PROCALCITONIN - MHC

LAB3704
Effective 12/5/16:  Specimens will be sent to Memorial Hospital Central - Clinical Lab daily (Su-Sa) for same day testing.

Collect

Green with Gel (PST)

Specimen Preparation

Deliver specimen to the Clinical Lab
Offsite: Spin and separeate cells from plasma. Store refigerated and send to Clinical Lab

Pediatric Collection

Minimum volume = 0.5 mL heparinized plasma

Storage/Transport Temperature

Refrigerated/Frozen

Stability (from collection to initiation)

Room Tempterature: Unacceptable
Refrigerated:  48 hours
Frozen: Preferred

Performed by

Memorial Hospital Central - Immunoserology Lab

Performed by

Memorial Hospital Central - Immunoserology Lab

CPT Codes

84145
Collection
LAB3704
Effective 12/5/16:  Specimens will be sent to Memorial Hospital Central - Clinical Lab daily (Su-Sa) for same day testing.

Collect

Green with Gel (PST)

Specimen Preparation

Deliver specimen to the Clinical Lab
Offsite: Spin and separeate cells from plasma. Store refigerated and send to Clinical Lab

Pediatric Collection

Minimum volume = 0.5 mL heparinized plasma

Storage/Transport Temperature

Refrigerated/Frozen

Stability (from collection to initiation)

Room Tempterature: Unacceptable
Refrigerated:  48 hours
Frozen: Preferred

Performed by

Memorial Hospital Central - Immunoserology Lab
Ordering
Result Interpretation

Performed by

Memorial Hospital Central - Immunoserology Lab
Administrative

CPT Codes

84145

PROGESTERONE

LAB529

 

Collect

One 6.0 mL Plain red top tube, no gel.

Pediatric Collection

1.5 mL whole blood.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow sample to clot for 30 minutes prior to centrifugation. Centrifuge within two hours of collection. Place serum in aliquot container. Transport at 2-8 degrees C.

Stability (from collection to initiation)

After centrifugation:

Ambient, 8 hours; Refrigerated, 2 days; Frozen, Unacceptable

Serum aliquot:

Ambient, 8 hours; Refrigerated, 2 days; Frozen (-20 degrees C), Unknown.

Samples that have been thawed and refrozen are not suitable for Progesterone analysis

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Chemiluminescence EIA

Reported

Daily

Synonyms

  • -237
  • LAB529

Interpretive Data

Reporting units ng/mL

Females

Follicular phase 0.2-1.4

Luteal phase 3.3-25.6

Mid luteal phase 4.4-28.0

Postmenopausal <0.8

Males 0.3-1.2

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84144

Collection

LAB529

 

Collect

One 6.0 mL Plain red top tube, no gel.

Pediatric Collection

1.5 mL whole blood.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow sample to clot for 30 minutes prior to centrifugation. Centrifuge within two hours of collection. Place serum in aliquot container. Transport at 2-8 degrees C.

Stability (from collection to initiation)

After centrifugation:

Ambient, 8 hours; Refrigerated, 2 days; Frozen, Unacceptable

Serum aliquot:

Ambient, 8 hours; Refrigerated, 2 days; Frozen (-20 degrees C), Unknown.

Samples that have been thawed and refrozen are not suitable for Progesterone analysis

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Chemiluminescence EIA

Reported

Daily

Synonyms

  • -237
  • LAB529
Result Interpretation

Interpretive Data

Reporting units ng/mL

Females

Follicular phase 0.2-1.4

Luteal phase 3.3-25.6

Mid luteal phase 4.4-28.0

Postmenopausal <0.8

Males 0.3-1.2

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84144

PROINSULIN

LAB1086

 

Collect

Serum separator tube or plain red. Also acceptable: Lavender (EDTA) or pink (K2EDTA).

Patient Preparation

Patient must fast for 12-15 hours prior to collection.

Specimen Preparation

Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.2 mL)

Unacceptable Conditions

Grossly hemolyzed specimens.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

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

Performed

Tue, Thu

Methodology

Quantitative Chemiluminescent Immunoassay

Reported

1-6 days

Synonyms

  • LAB1086
  • PROINS

Ordering Recommendations

Aids in the detection of insulinoma. Do not use to diagnose diabetes mellitus.

