STERILITY CULTURE

Collect

Inanimate objects, equipment, fluids, air samples in sterile container; or swabs from surfaces or objects.

Pediatric Collection

One swab or 5 mL fluid.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: Transport immediately to the laboratory.

Remarks

Requires instruction or approval by the Infection Control Office. Requisition must state if a specific organism is requested (i.e. MRSA). Order C STER ANA for anaerobic culture.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Daily

Methodology

Aerobic culture

Reported

Varies

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87081
Collection

Collect

Inanimate objects, equipment, fluids, air samples in sterile container; or swabs from surfaces or objects.

Pediatric Collection

One swab or 5 mL fluid.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately
Offsite: Transport immediately to the laboratory.

Remarks

Requires instruction or approval by the Infection Control Office. Requisition must state if a specific organism is requested (i.e. MRSA). Order C STER ANA for anaerobic culture.

Performed by

PCL Clinical Laboratory - Microbiology
Ordering

Performed

Daily

Methodology

Aerobic culture

Reported

Varies
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology
Administrative

CPT Codes

87081

STERILITY CULTURE ANAEROBIC

Collect

Inanimate objects, equipment, fluids, air samples ina sterile container; or swabs from surfaces or objects.

Pediatric Collection

One swab or 5 mL fluid.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport immediately to the laboratory.

Remarks

Requires instruction or approval by the Infection Control Office. Requisition must state if a specific organism is requested (i.e. MRSA). Order C STER for aerobic culture.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Daily

Methodology

Anaerobic culture

Reported

Varies

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87075
Collection

Collect

Inanimate objects, equipment, fluids, air samples ina sterile container; or swabs from surfaces or objects.

Pediatric Collection

One swab or 5 mL fluid.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport immediately to the laboratory.

Remarks

Requires instruction or approval by the Infection Control Office. Requisition must state if a specific organism is requested (i.e. MRSA). Order C STER for aerobic culture.

Performed by

PCL Clinical Laboratory - Microbiology
Ordering

Performed

Daily

Methodology

Anaerobic culture

Reported

Varies
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology
Administrative

CPT Codes

87075

STERILITY PATIENT

Collect

Fluids or materials that come in intimate contact with the patient. Submit 1-5 ml fluid or device to be cultured in a sterile container.

Pediatric Collection

1 mL fluid.

Unacceptable Conditions

Specimens not properly identified; incorrect container; insufficient sample volume; specimens contaminated with normal bacterial flora; specimens submitted Friday through Sunday.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Refrigerate and transport to the lab same day.

Remarks

This test is not used to analyze patient specimens. This test is used to check sterility of products used to treat the patient and which need to be documented on the patient's chart. Contact the laboratory for specific information if needed.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Mon - Thu

Methodology

Aerobic culture

Reported

Varies

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87070
Collection

Collect

Fluids or materials that come in intimate contact with the patient. Submit 1-5 ml fluid or device to be cultured in a sterile container.

Pediatric Collection

1 mL fluid.

Unacceptable Conditions

Specimens not properly identified; incorrect container; insufficient sample volume; specimens contaminated with normal bacterial flora; specimens submitted Friday through Sunday.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Refrigerate and transport to the lab same day.

Remarks

This test is not used to analyze patient specimens. This test is used to check sterility of products used to treat the patient and which need to be documented on the patient's chart. Contact the laboratory for specific information if needed.

Performed by

PCL Clinical Laboratory - Microbiology
Ordering

Performed

Mon - Thu

Methodology

Aerobic culture

Reported

Varies
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology
Administrative

CPT Codes

87070

STERILITY PATIENT ANAEROBIC

Collect

Fluids or materials that come in intimate contact with the patient. Submit 1-5 ml fluid or device to be cultured in a sterile container.

Pediatric Collection

1 mL fluid.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume; specimens contaminated with normal bacterial flora.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Refrigerate and transport to the lab same day.

Remarks

This test is not used to analyze patient specimens. This test is used to check sterility of products used to treat the patient and which need to be documented on the patient's chart. Contact the laboratory for specific information if needed.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Daily

Methodology

Anaerobic culture

Reported

Varies

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87075
Collection

Collect

Fluids or materials that come in intimate contact with the patient. Submit 1-5 ml fluid or device to be cultured in a sterile container.

Pediatric Collection

1 mL fluid.

