ARBOVIRUS/ENCEPHALITIS PANEL (INACTIVE SINCE 10/30/2014)

LAB1211 - CURRENTLY UNAVAILABLE

Collect

Serum separator tube. Also acceptable: Plain red.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Mark specimens plainly as "acute" or "convalescent."

Unacceptable Conditions

Contaminated, hemolyzed, or severely lipemic, specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Performed

Tue, Fri

Methodology

Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-5 days

Synonyms

  • Encephalitis Antibodies, IgG
  • LAB1211

Ordering Recommendations

Not recommended as a stand-alone test. Refer to Arbovirus Antibodies, IgG and IgM, Serum (2001594).

Reference Interval

Effective February 19, 2013
ComponentsReference Interval
St. Louis Encephalitis Antibody, IgG by IFA, SerumLess than 1:16
California Encephalitis Antibody, IgG by IFA, SerumLess than 1:16
Eastern Equine Encephalitis Antibody, IgG by IFA, SerumLess than 1:16
Western Equine Encephalitis Antibody, IgG by IFA, SerumLess than 1:16
West Nile Virus Antibody, IgG by ELISA, Serum1.29 IV or less: Negative - No significant level of West Nile virus IgG antibody detected.
1.30-1.49 IV: Equivocal - Questionable presence of West Nile virus IgG antibody detected.  Repeat testing in 10-14 days may be helpful.
1.50 IV or greater: Positive - Presence of IgG antibody to West Nile virus detected, suggestive of current or past infection.

CPT Codes

86651; 86652; 86653; 86654; 86789
Collection

LAB1211 - CURRENTLY UNAVAILABLE

Collect

Serum separator tube. Also acceptable: Plain red.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Mark specimens plainly as "acute" or "convalescent."

Unacceptable Conditions

Contaminated, hemolyzed, or severely lipemic, specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
Ordering

Performed

Tue, Fri

Methodology

Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-5 days

Synonyms

  • Encephalitis Antibodies, IgG
  • LAB1211

Ordering Recommendations

Not recommended as a stand-alone test. Refer to Arbovirus Antibodies, IgG and IgM, Serum (2001594).
Result Interpretation

Reference Interval

Effective February 19, 2013
ComponentsReference Interval
St. Louis Encephalitis Antibody, IgG by IFA, SerumLess than 1:16
California Encephalitis Antibody, IgG by IFA, SerumLess than 1:16
Eastern Equine Encephalitis Antibody, IgG by IFA, SerumLess than 1:16
Western Equine Encephalitis Antibody, IgG by IFA, SerumLess than 1:16
West Nile Virus Antibody, IgG by ELISA, Serum1.29 IV or less: Negative - No significant level of West Nile virus IgG antibody detected.
1.30-1.49 IV: Equivocal - Questionable presence of West Nile virus IgG antibody detected.  Repeat testing in 10-14 days may be helpful.
1.50 IV or greater: Positive - Presence of IgG antibody to West Nile virus detected, suggestive of current or past infection.

Administrative

CPT Codes

86651; 86652; 86653; 86654; 86789

ARSENIC URINE

LAB363

Collect

24-hour or random urine collection. Specimen must be collected in a plastic container and refrigerated during collection. ARUP studies indicate that refrigeration of urine alone, during and after collection, preserves specimens adequately if tested within 14 days of collection.

Patient Preparation

Diet, medication, and nutritional supplements may introduce interfering substances.  Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician), and avoid shellfish and seafood for 48 to 72 hours. High concentrations of iodine may interfere with elemental testing.  Abstinence from iodine-containing medications or contrast agents for at least 1 month prior to collecting specimens for elemental testing is recommended.

Specimen Preparation

Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 2 mL)

Unacceptable Conditions

Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies). Acid preserved urine. Specimens contaminated with blood or fecal material. Specimens transported in non-trace element-free transport tube (with the exception of the original device).

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year

Remarks

Trace Elements requisition form may be required (ARUP form #32990-Barcode; #32991-No Barcode).

Notes

If total arsenic concentration is between 35-2000 ug/L, then Arsenic, Fractionated, will be added to determine the proportion of organic, inorganic, and methylated forms. Additional charges apply.