Reference Interval

Effective May 19, 2014
AgeReference Interval
0-17 yearsNot established
18 years and olderLess than or equal to 8.0 pmol/L

Interpretive Data

Fasting intact proinsulin values above the reference interval indicate a possible insulin secreting pancreatic tumor (insulinoma) in patients with hypoglycemia. Fasting intact proinsulin values range from 3 to 50 pmol/L in patients with untreated type 2 diabetes.

CPT Codes

84206
Collection

LAB1086

 

Collect

Serum separator tube or plain red. Also acceptable: Lavender (EDTA) or pink (K2EDTA).

Patient Preparation

Patient must fast for 12-15 hours prior to collection.

Specimen Preparation

Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.2 mL)

Unacceptable Conditions

Grossly hemolyzed specimens.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

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

Performed

Tue, Thu

Methodology

Quantitative Chemiluminescent Immunoassay

Reported

1-6 days

Synonyms

  • LAB1086
  • PROINS

Ordering Recommendations

Aids in the detection of insulinoma. Do not use to diagnose diabetes mellitus.
Result Interpretation

Reference Interval

Effective May 19, 2014
AgeReference Interval
0-17 yearsNot established
18 years and olderLess than or equal to 8.0 pmol/L

Interpretive Data

Fasting intact proinsulin values above the reference interval indicate a possible insulin secreting pancreatic tumor (insulinoma) in patients with hypoglycemia. Fasting intact proinsulin values range from 3 to 50 pmol/L in patients with untreated type 2 diabetes.

Administrative

CPT Codes

84206

PROLACTIN

LAB531

 

Collect

One 4.5 mL Green top tube with gel separator (PST).

Pediatric Collection

1.5 mL whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; sample thawed and refrozen.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 30 minutes of collection. Send at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 48 hours; Frozen (-20 degrees C): 3 months.

Remarks

.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Chemiluminescent Immunoassay

Reported

Daily

Synonyms

  • -236
  • LAB531

Reference Interval

Premenopausal Females (<50 Years) 3-27 ng/mL                                          

Postmenopausal Females (>50 Years) 3-20 ng/mL

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84146

Collection

LAB531

 

Collect

One 4.5 mL Green top tube with gel separator (PST).

Pediatric Collection

1.5 mL whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; sample thawed and refrozen.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 30 minutes of collection. Send at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 48 hours; Frozen (-20 degrees C): 3 months.

Remarks

.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Chemiluminescent Immunoassay

Reported

Daily

Synonyms

  • -236
  • LAB531
Result Interpretation

Reference Interval

Premenopausal Females (<50 Years) 3-27 ng/mL                                          

Postmenopausal Females (>50 Years) 3-20 ng/mL

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84146

PROSTATE SPECIFIC AG SCREEN

LAB3019

 

Collect

One 4.5 mL Red or Gold top tube with gel separator (SST).

Pediatric Collection

1.5 mL whole blood.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow sample to clot 30 minutes prior to centrifugation. Centrifuge within two hours of collection. Send at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 3 hours; Refrigerated: 24 hours; Frozen (-20 degrees C): 5 months.

Remarks

This test is intended for annual PSA screening of Medicare Patients Only.

Avoid collection after prostatic manipulation.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Chemiluminescent EIA

Reported

Same Day

Synonyms

  • LAB3019

Reference Interval

Healthy males without prostatectomy: 0.00-4.00 ng/mL

Interpretive Data

PSA values obtained with different assay methods or kits cannot be used interchangeably. This test is performed using the Hybritech/Beckman Access method.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

G0103

Collection

LAB3019

 

Collect

One 4.5 mL Red or Gold top tube with gel separator (SST).

Pediatric Collection

1.5 mL whole blood.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Allow sample to clot 30 minutes prior to centrifugation. Centrifuge within two hours of collection. Send at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 3 hours; Refrigerated: 24 hours; Frozen (-20 degrees C): 5 months.

Remarks

This test is intended for annual PSA screening of Medicare Patients Only.

Avoid collection after prostatic manipulation.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Chemiluminescent EIA

Reported

Same Day

Synonyms

  • LAB3019
Result Interpretation

Reference Interval

Healthy males without prostatectomy: 0.00-4.00 ng/mL

Interpretive Data

PSA values obtained with different assay methods or kits cannot be used interchangeably. This test is performed using the Hybritech/Beckman Access method.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

G0103

PROSTATIC ACID PHOSPHATASE

LAB3173

 

Collect

Serum separator tube.

