPCR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87798
CPT TYPE: CPT-4
CHARGE:
356.00 BILLING CD: 55871
CONTAINER: STC
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
COMPONENTS
MPCRS
SOURCE MPCR
MPCRR
RESULT MPCR
MPCRSI
SPECIAL INFORMATION MPCR
MPCRRS
REPORT STATUS MPCR
NAME: MYCOPLASMA PNEUMONIAE CULTURE
MNEMONIC: MPC
ABBR: MPC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87109
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 19567
CONTAINER: M5
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
NAME: MYCOPLASMA PNEUMONIAE IGG&IGM
MNEMONIC: MYCAB
ABBR: MYCAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
MYCG
MYCOPLASMA PNEUMONIAE IGG
86738
CPT-4
102.00
53403
141
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MYCM
MYCOPLASMA PNEUMONIAE IGM
8673859
CPT-4
102.00
65775
NAME: MYCOPLASMA PNEUMONIAE,IGM,IFA
MNEMONIC: MMYCO
ABBR: MMYCO
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8673891
CPT TYPE: CPT-4
CHARGE:
102.00 BILLING CD: 65783
NAME: MYELIN ASS. GLYCOPROTEIN
MNEMONIC: MAG
ABBR: MAG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10
COLLECTION INSTRUCTION: FASTING
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
MNEMONIC
NAME
CPT CODE
CPT TYPE
CONTAINER
MAGA
MAGB
WBMAG
SGPG IGM INDEX
MAG IGM INDEX
MAG AB WESTERN BLOT
83520
8352091
84181
CPT-4
CPT-4
CPT-4
CHARGE
103.00 65505
101.00 65633
173.00 66892
NAME: MYELOPEROXIDASE ANTIBODIES
MNEMONIC: MYAB
ABBR: MYAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65688
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.5
NAME: MYOGLOBIN, SERUM
MNEMONIC: MYO
ABBR: MYO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83874
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 65573
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
NAME: MYOGLOBIN,URINE
MNEMONIC: MYOU
ABBR: MYOU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83874
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 65141
CONTAINER: STC
COLLECTION INSTRUCTION: ALIQUOT W/IN 1 HR TO T691
ALIQUOT: OTHER
MIN ML:
0.5 MAX ML:
5.0
NAME: NEISSERIA GONORRHOEAE RNA
MNEMONIC: GCRNA
ABBR: GCRNA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87591
CPT TYPE: CPT-4
CHARGE:
161.00 BILLING CD: 59909
CONTAINER: APTIMA swab
ALIQUOT: APTIMA
MIN ML:
1 MAX ML:
1
APTIMAU
2.0
20.0
COMPONENTS
SGCRNA
SOURCE GCRNA
RGCRNA
NEISSERIA RESULT
BILLING CD
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: NEOGENOMICS TESTING
MNEMONIC: NEOG
ABBR: NEOG
DEPT: LR
SITE: NEOGL
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: LAV
NAME: NEONATAL ABG
MNEMONIC: NABG
ABBR: NABG
OTHER MNEMONIC: ABG NEONATAL
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 84560
CPT TYPE: CPT-4
CHARGE:
15.00 BILLING CD: 63560
CONTAINER: SYRINGE
ABGPH
ABGPCO2
ABGPO2
ABGHCO3
ABGBE
PSTO2
ABGCO2
COMPONENTS
ARTERIAL BLOOD GAS pH
ART BLD PARTIAL PRESSURE CO2
ART BLD PARTIAL PRESSURE O2
ARTERIAL BLOOD GAS HCO3
ARTERIAL BLOOD GAS BASE EXCESS
PST O2
ABG CO2 CONTENT
NAME: NERVE FIBER TEASING
MNEMONIC: NVT
ABBR: NVT
OTHER MNEMONIC: 88362
DEPT: LNP
SITE: UPMC-HISTO TURN AROUND HOURS:
CPT: 88362
CPT TYPE: CPT-4
CHARGE:
252.00 BILLING CD: 66824
NAME: NEUROMYELITIS OPTICA (NMO)
MNEMONIC: NMO
ABBR: NMO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86255
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.5 MAX ML:
2.1
COMPONENTS
CNMO
INTERPRETIVE COMMENTS
AQP4
NMO/AQP4-IGG
NAME: NEURON SPECIFIC ENOLASE, CSF
MNEMONIC: NSE
ABBR: NSE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65420
CONTAINER: CSF#1
ALIQUOT: CSF#1
MIN ML:
0.1 MAX ML:
0.5
NAME: NEUTROPHIL OXIDATIVE BURST
MNEMONIC: NXB
ABBR: NXB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82657
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
COLLECTION INSTRUCTION: 1 GRN FROM PATIENT & 1 GRN FROM NORMAL UNRELATED
PERSON
ALIQUOT: GREEN
MIN ML:
1.0 MAX ML:
5.0
142
143
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
OTHER
1.0
5.0
NAME: NEWBORN ANEUPLOIDY DETECTION
MNEMONIC: FISHN
ABBR: FISHN
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: GREEN
COLLECTION INSTRUCTION: BLOOD OR CORD BLOOD
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
5.0
FISHI
DNA
DNA2
HYB5
DNA3
DNA4
DNA5
COMPONENTS
INTERPERTATION
DNA PROBE
DNA PROBE 2
HYBRIDIZATION, 100-300 CELLS
DNA PROBE 3
DNA PROBE 4
DNA PROBE 5
0.00 58645
88271
CPT-4
8827191
CPT-4
88275
CPT-4
8827191
CPT-4
8827191
CPT-4
8827191
CPT-4
NAME: NEWBORN SCREENING
MNEMONIC: SNS
ABBR: SNS
OTHER MNEMONIC: PKU
DEPT: LR
SITE: PKELM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: FLTR PAPER
COMPONENTS
PADHNB
PA DEPT OF HEALTH NEWBORN SCN
SNBS
SUPPLEMENTAL SCREEN
GENCOM
COMMENT SNS
NAME: NICKEL, SERUM
MNEMONIC: NICK
ABBR: NICK
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83885
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RYLBLPLAIN
ALIQUOT: METAL FREE
MIN ML:
1 MAX ML:
2.0
NAME: NICOTINE
MNEMONIC: NIC
ABBR: NIC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83887
CPT TYPE: CPT-4
CHARGE:
128.00 BILLING CD: 19801
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.35 MAX ML:
1.4
NAME: NITROGEN, STOOL
MNEMONIC: NITST
ABBR: NITST
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84999
CPT TYPE: CPT-4
CHARGE:
315.00 BILLING CD: 66004
CONTAINER: STC
COLLECTION INSTRUCTION: SPECIFY 48 72 OR 96 HOUR COLLECTION
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
NAME: NOCARDIA STAIN
129.00 65768
122.00 65784
416.00 65595
122.00 65784
122.00 65784
122.00 65784
144
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: NOCS
ABBR: NOCS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87206
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 65170
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: NORBUPRENORPHINE
MNEMONIC: NBU
ABBR: NBU
NAME: NORTRIPTYLINE
MNEMONIC: AMNO
ABBR: AMNO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80182
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65119
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1 MAX ML:
1.0
NAME: NOVA CREATININE WITH GFR (EST) POINT OF CARE TESTING CODE
MNEMONIC: NCRE
ABBR: CREA WITH GFR
DEPT: NOVA
SITE: ML
TURN AROUND HOURS:
COLLECTION INSTRUCTION
Use StatSensor Strip within 30 seconds of collect.
COMPONENTS
CRE
CREATININE
82565
CPT-4
37.00 63584
GFR
CALCULATED GFR
MINT-PST
NAME: NTX TELOPEPTIDE CROSS-LINKED,S
MNEMONIC: NTXS
ABBR: NTXS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82523
CPT TYPE: CPT-4
CHARGE:
122.00 BILLING CD: 65730
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.25 MAX ML:
0.5
NAME: NTX TELOPEPTIDE,URINE
MNEMONIC: NTX
ABBR: NTX
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82523
CPT TYPE: CPT-4
CHARGE:
122.00 BILLING CD: 65730
CONTAINER: UR24
COLLECTION INSTRUCTION: 24 HR OR RANDOM URINE. NO PRESERVATIVE. REFRIG
ALIQUOT: FRZ-URINE
MIN ML:
4.0 MAX ML:
10.0
NAME: NUCLEIC ACID PROBE
MNEMONIC: NUC2
ABBR: NUC2
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 8389691
CPT TYPE: CPT-4
CHARGE:
30.00 BILLING CD: 65586
NAME: NUCLEIC ACID TRANSFER
MNEMONIC: NUCT
ABBR: NUCT
OTHER MNEMONIC: 83897
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83897
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 59286
NAME: OLIGOCLONAL BANDING,CSF
MNEMONIC: OLIG
ABBR: OLIG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT:
CPT TYPE: CPT-4
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: DR. BERGER'S PATIENTS GO TO QUEST/ALL OTHERS TO MAYO
ALIQUOT: CSF#4
MIN ML:
0.5 MAX ML:
1.0
SST
0.5
1.0
COMPONENTS
OLIGCSF
OLIGOCLONAL BANDS, CSF
83916
CPT-4
217.00 65346
OLIGS
OLIGOCLONAL BANDS,SERUM
83916
CPT-4
217.00 53682
OLIGI
OLIGO BANDS INTERPRETATION
OCSFQ
OLIGOCLONAL BANDS, CSF
83916
CPT-4
217.00 65346
NAME: OPIATES,CONFIRM,U
MNEMONIC: OPIU
ABBR: OPIATES CONFIRM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83925
CPT TYPE: CPT-4
CHARGE:
212.00 BILLING CD: 66370
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
10.0
COMPONENTS
IAO
IMMUNOASSAY SCREEN OPIATES
OPC
GC/MS CONFIRMATION-OPIATES
CODE
CODEINE
HCOD
HYDROCODONE
HMORP
HYDROMORPHONE
MORH
MORPHINE
OXYC
OXYCODONE
OXYM
OXYMORPHONE BY GC/MS
INTDRG
INTERPRETATION-DRUG SCREEN
COC0
CHAIN OF CUSTODY OPIATES
NAME: ORGANIC ACID SCREEN, URINE
MNEMONIC: ORGACU
ABBR: ORGANIC ACID,U
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83919
CPT TYPE: CPT-4
CHARGE:
320.00 BILLING CD: 58545
CONTAINER: STC
COLLECTION INSTRUCTION: SEND 10ML FROZEN URINE.
ALIQUOT: FRZ-URINE
MIN ML:
10.0 MAX ML:
10.0
NAME: OSMOLALITY
MNEMONIC: OSMS
ABBR: OSMO
OTHER MNEMONIC: OSMOS
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83930
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 01764
CONTAINER: YEL-SST
ALIQUOT: YEL-SST
MIN ML:
1 MAX ML:
1
NAME: OSMOLALITY, URINE
MNEMONIC: OSMU
ABBR: OSMO,UR
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 83935
CPT TYPE: CPT-4
CHARGE:
53.00 BILLING CD: 64724
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: OSTEOCALCIN,SERUM
MNEMONIC: OSTEO
ABBR: OSTEO
145
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83937
CPT TYPE: CPT-4
CHARGE:
321.00 BILLING CD: 65748
CONTAINER: SST10
ALIQUOT: FRZ-SERUM
MIN ML:
0.4 MAX ML:
0.5
NAME: OVA PARASITE CONC W/TRICHROME
MNEMONIC: OAP
ABBR: OAP
OTHER MNEMONIC: OVA-1
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: PARAPQ
COLLECTION INSTRUCTION: CHECK WITH MICRO BEFORE ORDERING
ALIQUOT: PARAPQ
MIN ML:
1 MAX ML:
1
TFV
1
1
COMPONENTS
OAPS
SOURCE OAP
PST
PARASITE EXAM, CONCENTRATE
87177
CPT-4
69.00 65882
PSMR
PARASITE SMR,TRICHROME
87209
CPT-4
174.00 65890
NAME: OXALATE, 24 HOUR URINE
MNEMONIC: OX24
ABBR: OX24
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83945
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 65157
CONTAINER: UR24
COLLECTION INSTRUCTION: REFRIGERATE
ALIQUOT: UR24
MIN ML:
4.0 MAX ML:
5.0
NAME: OXAZEPAM (SERAX)
MNEMONIC: OXA
ABBR: OXA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80154
CPT TYPE: CPT-4
CHARGE:
199.00 BILLING CD: 65165
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
0.3 MAX ML:
2.0
NAME: OXYCODONE LEVEL
MNEMONIC: OXY
ABBR: OXY
OTHER MNEMONIC: PERCOCET
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83925
CPT TYPE: CPT-4
CHARGE:
212.00 BILLING CD: 65761
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
2.1 MAX ML:
5.0
NAME: PANCREATIC ELASTASE IN STOOL
MNEMONIC: PE
ABBR: PE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82656
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 65619
CONTAINER: STC
ALIQUOT: FREEZE
MIN ML:
1.0 MAX ML: 10.00
COMPONENTS
PE1
PANCREATIC ELASTASE
CPT-4
PEI
INTERPRETATION PE
NAME: PANCREATIC ISOENZYME
146
147
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: AMYP
ABBR: AMYP
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 82150
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 66036
CONTAINER: SST
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: PANCREATIC POLYPEPTIDE,PLASMA
MNEMONIC: HPP
ABBR: HPP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83519
CPT TYPE: CPT-4
CHARGE:
146.00 BILLING CD: 65779
CONTAINER: LAV
COLLECTION INSTRUCTION: FASTING (8 HOUR)
ALIQUOT: FRZ-PLASMA
MIN ML:
0.35 MAX ML:
3.0
NAME: PARANEOPLASTIC AA EVALUATION
MNEMONIC: PAEVAL
ABBR: PAEVAL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
2.0 MAX ML:
4.0
COMPONENTS
INPAEVAL
INTERPRETIVE COMMENTS PAEVAL
ANNA1
ANTI-NEURONAL NUCLEAR AB TYPE1
PAVR
REFLEX ADDED PAEVAL
ANNA2
ANTI-NEURONAL NUCLEAR AB TYPE2
ANNA3
ANTI NEURONAL NUCLEAR AB TYPE3
AGNA
ANTI-GLIAL/NEURONAL NUCLEAR AB
PCA1
PURKINJE CELL CYTOPLASMIC AB-1
PCA2
PURKINJE CELL CYTOPLASMIC AB-2
PCATR
PURKINJE CELL CYTOPLASMI AB-TR
AMPHI
AMPHIPHYSIN ANTIBODY
CRMPT
CRMP-5-IGG TITER
AGN
AChR GANGLIONIC NEURONAL AB
VGKC
NEURONAL (V-G) K CHANNEL AB
ACER
ACETYLCHOLINE REC. BINDING AB
SST10
STMA
STRIATIONAL (MUSCLE) AB
CABP
CALCIUM CHANNEL BINDING AB,P/Q
CABN
CALCIUM CHANNEL BIND AB N-TYPE
86256
CPT-4
63.00
65576
86256
86256
86256
86256
86256
86256
86256
86256
83519
83519
83519
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
63.00
63.00
63.00
63.00
63.00
63.00
63.00
63.00
65568
65481
65772
66405
66413
66421
66429
65457
CPT-4
CPT-4
146.00 65780
146.00 65326
83520
83519
83519
CPT-4
CPT-4
CPT-4
103.00 58557
146.00 66366
146.00 66358
NAME: PARATHYROID HORMONE
MNEMONIC: PTH
ABBR: PTH
DEPT: HEP
SITE: ML
TURN AROUND HOURS:
CPT: 83970
CPT TYPE: CPT-4
CHARGE:
315.00 BILLING CD: 66222
CONTAINER: SST10
NAME: PARVOVIRUS B19 ABS, IGG & IGM
MNEMONIC: PARVO
ABBR: PARVO VIRUS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10 ALIQUOT: SST
MIN ML:
0.5
COMPONENTS
PARVOG
PARVOVIRUS IGG ANTIBODY
86747
PARVOM
PARVOVIRUS IGM ANTIBODY
8674791
PARVOI
PARVO VIRUS INTERPRETATION
MAX ML:
CPT-4
CPT-4
1.0
119.00 66236
61.00 63725
148
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: PARVOVIRUS B19 DNA BY PCR
MNEMONIC: PARVOV
ABBR: PARVOV
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87798
CPT TYPE: CPT-4
CHARGE:
356.00 BILLING CD: 65555
CONTAINER: STC
COLLECTION INSTRUCTION: AMINIOTIC,SPINAL,SYNOVIAL FLUID
