SALICYLATE BLOOD

LAB3049

SALIC BLD

 

Collect

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

Pediatric Collection

1.5 mL whole blood or 20 capillary tubes.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 30 minutes of collection. Transport at 2-8 degrees C. Place plasma in aliquot container and send frozen if not tested within 24 hours.

Stability (from collection to initiation)

Refrigerated: 24 hours; Frozen (-20 degrees C): Greater than 24 hours.

Remarks

For suspected overdose draw specimen at least 6 hours after and within 24 hours of poisoning to ensure peak levels have been reached.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Enzymatic

Reported

Same day

Synonyms

  • Acetylsalicylic Acid
  • ASA
  • ASPIRIN

Reference Interval

Effective 05/20/2014:

0 - 30 mg/dL

Before 05/20/2014:

15.0-30.0 mg/dL

Interpretive Data

The reference range is provided only as general guidance, and individual patient results must be interpreted in light of other clinical signs and symptoms.  The toxic range for salicylates starts at 30 mg/dL.  Hemodialysis may be indicated when serum salicylic acid concentrations exceed 100 mg/dL.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

80196

Collection

LAB3049

SALIC BLD

 

Collect

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

Pediatric Collection

1.5 mL whole blood or 20 capillary tubes.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Centrifuge within 30 minutes of collection. Transport at 2-8 degrees C. Place plasma in aliquot container and send frozen if not tested within 24 hours.

Stability (from collection to initiation)

Refrigerated: 24 hours; Frozen (-20 degrees C): Greater than 24 hours.

Remarks

For suspected overdose draw specimen at least 6 hours after and within 24 hours of poisoning to ensure peak levels have been reached.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Enzymatic

Reported

Same day

Synonyms

  • Acetylsalicylic Acid
  • ASA
  • ASPIRIN
Result Interpretation

Reference Interval

Effective 05/20/2014:

0 - 30 mg/dL

Before 05/20/2014:

15.0-30.0 mg/dL

Interpretive Data

The reference range is provided only as general guidance, and individual patient results must be interpreted in light of other clinical signs and symptoms.  The toxic range for salicylates starts at 30 mg/dL.  Hemodialysis may be indicated when serum salicylic acid concentrations exceed 100 mg/dL.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

80196

SALIVARY IMMUNOGLOBULIN IGA

LAB3181

 

Collect

Saliva.

Specimen Preparation

Centrifuge and separate to remove cellular material. Transfer 1 mL saliva to an ARUP Standard Transport Tube. (Min: 0.4 mL)

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 8 days; Frozen: 3 months (if frozen within 24 hours)

Performed

Sun-Sat

Methodology

Quantitative Nephelometry

Reported

Within 24 hours

Synonyms

  • IgA, Saliva
  • LAB3181
  • SEC

Ordering Recommendations

Aids in diagnosis of immunodeficiencies.

Reference Interval

Male: 4.0-24.0 mg/dL
Female: 5.0-28.0 mg/dL

CPT Codes

82784
Collection

LAB3181

 

Collect

Saliva.

Specimen Preparation

Centrifuge and separate to remove cellular material. Transfer 1 mL saliva to an ARUP Standard Transport Tube. (Min: 0.4 mL)

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 8 days; Frozen: 3 months (if frozen within 24 hours)
Ordering

Performed

Sun-Sat

Methodology

Quantitative Nephelometry

Reported

Within 24 hours

Synonyms

  • IgA, Saliva
  • LAB3181
  • SEC

Ordering Recommendations

Aids in diagnosis of immunodeficiencies.
Result Interpretation

Reference Interval

Male: 4.0-24.0 mg/dL
Female: 5.0-28.0 mg/dL
Administrative

CPT Codes

82784

SC5B-9 COMPLEMENT LEVEL

LAB3089

 

Collect

3 mL Lavendar top tube Green top tube acceptable

Unacceptable Conditions

Serum samples.

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: 0.5 mL EDTA/heparinized plasma Spin, separate plasma and ship frozen to the lab.

Stability (from collection to initiation)

.

Remarks

Sample should be stored frozen.
Serum is NOT acceptable.

Performed by

PCL Clinical Laboratory

Performed

Tue

Methodology

Enzyme Immunoassay [ELISA]

Reported

In 4 days

Synonyms

  • LAB3089

Performed by

PCL Clinical Laboratory

CPT Codes

86160

Collection

LAB3089

 

Collect

3 mL Lavendar top tube Green top tube acceptable

Unacceptable Conditions

Serum samples.

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: 0.5 mL EDTA/heparinized plasma Spin, separate plasma and ship frozen to the lab.