Unacceptable Conditions

Specimen not properly identified; incorrect container; insufficient sample volume; specimens contaminated with normal bacterial flora.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Refrigerate and transport to the lab same day.

Remarks

This test is not used to analyze patient specimens. This test is used to check sterility of products used to treat the patient and which need to be documented on the patient's chart. Contact the laboratory for specific information if needed.

Performed by

PCL Clinical Laboratory - Microbiology
Ordering

Performed

Daily

Methodology

Anaerobic culture

Reported

Varies
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology
Administrative

CPT Codes

87075

STONE ANALYSIS

LAB564

Collect

Calculus specimen.

Specimen Preparation

Air-dry calculi and transfer to an ARUP Standard Transport Tube. Larger calculi specimens may be transferred to a clean, empty urine cup (150 mL) or similar container.

Unacceptable Conditions

Any collection or shipping container with a needle attached.

Storage/Transport Temperature

Room temperature. Also acceptable: Frozen or refrigerated.

Stability (from collection to initiation)

Ambient: Indefinitely; Refrigerated: Indefitnitely; Frozen: Indefinitely

Remarks

Calculi specimens transported in liquid or contaminated with blood require special handling which will delay analysis.  Specimens that are wrapped in tape or embedded in wax will delay or prevent analysis and should not be submitted.

Notes

Calculi samples that are transported in liquid and received wet or bloody will be dried for 48-72 hours prior to analysis.

Performed

Sun-Sat

Methodology

Quantitative Reflectance Fourier Transform Infrared Spectroscopy/Quantitative Polarizing Microscopy

Reported

1-4 days

Synonyms

  • Urinary Tract Stone
  • Renal Stone
  • Bile Stone
  • Stone (Calculi) Analysis
  • Kidney Stone
  • LAB564

Additional Technical Information

Ordering Recommendations

Determine composition of calculi.

Reference Interval

By report

Interpretive Data

Calculi are the products of physiological processes that yield crystalline compounds in a matrix of biological compounds and blood.  Matrix components are not reported. The clinically significant crystalline components identified in calculi specimens are reported.  Gross description may not be consistant with the composition determined by FTIR analysis.

CPT Codes

82365
Collection

LAB564

Collect

Calculus specimen.

Specimen Preparation

Air-dry calculi and transfer to an ARUP Standard Transport Tube. Larger calculi specimens may be transferred to a clean, empty urine cup (150 mL) or similar container.

Unacceptable Conditions

Any collection or shipping container with a needle attached.

Storage/Transport Temperature

Room temperature. Also acceptable: Frozen or refrigerated.

Stability (from collection to initiation)

Ambient: Indefinitely; Refrigerated: Indefitnitely; Frozen: Indefinitely

Remarks

Calculi specimens transported in liquid or contaminated with blood require special handling which will delay analysis.  Specimens that are wrapped in tape or embedded in wax will delay or prevent analysis and should not be submitted.

Notes

Calculi samples that are transported in liquid and received wet or bloody will be dried for 48-72 hours prior to analysis.
Ordering

Performed

Sun-Sat

Methodology

Quantitative Reflectance Fourier Transform Infrared Spectroscopy/Quantitative Polarizing Microscopy

Reported

1-4 days

Synonyms

  • Urinary Tract Stone
  • Renal Stone
  • Bile Stone
  • Stone (Calculi) Analysis
  • Kidney Stone
  • LAB564

Additional Technical Information

Ordering Recommendations

Determine composition of calculi.
Result Interpretation

Reference Interval

By report

Interpretive Data

Calculi are the products of physiological processes that yield crystalline compounds in a matrix of biological compounds and blood.  Matrix components are not reported. The clinically significant crystalline components identified in calculi specimens are reported.  Gross description may not be consistant with the composition determined by FTIR analysis.

Administrative

CPT Codes

82365

STRAIN TYPING

Collect

Fresh bacterial isolate in a tape-sealed agar plate or sealed agar slant tube; double-bagged.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Submit bacterial isollate in an agar slant tube, double-bagged. Follow IATA shipping guidelines if applicable. Transport fresh isolate to the laboratory immediately.

Remarks

This highly restricted test is provided only at the request of the Infectious Disease Group.

Performed by

PCL Clinical Laboratory - Microbiology

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87152
Collection

Collect

Fresh bacterial isolate in a tape-sealed agar plate or sealed agar slant tube; double-bagged.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Submit bacterial isollate in an agar slant tube, double-bagged. Follow IATA shipping guidelines if applicable. Transport fresh isolate to the laboratory immediately.