Performed

Sun-Sat

Methodology

Quantitative High Performance Liquid Chromatography/Quantitative Inductively Coupled Plasma-Mass Spectrometry

Reported

1-5 days

Synonyms

  • As, Urine
  • LAB363
  • ARS U

Ordering Recommendations

Preferred test for the assessment of acute or chronic arsenic exposure. This test is able to differentiate between toxic inorganic and methylated species as well as benign organic forms. Results are reported as total inorganic, total methylated, and organic arsenic.

Reference Interval

Effective May 18, 2015
Components
Reference Interval
Arsenic Urine - per volume0-35.0 µg/L (based on Biological Exposure Index)
Arsenic Urine - per 24h0-50.0 µg/d
Arsenic, Urine - ratio to CRTLess than 30 ug/gCRT
Arsenic, Fractionated, Urine
Components
Reference Interval
Arsenic, OrganicRefer to report
Arsenic, InorganicRefer to report
Arsenic, MethylatedRefer to report

Creatinine, Urine - per 24h
AgeMaleFemale
3-8 years140-700 mg/d140-700 mg/d
9-12 years300-1300 mg/d300-1300 mg/d
13-17 years500-2300 mg/d400-1600 mg/d
18-50 years1000-2500 mg/d700-1600 mg/d
51-80 years800-2100 mg/d500-1400 mg/d
81 years and older600-2000 mg/d400-1300 mg/d


Interpretive Data

The ACGIH Biological Exposure Index (BEI) for arsenic in urine is 35 µg/L. The ACGIH BEI is based on the sum of inorganic and methylated species. For specimens with a total arsenic concentration between 35-2000 µg/L, fractionation is automatically performed to determine the proportions of inorganic, methylated and organic species.  It may be appropriate to request fractionation for specimens with a total arsenic greater than 30 µg/gCRT despite a total arsenic concentration less than 35 µg/L. If low-level chronic poisoning is suspected, the µg/gCRT ratio may be a more sensitive indicator of arsenic exposure than the total arsenic concentration.

CPT Codes

82175; if reflexed, add 82175
Collection

LAB363

Collect

24-hour or random urine collection. Specimen must be collected in a plastic container and refrigerated during collection. ARUP studies indicate that refrigeration of urine alone, during and after collection, preserves specimens adequately if tested within 14 days of collection.

Patient Preparation

Diet, medication, and nutritional supplements may introduce interfering substances.  Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician), and avoid shellfish and seafood for 48 to 72 hours. High concentrations of iodine may interfere with elemental testing.  Abstinence from iodine-containing medications or contrast agents for at least 1 month prior to collecting specimens for elemental testing is recommended.

Specimen Preparation

Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 2 mL)

Unacceptable Conditions

Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies). Acid preserved urine. Specimens contaminated with blood or fecal material. Specimens transported in non-trace element-free transport tube (with the exception of the original device).

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year

Remarks

Trace Elements requisition form may be required (ARUP form #32990-Barcode; #32991-No Barcode).

Notes

If total arsenic concentration is between 35-2000 ug/L, then Arsenic, Fractionated, will be added to determine the proportion of organic, inorganic, and methylated forms. Additional charges apply.
Ordering

Performed

Sun-Sat

Methodology

Quantitative High Performance Liquid Chromatography/Quantitative Inductively Coupled Plasma-Mass Spectrometry

Reported

1-5 days

Synonyms

  • As, Urine
  • LAB363
  • ARS U

Ordering Recommendations

Preferred test for the assessment of acute or chronic arsenic exposure. This test is able to differentiate between toxic inorganic and methylated species as well as benign organic forms. Results are reported as total inorganic, total methylated, and organic arsenic.
Result Interpretation

Reference Interval

Effective May 18, 2015
Components
Reference Interval
Arsenic Urine - per volume0-35.0 µg/L (based on Biological Exposure Index)
Arsenic Urine - per 24h0-50.0 µg/d
Arsenic, Urine - ratio to CRTLess than 30 ug/gCRT
Arsenic, Fractionated, Urine
Components
Reference Interval
Arsenic, OrganicRefer to report
Arsenic, InorganicRefer to report
Arsenic, MethylatedRefer to report