ALIQUOT: FLUID
MIN ML:
0.5 MAX ML:
0.5
NAME: PATH CONSULT, COMPREHENSIVE
MNEMONIC: PC3
ABBR: PC3
OTHER MNEMONIC: 86113
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 88325
CPT TYPE: CPT-4
CHARGE:
265.00 BILLING CD: 65663
NAME: PATH CONSULT, OUTSIDE SLIDES
MNEMONIC: PC1
ABBR: PC1
OTHER MNEMONIC: 88321
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 88321
CPT TYPE: CPT-4
CHARGE:
223.00 BILLING CD: 65655
NAME: PATH CONSULT, W/SLIDE PREP
MNEMONIC: PC2
ABBR: PC2
OTHER MNEMONIC: 88323
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 88323
CPT TYPE: CPT-4
CHARGE:
238.00 BILLING CD: 53049
NAME: PATHOLOGIST'S COMMENTS,BLOOD
MNEMONIC: PATH
ABBR: PATH COMMENTS
OTHER MNEMONIC: JCOM
DEPT: HEMA
SITE: ML
TURN AROUND HOURS: CPT: 85060
NAME: PATHOLOGY CONSULT
MNEMONIC: CONS
DEPT: LR
SITE: MAYO
CRESULT
ABBR: CONS
TURN AROUND HOURS:
COMPONENTS
RESULT CONSULT
NAME: PCP CONFIRMATION MECONIUM
MNEMONIC: PCPMC
ABBR: PCPMC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83992
CPT TYPE: CPT-4
CHARGE:
144.00 BILLING CD: 66275
COMPONENTS
PCMC
PCP CONFIRMATION MECONIUM
PCMCI
INTERPRETATION PCMC
COCPCMC
CHAIN OF CUSTODY PCPMC
NAME: PENTA SCREEN
MNEMONIC: AFP5
ABBR: AFP5
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CONTAINER: SST10 ALIQUOT: FREEZE
MIN ML:
COMPONENTS
AFPR
AFP
HCGAFP
HCG TOTAL
2.0
MAX ML:
5.0
149
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
INHIBIN
HHCG
ESTR
INHIBIN
HYPERGLYCOSYLATED HCG
ESTRIOL,PREGNANT FEMALES ONLY
82397
82677
CPT-4
CPT-4
NAME: PENTAZOCINE (TALWIN) LEVEL
MNEMONIC: PENT
ABBR: PENTAZOCINE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
82.00 BILLING CD: 84717
CONTAINER: GREEN
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
3.0
NAME: PEPSINOGEN
MNEMONIC: PEP
ABBR: PEP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83519
CPT TYPE: CPT-4
CHARGE:
146.00 BILLING CD: 65587
CONTAINER: RED10
COLLECTION INSTRUCTION: SEPARATE AND FREEZE ASAP 10-12 HR FAST
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
3.0
NAME: PH, FLUID
MNEMONIC: PHF
ABBR: PHF
OTHER MNEMONIC: FLUID, PH
FPH
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83986
CPT TYPE: CPT-4
CHARGE:
16.00 BILLING CD: 63592
CONTAINER: GREEN
NAME: PH, SCALP
MNEMONIC: PHS
ABBR: PHS
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82800
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 00331
CONTAINER: CBG
NAME: PH, VENOUS
MNEMONIC: VPH
ABBR: PH, VENOUS
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82800
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 00331
CONTAINER: GREEN
COLLECTION INSTRUCTION: COLLECT ON ICE
NAME: PH,URINE
MNEMONIC: UPH
DEPT: UR
SITE: ML
CPT: 81002
CPT TYPE:
CONTAINER: STC
ABBR: PH
TURN AROUND HOURS:
CHARGE:
BILLING CD:
NAME: PHENCYCLIDINE CONFIRMATION,U
MNEMONIC: PCPU
ABBR: PHENCYCLIDINE,U
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83992
CPT TYPE: CPT-4
CHARGE:
144.00 BILLING CD: 19572
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
20.0
COMPONENTS
GCPCP
GC/MS CONFIRMATION PCP
153.00
142.00
65756
65118
150
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
IAPCP
IMMUNOASSAY PCP
PCPGC
PHENCYCLIDINE BY GC/MS
IPCPH
INTREPRETATION PCP
CMPCP
COMMENT-PCP
COCPCP
CHAIN OF CUSTODY PCP
NAME: PHENOBARBITAL TOTAL
MNEMONIC: PHNT
ABBR: PHNT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80184
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 53411
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: PHENYTOIN (DILANTIN)
MNEMONIC: DIL
ABBR: PHY
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80185
CPT TYPE: CPT-4
CHARGE:
122.00 BILLING CD: 64598
CONTAINER: RED3
NAME: PHENYTOIN,TOTAL & FREE
MNEMONIC: PHNY
ABBR: PHENYTOIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.5 MAX ML:
2.0
COMPONENTS
PHYT
PHENYTOIN,TOTAL
80185
CPT-4
PHYF
PHENYTOIN,FREE
80186
CPT-4
NAME: PHONE RESULTS
MNEMONIC: PHONE
DEPT: LAB
SITE: ML
66040
65451
ABBR: PHONE
TURN AROUND HOURS:
NAME: PHOSPHATIDLYSERINE IGG,IGA,IGM
MNEMONIC: PSAB
ABBR: PSAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
PSG
PHOSPHATIDLYSERINE IGG
86148
PSAA
PHOSPHATIDLYSERINE IGA
8614891
PSM
PHOSPHATIDLYSERINE IGM
8614891
CPT-4
PT-4
CPT-4
NAME: PHOSPHATIDYLETHANOLAMINE ABS
MNEMONIC: PHOM
ABBR: PHOM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.25 MAX ML:
3.0
COMPONENTS
PHOMA
PHOSPHATIDYLETHANOLAMINE IGA
83520
PHOMG
PHOSPHATIDYLETHANOLAMINE IGG
83520
PHOMM
PHOSPHATIDYLETHANOLAMINE IGM
83520
NAME: PHOSPHOROUS LEVEL
MNEMONIC: PHOS
122.00
109.00
ABBR: PHOS
314.00 65409
314.00 65343
314.00 65343
CPT-4
CPT-4
CPT-4
103.00 66499
81.00 63903
103.00 66491
151
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
OTHER MNEMONIC: PO4
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84100
CPT TYPE: CPT-4
CHARGE:
23.00 BILLING CD: 00307
CONTAINER: MINT-PST
NAME: PHOSPHOROUS,RANDOM URINE
MNEMONIC: PHOSU
ABBR: PHOSU
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84105
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 05088
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: PHOSPHORUS, URINE 24HR
MNEMONIC: PHO24
ABBR: PHOSPHORUS, URI
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84105
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 05088
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
PHOSU
PHOSPHOROUS,RANDOM URINE
84105
CPT-4
38.00 05088
PHOS24
PHOSPHOROUS,24 HOUR URINE
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00 63600
NAME: PHYTANIC ACID
MNEMONIC: PHY
ABBR: PHY
OTHER MNEMONIC: FATTY ACID
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82726
CPT TYPE: CPT-4
CHARGE:
177.00 BILLING CD: 66020
CONTAINER: RED10
COLLECTION INSTRUCTION: 12-14 HR FAST/NO ALCOHOL FOR 24 HRS
ALIQUOT: FRZ-SERUM
MIN ML:
0.15 MAX ML:
0.5
NAME: PI-LINKED ANTIGEN
MNEMONIC: HAM
ABBR: HAM
OTHER MNEMONIC: PNH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: YEL-ACD
COLLECTION INSTRUCTION: **ROOM TEMP**
ALIQUOT: YEL-B
MIN ML:
3.0 MAX ML:
6.0
COMPONENTS
FLOW
FLOW CHARGE 88184
88184
CPT-4
HAMR
HAM RESULT
FLOWCG
FLOW CHARGE
88185
CPT-4
FLOW1
FLOW CHARGE
88184
CPT-4
341.00
65546
168.00 66546
341.00 65546
NAME: PLASMA HEMOGLOBIN
MNEMONIC: PLHGB
ABBR: PLHGB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83051
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 19750
CONTAINER: LAV
ALIQUOT: PLASMA
MIN ML:
1.0 MAX ML:
2.0
152
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: PLASMINOGEN ACTIVITY
MNEMONIC: PA
ABBR: PLASMINOGEN
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85420
CPT TYPE: CPT-4
CHARGE:
110.00 BILLING CD: 54461
CONTAINER: BLUE ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
1.0
NAME: PLATELET AGGREGATION
MNEMONIC: PLTA
ABBR: PLTA
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CONTAINER: BLUE
COLLECTION INSTRUCTION: ROOM TEMP*ITXM MUST RECEIVE WITHIN 4 HOURS*DO NOT SPIN
ALIQUOT: BLUE
MIN ML:
4.0 MAX ML:
4.0
COMPONENTS
ST
PLTADP20
PLTADP10
PLTADP5
PLTCOLL
PLTAA
PLTRIS12
PLTRIS03
PLTAC
SAMPLE TIME
PLT AGG 20 ADP
PLT AGG 10 ADP
PLT AGG 5 ADP
PLT AGGREGATION - COLLAGEN
PLT AGG-ARACHIDONIC ACID
PLT AGGREGATION-RISTOCETIN 1.2
PLT AGGREGATION-RISTOCETIN 0.3
COMMENT PLTA
8557691
8557691
8557691
85576
85576
85576
85576
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
230.00
230.00
230.00
230.00
230.00
230.00
230.00
NAME: PLATELET ANTIBODY
MNEMONIC: PLTAB
ABBR: PLTAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86022
CPT TYPE: CPT-4
CHARGE:
63.00 BILLING CD: 65362
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
1.5
COMPONENTS
PLTABR
PLATELET ANTIBODY RESULT
PLTABCOM
PLATELET ANTIBODY COMMENT
NAME: PLATELET ANTIBODY-CELL BOUND
MNEMONIC: PLTABC
ABBR: PLTABC
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86022
CPT TYPE: CPT-4
CHARGE:
63.00 BILLING CD: 65362
CONTAINER: LAV
COLLECTION INSTRUCTION: M-TR ONLY*48 HR STABILITY*PLTC MUST BE >10,000
ALIQUOT: LAV
MIN ML:
5.0 MAX ML:
20.0
NAME: PLATELET ASSOC. AUTOANTIBODY
MNEMONIC: PLTIGG
ABBR: PLTIGG
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: LAV
COLLECTION INSTRUCTION: WHOLE BLOOD AT ROOM TEMP
ALIQUOT: LAV
MIN ML:
10 MAX ML:
20
COMPONENTS
GPA
GP Ia/IIa
86023
CPT-4
93.00 66355
GPIB
GP Ib/IX
86023
CPT-4
93.00 66363
GPIIB
GP IIb/IIIa
86023
CPT-4
93.00 66371
65562
65562
65562
52557
52557
53565
53565
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
PLTX
PLATELET ITXM
NAME: PLATELET FUNCTION STUDY
MNEMONIC: PLTF
ABBR: PLTF
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: BLUE
COLLECTION INSTRUCTION: MUST BE RECEIVED AT ITXM WITHIN 4 HRS *ROOM TEMP*
ALIQUOT: BLUE
MIN ML:
4 MAX ML:
4
COMPONENTS
ST
SAMPLE TIME
PLTADP20
PLT AGG 20 ADP
8557691
PLTADP10
PLT AGG 10 ADP
8557691
PLTADP5
PLT AGG 5 ADP
8557691
PLTCOLL
PLT AGGREGATION - COLLAGEN
PLTAA
PLT AGG-ARACHIDONIC ACID
PLTFC
COMMENT PLTF
CPT-4
CPT-4
CPT-4
85576
85576
230.00 65562
230.00 65562
230.00 65562
CPT-4
230.00 52557
CPT-4
230.00 52557
NAME: PORPHOBILINOGEN DEAMINASE, RBC
MNEMONIC: PBGD
ABBR: PBGD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82657
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 65231
CONTAINER: GREEN ON ICE
ALIQUOT: GREEN
MIN ML:
3.0 MAX ML:
3.0
NAME: PORPHOBILINOGEN,QN,RAND URINE
MNEMONIC: PORUR
ABBR: PORUR
OTHER MNEMONIC: PBGU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84110
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 19816
CONTAINER: STC
COLLECTION INSTRUCTION: FREEZE & PROTECT FROM LIGHT
ALIQUOT: AMBER
MIN ML:
10.0 MAX ML:
20.0
NAME: PORPHOBILINOGEN,U
MNEMONIC: PORU
DEPT: LR
SITE: MAYO
CPT:
CPT TYPE:
ABBR: PORU
TURN AROUND HOURS:
CHARGE:
BILLING CD:
NAME: PORPHRINS,FRACTIONATION,PLASMA
MNEMONIC: PFRC
ABBR: PFRC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82492
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 65948
COMPONENTS
PFRP
PORPHYRINS, FRAC,PLASMA
URO
UROPORPHYRIN
NAME: PORPHYRIN EVALUATION,RBC
MNEMONIC: PORPHRBC
ABBR: PORPHRBC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84311
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 66571
CONTAINER: GRN ON ICE
ALIQUOT: GRN ON ICE
MIN ML:
4.0 MAX ML:
4.0
153
154
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: PORPHYRINS 24 HR URINE
MNEMONIC: PORPH
ABBR: PORPH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: UR24
COLLECTION INSTRUCTION
ADD 5 G SODIUM CARBONATETO 24 HR COLL. WRAP IN FOIL
ALIQUOT: AMBER
MIN ML:
20 MAX ML:
50
NAME: PORPHYRINS PROFILE, PLASMA
MNEMONIC: PORPHP
ABBR: PORPHP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: GREEN
COLLECTION INSTRUCTION
SEND FROZEN IN AMBER VIAL
ALIQUOT: FRZ-AMBER
MIN ML:
1.0 MAX ML:
3.0
NAME: PORPHYRINS, STOOL48,72,96 HR
MNEMONIC: STPORPH
ABBR: STPORPH
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84126
CPT TYPE: CPT-4
CHARGE:
472.00 BILLING CD: 65181
CONTAINER: STC
COLLECTION INSTRUCTION
STOOL MUST BE FROZEN
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
COMPONENTS
STCOPRO COPROPORPHYRIN, STOOL
STPROT
PROTOPORPHYRIN, STOOL
STPINT
PORPHYRIN INTERP, STOOL
NAME: POTASSIUM
MNEMONIC: K
ABBR: K
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84132
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00313
CONTAINER: MINT-PST
NAME: POTASSIUM, FLUID
MNEMONIC: FK
ABBR: POTASSIUM, FLUI
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84132
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00313
CONTAINER: GREEN
NAME: POTASSIUM,24 HOUR URINE GRP
MNEMONIC: K24
ABBR: K 24
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84133
CPT TYPE: CPT-4
CHARGE:
34.00 BILLING CD: 63624
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00 63600
UK
POTASSIUM,RANDOM URINE
84133
CPT-4
34.00 53929
UKT
POTASSIUM 24 HOUR URINE
STC
155
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: POTASSIUM,RANDOM URINE
MNEMONIC: UK
ABBR: K,UR
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84133
CPT TYPE: CPT-4
CHARGE:
34.00 BILLING CD: 53929
CONTAINER: STC
NAME: PPD SKIN TEST
MNEMONIC: PPD
ABBR: PPD SKIN TEST
DEPT: LAB
SITE: ML
TURN AROUND HOURS:
CPT: 86580
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 19954
NAME: PRADER-WILLI/ANGELMAN,MOL ANAL
MNEMONIC: PWDNA
ABBR: PWDNA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 81331
CPT TYPE: CPT-4
CHARGE: 1379.00 BILLING CD: 66651
COLLECTION INSTRUCTION: *ROOM TEMPERATURE*
ALIQUOT: LAV
MIN ML:
3.0 MAX ML:
5.0
COMPONENTS
PWDNAI
PRADER-WILLI/ANG,MOL ANA,INTER
83912
CPT-4
110.00 53046
ELP
ELECTROPHORESIS
83894
CPT-4
51.00 52613
EXTR
MOLECULAR EXTRACTION
83891
CPT-4
98.00 59285
NUC
NUCLEIC ACID PROBE
83896
CPT-4
30.00 55065
DIGES
DIGESTION
83892
CPT-4
50.00 52614
NUCT
NUCLEIC ACID TRANSFER
83897
CPT-4
99.00 59286
NAME: PREALBUMIN
MNEMONIC: PAB
ABBR: PAB
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 84134
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 63616
CONTAINER: YEL-SST
ALIQUOT: YEL-SST
MIN ML:
1 MAX ML:
1
NAME: PREECLAMPSIA PANEL
MNEMONIC: PIH
ABBR: PIH
DEPT: LNP
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
COMPONENTS
CBCD
CBC W/DIFF
CREA
CREA W/ GFR
CRE
CREATININE
82565
CPT-4
URIC
