Client Handbook Test Name Specimen Requirement/Use TAT …

Client Handbook

TAT CPT Code24 hrs 86900/86901

48 hrs 82105

24 hrs 82040

24 hrs 80101

24 hrs 84075

24 hrs 80101

24 hrs 82150

24 hrs 86225

24 hrs 86038

Test Name Specimen Requirement/UseABO Grouping

Albumin

Alcohol

(AFP) Alpha-FetoproteinNon-Maternal

5mL Urine / Plastic urine container / Room TemperatureClinical: Drugs of abuse testing

2mL Serum / Room TemperatureClinical: Useful in evaluating hepatobilary disease & bone disease associated with increased

osteoblastic activity

5mL Whole Blood EDTA Lavender Tube

Reject Criteria: Hemolysis, Received Frozen • SST

2mL serum (Tumor Marker Testing Only) Clinical: Useful for management of testicular cancer hepatocellular carconoma AFP is not ascreening test.

Anti DNA Double

Anti Nuclear Ab (ANA)

Amylase

Amphetamines

Alkaline Phosphatase

Clinical: Primarily in the liver and kidney

2mL Serum / Room Temperature

2mL Serum / Room TemperatureClinical: Used in monitoring/treatment of diseases primarily in the liver and Kidney

2mL Serum

15mL Urine / Plastic urine container / Room TemperatureClinical: Drugs of abuse testing

Transport Temperature: Room TemperatureClinical: ABO type and Rh are needed to identify candidates for Rh immune globulin and to assess the riskof hemolytic disease of the newborn.

Reject Criteria: Anticoagulants other than heparin • Hemolysis

Reject Criteria: Urine with preservative

Reject Criteria: Hemolysis • Anticoagulants other than heparin

Reject Criteria: Hemolysis • Lipemia

Reject Criteria: Gross hemolysis • Hyperlipemia

2mL Serum Room TemperatureClinical: Used in diagnosis of acute chronic pancreatitis

Clinical: Detect antibodies to nuclear antigens

Cesar A. Rodriguez, MD - Laboratory Director - 5862 Edinger Ave. Huntington Beach, CA 92649

Client Handbook

TAT CPT Code24 hrs 86850

24 hrs 86063

24 hrs 80101

24 hrs 80101

24 hrs 82247

24 hrs 82248

24 hrs 84520

24 hrs 82374

48 hrs 86304

BUN (Blood Urea Nitrogen)

CO2 (Bicarbonate)

CA 125

Bilirubin, Total

Bilirubin, Direct

Clinical: Evaluate the total bodycarbonate buffering system in the body

Reject Criteria: Gross hemolysis

Anti Strep (ASO)

Antibody Screen

Barbiturates


Test Name Specimen Requirement/Use

3mL Serum / Room TemperatureClinical: Adjunctive test to evaluate renal function

1 full, unopened spun gel barrier tube/Room Temperature

5mL Serum Plastic urine container / Room TemperatureClinical: Drugs of abuse testing

5mL Serum Plastic urine container / Room TemperatureClinical: Drugs of abuse testing

2mL Serum / Refrigerate (cold packs)Clinical: Specimen must be refrigerated or frozen if received by the laboratory more than 24hrs

after collection management of patients with ovarian carcinoma.



2mL Serum / Room TemperatureClinical: Diagnosis/treatment of liver, hemolytic, hematologic and metabolic disorders

2mL Serum / Room TemperatureClinical: Diagnosis/treatment of liver, hemolytic, hematologic and metabolic disorders

Room Temperature

Reject Criteria: Hemolysis • Serum seperator tube SST • Received frozen • Cord Blood

Reject Criteria: Gross Hemolysis • Lipemia


Clinical: Document exposure to streptococcal streptolysin O

5mL Whole Blood EDTA (Lavender-top) tube.

Clinical: Detect aytipical IgG antibodies prior to transfusion or during pregnancy

Benzodiazephine



Client Handbook


48 hrs 86301

24 hrs 82310

24 hrs 82340

24 hrs 87480

24 hrs 80156

24 hrs 85025

24 hrs 85027

Clinical: CBC is used as a screening test for various diseases states including anemia,

2mL Serum collected in a red-top tube (no gel)

CA 15-3

CA 19-9

2mL Serum / Room TemperatureClinical: Monotoring patients w/ matastatic breast cancer and certain ovarian cancers

2mL Serum / Room TemperatureClinical: Monitor gastrointestional,pancreatic, liver and colorectal malignancies

CalciumClinical: Calcium measurements are useful in diagnosis of parathyroid disease, bone disorders

and chronic renal disease.

Candida Species DNA

CBC w/Automated Diff

Room TermperatureClinical: Urine calcium is ued primarily to evaluate parathyroid function and the effects of Vit D.

Room Temperature

Reject Criteria: Serum separator tube (SST)

Room Temperature


Reject Criteria: Gross hemolysis • Gross lipemia

Sterile Swab in clear transport media / Direct Probe Identification of Candida

Reject Criteria: Hemolysis • Clotted • Received frozen

Specimen Requirement/Use

leukemia and inflammatory processes.

10mL aliquot of a well-mixed, 24-hour collection


Transport Container: Plastic screw-cap container

Clinical: Therapeutic Drug Monitoring

Test Name

CBC w/o Diff 5mL Whole Blood, Lavender Tube(H/H, RBC, Indices, WBC, Plt) Clinical: CBC is used as a screening test for various diseases states including anemia,

leukemia and inflammatory processes.Room Temperature / Reject Criteria: Hemolysis • Clotted

5mL Whole Blood, Lavender Tube


Calcium, 24 Hour Urine

Carbamazepine (Tegretol)


Client Handbook


24 hrs 87491

in the United States. It is also the most frequent cause of non-gonococcal urethritis in men.Reject Criteria: Only Gen-Probe collection kits are acceptable any other manufacturer's

collection transport containers will be rejected. Over filled or under filled Urine Preservative.

24 hrs 82435

24 hrs 82436

24 hrs 82465

24 hrs 83718

provided the urine has been stored at 2-30°C. Urine can be held for up to 24hrs prior to transfer

Chloride

ChlamydiaRNA Amplified

CEA

2mL Serum / Room TemperatureClinical: Chloride measurements are used in diagnosis and treatment of electrolyte

and metabolic disorders such as cystic fibrosis and diabetic acidosis

2mL Serum / Refrigerated (cold packs)

15-60mL of voided urine (first part of midstream) Patient not to urinate at least 1hr

Clinical: Monitor therapy of patients with various types of malignancies.

Clinical: Utilized for prediction of coronary arterial disease, especially useful in individuals

with high serum cholesterol levels.

thyroid diseases.