Creatinine, Urine - per 24h
AgeMaleFemale
3-8 years140-700 mg/d140-700 mg/d
9-12 years300-1300 mg/d300-1300 mg/d
13-17 years500-2300 mg/d400-1600 mg/d
18-50 years1000-2500 mg/d700-1600 mg/d
51-80 years800-2100 mg/d500-1400 mg/d
81 years and older600-2000 mg/d400-1300 mg/d


Interpretive Data

The ACGIH Biological Exposure Index (BEI) for arsenic in urine is 35 µg/L. The ACGIH BEI is based on the sum of inorganic and methylated species. For specimens with a total arsenic concentration between 35-2000 µg/L, fractionation is automatically performed to determine the proportions of inorganic, methylated and organic species.  It may be appropriate to request fractionation for specimens with a total arsenic greater than 30 µg/gCRT despite a total arsenic concentration less than 35 µg/L. If low-level chronic poisoning is suspected, the µg/gCRT ratio may be a more sensitive indicator of arsenic exposure than the total arsenic concentration.

Administrative

CPT Codes

82175; if reflexed, add 82175

ARTERIAL BLOOD GAS

LAB76

ABG

Collect

At least 1.0 mL arterial whole blood collected in plastic blood gas syringe with dry balanced heparin anticoagulant.

Pediatric Collection

0.3 mL arterial whole blood collected in plastic tuberculin blood gas syringe with balanced heparin.

Unacceptable Conditions

Sample submitted with needle attached (remove immediately post collection); uncapped sample syringe; air bubbles in sample; clotted sample; EDTA or citrate anticoagulant; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal:Deliver to the laboratory immediately. Maintain sample at room temperature. Deliver to the laboratory within 30 minutes of collection. If sample cannot be submitted to the laboratory within 30 minutes, transport on cold pack.

Offsite: Utilize emergency courier to provide for transport criteria listed above.

Stability (from collection to initiation)

Ambient: 30 minutes; On Ice: 1 hour.

Remarks

Use of dry, balanced heparin improves electrolyte and pH accuracy. Immediately remove any air bubbles from collected sample prior to transport.

For mechanically ventilated patients only, provide the mean airway pressure (PAW) and the FiO2 on the laboratory zebra label to allow for calculation and reporting of the Oxygen Index.

 

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt

Methodology

Ion Selective Electrode

Reported

Within 1 hour of receipt

Synonyms

  • ABG
  • LAB76

Reference Interval

pH

7.35-7.45

pCO2

35-40 mmHg

pO2

65-75 mmHg

HCO3

18-23 mmol/L

TCO2 

19-24 mmol/L

Base Excess

-2 - +2 mmol/L

O2 Sat

95-100%

 Oxygen Index

 <20 %

Performed by

PCL Clinical Laboratory - Core

CPT Codes

82805

Collection

LAB76

ABG

Collect

At least 1.0 mL arterial whole blood collected in plastic blood gas syringe with dry balanced heparin anticoagulant.

Pediatric Collection

0.3 mL arterial whole blood collected in plastic tuberculin blood gas syringe with balanced heparin.

Unacceptable Conditions

Sample submitted with needle attached (remove immediately post collection); uncapped sample syringe; air bubbles in sample; clotted sample; EDTA or citrate anticoagulant; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal:Deliver to the laboratory immediately. Maintain sample at room temperature. Deliver to the laboratory within 30 minutes of collection. If sample cannot be submitted to the laboratory within 30 minutes, transport on cold pack.

Offsite: Utilize emergency courier to provide for transport criteria listed above.

Stability (from collection to initiation)

Ambient: 30 minutes; On Ice: 1 hour.

Remarks

Use of dry, balanced heparin improves electrolyte and pH accuracy. Immediately remove any air bubbles from collected sample prior to transport.

For mechanically ventilated patients only, provide the mean airway pressure (PAW) and the FiO2 on the laboratory zebra label to allow for calculation and reporting of the Oxygen Index.