URIC ACID
84550
CPT-4
AST
AST/SGOT
84450
CPT-4
ALT
ALT/SGPT
84460
CPT-4
UPES
URINE PROTEIN 24HR ESTIMATE
UCREA
CREATININE, URINE
82570
CPT-4
TPU
TOTAL PROTEIN,RANDOM URINE
84156
NAME: PREGNANCY, URINE QUALITATIVE
MNEMONIC: UPRG
ABBR: PREGU
OTHER MNEMONIC: PRGU
URINE PREG
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
LAV
37.00 63584
25.00 00308
29.00 00328
29.00 00329
MINT-PST
MINT-PST
MINT-PST
MINT-PST
51.00 00200
CPT-4
50.00
05071
STC
STC
STC
156
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT: 84703
CPT TYPE: CPT-4
CONTAINER: STC
CHARGE:
59.00 BILLING CD: 00728
NAME: PREGNENOLONE, SERUM
MNEMONIC: PRG
ABBR: PRG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84140
CPT TYPE: CPT-4
CHARGE:
223.00 BILLING CD: 65634
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.2 MAX ML:
0.5
NAME: PRIMIDONE & PHENOBARBITAL
MNEMONIC: PRIM
ABBR: PRIM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: RED10 ALIQUOT: SERUM
MIN ML:
1
COMPONENTS
PRIMI
PRIMIDONE
80188
CPT-4
PHEN
PHENOBARBITAL
80184
CPT-4
MAX ML:
110.00 53414
94.00 53411
NAME: PRO B NATRIURETIC PEPTIDE
MNEMONIC: PROBNP
ABBR: PROBNP
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 83880
CPT TYPE: CPT-4
CHARGE:
359.00 BILLING CD: 63743
CONTAINER: MINT-PST
NAME: PROCAINAMIDE W/ NAPA
MNEMONIC: PNAP
ABBR: PNAP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80192
CPT TYPE: CPT-4
CHARGE:
189.00 BILLING CD: 58833
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.4 MAX ML:
1.0
COMPONENTS
PROC
PROCAINAMIDE
NAPA
NAPA
PNAPA
PROCAINAMIDE + NAPA
NAME: PROGESTERONE LEVEL
MNEMONIC: PROG
ABBR: PROG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84144
CPT TYPE: CPT-4
CHARGE:
161.00 BILLING CD: 65189
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
0.5
NAME: PROINSULIN
MNEMONIC: PROIN
ABBR: PROIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84206
CPT TYPE: CPT-4
CHARGE:
193.00 BILLING CD: 65440
CONTAINER: LAV ON ICE
COLLECTION INSTRUCTION: FASTING
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1.5
NAME: PROLACTIN
MNEMONIC: PRL
OTHER MNEMONIC: IPRL
ABBR: PRL
1.0
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84146
CPT TYPE: CPT-4
CHARGE:
166.00 BILLING CD: 19823
CONTAINER: RED3
NAME: PROPAFENONE (RYTHMOL) LEVEL
MNEMONIC: PROPAF
ABBR: PROPAF
OTHER MNEMONIC: RHYTHMOL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65039
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
3.0 MAX ML:
3.0
NAME: PROSTAGLANDIN F2 ALPHA,URINE
MNEMONIC: PGD2
ABBR: PGD2
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84150
CPT TYPE: CPT-4
CHARGE:
938.00 BILLING CD: 19941
CONTAINER: UR24
ALIQUOT: FRZ-URINE
MIN ML:
0.5 MAX ML:
10.0
NAME: PROSTATIC ACID PHOSPHATASE
MNEMONIC: PAP
ABBR: PAP
OTHER MNEMONIC: ACID PHOS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84066
CPT TYPE: CPT-4
CHARGE:
77.00 BILLING CD: 19826
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
1.0
NAME: PROTEIN C ACTIVITY
MNEMONIC: PROTCX
ABBR: PROTCX
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85303
CPT TYPE: CPT-4
CHARGE:
155.00 BILLING CD: 59533
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
NAME: PROTEIN C ANTIGEN
MNEMONIC: PRC
ABBR: PRC
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85302
CPT TYPE: CPT-4
CHARGE:
218.00 BILLING CD: 84672
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
COMPONENTS
PRCA
PROTEIN C AG
COMC
COMMENT, PROTEIN C
NAME: PROTEIN S ACTIVITY (ITXM)
MNEMONIC: PROTSX
ABBR: PROTSX
OTHER MNEMONIC: PRSA
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85306
CPT TYPE: CPT-4
CHARGE:
167.00 BILLING CD: 65603
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
NAME: PROTEIN S ANTIGEN
MNEMONIC: PRS
ABBR: PRS
157
158
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CONTAINER: BLUE
COLLECTION INSTRUCTION: FREEZE 1ml IN 2 VIALS
ALIQUOT: FRZ-PLASMA
MIN ML:
2 MAX ML:
PROTEIN S ANTIGEN COMPONENTS
PSFR
PROTIEN S Ag, FREE
85306
2
CPT-4
167.00
59786
NAME: PROTEIN,TOTAL URINE
MNEMONIC: UPRT
ABBR: PROT,UR
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84156
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 05071
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: PROTEINASE 3 ANTIBODY
MNEMONIC: PR3
ABBR: PR3
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83516
CPT TYPE: CPT-4
CHARGE:
124.00 BILLING CD: 65391
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.45 MAX ML:
0.5
NAME: PROTHROMBIN (F2) GENE MUTATION
MNEMONIC: F2GM
ABBR: F2 GENE MUT
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 81240
CPT TYPE: CPT-4
CHARGE:
343.00 BILLING CD: 66932
CONTAINER: YEL-ACD
COLLECTION INSTRUCTION: ROOM TEMP
ALIQUOT: YEL-ACD
MIN ML:
2.0 MAX ML:
7.0
COMPONENTS
F2GMRES
F2GM RESULT
F2GMIN
INTERPRETATION AND REPORT
F2GMREV
F2GM REVIEWED BY
EXTR
MOLECULAR EXTRACTION
NUC
NUCLEIC ACID PROBE
MUT
MUTATION SCREEN
DIGE
DIGESTION
MUT2
MUTATION SCREEEN 2
NUC2
NUCLEIC ACID PROBE
DIGES
DIGESTION
NAME: PROTHROMBIN TIME
MNEMONIC: PTI
OTHER MNEMONIC: PTY
DEPT: COAG
SITE: ML
CONTAINER: BLUE
PTIN*
PTO
INR
83891
83896
83903
83892
83903
8389691
83892
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
98.00
30.00
160.00
50.00
160.00
30.00
50.00
59285
55065
65720
52614
65720
65586
52614
ABBR: PT/INR
TURN AROUND HOURS:
COMPONENTS
PROTIME (INPATIENT)
85610
PROTHROMBIN TIME
85610
INR
NAME: PROTOPORPHYRIN,FRACT,RBC
MNEMONIC: FEP
ABBR: FEP
CPT-4
CPT-4
34.00 00419
34.00 00419
159
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84202
CPT TYPE: CPT-4
CHARGE:
79.00 BILLING CD: 19719
CONTAINER: GRN ON ICE
COLLECTION INSTRUCTION FASTING*SEND GREEN REFRIG
PROTOPORPHYRIN,FRACT,RBC
[continued]
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
COMPONENTS
ERYP
FREE PROTOPORPHYRIN
ZNP
ZINC-COMPLEX PROTOPORPHYRIN
IFEP
INTERPRETATION FEP
NAME: PSA (DIAGNOSTIC)
MNEMONIC: PSA
ABBR: PSA
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84153
CPT TYPE: CPT-4
CHARGE:
142.00 BILLING CD: 19431
CONTAINER: RED3
NAME: PSA (SCREENING)
MNEMONIC: PSA-S
ABBR: SPSA
OTHER MNEMONIC: SPSA
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: G0103
CPT TYPE: CPT-4
CHARGE:
181.00 BILLING CD: 65994
CONTAINER: RED3
NAME: PSEUDOCHOLINESTERASE DIBUC INH
MNEMONIC: CHED
ABBR: CHED
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.25 MAX ML:
0.5
COMPONENTS
PCH
PSEUDOCHOLINESTERASE
82480
CPT-4
DIB
DIBUCAINE INHIBITION
82638
CPT-4
87.00 65202
117.00 65035
NAME: PT MIXING STUDY (ITXM)
MNEMONIC: PTMX
ABBR: PTMX
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85611
CPT TYPE: CPT-4
CHARGE:
36.00 BILLING CD: 53052
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
NAME: PTH-RELATED PEPTIDE (PROTEIN)
MNEMONIC: PTHRP
ABBR: PTHRP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82397
CPT TYPE: CPT-4
CHARGE:
153.00 BILLING CD: 65625
CONTAINER: LAV ON ICE
COLLECTION INSTRUCTION: FASTING
ALIQUOT: FRZ-PLASMA
MIN ML:
0.25 MAX ML:
1.0
NAME: PYRUVATE KINASE, RBC
MNEMONIC: PYRKIN
ABBR: PYRKIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84220
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65213
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: YEL-ACDB
COLLECTION INSTRUCTION: WHOLE BLOOD. DO NOT SPIN
ALIQUOT: YEL-ACDB
MIN ML:
4.0 MAX ML:
6.0
NAME: PYRUVIC ACID, BLOOD
MNEMONIC: PYR
ABBR: PYR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84210
CPT TYPE: CPT-4
CHARGE:
117.00 BILLING CD: 65834
CONTAINER: SYRINGE
COLLECTION INSTRUCTION
SEE BOOK FOR SPECIAL INSTRUCTIONS 4 HR FAST
ALIQUOT: OTHER
MIN ML:
1.0 MAX ML:
1.0
NAME: Q FEVER AB,IgG & IgM
MNEMONIC: QF
ABBR: QF
OTHER MNEMONIC: COXIELLA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
QFG
QFM
Q FEVER AB IgG
Q AB FEVER IgM
COMPONENTS
86638
8663891
CPT-4
CPT-4
146.00 55426
146.00 65528
NAME: QUANTIFERON TB GOLD
MNEMONIC: TBGOLD
ABBR: TBGOLD
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 86480
CPT TYPE: CPT-4
CHARGE:
592.00 BILLING CD: 65727
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
QTBG
QUANTIFERON TB GOLD
NIL
NIL
MNIL
MITOGEN-NIL
TBNIL
TB ANTIGEN-NIL
NAME: QUETIAPINE (SEROQUEL),S
MNEMONIC: SEQ
ABBR: SEQ
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82491
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 66784
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.6 MAX ML:
3.0
NAME: QUINIDINE LEVEL
MNEMONIC: QUIN
ABBR: QUIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80194
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 65229
CONTAINER: SERUM
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: RAPAMYCIN (SIROLIMUS)
MNEMONIC: RPMY
ABBR: RPMY
OTHER MNEMONIC: SIROLIMUS
160
ACMH LAB TEST CATALOG
161
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80195
CPT TYPE: CPT-4
CHARGE:
142.00 BILLING CD: 65675
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
1.0 MAX ML:
3.0
RAPAMYCIN (SIROLIMUS)
COMPONENTS [continued]
RPMYR
RAPAMYCIN RESULT
CPT-4
DATER
DATE OF LAST DOSE RPMY
TIMER
TIME OF LAST DOSE RPMY
DOSER
DOSE,MG RPMY
NAME: RAPID INFLUENZA A & B
MNEMONIC: RIFA
ABBR: RAPID FLU A/B
OTHER MNEMONIC: FLU AB
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SWAB
COMPONENTS
A
INFLUENZA TYPE A
87804
CPT-4
B
INFLUENZA TYPE B
8780459
CPT-4
VERITOR
VERITOR
87999
CPT-4
110.00 64429
110.00 65599
53.00 66790
NAME: RAPID PLASMA REAGIN (RPR)
MNEMONIC: RPR
ABBR: RPR
OTHER MNEMONIC: SYPHILIS TEST
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 86592
CPT TYPE: CPT-4
CHARGE:
35.00 BILLING CD: 00657
CONTAINER: YEL
NAME: RAPID RSV
MNEMONIC: RSSV
ABBR: RSSV
OTHER MNEMONIC:
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 87420
CPT TYPE: CPT-4
CHARGE:
117.00 BILLING CD: 66026
CONTAINER: SWAB/WASHING
ALIQUOT: NT
MIN ML:
1 MAX ML:
1
NAME: RAST X 10
MNEMONIC: RAST10
ABBR: RAST X 10
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION: FILL OUT MAYO ALLERGEN REQUEST FORM
ALIQUOT: TT
MIN ML:
1 MAX ML:
1
COMPONENTS
RAST1
RAST,INDIVIDUAL TEST
86003
CPT-4
59.00 54649
RASTII
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RASTIII
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RASTIV
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RASTV
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RASTVI
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RASTVII
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RASTVIII
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RASTIX
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RASTX
ALLERGEN SPECIFIC IGE ANTIBODY
86003
CPT-4
59.00
RED10
54649
RED10
54649
RED10
54649
RED10
54649
RED10
54649
RED10
54649
RED10
54649
RED10
54649
RED10
54649
RED10
162
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: RAST X 5
MNEMONIC: RAST5
ABBR: RAST X 5
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION: FILL OUT MAYO ALLERGEN REQUEST FORM
ALIQUOT: TT
MIN ML:
1 MAX ML:
1
RAST1
RASTII
RASTIII
RASTIV
RASTV
COMPONENTS
RAST,INDIVIDUAL TEST
86003
CPT-4
ALLERGEN SPECIFIC IGE ANTIBODY
86003
ALLERGEN SPECIFIC IGE ANTIBODY
86003
ALLERGEN SPECIFIC IGE ANTIBODY
86003
ALLERGEN SPECIFIC IGE ANTIBODY
86003
59.00 54649
RED10
CPT-4
59.00 54649
RED10
CPT-4
59.00 54649
RED10
CPT-4
59.00 54649
RED10
CPT-4
59.00 54649
RED10
NAME: RAST,INDIVIDUAL TEST
MNEMONIC: RAST1
ABBR: RAST1
DEPT: LR
SITE: IBT
TURN AROUND HOURS:
CPT: 86003
CPT TYPE: CPT-4
CHARGE:
59.00 BILLING CD: 54649
CONTAINER: RED10
COLLECTION INSTRUCTION: SEND TO MAYO USE ALLERGEN REQUEST FORM
ALIQUOT: TT
MIN ML:
1 MAX ML:
1
NAME: RBC ENZYME EVALUATION
MNEMONIC: RBCENZ
ABBR: RBCENZ
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: YEL-ACDB
ALIQUOT: YEL-ACDB
MIN ML:
2 MAX ML:
2
COMPONENTS
G6PD
GLUCOSE-6-PHOS DEHYDROGENASE
82955
GPI
GLUCOSE PHOSPATE ISOMERASE,B
84087
HEXO
HEXOKINASE,BLOOD
8265791
AK
ADENYLATE KINASE,BLOOD
8265791
PYRKIN
YRUVATE KINASE, RBC
84220
RBCE
RBC ENZYMES
8265791
RBCENZI
RBC INTERPRETATION
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
NAME: RBC FOLATE
MNEMONIC: RBCFOL
ABBR: RBCFOL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82747
CPT TYPE: CPT-4
CHARGE:
101.00 BILLING CD: 52701
CONTAINER: LAV
COLLECTION INSTRUCTION: *PROTECT FROM LIGHT*FASTING*
ALIQUOT: AMBER
MIN ML:
1.0 MAX ML:
1.0
LAV
1
1
COMPONENTS
RBCF
RBC FOLATE
CPT-4
MHCT
HCT FOR RBC FOLATE
NAME: RECALL/RECOLLECT
MNEMONIC: RECL
DEPT: PHLB
SITE: ML
[lab use only]
ABBR: RECALL
TURN AROUND HOURS:
77.00 65316
56.00 53807
163.00 65642
163.00 65642
103.00 65213
163.00 65642
ACMH LAB TEST CATALOG
163
UPDATED AUGUST 2014
NAME: RED BLOOD CELL FRAGILITY
MNEMONIC: RCFS
ABBR: RCFS
OTHER MNEMONIC: OSMOTIC FRAG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 85557
CPT TYPE: CPT-4
CHARGE:
144.00 BILLING CD: 65490
CONTAINER: LAV
COLLECTION INSTRUCTION: SPECIMEN MUST ARRIVE AT MAYO WITHIN 96 HRS. SEE BOOK.
ALIQUOT: LAV
MIN ML:
5.0 MAX ML:
5.0
NAME: RENAL BIOPSY
MNEMONIC: RENAL
ABBR: RENAL
DEPT: LR
SITE: UPMC-RENAL TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
COLLECTION INSTRUCTION:
USE TRANSPORT MEDIUM 199 & SEND RENAL BIOPSY REQUISITION.
Must arrange for courier to transport specimen.
