RESPIRATORY FA - ADULT

LAB3231
RESPFA

 

Collect

2.0 mL nasal wash, aspirate, or BAL (bronchial alveolar lavage) in a sterile container.

Pediatric Collection

1.0 mL minimum volume.

Unacceptable Conditions

Specimen improperly identified; incorrect container; insufficient sample volume; frozen specimen; specimen with no epithelial cells; excessively mucoid or bloody specimens.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport same day, refrigerated or on ice.

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 72 hours.

Remarks

This test will detect Influenza A, Influenza B, and Adenovirus.

Blood and mucus may cause interference. Samples collected on swabs may give suboptimal results.

Performed by

PCL Clinical Laboratory - Virology

Performed

Daily 7:00 AM - 11:00 AM

Methodology

Immunofluorescence

Reported

Same day if sample received within specified testing hours.

Next day if received after specified testing hours.

Synonyms

  • LAB3231
  • RESPFA

Performed by

PCL Clinical Laboratory - Virology

CPT Codes

87260; 87275; 87276

Collection

LAB3231
RESPFA

 

Collect

2.0 mL nasal wash, aspirate, or BAL (bronchial alveolar lavage) in a sterile container.

Pediatric Collection

1.0 mL minimum volume.

Unacceptable Conditions

Specimen improperly identified; incorrect container; insufficient sample volume; frozen specimen; specimen with no epithelial cells; excessively mucoid or bloody specimens.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport same day, refrigerated or on ice.

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 72 hours.

Remarks

This test will detect Influenza A, Influenza B, and Adenovirus.

Blood and mucus may cause interference. Samples collected on swabs may give suboptimal results.

Performed by

PCL Clinical Laboratory - Virology

Ordering

Performed

Daily 7:00 AM - 11:00 AM

Methodology

Immunofluorescence

Reported

Same day if sample received within specified testing hours.

Next day if received after specified testing hours.

Synonyms

  • LAB3231
  • RESPFA
Result Interpretation

Performed by

PCL Clinical Laboratory - Virology

Administrative

CPT Codes

87260; 87275; 87276

RESPIRATORY FA - PEDIATRIC

LAB3232
RESPFP

Collect

2.0 mL nasal wash, aspirate, or BAL (bronchial alveolar lavage) in a sterile container.

Pediatric Collection

1.0 mL minimum volume.

Unacceptable Conditions

Specimen improperly identified; incorrect container; insufficient sample volume; frozen specimen; specimen with no epithelial cells; excessively mucoid or bloody specimen.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport same day, refrigerated or on ice.

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 72 hours.

Remarks

This test will detect Parainfluenza 1, Parainfluenza 2, Parainfluenza 3, and Respiratory Syncytial Virus.

Blood and mucus may cause interference. Samples collected on swabs may give suboptimal results.

Performed by

PCL Clinical Laboratory - Virology

Performed

Daily 7:00 AM - 11:00 AM

Methodology

Immunofluorescence

Reported

Same day if sample is received within specified testing hours.

Next day if sample is received after specified testing hours.

Synonyms

  • LAB3232
  • RESPFP

Performed by

PCL Clinical Laboratory - Virology

CPT Codes

87279 (3); 87280

Collection

LAB3232
RESPFP

Collect

2.0 mL nasal wash, aspirate, or BAL (bronchial alveolar lavage) in a sterile container.

Pediatric Collection

1.0 mL minimum volume.

Unacceptable Conditions

Specimen improperly identified; incorrect container; insufficient sample volume; frozen specimen; specimen with no epithelial cells; excessively mucoid or bloody specimen.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport same day, refrigerated or on ice.

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 72 hours.

Remarks

This test will detect Parainfluenza 1, Parainfluenza 2, Parainfluenza 3, and Respiratory Syncytial Virus.

Blood and mucus may cause interference. Samples collected on swabs may give suboptimal results.

Performed by

PCL Clinical Laboratory - Virology

Ordering

Performed

Daily 7:00 AM - 11:00 AM

Methodology

Immunofluorescence

Reported

Same day if sample is received within specified testing hours.

Next day if sample is received after specified testing hours.