Stability (from collection to initiation)

.

Remarks

Sample should be stored frozen.
Serum is NOT acceptable.

Performed by

PCL Clinical Laboratory

Ordering

Performed

Tue

Methodology

Enzyme Immunoassay [ELISA]

Reported

In 4 days

Synonyms

  • LAB3089
Result Interpretation

Performed by

PCL Clinical Laboratory

Administrative

CPT Codes

86160

SCHISTOSOMA ANITIBODIES IGG

LAB1235

 

Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube (Min: 0.1 mL).

Unacceptable Conditions

Bacterially contaminated, heat-inactivated, hemolyzed, icteric, lipemic, or turbid specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

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

Performed

Thu

Methodology

Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-8 days

Synonyms

  • LAB1235
  • SCHIST IGG

Ordering Recommendations

Aid in the diagnosis of schistosomiasis. Positive results in patients from endemic areas may not represent active infection.

Reference Interval

Effective August 15, 2011
Less than 0.20 ODNegative: No significant level of IgG antibody to Schistosoma detected.
Greater than or equal to 0.20 ODPositive: Presumptive evidence of a current or past infection with Schistosoma.

CPT Codes

86682
Collection

LAB1235

 

Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube (Min: 0.1 mL).

Unacceptable Conditions

Bacterially contaminated, heat-inactivated, hemolyzed, icteric, lipemic, or turbid specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

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

Performed

Thu

Methodology

Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-8 days

Synonyms

  • LAB1235
  • SCHIST IGG

Ordering Recommendations

Aid in the diagnosis of schistosomiasis. Positive results in patients from endemic areas may not represent active infection.
Result Interpretation

Reference Interval

Effective August 15, 2011
Less than 0.20 ODNegative: No significant level of IgG antibody to Schistosoma detected.
Greater than or equal to 0.20 ODPositive: Presumptive evidence of a current or past infection with Schistosoma.

Administrative

CPT Codes

86682

Scleroderma Comprehensive Antibody Panel

LAB3706

 

Panel Updated at ARUP (Effective 7/5/16)

 

Collect

Serum Separator Tube (SST)

Patient Preparation

N/A

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 3 mL serum to an ARUP Standard Transport Tube. (Min: 1.5 mL)

Unacceptable Conditions

Hemolyzed, hyperlipemic, icteric, heat-treated or contaminated specimens

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year

Remarks

N/A

Notes

Panel includes: Anti-Nuclear Ab (ANA) Titer, Anti-Nuclear Ab (ANA) Pattern, Anti-Scl-70, Anti-RNA Polymerase III Ab, Anti-U1 RNP Ab, Anti-Fibrillarin (U3 RNP), Anti-PM/Scl-100 Ab

Performed

Thu

Methodology

Qualitative Immunoblot/Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Multiplex Bead Assay/Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-8 days

Synonyms

  • LAB3706
  • SCLER PAN
  • SYSTEMIC SCLERODERMA ANTIBODY PANEL

Additional Technical Information

Ordering Recommendations

Comprehensive evaluation of systemic scleroderma/sclerosis (SSc). Indicated when suspicion for SSc is high and patient presents with features of overlap syndrome.

Reference Interval

Components
Reference Interval
Scleroderma (Scl-70) (ENA) Antibody, IgG29 AU/mL or less: Negative
30-40 AU/mL: Equivocal
41 AU/mL or greater: Positive
RNP (U1) (Ribonucleic Protein) (ENA) Antibody, IgG29 AU/mL or less: Negative
30-40 AU/mL: Equivocal
41 AU/mL or greater: Positive
Nuclear Antibody (ANA) by IFA, IgGLess than 1:40
Fibrillarin (U3 RNP) Antibody, IgGNegative
PM/Scl-100 Antibody, IgG by ImmunoblotNegative
RNA Polymerase III Antibody, IgG19 Units or less: Negative
20-39 Units: Weak Positive
40-80 Units: Moderate Positive
81 Units or greater: Strong Positive

Interpretive Data

Refer to report

CPT Codes

86039, 86235 x4, 83516
Collection

LAB3706

 

Panel Updated at ARUP (Effective 7/5/16)

 

Collect

Serum Separator Tube (SST)

Patient Preparation

N/A

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 3 mL serum to an ARUP Standard Transport Tube. (Min: 1.5 mL)

Unacceptable Conditions

Hemolyzed, hyperlipemic, icteric, heat-treated or contaminated specimens

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Stability (from collection to initiation)

Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year

Remarks

N/A

Notes

Panel includes: Anti-Nuclear Ab (ANA) Titer, Anti-Nuclear Ab (ANA) Pattern, Anti-Scl-70, Anti-RNA Polymerase III Ab, Anti-U1 RNP Ab, Anti-Fibrillarin (U3 RNP), Anti-PM/Scl-100 Ab
Ordering

Performed

Thu

Methodology

Qualitative Immunoblot/Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Multiplex Bead Assay/Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-8 days

Synonyms

  • LAB3706
  • SCLER PAN
  • SYSTEMIC SCLERODERMA ANTIBODY PANEL

Additional Technical Information

Ordering Recommendations

Comprehensive evaluation of systemic scleroderma/sclerosis (SSc). Indicated when suspicion for SSc is high and patient presents with features of overlap syndrome.
Result Interpretation

Reference Interval

Components
Reference Interval
Scleroderma (Scl-70) (ENA) Antibody, IgG29 AU/mL or less: Negative
30-40 AU/mL: Equivocal
41 AU/mL or greater: Positive
RNP (U1) (Ribonucleic Protein) (ENA) Antibody, IgG29 AU/mL or less: Negative
30-40 AU/mL: Equivocal
41 AU/mL or greater: Positive
Nuclear Antibody (ANA) by IFA, IgGLess than 1:40
Fibrillarin (U3 RNP) Antibody, IgGNegative
PM/Scl-100 Antibody, IgG by ImmunoblotNegative
RNA Polymerase III Antibody, IgG19 Units or less: Negative
20-39 Units: Weak Positive
40-80 Units: Moderate Positive
81 Units or greater: Strong Positive

Interpretive Data

Refer to report

Administrative

CPT Codes

86039, 86235 x4, 83516

SCREEN, VRE

LAB3449

 

Collect

Copan eSwab with Transport Media collected from rectum.

Unacceptable Conditions

Sample not properly identified; incorrect container; dry swab; specimen source not indicated.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.

Offsite: Submit eSwab at ambient temperature up to 24 hours from time of collection, or refrigerated up to 72 hours.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Daily

Methodology

Culture

Reported

In 1-4 days

Synonyms

  • LAB3449

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87081

Collection

LAB3449

 

Collect

Copan eSwab with Transport Media collected from rectum.

Unacceptable Conditions

Sample not properly identified; incorrect container; dry swab; specimen source not indicated.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.

Offsite: Submit eSwab at ambient temperature up to 24 hours from time of collection, or refrigerated up to 72 hours.

Performed by

PCL Clinical Laboratory - Microbiology

Ordering

Performed

Daily

Methodology

Culture

Reported

In 1-4 days

Synonyms

  • LAB3449
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology

Administrative

CPT Codes

87081

SCREEN, YEAST

LAB3450

 

Collect

Copan eSwab with Transport Media collected from genital site or mucosal surface.

Unacceptable Conditions

Sample not properly identified; incorrect container; dry swab; specimen source not indicated.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.

Offsite: Submit swab at ambient temperature up to 24 hours from time of collection, or refrigerated up to 72 hours.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 72 hours; Frozen: unacceptable.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Daily

Methodology

Culture

Reported

In 7-10 days

Synonyms

  • LAB3450

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87081

Collection

LAB3450

 

Collect

Copan eSwab with Transport Media collected from genital site or mucosal surface.

Unacceptable Conditions

Sample not properly identified; incorrect container; dry swab; specimen source not indicated.

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.

Offsite: Submit swab at ambient temperature up to 24 hours from time of collection, or refrigerated up to 72 hours.

Stability (from collection to initiation)

Ambient: 24 hours; Refrigerated: 72 hours; Frozen: unacceptable.

Performed by

PCL Clinical Laboratory - Microbiology

Ordering

Performed

Daily

Methodology

Culture

Reported

In 7-10 days

Synonyms

  • LAB3450
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology

Administrative

CPT Codes

87081

SCREENING CULTURE

LAB3276

 

Performed

Daily

Reported

Varies

Synonyms

  • LAB3276

Ordering Recommendations

This test is no longer offered.  Please see screens for specific organisms under the organism: Acinetobacter,GC,Group A Strep,Group B strep,MRSA, Trichomonas, VRE and yeast.

Collection

LAB3276

 

Ordering

Performed

Daily

Reported

Varies

Synonyms

  • LAB3276

Ordering Recommendations

This test is no longer offered.  Please see screens for specific organisms under the organism: Acinetobacter,GC,Group A Strep,Group B strep,MRSA, Trichomonas, VRE and yeast.