Patient Preparation

Specimen should be obtained before rectal examination, biopsy, prostatectomy or prostatic massage, since manipulation of the prostate gland may lead to elevated PAP levels persisting up to 24-48 hours.

Specimen Preparation

Allow specimen to clot completely at room temperature. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Specimens refrigerated more than 24 hours or left at room temperature more than 3 hours.

Storage/Transport Temperature

Frozen. Separate specimens must be submitted when multiple tests are ordered.

Stability (from collection to initiation)

After separation from cells: Ambient: 3 hours; Refrigerated: 24 hours; Frozen: 6 months

Performed

Sun-Sat

Methodology

Quantitative Chemiluminescent Immunoassay

Reported

Within 24 hours

Synonyms

  • PAP
  • Acid Phosphatase, Prostatic
  • LAB3173

Ordering Recommendations

Obsolete test for prostate cancer screening; preferred test is Prostate Specific Antigen, Total (0070121) in conjunction with digital rectal exam.

Reference Interval

0.0-3.5 ng/mL

Interpretive Data

The Siemens Immulite 2000 PAP chemiluminescent immunoassay method is used. Results obtained with different assay methods or kits cannot be used interchangeably. PAP may be of some use in predicting disease recurrence or monitoring treatment effects. It has little clinical utility as a screening test for prostate cancer. Prostate specific antigen (PSA) is the preferred test for prostate cancer screening, monitoring, and predicting outcomes. Benign prostatic hyperplasia, prostate massage, and prostatic infarction may result in elevated PAP concentrations. The PAP assay value, regardless of level, should not be interpreted as absolute evidence for the presence or absence of malignant disease.

CPT Codes

84066
Collection

LAB3173

 

Collect

Serum separator tube.

Patient Preparation

Specimen should be obtained before rectal examination, biopsy, prostatectomy or prostatic massage, since manipulation of the prostate gland may lead to elevated PAP levels persisting up to 24-48 hours.

Specimen Preparation

Allow specimen to clot completely at room temperature. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Unacceptable Conditions

Specimens refrigerated more than 24 hours or left at room temperature more than 3 hours.

Storage/Transport Temperature

Frozen. Separate specimens must be submitted when multiple tests are ordered.

Stability (from collection to initiation)

After separation from cells: Ambient: 3 hours; Refrigerated: 24 hours; Frozen: 6 months
Ordering

Performed

Sun-Sat

Methodology

Quantitative Chemiluminescent Immunoassay

Reported

Within 24 hours

Synonyms

  • PAP
  • Acid Phosphatase, Prostatic
  • LAB3173

Ordering Recommendations

Obsolete test for prostate cancer screening; preferred test is Prostate Specific Antigen, Total (0070121) in conjunction with digital rectal exam.
Result Interpretation

Reference Interval

0.0-3.5 ng/mL

Interpretive Data

The Siemens Immulite 2000 PAP chemiluminescent immunoassay method is used. Results obtained with different assay methods or kits cannot be used interchangeably. PAP may be of some use in predicting disease recurrence or monitoring treatment effects. It has little clinical utility as a screening test for prostate cancer. Prostate specific antigen (PSA) is the preferred test for prostate cancer screening, monitoring, and predicting outcomes. Benign prostatic hyperplasia, prostate massage, and prostatic infarction may result in elevated PAP concentrations. The PAP assay value, regardless of level, should not be interpreted as absolute evidence for the presence or absence of malignant disease.

Administrative

CPT Codes

84066

PROTEIN C (CLOTTING)

LAB3064

 

Collect

Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.

Specimen Preparation

Transfer 1.5 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 1 mL)

Unacceptable Conditions

Serum. EDTA plasma, clotted or hemolyzed specimens.

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 4 hours; Refrigerated: Unacceptable; Frozen at -20°C: 3 months, at -70°C: 6 months

Performed by

Performed at ARUP Laboratories

Performed

Sun-Sat

Methodology

Electromagnetic Mechanical Clot Detection

Reported

1-2 days

Synonyms

  • LAB3064
  • Protein C Activity
  • Protein C, Functional, Plasma
  • Functional Protein C
  • PROT C F

Ordering Recommendations

Recommended test to detect protein C deficiency. Do not order if individual has been on warfarin in the previous 2-4 weeks.