Synonyms

  • LAB3232
  • RESPFP
Result Interpretation

Performed by

PCL Clinical Laboratory - Virology

Administrative

CPT Codes

87279 (3); 87280

RESPIRATORY PANEL REGION 11 IGE - ALLERGENS

LAB8707

Collect

Serum separator tube. Multiple specimen tubes should be avoided.

Patient Preparation

Multiple patient encounters should be avoided.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport Tube. (Min: 1.4 mL)

Unacceptable Conditions

Hemolyzed, icteric, or lipemic specimens.

Storage/Transport Temperature

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year

Remarks

Refrigerated.

Notes

Allergens included in this panel: Alder Tree, Alternaria alternata (tenuis), Aspergillus fumigatus, Bermuda Grass, Box Elder/Maple Tree, Cat Dander, Cockroach (German), Common Short Ragweed, Cottonwood Tree, D. farinae (mites), D. Pteronyssinus (mites), Dog Dander, Elm Tree, Hormodendrum (Cladosporium), Milk (Cow's), Mouse Epithelium, Mountain Cedar (Juniper) Tree, Mucor racemosus, Mugwort, Oak Tree, Olive Tree, Peanut, Penicillium notatum, Pigweed, Russian Thistle, Sheep Sorrel (Dock), Timothy Grass, White Mulberry Tree, and IgE Serum Total.

Performed

Sun-Sat

Methodology

Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Reported

1-2 days

Synonyms

  • ALLERGENS - INHALANT REGION 11
  • LAB8707

Reference Interval

Effective November 17, 2014
Reference Intervals for all Components
Reporting Range
(reported in kU/L)
Probability of IgE Mediated
Clinical Reaction
Class Scoring
Less than 0.10No significant level detected0
0.10-0.34Clinical relevance undetermined0/1
0.35-0.70Low1
0.71-3.50Moderate2
3.51-17.50High3
17.51 - 50.00Very High4
50.01 - 100.00Very High5
Greater than 100.00Very High6

Components
Reference Interval
Immunoglobulin EEffective November 17, 2014
Age
Reference Interval
0-5 months13 kU/L or less
6-12 months34 kU/L or less
1-2 years97 kU/L or less
3 years199 kU/L or less
4-6 years307 kU/L or less
7-8 years403 kU/L or less
9-12 years696 kU/L or less
13-15 years629 kU/L or less
16-17 years537 kU/L or less
18 years and older214 kU/L or less


Interpretive Data

Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis.

CPT Codes

86003 x28; 82785
Collection

LAB8707

Collect

Serum separator tube. Multiple specimen tubes should be avoided.

Patient Preparation

Multiple patient encounters should be avoided.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport Tube. (Min: 1.4 mL)

Unacceptable Conditions

Hemolyzed, icteric, or lipemic specimens.

Storage/Transport Temperature

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year

Remarks

Refrigerated.

Notes

Allergens included in this panel: Alder Tree, Alternaria alternata (tenuis), Aspergillus fumigatus, Bermuda Grass, Box Elder/Maple Tree, Cat Dander, Cockroach (German), Common Short Ragweed, Cottonwood Tree, D. farinae (mites), D. Pteronyssinus (mites), Dog Dander, Elm Tree, Hormodendrum (Cladosporium), Milk (Cow's), Mouse Epithelium, Mountain Cedar (Juniper) Tree, Mucor racemosus, Mugwort, Oak Tree, Olive Tree, Peanut, Penicillium notatum, Pigweed, Russian Thistle, Sheep Sorrel (Dock), Timothy Grass, White Mulberry Tree, and IgE Serum Total.
Ordering

Performed

Sun-Sat

Methodology

Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Reported

1-2 days

Synonyms

  • ALLERGENS - INHALANT REGION 11
  • LAB8707
Result Interpretation

Reference Interval

Effective November 17, 2014
Reference Intervals for all Components
Reporting Range
(reported in kU/L)
Probability of IgE Mediated
Clinical Reaction
Class Scoring
Less than 0.10No significant level detected0
0.10-0.34Clinical relevance undetermined0/1
0.35-0.70Low1
0.71-3.50Moderate2
3.51-17.50High3
17.51 - 50.00Very High4
50.01 - 100.00Very High5
Greater than 100.00Very High6

Components
Reference Interval
Immunoglobulin EEffective November 17, 2014
Age
Reference Interval
0-5 months13 kU/L or less
6-12 months34 kU/L or less
1-2 years97 kU/L or less
3 years199 kU/L or less
4-6 years307 kU/L or less
7-8 years403 kU/L or less
9-12 years696 kU/L or less
13-15 years629 kU/L or less
16-17 years537 kU/L or less
18 years and older214 kU/L or less


Interpretive Data

Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis.