NAME: RENAL FUNCTION PANEL
MNEMONIC: RENL
ABBR: RENL
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 80069
CPT TYPE: CPT-4
CHARGE:
54.00 BILLING CD: 66695
CONTAINER: MINT-PST
COMPONENTS
GLU
GLUCOSE,RANDOM
82947
CPT-4
25.00 00703
BUN
BLOOD UREA NITROGEN
84520
CPT-4
21.00 00304
CREA
CREA W/ GFR
NA
SODIUM
84295
CPT-4
36.00 65639
K
POTASSIUM
84132
CPT-4
25.00 00313
CL
CHLORIDE
82435
PT-4
25.00 00510
CO2
CARBON DIOXIDE LEVEL
82374
CPT-4
25.00 09902
GAP
ANION GAP
CA
CALCIUM LEVEL
82310
CPT-4
36.00 00306
ACAL
ADJUSTED CALCIUM
PHOS
PHOSPHOROUS LEVEL
84100
CPT-4
23.00 00307
ALB
ALBUMIN
82040
CPT-4
25.00 00319
NAME: RENIN ACTIVITY, PLASMA
MNEMONIC: REN
ABBR: REN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84244
CPT TYPE: CPT-4
CHARGE:
185.00 BILLING CD: 65237
CONTAINER: OTHER
COLLECTION INSTRUCTION
DRAW INTO COLD LAV TUBE. PLACE ON ICE UNTIL CHILLED.
ALIQUOT: FRZ-PLASMA
MIN ML:
1.15 MAX ML:
2.0
NAME: REPTILASE TIME
MNEMONIC: RT
ABBR: RT
OTHER MNEMONIC:
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85635
CPT TYPE: CPT-4
CHARGE:
54.00 BILLING CD: 53390
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: RESP ALLERGY PROFILE 1
MNEMONIC: IMMUNOCAP1
ABBR: IMMCAP1
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.3 MAX ML:
2.0
164
165
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
RESP ALLERGY PROFILE 1 COMPONENTS
IGEQ
IGE,SERUM (QUEST)
D1
D.PTERONYSSINUS IGE
D1C
CLASS D1
D2
D.FARINAE IGE
D2C
CLASS D2
ALLERGEN
ALLERGEN
E1
CAT DANDER IGE
E1C
CLASS E1
E5
DOG DANDER IGE
E5C
CLASS E5
G2
BERMUDA GRASS IGE
ALLERGEN10 ALLERGEN X 10
G2C
CLASS G2
G6
TIMOTHY GRASS IGE
G6C
CLASS G6
I6
COCKROACH IGE
I6C
CLASS I6
M1
PENCILLIUM NOTATUM IGE
M1C
CLASS M1
M2
C.HERBARUM IGE
M2C
CLASS M2
M3
A.FUMIGARUS IGE
ALLERGEN10 ALLERGEN X 10
M3C
CLASS M3
M6
ALTERNARIA ALTERNATA IGE
M6C
CLASS M6
T1
MAPLE(BOX ELDER) IGE
T1C
CLASS T1
TR3
BIRCH IGE
T3C
CLASS T3
T6
MOUNTAIN CEDAR IGE
T6C
CLASS T6
T7
OAK IGE
T7C
CLASS T7
T8
ELM IGE
T8C
CLASS T8
T10
WALNUT TREE IGE
T10C
CLASS T10
T11
SYCAMORE IGE
T11C
CLASS T11
T14
COTTONWOOD IGE
T14C
CLASS T14
T15
WHITE ASH IGE
T15C
CLASS T15
T70
WHITE MULBURRY IGE
T70C
CLASS T70
W1
COMMON RAGWEED IGE
W1C
CLASS W1
W6
MUGWORT IGE
W6C
CLASS W6
W14
ROUGH PIGWEED IGE
W14C
CLASS W14
W18
SHEEP SORREL IGE
W18C
CLASS W18
82785
86003
CPT-4
CPT-4
128.00 65045
59.00 65691
86003
CPT-4
59.00
65691
86003
86003
CPT-4
CPT-4
59.00
59.00
65691
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00 65691
0.00 66490
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00 65691
0.00 66490
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
86003
CPT-4
59.00
65691
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: RETIC
MNEMONIC: RETIC
ABBR: RETIC
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 85045
CPT TYPE: CPT-4
CHARGE:
23.00 BILLING CD: 63736
CONTAINER: LAV
COMPONENTS
RET%
RETIC%
ABSRET
ABSOLUTE RETIC (AUTO)
NAME: RETIC MANUAL
MNEMONIC: RETICM
ABBR: RETICM
DEPT: HEMA
SITE: ML
TURN AROUND HOURS:
CPT: 85044
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 00407
CONTAINER: LAV
COMPONENTS
RBC
RED BLOOD CELL COUNT
RETT
TOTAL NUMBER OF RETICS COUNTED
RETC
ABSOLUTE RETIC
RET%M
RETIC % MANUAL
NAME: RETICULIN ANTIBODY
MNEMONIC: RETAB
ABBR: RETAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86255
CPT TYPE: CPT-4
CHARGE:
94.00 BILLING CD: 65640
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: RETINOL BINDING PROTEIN
MNEMONIC: RBP
ABBR: RBP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83883
CPT TYPE: CPT-4
CHARGE:
107.00 BILLING CD: 65585
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
2.0 MAX ML:
2.0
NAME: RHEUMATOID ARTHRITIS TITER [reflexes from positive RA test]
MNEMONIC: RATT
ABBR: RATT
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: RED10
MIN ML:
1 MAX ML:
1
166
167
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: RHEUMATOID FACTOR
MNEMONIC: RA
ABBR: RA
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 86430
CPT TYPE: CPT-4
CHARGE:
37.00 BILLING CD: 05075
CONTAINER: YEL
ALIQUOT: YEL
MIN ML:
1 MAX ML:
1
NAME: RIBOSOME P ANTIBODIES,IGG,S
MNEMONIC: RIB
ABBR: RIB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 59283
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
0.5
NAME: RICKETTSIA AB PANEL
MNEMONIC: RMSF
ABBR: RMSF
OTHER MNEMONIC: ROCKYMTSPOTFEV
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.2 MAX ML:
1.0
COMPONENTS
RMG
ROCKY MOUNTAIN IgG
86757
RMM
ROCKY MOUNTAIN IgM
8675791
TYFG
TYPHUS FEVER IGG ANTIBODY
86757
TYFM
TYPHUS FEVER IGM ANTIBODY
8675791
CPT-4
CPT-4
CPT-4
CPT-4
NAME: RISPERIDONE AND METABOLITE
MNEMONIC: RIS
ABBR: RISPERIDONE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82542
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 65764
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.6 MAX ML:
3.0
COMPONENTS
RISP
RISPERIDONE RESULT
HRIS
9 HYDROXYRISPERIDONE
RIST
RISPERIDONE TOTAL
NAME: RISTOCETIN COFACTOR
MNEMONIC: RCOF
ABBR: RCOF
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85245
CPT TYPE: CPT-4
CHARGE:
125.00 BILLING CD: 53562
204.00
204.00
65351
65359
204.00
65383
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0
MAX ML:
2.
NAME: RNA STABILIZATION
MNEMONIC: RNAS
ABBR: RNAS
OTHER MNEMONIC: 83913
DEPT: LNP
SITE: HEMA
TURN AROUND HOURS:
CPT: 83913
CPT TYPE: CPT-4
CHARGE:
116.00 BILLING CD: 66108
NAME: RNP AB,IGG,S
MNEMONIC: RNP
ABBR: RNP
OTHER MNEMONIC: U1RNP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8623591
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 65012
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: ROTAVIRUS
MNEMONIC: ROTA
ABBR: ROTA
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 86759
CPT TYPE: CPT-4
CHARGE:
96.00 BILLING CD: 65906
CONTAINER: LABEL
COLLECTION INSTRUCTION
FREEZE SPECIMEN IF STORED LONGER THAN 2 HOURS
ALIQUOT: NT
MIN ML:
1 MAX ML:
1
NAME: RUBELLA AB,IgG
MNEMONIC: RBG
ABBR: RBG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86762
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 66539
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
0.5
COMPONENTS
RUBQ
RUBELLA IGG AB
86762
CPT-4
97.00 66539
RBGI
RUBELLA IGG AB INDEX
NAME: RUBELLA IGM AB(NOT FOR OB PTS)
MNEMONIC: RUBELLAM
ABBR: RUBELLA IGM
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
168
169
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT: 86762
CPT TYPE: CPT-4
CHARGE:
CONTAINER: SST10
COLLECTION INSTRUCTION: ROOM TEMP
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
56.00 BILLING CD: 65226
1.0
NAME: RUBELLA IMMUNE STATUS
MNEMONIC: RUBE
ABBR: RUBE
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 86762
CPT TYPE: CPT-4
CHARGE:
97.00 BILLING CD: 00435
CONTAINER: RED3
NAME: RUBEOLA ( MEASLES ) AB, IGG
MNEMONIC: RUBOG
ABBR: RUBOG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86765
CPT TYPE: CPT-4
CHARGE:
136.00 BILLING CD: 65074
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.5
COMPONENTS
RUBEOG
RUBEOLA (MEASLES) IGG
86765
CPT-4
136.00
ROGI
RUBEOLA IGG AB INDEX
NAME: RUBEOLA (MEASLES) IGM
MNEMONIC: RUBEOM
ABBR: RUBEOM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86765
CPT TYPE: CPT-4
CHARGE:
136.00 BILLING CD: 66454
CONTAINER: SST10
NAME: RUBEOLA IGG AB INDEX
MNEMONIC: ROGI
ABBR: ROGI
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
NAME: RUBEOLA(MEASLES) AB,IGG & IGM
MNEMONIC: RUBEO
ABBR: RUBEO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
65074
170
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: SST10
ALIQUOT: SST
RUBEOG
ROGI
RUBEOM
MIN ML:
1
MAX ML:
COMPONENTS
RUBEOLA (MEASLES) IGG
RUBEOLA IGG AB INDEX
RUBEOLA (MEASLES) IGM
1
86765
CPT-4
136.00
65074
86765
CPT-4
136.00
66454
NAME: RUPTURE OF FETAL MEMBRANE
MNEMONIC: ROM
ABBR: ROM
DEPT: SERO
SITE: ML
TURN AROUND HOURS:
CPT: 84112
CPT TYPE: CPT-4
CHARGE:
245.00 BILLING CD: 66386
CONTAINER: LABEL
COLLECTION INSTRUCTION
Vaginal swab in solvent 1 minute, send vial to lab within 30 min
ALIQUOT: NT
MIN ML:
1 MAX ML:
1
NAME: SACCHAROMYCES CEREVISIAE,IGA,S
MNEMONIC: ASCA
ABBR: ASCA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65684
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.45 MAX ML:
0.5
NAME: SALICYLATE LEVEL
MNEMONIC: SAL
ABBR: SALIC
OTHER MNEMONIC:
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80196
CPT TYPE: CPT-4
CHARGE:
61.00 BILLING CD: 31874
CONTAINER: RED3
NAME: SALMONELLA,TOTAL AB, BY EIA
MNEMONIC: SALM
ABBR: SALM
OTHER MNEMONIC:
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION
FREEZE
ALIQUOT: TT
MIN ML:
0.1 MAX ML:
1.0
TYPHO
TYPHHD
TYPHOA
TYPHHB
TYPHH
COMPONENTS
SALMONELLA O,TYPE VI
86768
SALMONELLA O,TYPE D
8676891
SALMONELLA H,TYPE A
8676891
SALMONELLA H, TYPE B
8676891
SALMONELLA H, TYPE d
8676891
NAME: SAMPLE TIME
MNEMONIC: ST
DEPT: LR
SITE: ITXM
ABBR: ST
TURN AROUND HOURS:
NAME: SAVE FOR LATER TESTING
MNEMONIC: SAVE
ABBR: SAVE
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
143.00
143.00
143.00
143.00
143.00
65755
65763
65763
65763
65763
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: PHLB
SITE: ML
CONTAINER: SAVE
TURN AROUND HOURS:
NAME: SCLERODERMA AB
MNEMONIC: SCL70
ABBR: SCL-70
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8623591
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 65637
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: SECRETIN STIMULATION TEST
MNEMONIC: SST
ABBR: SST
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
0.00 BILLING CD: 66426
COLLECTION INSTRUCTION: FASTING
NAME: SELENIUM LEVEL
MNEMONIC: SEL
ABBR: SELENIUM
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84255
CPT TYPE: CPT-4
CHARGE:
145.00 BILLING CD: 19838
CONTAINER: RYLBLPLAIN
COLLECTION INSTRUCTION
ROYAL BLUE PLAIN TUBE* CLOT FOR 30 MIN BEFORE SPINNING*
171
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
ALIQUOT: METAL FREE
MIN ML:
0.8
MAX ML:
0.8
NAME: SEMEN ANALYSIS
MNEMONIC: SA
ABBR: SEMEN ANALYSIS
OTHER MNEMONIC: FERT
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89320
CPT TYPE: CPT-4
CHARGE:
220.00 BILLING CD: 00126
CONTAINER: STC
COLLECTION INSTRUCTION:
TRANSPORT TO LAB WITHIN 1 HR OF COLLECTION; KEEP AT BODY TEMPERATURE
COMPONENTS
SP
SPOUSE/PARTNER
SABS
DAYS OF ABSTINENCE
SPC
SPERM COUNT
SPV
SEMEN VOLUME
SVIS
SEMEN VISCOSITY
SPPH
SPERM PH
SEWBC
SEMEN WBC
%MP1
%MOTILE PROGRESSIVE
SPMOR
SPERM MORPHOLOGY
SAI
SEMEN INTERPRETATION
89320
NAME: SEMEN ANALYSIS,POST VASECTOMY
MNEMONIC: PV
ABBR: PV
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 89321
CPT TYPE: CPT-4
CHARGE:
120.00 BILLING CD: 66016
CONTAINER: STC
COLLECTION INSTRUCTION:
TRANSPORT TO LAB WITHIN 1 HR OF COLLECTION; KEEP AT BODY TEMPERATURE
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: SEMEN FRUCTOSE
MNEMONIC: SFR
ABBR: SFR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82757
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 00202
CONTAINER: STC
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
NAME: SEPARATION
MNEMONIC: SPR
ABBR: SPR
OTHER MNEMONIC: 83909
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83909
CPT TYPE: CPT-4
CHARGE:
157.00 BILLING CD: 65796
172
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: SEROTONIN, BLOOD
MNEMONIC: SER
ABBR: SER
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84260
CPT TYPE: CPT-4
CHARGE:
238.00 BILLING CD: 65245
CONTAINER: LAV
COLLECTION INSTRUCTION: SEE SPECIAL INSTRUCTIONS
ALIQUOT: FREEZE
MIN ML:
2.5 MAX ML:
2.5
NAME: SEROTONIN, SERUM
MNEMONIC: SERS
ABBR: SERS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84260
CPT TYPE: CPT-4
CHARGE:
238.00 BILLING CD: 66331
CONTAINER: RED10
COLLECTION INSTRUCTION: SPIN WITHIN 30 MIN SEPARATE AND FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
1.1 MAX ML:
2.5
NAME: SERTRALINE&DESMETHYLSERTRALINE
MNEMONIC: SERT
ABBR: SERT
OTHER MNEMONIC: ZOLOFT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82542
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 66076
CONTAINER: RED10
COLLECTION INSTRUCTION
SST NOT ACCEPTABLE
ALIQUOT: SERUM
MIN ML:
1.2 MAX ML:
2.0
NAME: SERUM ETHYL ALCOHOL
MNEMONIC: ALC
ABBR: ALC
OTHER MNEMONIC: ALCOHOL
ETOH
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 82055
CPT TYPE: CPT-4
CHARGE:
109.00 BILLING CD: 84637
CONTAINER: RED10
COLLECTION INSTRUCTION: CLEAN AREA OF DRAW WITH ACETONE
ALIQUOT: RED10
MIN ML:
1 MAX ML:
1
NAME: SERUM PREGNANCY, QUANTITATIVE
173
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: PREG
ABBR: PREG
OTHER MNEMONIC: HCG QUANT
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84702
CPT TYPE: CPT-4
CHARGE:
105.00 BILLING CD: 53895
CONTAINER: MINT