Reference Interval

Effective November 17, 2014
AgeReference Interval
1-4 days17-53%
5-29 days20-64%
30-89 days21-65%
90-179 days28-80%
180-364 days37-81%
1-6 years40-92%
7-9 years70-142%
10-11 years68-143%
12-13 years66-162%
14-15 years69-170%
16-17 years70-171%
18 years and older83-168%

Interpretive Data

Patients on warfarin may have decreased protein C values. Patients should be off warfarin therapy for two weeks for accurate measurement of protein C levels. Artificially increased functional protein C values may be due to heparin therapy or the presence of direct thrombin inhibitors or factor Xa inhibitors.

Performed by

Performed at ARUP Laboratories

CPT Codes

85303
Collection

LAB3064

 

Collect

Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.

Specimen Preparation

Transfer 1.5 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 1 mL)

Unacceptable Conditions

Serum. EDTA plasma, clotted or hemolyzed specimens.

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 4 hours; Refrigerated: Unacceptable; Frozen at -20°C: 3 months, at -70°C: 6 months

Performed by

Performed at ARUP Laboratories

Ordering

Performed

Sun-Sat

Methodology

Electromagnetic Mechanical Clot Detection

Reported

1-2 days

Synonyms

  • LAB3064
  • Protein C Activity
  • Protein C, Functional, Plasma
  • Functional Protein C
  • PROT C F

Ordering Recommendations

Recommended test to detect protein C deficiency. Do not order if individual has been on warfarin in the previous 2-4 weeks.
Result Interpretation

Reference Interval

Effective November 17, 2014
AgeReference Interval
1-4 days17-53%
5-29 days20-64%
30-89 days21-65%
90-179 days28-80%
180-364 days37-81%
1-6 years40-92%
7-9 years70-142%
10-11 years68-143%
12-13 years66-162%
14-15 years69-170%
16-17 years70-171%
18 years and older83-168%

Interpretive Data

Patients on warfarin may have decreased protein C values. Patients should be off warfarin therapy for two weeks for accurate measurement of protein C levels. Artificially increased functional protein C values may be due to heparin therapy or the presence of direct thrombin inhibitors or factor Xa inhibitors.

Performed by

Performed at ARUP Laboratories

Administrative

CPT Codes

85303

PROTEIN C ACTIVITY

LAB489

 

Collect

One 2.7 mL Blue top tube (sodium citrate 3.2%). Fill tube to at least 90% capacity.

All blue tops collected for coagulation assays which do not have a blood culture collected first must have a discard tube collected prior to filling. Discard tube should be another blue top in which greater than 1 mL of blood is collected.

Pediatric Collection

0.3 mL platelet poor plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; more than 4 hours since collection; clotted sample; hemolysed sample; tube fill volume less than 90% or greater than 110%; sample diluted with I.V. fluid.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge and separate platelet poor plasma from cells as soon as possible. Place plasma in aliquot container and send frozen.

Stability (from collection to initiation)

Whole blood: Ambient, 4 hours.

Platelet poor plasma: Refrigerated, 4 hours; Frozen (-20 degrees C), 2 weeks; Frozen (-70 degrees C), 6 months.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Performed

Monday and Thursday, day shift

Methodology

Chromogenic assay

Reported

Same day

Synonyms

  • -292
  • LAB489

Reference Interval

Effective 01/11/2016:

75 - 162%

Before 01/11/2016:

83.0-163.0 U/dL

Interpretive Data

Reference range established using 3.2% sodium citrate. Patient history is helpful for interpretation of result. A decrease in Protein C activity may be seen in hereditary deficiency of Protein C , or may be acquired.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

CPT Codes

85303

Collection

LAB489

 

Collect

One 2.7 mL Blue top tube (sodium citrate 3.2%). Fill tube to at least 90% capacity.

All blue tops collected for coagulation assays which do not have a blood culture collected first must have a discard tube collected prior to filling. Discard tube should be another blue top in which greater than 1 mL of blood is collected.

Pediatric Collection

0.3 mL platelet poor plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; more than 4 hours since collection; clotted sample; hemolysed sample; tube fill volume less than 90% or greater than 110%; sample diluted with I.V. fluid.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge and separate platelet poor plasma from cells as soon as possible. Place plasma in aliquot container and send frozen.

Stability (from collection to initiation)

Whole blood: Ambient, 4 hours.