 

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt

Methodology

Ion Selective Electrode

Reported

Within 1 hour of receipt

Synonyms

  • ABG
  • LAB76
Result Interpretation

Reference Interval

pH

7.35-7.45

pCO2

35-40 mmHg

pO2

65-75 mmHg

HCO3

18-23 mmol/L

TCO2 

19-24 mmol/L

Base Excess

-2 - +2 mmol/L

O2 Sat

95-100%

 Oxygen Index

 <20 %

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

82805

ARYLSULFATASE A - LEUKOCYTES

LAB3066

Collect

Yellow (ACD solution B). Also acceptable: Yellow (ACD solution A).

Specimen Preparation

Transport 7 mL whole blood in the original tube. (Min: 5 mL)

Unacceptable Conditions

Grossly hemolyzed specimens.

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature.

Stability (from collection to initiation)

Ambient: 4 days; Refrigerated: 4 days; Frozen: Unacceptable

Performed

Varies

Methodology

Quantitative Colorimetry

Reported

8-18 days

Synonyms

  • LAB3066
  • ARYL LEUK

Reference Interval

By Report

CPT Codes

82657
Collection

LAB3066

Collect

Yellow (ACD solution B). Also acceptable: Yellow (ACD solution A).

Specimen Preparation

Transport 7 mL whole blood in the original tube. (Min: 5 mL)

Unacceptable Conditions

Grossly hemolyzed specimens.

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature.

Stability (from collection to initiation)

Ambient: 4 days; Refrigerated: 4 days; Frozen: Unacceptable
Ordering

Performed

Varies

Methodology

Quantitative Colorimetry

Reported

8-18 days

Synonyms

  • LAB3066
  • ARYL LEUK
Result Interpretation

Reference Interval

By Report
Administrative

CPT Codes

82657

ASPARTATE AMINOTRANSFERASE (AST)

LAB131

AST

Collect

One 4.5 mL green top with gel (PST), (lithium heparin plasma).

Pediatric Collection

At least 0.5 mL whole blood in green top microtainer with gel, (lithium heparin plasma) or other heparin tube.

Unacceptable Conditions

Grossly hemolyzed samples; oxalate or citrate anticoagulant; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge within 30 minutes of collection. Transport to laboratory at ambient temperature.

Stability (from collection to initiation)

Before centrifugation: 1 hour.

After centrifugation: Ambient: 24 hours; Refrigerated: 7 days.

Plasma aliquot: Ambient, 24 hours; Refrigerated, 7 days; Frozen (-20 degrees C), 1 year.

Remarks

Hemolyzed samples will cause a false elvation in AST values. In samples with gross hemolysis the AST results may not be reported.

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt

Methodology

Coupled Enzymatic

Reported

Same day

Synonyms

  • SGOT
  • LAB131

Reference Interval

Effective 05/20/2014:

12 - 39 U/L

Before 05/20/2014:

Sex From Age To Age Normal Low Normal High Units
M/F 0 1M 25 75 U/L
M/F 1M 15 0 40 U/L
M/F 15 150 0 47 U/L

Interpretive Data

Adult reference range.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84450

Collection

LAB131

AST

Collect

One 4.5 mL green top with gel (PST), (lithium heparin plasma).

Pediatric Collection

At least 0.5 mL whole blood in green top microtainer with gel, (lithium heparin plasma) or other heparin tube.

Unacceptable Conditions

Grossly hemolyzed samples; oxalate or citrate anticoagulant; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge within 30 minutes of collection. Transport to laboratory at ambient temperature.

Stability (from collection to initiation)

Before centrifugation: 1 hour.

After centrifugation: Ambient: 24 hours; Refrigerated: 7 days.

Plasma aliquot: Ambient, 24 hours; Refrigerated, 7 days; Frozen (-20 degrees C), 1 year.

Remarks

Hemolyzed samples will cause a false elvation in AST values. In samples with gross hemolysis the AST results may not be reported.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt

Methodology

Coupled Enzymatic

Reported

Same day

Synonyms

  • SGOT
  • LAB131
Result Interpretation

Reference Interval

Effective 05/20/2014:

12 - 39 U/L

Before 05/20/2014:

Sex From Age To Age Normal Low Normal High Units
M/F 0 1M 25 75 U/L
M/F 1M 15 0 40 U/L
M/F 15 150 0 47 U/L

Interpretive Data

Adult reference range.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84450

ASPARTYLGLUCOSAMINE URINE

Collect

2 mL random urine frozen. Transpot to lab on dry ice.

