SODIUM, 24 HOUR URINE

LAB4842

Collect

Timed urine collection in plastic container.
Mandatory collection information: Start date and time and End date and time of collection.
 

Pediatric Collection

Timed urine collection in plastic container. Minimum volume 0.2 mL urine.
Mandatory collection information: Start date and time and End date and time of collection.
 

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately.

Offsite: Transport to laboratory at ambient temperature.

Stability (from collection to initiation)

Ambient: 1 day; Refrigerated: 7 days; Frozen (-20 degrees C): 6 months.

Remarks

Requisition must state date and collection period (start time and end time). Indicate total volume when submitting an aliquot. Refrigerate during collection.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Indirect ISE

Reported

Same day

Reference Interval

Sodium excretion: 40 - 220 mmol/Day

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84300

Collection

LAB4842

Collect

Timed urine collection in plastic container.
Mandatory collection information: Start date and time and End date and time of collection.
 

Pediatric Collection

Timed urine collection in plastic container. Minimum volume 0.2 mL urine.
Mandatory collection information: Start date and time and End date and time of collection.
 

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately.

Offsite: Transport to laboratory at ambient temperature.

Stability (from collection to initiation)

Ambient: 1 day; Refrigerated: 7 days; Frozen (-20 degrees C): 6 months.

Remarks

Requisition must state date and collection period (start time and end time). Indicate total volume when submitting an aliquot. Refrigerate during collection.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Indirect ISE

Reported

Same day

Result Interpretation

Reference Interval

Sodium excretion: 40 - 220 mmol/Day

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84300

SOLUBLE LIVER ANTIGEN IGG ANTIBODY

LAB3458

Collect

Serum separator tube.

Specimen Preparation

Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)

Unacceptable Conditions

Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

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

Performed

Sun, Tue, Thu

Methodology

Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-4 days

Synonyms

  • ANTI-SOLUBLE LIVER ANTIGEN
  • ANTI-SLA
  • LAB3458
  • SOLUBLE LIVE

Additional Technical Information

Ordering Recommendations

Recommended for the evaluation of autoimmune liver disease or hepatitis of unknown etiology.

Reference Interval

0.0-20.0 U: Negative
20.1-24.9 U: Equivocal
Greater than or equal to 25.0 U: Positive

Interpretive Data

The presence of SLA antibodies has almost 100% specificity for autoimmune hepatitis, although only 12-30% have these antibodies.  Thus, a negative SLA IgG test does not rule out autoimmune hepatitis.

CPT Codes

83516
Collection

LAB3458

Collect

Serum separator tube.

Specimen Preparation

Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)

Unacceptable Conditions

Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

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

Performed

Sun, Tue, Thu

Methodology

Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-4 days

Synonyms

  • ANTI-SOLUBLE LIVER ANTIGEN
  • ANTI-SLA
  • LAB3458
  • SOLUBLE LIVE

Additional Technical Information

Ordering Recommendations

Recommended for the evaluation of autoimmune liver disease or hepatitis of unknown etiology.
Result Interpretation

Reference Interval

0.0-20.0 U: Negative
20.1-24.9 U: Equivocal
Greater than or equal to 25.0 U: Positive

Interpretive Data

The presence of SLA antibodies has almost 100% specificity for autoimmune hepatitis, although only 12-30% have these antibodies.  Thus, a negative SLA IgG test does not rule out autoimmune hepatitis.

Administrative

CPT Codes

83516

SOLUBLE TRANSFERRIN RECEPTOR

LAB3178

Collect

Serum separator tube or plasma separator tube. Also acceptable: green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL)

Unacceptable Conditions

Contaminated, severely hemolyzed, icteric, or lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 72 hours; Refrigerated: 1 week; Frozen: 1 month (avoid repeated freeze/thaw cycles)

Performed

Sun-Sat

Methodology

Quantitative Immunoturbidimetry

Reported

Within 24 hours

Synonyms

  • Transferrin Receptor Level
  • LAB3178
  • STR

Reference Interval

Male - 18 years & older: 2.2-5.0 mg/L
Female - 18 years & older: 1.9-4.4 mg/L

Interpretive Data

People of African descent and those residing at 5,200 feet (1,600 meters) above sea level were found to have a 6% higher normal value.  These differences were additive.  Reference intervals have not been established for pregnant females, patients under 18 years of age, and recent or frequent blood donors.

Serum soluble transferrin receptor increases in iron deficiency and is usually unaffected by chronic disease states.  In general, to increase sensitivity and specificity, the measurement of serum soluble transferrin receptor should be performed in combination with other tests of iron status, including ferritin, TIBC, and serum iron (refer to table below).

