UNFRACTIONATED HEPARIN LEVEL (ANTI-XA)

LAB317

ANXA Unf Hep

Collect

One 2.7 mL blue top (sodium citrate 3.2%).

Also acceptable: One 1.8 mL blue top tube (3.2% sodium citrate).

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

Pediatric Collection

0.5 mL of platelet poor plasma.

Unacceptable Conditions

Clotted sample; tube fill volume less than 90% or greater than 110%; whole blood specimen more than 1 hour since collection; platelet-poor plasma submitted more than 2 hours since collection; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Separate plasma from cells as soon as possible. Place plasma in aliquot container and transport to lab frozen.

Stability (from collection to initiation)

Whole blood: Ambient, 1 hour

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

Remarks

Therapeutic range: 0.3 - 0.7 units/mL

Performed by

PCL Clinical Laboratory - Coagulation

Performed

Daily

Methodology

Anti-Xa activity by chromogenic analysis

Reported

Same day

Synonyms

  • LAB317
  • ANXA

Interpretive Data


Therapeutic Range: 0.3 - 0.7 U/mL.
Test performed using anti-Xa methodology.

Performed by

PCL Clinical Laboratory - Coagulation

CPT Codes

85520

Collection

LAB317

ANXA Unf Hep

Collect

One 2.7 mL blue top (sodium citrate 3.2%).

Also acceptable: One 1.8 mL blue top tube (3.2% sodium citrate).

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

Pediatric Collection

0.5 mL of platelet poor plasma.

Unacceptable Conditions

Clotted sample; tube fill volume less than 90% or greater than 110%; whole blood specimen more than 1 hour since collection; platelet-poor plasma submitted more than 2 hours since collection; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Separate plasma from cells as soon as possible. Place plasma in aliquot container and transport to lab frozen.

Stability (from collection to initiation)

Whole blood: Ambient, 1 hour

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

Remarks

Therapeutic range: 0.3 - 0.7 units/mL

Performed by

PCL Clinical Laboratory - Coagulation

Ordering

Performed

Daily

Methodology

Anti-Xa activity by chromogenic analysis

Reported

Same day

Synonyms

  • LAB317
  • ANXA
Result Interpretation

Interpretive Data


Therapeutic Range: 0.3 - 0.7 U/mL.
Test performed using anti-Xa methodology.

Performed by

PCL Clinical Laboratory - Coagulation

Administrative

CPT Codes

85520

UNIVERSAL PCR TESTING - AFB/BACTERIAL/FUNGAL

LAB5298

Collect

Fresh tissue (preferred): Less than 1 cubic cm.

Body fluids.

Formalin fixed paraffin embedded tissue also acceptable.

(Formalin dramatically reduces the sensitivity of the assays due to reduced template yield and quality.)

Specimen Preparation

List source of specimen.

Indicate type of Universal PCR testing desired (all or some combination of the following):

AFB

Bacterial

Fungal

Storage/Transport Temperature

Ambient:  Paraffin-embedded blocks of tissue.

Frozen:  Fresh tissue, body fluids.

Performed by

University of Washington - Molecular Microbiology Laboratory in Seattle, WA.

Methodology

Tissue/fluid extraction and PCR amplification for AFB, bacterial and/or fungal detection and identification.

Reported

5-7 days.

Synonyms

  • LAB5298

Performed by

University of Washington - Molecular Microbiology Laboratory in Seattle, WA.

CPT Codes

87801x2 (bacterial and fungal)

87556 (MTB)

87561(Non-MTB AFB)

Collection

LAB5298

Collect

Fresh tissue (preferred): Less than 1 cubic cm.

Body fluids.

Formalin fixed paraffin embedded tissue also acceptable.

(Formalin dramatically reduces the sensitivity of the assays due to reduced template yield and quality.)

Specimen Preparation

List source of specimen.

Indicate type of Universal PCR testing desired (all or some combination of the following):

AFB

Bacterial

Fungal

Storage/Transport Temperature

Ambient:  Paraffin-embedded blocks of tissue.

Frozen:  Fresh tissue, body fluids.

