LYSOSOMAL ACID LIPASE ACTIVITY, BLOOD

Not directly orderable in Epic. Order LAB3562 - MISCELLANEOUS TEST:

Test requested;  LYSOSOMAL ACID LIPASE
Phone number: contact for questions
Specimen:  EDTA WHOLE BLOOD (purple top)
 

Collect

Dried Blood Spot (DBS): Whatman 903 Protein Saver Card (filter paper).
Whole blood: Yellow (ACD Solution A). Also Acceptable: Lavender (K2EDTA), Lavender (K3EDTA) or Green (Sodium heparin).

Specimen Preparation

DBS: Whole blood collected on filter paper by direct puncture and dried.
Whole blood collected by venipuncture in Yellow (ACD Solution A) or Lavender (K2EDTA), Lavender (K3EDTA) or Green (Sodium heparin) and then spotted on filter paper and dried.
Allow blood to completely air dry before transporting for a minimum of 4 hours to overnight. Two circles of whole blood. (Min: 1 circle)
Whole Blood: Transport 1 mL whole blood. (Min: 0.5 mL)

Unacceptable Conditions

DBS: Samples transported before blood is dried. Blood not soaked through to the back of the filter paper card. Heavily saturated, clotted, or double-spotted samples. Samples with evidence of milking or squeezing the puncture site or of contamination by alcohol or other liquids.

Storage/Transport Temperature

DBS: Room temperature. Also acceptable: Refrigerated.
Whole Blood:
Refrigerated. Also acceptable: Room temperature.

Stability (from collection to initiation)

DBS: Ambient : 1 week; Refrigerated: 1 week; Frozen: 1 month
Whole Blood: Ambient : 3 days; Refrigerated: 3days; Frozen: Unacceptable

Remarks

Additional information is required: Clinical Indication for testing.

Performed

Varies

Methodology

Quantitative Fluorometry

Reported

3-10 days

Reference Interval

0.50 - 2.30 nmol hydrolyzed/hr/DBS punch

Interpretive Data

Refer to report.
Lysosomal acid lipase activity is reported in nanomoles hydrolyzed per hr per DBS punch.

CPT Codes

82657
Collection
Not directly orderable in Epic. Order LAB3562 - MISCELLANEOUS TEST:

Test requested;  LYSOSOMAL ACID LIPASE
Phone number: contact for questions
Specimen:  EDTA WHOLE BLOOD (purple top)
 

Collect

Dried Blood Spot (DBS): Whatman 903 Protein Saver Card (filter paper).
Whole blood: Yellow (ACD Solution A). Also Acceptable: Lavender (K2EDTA), Lavender (K3EDTA) or Green (Sodium heparin).

Specimen Preparation

DBS: Whole blood collected on filter paper by direct puncture and dried.
Whole blood collected by venipuncture in Yellow (ACD Solution A) or Lavender (K2EDTA), Lavender (K3EDTA) or Green (Sodium heparin) and then spotted on filter paper and dried.
Allow blood to completely air dry before transporting for a minimum of 4 hours to overnight. Two circles of whole blood. (Min: 1 circle)
Whole Blood: Transport 1 mL whole blood. (Min: 0.5 mL)

Unacceptable Conditions

DBS: Samples transported before blood is dried. Blood not soaked through to the back of the filter paper card. Heavily saturated, clotted, or double-spotted samples. Samples with evidence of milking or squeezing the puncture site or of contamination by alcohol or other liquids.

Storage/Transport Temperature

DBS: Room temperature. Also acceptable: Refrigerated.
Whole Blood:
Refrigerated. Also acceptable: Room temperature.

Stability (from collection to initiation)

DBS: Ambient : 1 week; Refrigerated: 1 week; Frozen: 1 month
Whole Blood: Ambient : 3 days; Refrigerated: 3days; Frozen: Unacceptable

Remarks

Additional information is required: Clinical Indication for testing.
Ordering

Performed

Varies

Methodology

Quantitative Fluorometry

Reported

3-10 days
Result Interpretation

Reference Interval

0.50 - 2.30 nmol hydrolyzed/hr/DBS punch

Interpretive Data

Refer to report.
Lysosomal acid lipase activity is reported in nanomoles hydrolyzed per hr per DBS punch.