15mL Aliquot of timed 24 hr collection

Clinical: Evaluate electrolyte composition of urine, acid base balance studies

Clinical: Cholesterol is useful in the diagnosis of hyperliprotein, atherosclerosis and

2mLSerum / Fasting / Room Temperature

Reject Criteria: Hemolysis • Anticoagulants other than heparin.

Note: Room temperature acceptable if received within 24hrs of collection


Frozen acceptable.


Reject Criteria: Urine preserved with HCI

Room Temperature

Clinical: C.Trachomatis infections are the leading cause of sexually transmitted diseases

2mL Serum / Fasting / Room TemperatureCholesterol HDL


prior to collection. Urine should be transferred from collection cup to UPT within 8hrs of collection

(Carcinoembryonic Antigen)

Chloride (24 Hr) Urine

Cholesterol

to Urine Preservative Transport UPT provided that the urine has been stored at 2-8°C

Room Temperature


Client Handbook


24 hrs 86644

24 hrs 80101

48 hrs 82533

24 hrs 82550

24 hrs 82553

24 hrs 86140

24 hrs 82565

24 hrs 82570

CreatineMB Fraction CK-MB

Cholesterol Direct LDL

Cocaine

Cortisol

C-Reactive Protein

Creatinine

Urine 15mL Aliquot of timed 24 hr collection


Cytomegalovirus, IgG

Creatine Kinase(CK), Total

Creatinine, 24 Hr Urine

Clinical: Renal function test, when used as part of creatinine clearance

Reject Criteria: Gross hemolysis • Lipemia


3mL Serum / Room TemperatureClinical: Aids in the detection of CMV infection

Clinical: A renal function test

Clinical: Test for acute myocardial infraction and for skeletal muscular damage.


2mL Serum / Room TemperatureClinical: Test for acute myocardial infraction and for skeletal muscular damage.

15mL Random Urine / Room TemperatureClinical: Drug of Abuse testing

2mL Serum / Room TemperatureClinical: Establish the diagnosis of adrenocordia insufficiency


Room Temperature

Clinical: CRP is an indicator for a wide range of disease processes including

cardiovascular and peripheral vascular disease.

Reject Criteria: Anticoagulants other than heparin

Reject Criteria: Gross hemolysis • Citrate containing anticoagulants

Reject Criteria: Gross hemolysis • Lipemia • Plasma

Reject Criteria: Urine with preservative


2mL Serum / Fasting / Room Temperature

assessing the risk of coronary heart disease.

CMV


Clinical: For the direct determination of LDL Cholesterol in non fasting patients. Useful in


Client Handbook


24 hrs 87077

24 hrs 87184

24 hrs 87088

48 hrs 87070

48 hrs 87070

48 hrs 8707087205

72 hrs 87045

48 hrs 87070

48-72hrs 87086

Clinical: Renal Function test, estimate glomerular filtration rate

Creatinine Clearance

Culture Genital

Culture Aerobic Identify

Culture Urine Bacteria

Identification of Salmonella, Shigella, Vibrio, Aeromonas, Yersinia and Camplobacter for

Culture, Urine

If culture is positive CPT code 87088 (each isolate) with an additional charge.

Identification will be performed at an additional charge CPT code 87077

15mL Aliquot Urine no preservative + 3mL Serum

Culture Transport Swab, ClearIsolation of Group A Streptococcus. Streptococcus Pnewumoniae and mixed respiratory

Culture Antibiotic

flora.

Gray Top Urine Culture TubeThis culture is designed to quantitate the growth of significant bacteria.

Culture, Other Source

Sterile leak-proof container / Refrigerated (cold packs). Useful in the diagnosis of respiratory

If culture is positive, identification will be performed at an additional charge CPT 87077



Culture, Stool

tract infection

Stool Culture Transport Vial

treatment of infection.

Room Temperature • Avoid estremes of heat and cold

Culture Transport Swab, Clear Culture specify source

Culture, Sputum

Identification of a positive culture

Susceptibilities are only performed when appropriate

Test Name

Culture Transport Swab, CharoalIsolate and identify potentially aerobic pathogenic organisms

Isolate (each isolate will be billed)



Culture, Throat


Client Handbook


48 hrs 87070

call labPap results requiring physician interpretation will be performed at an

24 hrs 80164

24 hrs 82627

24 hrs 85007

72 hrs 80162

and HPV

Culture, Vaginal / Cervix

Room Temperature / Optimum time to collect sample one hour before next dose.

Differential

Cytology, Liquid-Based Pap Test

Gardnerella Vaginalis and normal flora

Culture Transport Swab, Clear

migraine headaches, and to treat various psychiatric illnesses such a disorder and aggression.

Digoxin

Universal prenatal culture-base screening for vaginal and rectal Group B Streptococcus yeast,

Detect and identify bacteria that may be causing an infection in a sore, injury burn or surgical

wound.

additional charge.

Depakene (Valproic Acid)

Reject Criteria: Gross Hemolysis

Digoxin levels are monitored to assure adequate therapeutic levels are achieved and to avoid

Room Temperature / Optimum time to collect sample one hour before next dose.

Reject Criteria: Serum Seperator tube (SST)

Clinical: To identify the source of excessive androgen. Aid in the evaluation of Androgen excess.



toxicity.


Clinical: Valproic acid is used as an anticonvulsant to treat certain types of seizures, to prevent

Test Name

Culture, Wound

DHEA Sulfate


Provide all patient information using the Cytology test requisition. Thin Prep Pap & HPV


3mL Red Top Tube (no gel)

2mL Plain Red Top Tube (no gel)

5mL Whole Blood, Lavender TubeClinical: Determine quantitative variation in white cell numbers and types.

Culture Transport Swab, Clear


Client Handbook


24 hrs 82670

24 hrs 82728

24 hrs 82746

24 hrs 82747

24 hrs 83001

Ferritin


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

Folate RBC

Dilantin (Phenytoin)


3mL Red Top Tube (no gel) / Room Temperature

forms of megoblastic anemia.Reject Criteria: Received Thawed

FSH

Estradiol


of severe alocholism, function damage to the upper third of small bowel, pregnancy and various

Clinical: Digoxin levels are monitored to assure adequatetherapeutic levels are achieved

Collect as a trough just prior to next dose.

Reject Criteria: Serum stored on barrier gel for more than 24 hours.

Reject Criteria: Plasma • Gross hemolysis

testicular dysfunction in men.

and to avoid toxicity.

Clinical: Evaluate megaloblastic and macrocytic anemiaReject Criteria: Hemolysis

2mL Serum / Room TemperatureClinical: Useful in defining menstrual cycle phases in infertility evaluation of women and


Test Name

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

Both the HCT and Folate will be performed on this tube. Do Not Refrigerate , as this will affect

the HCT.