NAME: SEX HORMONE BINDING GLOBULIN
MNEMONIC: SHBG
ABBR: SHBG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84270
CPT TYPE: CPT-4
CHARGE:
162.00 BILLING CD: 65661
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1.0
NAME: SICKLE CELL SCREEN
MNEMONIC: SIC
ABBR: SIC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 85660
CPT TYPE: CPT-4
CHARGE:
38.00 BILLING CD: 65138
CONTAINER: LAV
COLLECTION INSTRUCTION: WHOLE BLOOD REFRIGERATED..DO NOT SPIN
ALIQUOT: LAV
MIN ML:
0.5 MAX ML:
1.0
NAME: SKIN TEST CANDIDA
MNEMONIC: SCAN
ABBR: SCAN
DEPT: LAB
SITE: ML
TURN AROUND HOURS:
CPT: 86485
CPT TYPE: CPT-4
CHARGE:
31.00 BILLING CD: 19945
ALIQUOT: NT
MIN ML:
1 MAX ML:
1
NAME: SM (SMITH) AB, IGG,SERUM
MNEMONIC: SM
ABBR: SM
OTHER MNEMONIC: SMITH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8623591
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 65645
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: SMOOTH MUSCLE ANTIBODY
MNEMONIC: SMAB
ABBR: SMAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
174
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT: 86255
CPT TYPE: CPT-4
CHARGE:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
94.00 BILLING CD: 65182
1.0
NAME: SODIUM
MNEMONIC: NA
ABBR: NA
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84295
CPT TYPE: CPT-4
CHARGE:
36.00 BILLING CD: 65639
CONTAINER: MINT-PST
NAME: SODIUM, 24 HOUR URINE
MNEMONIC: NA24
ABBR: NA 24
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84300
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 63632
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00 63600
UNAC
SODIUM, U
84300
CPT-4
25.00 53928
STC
UNAT
SODIUM 24 HOUR URINE
NAME: SODIUM, FLUID
MNEMONIC: FNA
ABBR: SODIUM, FLUID
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84302
CPT TYPE: CPT-4
CHARGE:
29.00 BILLING CD: 63544
CONTAINER: GREEN
NAME: SODIUM,RANDOM URINE
MNEMONIC: NAU
ABBR: NA,UR
OTHER MNEMONIC:
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84300
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 63632
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: SOLUBLE TRANSFERRIN RECEPTOR
MNEMONIC: STFR
ABBR: STFR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84238
CPT TYPE: CPT-4
CHARGE:
279.00 BILLING CD: 65682
175
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.25
MAX ML:
0.5
NAME: SOMATOMEDIN-C (IGF-1)
MNEMONIC: SOM
ABBR: SOM
OTHER MNEMONIC: IGF1
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84305
CPT TYPE: CPT-4
CHARGE:
140.00 BILLING CD: 65286
CONTAINER: RED10
COLLECTION INSTRUCTION: Spin down promptly
ALIQUOT: FRZ-SERUM
MIN ML:
0.35 MAX ML:
0.5
NAME: SOURCE H1N1
MNEMONIC: SH1N1
DEPT: LR
SITE: MAYO
ABBR: SH1N1
TURN AROUND HOURS:
NAME: SPECIAL STAINS GROUP 2
MNEMONIC: HSS2
ABBR: HSS2
OTHER MNEMONIC: 88313R
DEPT: LNP
SITE: UPMC-HISTO TURN AROUND HOURS:
CPT: 88313
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 66243
NAME: SPECIFIC GRAVITY, FLUID
MNEMONIC: FSG
ABBR: SG FLUID
OTHER MNEMONIC: FSP
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84315
CPT TYPE: CPT-4
CHARGE:
14.00 BILLING CD: 63552
CONTAINER: STC
NAME: SPERM AB,DIRECT,SEMEN
MNEMONIC: ASABD
ABBR: ASABD
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 89325
CPT TYPE: CPT-4
CHARGE:
227.00 BILLING CD: 65518
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
176
177
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: SPERM AB,INDIRECT, SERUM
MNEMONIC: ASAB
ABBR: ASAB
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 89325
CPT TYPE: CPT-4
CHARGE:
227.00 BILLING CD: 65518
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.5 MAX ML:
2.0
NAME: SS-A/Ro ANTIBODY
MNEMONIC: SSA
ABBR: SSA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86235
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 65058
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: SS-B/La ANTIBODY
MNEMONIC: SSB
ABBR: SSB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8623591
CPT TYPE: CPT-4
CHARGE:
138.00 BILLING CD: 65536
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
NAME: SSA/SSB
MNEMONIC: SSAB
ABBR: SSA/SSB
OTHER MNEMONIC: SJOGREN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
SSA
SS-A/Ro ANTIBODY
86235
CPT-4
SSB
SS-B/La ANTIBODY
8623591
CPT-4
NAME: STAT LH
MNEMONIC: SLH
OTHER MNEMONIC: LHS
DEPT: CHEM
SITE: ML
LH
PHONE
138.00 65058
138.00 65536
SST10
SST10
ABBR: STAT LH
TURN AROUND HOURS:
COMPONENTS
LUTEINIZING HORMONE
83002
CPT-4
PHONE RESULTS
NAME: STONE RISK DIAGNOSTIC PROFILE
MNEMONIC: STRP
ABBR: STRP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: UR24
ALIQUOT: URINE
MIN ML:
1 MAX ML:
1
COMPONENTS
CLU
CHLORIDE,24 HR URINE
82436
AMMO
AMMONIUM
82140
SCANN
STONE ANALYSIS
SULFU
SULFATE, URINE
84392
OX24
OXALATE, 24 HOUR URINE
83945
CITU
CITRATE EXCRETION,URINE
82507
109.00
19777
RED3
CPT-4
CPT-4
38.00
87.00
65940
00351
CPT-4
CPT-4
99.00 65157
188.00 19934
178
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: STOOL PH
MNEMONIC: STPH
ABBR: STL PH
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 82705
CPT TYPE: CPT-4
CHARGE:
44.00 BILLING CD: 19950
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: STOOL REDUCING SUBSTANCES
MNEMONIC: SRS
ABBR: SRS
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 84376
CPT TYPE: CPT-4
CHARGE:
57.00 BILLING CD: 65884
CONTAINER: STC
COLLECTION INSTRUCTION: FREEZE
ALIQUOT: FREEZE
MIN ML:
3 MAX ML:
10
NAME: STREP PNEUMO IGG AB 23 TYPES
MNEMONIC: PNEU23
ABBR: PNEU23
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
0.5
COMPONENTS
PNEU1
PNEUMOCOCCAL ANTIBODY, TYPE 1
86317
CPT-4
116.00
65422
179
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
PNEU3
PNEU4
PNEU6
PNEU7F
PNEU8
PNEU9
PNEU12
PNEU14
PNEU18
PNEU19
PNEU23F
PNEUMOCOCCAL ANTIBODY, TYPE 3
PNEUMOCOCCAL ANTIBODY, TYPE 4
PNEUMOCOCCAL ANTIBODY, TYPE 6B
PNEUMOCOCCAL ANTIBODY, TYPE 7F
PNEUMOCOCCAL ANTIBODY,TYPE 8
PNEUMOCOCCAL ANTIBODY, TYPE 9V
PNEUMOCOCCAL ANTIBODY,TYPE12F
PNEUMOCOCCAL ANTIBODY, TYPE 14
PNEUMOCOCCAL ANTIBODY,TYPE 18C
PNEUMOCOCCAL ANTIBODY,TYPE 19F
PNEUMOCOCCAL ANTIBODY,TYPE 23F
86317
86317
86317
86317
86317
86317
86317
86317
86317
86317
86317
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
116.00
116.00
116.00
116.00
116.00
116.00
116.00
116.00
116.00
116.00
116.00
65422
65422
65422
65422
65422
65422
65422
65422
65422
65422
65422
NAME: STREP PNEUMONIAE ANTIGEN, URIN
MNEMONIC: STREPU
ABBR: STREPU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87450
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 65428
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
0.5 MAX ML:
2.0
NAME: STREPTOCOCCAL ANTIBODY PROFILE
MNEMONIC: ASO
ABBR: ASO
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
ASOT
ANTI-STREPTOLYSIN O TITER
86060
ADNASE
ANTI-DNASE B
86215
CPT-4
CPT-4
NAME: STREPTOZYME SCR W/REFL TITER
MNEMONIC: STPZ
ABBR: STPZ
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
1.0
COMPONENTS
STPZS
STREPTOZYME SCREEN
86403
CPT-4
63.00 00421
97.00 19642
79.00
NAME: STRIATIONAL (MUSCLE) AB
MNEMONIC: STMA
ABBR: STMA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 58557
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1 MAX ML:
1
65508
SST10
SST10
180
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: STROKE PANEL
MNEMONIC: STROKE
ABBR: STROKE
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: YEL-ACD
COLLECTION INSTRUCTION: FREEZE CITRATE PLASMA*KEEP YELLOW AT RT
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
YEL-A
1
1
COMPONENTS
HEX
HEXAGONAL LIPID NEUTRALIZATION
85597
CPT-4
177.00
ACAG
ANTI-CARDIOLIPIN IgG
86147
CPT-4
199.00
ACAM
ANTI-CARDIOLIPIN IgM
8614791
CPT-4
199.00
APC
APC RESISTANCE
85307
CPT-4
162.00
MTHFR METHYLENETETRAHYDROFOLATE-5,10
81291
CPT-4
441.00
PTX
PT (ITXM)
85610
CPT-4
34.00
INRX
INR (ITXM)
TTX
THROMBIN TIME (ITXM)
85670
CPT-4
40.00
TTI50
TTI 1:50
85705
CPT-4
84.00
TTI500
TTI 1:500
DRVV
DILUTE RUSSELL VIPER VENOM
85613
CPT-4
104.00
APTTX
APTT (ITXM)
85730
CPT-4
57.00
APTTMX APTT MIXING STUDY (ITXM)
85732
CPT-4
F8
FACTOR VIII:C
85240
CPT-4
114.00
F2GM
PROTHROMBIN (F2) GENE MUTATION
81240
CPT-4
343.00
NAME: SUCROSE LYSIS
MNEMONIC: SL
ABBR: SVC LYS
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 86941
CPT TYPE: CPT-4
CHARGE:
110.00 BILLING CD: 65070
CONTAINER: LAV
COLLECTION INSTRUCTION: WHOLE BLOOD REFRIGERATED
NAME: SULFATE, URINE
MNEMONIC: SULFU
ABBR: SULFU
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84392
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: UR24
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
10.0
NAME: SUPPLEMENTAL OTHER LABS
66000
65602
65456
65408
66789
51374
51376
53054
59436
51377
51361
66932
181
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
MNEMONIC: SUPLO
DE
CONTAINER: OTHER
ALIQUOT: OTHER
LAB
TESTO
ABBR: SUPLO
MIN ML:
1 MAX ML:
COMPONENTS
REFERENCE LAB
TEST NAME
1
NAME: SUPPLEMENTAL TO MAYO
MNEMONIC: SUPLM
ABBR: SUPLM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
COMPONENTS
TEST
TEST NAME
LAB
REFERENCE LAB
NAME: SUPPLEMENTAL TO QUEST
MNEMONIC: FLEXITEST1
ABBR: SUPLQ
OTHER MNEMONIC: SUPLQ
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
COMPONENTS
TESTQ
TEST NAME QUEST
NAME: SUSCEPTIBILITY, ANAEROBIC
MNEMONIC: MIC
ABBR: MIC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
MNEMONIC
CONTAINER
MIC1
MIC2
MIC3
MIC1
MIC2
MIC3
NAME
COMPONENTS
CPT CODE
87181
8718191
8718191
CPT TYPE
CPT-4
CPT-4
CPT-4
54.00 65506
54.00 65522
54.00 65522
NAME: SUSPECTIBILITY, AEROBIC
MNEMONIC: MICO
ABBR: MICO
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: OTHER
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
COMPONENTS
MIC4
MIC4
87186
CPT-4
101.00
NAME: SYPHILIS ANTIBODY, IGG
MNEMONIC: SYPH
ABBR: SYPH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CHARGE
51397
BILLING CD
182
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: RED10
ALIQUOT: SERUM
SIGG
MIN ML:
0.5 MAX ML:
1.0
COMPONENTS
SYPHILIS IGG
86780
CPT-4
69.00
65962
NAME: T AND B CELL QN BY FLOW CYTO
MNEMONIC: TBLYMP
ABBR: TBLYMP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: LAV
COLLECTION INSTRUCTION: MUST ARRIVE WITHIN 48 HOURS * SEND LAV TUBE * ROOM TEMP
ALIQUOT: LAV
MIN ML:
1.0 MAX ML:
4.0
COMPONENTS
BCELL
B CELLS, TOTAL COUNT
86355
CPT-4
387.00 65731
NKC
NATURAL KILLER CELLS, TOTAL
86357
CPT-4
387.00 65747
CD3
CD3 (T CELLS)
86359
CPT-4
203.00 55057
CD4CD8 ABSOLUTE CD4/CD8 COUNT
86360
CPT-4
254.00 55056
NAME: T3 REVERSE
MNEMONIC: T3REV
ABBR: T3REV
OTHER MNEMONIC: T3R
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 84482
CPT TYPE: CPT-4
CHARGE:
167.00 BILLING CD: 65916
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
0.3 MAX ML:
0.5
NAME: T3 TOTAL
MNEMONIC: T3
ABBR: T3
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84480
CPT TYPE: CPT-4
CHARGE:
110.00 BILLING CD: 65924
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.6
NAME: T3 UPTAKE
MNEMONIC: T3U
ABBR: T3 UPTAKE
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84479
CPT TYPE: CPT-4
CHARGE:
56.00 BILLING CD: 06850
CONTAINER: RED
NAME: T3, FREE
MNEMONIC: FT3
ABBR: FT3
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84481
CPT TYPE: CPT-4
CHARGE:
132.00 BILLING CD: 65308
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
0.6
NAME: T4,FREE BY DIALYSIS
MNEMONIC: T4FD
ABBR: T4FD
OTHER MNEMONIC: T4 BY RIA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84439
CPT TYPE: CPT-4
CHARGE:
96.00 BILLING CD: 19549
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.2 MAX ML:
2.6
NAME: TAPENTADOL,U
MNEMONIC: TAP
ABBR: TAP
OTHER MNEMONIC: NUCYNTA
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 83789
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 66374
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
1.0 MAX ML:
10.0
NAME: TEMAZEPAM (RESTORIL) LEVEL
MNEMONIC: TEM
ABBR: TEM
OTHER MNEMONIC: RESTORIL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82491
CPT TYPE: CPT-4
CHARGE:
139.00 BILLING CD: 66515
183
184
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: RED10
ALIQUOT: RED
MIN ML:
0.3
MAX ML:
2.0
NAME: TESTOSTERONE, FREE & TOTAL
MNEMONIC: TESTP
ABBR: TESTP
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION:REQUIRED MINIMUM VOLUME OF SERUM IS 2.0 !!
ALIQUOT: SERUM
MIN ML:
2.0 MAX ML:
2.5
COMPONENTS
TESTOS
TESTFP
TESTF
TESTOSTERONE,TOTAL
TESTOSTERONE. FREE PANEL
TESTOSTERONE,FREE
84403
CPT-4
198.00
19850
84402
CPT-4
199.00
19953
NAME: TESTOSTERONE, TOTAL, BIO, FREE
MNEMONIC: TESTFB
ABBR: TESTFB
OTHER MNEMONIC: TTFB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION: 2.0 ML SERUM IS MINIMUM VOLUME!!