Remarks

This highly restricted test is provided only at the request of the Infectious Disease Group.

Performed by

PCL Clinical Laboratory - Microbiology
Ordering
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology
Administrative

CPT Codes

87152

STRATIFY JCV ANTIBODY (INDEX) W/REFLEX TO INHIBITION ASSAY

LAB5123

Collect

6.0 mL gold top tube (or red top)

Patient Preparation

Testing ONLY available for neurology patients in the MS PROGRAM to monitor Tysabri therapy.

Pediatric Collection

0.5 mL serum (minimum volume)

Storage/Transport Temperature

Ambient or refrigerated

Performed by

Focus Diagnostics Inc.

Performed

Varies

Methodology

Immunoassay

Reported

5-7 days

Synonyms

  • LAB5123

Reference Interval

Negative

Interpretive Data

JCV Antibody by ELISA:                                     
Indeterminate:  Low level reactivity detected,                              
                 see Inhibition Assay result below                           
                 for the final antibody result                                
      Positive:  Antibodies to JC Virus (JCV) detected                       
                 indicating the patient has been exposed        

                 to JCV at an undetermined time.                      
      Negative:  Antibodies to JCV not detected.                              
                                                                            
The STRATIFY JCV Antibody test is an enzyme-linked                          
immunosorbent assay (ELISA) designed to detect JCV                         
antibodies to help identify individuals who have been                       
exposed to the virus. Samples with low level reactivity                     
in the detection assay are retested in a confirmation                       
(inhibition) assay to confirm presence or absence of                        
JCV-specific antibodies. 

-----------------------------------------------------------

Index Interpretive criteria:                                                 
<0.20     Negative                                                          
0.20-0.40  Indeterminate                                                     
>0.40     Positive  

-----------------------------------------------------------

JCV Antibody Inhibition Assay:                               
Positive:  Antibodies to JCV detected, indicating the                       
           patient has been exposed to JCV at an                            

           undetermined time.                                               
Negative:  Antibodies to JCV not detected.          

Performed by

Focus Diagnostics Inc.

CPT Codes

86711

Collection

LAB5123

Collect

6.0 mL gold top tube (or red top)

Patient Preparation

Testing ONLY available for neurology patients in the MS PROGRAM to monitor Tysabri therapy.

Pediatric Collection

0.5 mL serum (minimum volume)

Storage/Transport Temperature

Ambient or refrigerated

Performed by

Focus Diagnostics Inc.

Ordering

Performed

Varies

Methodology

Immunoassay

Reported

5-7 days

Synonyms

  • LAB5123
Result Interpretation

Reference Interval

Negative

Interpretive Data

JCV Antibody by ELISA:                                     
Indeterminate:  Low level reactivity detected,                              
                 see Inhibition Assay result below                           
                 for the final antibody result                                
      Positive:  Antibodies to JC Virus (JCV) detected                       
                 indicating the patient has been exposed        

                 to JCV at an undetermined time.                      
      Negative:  Antibodies to JCV not detected.                              
                                                                            
The STRATIFY JCV Antibody test is an enzyme-linked                          
immunosorbent assay (ELISA) designed to detect JCV                         
antibodies to help identify individuals who have been                       
exposed to the virus. Samples with low level reactivity                     
in the detection assay are retested in a confirmation                       
(inhibition) assay to confirm presence or absence of                        
JCV-specific antibodies. 

-----------------------------------------------------------

Index Interpretive criteria:                                                 
<0.20     Negative                                                          
0.20-0.40  Indeterminate                                                     
>0.40     Positive  

-----------------------------------------------------------

JCV Antibody Inhibition Assay:                               
Positive:  Antibodies to JCV detected, indicating the                       
           patient has been exposed to JCV at an                            

           undetermined time.                                               
Negative:  Antibodies to JCV not detected.          

Performed by

Focus Diagnostics Inc.

Administrative

CPT Codes

86711

STREP PNEUMO ANTIGEN URINE

LAB3461

Collect

Random urine.

Specimen Preparation

Mix specimen well. Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)

Unacceptable Conditions

Specimen types other than urine.

Storage/Transport Temperature

Refrigerated or frozen.