Clinical: Folate levels have diagnostic significance in nutritional deficiencies, especially in cases

Clinical: Useful in the diagnosis of hypochromic and microcytic anemias.


Clinical: Estradiol assay is designed for the investigation of fertility of women of reproductive age.

Folate (Folic Acid)

Estradiol binds to barrier gel causing decreased values.



Client Handbook


24 hrs 82977

24 hrs 82947

24 hrs 8294782950

24 hrs 82951

24 hrs 8295182952

2 Specimens

Glucose, Tolerance Test

Glucose, Fasting

GGT (GGTP)Gamma Glutamyl Transpeptidase

Two - 1mL Gray Top

Diagnosis gestational diabetes

Glucose, Tolerance Test

2mL Serum / Room TemperatureClinical: Useful in the diagnosis of obstructive jaundice, intrahepatic cholestasis and pancreatitis

2mL Plasma in Gray Top Tube / Room TemperatureClinical: Glucose measurements are used in the diagnosis and treatment of carbohydrate

metabolic disorders.

Reject Criteria: Unspun SST • Red-top or non-plasma (PST) green-top tubes

Clinical: Universal prenatal culture-base screening for vaginal and rectal Group B

Streptococcus colonization of all pregnant women at 35-37 weeks of gestation.

Reject Criteria: Hemolysis • Plasma

• Anticoagulants other than litium heparin, sodium heparin or fluoride/oxalate.

Gardnerella Vaginalis DNA

Fasting Required. Immediately after a fasting specimen is obtained, have patient ingest a 75g load of

glucose. Draw specimen 2 hours later.

Includes: Fasting, 1-Hour, 2-Hour glucose

load of glucose. Draw specimens 1 and 2 hours later.

Instructions: Fasting Required. Immediately after a fasting specimen is obtained, have patient ingest a 75g


3 Specimens

Glucose, Tolerance Test 4 Specimens

1mL Gray Top

Diagnosis gestational diabetes

Sterile Swab in clear Gen-Probe transport media

Instructions: Fasting Required. Immediately after a fasting specimen is obtained, have patient ingest a 75g

load of glucose. Draw specimens 1, 2 and 3 hours later.



Includes: Fasting, 1-Hour, 2-Hour, 3-Hour glucose

2mL Plasma in Gray Top Tube / Room Temperature


Client Handbook


24 hrs 83036

48 hrs 87591

48 hrs 87591

24 hrs 87205

24 hrs 84703

24 hrs 84702



2mL Plasma in Gray Top TubeGlucose, Random


10mL urine from a first morning voided specimen

Clinical: Provides a sensitive and specific test for the detection of pregnancy.

HCG Qualitative

Also know as Hemoglobin A1C

Gonorrhea RNA Amplified

Glycohemoglobin

HCG Quantitative

collection provided the urine has been stored at 2-30° C. Urine can be held for up to 24hrs


Gram Stain Glass Slide (Indicate source) / Room Temperature

Clinical: Determine the presence of microrganisms and to evaluate the type of specimen

by type of cells seen.

Clinical: Quantitative hCG assay should be used for non routine detection of HCG

(eg: ectopic pregnancy threatened abortions, miscarriges or very early pregnancy)

Reject Criteria: Broken Slide

Room Temperature

Reject Criteria: Only Gen-Probe collection kits are acceptable any other manufacturer's

Clinical: A common sexually transmitted disease most often afftecting the genitourinary

tract and occasionally, the pharynx conjunctiva, or rectum.

15-60mL of voided urine (first part of midstream) Patient not to urinate at least one hour

5mL Whole Blood, Lavender TubeClinical: Used to assess long-term glucose control in diabetes, especially in insulin dependent

stored at 2-8°C.

Room Temperature

Instructions: Indicate cource of specimen on both the test requisition and specimen transport

device.

prior to transfer to Urine Preservative Transport (UPT) provided that the urine has been

collection transport containers will be rejected. Over filled or under filled Urine Preservative.

diabetes.

prior to collection. Urine should be transferred from collection cupt to UPT within 8hrs of

Clinical: Glucose measurements are used in the diagnosis and treatment of carbohydrate

metabolic disorders.


Client Handbook

TAT CPT Code

24 hrs 85014

24 hrs 85018

24 hrs 85018 & 85014

24 hrs 86704

24 hrs 86704reflex 86705

24 hrs 86705

24 hrs 86706

Hepatitis B Core Ab, Total

Hepatitis B Core, IgM

Hepatitis B Surface Ab

Hgb & Hct

hepatitis B core IgM antibody may be the only specific marker for the diagnosis of acute infection

with hepatitis virus.

Reject Criteria: Gross Hemolysis • Hyperlipemia

Hemoglobin

Hematocrit 5mL Whole Blood, Lavender Tube / Room TemperatureClinical: Useful method for determining anemia. Used to calculate indices.

3mL Whole Blood, Lavender Tube / Room Temperature

Instructions: Maintain specimen at room temperature.

DO NOT REFRIGERATE. If multiple draw, collect lavender-top tube last. Traumatic tap can

introduce thromboplastin and trap WBC/Platelets.

Clinical: Useful method for determining anemia. Used to calculate indices.

3mL Serum / Room TemperatureIncludes: If Hepatitis B Core Antibody Total is reactive, Hepatitis B Core IgM Antibody will

be performed at an additional charge CPT code 86705.

Reject Criteria: Hemolysis • Gross Lipemia

3mL Serum / Room TemperatureClinical: Diagnosis of a hepatitis B viral infection. Hep B Core-specific IgM class antibody has been

3mL Serum / Room TemperatureClinical: This test is useful for evaluation of possible immunity in individuals who are at risk for

Hepatitis B Core Ab, Totalwith Reflex to IgM

Reject Criteria: Gross hemolysis • Clotted

detected in most acute infections and is a reliable marker for acute disease. In some cases,

and is a reliable marker for acute disease. In some cases, Hep B Core IgM antibody may be the

only specific marker for the diagnosis of acute infection with Hepatitis B virus.


exposure to the hepatitis B virus.

3mL Serum / Room TemperatureClinical: Diagnosis of current or past hepatitis B viral infection

Clinical: Hepatitis B Core-specific IgM class antibody has been detected in most acute infections




Client Handbook

TAT CPT Code

24 hrs 87340

24 hrs 86709

24 hrs 86708

24 hrs 86708Reflex 86709

24 hrs 86803

24 hrs 87389

24 hrs 86701

Clinical: Hepatitis A Virus (HAV) antibodies indicate prior or acute infection with, or

immunization to Hepatitis A virus.Reject Criteria: Hemolysis • Gross Lipemia

If Hepatitis A Antibody total is reactive, Hepaititis A IgM Antibody will be performed at an

additional charge CPT 86709

with Reflex to IgM

Exposure to HCV results in a chronic infection in 50 to 80% of cases. The "window"

between infection and seroreactivity is highly variable, up to 12 months.