Tests for Changes in:
Iron Deficiency Anemia
Anemia of Chronic Disease
Iron Deficiency & Anemia of Chronic Disease
FerritinIron StoresLowHighNormal or High
TIBCIron StatusHighLowNormal or High
Serum IronIron StatusLowLowLow
sTfRIron StatusHighNormalHigh

CPT Codes

84238
Collection

LAB3178

Collect

Serum separator tube or plasma separator tube. Also acceptable: green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).

Specimen Preparation

Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL)

Unacceptable Conditions

Contaminated, severely hemolyzed, icteric, or lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 72 hours; Refrigerated: 1 week; Frozen: 1 month (avoid repeated freeze/thaw cycles)
Ordering

Performed

Sun-Sat

Methodology

Quantitative Immunoturbidimetry

Reported

Within 24 hours

Synonyms

  • Transferrin Receptor Level
  • LAB3178
  • STR
Result Interpretation

Reference Interval

Male - 18 years & older: 2.2-5.0 mg/L
Female - 18 years & older: 1.9-4.4 mg/L

Interpretive Data

People of African descent and those residing at 5,200 feet (1,600 meters) above sea level were found to have a 6% higher normal value.  These differences were additive.  Reference intervals have not been established for pregnant females, patients under 18 years of age, and recent or frequent blood donors.

Serum soluble transferrin receptor increases in iron deficiency and is usually unaffected by chronic disease states.  In general, to increase sensitivity and specificity, the measurement of serum soluble transferrin receptor should be performed in combination with other tests of iron status, including ferritin, TIBC, and serum iron (refer to table below).

Tests for Changes in:
Iron Deficiency Anemia
Anemia of Chronic Disease
Iron Deficiency & Anemia of Chronic Disease
FerritinIron StoresLowHighNormal or High
TIBCIron StatusHighLowNormal or High
Serum IronIron StatusLowLowLow
sTfRIron StatusHighNormalHigh

Administrative

CPT Codes

84238

SOMATOSTATIN

LAB1095

Collect

Lavender (EDTA). Collect in a pre-chilled tube.

Specimen Preparation

Separate plasma from cells ASAP. Transfer 1.8 mL plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.6 mL)

Unacceptable Conditions

Thawed specimens. Grossly icteric or lipemic specimens.

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 8 hours; Frozen: 1 month

Performed

Varies

Methodology

Quantitative Extraction/Immunoassay

Reported

7-17 days

Synonyms

  • LAB1095
  • SOMATOST P

Reference Interval

By report

CPT Codes

84307
Collection

LAB1095

Collect

Lavender (EDTA). Collect in a pre-chilled tube.

Specimen Preparation

Separate plasma from cells ASAP. Transfer 1.8 mL plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.6 mL)

Unacceptable Conditions

Thawed specimens. Grossly icteric or lipemic specimens.

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 8 hours; Frozen: 1 month
Ordering

Performed

Varies

Methodology

Quantitative Extraction/Immunoassay

Reported

7-17 days

Synonyms

  • LAB1095
  • SOMATOST P
Result Interpretation

Reference Interval

By report
Administrative

CPT Codes

84307

SPECIAL PROCEDURE - FPIA

Collect

2 mL syringe or vial

Unacceptable Conditions

Insufficient sample, improperly labeled.

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: Deliver to lab.

Remarks

Special procedure for pharmacy

Performed by

PCL Clinical Laboratory

Performed

Daily

Methodology

Fluorescent polarization immunoassay

Reported

Daily

Performed by

PCL Clinical Laboratory

CPT Codes

80101
Collection

Collect

2 mL syringe or vial

Unacceptable Conditions

Insufficient sample, improperly labeled.

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: Deliver to lab.

Remarks

Special procedure for pharmacy

Performed by

PCL Clinical Laboratory
Ordering

Performed

Daily

Methodology

Fluorescent polarization immunoassay

Reported

Daily
Result Interpretation

Performed by

PCL Clinical Laboratory
Administrative

CPT Codes

80101

SPECIAL PROCEDURE - TLC

Collect

2 mL syringe or vial

Unacceptable Conditions

Insufficient sample, improperly labeled.

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: Deliver to lab.

Remarks

Special procedure for pharmacy

Performed by

PCL Clinical Laboratory

Performed

Daily

Methodology

Thin layer chromatography

Reported

Same day

Performed by

PCL Clinical Laboratory

CPT Codes

80100
Collection

Collect

2 mL syringe or vial

Unacceptable Conditions

Insufficient sample, improperly labeled.