Stability (from collection to initiation)

Stability: Ambient: 24 hours; Refrigerated: 2 weeks; Frozen: 2 weeks

Notes

Patients who have received the S. pneumoniae vaccines may test positive in the 48 hours following vaccination. It is recommended to avoid testing within five days of receiving vaccination.

Performed

Sun-Sat

Methodology

Qualitative Immunochromatography

Reported

Within 24 hours

Synonyms

  • PNEUMOCOCCAL ANTIGEN URINE
  • LAB3461
  • SPNEU AG U

Ordering Recommendations

Aid in the diagnosis of pneumococcal pneumonia.

Reference Interval

Negative

Interpretive Data

False-positives may occur because of cross-reactivity with other members of S. mitis group.  Clinical correlation is recommended.

CPT Codes

87899
Collection

LAB3461

Collect

Random urine.

Specimen Preparation

Mix specimen well. Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)

Unacceptable Conditions

Specimen types other than urine.

Storage/Transport Temperature

Refrigerated or frozen.

Stability (from collection to initiation)

Stability: Ambient: 24 hours; Refrigerated: 2 weeks; Frozen: 2 weeks

Notes

Patients who have received the S. pneumoniae vaccines may test positive in the 48 hours following vaccination. It is recommended to avoid testing within five days of receiving vaccination.
Ordering

Performed

Sun-Sat

Methodology

Qualitative Immunochromatography

Reported

Within 24 hours

Synonyms

  • PNEUMOCOCCAL ANTIGEN URINE
  • LAB3461
  • SPNEU AG U

Ordering Recommendations

Aid in the diagnosis of pneumococcal pneumonia.
Result Interpretation

Reference Interval

Negative

Interpretive Data

False-positives may occur because of cross-reactivity with other members of S. mitis group.  Clinical correlation is recommended.

Administrative

CPT Codes

87899

STREP PNEUMONIAE AB, IGG [14]

LAB778

Collect

Serum separator tube. Post-immunization specimen should be drawn 30 days after immunization and, if shipped separately, must be received within 60 days of pre-immunization specimen.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.25 mL) MARK SPECIMENS CLEARLY AS "PRE" OR "POST" SO SPECIMENS WILL BE SAVED AND TESTED SIMULTANEOUSLY.

Unacceptable Conditions

Plasma or other body fluids. 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)

Performed

Sun-Sat

Methodology

Quantitative Multiplex Bead Assay

Reported

1-2 days

Synonyms

  • Pneumococcal Antibodies, IgG
  • LAB778

Ordering Recommendations

Evaluate the ability of a patient to produce antibody to pure polysaccharide vaccines (Pneumovax) or protein conjugated vaccines (Prevnar).

Interpretive Data

A pre- and post-vaccination comparison is required to adequately assess the humoral immune response to Prevnar 7 (P7), Prevnar 13 (P13), and/or Pneumovax 23 (PNX) Streptococcus pneumoniae vaccines. Pre-vaccination samples should be collected prior to vaccine administration. Post-vaccination samples should be obtained at least 4 weeks after immunization. Testing of post-vaccination samples alone will provide only general immune status of the individual to various pneumococcal serotypes.

In the case of pure polysaccharide vaccine, indication of immune system competence is further delineated as an adequate response to at least 50 percent of the serotypes in the vaccine challenge for those 2-5 years of age and to at least 70 percent of the serotypes in the vaccine challenge for those 6-65 years of age. Individual immune response may vary based on age, past exposure, immunocompetence, and pneumococcal serotype.

Responder Status                           Antibody Ratio
Non-Responder . . . . . . . . . . . . . . Less than 2-fold
Weak Responder . . . . . . . . . . . . . 2-fold to 4-fold
Good Responder . . . . . . . . . . . . . Greater than 4-fold

A response to 50-70 percent or more of the serotypes in the vaccine challenge is considered a normal humoral response1. Antibody concentration greater than 1.0 - 1.3 µg/mL is generally considered long-term protection2.

References:
1.Daly TM, Pickering JW, Zhang X, Prince HE, Hill HR. Multilaboratory assessment of threshold versus fold-change algorithms for minimizing analytical variability in multiplexed pneumococcal IgG measurements. Clin Vaccine Immunol. 2014;21(7):982-8.
2.Daly TM, Hill HR. Use and Clinical Interpretation of Pneumococcal Antibody Measurements in the Evaluation of Humoral Immune Function. Clin Vaccine Immunol. 2015;22(2):148-152.