Administrative

CPT Codes

86003 x28; 82785

RESPIRATORY VIRAL CULTURE PANEL

LAB8907
CRRVSV, CRRVTB

Collect

Nasopharyngeal (NP) or throat swab submitted in viral transport media; or 3 mL nasal wash/aspirate, bronchial alveolar lavage (BAL), tracheal aspirate, sputum, or pleural fluid in a sterile container; or respiratory tissue/biopsy in viral transport media.

 

Click here for nasopharyngeal and nasal wash specimen collection instructions.

 

Pediatric Collection

2 mL minimum volume.

Unacceptable Conditions

Dry swab (not in viral transport media); wooden-shafted or calcium alginate swab; sample not properly identified; incorrect container; insufficient sample volume;non-respiratory specimens; specimens not refrigerated/frozen at indicated temperatures.

Storage/Transport Temperature

Internal: Deliver to lab immediately on ice.
Offsite: Transport same day refrigerated or on ice. If delivery is not expected within 24 hours, freeze at -70 degrees C and ship on dry ice.

Stability (from collection to initiation)

Temperature-labile organisms

Refrigerated: 24 hours; Frozen (-70 degrees C): Greater than 24 hours.

Remarks

This panel consistes of the following tests:

  • Respiratory Viral SV Culture
  • Respiratory Viral Tube Culture

Specimens should be collected during early onset of illness and delivered to the laboratory as soon as possible.

Performed by

PCL Clinical Laboratory - Virology

Performed

Daily. Specimens received after 1:30 PM will be processed on the following day.

Methodology

Spin-enhanced tissue culture and immunofluorescence at 48 hours for Influenza A, Influenza B, Parainfluenza 1, Parainfluenza 2, Parainfluenza 3, Respiratory Syncytial Virus and Adenovirus.

Reported

Rapid shell vial culture: 2 days; Tube culture: 18 days.

Synonyms

  • CRRVSV
  • CRRVTB

Performed by

PCL Clinical Laboratory - Virology

CPT Codes

87252; 87254 (7). Additional charges are possible based on findings.

Collection

LAB8907
CRRVSV, CRRVTB

Collect

Nasopharyngeal (NP) or throat swab submitted in viral transport media; or 3 mL nasal wash/aspirate, bronchial alveolar lavage (BAL), tracheal aspirate, sputum, or pleural fluid in a sterile container; or respiratory tissue/biopsy in viral transport media.

 

Click here for nasopharyngeal and nasal wash specimen collection instructions.

 

Pediatric Collection

2 mL minimum volume.

Unacceptable Conditions

Dry swab (not in viral transport media); wooden-shafted or calcium alginate swab; sample not properly identified; incorrect container; insufficient sample volume;non-respiratory specimens; specimens not refrigerated/frozen at indicated temperatures.

Storage/Transport Temperature

Internal: Deliver to lab immediately on ice.
Offsite: Transport same day refrigerated or on ice. If delivery is not expected within 24 hours, freeze at -70 degrees C and ship on dry ice.

Stability (from collection to initiation)

Temperature-labile organisms

Refrigerated: 24 hours; Frozen (-70 degrees C): Greater than 24 hours.

Remarks

This panel consistes of the following tests:

  • Respiratory Viral SV Culture
  • Respiratory Viral Tube Culture

Specimens should be collected during early onset of illness and delivered to the laboratory as soon as possible.

Performed by

PCL Clinical Laboratory - Virology

Ordering

Performed

Daily. Specimens received after 1:30 PM will be processed on the following day.

