ABO RH TYPE

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

At least 3.0 mL whole blood collected in a purple top, plasma (EDTA).

For neonatal specimens, refer to ABORH NB.

Unacceptable Conditions

Specimen not properly identified/labeled; serum separator tube; gross hemolysis; insufficient sample volume; incorrect container; tubes filled to less than 80% capacity.

Storage/Transport Temperature

Internal: Deliver to Blood Bank immediately at ambient temperature.
Offsite: Transport to laboratory 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

Reference Interval

ABO Typing: A,B,AB,O

Rh Typing: Rh positive/Rh negative

 

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

CPT Codes

ABO: 86900; Rh typing: 86901

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

At least 3.0 mL whole blood collected in a purple top, plasma (EDTA).

For neonatal specimens, refer to ABORH NB.

Unacceptable Conditions

Specimen not properly identified/labeled; serum separator tube; gross hemolysis; insufficient sample volume; incorrect container; tubes filled to less than 80% capacity.

Storage/Transport Temperature

Internal: Deliver to Blood Bank immediately at ambient temperature.
Offsite: Transport to laboratory 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

Result Interpretation

Reference Interval

ABO Typing: A,B,AB,O

Rh Typing: Rh positive/Rh negative

 

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

Administrative

CPT Codes

ABO: 86900; Rh typing: 86901

ABORH TYPE - NEWBORN

Collect

At least 0.5 mL whole blood collected in a 1.0 mL purple top microtainer (EDTA), or 4.0 mL purple top (EDTA) or 6.0 mL red top no gel, serum (clot activator).

Specimen must be 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 specimen tube and, if used, the pink Transfusion Service request form.

Unacceptable Conditions

Gross hemolysis; specimen not properly identified/labeled; insufficient sample volume; incorrect container.

Storage/Transport Temperature

Internal: Deliver to Blood Bank immediately at ambient temperature.
Offsite: Transport to laboratory 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

Reference Interval

ABO Typing: A, B, AB, O

Rh Typing: Rh positive, Rh negative

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

CPT Codes

ABO: 86900; Rh typing: 86901

Collection

Collect

At least 0.5 mL whole blood collected in a 1.0 mL purple top microtainer (EDTA), or 4.0 mL purple top (EDTA) or 6.0 mL red top no gel, serum (clot activator).

Specimen must be 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 specimen tube and, if used, the pink Transfusion Service request form.

Unacceptable Conditions

Gross hemolysis; specimen not properly identified/labeled; insufficient sample volume; incorrect container.

Storage/Transport Temperature

Internal: Deliver to Blood Bank immediately at ambient temperature.
Offsite: Transport to laboratory 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

Result Interpretation

Reference Interval

ABO Typing: A, B, AB, O

Rh Typing: Rh positive, Rh negative

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

Administrative

CPT Codes

ABO: 86900; Rh typing: 86901

Acanthamoeba Culture

Collect

Corneal scrapings, contact lens solution, or contact lenses in a sterile container;

Or

CSF in a sterile container

If inoculating media at the bedside or at an outside facility, contact the Microbiology Laboratory at least two hours prior to specimen collection to prepare media.

Unacceptable Conditions

Sample not properly identified; refrigerated or frozen sample.

Storage/Transport Temperature

Internal: Transport specimen to the lab within 60 minutes of collection at ambient temperature. Alternatively, contact the Microbiology Lab at least two hours prior to specimen collection to prepare media for bedside inoculation. Transport inoculated plates to the lab within 24 hours at ambient temperature.

Offsite: Contact the Microbiology Lab at least two hours prior to specimen collection to prepare media for bedside inoculation. Transport inoculated plates to the lab within 24 hours at ambient temperature.

Stability (from collection to initiation)

Corneal scrapings, contact lens solution, and contact lenses: Ambient, 60 minutes.

Inoculated plates: Ambient, 24 hours.

CSF: Ambient, 60 minutes.