CPT Codes

86317 x14
Collection

LAB778

Collect

Serum separator tube. Post-immunization specimen should be drawn 30 days after immunization and, if shipped separately, must be received within 60 days of pre-immunization specimen.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.25 mL) MARK SPECIMENS CLEARLY AS "PRE" OR "POST" SO SPECIMENS WILL BE SAVED AND TESTED SIMULTANEOUSLY.

Unacceptable Conditions

Plasma or other body fluids. 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)
Ordering

Performed

Sun-Sat

Methodology

Quantitative Multiplex Bead Assay

Reported

1-2 days

Synonyms

  • Pneumococcal Antibodies, IgG
  • LAB778

Ordering Recommendations

Evaluate the ability of a patient to produce antibody to pure polysaccharide vaccines (Pneumovax) or protein conjugated vaccines (Prevnar).
Result Interpretation

Interpretive Data

A pre- and post-vaccination comparison is required to adequately assess the humoral immune response to Prevnar 7 (P7), Prevnar 13 (P13), and/or Pneumovax 23 (PNX) Streptococcus pneumoniae vaccines. Pre-vaccination samples should be collected prior to vaccine administration. Post-vaccination samples should be obtained at least 4 weeks after immunization. Testing of post-vaccination samples alone will provide only general immune status of the individual to various pneumococcal serotypes.

In the case of pure polysaccharide vaccine, indication of immune system competence is further delineated as an adequate response to at least 50 percent of the serotypes in the vaccine challenge for those 2-5 years of age and to at least 70 percent of the serotypes in the vaccine challenge for those 6-65 years of age. Individual immune response may vary based on age, past exposure, immunocompetence, and pneumococcal serotype.

Responder Status                           Antibody Ratio
Non-Responder . . . . . . . . . . . . . . Less than 2-fold
Weak Responder . . . . . . . . . . . . . 2-fold to 4-fold
Good Responder . . . . . . . . . . . . . Greater than 4-fold

A response to 50-70 percent or more of the serotypes in the vaccine challenge is considered a normal humoral response1. Antibody concentration greater than 1.0 - 1.3 µg/mL is generally considered long-term protection2.

References:
1.Daly TM, Pickering JW, Zhang X, Prince HE, Hill HR. Multilaboratory assessment of threshold versus fold-change algorithms for minimizing analytical variability in multiplexed pneumococcal IgG measurements. Clin Vaccine Immunol. 2014;21(7):982-8.
2.Daly TM, Hill HR. Use and Clinical Interpretation of Pneumococcal Antibody Measurements in the Evaluation of Humoral Immune Function. Clin Vaccine Immunol. 2015;22(2):148-152.

Administrative

CPT Codes

86317 x14

STREPTOLYSIN O ANTIBODY [ASO]

LAB219

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: 0.4 mL)

Unacceptable Conditions

Hemolyzed specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 3 months

Performed

Sun-Sat

Methodology

Quantitative Nephelometry

Reported

Within 24 hours

Synonyms

  • ASO
  • Anti-Streptolysin O Antibody (ASO)
  • LAB219

Ordering Recommendations

Confirm a prior infection with group A Streptococcus in patients suspected of having a nonsuppurative complication such as acute glomerulonephritis (AGN) or acute rheumatic fever (ARF). DNase-B Antibody (0050220) and Streptolysin O Antibody (ASO) (0050095) antibody tests are generally ordered concurrently.

Reference Interval

0-1 year: 0-200 IU/mL
2-12 years: 0-240 IU/mL
13 years and older: 0-330 IU/mL

CPT Codes

86060
Collection

LAB219

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: 0.4 mL)

Unacceptable Conditions

Hemolyzed specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 3 months
Ordering

Performed

Sun-Sat

Methodology

Quantitative Nephelometry

Reported

Within 24 hours

Synonyms

  • ASO
  • Anti-Streptolysin O Antibody (ASO)
  • LAB219

Ordering Recommendations

Confirm a prior infection with group A Streptococcus in patients suspected of having a nonsuppurative complication such as acute glomerulonephritis (AGN) or acute rheumatic fever (ARF). DNase-B Antibody (0050220) and Streptolysin O Antibody (ASO) (0050095) antibody tests are generally ordered concurrently.
Result Interpretation

Reference Interval

0-1 year: 0-200 IU/mL
2-12 years: 0-240 IU/mL
13 years and older: 0-330 IU/mL
Administrative

CPT Codes

86060

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