Platelet poor plasma: Refrigerated, 4 hours; Frozen (-20 degrees C), 2 weeks; Frozen (-70 degrees C), 6 months.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Ordering

Performed

Monday and Thursday, day shift

Methodology

Chromogenic assay

Reported

Same day

Synonyms

  • -292
  • LAB489
Result Interpretation

Reference Interval

Effective 01/11/2016:

75 - 162%

Before 01/11/2016:

83.0-163.0 U/dL

Interpretive Data

Reference range established using 3.2% sodium citrate. Patient history is helpful for interpretation of result. A decrease in Protein C activity may be seen in hereditary deficiency of Protein C , or may be acquired.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

Administrative

CPT Codes

85303

PROTEIN S ACTIVITY

LAB3575

S ACT

 

Collect

One 2.7 mL Blue top tube (sodium citrate 3.2%).

All blue tops collected for coagulation assays which do not have a blood culture collected first must have a discard tube collected prior to filling.  Discard tube should be another blue top in which greater than 1 mL of blood is collected.

Pediatric Collection

0.3 mL platelet poor plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; more than 4 hours since collection; clotted sample;hemolysed sample; tube fill volume less than 90% or greater than 110%; sample diluted/contaminated with I.V. fluid.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge and separate platelet poor plasma from cells as soon as possible. Place plasma in aliquot container and send frozen.

Stability (from collection to initiation)

Whole blood: Ambient temperature, 4 hours.

Platelet poor plasma: Refrigerated, 4 hours; Frozen (-20 degrees C), 2 weeks; Frozen (-70 degrees C), 6 months.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

 

Performed

Tuesday, day shift only

Methodology

Clotting assay

Reported

Same day

Synonyms

  • S CLOT
  • -368
  • LAB3575

Reference Interval

Effective 01/11/2016:

55 - 144%

Before 01/11/2016:

52.0-132.0 U/dL

Interpretive Data

Reference range established using 3.2% sodium citrate. Patient history is helpful for interpretation of result. Protein S by clot based test methodology may be decreased in hereditary Protein S deficiency or as an acquired phenomena secondary to numerous conditions.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

 

CPT Codes

85306

Collection

LAB3575

S ACT

 

Collect

One 2.7 mL Blue top tube (sodium citrate 3.2%).

All blue tops collected for coagulation assays which do not have a blood culture collected first must have a discard tube collected prior to filling.  Discard tube should be another blue top in which greater than 1 mL of blood is collected.

Pediatric Collection

0.3 mL platelet poor plasma.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; more than 4 hours since collection; clotted sample;hemolysed sample; tube fill volume less than 90% or greater than 110%; sample diluted/contaminated with I.V. fluid.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge and separate platelet poor plasma from cells as soon as possible. Place plasma in aliquot container and send frozen.

Stability (from collection to initiation)

Whole blood: Ambient temperature, 4 hours.

Platelet poor plasma: Refrigerated, 4 hours; Frozen (-20 degrees C), 2 weeks; Frozen (-70 degrees C), 6 months.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

 

Ordering

Performed

Tuesday, day shift only

Methodology

Clotting assay

Reported

Same day

Synonyms

  • S CLOT
  • -368
  • LAB3575
Result Interpretation

Reference Interval

Effective 01/11/2016:

55 - 144%

Before 01/11/2016:

52.0-132.0 U/dL

Interpretive Data

Reference range established using 3.2% sodium citrate. Patient history is helpful for interpretation of result. Protein S by clot based test methodology may be decreased in hereditary Protein S deficiency or as an acquired phenomena secondary to numerous conditions.

Performed by

PCL Clinical Laboratory - Specials (Coagulation)

 

Administrative

CPT Codes

85306

PROTEIN SERUM ELECT W REFLEX IFE

LAB119

SPEP and SPEP Total Protein

Collect

Two 7.0 mL gold or red top with gel (SST), (clot activator serum).

Pediatric Collection

Minimum volume:
2 gold top tubes, each with 3.0 mL whole blood, OR
2 aliquot tubes, each with 1.5 mL serum.
 

Unacceptable Conditions

Any plasma samples; specimen not properly identified; insufficient sample volume.

Storage/Transport Temperature

Two labels will print.  Collect blood in two gold top tubes.

Internal:
Deliver to lab immediately at ambient temperature.
Offsite: If delivered within 24 hours after collection: allow to clot 30 minutes, immediately centrifuge, transport to lab at 2-8 degrees C.

If delivered more than 24 hours after collection: allow to clot 30 minutes, immediately centrifuge, place 1.5 mL of serum in each of two aliquot containers and transport to lab frozen.