HIV-1 Ab Confidential

Reject Criteria: Specimens that are not properly labeled with patient identifier.

Hepatitis B Surface Agwith Reflex Confirmation

HIV 1 & 2 Ab


Hepatitis A Ab, IgM

Hepatitis A Ab, Total

Hepatitis C Antibody

Hepatitis A Ab, Total

3mL Serum / Room TemperatureClinical: HIV-1 is the causative agent of AIDS (acquired immune deficiency syndrome)

Clinical: HIV-1 is the causative agent of AIDS (acquired immune deficiency syndrome)


Hepatitis A infection.

3mL Serum / Room TemperatureClinical: In conjuction with anti-HAV, IgM to confirm immunity to Hepatitis A.Reject Criteria: Hemolysis • Gross Lipemia


Clinical: Hepatitis B Surface Antigen is the earliest indicator of the presence of acute infection.

3mL Serum / Room TemperatureClinical: The presence of IgM antibody to Hepatitis A virus is evidence for acute

3mL Serum / Room TemperatureClinical: Hepatitis C Virus (HCV) is the major cause of hepatitis. Approximate 1% of blood donors are seroposite for anti-HCV. The clinical system of a HCV infection are variable.


Reject Criteria: Specimens that are not properly labeled with patient identifier.


HIV-2 is more common outside of the US, Positive results will reflex to qualitative Western Blot.



Client Handbook

TAT CPT Code

24 hrs 83090

24 hrs 86677

24 hrs 86677

72 hrs 82784

72 hrs 82784

72 hrs 82784

24 hrs 83540


malabsorption; decreased IgA is found in selective IgA deficiency and inataxia telangiectasia.

IgG Total

H. Pylori (Screen)

Helicobacter Pylori Antibody IgG Qualitative

Homocysteine

IgA Total

IgM Total

Iron

is associated with monoclonal IgA myeloma, respiratory and gastrointestinal infections, and

3mL Serum / Fasting for at least 8 hours is preferred

Clinical: Useful in screening patients who may be at risk for heart disease and stroke.

Clinical: Evaluate humoral immunity; monitor therapy in IgA myeloma. Increased IgA is

2mL Serum / Room TemperatureClinical: Aid in the diagnosis of H. Pylori infection

Reject Criteria: Gross Hemolysis • HyperlipemiaClinical: Aid in the diagnosis of H. Pylori infection

clot formation. Transfer the serum to a plastic specimen transport tube. Mark the specimen

type as serum on the transport tube.

Clinical: Evaluate humoral immunity; establish the diagnosis and monitor therapy in

macroglobulinemia of Waldenstrom or plasma cell myeloma. IgM levels are used to

evaluate likelihood of in utero infections or acuteness of infection.






2mL Serum / Room TemperatureClinical: Serum measurements are useful in the diagnosis of iron deficiency and hemochromatosis.Reject Criteria: Gross Hemolysis • Anticoagulants other than heparin

2mL Serum / Room TemperatureClinical: Evaluate humoral immunity; monitor therapy in IgG myeloma; evaluate patients,

especially children and those with lymphoma, with propensity to infections.Reject Criteria: Gross Hemolysis • Hyperlipemia


Instructions: Red-top tube (no gel) Place the specimen in the refrigerator or ice bath

for 30 minutes after collection. Centrifuge the specimen as soon as possible after complete


Client Handbook

TAT CPT Code

24 hrs 83550

24 hrs 83625

24 hrs 83655

24 hrs 83002

24 hrs 83690

24 hrs 80178

24 hrs 83735

Reject Criteria: Gross Hemolysis • Anticoagulants other heparin

Lead Whole Blood

Lithium

LDH, TotalLactate Dehyrogenase

LH

Magnesium

Iron Binding Capacity (TIBC)Clinical: Differential diagnosis of anemia, especially with hypochromia and/or low MCV.Reject Criteria: Gross Hemolysis • Anticoagulants other than heparin.

Lipase

3mL Venous whole blood in an Lavender Tube

Clinical: Assessment of myocardial infarction, liver disease, pemicious and megaloblastic

anemia and muscular dystrophy.


• Received Frozen • Received Refrigerated


DO NOT REFRIGERATE OR FREEZE

Room Temperature

Reject Criteria: Serum • Plasma • Glass capillary, yellow-top oxalate, and

(light blue-top) citrate tubes • Clotted, viscous specimens.


Reject Criteria: Gross Hemolysis • Anticoagulants other than heparin.


Reject Criteria: Hemolysis • Lipemia

Reject Criteria: Plasma from lithium-based anticoagulants • EDTA Plasma

manic-depressive affective disorders.

Clinical: Confirmatory evidence for diagnose of pancreatitis

Instructions: Collect just prior to next dose

Clinical: Lithium ions in the brain produce gradual control of acute episodes of in patients with

Clinical: Monitor environmentallead exposure in children younger than 16 years.

3mL Serum / Room TemperatureClinical: LH has also been found to be very useful in the diagnosis and treatment of infertility inwomen.



Clinical: Magnesium measurements are used in the diagnosis and treatment of hypomagnesemia.

Test Name


Client Handbook

TAT CPT Code

24 hrs 82043

24 hrs 82043

24 hrs 86308

24 hrs 82270

24 hrs 80184

24 hrs 84100

Clinical: Phenobarbital is an anticonvulsant used for the long-term treatment of generalized

Mono ScreenHeterophile

Phenobarbital

Occult Blood, Stool

Microalbumin, 24 Hr Urine

Microalbumin, Random Urine

(no gel). Room Temperature

2mL Serum / Room TemperatureClinical: Phosphate is often requested to diagnose diseases and conditions that cause problems

5mL urine aliquot from a well mixed 24 hr Urine Collection -

Clinical: This test is useful in the management of patients with relatively early diabetes mellitus.

5mL urine aliquot from a well mixed 24 hr Urine Collection -

No preservative / Room Temperature

Instructions: Specify 24-hr total volume on container and test requisition.

Reject Criteria: Acid preserved urine

Clinical: This test is useful in the management of patients with relatively early diabetes mellitus.Reject Criteria: Acid preserved urine

Patient Preparation: Collect just prior to next dose 2mL Serum collected in a red top tube

tonic-clonic (grand mal) seizres and cortical focal seizures. Levels are monitored to assure

adequate therapeutic levels are achieved and to avoid toxicity.

Instructions: Specify 24-hr total volume on container and test requisition.