Administrative

CPT Codes

82657

LYSOZYME SERUM

LAB1133

 

Collect

Serum separator tube (SST).

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.4 mL)

Unacceptable Conditions

Hemolyzed, lipemic, icteric, or contaminated specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 3 months.

Notes

Serum lysozyme levels may be elevated in acute myelomonocytic leukemia (FAB-M4), chronic myelomonocytic leukemia (CMML), and chronic myelocytic leukemia (CML). Increased serum lysozyme activity is present in tuberculosis, sarcoidosis, megaloblastic anemias, acute bacterial infections, ulcerative colitis, regional enteritis, and Crohn disease. Elevated serum lysozyme occurs during severe renal insufficiency, renal transplant rejection, urinary tract infections, pyelonephritis, glomerulonephritis, and nephrosis.

Performed

Sun, Tue, Thu

Methodology

Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-5 days

Synonyms

  • Muramidase, Serum or Body Fluid
  • LAB1133
  • LYSOZYME-ARU
  • LYSOZYME

Ordering Recommendations

Aids in diagnosis of acute myelocytic leukemia or other leukemias, sarcoidosis, and infections such as tuberculosis.

Reference Interval

0.00-2.75 µg/mL

CPT Codes

85549
Collection

LAB1133

 

Collect

Serum separator tube (SST).

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.4 mL)

Unacceptable Conditions

Hemolyzed, lipemic, icteric, or contaminated specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 3 months.

Notes

Serum lysozyme levels may be elevated in acute myelomonocytic leukemia (FAB-M4), chronic myelomonocytic leukemia (CMML), and chronic myelocytic leukemia (CML). Increased serum lysozyme activity is present in tuberculosis, sarcoidosis, megaloblastic anemias, acute bacterial infections, ulcerative colitis, regional enteritis, and Crohn disease. Elevated serum lysozyme occurs during severe renal insufficiency, renal transplant rejection, urinary tract infections, pyelonephritis, glomerulonephritis, and nephrosis.
Ordering

Performed

Sun, Tue, Thu

Methodology

Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-5 days

Synonyms

  • Muramidase, Serum or Body Fluid
  • LAB1133
  • LYSOZYME-ARU
  • LYSOZYME

Ordering Recommendations

Aids in diagnosis of acute myelocytic leukemia or other leukemias, sarcoidosis, and infections such as tuberculosis.
Result Interpretation

Reference Interval

0.00-2.75 µg/mL
Administrative

CPT Codes

85549

LACOSAMIDE - VIMPAT

LAB3459

 

Collect

Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).

Patient Preparation

Timing of specimen collection: Pre-dose (trough) draw - At steady state concentration.

Specimen Preparation

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

Unacceptable Conditions

Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).

Storage/Transport Temperature

Refrigerated: Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 15 days; Refrigerated: 15 days; Frozen: 15 days

Performed

Mon-Fri

Methodology

High Performance Liquid Chromatography/Tandem Mass Spectrometry

Reported

1-4 days

Synonyms

  • VIMPAT
  • LAB3459
  • LACOSA
  • LACOSAMIDE

Additional Technical Information

Ordering Recommendations

Optimize drug therapy and monitor patient adherence.

Reference Interval

Effective February 19, 2013
Reference Interval:
Therapeutic Range:Not well established. Suggested range 5.0-10.0 µg/mL
Dose-related range (values at doses of 200-600 mg/day):2.5-18.0 µg/mL
Toxic LevelNot well established.

Interpretive Data

Adverse effects may include dizziness, fatigue, nausea, vomiting, blurred vision and tremor.

CPT Codes

80339 (Alt code: G0480)
Collection

LAB3459

 

Collect

Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).

Patient Preparation

Timing of specimen collection: Pre-dose (trough) draw - At steady state concentration.

Specimen Preparation

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

Unacceptable Conditions

Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).

Storage/Transport Temperature

Refrigerated: Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 15 days; Refrigerated: 15 days; Frozen: 15 days
Ordering

Performed

Mon-Fri

Methodology

High Performance Liquid Chromatography/Tandem Mass Spectrometry

Reported

1-4 days

Synonyms

  • VIMPAT
  • LAB3459
  • LACOSA
  • LACOSAMIDE

Additional Technical Information

Ordering Recommendations

Optimize drug therapy and monitor patient adherence.
Result Interpretation

Reference Interval

Effective February 19, 2013
Reference Interval:
Therapeutic Range:Not well established. Suggested range 5.0-10.0 µg/mL
Dose-related range (values at doses of 200-600 mg/day):2.5-18.0 µg/mL
Toxic LevelNot well established.