Methodology

Spin-enhanced tissue culture and immunofluorescence at 48 hours for Influenza A, Influenza B, Parainfluenza 1, Parainfluenza 2, Parainfluenza 3, Respiratory Syncytial Virus and Adenovirus.

Reported

Rapid shell vial culture: 2 days; Tube culture: 18 days.

Synonyms

  • CRRVSV
  • CRRVTB
Result Interpretation

Performed by

PCL Clinical Laboratory - Virology

Administrative

CPT Codes

87252; 87254 (7). Additional charges are possible based on findings.

RESPIRATORY VIRAL PANEL PCR

LAB5187

RESPPCR

 

Collect

Nasopharyngeal (NP) or throat swab submitted in viral transport media; or nasal wash/aspirate, bronchoalveolar lavage (BAL), tracheal aspirate, sputum, or pleural fluid in a sterile container.
Specimen source must be identified on order or requisition.

Click here for nasopharyngeal and nasal wash specimen collection instructions.

Pediatric Collection

1 mL minimum volume.

Unacceptable Conditions

Specimen improperly identified; incorrect container; insufficient sample volume; fixatives present; improper storage temperature.

Storage/Transport Temperature

Internal: Deliver to lab immediately on ice.
Offsite: Transport same day, refrigerated or on ice. If delivery is not expected within 24 hours, freeze at -70 degrees C and ship on dry ice.

Stability (from collection to initiation)

Refrigerated: 24 hours; Frozen (-70 degees C): greater than 24 hours.

Remarks

This test includes qualitative testing for the following:

Adenovirus
Coronavirus 229E, HKU1, NL63, and OC43
Influenza A
Influenza A H3
Influenza A 2009 H1
Influenza A H1
Influenza B
Human Metapneumovirus
Parainfluenza 1, 2, 3, and 4
Respiratory Syncytial Virus
Rhinovirus/Enterovirus
Bordetella pertussis
Chlamydophila pneumoniae
Mycoplasma pneumoniae

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Performed

Monday through Friday

Methodology

Multiplex Film Array

Reported

Within 24 hours on days performed

Synonyms

  • RESPPCR

Reference Interval

Not Detected (negative) 
Detected (positive)

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

CPT Codes

87633, 87798, 87486, 87581

 

Collection

LAB5187

RESPPCR

 

Collect

Nasopharyngeal (NP) or throat swab submitted in viral transport media; or nasal wash/aspirate, bronchoalveolar lavage (BAL), tracheal aspirate, sputum, or pleural fluid in a sterile container.
Specimen source must be identified on order or requisition.

Click here for nasopharyngeal and nasal wash specimen collection instructions.

Pediatric Collection

1 mL minimum volume.

Unacceptable Conditions

Specimen improperly identified; incorrect container; insufficient sample volume; fixatives present; improper storage temperature.

Storage/Transport Temperature

Internal: Deliver to lab immediately on ice.
Offsite: Transport same day, refrigerated or on ice. If delivery is not expected within 24 hours, freeze at -70 degrees C and ship on dry ice.

Stability (from collection to initiation)

Refrigerated: 24 hours; Frozen (-70 degees C): greater than 24 hours.

Remarks

This test includes qualitative testing for the following:

Adenovirus
Coronavirus 229E, HKU1, NL63, and OC43
Influenza A
Influenza A H3
Influenza A 2009 H1
Influenza A H1
Influenza B
Human Metapneumovirus
Parainfluenza 1, 2, 3, and 4
Respiratory Syncytial Virus
Rhinovirus/Enterovirus
Bordetella pertussis
Chlamydophila pneumoniae
Mycoplasma pneumoniae

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Ordering

Performed

Monday through Friday

Methodology

Multiplex Film Array

Reported

Within 24 hours on days performed

Synonyms

  • RESPPCR
Result Interpretation

Reference Interval

Not Detected (negative) 
Detected (positive)

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Administrative

CPT Codes

87633, 87798, 87486, 87581

 

RETICULIN AB, IGA W/REFLEX

LAB773

 

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: 0.15 mL)

Unacceptable Conditions

Plasma. 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)

Notes

IgA class reticulin antibodies are found in dermatitis herpetiformis (25%) and celiac disease (60%), but not in other autoimmune problems. IgG class reticulin antibodies are found in other disease states, especially bullous dermatoses, and sometimes in normal patients.  All positives are titered to endpoint. If Reticulin Antibody is  1:5, then a titer will be added. Additional charges apply.