Remarks

Acanthamoeba species and Naegleria species can be cultured by this method.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Sunday - Saturday 07:00 - 23:00

Methodology

Culture

Reported

Cultures are held for 10 days. Positives are called immediately to the clinician.

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87081

Collection

Collect

Corneal scrapings, contact lens solution, or contact lenses in a sterile container;

Or

CSF in a sterile container

If inoculating media at the bedside or at an outside facility, contact the Microbiology Laboratory at least two hours prior to specimen collection to prepare media.

Unacceptable Conditions

Sample not properly identified; refrigerated or frozen sample.

Storage/Transport Temperature

Internal: Transport specimen to the lab within 60 minutes of collection at ambient temperature. Alternatively, contact the Microbiology Lab at least two hours prior to specimen collection to prepare media for bedside inoculation. Transport inoculated plates to the lab within 24 hours at ambient temperature.

Offsite: Contact the Microbiology Lab at least two hours prior to specimen collection to prepare media for bedside inoculation. Transport inoculated plates to the lab within 24 hours at ambient temperature.

Stability (from collection to initiation)

Corneal scrapings, contact lens solution, and contact lenses: Ambient, 60 minutes.

Inoculated plates: Ambient, 24 hours.

CSF: Ambient, 60 minutes.

Remarks

Acanthamoeba species and Naegleria species can be cultured by this method.

Performed by

PCL Clinical Laboratory - Microbiology

Ordering

Performed

Sunday - Saturday 07:00 - 23:00

Methodology

Culture

Reported

Cultures are held for 10 days. Positives are called immediately to the clinician.

Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology

Administrative

CPT Codes

87081

ACETAMINOPHEN BLOOD

ACETA BLD

LAB3043

Collect

One 4.5 mL Green top tube with gel separator (PST), (lithium heparin plasma).

Pediatric Collection

1.5 mL whole blood or 20 full capillary tubes.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 30 minutes of collection. Send at 2-8 degrees C if tested within 24 hours. Place plasma in aliquot container and send frozen if not tested within 24 hours.

Stability (from collection to initiation)

Refrigerated: 24 hours; Frozen (-20 degrees C): greater than 24 hours.

Remarks

Draw specimen at least 4 hours after and within 24 hours of poisoning to ensure peak level has been reached.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Enzymatic

Reported

Same day

Synonyms

  • TYLENOL
  • LAB3043

Reference Interval

Effective 05/20/2014:

0 - 30 ug/mL

Before 05/20/2014:

10.0-20.0 ug/mL

 

Interpretive Data

Normal therapeutic doses of acetaminophen result in serum concentrations of 10–30 μg/mL in healthy adults.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

82003

Collection

ACETA BLD

LAB3043

Collect

One 4.5 mL Green top tube with gel separator (PST), (lithium heparin plasma).

Pediatric Collection

1.5 mL whole blood or 20 full capillary tubes.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 30 minutes of collection. Send at 2-8 degrees C if tested within 24 hours. Place plasma in aliquot container and send frozen if not tested within 24 hours.

Stability (from collection to initiation)

Refrigerated: 24 hours; Frozen (-20 degrees C): greater than 24 hours.

Remarks

Draw specimen at least 4 hours after and within 24 hours of poisoning to ensure peak level has been reached.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Enzymatic

Reported

Same day

Synonyms

  • TYLENOL
  • LAB3043
Result Interpretation

Reference Interval

Effective 05/20/2014:

0 - 30 ug/mL

Before 05/20/2014:

10.0-20.0 ug/mL

 

Interpretive Data

Normal therapeutic doses of acetaminophen result in serum concentrations of 10–30 μg/mL in healthy adults.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

82003

ACETONE

Collect

Plain red. Also acceptable: Lavender (EDTA), pink (K2EDTA), green (sodium heparin), or gray (sodium fluoride/potassium oxalate).

Patient Preparation

Timing of specimen collection. Dependent on time of exposure - test upon presentation to hospital.

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)

Unacceptable Conditions

Whole blood. Plasma separator tubes (PST), serum separator tubes (SST).