3mL Serum / Room TemperatureClinical: Detect heterophile antibodies related to infectious mononucleosis.

Occult Blood Hemoccult® SENSA® Card Room Temperature

2mL Serum

w/ the body's utilization of calcium. May be helpful in diagnosis of problems with hormones.

Phosphorus

Reject Criteria: Gross hemolysis • Gross lipemia

Clinical: Detection of hidden blook in stool specimens, an early indication of colorectal cancer.

Reject Criteria: Bulk stool • Specimens not received in Hemoccult®SENSA® cards • All other specimen types • Specimens older than 14 days.

No preservative / Room Temperature

Reject Criteria: Serum separator tube

Reject Criteria: Gross Hemolysis



Client Handbook


24 hrs 84132

24 hrs 84144

24 hrs 84146

24 hrs 84155

24 hrs 84156

Platelets

Potassium

Protein Total 24 hr Urine

Prolactin

mellitus.

Clinical: Pituitary function test useful in the detection of prolactin secreting pituitary tumors.

Clincal: Evaluate, diagnose, and/or follow up bleeding disorders


No preservative.


Clincal: Evaluate electrolyte balance. Potassium is elevated in adrenal cortical

2mL Whole blood Lavender Tube / Room Temperature - DO NOT REFRIGERATE

15mL Aliquot of timed 24 hr collection

2mL Serum / Room TemperatureClinical: Serum total protein measurements are useful in the diagnosis and treatment of a variety

Progesterone

50mL Aliquot of entire 24 hour collection / Record total collection time on specimen container.

Reject Criteria: Gross hemolysis • Clotted

insufficiency, acute renal failure and in some cases of diabetic acidosis. Potassium is

decreased in diuretic administration and renal tubular acidosis.Reject Criteria: Gross hemolysis • Plasma

Refrigerated (cold packs)

Reject Criteria: Serum stored on barrier gel for more than 24hrs. Do not order progesterone

testing as an add onto a barrier gel specimen older than 24hrs Reject Criteria: Reject serum stored on barrier gel for more than 24hrs.

Reject Criteria: Acidfied urine

Transport: Yellow-top, blue fill line. Room Temperature

Protein, Total

Clinical: Evaluate proteimuria, evaluate renal disease, including proteinuria complicating diabetus

of diseases involving the liver, kidney, or bone marrow as well as other metabolic or nutritional

disorders.


Clinical: Used to establish the presence of a functioning corpus leteum or luteal cell function.

Access placental function during pregnancy.



Client Handbook


24 hrs 84153

24 hrs 84154

48hrs 83970


PSA, Free

PSA, Total

PTH Intact (Parathyroid Intact)

3mL / Room Temperature

3mL Frozen Serum / Frozen • Room Temperature acceptable if received within 24hrs.Instructions: Non-frozen specimens must be received in the laboratory within 24hrs.

Reject Criteria: Gross Hemolysis • Gross Lipemia • Non-frozen specimens must be

received in the laboratory within 24hrs.

the predictive value since the percentage of Free PSA is inversely proportional to the

Transport Temperature: Frozen • Room temperature acceptable if received within 24hrs

Note: Sodium or lithium heparin are no longer acceptable specimen types.

Transport: Frozen

the vial. Freeze and submit to the laboratory. Do not submit glass tubes.

Reject Criteria: Gross hemolysis • Gross lipemia • Non-frozen specimens must be received

in the laboratory within 24hrs.

Clinical: The addition of Free PSA when the total is between 4.0 and 10 ng/mL improves

Reject Criteria: Gross Hemolysis • Gross lipemia • imporper blood to citrate ratio High

3mL Frozen serum collected in a red-top tube (no gel)

incidence of prostate cancer.

Protime (PT)

Hematocrit • Improper blood collection

5mL Light Blue Top whole blood - Full unopened

Clinical: Evaluation of the extrinsic coagulation system. This test is used clinically for the

therapeutic monitoring of warfarin (Coumadin).

Reject Criteria: Plasma • Received room temperature • Received refrigerated • Gross Hemolysis • Lipemia

hyperparathyroidism, and a differential diagnosis of hypercalcemia. The assay helps in

distinguishing hypercalcemia caused by either primary hyperparathyrodism or malignant disease.

Room Temperature or Frozen Plasma

82310 - Calcium

Total PSA, Free PSA% Free PSA (calculated)

Prothrombin Time

Clinical: The assay is useful in making the diagnosis of primary hyperparathyroidis, secondary

Instructions: Spin and transfer to a plastic transport vial. Mark the specimen type as serum on


Client Handbook

TAT CPT Code

24 hrs 85730

24 hrs 85045

24 hrs 86901

24 hrs 86430

24 hrs 86592

2mL Serum / SST / RoomTemperature 86780Clinical: The FTA-ABS is a specific treponemal assay to detect antibody to T. pallidum.

The FTA-ABS becomes reactive 4-6 weeks after infection. Reject Criteria: Gross hemolysis • Heat-inactivated • Microbial Contamination

Treponema Pallidum

RH Typing

Rheumatoid Factor

RPR, Qualitative

Partial Thromboplastin Time

Reticulocyte Count

Room Temperature / Do not uncap

Reject Criteria: Gross Hemolysis • Gross lipemia • Improper blood to citrate ratio • High hematocrit • Clotted

Scheroderma, Sjogren's Syndrome and in other conditions such as leprosy, tuberculosis,

Reject Criteria: Clotted

5mL EDTA Lavender Top Whole Blood / any other test requiring a lavender-top tube,

Reject Criteria: Received frozen • Serum separator tube

Clinical: Rh (D) typing for transfusion candidates. Rh(D) typing for expectant mothers may

please submit a separate tube for this test / Room Temperature


Clinical: RPR is a screening test for syphilis. Positive results should be confirmed with FTA-ABS.

One full Light Blue-Top Tube / Do not overfill or underfill collection tube/


Reject Criteria: Gross hemolysis • Lipemia

Reject Criteria: Gross hemolysis • Hyperlipemic

indicate potential for Rh hemolytic disease.

5mL EDTA (Lavender) Whole Blood / mix well by gentle inversion / Room Temperature

abnormalities.

Clinical: Elevated RF is found in collagen vascular diseases such as SLE, Rheumatoid Arthritis

Syphilis, malignancy and Thyroid Disease, Syphilis, malignancy and Thyroid Disease.

2ml Serum / Room Temperature

Test Name

hemolytic anemias.