Interpretive Data

Adverse effects may include dizziness, fatigue, nausea, vomiting, blurred vision and tremor.

Administrative

CPT Codes

80339 (Alt code: G0480)

LACTATE DEHYDROGENASE (LDH)

LAB96

LDH

Collect

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

Pediatric Collection

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

Unacceptable Conditions

Frozen sample; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge within 2 hours of collection. For best accuracy, transport to lab at ambient temperature. Do not freeze (see Remarks).

Stability (from collection to initiation)

Before centrifugation: Ambient, 2 hours.

After centrifugation: Ambient, 24 hours; Refrigerated, 24 Hours; Frozen, unacceptable (do not freeze).

Remarks

Maintaining ambient temperature of the sample will provide the most accurate LD result. Freezing the sample will cause an immediate false decrease in LD value of approximately 10%. Refrigerated samples demonstrate a slow decrease of 10% after 24 hours.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Coupled Enzymatic

Reported

Same day

Synonyms

  • LDH

Reference Interval

Effective 05/20/2014:

124 - 271 U/L

 

Before 05/20/2014:

98-192 IU/L

Performed by

PCL Clinical Laboratory - Core

CPT Codes

83615

Collection

LAB96

LDH

Collect

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

Pediatric Collection

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

Unacceptable Conditions

Frozen sample; sample not properly identified; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge within 2 hours of collection. For best accuracy, transport to lab at ambient temperature. Do not freeze (see Remarks).

Stability (from collection to initiation)

Before centrifugation: Ambient, 2 hours.

After centrifugation: Ambient, 24 hours; Refrigerated, 24 Hours; Frozen, unacceptable (do not freeze).

Remarks

Maintaining ambient temperature of the sample will provide the most accurate LD result. Freezing the sample will cause an immediate false decrease in LD value of approximately 10%. Refrigerated samples demonstrate a slow decrease of 10% after 24 hours.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Coupled Enzymatic

Reported

Same day

Synonyms

  • LDH
Result Interpretation

Reference Interval

Effective 05/20/2014:

124 - 271 U/L

 

Before 05/20/2014:

98-192 IU/L

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

83615

LACTATE DEHYDROGENASE (LDH) BODY FLUID

LAB188

LDH BF

 

Collect

1 mL fluid in sterile container.

Pediatric Collection

Minimum volume: 0.2 mL fluid.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; refrigerated or frozen sample; synovial fluid.

Test will be cancelled if the pH of the sample is outside of the acceptable limits for testing.  The pH must be 7.3 - 9.0.

 

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Send at ambient temperature.

Stability (from collection to initiation)

Ambient: 2 days; Refrigerated: Unacceptable; Frozen: Unacceptable.

Remarks

Identify fluid source on requisition. Because of sample viscosity, synovial fluid is not an acceptable sample type.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Coupled Enzymatic

Reported

Same day

Synonyms

  • LAB188
  • LD BF
  • LDH BF

Interpretive Data

Effective 05/20/2014:

The reference range for LDH in body fluids is undefined.  The result must be integrated into the clinical context and/or compared to a synchronous serum or plasma measurement. 
This test was developed and its performance characteristics determined by University of Colorado Hospital.  It has not been cleared or approved by the FDA.  The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

83615

Collection

LAB188

LDH BF

 

Collect

1 mL fluid in sterile container.

Pediatric Collection

Minimum volume: 0.2 mL fluid.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; refrigerated or frozen sample; synovial fluid.

Test will be cancelled if the pH of the sample is outside of the acceptable limits for testing.  The pH must be 7.3 - 9.0.

 

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Send at ambient temperature.

Stability (from collection to initiation)

Ambient: 2 days; Refrigerated: Unacceptable; Frozen: Unacceptable.