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 5 days (if tightly capped); Refrigerated: 1 week (if tightly capped); Frozen: 1 month

Performed

Sun-Sat

Methodology

Quantitative Gas Chromatography

Reported

1-2 days

Synonyms

  • B-Ketopropane
  • Propanone
  • 2-Propanone
  • Dimethylformaldehyde
  • Dimethyl Ketone
  • Plasma Ketone
  • Acetoacetate
  • Beta-hydroxybutyric Acid
  • Acetoacetic Acid
  • Ketone Bodies
  • Beta-hydroxybutyrate
  • Serum Ketone

Ordering Recommendations

Monitor exposure to acetone.

Reference Interval

Therapeutic RangeNot well established. Limit of detection: 5 mg/dL
Toxic LevelGreater than 100 mg/dL

Interpretive Data

Toxic concentrations may cause nausea, vomiting, central nervous system and respiratory depression.

CPT Codes

80320 (Alt code: G0480)
Collection

Collect

Plain red. Also acceptable: Lavender (EDTA), pink (K2EDTA), green (sodium heparin), or gray (sodium fluoride/potassium oxalate).

Patient Preparation

Timing of specimen collection. Dependent on time of exposure - test upon presentation to hospital.

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)

Unacceptable Conditions

Whole blood. Plasma separator tubes (PST), serum separator tubes (SST).

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 5 days (if tightly capped); Refrigerated: 1 week (if tightly capped); Frozen: 1 month
Ordering

Performed

Sun-Sat

Methodology

Quantitative Gas Chromatography

Reported

1-2 days

Synonyms

  • B-Ketopropane
  • Propanone
  • 2-Propanone
  • Dimethylformaldehyde
  • Dimethyl Ketone
  • Plasma Ketone
  • Acetoacetate
  • Beta-hydroxybutyric Acid
  • Acetoacetic Acid
  • Ketone Bodies
  • Beta-hydroxybutyrate
  • Serum Ketone

Ordering Recommendations

Monitor exposure to acetone.
Result Interpretation

Reference Interval

Therapeutic RangeNot well established. Limit of detection: 5 mg/dL
Toxic LevelGreater than 100 mg/dL

Interpretive Data

Toxic concentrations may cause nausea, vomiting, central nervous system and respiratory depression.

Administrative

CPT Codes

80320 (Alt code: G0480)

ACETYLCHOLINE RECEPTOR ANTIBODY REFLEXIVE PANEL

LAB3133

Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Contaminated, hemolyzed, or severely lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

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

Notes

If Acetylcholine Receptor Binding Antibody result is greater than 0.4 nmol/L or Acetylcholine Receptor Blocking Antibody result is greater than 26 percent, then Acetylcholine Receptor Modulating Antibody (ARUP test code 0099521) will be added. Additional charges apply.

Performed

Sun-Sat

Methodology

Quantitative Radioimmunoassay/Semi-Quantitative Flow Cytometry

Reported

3-7 days

Synonyms

  • LAB3133
  • ACHR PAN

Additional Technical Information

Ordering Recommendations

Preferred reflexive panel for diagnosing myasthenia gravis. Panel contains binding, blocking, and modulating antibodies.

Reference Interval

Components
Reference Interval
Acetylcholine Receptor Binding AntibodyNegative: 0.0-0.4 nmol/L
Positive:  0.5 nmol/L or greater
Acetylcholine Receptor Blocking AntibodyEffective November 18, 2013
Negative:0-26% blocking
Indeterminate:27-41% blocking
Positive:42% or greater blocking

Acetylcholine Receptor Modulating AntibodyNegative: 0-45% modulating
Positive: 46% or greater modulating

Effective August 20, 2012

Interpretive Data

Approximately 85-90 percent of patients with myasthenia gravis (MG) express antibodies to the acetylcholine receptor (AChR), which can be divided into binding, blocking, and modulating antibodies. Binding antibody can activate complement and lead to loss of AChR. Blocking antibody may impair binding of acetylcholine to the receptor, leading to poor muscle contraction. Modulating antibody causes receptor endocytosis resulting in loss of AChR expression, which correlates most closely with clinical severity of disease. Approximately 10-15 percent of individuals with confirmed myasthenia gravis have no measurable binding, blocking, or modulating antibodies.