Clinical: Screening test for Factors Xll,Xl, lX, Vll, V, ll, l, detects congenitaland acquired

Clinical: Evaluate erythropoetic activity which is increased in acute and chronic hemorrage and

PTT


Client Handbook

TAT CPT Code

24 hrs 8659286593

24 hrs 86762

24 hrs 85651

48 hrs 87184

24 hrs 84450

24 hrs 84460

24 hrs 84295

Sed Rate

SGPT (ALT)Alanine Aminotransferase

Rubella IgG Ab

Sodium

Sensitivity

Clinical: Monitoring of RPR is helpful in assessing effectiveness of therapy.

Clinical: ALT measurements are particularly useful in the diagnosis and management of


3mL Serum / Room TemperatureClinical: An increase in serum AST is also found with hepatitis, liver necrosis, cirrhosis, and liver


Reject Criteria: Hemolysis • All samples >24 hrs old • Clotted • Insufficients quantity

Whole Blood full, Lavender-top tube / Room TemperatureClinical: Evaluate the nonspecific activity of infections inflamatory states, autoimmune

disorders and plasma cell dyscrasias.

Test Name

RPR with Reflex to Titer 2ml Serum / Room Temperature

certain liver diseases, viral hepatitis and cirrhosis.Reject Criteria: Gross hemolysis • Anticoagulants other than heparin.

involving electrolyte imbalance.Reject Criteria: Gross hemolysis • Anticoagulants other than heparin.

Reject Criteria: Gross hemolysis • Hyperlipemia

immunity to Rubella.Reject Criteria: Gross hemolysis • Gross lipemia

• Cold aggluutinins

metastasis.Reject Criteria: Gross hemolysis • Anticoagulants other than heparin.


2ml Serum / Room Temperature

SGOT (AST)Aspartate Aminotransferase

Transport MediaDetermine antimicrobial susceptibility of organisms involved in infectious processes when

Clinical: Recommended for immune status determination. In the absence of a current

or recent infection, a demonstration of specific IfG on a serum sample is evident of

hypertension dehydration, inappropriate antidiuretic hormone secretion, or other diseases

the susceptibility of the organism cannot be predicted from its identity.

Clinical: Useful in the diagnosis and treatment of aldosteronism, diabetes insipidus, adrenal


Client Handbook

TAT CPT Code

24 hrs 87177 x 3Smears

87209 x 3

24 hrs 84479

24 hrs 84481

24 hrs 84480

24 hrs 84439

24 hrs 84436

24 hrs 80156

24 hrs 84403

24 hrs 84402

in managing hirsutism, virilization in females.Reject Criteria: Serum separator tube (SST )• Gross hemolysis

Free Testosterone (calculated) Instructions: Specify age and sex on test requisition

Clinical: Helpful in assessing testicular function in prepubescent hypogonadal malles and

Clinical: Used with clinical evidence for hyperthyroidism, where the usual thyroid panel

is normal or borderline.

3mL Serum / Room TemperatureClinical: Free T4 may be indicated when binding globulin (TBG) problems are perceived.

3mL Serum / Room TemperatureClinical: Thyroid function test, Used to diagnose T4 toxicosis


3mL Serum / Room TemperatureClinical: Indicator of LH secretion and Leydig cell function, evaluate gonadal and adrenal

Testosterone, % Free

Stool Ova & Parasites

Testosterone, Total

Tegretol (Carbamazepine)

T4, Free

T4, Total

T3, Total

Test Name

function helpful in the diagnosis of hypogonadism and hypopituitarism.

3mL Serum Red-top tube (no gel) / Refrigerated

Patient Preparation: Collect prior to next dose

monitored to assure adequate therapeutic levels are achieved and to avoid toxicityReject Criteria: Serum separator tube SST

Clinical: Useful in treating patients with temporal lobe epilepsy. Carbamazepine levels are


3mL Serum / Room TemperatureClinical: Evaluate thyroid function and assess abnormal binding protein disorders.

2mL Serum Red-top tube (no gel) / Room Temperature

T3, Free

3mL Serum / Room TemperatureClinical: Thyroid function test for the diagnosis of hypothyroidism or hyperthyrodism.

T3, Uptake

3 Transport vials10% Formalin / Room TemperatureReject Criteria: Unpreserved specimens • Specimen containing barium • Stool preserved

in medium other than 10% formalin • Stool in 10% formalin received frozen.


Client Handbook

TAT CPT Code

24 hrs 80198

24 hrs 86777

24 hrs 84478

24 hrs 84484

24 hrs 84443

24 hrs 8444384439If TSH is <0.40 or >4.50mIU/L, Free T4 will be performed at an additional charge.


Reject Criteria: Gross hemolysis • Received at room tempperature.

TSH, 3rd Generationwith Reflex to Free T4


TSH, 3rd Generation

Triglycerides

Toxoplasma Antibody

Theophylline

Troponin Quantitative

Test Name

3mL Frozen Serum

3mL Serum Fasting / Room Temperature

to room temperature. Transport: Frozen

Clinical: Troponin I is part of a protein complex which regulates the contraction of striated

2mL Serum / Room TemperatureClinical: Thyroid function test TSH is high in primary hypothyroidism. Low TSH occurs

after birth, in the absence of a placental leak, are consistent with neonatal infection.

Reject Criteria: Gross hemolysis • Anticoagulants other than heparin.

Reject Criteria: Gross hemolysis • Hyperlipemic

Clinical: Work up of chylomicronemia; evaluate hyperlipidemia, occassional cases of

diabetes mellitis and/or pancreatitis are detected by hypertriglyceridemia.

Instructions: Remove serum from cells and freeze soon as possible. Minimize exposure

in hyperthyroidism.

muscle. Troponin I has been used as a reliable marker in the diagnosis of perioperative

myocardial infarction in patients undergoing cardiac surgery.

of chronic obstructive pulmonary diseases and episodes of prolonged apnea in pre-term infants.

Instructions: Collect as a trough just prior to next dose / Room Temperature

Clinical: Theophylline is used in the treatment of bronchial asthma as well as in the treatment

parasite. High titers of IgG antibodies to Toxoplasma gondii can persis for years. Rising IgG titers




Clinical: Toxoplasmosis is a paraitic infection caused by the protozoan Toxoplasma gondii.

Approximately 23% of the immunocompetent population are asymptomatic carriers of the


Client Handbook


24 hrs 81003

24 hrs 81001

24 hrs 810018708887086

Reject Criteria: Unpreserved specimen (adults)

Sterile Urine Cup / Urine transport tube (yellow-top, blue fill line, perservative tube) if culture is

Clincial: Detect abnormalities of urine; diagnosis and manage renal diseases and urinary

the presence of abnormal urine cells and formed elements. Culture may identify the

organism(s) causing infection.

10mL urine - Urinalysis transport tube (yellow-top blue fill line, preservative tube).