Remarks

Identify fluid source on requisition. Because of sample viscosity, synovial fluid is not an acceptable sample type.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Coupled Enzymatic

Reported

Same day

Synonyms

  • LAB188
  • LD BF
  • LDH BF
Result Interpretation

Interpretive Data

Effective 05/20/2014:

The reference range for LDH in body fluids is undefined.  The result must be integrated into the clinical context and/or compared to a synchronous serum or plasma measurement. 
This test was developed and its performance characteristics determined by University of Colorado Hospital.  It has not been cleared or approved by the FDA.  The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

83615

LACTATE DEHYDROGENASE (LDH) CSF

LAB3326

LDH CSF

 

Collect

1 mL of CSF in sterile container.

Pediatric Collection

0.2 mL CSF.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; refrigerated or frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport immediately at ambient temperature.

Stability (from collection to initiation)

Ambient: 2 days; Refrigerated: Unacceptable; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Coupled Enzymatic

Reported

Same day

Synonyms

  • LAB3326
  • LD CSF
  • LDH CSF

Interpretive Data

The reference range for LDH in CSF is undefined.  The result must be integrated into the clinical context and/or compared to a synchronous serum or plasma measurement. 
This test was developed and its performance characteristics determined by University of Colorado Hospital.  It has not been cleared or approved by the FDA.  The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

83615

Collection

LAB3326

LDH CSF

 

Collect

1 mL of CSF in sterile container.

Pediatric Collection

0.2 mL CSF.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; refrigerated or frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport immediately at ambient temperature.

Stability (from collection to initiation)

Ambient: 2 days; Refrigerated: Unacceptable; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Coupled Enzymatic

Reported

Same day

Synonyms

  • LAB3326
  • LD CSF
  • LDH CSF
Result Interpretation

Interpretive Data

The reference range for LDH in CSF is undefined.  The result must be integrated into the clinical context and/or compared to a synchronous serum or plasma measurement. 
This test was developed and its performance characteristics determined by University of Colorado Hospital.  It has not been cleared or approved by the FDA.  The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

83615

LACTATE WHOLE BLOOD ARTERIAL

LAB3637

LACT ART

Collect

At least 1.0 mL arterial whole blood collected in a plastic blood gas syringe with dry balanced heaprin anticoagulant. Immediately remove any syringe air bubbles from collected sample prior to transport.Remove needle prior to transportation.

Also acceptable: One 4.0 mL green top no gel ( Sodium heparin) filled to at least 75% capacity with arterial whole blood.

 

Pediatric Collection

At least 0.3 mL arterial whole blood in plastic tuberculin blood gas syringe with balanced heparin. Immediately remove needle and any syringe air bubbles from sample prior to transport.

Unacceptable Conditions

Sample submitted with needle attached (remove immediately post collection); air bubbles in sample; clotted sample; green top gel tubes; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to laboratory immediately. Maintain at ambient temperature if delivered to the laboratory within 30 minutes of collection. If sample cannot be delivered within 30 minutes, transport at 2-8 degrees C within 1 hour.

Offsite: Utilize emergency courier to provide transport within criteria described above.

Stability (from collection to initiation)

Ambient: 30 minutes, Refrigerated: 60 minutes, Frozen: Unacceptable

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt

Methodology

Enzymatic Ion Selective Electrode

Reported

Within one hour of receipt

Synonyms

  • LAB3637
  • LACT ART

Reference Interval

0.5 - 1.6 mmol/L

Performed by

PCL Clinical Laboratory - Core

CPT Codes

83605

Collection

LAB3637

LACT ART

Collect

At least 1.0 mL arterial whole blood collected in a plastic blood gas syringe with dry balanced heaprin anticoagulant. Immediately remove any syringe air bubbles from collected sample prior to transport.Remove needle prior to transportation.

Also acceptable: One 4.0 mL green top no gel ( Sodium heparin) filled to at least 75% capacity with arterial whole blood.

 

Pediatric Collection

At least 0.3 mL arterial whole blood in plastic tuberculin blood gas syringe with balanced heparin. Immediately remove needle and any syringe air bubbles from sample prior to transport.

Unacceptable Conditions

Sample submitted with needle attached (remove immediately post collection); air bubbles in sample; clotted sample; green top gel tubes; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to laboratory immediately. Maintain at ambient temperature if delivered to the laboratory within 30 minutes of collection. If sample cannot be delivered within 30 minutes, transport at 2-8 degrees C within 1 hour.

Offsite: Utilize emergency courier to provide transport within criteria described above.