ALIQUOT: SERUM
MIN ML:
2.0 MAX ML:
3.5
COMPONENTS
TSB
TESTOS
TESTF
TESTOSTERONE BIOAVAILABLE
TESTOSTERONE,TOTAL
TESTOSTERONE,FREE
84402
84403
84402
CPT-4
CPT-4
CPT-4
199.00 65593
198.00 19850
199.00 19953
NAME: TESTOSTERONE,TOTAL
MNEMONIC: TESTOS
ABBR: TESTOS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84403
CPT TYPE: CPT-4
CHARGE:
198.00 BILLING CD: 19850
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.22 MAX ML:
1.0
NAME: TESTOSTERONE,TOTAL & BIOAVAIL
MNEMONIC: TESTB
ABBR: TESTB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
185
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: RED10
ALIQUOT: SERUM
TSB
TESTOS
MIN ML:
0.6 MAX ML:
1.0
COMPONENTS
TESTOSTERONE BIOAVAILABLE
84402
CPT-4
TESTOSTERONE,TOTAL
84403
CPT-4
199.00 65593
198.00 19850
RED10
NAME: TETANUS ANTIBODY
MNEMONIC: TETA
ABBR: TETA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86774
CPT TYPE: CPT-4
CHARGE:
202.00 BILLING CD: 65749
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.3 MAX ML:
0.5
NAME: TETRAHYDROCANNABINOL CONF.U
MNEMONIC: THCC
ABBR: THCC
OTHER MNEMONIC: MARJIANA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 66092
CONTAINER: STC
ALIQUOT: URINE
MIN ML:
5.0 MAX ML:
20.0
COMPONENTS
IATHC
IMMUNOASSAY SCREEN-THC
GCTHC
GC/MS CONFIRMATION-THC
THCB
THC CARBOXYLIC ACID BY GC/MS
ITH
INTERPRETATION-THC
COCTHC
CHAIN OF CUSTODY THC
CMTHC
COMMENT-THC
NAME: THALASSEMIA EVALUATION
MNEMONIC: THAS
ABBR: THALASSEMIA
OTHER MNEMONIC: HGBEVAL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
COLLECTION INSTRUCTION: BOTH SST AND LAV REQUIRED
ALIQUOT: LAV
MIN ML:
2.0 MAX ML:
15.0
SERUM
0.5
0.5
COMPONENTS
HGBE
ELECTROPHORESIS,HEMOGLOBIN
A2F
HEMOGLOBIN A2 & F
83021
CPT-4
ELPH
HGB ELECTROPHORESIS,B
83020
CPT-4
FET
FERRITIN,S MAYO
82728
CPT-4
191.00 19551
195.00 19547
101.00 51387
186
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
INTHAS
INTERPRETATION THAL
NAME: THALLIUM
MNEMONIC: THAL
ABBR: THALLIUM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82190
CPT TYPE: CPT-4
CHARGE:
161.00 BILLING CD: 65134
CONTAINER: RYLBLUEDTA
ALIQUOT: RYLBLUEDTA
MIN ML:
0.3 MAX ML:
5.0
NAME: THALLIUM, 24 HOUR URINE
MNEMONIC: UTHAL
ABBR: UTHAL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83789
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 66507
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
0.3 MAX ML:
13.0
COMPONENTS
THALUT
THALLIUM, 24 HR URINE
CPT-4
THALUG
TI CONCENTRATION
NAME: THEOPHYLLINE LEVEL
MNEMONIC: THEO
ABBR: THEO
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80198
CPT TYPE: CPT-4
CHARGE:
87.00 BILLING CD: 09894
CONTAINER: RED3
NAME: THIOPURINE METABOLITES
MNEMONIC: 6MMP
ABBR: 6MMP
OTHER MNEMONIC: 6-THIOGUANINE
PROPREDICT 6MP
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: LAV
ALIQUOT: LAV
MIN ML:
5.0 MAX ML:
5.0
COMPONENTS
PRO6MMP
PROMETHEUS 6MMP
82491
CPT-4
TGNA
6-TGN METABOLITE ASSESSMENT
PROMMP
PROMETHEUS 6MMP
82491
CPT-4
MMPNA
6-MMPN METABOLITE ASSESSMENT
NAME: THIOPURINE METHYLTRANSFERACE
MNEMONIC: TPMT
ABBR: TPMT
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
139.00
139.00
65512
65512
187
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CPT: 83789
CPT TYPE: CPT-4
CHARGE:
192.00 BILLING CD: 65650
CONTAINER: GREEN
COLLECTION INSTRUCTION: WHOLE BLOOD REFRIGERATE *DO NOT SPIN* 72 HR STABILITY
ALIQUOT: GREEN
MIN ML:
1 MAX ML:
1
NAME: THROMBIN TIME
MNEMONIC: TT
ABBR: TT
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 85670
CPT TYPE: CPT-4
CHARGE:
40.00 BILLING CD: 65090
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
NAME: THROMBOMODULIN
MNEMONIC: TM
DEPT: LR
SITE: ML
ABBR: THROMBOMOD
TURN AROUND HOURS:
NAME: THROMBOPHILIA PNL/ABC WOMEN'S
MNEMONIC: THRMP
ABBR: THRMP
OTHER MNEMONIC:
DEPT: LNP
SITE: ML
TURN AROUND HOURS:
COMPONENTS
PROTCX
PROTEIN C ACTIVITY
85303
PROTSX
PROTEIN S ACTIVITY (ITXM)
85306
ACA
ANTI-CARDIOLIPIN ABS
MTHFR
METHYLENETETRAHYDROFOLATE-5,10 81291
LUPS
LUPUS ANTICOAGULANT SCREEN
B2G
B2 GLYCOPROTEIN 1 AB
HOMC
HOMOCYSTEINE
83090
AT3
ANTITHROMBIN III, ACTIVITY
85300
F2GM
PROTHROMBIN (F2) GENE MUTATION
81240
F5MU
FACTOR 5 MUTATION LEIDEN
81241
NAME: THROMBOTIC RISK SCREEN
MNEMONIC: THRP
ABBR: THROMBOTIC RISK
OTHER MNEMONIC: HYPERCOAG SRN
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: BLUE
CPT-4
CPT-4
155.00 59533
167.00 65603
CPT-4
441.00
CPT-4
CPT-4
CPT-4
CPT-4
177.00 65532
142.00 65055
343.00 66932
306.00 66940
66789
188
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
COLLECTION INSTRUCTION: 2 BLUES ON ICE/ FRZ PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
2.0 MAX ML:
3.0
COMPONENTS
PROTCX
PROTEIN C ACTIVITY
85303
PROTSX
PROTEIN S ACTIVITY (ITXM)
85306
AT3X
ANTITHROMBIN 3 (ITXM)
85300
F10
FACTOR X
85260
APC
APC RESISTANCE
85307
THRPC
COMMENT THRP
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
155.00
167.00
142.00
154.00
162.00
59533
65603
65055
65284
65408
NAME: THYROGLOBULIN ANTIBODY
MNEMONIC: TGAB
ABBR: TGAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86800
CPT TYPE: CPT-4
CHARGE:
116.00 BILLING CD: 65382
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.3 MAX ML:
0.5
NAME: THYROGLOBULIN,TUMOR MARKER,S
MNEMONIC: THYROG
ABBR: THYROG
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
COLLECTION INSTRUCTION: DO NOT ORDER TGAB ALSO (DUPLICATE)
ALIQUOT: SERUM
MIN ML:
0.8 MAX ML:
1.5
COMPONENTS
THAB
THYROGLOBULIN AB SCREEN,S
86800
CPT-4
THYRO
THYROGLOBULIN,TUMOR MARKER
84432
CPT-4
116.00 65382
125.00 19973
NAME: THYROID PEROXIDASE AB
MNEMONIC: TPO
ABBR: TPO
OTHER MNEMONIC: MICROSOMAL AB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86376
CPT TYPE: CPT-4
CHARGE:
104.00 BILLING CD: 58933
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.6
NAME: THYROID PROFILE
MNEMONIC: FTI
ABBR: FTI
OTHER MNEMONIC: THYQ
DEPT: CHEM CONTAINER: RED3
COMPONENTS
FT4C
T4,FREE,CALCULATED
T4
THYROXINE
84436
T3U
T3 UPTAKE
84479
CPT-4
CPT-4
57.00 00310
56.00 06850
NAME: THYROID STIM IMMUNOGLOBULINS
MNEMONIC: TSHIG
ABBR: TSHIG
OTHER MNEMONIC: TSI
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84445
CPT TYPE: CPT-4
CHARGE:
362.00 BILLING CD: 65398
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
1.0
RED3
RED
189
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: THYROID STIMULATING HORMONE
MNEMONIC: TSH
ABBR: TSH
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84443
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 09872
CONTAINER: RED3
NAME: THYROTROPIN RECEPTOR AB, SERUM
MNEMONIC: THRA
ABBR: THRA
OTHER MNEMONIC: TBII
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83519
CPT TYPE: CPT-4
CHARGE:
146.00 BILLING CD: 55590
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
0.25 MAX ML:
1.0
NAME: THYROXINE
MNEMONIC: T4
ABBR: T4
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84436
CPT TYPE: CPT-4
CHARGE:
57.00 BILLING CD: 00310
CONTAINER: RED3
ALIQUOT: RED3
MIN ML:
1 MAX ML:
1
NAME: THYROXINE BINDING GLOBULIN
MNEMONIC: TBG
ABBR: TBG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84442
CPT TYPE: CPT-4
CHARGE:
115.00 BILLING CD: 65261
CONTAINER: RED10 ALIQUOT: SERUM
MIN ML:
0.35 MAX ML:
NAME: TIAGABINE,S
MNEMONIC: TIAG
ABBR: TIAG
OTHER MNEMONIC: GABITRIL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80199
CPT TYPE: CPT-4
CHARGE:
104.00 BILLING CD: 66935
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: TISSUE CULTURE
MNEMONIC: TCI
ABBR: TCI
OTHER MNEMONIC: 88237
DEPT: LR
SITE: NEOGL
TURN AROUND HOURS:
CPT: 88237
CPT TYPE: CPT-4
CHARGE: 1348.00 BILLING CD: 65738
NAME: TISSUE CULTURE PLACENTA
MNEMONIC: TCP
ABBR: TCP
OTHER MNEMONIC: 88235
DEPT: LR
SITE: ML
TURN AROUND HOURS:
CPT: 88235
CPT TYPE: CPT-4
CHARGE:
539.00 BILLING CD: 55072
NAME: TISSUE CULTURE TUMOR
MNEMONIC: TCT
ABBR: TCT
OTHER MNEMONIC: 88239
DEPT: LR
SITE: NEOGL
TURN AROUND HOURS:
CPT: 88239
CPT TYPE: CPT-4
CHARGE:
776.00 BILLING CD: 55060
0.5
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: TISSUE THROMBOPLASTIN INHIBIT
MNEMONIC: TTI
ABBR: TTI
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85705
CPT TYPE: CPT-4
CHARGE:
84.00 BILLING CD: 53054
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
TTI50
TTI 1:50
85705
CPT-4
84.00 53054
TTI500
TTI 1:500
190
191
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: TISSUE TRANSGLUTAMINASE IGA
MNEMONIC: TTA
ABBR: TTA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83516
CPT TYPE: CPT-4
CHARGE:
124.00 BILLING CD: 65664
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
0.5
NAME: TISSUE TRANSGLUTAMINASE IGG
MNEMONIC: TTG
ABBR: TTG
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8351691
CPT TYPE: CPT-4
CHARGE:
115.00 BILLING CD: 65418
CONTAINER: SST
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
0.5
NAME: TISSUE TRANSGLUTAMINASE IGG&A
MNEMONIC: TTGA
ABBR: TTGA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
TTA
TISSUE TRANSGLUTAMINASE IGA
83516
TTG
TISSUE TRANSGLUTAMINASE IGG
8351691
CPT-4
CPT-4
NAME: TOBRAMYCIN LEVEL PEAK
MNEMONIC: TOBP
ABBR: TOBP
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CONTAINER: RED10
COLLECTION INSTRUCTION: HAVE QUEST CALL WITH RESULTS
ALIQUOT: TT
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
TOBPR
TOBRAMYCIN PEAK RESULT
80200
CPT-4
PHONE
PHONE RESULTS
NAME: TOBRAMYCIN LEVEL RANDOM
MNEMONIC: TOBR
ABBR: TOBR
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
124.00 65664
115.00 65418
174.00
65030
SST10
SST
192
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: RED10
COLLECTION INSTRUCTION: HAVE QUEST CALL WITH RESULTS
ALIQUOT: TT
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
TOBRR
TOBRAMYCIN RANDOM RESULT
80200
CPT-4
PHONE
PHONE RESULTS
NAME: TOBRAMYCIN LEVEL TROUGH
MNEMONIC: TOBT
ABBR: TOBT
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: TT
MIN ML:
1.0 MAX ML:
1.0
COMPONENTS
TOBTR
TOBRAMYCIN TROUGH RESULT
80200
PHONE
PHONE RESULTS
CPT-4
174.00
174.00
65022
65038
NAME: TOPIRAMATE
MNEMONIC: TOP
ABBR: TOP
OTHER MNEMONIC: TOPAMAX
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80201
CPT TYPE: CPT-4
CHARGE:
113.00 BILLING CD: 58560
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
0.4 MAX ML:
1.0
NAME: TORCH PANEL IgG
MNEMONIC: TORCH
ABBR: TORCH
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.9 MAX ML:
1.5
COMPONENTS
CMVG
CYTOMEGALOVIRUS AB, IGG
86644
TOXGQ
TOXOPLASMSA IGG
86777
CMVGQ
CYTOMEGALOVIRUS IGG, SERUM
86644
HSVGQ
HERPES I ANTIBODY, IGG
86695
HSVGIIQ
HERPES II AG,IGG (TORCH)
86696
RUBQ
RUBELLA IGG AB
86762
RBGI
RUBELLA IGG AB INDEX
TOXGP
TOXOPLASMA AB, IGG, S
86777
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
CPT-4
120.00 65067
70.00 00469
120.00 65067
54.00 61433
204.00 65712
97.00 66539
CPT-4
70.00
00469
193
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: TOTAL IRON BINDING CAPACITY
MNEMONIC: TIBC
ABBR: TIBC
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 83550
CPT TYPE: CPT-4
CHARGE:
62.00 BILLING CD: 00177
CONTAINER: YEL-SST
NAME: TOTAL LIGHT CHAINS, URINE
MNEMONIC: KLCU
ABBR: KLCU
OTHER MNEMONIC: BENCE JONES
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: UR24
ALIQUOT: URINE
MIN ML:
0.5 MAX ML:
13.0
COMPONENTS
KAPPAU
KAPPA TOTAL LIGHT CHAIN,U
83883
LAMBDAU LAMBDA TOTAL LIGHT CHAIN,U
83883
KLRU
KAPPA/LAMBDA TLC RATIO,U
CPT-4
CPT-4
107.00 66210
107.00 66218
NAME: TOTAL PROTEIN
MNEMONIC: TP
ABBR: TP
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84155
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 00318
CONTAINER: MINT-PST
NAME: TOTAL PROTEIN,24 HR UA (MAYO)
MNEMONIC: TP24M
ABBR: TP24M
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84156
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 05071
CONTAINER: UR24
COLLECTION INSTRUCTION: ORDER THIS ONLY WHEN TP24(INHOUSE) CANCELED BY CHEM TECH.