Macroscopic and Microscopic

and Microscopic. A culture is

tract infections.

being ordered separate specimen (10mL gray-top tube with yellow label)

Transport: Preserved Room Temperature

Pediatric Unpreserved: Refrigerated (cold packs)

performed, when appropriate, atan additional charge.

Clinical: Dipstick is important in accessing the chemical constituents in the urine and the

relationship to various disease states. Microscopic examination helps to detect the presence

Urinalysis Complete, with Reflex

Urinalysis Complete

Urinalysis, Macroscopic

Uric Acid

Reject Criteria: Gross hemolysis • Anticoagulants other than heparin.

Test Name

Clinical: Uric Acid measurements are useful in the diagnosis and treatment of numerous

renal and metabolic disorders.


Transport: Preserved Room Temperature /

Pediatric Unpreserved: Refrigerated (cold packs)

Clinical: Dipstick urinalysis is important in accessing the chemical constituents in the

urine and the relationship to various diseases.

1) 10mL urine in (yellow-top with blue fill line) urinalysis preservative/transport tube.

2) 10mL urine in urine culture tube (gray-top yellow label)

Instructions: Encourage clean catch mid-stream samples to minimize contamination and

improve accuracy.



to culture / Includes Macroscopic Specimen: Submit two sepeate specimens:



Client Handbook

TAT CPT Code

24 hrs 80164

24 hrs 82607

24 hrs 87210

82306Vitamin D 25 Hydroxy 3mL Serum or Plasma / Refrigerate

Vitamin B12

Valproic Acid (Depakene)

Wet Mount

Patient Preparation: Collect prior to next dose


Sterile Transport Swab

3mL Serum / Refrigerate (cold packs)

Reject Criteria: Hemolysis

2mL Plain Red Top Tube (no gel) / Room Temperature

Clinical: Detect B12 deficeincy as in pemicious anemia, diagnose Folic Acid deficiency.

Clinical: Identify infection and the possible need for treatment

Reject Criteria: Use of green top tube

Clinical: for the treatment of convulsions, migraines and bipolar disorder.


Clinical: Rule out Vitamin D Deficiency


Client Handbook

TAT CPT Code24 hrs

8690086901

24 hrs83001

8300284146

24 hrs82746

82607

8502585045

24 hrs82746

82607

85025

85045

83540

82738

83550

24 hrs86140

86430

85651

86063

82310

84100

84550

Anemia Comp Panel

Vitamin B 12 (Refrigerate)

CBC

Prolactin

ABO Grouping

Anemia Panel

Rheumatoid Factor

Test Name

Amenorrhea Panel

5mL Serum and 3mL Lavender-top tube / Room TemperatureFolic Acid (minimize exposoure to light during S&H and storage)

Vitamin B 12 (Refrigerate)

CBCReticulocyte Count

5mL Serum amd 3mL Lavender-top tube / Room Temperature

ABO Grouping

Sed Rate

C-Reactive Protein

5mL Serum and 5mL Lavender-top tube / Room Temperature


5mL Serum / Room TemperatureFSH

LH

Reticulocyte Count

Percent Transferrin Saturation

Arthritis Panel

RH Type

PANELS

Iron Binding Capacity, (TIBC)

Anti Strep (ASO)

Calcium

Phosphorus

Uric Acid

5mL Whole Blood Lavender-top tube / Room Temperature

Iron

Ferritin

Folic Acid (minimize exposoure to light during S&H and storage)


Client Handbook


24 hrs84450

83625

82550

24 hrs84450

83625

82550

8255384484

24 hrs80053

82248

82465

83625

8447884550

24 hrs 80053

24 hrs80061

83090


Glucose Random, BUN, Calcium Total, Creatinine, Electrolytes, Albumin, Total Protein,


Reject Criteria: Moderate to gross hemolysis

Reject Criteria: Moderate to gross hemolysis

Coronary Risk ProfileLipid Panel

Homocysteine (See Individual test for collection) CRP High Sensitivity

Cardiac Panel I 5mL Serum / Room Temperature

Total CPK

SGOT

LDH

Troponin Quanitative (Frozen)

Cardiac Panel IISGOT

LDH

Total CPK

Troponin Quanitative (Frozen)


CK-MB

Chem 18

5mL Serum (Fasting) / Room TemperatureGlucose Random, BUN, Calcium Total, Creatinine, Electrolytes,

Comprehensive Metabolic Panel

Bilirubin,Direct

TriglyceridesUric Acid

5mL Serum (Fasting) / Room Temperature

Alkaline Phosphatase, Glucose Random, SGOT, SGPT, Total Bilirubin

5mL Serum (Fasting) / Room Temperature


Basic Metabolic Panel

Cholesterol

LDH


Client Handbook


24hr 80100

24 hrs 80051

24 hrs83001

83002

82670

84144

84146

84403

84479

84439

84443

82533

24 hrs80053

85025

84443

84439

24 hrs 80076

Reject Criteria: Gross hemolysis • Plasma

TSH

Hepatic Function Panel Liver Panel

Amphetamines, Barbiturates, Benzodiazephine, Cocaine, Marijuana, Methadone, Methaqualone,

Amphetamines, Barbiturates, Benzodiazephine, Cocaine, Marijuana, Methadone,

50mL Urine / Room Temperature

Opiates, Phencyclidine (PCP), Alcohol


Methaqualone, Opiates, Phencyclidine (PCP)

Test Name

Drug Screen w/ Alcohol

50mL Urine / Room Temperature

Female Endocrine Profile

Electrolytes

General Health Panel


Progesterone (See Individual test for collection)

Testosterone Total

T4 Free


T4 Free

Prolactin

T3 Uptake

Cortisol


LH

Estradiol

FTI

Total Protein, Albumin, Globulin (calculated), Albumin/Globulin Ratio (calculated), SGPT, SGOT,

Bilirubin, Total, Bilirubin Direct, Indirect Bilirubin (calculated) Alkaline Phosphatase

5mL Serum / Room TemperatureComprehensive Metabolic Panel

CBC

TSH


Drug Screen Panel (10)

Sodium, Potassium, Chloride, CO2


Client Handbook

TAT CPT Codecall lab 80074

86709

86705

87340

86803

call lab 8007486709

86705

87340

86803

86706

86708

86704

1 mL Serum - Transport Container: Plastic Screw-Cap Vial / Room Temperature call lab 866951 mL Serum - Transport Container: Plastic Screw-Cap Vial / Refrigerated(cold packs) call lab 86696Reject Criteria: Gross hemolysis • Hyperlipemia

call lab

83001

83002

82670

84144

84146

24 hrs84479

84439

24 hrs84479

84439

84443


Hepatitis A Ab Total

Hepatitis B Surface AB

Hepatitis B Core IgM

Hepatitis B Surface Ag


3mL Serum / Room TemperatureT3 Upatake

T4, Free

T7 (calc.)