Stability (from collection to initiation)

Ambient: 30 minutes, Refrigerated: 60 minutes, Frozen: Unacceptable

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt

Methodology

Enzymatic Ion Selective Electrode

Reported

Within one hour of receipt

Synonyms

  • LAB3637
  • LACT ART
Result Interpretation

Reference Interval

0.5 - 1.6 mmol/L

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

83605

LACTATE WHOLE BLOOD VENOUS

LAB3638

LACT VEN

Collect

At least 1.0 mL venous whole blood collected in a plastic blood gas syringe with dry balanced heaprin anticoagulant. Immediately remove any syringe air bubbles from collected sample prior to transport.Remove needle prior to transportation.

 

Also acceptable: One 4.0 mL green top no gel (sodium heparin) filled to at least 75% capacity with venous whole blood.

Pediatric Collection

At least 0.3 mL venous whole blood in plastic tuberculin blood gas syringe with balanced heparin. Immediately remove needle and any syringe air bubbles from sample prior to transport.

Unacceptable Conditions

Sample submitted with needle attached (remove immediately post collection); air bubbles in sample; clotted sample; green top gel tubes; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to laboratory immediately. Maintain at ambient temperature if delivered to the laboratory within 30 minutes of collection. If sample cannot be delivered within 30 minutes, transport at 2-8 degrees C within 1 hour.

Offsite: Utilize emergency courier to provide transport within criteria

Stability (from collection to initiation)

Ambient: 30 minutes, Refrigerated: 60 minutes, Frozen: Unacceptable

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt

Methodology

Enzymatic Ion Selective Electrode

Reported

Within one hour of receipt

Synonyms

  • LAB3638
  • LACT VEN

Reference Interval

0.5 - 2.2 mmol/L

Performed by

PCL Clinical Laboratory - Core

CPT Codes

83605

Collection

LAB3638

LACT VEN

Collect

At least 1.0 mL venous whole blood collected in a plastic blood gas syringe with dry balanced heaprin anticoagulant. Immediately remove any syringe air bubbles from collected sample prior to transport.Remove needle prior to transportation.

 

Also acceptable: One 4.0 mL green top no gel (sodium heparin) filled to at least 75% capacity with venous whole blood.

Pediatric Collection

At least 0.3 mL venous whole blood in plastic tuberculin blood gas syringe with balanced heparin. Immediately remove needle and any syringe air bubbles from sample prior to transport.

Unacceptable Conditions

Sample submitted with needle attached (remove immediately post collection); air bubbles in sample; clotted sample; green top gel tubes; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to laboratory immediately. Maintain at ambient temperature if delivered to the laboratory within 30 minutes of collection. If sample cannot be delivered within 30 minutes, transport at 2-8 degrees C within 1 hour.

Offsite: Utilize emergency courier to provide transport within criteria

Stability (from collection to initiation)

Ambient: 30 minutes, Refrigerated: 60 minutes, Frozen: Unacceptable

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt

Methodology

Enzymatic Ion Selective Electrode

Reported

Within one hour of receipt

Synonyms

  • LAB3638
  • LACT VEN
Result Interpretation

Reference Interval

0.5 - 2.2 mmol/L

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

83605

LACTOFERRIN, FECAL (QUALITATIVE)

LAB3642

 

Collect

Stool.

Specimen Preparation

Transfer 5 g stool to an unpreserved stool transport vial (ARUP supply #40910). Available online through eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 1 g) Also acceptable: Place 5 g stool in enteric transport media (Cary-Blair) (ARUP Supply #29799). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.

Unacceptable Conditions

Specimens in any transport media than indicated above.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Unpreserved: Ambient: 1 hour; Refrigerated: 2 weeks; Frozen: 2 weeks
Preserved:
Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 2 weeks

Performed

Sun-Sat

Methodology

Qualitative Enzyme-Linked Immunosorbent Assay

Reported

1-2 days

Synonyms

  • FECAL LEUKOCYTES
  • LAB3642
  • Fecal WBC
  • LACTO, FECAL
  • LACTOFERR
  • LACTO

Ordering Recommendations

Do not use to diagnose inflammatory bowel disease (IBD) or irritable bowel syndrome (IBS); may be used for monitoring IBD activity.