Pediatric Collection

0.3 mL

Storage/Transport Temperature

Internal: Deliver to lab immediately at room temperature
Offsite: 0.5 mL plasma/serum. Ship heparinized plasma/serum frozen.

Performed by

UCD Biochemical Genetics Laboratory

Performed

Weekly (Dayshift), day varies

Reported

7 - 10 days

Performed by

UCD Biochemical Genetics Laboratory

CPT Codes

82131
Collection

Collect

2 mL random urine frozen. Transpot to lab on dry ice.

Pediatric Collection

0.3 mL

Storage/Transport Temperature

Internal: Deliver to lab immediately at room temperature
Offsite: 0.5 mL plasma/serum. Ship heparinized plasma/serum frozen.

Performed by

UCD Biochemical Genetics Laboratory
Ordering

Performed

Weekly (Dayshift), day varies

Reported

7 - 10 days
Result Interpretation

Performed by

UCD Biochemical Genetics Laboratory
Administrative

CPT Codes

82131

ASPERGILLUS GALACTOMANNAN AG

LAB1311

Collect

Plain red or serum separator tube.

Specimen Preparation

Separate serum from cells within 2 hours of collection. Transfer 2 mL serum to a sterile ARUP Standard Transport Tube (ARUP Supply #43115). Available online through eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 1 mL)

Unacceptable Conditions

Plasma. Hemolyzed specimens.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 week

Notes

For bronchial specimens refer to Aspergillus Galactomannan Antigen by EIA, Bronchoscopy (ARUP test code 2003150)

Performed

Sun-Sat

Methodology

Semi-quantitative Enzyme Immunoassay

Reported

1-2 days

Synonyms

  • Serum Galactomannan
  • Galactomannan - Aspergillus
  • Platelia Aspergillus
  • LAB1311
  • ASPERAG

Ordering Recommendations

Aid in the diagnosis of invasive/disseminated aspergillosis.

Reference Interval

Components
Reference Interval
Aspergillus Galactomannan Antigen, SerumNegative
Aspergillus Galactomannan IndexBy report

Interpretive Data

Negative results do not exclude the diagnosis of invasive aspergillosis. A single positive test result (index equal to or greater than 0.5) should be clinically correlated by testing a separate serum specimen because many agents (e.g. foods, antibiotics) may cross-react with the test. If invasive aspergillosis is suspected in high-risk patients, serial sampling is recommended.

The false-positive rate is higher in children than in adults. (Cancer 91:311, 2001; J.Clin Oncol 20:1898,2002; Mycosis 41:373,1998).

CPT Codes

87305
Collection

LAB1311

Collect

Plain red or serum separator tube.

Specimen Preparation

Separate serum from cells within 2 hours of collection. Transfer 2 mL serum to a sterile ARUP Standard Transport Tube (ARUP Supply #43115). Available online through eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 1 mL)

Unacceptable Conditions

Plasma. Hemolyzed specimens.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 week

Notes

For bronchial specimens refer to Aspergillus Galactomannan Antigen by EIA, Bronchoscopy (ARUP test code 2003150)
Ordering

Performed

Sun-Sat

Methodology

Semi-quantitative Enzyme Immunoassay

Reported

1-2 days

Synonyms

  • Serum Galactomannan
  • Galactomannan - Aspergillus
  • Platelia Aspergillus
  • LAB1311
  • ASPERAG

Ordering Recommendations

Aid in the diagnosis of invasive/disseminated aspergillosis.
Result Interpretation

Reference Interval

Components
Reference Interval
Aspergillus Galactomannan Antigen, SerumNegative
Aspergillus Galactomannan IndexBy report

Interpretive Data

Negative results do not exclude the diagnosis of invasive aspergillosis. A single positive test result (index equal to or greater than 0.5) should be clinically correlated by testing a separate serum specimen because many agents (e.g. foods, antibiotics) may cross-react with the test. If invasive aspergillosis is suspected in high-risk patients, serial sampling is recommended.

The false-positive rate is higher in children than in adults. (Cancer 91:311, 2001; J.Clin Oncol 20:1898,2002; Mycosis 41:373,1998).