TSH

Hormone Basic Panel

LH

Estradiol


T7 (calc.)

FSH

Hepatitis B Core Ab Total

Prolactin

3mL Serum / Room TemperatureT3 Upatake

T4, Free

Hepatitis A, B, C Panel

Hepatitis Acute Panel

Hyperthyroid Panel

Hypothyroid Panel

Herpes Simplex Virus 1 IgGHerpes Simplex Virus 2 IgG

Hepatitis A Ab IgM

Hepatitis B Core IgM

Hepatitis B Surface Ag



2x 5mL Serum / Room TemperatureHepatitis A Ab IgM



Client Handbook

TAT CPT Code24 hrs

83001

83002

82670

84144

84146

84443

24 hrs86703

86592

24 hrs 80061

82465

84448

83718

24 hrs 80061

83721


following collection.


Instructions: Centerifuge within 30-60 minutes

If the triglyceride result is >400 mg/dL, a direct LDL will be

3mL Serum / Room TemperatureHIV 1 & 2 Ab

RPR

FSH

LH

Patient Preparation: Fast 9-12 hrs prior to collection

performed at an additional charge CPT codes 83721Cholesterol, Triglycerides, HDL Cholesterol


Instructions: Centerifuge within 30-60 minutes following collection.

Cholesterol Direct LDL

3mL Serum/ Room Temperature



LDL Cholesterol - Calculated, VLDL - Calculated - Cholesterol / HDL Risk Ratio

Patient Preparation: Fast 9-12 hrs prior to collection

Immigration Panel

Lipid Panel with Reflexto Direct LDL

Infertility Panel

Lipid Panel 3mL Serum / Room Temperature

Estradiol


Prolactin

TSH

Cholesterol

Triglycerides

HDL Cholesterol

LDL Cholesterol - Calculated, VLDL - Calculated - Cholesterol / HDL Risk Ratio


Client Handbook

TAT CPT Code24 hrs

84403

83002

84146

84479

84436

84443

84144

82533

24 hrs 80081

24 hrs

80081

82947

86644

86705

24 hrs83001

83002

82670

84144

84146

84403



Room Temperature

6mL Serum collected in a red-top tube (no gel)2 5mL Serum / Room Temperature

Prenatal Panel

Prolactin

T3 Uptake

T4, Total

FTI

TSH

Male Endocrine Profile

Estradiol (See individual test for collection)

Progesterone (See individual test for collection)

Prolactin

Herpes I & II

CMV IgG (Cytomegalovirus)

Glucose


Anti HBC IgM

Testosterone Total


LH

Whole Blood colected in two (lavander-top) EDTA tubes and

Testosterone Total

LH

ABO / Rh Type, Antibody Screen, CBC, Hepatitis B Surface Antigen, HIV Type 1/2, RPR

Progesterone (See individual test for collection)

Rubella IgG Ab, Urinalysis

ABO / Rh Type, Antibody Screen, CBC, Hepatitis B Surface Antigen, HIV Type 1/2, RPR

Ovarian Function Panel

Obstetric Panel

Cortisol

Whole Blood colected in two (lavander-top) EDTA tubes and


Client Handbook

TAT CPT Code24 hrs

80053

85610

85730

85025

81001

24hrs 84153-Total84154-Free

24 hrs 80069

24 hrs

84550

86039

86430

86140

86063

24 hrs8749187591

Room Temperature

CBC

ANA

PT (See individual test for collection)

PTT (See individual test for collection)


in the laboratory within 24 hours.

Clinical: In men over age 50 years with total PSA between 4.0 and 10.0 ng/mL, those with

prostate cancer tend to have lower % free PSA than those with benign prostatic hepertrophy

Uric Acid

UA

(BPH), although there is considerable overlap in results for the two populations. % Free PSA may

ASOESR (See individual test for collection)

Rheumatoid Panel


5mL Serum and 5mL Lavender-top tubes

aid in avoiding unnecessary biopsies in these circumstances.

Glucose Random, BUN, Creatinine, Albumin, Phosphorus, Calcium, Electrolytes

RA

CRP

Renal Function Panel

STD Panel

PSA, Free and Total

Pre-Op Panel

3mL Frozen SerumInstructions: Non-frozen specimens must be received in the laboratory within 24 hours.

Transport Temperature: Frozen • Room temperature acceptable if received within 24hrs

Reject Criteria: Gross hemolysis • Gross lipemia • Non-Frozen specimens must be received

Urine / Room TemperatureChlamydia Amplified RNA

GC Amplified RNA



Client Handbook

TAT CPT Code24 hrs

83001

83002

84403

84146

84144

84153

Call Lab 88175

86644

86762

8677786695/86696

24 hr 8295082947

82951

24 hr 8295182952

24 hr 82951

ThinPrep® Pap Test Imaging System ThinPrep Vial

Transport Temperature: Room TemperaturePap results requiring physician interpretation will be performed at an additional charge CPT Code 88141

HCPCS: G0124. Unaccepatable Specimens: No patient identification on test requisition, Leakage of

sample during transport. Mismatch between name of patient on vial and on the requisition form.

Testicular & Prostate Panel 5mL Serum / Room Temperature

Torch Antibody Panel

Glucose Panel 2 (3hr 100g)


GTT 2 hr 75g Tolerance

See individual test for each collectionCytomegalovirus (CMV) IgG

Rubella

4mL GrayGlucose Fasting

GTT 1hr 50g Gestational

LH

Testosterone Total

Prolactin

Progesterone (See individual test for collection)PSA

ToxoplasmosisHerpes Simplex Virus (HSV) I & II

FSH




Test Name




Glucose Fasting

4mL Gray

GTT 1hr 75g Tolerance


Client Handbook

TAT CPT Code24 hr 82951

24 hr 8295182952

48 hrs 8830588304

48 hrs 88302

48 hrs 88304

48 hrs 88305X2X3

48 hrs 88307

48 hrs 88309


Tissue in 10% Formalin

Sterile 250mL Container 10% FormalinBiopsy product o f Conception

Tissue in 10% FormalinHistologic diagnosis


(Gross & Microscopic Exam)Biopsy Level V

Biopsy Level III(Gross & Microscopic Exam)

Biopsy Level IV

Test NameGlucose Panel 4 (2hr 100g)



Histologic diagnosis

Histologic diagnosis


Tissue in 10% Formalin






Biopsy Level VI(Gross & Microscopic Exam)

BiopsyProduct of Conception

Biopsy Level II(Gross & Microscopic Exam)



Documents

Client Handbook Test Name Specimen Requirement/Use TAT …