ALIQUOT: URINE
MIN ML:
10 MAX ML:
10
NAME: TOTAL PROTEIN,24 HR URINE
MNEMONIC: TP24
ABBR: TOT PROT 24
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84156
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 05071
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
194
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
USG
UPRT
UCT
UTV
UTPT
SPECIFIC GRAVITY,URINE REFACT
PROTEIN,TOTAL URINE
84156
URINE COLLECTION TIME
TOTAL VOLUME, URINE
81050
TOTAL PROTEIN 24 HOUR URINE
CPT-4
50.00
05071
CPT-4
19.00
63600
NAME: TOTAL PROTEIN,CSF
MNEMONIC: CFP
ABBR: CFP
OTHER MNEMONIC: PROTEIN,CSF
TPCSF
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84157
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 00205
CONTAINER: CSF #1
ALIQUOT: CSF#1
MIN ML:
1 MAX ML:
1
NAME: TOTAL PROTEIN,PERICARDIAL FLD
MNEMONIC: TPPC
ABBR: TP PERIC
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84157
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 66617
CONTAINER: GREEN
NAME: TOTAL PROTEIN,PERITONEAL FLUID
MNEMONIC: TPPT
ABBR: TP PERIT
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84157
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 66617
CONTAINER: GREEN
NAME: TOTAL PROTEIN,PLEURAL FLUID
MNEMONIC: TPPL
ABBR: TP PLEUR
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84157
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 66617
CONTAINER: GREEN
NAME: TOTAL PROTEIN,RANDOM URINE
MNEMONIC: TPU
ABBR: TPU
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84156
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 05071
CONTAINER: STC
STC
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: TOTAL PROTEIN,SYNOVIAL FLUID
MNEMONIC: TPSY
ABBR: TP SYN
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84157
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 66617
CONTAINER: GREEN
NAME: TOXOCARA ANTIBODY
MNEMONIC: TOXOCAR
ABBR: TOXOCAR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86682
CPT TYPE: CPT-4
CHARGE:
143.00 BILLING CD: 65786
CONTAINER: RED10
ALIQUOT: SST
MIN ML:
0.1 MAX ML:
1.0
NAME: TOXOPLASMA AB, IGG, S
MNEMONIC: TOXGP
ABBR: TOXGP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86777
CPT TYPE: CPT-4
CHARGE:
70.00 BILLING CD: 00469
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.4 MAX ML:
0.5
COMPONENTS
TOXOG
TOXOPLASMA IgG ANTIBODY
TXGI
TOXOPLASMA IGG VALUE
NAME: TOXOPLASMA AB, IGM, S
MNEMONIC: TOXMP
ABBR: TOXMP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86778
CPT TYPE: CPT-4
CHARGE:
87.00 BILLING CD: 19590
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.2 MAX ML:
0.5
COMPONENTS
TOXOM
TOXOPLASMA IgM ANTIBODY
TXMI
TOXOPLASMA IGM VALUE
NAME: TOXOPLASMA IGG/IGM PANEL
MNEMONIC: TOXOPAN
ABBR: TOXOPAN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
0.6 MAX ML:
1.0
195
196
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
TOXGP
TOXOG
TOXMP
TOXOM
COMPONENTS
TOXOPLASMA AB, IGG, S
86777
TOXOPLASMA IgG ANTIBODY
TOXOPLASMA AB, IGM, S
86778
TOXOPLASMA IgM ANTIBODY
CPT-4
70.00
00469
SST10
CPT-4
87.00
19590
SST10
NAME: TRANSFERRIN, SERUM
MNEMONIC: TRANS
ABBR: TRANS
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84466
CPT TYPE: CPT-4
CHARGE:
102.00 BILLING CD: 65653
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: TRAZODONE LEVEL
MNEMONIC: TRA
ABBR: TRA
OTHER MNEMONIC: DESYREL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65219
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
1.1 MAX ML:
3.0
NAME: TRIAZOLAM (HALCION) LEVEL
MNEMONIC: TRIA
ABBR: TRIA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80154
CPT TYPE: CPT-4
CHARGE:
199.00 BILLING CD: 65988
CONTAINER: GREEN
ALIQUOT: PLASMA
MIN ML:
0.3 MAX ML:
2.0
NAME: TRICHINELLA ANTIBODY
MNEMONIC: TRICHAB
ABBR: TRICHAB
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86784
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 53805
CONTAINER: SST10
ALIQUOT: FREEZE
MIN ML:
0.5 MAX ML:
1
NAME: TRICHLOROACETIC ACID, URINE
MNEMONIC: TCAU
ABBR: TCAU
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83921
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: STC
COLLECTION INSTRUCTION: 10 ML RANDOM URINE
ALIQUOT: URINE
MIN ML:
1 MAX ML:
1
NAME: TRIGLYCERIDE,PERICARDIAL FLUID
MNEMONIC: TRIGPC
ABBR: TRIG PERIC
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84478
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00339
CONTAINER: GREEN
NAME: TRIGLYCERIDE,PLEURAL FLUID
MNEMONIC: TRIGPL
ABBR: TRIG PLEUR
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84478
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00339
CONTAINER: GREEN
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: TRIGLYCERIDE,SYNOVIAL FLUID
MNEMONIC: TRIGSY
ABBR: TRIG SYN
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84478
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00339
CONTAINER: GREEN
NAME: TRIGLYCERIDES LEVEL
MNEMONIC: TRIG
ABBR: TRIG
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84478
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00339
CONTAINER: MINT-PST
NAME: TRIGLYCRIDE,PERITONEAL FLUID
MNEMONIC: TRIGPT
ABBR: TRIG PERIT
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84478
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00339
CONTAINER: GREEN
NAME: TRILEPTAL (OXCARBAZEPINE)
MNEMONIC: TRPT
ABBR: TRPT
OTHER MNEMONIC: MHC
OXCARB
197
198
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80183
CPT TYPE: CPT-4
CHARGE:
77.00 BILLING CD: 66927
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.4 MAX ML:
2.0
NAME: TROPONIN 1ST OF 3
MNEMONIC: TROPI
ABBR: TROP 1
OTHER MNEMONIC: TROP1
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84484
CPT TYPE: CPT-4
CHARGE:
48.00 BILLING CD: 55205
CONTAINER: YEL-SST
NAME: TROPONIN 2ND OF 3
MNEMONIC: TROPII
ABBR: TROP 2
OTHER MNEMONIC: TROP2
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84484
CPT TYPE: CPT-4
CHARGE:
48.00 BILLING CD: 55205
CONTAINER: YEL-SST
NAME: TROPONIN 3RD OF 3
MNEMONIC: TROPIII
ABBR: TROP 3
OTHER MNEMONIC: TROP3
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84484
CPT TYPE: CPT-4
CHARGE:
48.00 BILLING CD: 55205
CONTAINER: YEL-SST
NAME: TROPONIN AND CK
MNEMONIC: TRPN
ABBR: TROP & CK
OTHER MNEMONIC:
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: YEL-SST
ALIQUOT: SAVE
MIN ML:
1 MAX ML:
1
COMPONENTS
TRPIN
TROPONIN, INDIVIDUAL
84484
CPT-4
CK
CREATINE KINASE
82550
CPT-4
48.00 55205
48.00 00325
NAME: TROPONIN T
MNEMONIC: TROPT
ABBR: TROP T
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84484
CPT TYPE: CPT-4
CHARGE:
48.00 BILLING CD: 55206
CONTAINER: SST10
YEL-SST
MINT-PST
199
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
COLLECTION INSTRUCTION: FREEZE
ALIQUOT: FRZ-SERUM
MIN ML:
0.5
MAX ML:
0.5
NAME: TROPONIN, INDIVIDUAL
MNEMONIC: TRPIN
ABBR: TROPIN
OTHER MNEMONIC: TROP
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84484
CPT TYPE: CPT-4
CHARGE:
48.00 BILLING CD: 55205
CONTAINER: YEL-SST
ALIQUOT: FREEZE
MIN ML:
1 MAX ML:
1
MINT-PST
1
1
YEL-SST
1
1
NAME: TRYPTASE,SERUM
MNEMONIC: TRYP
ABBR: TRYP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 59510
CONTAINER: SST10
ALIQUOT: FRZ-SERUM
MIN ML:
0.2 MAX ML:
0.5
NAME: TSH WITH FT4 REFLEX
MNEMONIC: TSHR
ABBR: TSH-R
OTHER MNEMONIC: THYR
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84443
CPT TYPE: CPT-4
CHARGE:
114.00 BILLING CD: 09872
CONTAINER: RED3
NAME: TUMOR ANTIGEN 90 (TA90IC)
MNEMONIC: TA90
ABBR: TA90
OTHER MNEMONIC: MELANOMA
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 86294
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 65705
CONTAINER: RED10
ALIQUOT: FRZ-SERUM
MIN ML:
1.0 MAX ML:
1.0
NAME: UNLISTED MOLECULAR PATHOLOGY
MNEMONIC: MPUL
ABBR: MPUL
OTHER MNEMONIC: 81479
DEPT: LR
SITE: ML
TURN AROUND HOURS:
CPT: 81479
CPT TYPE: CPT-4
CHARGE: 2833.00 BILLING CD: 66781
:
200
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: UREA NITROGEN, URINE
MNEMONIC: UUREAC
ABBR: UR UREA
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84520
CPT TYPE: CPT-4
CHARGE:
21.00 BILLING CD: 00304
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: UREA NITROGEN,24 HR URINE
MNEMONIC: UN24
ABBR: UREA 24
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84540
CPT TYPE: CPT-4
CHARGE:
39.00 BILLING CD: 19866
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00 63600
UUREAC
UREA NITROGEN, URINE
84520
CPT-4
21.00 00304
UUREAT
UREA NITROGEN 24 HOUR URINE
NAME: UREA NITROGEN,RANDOM URINE
MNEMONIC: UNU
ABBR: UREA,UR
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84520
CPT TYPE: CPT-4
CHARGE:
21.00 BILLING CD: 00304
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: UREAPLASMA BY PCR
MNEMONIC: UPCR
ABBR: UPCR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87798
CPT TYPE: CPT-4
CHARGE:
338.00 BILLING CD: 66318
CONTAINER: STC
ALIQUOT: M4RT
MIN ML:
1.0 MAX ML:
1.0
URINE
2.0
10.0
COMPONENTS
UPSS
SPECIMEN SOURCE UPCR
UPSI
SPECIAL INFORMATION UPCR
UPR
UREAPLASMA UREALYTICUM
UPPR
UREAPLASMA PARVUM
UPRS
REPORT STATUS UPCR
STC
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: URIC ACID
MNEMONIC: URIC
ABBR: URIC
DEPT: CHEM
SITE: ML
TURN AROUND HOURS:
CPT: 84550
CPT TYPE: CPT-4
CHARGE:
25.00 BILLING CD: 00308
CONTAINER: MINT-PST
NAME: URIC ACID,24 HOUR URINE
MNEMONIC: URIC24
ABBR: URIC 24
OTHER MNEMONIC:
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84560
CPT TYPE: CPT-4
CHARGE:
15.00 BILLING CD: 63560
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URIN
81050
CPT-4
19.00 63600
UURICC
URIC ACID, URINE
84560
CPT-4
15.00 63560
UURICT
URIC ACID 24 HOUR URINE
NAME: URIC ACID,PERICARDIAL FLUID
MNEMONIC: UAPC
ABBR: UA PERIC
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84560
CPT TYPE: CPT-4
CHARGE:
15.00 BILLING CD: 63560
CONTAINER: GREEN
NAME: URIC ACID,PERITONEAL FLUID
MNEMONIC: UAPT
ABBR: UA PERIT
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84560
CPT TYPE: CPT-4
CHARGE:
15.00 BILLING CD: 63560
CONTAINER: GREEN
NAME: URIC ACID,PLEURAL FLUID
MNEMONIC: UAPL
ABBR: URIC PLEUR
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84560
CPT TYPE: CPT-4
CHARGE:
15.00 BILLING CD: 63560
CONTAINER: GREEN
NAME: URIC ACID,RANDOM URINE
MNEMONIC: URICU
ABBR: URICU
201
202
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84560
CPT TYPE: CPT-4
CHARGE:
15.00 BILLING CD: 63560
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: URIC ACID,SYNOVIAL FLUID
MNEMONIC: UASY
ABBR: UA SYN
DEPT: BF
SITE: ML
TURN AROUND HOURS:
CPT: 84560
CPT TYPE: CPT-4
CHARGE:
15.00 BILLING CD: 63560
CONTAINER: GREEN
NAME: URINALYSIS WITH MICROSCOPIC
MNEMONIC: UMIC
ABBR: UMIC
OTHER MNEMONIC: UA
DEPT: UR
SITE: ML
TURN AROUND HOURS:
CPT: 81001
CPT TYPE: CPT-4
CHARGE:
29.00 BILLING CD: 00701
CONTAINER: STC
COMPONENTS
UMA1
MACROSCOPIC, URINE
81003
CPT-4
20.00 00074
URM
MICROSCOPIC, URINE
81001
CPT-4
29.00 00701
STC
STC
NAME: URINALYSIS WITH MICROSCOPIC
MNEMONIC: UMIC2
ABBR: UMIC
DEPT: UR
SITE: ML
TURN AROUND HOURS:
CPT: 81001
CPT TYPE: CPT-4
CHARGE:
29.00 BILLING CD: 00701
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
CRMAC
URM
COMPONENTS
CREDIT MACROSCOPIC
81003
MICROSCOPIC, URINE
81001
CPT-4
CPT-4
-20.00 63758
29.00 00701
NAME: URINALYSIS,MACRO
MNEMONIC: UMA
ABBR: UMA
DEPT: UR
SITE: ML
TURN AROUND HOURS:
CPT: 81003
CPT TYPE: CPT-4
CHARGE:
20.00 BILLING CD: 00074
CONTAINER: STC
COMPONENTS
UCOL
COLOR, URINE
UAPR
APPEARANCE, URINE
STC
203
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
UGL
UBI
UKET
SG
UHGB
UPH
UTP
UROB
UNIT
ULEU
ORDER MICR
GLUCOSE, URINE (UA)
BILIRUBIN, URINE
KETONE, URINE
URINE SPECIFIC GRAVITY
URINE HEMOGLOBIN
PH,URINE
81002
PROTEIN, URINE
UROBILINOGEN, URINE
NITRATE, URINE
URINE LEUKOCYTE ESTERASE
ORDER MICROSCOPIC URINE
NAME: URINE AMYLASE TIMED
MNEMONIC: AMYT
ABBR: AMYT
OTHER MNEMONIC: UAMT
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82150
CPT TYPE: CPT-4
CHARGE:
66.00 BILLING CD: 05090
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
UCT
UTV
UAMR
UAMYT
COMPONENTS
URINE COLLECTION TIME
TOTAL VOLUME, URINE
AMYLASE, URINE RANDOM
URINE AMYLASE TIMED
NAME: URINE CYTOLOGY
MNEMONIC: URCY
DEPT: CY
SITE: ML
CPT:
CPT TYPE:
CONTAINER: STC
81050
82150
82150
CPT-4
CPT-4
CPT-4
ABBR: URINE CYTOLOGY
TURN AROUND HOURS:
CHARGE:
BILLING CD:
NAME: URINE DRUG COLLECTION ONLY [for lab contract work]
MNEMONIC: DRGUC
ABBR: DRGUC
DEPT: LR
SITE: MEDTOX
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
30.00 BILLING CD: 67040
CONTAINER: URINE
ALIQUOT: URINE
MIN ML:
1 MAX ML:
1
NAME: URINE DRUG SCREEN-PAIN CLINIC
MNEMONIC: UDS
ABBR: UDS
DEPT: LR
SITE: RXTOX
TURN AROUND HOURS:
CONTAINER: STC
19.00
66.00
66.00
63600
00324
05090
204
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: URINE FISH CHARGE
MNEMONIC: URFH
ABBR: URFH
OTHER MNEMONIC: 88121
DEPT: LNP
SITE: ML
TURN AROUND HOURS:
CPT: 88121
CPT TYPE: CPT-4
CHARGE:
236.00 BILLING CD: 66881
NAME: URINE GLUCOSE
MNEMONIC: UGLUC
ABBR: UR GLU
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 82945
CPT TYPE: CPT-4
CHARGE:
32.00 BILLING CD: 63520
CONTAINER: STC
ALIQUOT: STC
MIN ML:
1 MAX ML:
1
NAME: URINE PROTEIN 24HR ESTIMATE
MNEMONIC: UPES
ABBR: UPES
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: STC
COMPONENTS
PTWT
PATIENT WEIGHT
PTAGE
PATIENTS AGE
UCREA
CREATININE, URINE
82570
TPU
TOTAL PROTEIN,RANDOM URINE
84156
STC
PCR
PRO/CREA RATIO
PCRE
PRO/CREA ESTIMATE
CPT-4
CPT-4
NAME: URINE TP 24HR, PREG
MNEMONIC: PUPQ
ABBR: PUPQ
OTHER MNEMONIC:
DEPT: UC
SITE: ML
TURN AROUND HOURS:
CPT: 84156
CPT TYPE: CPT-4
CHARGE:
50.00 BILLING CD: 05071
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
1 MAX ML:
1
COMPONENTS
USG
SPECIFIC GRAVITY,URINE REFACT
UPRT
PROTEIN,TOTAL URINE
84156
CPT-4
50.00 05071
UCT
URINE COLLECTION TIME
UTV
TOTAL VOLUME, URINE
81050
CPT-4
19.00 63600
PUP
PREGNANCY, URINE TP 24HR
NAME: UROPORPYRINOGEN-3-SYNTHETASE
MNEMONIC: U3S
ABBR: U3S
51.00
50.00
STC
00200
05071
205
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82657
CPT TYPE: CPT-4
CHARGE:
191.00 BILLING CD: 65736
CONTAINER: GRN ON ICE
ALIQUOT: GREEN
MIN ML:
4 MAX ML:
4
NAME: VALPROIC ACID (DEPAKENE) LEVEL
MNEMONIC: VALP
ABBR: VALP
OTHER MNEMONIC: DEPAKENE
DEPAKOTE
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80164
CPT TYPE: CPT-4
CHARGE:
117.00 BILLING CD: 19868
CONTAINER: RED3
NAME: VALPROIC ACID, TOTAL AND FREE
MNEMONIC: VALA
ABBR: VALA
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.0 MAX ML:
2.0
COMPONENTS
VALT
VALPROIC ACID, TOTAL (MAYO)
80164
CPT-4
VALF
VALPROIC ACID, FREE
80164
CPT-4
117.00 66555
117.00 55123
NAME: VANCOMYCIN LEVEL PEAK
MNEMONIC: VANP
ABBR: VANCOP
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80202
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 19499
CONTAINER: RED3
NAME: VANCOMYCIN LEVEL TROUGH
MNEMONIC: VANT
ABBR: VANT
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80202
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 19498
CONTAINER: RED3
NAME: VANCOMYCIN RANDOM
MNEMONIC: VANR
ABBR: VANR
OTHER MNEMONIC: VANL
VANO
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 80202
CPT TYPE: CPT-4
CHARGE:
119.00 BILLING CD: 19498
206
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
CONTAINER: RED3
NAME: VANILLYDADELIC ACID, 24 HR UR
MNEMONIC: VMA
ABBR: VMA
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84585
CPT TYPE: CPT-4
CHARGE:
120.00 BILLING CD: 65349
CONTAINER: UR24-ACE
ALIQUOT: URINE
MIN ML:
3.5 MAX ML:
5.2
COMPONENTS
VMAA
VMA,ADULT
CVMA
VMA CHILD
CDVMA
COLLECTION DURATION VMA
VVMA
URINE VOLUME VMA
NAME: VAP CHOLESTEROL
MNEMONIC: VAP
ABBR: VAP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SERUM
MIN ML:
1.5 MAX ML:
3.0
COMPONENTS
VAPR
VAP RESULT
83701
VAPTRIG
TRIGLYCERIDES VAP
84478
RPT
REPORT RECEIVED?