Stability (from collection to initiation)

Before centrifugation: 1 hour.

After centrifugation: Ambient, 8 hours; Refrigerated, 24 hours.

Serum aliquot: Ambient, 4 days; Refrigerated, 2 weeks; Frozen (-20 degrees C), 6 months.

Remarks


Serum Protein Electrophoresis (SPEP) and Total Protein are performed, and Immunofixation Electrophoresis (IFE) is also authorized to be performed when indicated.

Performed by

PCL Clinical Laboratory - Special Chemistry

Notes

Any Serum Protein Electrophoresis (SPEP) order that is placed within 3 days of a prior SPEP will be considered a duplicate order and will be cancelled. Due to the half-life of serum proteins, meaningful changes in SPEP results do not occur in less than 3 days.

Performed

Monday and Wednesday

Methodology

Serum protein electrophoresis. Immunofixation electrophoresis (IFE).

Reported

Within 5 days

Synonyms

  • SERUM PROTEIN ELECTROPHORESIS
  • LAB119
  • SPEP

Reference Interval

Component Sex From Age To Age Normal Low Normal High Units
PROTEIN TOTAL, SERUM/PLASMA M/F 1M 150 6.4 8.9 g/dL
ALB FRACT M/F 0 150 3.3 4.4 g/dL
ALPHA 1 M/F 0 150 0.10 0.30 g/dL
ALPHA 2 M/F 0 150 0.6 1.1 g/dL
BETA M/F 0 150 0.6 1.2 g/dL
GAMMA M/F 0 150 0.5 1.6 g/dL

Performed by

PCL Clinical Laboratory - Special Chemistry

CPT Codes

84165 Protein Electrophoresis; and if indicated 86334 IFE serum.

Collection

LAB119

SPEP and SPEP Total Protein

Collect

Two 7.0 mL gold or red top with gel (SST), (clot activator serum).

Pediatric Collection

Minimum volume:
2 gold top tubes, each with 3.0 mL whole blood, OR
2 aliquot tubes, each with 1.5 mL serum.
 

Unacceptable Conditions

Any plasma samples; specimen not properly identified; insufficient sample volume.

Storage/Transport Temperature

Two labels will print.  Collect blood in two gold top tubes.

Internal:
Deliver to lab immediately at ambient temperature.
Offsite: If delivered within 24 hours after collection: allow to clot 30 minutes, immediately centrifuge, transport to lab at 2-8 degrees C.

If delivered more than 24 hours after collection: allow to clot 30 minutes, immediately centrifuge, place 1.5 mL of serum in each of two aliquot containers and transport to lab frozen.

Stability (from collection to initiation)

Before centrifugation: 1 hour.

After centrifugation: Ambient, 8 hours; Refrigerated, 24 hours.

Serum aliquot: Ambient, 4 days; Refrigerated, 2 weeks; Frozen (-20 degrees C), 6 months.

Remarks


Serum Protein Electrophoresis (SPEP) and Total Protein are performed, and Immunofixation Electrophoresis (IFE) is also authorized to be performed when indicated.

Performed by

PCL Clinical Laboratory - Special Chemistry

Notes

Any Serum Protein Electrophoresis (SPEP) order that is placed within 3 days of a prior SPEP will be considered a duplicate order and will be cancelled. Due to the half-life of serum proteins, meaningful changes in SPEP results do not occur in less than 3 days.

Ordering

Performed

Monday and Wednesday

Methodology

Serum protein electrophoresis. Immunofixation electrophoresis (IFE).

Reported

Within 5 days

Synonyms

  • SERUM PROTEIN ELECTROPHORESIS
  • LAB119
  • SPEP
Result Interpretation

Reference Interval

Component Sex From Age To Age Normal Low Normal High Units
PROTEIN TOTAL, SERUM/PLASMA M/F 1M 150 6.4 8.9 g/dL
ALB FRACT M/F 0 150 3.3 4.4 g/dL
ALPHA 1 M/F 0 150 0.10 0.30 g/dL
ALPHA 2 M/F 0 150 0.6 1.1 g/dL
BETA M/F 0 150 0.6 1.2 g/dL
GAMMA M/F 0 150 0.5 1.6 g/dL

Performed by

PCL Clinical Laboratory - Special Chemistry

Administrative

CPT Codes

84165 Protein Electrophoresis; and if indicated 86334 IFE serum.

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