Performed

Mon-Fri

Methodology

Semi-Quantitative Indirect Fluorescent Antibody

Reported

1-5 days

Synonyms

  • Anti-Reticulin Antibody, IgA
  • LAB773

Ordering Recommendations

Do not use this obsolete test for celiac disease screening. Preferred screening test is Celiac Disease Reflexive Cascade (2008114) or Tissue Transglutaminase (tTG) Antibody, IgA (0097709) for individuals with normal levels of serum IgA.

Reference Interval

Components
Reference Interval
Reticulin Ab, IgA Screen< 1:5  No antibody detected
Reticulin Antibody, IgA Titer< 1:5  No antibody detected

CPT Codes

86255; if reflexed add 86256
Collection

LAB773

 

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: 0.15 mL)

Unacceptable Conditions

Plasma. 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)

Notes

IgA class reticulin antibodies are found in dermatitis herpetiformis (25%) and celiac disease (60%), but not in other autoimmune problems. IgG class reticulin antibodies are found in other disease states, especially bullous dermatoses, and sometimes in normal patients.  All positives are titered to endpoint. If Reticulin Antibody is  1:5, then a titer will be added. Additional charges apply.
Ordering

Performed

Mon-Fri

Methodology

Semi-Quantitative Indirect Fluorescent Antibody

Reported

1-5 days

Synonyms

  • Anti-Reticulin Antibody, IgA
  • LAB773

Ordering Recommendations

Do not use this obsolete test for celiac disease screening. Preferred screening test is Celiac Disease Reflexive Cascade (2008114) or Tissue Transglutaminase (tTG) Antibody, IgA (0097709) for individuals with normal levels of serum IgA.
Result Interpretation

Reference Interval

Components
Reference Interval
Reticulin Ab, IgA Screen< 1:5  No antibody detected
Reticulin Antibody, IgA Titer< 1:5  No antibody detected

Administrative

CPT Codes

86255; if reflexed add 86256

RETICULOCYTE COUNT

LAB296

RETIC

Collect

One 4.0 mL Purple top (EDTA whole blood).

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to laboratory at 2-8 degrees C if transport time is outside of ambient temperature stability guidelines.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Automated Cell Count

Reported

Routine requests are reported within 8 hours.

Synonyms

  • LAB296

Reference Interval

COMPONENT

SEX

FROM AGE

TO AGE

NORMAL LOW

NORMAL HIGH

UNITS

RETICULOCYTE ABSOLUTE CALC

M/F

0

150

0.02

0.10

1012/L

RETICULOCYTE PERCENTAGE

M/F

0

3D

3.0

7.0

%

RETICULOCYTE PERCENTAGE

M/F

3D

150

0.5

1.8

%

IRF

M/F

0

150

1.3

12.8

%

RETICULOCYTE HEMOGLOBIN EQUIVALENT (RET HE)

 M/F

 0

150 

30.0 

38.5 

picograms

Performed by

PCL Clinical Laboratory - Core

CPT Codes

85046

Collection

LAB296

RETIC

Collect

One 4.0 mL Purple top (EDTA whole blood).

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Do not centrifuge. Transport to laboratory at 2-8 degrees C if transport time is outside of ambient temperature stability guidelines.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Automated Cell Count

Reported

Routine requests are reported within 8 hours.

Synonyms

  • LAB296
Result Interpretation

Reference Interval

COMPONENT

SEX

FROM AGE

TO AGE

NORMAL LOW

NORMAL HIGH

UNITS

RETICULOCYTE ABSOLUTE CALC

M/F

0

150

0.02

0.10

1012/L

RETICULOCYTE PERCENTAGE

M/F

0

3D

3.0

7.0

%

RETICULOCYTE PERCENTAGE

M/F

3D

150

0.5

1.8

%

IRF

M/F

0

150

1.3

12.8

%

RETICULOCYTE HEMOGLOBIN EQUIVALENT (RET HE)

 M/F

 0

150 

30.0 

38.5 

picograms

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

85046

RETICULOCYTE HEMOGLOBIN EQUIVALENT

Collect

One 4.0 mL purple top (EDTA whole blood).