CPT Codes

83519; 83516; if reflexed, add 83516
Collection

LAB3133

Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Contaminated, hemolyzed, or severely lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

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

Notes

If Acetylcholine Receptor Binding Antibody result is greater than 0.4 nmol/L or Acetylcholine Receptor Blocking Antibody result is greater than 26 percent, then Acetylcholine Receptor Modulating Antibody (ARUP test code 0099521) will be added. Additional charges apply.
Ordering

Performed

Sun-Sat

Methodology

Quantitative Radioimmunoassay/Semi-Quantitative Flow Cytometry

Reported

3-7 days

Synonyms

  • LAB3133
  • ACHR PAN

Additional Technical Information

Ordering Recommendations

Preferred reflexive panel for diagnosing myasthenia gravis. Panel contains binding, blocking, and modulating antibodies.
Result Interpretation

Reference Interval

Components
Reference Interval
Acetylcholine Receptor Binding AntibodyNegative: 0.0-0.4 nmol/L
Positive:  0.5 nmol/L or greater
Acetylcholine Receptor Blocking AntibodyEffective November 18, 2013
Negative:0-26% blocking
Indeterminate:27-41% blocking
Positive:42% or greater blocking

Acetylcholine Receptor Modulating AntibodyNegative: 0-45% modulating
Positive: 46% or greater modulating

Effective August 20, 2012

Interpretive Data

Approximately 85-90 percent of patients with myasthenia gravis (MG) express antibodies to the acetylcholine receptor (AChR), which can be divided into binding, blocking, and modulating antibodies. Binding antibody can activate complement and lead to loss of AChR. Blocking antibody may impair binding of acetylcholine to the receptor, leading to poor muscle contraction. Modulating antibody causes receptor endocytosis resulting in loss of AChR expression, which correlates most closely with clinical severity of disease. Approximately 10-15 percent of individuals with confirmed myasthenia gravis have no measurable binding, blocking, or modulating antibodies.

Administrative

CPT Codes

83519; 83516; if reflexed, add 83516

ACID PHOSPHATASE TOT - SERUM

LAB1069

Collect

Plain red.

Specimen Preparation

Allow specimen to clot completely at room temperature. Transfer 1.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Plasma. Non-frozen specimens. Hemolyzed specimens.

Storage/Transport Temperature

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Stability (from collection to initiation)

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

Performed

Sun-Sat

Methodology

Quantitative Enzymatic

Reported

1-2 days

Synonyms

  • LAB1069
  • ACS

Ordering Recommendations

Total acid phosphatase (AP) activity may be useful when evaluating for prostate cancer, Paget's disease, hyperparathyroidism with skeletal involvement, and Gaucher's disease since elevations in AP activity occur in these conditions.

Reference Interval

0.0-4.3 U/L

CPT Codes

84060
Collection

LAB1069

Collect

Plain red.

Specimen Preparation

Allow specimen to clot completely at room temperature. Transfer 1.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Plasma. Non-frozen specimens. Hemolyzed specimens.

Storage/Transport Temperature

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Stability (from collection to initiation)

After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
Ordering

Performed

Sun-Sat

Methodology

Quantitative Enzymatic

Reported

1-2 days

Synonyms

  • LAB1069
  • ACS

Ordering Recommendations

Total acid phosphatase (AP) activity may be useful when evaluating for prostate cancer, Paget's disease, hyperparathyroidism with skeletal involvement, and Gaucher's disease since elevations in AP activity occur in these conditions.
Result Interpretation

Reference Interval

0.0-4.3 U/L
Administrative

CPT Codes

84060

ACTIVATED PROTEIN C RESISTANCE W/REFLEX TO FACTOR V LEIDEN

LAB8423

APC RESIST

Collect

One Blue Top tube (sodium citrate, 3.2%)

Pediatric Collection

Minimum volume: 0.4 mL citrated plasma.