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: Deliver to lab.

Remarks

Special procedure for pharmacy

Performed by

PCL Clinical Laboratory
Ordering

Performed

Daily

Methodology

Thin layer chromatography

Reported

Same day
Result Interpretation

Performed by

PCL Clinical Laboratory
Administrative

CPT Codes

80100

SPECIAL STAIN FOR PARASITES

LAB3350

Collect

Fresh stool in sterile container; stool preserved in formalin.

Pediatric Collection

10 mL minimum volume.

Unacceptable Conditions

Specimen not properly identified; incorrevt container; insufficient sample volume; specimen greater than 1 hour old that is not in preservative (see O&P rejection criteria).

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Preserve in 10% formalin and transport same day.

Remarks

Cryptosporidium examination is included in routine ova and parasite exam.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Mon - Fri dayshift

Methodology

Modified Acid Fast Smear

Reported

Next day

Synonyms

  • cryptosporidium

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87207

Collection

LAB3350

Collect

Fresh stool in sterile container; stool preserved in formalin.

Pediatric Collection

10 mL minimum volume.

Unacceptable Conditions

Specimen not properly identified; incorrevt container; insufficient sample volume; specimen greater than 1 hour old that is not in preservative (see O&P rejection criteria).

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Preserve in 10% formalin and transport same day.

Remarks

Cryptosporidium examination is included in routine ova and parasite exam.

Performed by

PCL Clinical Laboratory - Microbiology

Ordering

Performed

Mon - Fri dayshift

Methodology

Modified Acid Fast Smear

Reported

Next day

Synonyms

  • cryptosporidium
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology

Administrative

CPT Codes

87207

SPECIFIC GRAVITY URINE IRIS

LAB3279

Collect

10 mL Random urine in a plastic urine container.

Pediatric Collection

1 mL random urine.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume; timed urine collection; frozen sample; Gray top tube (containing boric acid preservative).

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Refrigerate specimen if it cannot be transported within 2 hours of collection.

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 24 hours.

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt

Methodology

Refractometry

Reported

Same day

Synonyms

  • LAB3279

Reference Interval

1.001-1.035 %

Performed by

PCL Clinical Laboratory - Core

CPT Codes

81003

Collection

LAB3279

Collect

10 mL Random urine in a plastic urine container.

Pediatric Collection

1 mL random urine.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume; timed urine collection; frozen sample; Gray top tube (containing boric acid preservative).

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Refrigerate specimen if it cannot be transported within 2 hours of collection.

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 24 hours.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt

Methodology

Refractometry

Reported

Same day

Synonyms

  • LAB3279
Result Interpretation

Reference Interval

1.001-1.035 %

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

81003

STEM CELL CD34

LAB3056

Collect

One 4.0 mL purple top (EDTA plasma).

CBC must also be collected and submitted with each Stem Cell CD34.

Pediatric Collection

At least 1.0 mL of whole blood collected in a pink top microtainer, (EDTA plasma) or other tube with EDTA anticoagulant.

Unacceptable Conditions

No paired CBC submitted; any anticoagulant other than EDTA; clotted, frozen or hemolyzed specimens; specimen not properly identified; insufficient sample volume.

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 24 hours.

Do not freeze.

Remarks

CBC must be collected and submitted with each Stem Cell CD34.

Performed by

PCL Clinical Laboratory - Flow Cytometry

Performed

Mon - Fri 7a-11p; Sat/Sun dayshift

Methodology

Flow Cytometry

Reported

Same day

Synonyms

  • LAB3056

Performed by

PCL Clinical Laboratory - Flow Cytometry

CPT Codes

86367

Collection

LAB3056

Collect

One 4.0 mL purple top (EDTA plasma).

CBC must also be collected and submitted with each Stem Cell CD34.

Pediatric Collection

At least 1.0 mL of whole blood collected in a pink top microtainer, (EDTA plasma) or other tube with EDTA anticoagulant.

Unacceptable Conditions

No paired CBC submitted; any anticoagulant other than EDTA; clotted, frozen or hemolyzed specimens; specimen not properly identified; insufficient sample volume.

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 24 hours.

Do not freeze.

Remarks

CBC must be collected and submitted with each Stem Cell CD34.

Performed by

PCL Clinical Laboratory - Flow Cytometry

Ordering

Performed

Mon - Fri 7a-11p; Sat/Sun dayshift

Methodology

Flow Cytometry

Reported

Same day

Synonyms

  • LAB3056
Result Interpretation

Performed by

PCL Clinical Laboratory - Flow Cytometry

Administrative

CPT Codes

86367

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