Reference Interval

Negative

Interpretive Data

A positive result is indicative of the presence of lactoferrin, a marker for fecal leukocytes.  A negative result does not exclude the presence of intestinal inflammation.

CPT Codes

83630
Collection

LAB3642

 

Collect

Stool.

Specimen Preparation

Transfer 5 g stool to an unpreserved stool transport vial (ARUP supply #40910). Available online through eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 1 g) Also acceptable: Place 5 g stool in enteric transport media (Cary-Blair) (ARUP Supply #29799). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.

Unacceptable Conditions

Specimens in any transport media than indicated above.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Unpreserved: Ambient: 1 hour; Refrigerated: 2 weeks; Frozen: 2 weeks
Preserved:
Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 2 weeks
Ordering

Performed

Sun-Sat

Methodology

Qualitative Enzyme-Linked Immunosorbent Assay

Reported

1-2 days

Synonyms

  • FECAL LEUKOCYTES
  • LAB3642
  • Fecal WBC
  • LACTO, FECAL
  • LACTOFERR
  • LACTO

Ordering Recommendations

Do not use to diagnose inflammatory bowel disease (IBD) or irritable bowel syndrome (IBS); may be used for monitoring IBD activity.
Result Interpretation

Reference Interval

Negative

Interpretive Data

A positive result is indicative of the presence of lactoferrin, a marker for fecal leukocytes.  A negative result does not exclude the presence of intestinal inflammation.

Administrative

CPT Codes

83630

LAMELLAR BODY COUNT

LAB3658

LBC

Collect

Collect 5-10 mL amniotic fluid from an amniocentesis.

At least 0.5 mL amniotic fluid in a clear plastic container, no additive. White top evacuated tubes are acceptable. (Only LBC testing can be performed on this minimum volume).

If the LBC result is indeterminate, the amniotic fluid will be forwarded to a reference lab for L/S Ratio with PG Profile testing

(Minimum volume = 4.0 mL amniotic fluid)

Unacceptable Conditions

Frozen sample; sample contaminated with meconium; sample with hematocrit greater than 1%; sample not properly identified; incorrect container; insufficient sample volume.

Vaginal Pool samples are UNACCEPTABLE for this testing.

Storage/Transport Temperature

Internal: Do not centrifuge. Deliver to lab immediately at ambient temperature.

Offsite: Do not centrifuge. Deliver to lab at ambient temperature.

Stability (from collection to initiation)

Ambient temperature: 1 week; Refrigerated: 1week; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core Hematology

Performed

Daily

Methodology

Impedance

Reported

Same day

Synonyms

  • LAB3658
  • LBC

Interpretive Data

Mature: Greater than or equal to 50 x 109/L

Intermediate: 15 - 49 x 109/L

Immature: Less than or equal to 15 x 109/L

Performed by

PCL Clinical Laboratory - Core Hematology

CPT Codes

83664

Collection

LAB3658

LBC

Collect

Collect 5-10 mL amniotic fluid from an amniocentesis.

At least 0.5 mL amniotic fluid in a clear plastic container, no additive. White top evacuated tubes are acceptable. (Only LBC testing can be performed on this minimum volume).

If the LBC result is indeterminate, the amniotic fluid will be forwarded to a reference lab for L/S Ratio with PG Profile testing

(Minimum volume = 4.0 mL amniotic fluid)

Unacceptable Conditions

Frozen sample; sample contaminated with meconium; sample with hematocrit greater than 1%; sample not properly identified; incorrect container; insufficient sample volume.

Vaginal Pool samples are UNACCEPTABLE for this testing.

Storage/Transport Temperature

Internal: Do not centrifuge. Deliver to lab immediately at ambient temperature.

Offsite: Do not centrifuge. Deliver to lab at ambient temperature.

Stability (from collection to initiation)

Ambient temperature: 1 week; Refrigerated: 1week; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core Hematology

Ordering

Performed

Daily

Methodology

Impedance

Reported

Same day

Synonyms

  • LAB3658
  • LBC
Result Interpretation

Interpretive Data

Mature: Greater than or equal to 50 x 109/L

Intermediate: 15 - 49 x 109/L

Immature: Less than or equal to 15 x 109/L

Performed by

PCL Clinical Laboratory - Core Hematology

Administrative

CPT Codes

83664

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