CPT-4
CPT-4
NAME: VARICELLA IGG AB,S
MNEMONIC: VAZG
ABBR: VAZG
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86787
CPT TYPE: CPT-4
CHARGE:
105.00 BILLING CD: 65163
COMPONENTS
VZG
VARICELLA-ZOSTER IgG AB
86787
CPT-4
105.00
VZGI
VARICELLA IGG AB INDEX
NAME: VARICELLA ZOSTER, PCR
MNEMONIC: VZPCR
ABBR: VZPCR
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87798
CPT TYPE: CPT-4
CHARGE:
356.00 BILLING CD: 65465
CONTAINER: SWAB
ALIQUOT: OTHER
MIN ML:
1 MAX ML:
1
255.00 65468
25.00 00339
65163
207
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
COMPONENTS
VZS
VZRS
VZ SOURCE
VARICELLA RESULT
NAME: VARICELLA-ZOSTER AB,IGG
MNEMONIC: VZ
ABBR: VZ
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 86787
CPT TYPE: CPT-4
CHARGE:
105.00 BILLING CD: 66928
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.3 MAX ML:
0.5
NAME: VARICELLA-ZOSTER AB,IGG & IGM
MNEMONIC: VZV
ABBR: VZV
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.6 MAX ML:
1.0
COMPONENTS
VZM
VZG
VZGI
VARICELLA-ZOSTER IGM AB
VARICELLA-ZOSTER IgG AB
VARICELLA IGG AB INDEX
8678759
86787
CPT-4
CPT-4
99.00 65836
105.00 65163
NAME: VARICELLA-ZOSTER IGM AB
MNEMONIC: VZM
ABBR: VZM
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 8678759
CPT TYPE: CPT-4
CHARGE:
99.00 BILLING CD: 65836
CONTAINER: SST10
ALIQUOT: SST
MIN ML:
0.5 MAX ML:
1.0
NAME: VASOACTIVE INTESTINAL PEPTIDE
MNEMONIC: VIP
ABBR: VIP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 83520
CPT TYPE: CPT-4
CHARGE:
103.00 BILLING CD: 65166
CONTAINER: LAV
COLLECTION INSTRUCTION: FASTING/FREEZE PLASMA
ALIQUOT: FRZ-PLASMA
MIN ML:
0.55 MAX ML:
1.0
SST10
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: VCA EBV IGG CONTROL
MNEMONIC: EBVGQC
ABBR: EBVGQC
DEPT: SC
SITE: ML
TURN AROUND HOURS:
NAME: VDRL,CSF
MNEMONIC: VDRL
ABBR: VDRL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 86592
CPT TYPE: CPT-4
CHARGE:
35.00 BILLING CD: 19956
CONTAINER: CSF#4
COLLECTION INSTRUCTION: ***CSF ONLY!!***
ALIQUOT: FRZ-CSF
MIN ML:
0.5 MAX ML:
1.0
NAME: VENIPUNCTURE
MNEMONIC: V
ABBR: VENIPUNCTURE
OTHER MNEMONIC: VENIPUNCTURE
DEPT: PHLB
SITE: ML
TURN AROUND HOURS:
CPT: 36415
CPT TYPE: CPT-4
CHARGE:
13.00 BILLING CD: 19878
NAME: VENOUS BLOOD GAS
MNEMONIC: VBG
ABBR: VENOUS BLOOD GA
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82803
CPT TYPE: CPT-4
CHARGE:
142.00 BILLING CD: 19509
CONTAINER: GREEN
COLLECTION INSTRUCTION: COLLECT ON ICE.
COMPONENTS
VPH
PH, VENOUS
82800
CPT-4
44.00 00331
VPCO2
VENOUS PCO2
VPO2
VENOUS PO2
VO2SATU
HGB O2 SAT
VO2
VENOUS CO2 CONTENT
VBE
VENOUS BASE EXCESS
NAME: VENOUS CORD GAS
MNEMONIC: VCG
ABBR: VCG
DEPT: BG
SITE: ML
TURN AROUND HOURS:
CPT: 82803
CPT TYPE: CPT-4
CHARGE:
142.00 BILLING CD: 63658
208
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
VENOUS CORD GAS CONTAINER: SYRINGE
COMPONENTS
VCPH
VENOUS CORD PH
VCO2
VENOUS CORD PCO2
VCPO2
VENOUS CORD PO2
VCHCO3
VENOUS CORD HCO3
VCBE
VENOUS CORD BE
VCO2C
VENOUS CORD CO2 CONTENT
NAME: VIRAL SMEAR, SHELL VIAL
MNEMONIC: SVIR
ABBR: SVIR
OTHER MNEMONIC:
DEPT: LNP
SITE: MAYO
TURN AROUND HOURS:
CPT: 87254
CPT TYPE: CPT-4
CHARGE:
69.00 BILLING CD: 65760
NAME: VIRUS CULTURE, RESPIRATORY
MNEMONIC: VIRR
ABBR: VIRUS CULT,RESP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87252
CPT TYPE: CPT-4
CHARGE:
201.00 BILLING CD: 65552
CONTAINER: SWAB
COLLECTION INSTRUCTION: IF TESTING FOR MUMPS, PLEASE PUT "MUMPS" IN COMMENT
FIELD.
ALIQUOT: SWAB
MIN ML:
1 MAX ML:
1
COMPONENTS
INO
INOCULATION CULTURE
87252
CPT-4
201.00 65552
VSS
V SPECIMEN SOURCE
VID
VIRAL ID
CPT-4
VSI
V SPECIAL INFORMATION
VRS
V REPORT STATUS
NAME: VIRUS CULTURE,NON-RESPIRATORY
MNEMONIC: VIRN
ABBR: VIRUS CULTURE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 87252
CPT TYPE: CPT-4
CHARGE:
201.00 BILLING CD: 65552
COLLECTION INSTRUCTION: NO GENITAL OR DERMAL SPECIMENS !!
ALIQUOT: SWAB
MIN ML:
1 MAX ML:
1
COMPONENTS
INO
INOCULATION CULTURE
87252
CPT-4
201.00 65552
209
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
VNSS
VNID
VNSI
VNRS
V SPECIMEN SOURCE
VIRAL ID
V SPECIAL INFORMATION
V REPORT STATUS
NAME: VISCOSITY, SERUM
MNEMONIC: VISC
ABBR: VISC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 85810
CPT TYPE: CPT-4
CHARGE:
129.00 BILLING CD: 66563
CONTAINER: RED10
COLLECTION INSTRUCTION:
KEEP AT 37 UNTIL AFTER SEPARATION OF CELLS AND SERUM
ALIQUOT: SERUM
MIN ML:
0.65 MAX ML:
1.5
NAME: VIT D HYDROXY TOTAL
MNEMONIC: VD25
ABBR: VD25
DEPT: SC
SITE: ML
TURN AROUND HOURS:
CPT: 82306
CPT TYPE: CPT-4
CHARGE:
230.00 BILLING CD: 66776
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.5 MAX ML:
1
NAME: VIT D, 1,25 DIHYDROXY
MNEMONIC: VD125
ABBR: 1,25 DIHYDROX
OTHER MNEMONIC: CALCITRIOL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82652
CPT TYPE: CPT-4
CHARGE:
293.00 BILLING CD: 65693
CONTAINER: RED10
COLLECTION INSTRUCTION: 4 HR FASTING RECOMMENDED
ALIQUOT: SERUM
MIN ML:
1.5 MAX ML:
2.4
NAME: VITAMIN A LEVEL
MNEMONIC: VITA
ABBR: VITA
OTHER MNEMONIC: RETINOL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84590
CPT TYPE: CPT-4
CHARGE:
91.00 BILLING CD: 65569
CONTAINER: RED10
COLLECTION INSTRUCTION: FASTING/PROTECT FROM LIGHT
ALIQUOT: AMBER
MIN ML:
0.25 MAX ML:
0.5
VAFR
COMPONENTS
FREE RETINOL (VIT A)
210
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: VITAMIN B1 (THIAMIN)
MNEMONIC: VITB1
ABBR: VITB1
OTHER MNEMONIC: THIAMIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84425
CPT TYPE: CPT-4
CHARGE:
117.00 BILLING CD: 65227
CONTAINER: LAV
COLLECTION INSTRUCTION: FASTING/PROTECT FROM LIGHT
ALIQUOT: FRZ-AMBER
MIN ML:
0.5 MAX ML:
4.0
NAME: VITAMIN B12, UNSATURATED BIND
MNEMONIC: VIT12U
ABBR: VIT12U
DEPT: LR
SITE: QUEST
TURN AROUND HOURS:
CPT: 82608
CPT TYPE: CPT-4
CHARGE:
111.00 BILLING CD: 65254
CONTAINER: SST10
ALIQUOT: TT-QUEST
MIN ML:
1.0 MAX ML:
1.0
NAME: VITAMIN B2 LEVEL
MNEMONIC: VITB2
ABBR: VIT B2
OTHER MNEMONIC: RIBOFLAVIN
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84252
CPT TYPE: CPT-4
CHARGE:
218.00 BILLING CD: 65071
CONTAINER: GREEN
COLLECTION INSTRUCTION: FASTING/PROTECT FROM LIGHT
ALIQUOT: FRZ-AMBER
MIN ML:
0.5 MAX ML:
1.0
NAME: VITAMIN B6 LEVEL
MNEMONIC: VITB6
ABBR: VITB6
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84207
CPT TYPE: CPT-4
CHARGE:
313.00 BILLING CD: 65235
CONTAINER: GREEN
COLLECTION INSTRUCTION: FAST/PROTECT FROM LIGHT
ALIQUOT: AMBER
MIN ML:
0.75 MAX ML:
1.0
NAME: VITAMIN C
MNEMONIC: VITC
ABBR: VIT C
OTHER MNEMONIC: ASCORBIC ACID
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 82180
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65325
CONTAINER: GRN ON ICE
211
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
VITAMIN C COLLECTION INSTRUCTION: FASTING/PROTECT FROM LIGHT
ALIQUOT: FRZ-AMBER
MIN ML:
1.0 MAX ML:
2.0
NAME: VITAMIN E LEVEL
MNEMONIC: VITE
ABBR: VITE
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84446
CPT TYPE: CPT-4
CHARGE:
120.00 BILLING CD: 65341
CONTAINER: RED10
COLLECTION INSTRUCTION: FAST/PROTECT FROM LIGHT
ALIQUOT: AMBER
MIN ML:
0.5 MAX ML:
2.0
NAME: VITAMIN K1,SERUM
MNEMONIC: VITK
ABBR: VITK
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84597
CPT TYPE: CPT-4
CHARGE:
147.00 BILLING CD: 65627
CONTAINER: RED10
COLLECTION INSTRUCTION: **PROTECT FROM LIGHT** WITHIN 1 HR FASTING
ALIQUOT: AMBER
MIN ML:
1.5 MAX ML:
2.0
NAME: VOLATILES SCREEN,BLOOD
MNEMONIC: VOL
ABBR: VOL
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84600
CPT TYPE: CPT-4
CHARGE:
174.00 BILLING CD: 65411
CONTAINER: GRAY
COLLECTION INSTRUCTION: INCLUDES METHANOL,ETHANOL,ISOPROPANOL, ACETONE
ALIQUOT: GRAY
MIN ML:
0.5 MAX ML:
1.0
NAME: VON WILLEBRAND AG MULITIMERS
MNEMONIC: VWAM
ABBR: VWAM
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85247
CPT TYPE: CPT-4
CHARGE:
122.00 BILLING CD: 53564
CONTAINER: BLUE
ALIQUOT: FRZ-PLASMA
MIN ML:
1 MAX ML:
1
212
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: VON WILLEBRAND ANTIGEN
MNEMONIC: VWAG
ABBR: VWAG
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT: 85246
CPT TYPE: CPT-4
CHARGE:
140.00 BILLING CD: 53563
CONTAINER: BLUE
NAME: WARFARIN DRUG LEVEL
MNEMONIC: WARF
ABBR: WARF
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80299
CPT TYPE: CPT-4
CHARGE:
108.00 BILLING CD: 65255
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
1.1 MAX ML:
3.0
NAME: WEST NILE VIRUS IGG & IGM
MNEMONIC: WNV
ABBR: WNV
OTHER MNEMONIC:
DEPT: LR
SITE: PA DEPT H TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: SST10
COLLECTION INSTRUCTION: PATIENT TO FILL OUT FORM
ALIQUOT: CSF#1
MIN ML:
1.0 MAX ML:
1.0
SERUM
1.0
1.0
COMPONENTS
WNVG
WEST NILE VIRUS IGG
WNVM
WEST NILE VIRUS IGM
NAME: WESTERN EQUINE EMCEPH IGG&IGM
MNEMONIC: WEEP
ABBR: WEEP
OTHER MNEMONIC:
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.15 MAX ML:
0.5
213
214
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
COMPONENTS
WESTERN
WESTERN EQUINE ENCEPH AB, IGG
WEM
WESTERN EQUINE ENCEPH AB, IGM
86654
86654
CPT-4
CPT-4
88.00 66792
88.00 66800
NAME: ZINC PROTOPORPHYRIN,B
MNEMONIC: ZPP
ABBR: ZPP
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84202
CPT TYPE: CPT-4
CHARGE:
79.00 BILLING CD: 19982
CONTAINER: RYLBLUEDTA
ALIQUOT: RYLBLUEDTA
MIN ML:
0.1 MAX ML:
1.0
NAME: ZINC, 24 HOUR URINE
MNEMONIC: UZINC
ABBR: UR ZINC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: UR24
ALIQUOT: UR24
MIN ML:
10 MAX ML:
10
COMPONENTS
UCR
CREATININE, URINE
UCRTT
CREAT,URINE TIMED TEST
ZINCU
ZINC CONCENTRATION
ZINC24
ZINC 24 HOUR URINE
ZINCUG
ZINC, URINE UG/GCR
NAME: ZINC,SERUM
MNEMONIC: ZINC
ABBR: ZINC
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 84630
CPT TYPE: CPT-4
CHARGE:
89.00 BILLING CD: 65357
CONTAINER: RYLBLPLAIN
COLLECTION INSTRUCTION: ROYAL BLUE PLAIN CLOT FOR 30 MIN BEFORE SPINNING
ALIQUOT: METAL FREE
MIN ML:
1 MAX ML:
1
COMPONENTS
ZINC1
ZINC1
CPT-4
NAME: ZONISAMIDE (ZONEGRAN), SERUM
MNEMONIC: ZON
ABBR: ZON
DEPT: LR
SITE: MAYO
TURN AROUND HOURS:
CPT: 80203
CPT TYPE: CPT-4
CHARGE:
77.00 BILLING CD: 66943
CONTAINER: RED10
ALIQUOT: SERUM
MIN ML:
0.6 MAX ML:
2.0
ACMH LAB TEST CATALOG
UPDATED AUGUST 2014
NAME: von WILLEBRAND PROFILE
MNEMONIC: VWP
ABBR: VWP
DEPT: LR
SITE: ITXM
TURN AROUND HOURS:
CPT:
CPT TYPE:
CHARGE:
BILLING CD:
CONTAINER: BLUE
COLLECTION INSTRUCTION: ROOM TEMP DO NOT SPIN/2 BLUES(COLD) SPIN & FREEZE PLASMA
ALIQUOT: FREEZE
MIN ML:
2 MAX ML:
2
RT DELIVERY
COMPONENTS
APTTXX*
APTT (ITXM)
85730
CPT-4
57.00 51377
APTTX
APTT (ITXM)
85730
CPT-4
57.00 51377
APTTMXX*
APTT MIXING STUDY (ITXM)
85732
CPT-4
40.00 53053
APTTMX
APTT MIXING STUDY (ITXM)
85732
CPT-4
VWAG
VON WILLEBRAND ANTIGEN
85246
CPT-4
140.00 53563
CLEPI
CLOSURE TIME,COLLAGEN,EPI
85576
CPT-4
230.00 65997
CLADP
CLOSURE TIME,COLLAGEN/ADP
85576
CPT-4
230.00 66005
CLSTC
COMMENT CLST
F8
FACTOR VIII:C
85240
CPT-4
114.00 51361
RCOF
RISTOCETIN COFACTOR
85245
CPT-4
125.00 53562
PLTRIS12
PLT AGGREGATION-RISTOCETIN 1.2 85576
CPT-4
230.00 53565
PLTRIS03
PLT AGGREGATION-RISTOCETIN 0.3 85576
CPT-4
230.00 53565
VWPC
COMMENT VWP
PHYCMT
PHYSICIAN COMMENT ITXM
215