Unacceptable Conditions

Un-frozen plasma aliquots; frozen whole blood/cells; greater than 4 hours since collection; sample not properly identified; incorrect container; insufficient sample volume; clotted sample; hemolyzed sample; tube fill volume less than 90% or greater than 110%.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge blue top, separate and store platelet poor plasma in plastic container and freeze.  Transport plasma frozen (-20 degrees C) AND transport original blue top tube containing whole blood/cells refrigerated at 2-8 degrees C.

Stability (from collection to initiation)

Whole blood, ambient temperature: 4 hours.

Platelet poor plasma:  Refrigerated (2-8 degrees C), 4 hours; Frozen (-20 degreees C), 2 weeks; Frozen (-70 degrees C), 6 months.
Whole blood/cells from blue top: Ambient temperature, 72 hours; Refrigerated (2-8 degrees C), 1 week.

Remarks

Factor V Leiden Mutation requests generate an order to perform an APC Resistance Test first. Only if the APC Resistance results are abnormal will the sample be sent out for Factor V Leiden Mutation testing.

 

Performed by

PCL Clinical Laboratory

Performed

APC Resistance: Tuesday and Thursday, day shift only

Methodology

Chromogenic Assay for APC Resistance and Polymerase Chain Reaction (PCR) Invader Assay for FV Leiden.

Reported

APC Resistance: Same day; FV Leiden: 7-10 days

Synonyms

  • APC RESIST

Reference Interval

APC Resistance:  Ratio >1.8
Factor V Leiden Mutation:  Negative

Performed by

PCL Clinical Laboratory

CPT Codes

81241

Collection

LAB8423

APC RESIST

Collect

One Blue Top tube (sodium citrate, 3.2%)

Pediatric Collection

Minimum volume: 0.4 mL citrated plasma.

Unacceptable Conditions

Un-frozen plasma aliquots; frozen whole blood/cells; greater than 4 hours since collection; sample not properly identified; incorrect container; insufficient sample volume; clotted sample; hemolyzed sample; tube fill volume less than 90% or greater than 110%.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge blue top, separate and store platelet poor plasma in plastic container and freeze.  Transport plasma frozen (-20 degrees C) AND transport original blue top tube containing whole blood/cells refrigerated at 2-8 degrees C.

Stability (from collection to initiation)

Whole blood, ambient temperature: 4 hours.

Platelet poor plasma:  Refrigerated (2-8 degrees C), 4 hours; Frozen (-20 degreees C), 2 weeks; Frozen (-70 degrees C), 6 months.
Whole blood/cells from blue top: Ambient temperature, 72 hours; Refrigerated (2-8 degrees C), 1 week.

Remarks

Factor V Leiden Mutation requests generate an order to perform an APC Resistance Test first. Only if the APC Resistance results are abnormal will the sample be sent out for Factor V Leiden Mutation testing.

 

Performed by

PCL Clinical Laboratory

Ordering

Performed

APC Resistance: Tuesday and Thursday, day shift only

Methodology

Chromogenic Assay for APC Resistance and Polymerase Chain Reaction (PCR) Invader Assay for FV Leiden.

Reported

APC Resistance: Same day; FV Leiden: 7-10 days

Synonyms

  • APC RESIST
Result Interpretation

Reference Interval

APC Resistance:  Ratio >1.8
Factor V Leiden Mutation:  Negative

Performed by

PCL Clinical Laboratory

Administrative

CPT Codes

81241

ACUTE HEPATITIS PANEL

LAB551

ACUTE HEP P

Collect

5.0 mL, gold or red top with gel (SST), (clot activator serum).