Result Interpretation
Administrative

SELENIUM, SERUM

LAB579

 

Collect

Royal blue (no additive) or Royal Blue (EDTA)

Patient Preparation

Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).

Specimen Preparation

Centrifuge; do not allow serum or plasma to remain on cells. Transfer 2 mL serum or plasma to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL)

Unacceptable Conditions

Separator tubes. Specimens that are not separated from the red cells or clot within 6 hours.

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated or frozen.

Stability (from collection to initiation)

If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.

Notes

Elevated results from noncertified trace element-free tubes may be due to contamination.  Elevated concentrations of trace elements in serum should be confirmed with a second specimen collected in a trace element-free tube, such as royal blue sterile tube (no additive).

Performed

Sun-Sat

Methodology

Quantitative Inductively Coupled Plasma-Mass Spectrometry

Reported

1-2 days

Synonyms

  • Se, Serum
  • LAB579

Additional Technical Information

Ordering Recommendations

May be useful in the assessment of recent intake. For the assessment of deficiency or toxicity, Selenium, Urine (0025067) is preferred.

Reference Interval

23-190 µg/L

Interpretive Data

Serum selenium levels can be used in the determination of deficiency or toxicity. Plasma and serum contains 75 percent of the selenium measured in whole blood and reflects recent dietary intake. Selenium deficiency can occur endemically or as a result of sustained TPN or restricted diets and has been associated with cardiomyopathy and may exacerbate hypothyroidism. Selenium toxicity is relatively rare. Excess intake of selenium can result in symptoms consistent with selenosis and include gastrointestinal upset, hair loss, white blotchy nails, and mild nerve damage.

CPT Codes

84255
Collection

LAB579

 

Collect

Royal blue (no additive) or Royal Blue (EDTA)

Patient Preparation

Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).

Specimen Preparation

Centrifuge; do not allow serum or plasma to remain on cells. Transfer 2 mL serum or plasma to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL)

Unacceptable Conditions

Separator tubes. Specimens that are not separated from the red cells or clot within 6 hours.

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated or frozen.

Stability (from collection to initiation)

If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.

Notes

Elevated results from noncertified trace element-free tubes may be due to contamination.  Elevated concentrations of trace elements in serum should be confirmed with a second specimen collected in a trace element-free tube, such as royal blue sterile tube (no additive).
Ordering

Performed

Sun-Sat

Methodology

Quantitative Inductively Coupled Plasma-Mass Spectrometry

Reported

1-2 days

Synonyms

  • Se, Serum
  • LAB579

Additional Technical Information

Ordering Recommendations

May be useful in the assessment of recent intake. For the assessment of deficiency or toxicity, Selenium, Urine (0025067) is preferred.
Result Interpretation

Reference Interval

23-190 µg/L

Interpretive Data

Serum selenium levels can be used in the determination of deficiency or toxicity. Plasma and serum contains 75 percent of the selenium measured in whole blood and reflects recent dietary intake. Selenium deficiency can occur endemically or as a result of sustained TPN or restricted diets and has been associated with cardiomyopathy and may exacerbate hypothyroidism. Selenium toxicity is relatively rare. Excess intake of selenium can result in symptoms consistent with selenosis and include gastrointestinal upset, hair loss, white blotchy nails, and mild nerve damage.

Administrative

CPT Codes

84255

SENSITIVITY

LAB3614

 

Collect

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

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; organism fails to grow on test media; fastidious or slow-growing organisms; nonpathogens.

Storage/Transport Temperature

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

Remarks

Disk diffusion susceptibility testing is done routinely on organisms from sterile sites or organisms clearly pathogenic. Other testing requires written request within 7 days of isolation.

Performed by

PCL Clinical Laboratory - Microbiology

Performed

Daily

Methodology

Disk diffusion sensitivity testing; Kirby-Bauer.

Reported

Next day

Synonyms

  • LAB3614

Performed by

PCL Clinical Laboratory - Microbiology

CPT Codes

87184

Collection

LAB3614

 

Collect

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

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; organism fails to grow on test media; fastidious or slow-growing organisms; nonpathogens.

Storage/Transport Temperature

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

Remarks

Disk diffusion susceptibility testing is done routinely on organisms from sterile sites or organisms clearly pathogenic. Other testing requires written request within 7 days of isolation.

Performed by

PCL Clinical Laboratory - Microbiology

Ordering

Performed

Daily

Methodology

Disk diffusion sensitivity testing; Kirby-Bauer.

Reported

Next day

Synonyms

  • LAB3614
Result Interpretation

Performed by

PCL Clinical Laboratory - Microbiology

Administrative

CPT Codes

87184

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