Administrative

CPT Codes

87305

ASPERGILLUS PRECIPITIN PANEL

LAB3473

Collect

One 4 mL plain red .(Serum separator tube acceptable)

Unacceptable Conditions

Excessive hemolysis

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: 1 mL Separate serum from cells and freeze
Deliver to the lab frozen.

Stability (from collection to initiation)

Refrig: 1 week; Frozen: 1 year (Store at -70C, if possible.)

Remarks

Precipitins tested:

A. fumigatus 1,

A. fumigatus 6,

A. niger,

A. flavis,

Aspergillus polyvalent

Performed by

PCL Clinical Laboratory

Performed

Once Weekly

Methodology

Immunodiffusion (ID).

Reported

7 - 10 days

Synonyms

  • LAB3473

Reference Interval

Negative

Performed by

PCL Clinical Laboratory

CPT Codes

86331 x5

Collection

LAB3473

Collect

One 4 mL plain red .(Serum separator tube acceptable)

Unacceptable Conditions

Excessive hemolysis

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: 1 mL Separate serum from cells and freeze
Deliver to the lab frozen.

Stability (from collection to initiation)

Refrig: 1 week; Frozen: 1 year (Store at -70C, if possible.)

Remarks

Precipitins tested:

A. fumigatus 1,

A. fumigatus 6,

A. niger,

A. flavis,

Aspergillus polyvalent

Performed by

PCL Clinical Laboratory

Ordering

Performed

Once Weekly

Methodology

Immunodiffusion (ID).

Reported

7 - 10 days

Synonyms

  • LAB3473
Result Interpretation

Reference Interval

Negative

Performed by

PCL Clinical Laboratory

Administrative

CPT Codes

86331 x5

ABO GROUP

Collect

One 6.0 mL Pink top (EDTA) labeled with  patient's last name, first name, medical record number, date drawn, phlebotomist's initials, and second person verifier's initials.

Utilizing READBACK VERIFICATION, the phlebotomist and a second hospital personnel verify that the patient's identifiers on his/her hospital identification bracelet match those on the blood specimen. Both persons must initial the pink top tube and, if used, the pink Transfusion Service request form.

In the outpatient setting, it is permissible for the patient to verify his/her identification.

Tube must be filled to at least 80% capacity.

Pediatric Collection

3 mL whole blood in a purple top tube (EDTA plasma).

For neonatal specimens, refer to ABORH NB.

Unacceptable Conditions

Specimen not properly identified/labeled; incorrect container; gross hemolysis; insufficient sample volume; gel separator tube; tubes not filled to at least 80% capacity.

Storage/Transport Temperature

Internal: Deliver to Blood Bank immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to lab on refrigerated cold pack within 24 hours. Do not allow specimen to freeze.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 10 days; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

Performed

Daily

Methodology

Hemagglutination (HA).

Reported

Same day

Synonyms

  • BLOOD TYPE

Reference Interval

ABO Typing: A,B,AB,O

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

CPT Codes

86900

Collection

Collect

One 6.0 mL Pink top (EDTA) labeled with  patient's last name, first name, medical record number, date drawn, phlebotomist's initials, and second person verifier's initials.

Utilizing READBACK VERIFICATION, the phlebotomist and a second hospital personnel verify that the patient's identifiers on his/her hospital identification bracelet match those on the blood specimen. Both persons must initial the pink top tube and, if used, the pink Transfusion Service request form.

In the outpatient setting, it is permissible for the patient to verify his/her identification.

Tube must be filled to at least 80% capacity.

Pediatric Collection

3 mL whole blood in a purple top tube (EDTA plasma).

For neonatal specimens, refer to ABORH NB.

Unacceptable Conditions

Specimen not properly identified/labeled; incorrect container; gross hemolysis; insufficient sample volume; gel separator tube; tubes not filled to at least 80% capacity.

Storage/Transport Temperature

Internal: Deliver to Blood Bank immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to lab on refrigerated cold pack within 24 hours. Do not allow specimen to freeze.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 10 days; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

Ordering

Performed

Daily

Methodology

Hemagglutination (HA).

Reported

Same day

Synonyms

  • BLOOD TYPE
Result Interpretation

Reference Interval

ABO Typing: A,B,AB,O

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

Administrative

CPT Codes

86900

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