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 mL microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; clotted specimen; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.

Offsite: Do not centrifuge. Deliver to lab immediately at ambient temperature. Transport to laboratory at 2-8 degrees C if transport time exceed 24 hours.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Notes

RET HE is a calculated parameter included in the Reticulocyte test group. A Reticulocyte Count (RETIC) will be ordered.

Performed

Daily

Methodology

Calculated parameter

Reported

Routine requests are reported within 8 hours.

Reference Interval

30.0 - 38.5 picograms

Performed by

PCL Clinical Laboratory - Core

CPT Codes

85045 for Reticulocyte Count

Collection

Collect

One 4.0 mL purple top (EDTA whole blood).

Pediatric Collection

At least 0.5 mL whole blood collected in a 1.0 mL microtainer, purple top, EDTA whole blood.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; clotted specimen; frozen sample.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.

Offsite: Do not centrifuge. Deliver to lab immediately at ambient temperature. Transport to laboratory at 2-8 degrees C if transport time exceed 24 hours.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 36 hours; Frozen: Unacceptable.

Performed by

PCL Clinical Laboratory - Core

Notes

RET HE is a calculated parameter included in the Reticulocyte test group. A Reticulocyte Count (RETIC) will be ordered.

Ordering

Performed

Daily

Methodology

Calculated parameter

Reported

Routine requests are reported within 8 hours.

Result Interpretation

Reference Interval

30.0 - 38.5 picograms

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

85045 for Reticulocyte Count

RETINOL BINDING PROTEIN

LAB3177

 

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: 4 hours; Refrigerated: 1 week; Frozen: 2 months

Performed

Mon, Wed, Fri

Methodology

Quantitative Nephelometry

Reported

1-4 days

Synonyms

  • LAB3177
  • RBP

Ordering Recommendations

May be helpful as an indicator of malnutrition, acute and chronic hepatic disease, advanced chronic renal insufficiency, or cystic fibrosis. Assess nephrotic syndrome and protein-losing enteropathy.

Reference Interval

3.0-6.0 mg/dL

CPT Codes

83883
Collection

LAB3177

 

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: 4 hours; Refrigerated: 1 week; Frozen: 2 months
Ordering

Performed

Mon, Wed, Fri

Methodology

Quantitative Nephelometry

Reported

1-4 days

Synonyms

  • LAB3177
  • RBP

Ordering Recommendations

May be helpful as an indicator of malnutrition, acute and chronic hepatic disease, advanced chronic renal insufficiency, or cystic fibrosis. Assess nephrotic syndrome and protein-losing enteropathy.
Result Interpretation

Reference Interval

3.0-6.0 mg/dL
Administrative

CPT Codes

83883

RH IMMUNE GLOBULIN EVAL

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.

Also acceptable: One 4 mL Purple top (EDTA) labeled as above.

Tube must be filled to at least 80% capacity.

Pediatric Collection

3 mL whole blood.

Unacceptable Conditions

Specimen improperly identified; incorrect container; insufficient sample volume; grossly hemolysis.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport at room temperature within 8 hours, or refrigerated within 24 hours.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 24 hours.

Remarks

Sample must be drawn within 72 hours POST delivery.

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)

Performed

Daily

Methodology

Hemagglutination

Reported

Same day

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)
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.

Also acceptable: One 4 mL Purple top (EDTA) labeled as above.

Tube must be filled to at least 80% capacity.

Pediatric Collection

3 mL whole blood.

Unacceptable Conditions

Specimen improperly identified; incorrect container; insufficient sample volume; grossly hemolysis.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport at room temperature within 8 hours, or refrigerated within 24 hours.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 24 hours.

Remarks

Sample must be drawn within 72 hours POST delivery.

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)
Ordering

Performed

Daily

Methodology

Hemagglutination

Reported

Same day
Result Interpretation

Performed by

PCL Clinical Laboratory - Transfusion Service (Blood Bank)
Administrative

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