Pediatric Collection

3 mL whole blood.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge sample and ship in cooler.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 2 Days

Performed by

PCL Clinical Laboratory - Core Laboratory

Notes

Includes testing for Hepatitis A IgM Antibody, Hepatitis B Core IgM Antibody, Hepatitic C Virus Antibody, and Hepatitis B Surface Antigen.  For laboratories to bill Medicare, each component of a panel must be medically necessary for the treatment or diagnosis of the patient. All tests listed may be ordered individually.

Performed

Upon receipt

Methodology

Chemilumenescent Immunoassay

Reported

Same day

Synonyms

  • LAB551

Reference Interval

Performed by

PCL Clinical Laboratory - Core Laboratory

CPT Codes

80074

Collection

LAB551

ACUTE HEP P

Collect

5.0 mL, gold or red top with gel (SST), (clot activator serum).

Pediatric Collection

3 mL whole blood.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge sample and ship in cooler.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 2 Days

Performed by

PCL Clinical Laboratory - Core Laboratory

Notes

Includes testing for Hepatitis A IgM Antibody, Hepatitis B Core IgM Antibody, Hepatitic C Virus Antibody, and Hepatitis B Surface Antigen.  For laboratories to bill Medicare, each component of a panel must be medically necessary for the treatment or diagnosis of the patient. All tests listed may be ordered individually.

Ordering

Performed

Upon receipt

Methodology

Chemilumenescent Immunoassay

Reported

Same day

Synonyms

  • LAB551
Result Interpretation

Reference Interval

Performed by

PCL Clinical Laboratory - Core Laboratory

Administrative

CPT Codes

80074

ACYLCARNITINE PROFILE - QUAL.

LAB429

Collect

5.0 mL, gold or red top with gel (SST), (clot activator serum).

Pediatric Collection

0.2 mL

Storage/Transport Temperature

Internal: Deliver to lab immediately at room temperature
Offsite: Separate serum from cells ASAP. Transport 0.5 mL serum/plasma. Ship serum/plasma to lab frozen.

Stability (from collection to initiation)

.

Remarks

Acylcarnitines are identifed by mass-to-charge ratios as having the chain lengths below:
C2, C3, C4, C5, C6, hydroxy-C6, C8:1, C10:1, C10, C5 dicarboxylate, C12:1, C12, hydroxy-C12, C14:2, C14:1, C14, hydroxy-C14:, hydroxy-C14, C16:1, C16, hydroxy-C16:1,

Performed by

Children's Hospital Colorado Biochemical Genetics Laboratory

Performed

Weekly (Dayshift), day varies

Methodology

Tandem mass spectrometry (MS/MS)

Reported

In 10 days

Synonyms

  • LAB429

Reference Interval

NORMAL

Performed by

Children's Hospital Colorado Biochemical Genetics Laboratory

CPT Codes

82016

Collection

LAB429

Collect

5.0 mL, gold or red top with gel (SST), (clot activator serum).

Pediatric Collection

0.2 mL

Storage/Transport Temperature

Internal: Deliver to lab immediately at room temperature
Offsite: Separate serum from cells ASAP. Transport 0.5 mL serum/plasma. Ship serum/plasma to lab frozen.

Stability (from collection to initiation)

.

Remarks

Acylcarnitines are identifed by mass-to-charge ratios as having the chain lengths below:
C2, C3, C4, C5, C6, hydroxy-C6, C8:1, C10:1, C10, C5 dicarboxylate, C12:1, C12, hydroxy-C12, C14:2, C14:1, C14, hydroxy-C14:, hydroxy-C14, C16:1, C16, hydroxy-C16:1,

Performed by

Children's Hospital Colorado Biochemical Genetics Laboratory

Ordering

Performed

Weekly (Dayshift), day varies

Methodology

Tandem mass spectrometry (MS/MS)

Reported

In 10 days

Synonyms

  • LAB429
Result Interpretation

Reference Interval

NORMAL

Performed by

Children's Hospital Colorado Biochemical Genetics Laboratory

Administrative

CPT Codes

82016

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