Performed by

University of Washington - Molecular Microbiology Laboratory in Seattle, WA.

Ordering

Methodology

Tissue/fluid extraction and PCR amplification for AFB, bacterial and/or fungal detection and identification.

Reported

5-7 days.

Synonyms

  • LAB5298
Result Interpretation

Performed by

University of Washington - Molecular Microbiology Laboratory in Seattle, WA.

Administrative

CPT Codes

87801x2 (bacterial and fungal)

87556 (MTB)

87561(Non-MTB AFB)

UPEP WITH REFLEX IFE, RANDOM URINE

LAB8397
UPEP, RANDOM

Collect

Two 7 mL urine collection tubes, no additives (clear top tube).

Pediatric Collection

Minimum volume: 7 mL urine

Unacceptable Conditions

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

Storage/Transport Temperature

Internal:  Deliver to lab immediately at ambient temperature.
Offsite: Transport to laboratory at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 72 hours; Frozen (-20 degrees C): 1 month

Remarks

Requisition must state date of collection.
Urine protein electrophoresis (UPEP) is performed, and immunofixation electrophoresis (IFE) is also authorized to be performed when indicated.

Performed by

PCL Clinical Laboratory - Special Chemistry

Notes

Adequate fractionation and detection of monoclonal proteins may be unreliable when Total Protein is 8 mg/dL or less.
If multiple UPEP samples from the same patient are received for simultaneous testing, a single informative sample will be tested, and duplicate samples will be cancelled.

Performed

2 days per week

Methodology

Urine protein electrophoresis, immunofixation electrophoresis (IFE).

Reported

In 5 days

Synonyms

  • Urine Protein Electrophoresis, Random Urine

Performed by

PCL Clinical Laboratory - Special Chemistry

CPT Codes

84156 Protein urine; 84166 Protein Electrophoresis urine; and if indicated, 86335 IFE urine.
Collection
LAB8397
UPEP, RANDOM

Collect

Two 7 mL urine collection tubes, no additives (clear top tube).

Pediatric Collection

Minimum volume: 7 mL urine

Unacceptable Conditions

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

Storage/Transport Temperature

Internal:  Deliver to lab immediately at ambient temperature.
Offsite: Transport to laboratory at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 72 hours; Frozen (-20 degrees C): 1 month

Remarks

Requisition must state date of collection.
Urine protein electrophoresis (UPEP) is performed, and immunofixation electrophoresis (IFE) is also authorized to be performed when indicated.

Performed by

PCL Clinical Laboratory - Special Chemistry

Notes

Adequate fractionation and detection of monoclonal proteins may be unreliable when Total Protein is 8 mg/dL or less.
If multiple UPEP samples from the same patient are received for simultaneous testing, a single informative sample will be tested, and duplicate samples will be cancelled.
Ordering

Performed

2 days per week

Methodology

Urine protein electrophoresis, immunofixation electrophoresis (IFE).

Reported

In 5 days

Synonyms

  • Urine Protein Electrophoresis, Random Urine
Result Interpretation

Performed by

PCL Clinical Laboratory - Special Chemistry
Administrative

CPT Codes

84156 Protein urine; 84166 Protein Electrophoresis urine; and if indicated, 86335 IFE urine.

UREA NITROGEN BF

LAB3314

UREA BF

Collect

1 mL fluid in sterile container

Pediatric Collection

0.2 mL fluid

Unacceptable Conditions

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

Storage/Transport Temperature

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

Stability (from collection to initiation)

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

Remarks

Identify fluid source on request form.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Conductivity

Reported

Same day

Synonyms

  • LAB3314
  • UREA BF
  • Urea Body Fluid

Interpretive Data

The reference range for urea in body fluids is undefined.  The result must be integrated into the clinical context and/or compared to a synchronous serum or plasma measurement. 
This test was developed and its performance characteristics determined by University of Colorado Hospital.  It has not been cleared or approved by the FDA.  The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84520

Collection

LAB3314

UREA BF

Collect

1 mL fluid in sterile container

Pediatric Collection

0.2 mL fluid

Unacceptable Conditions

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

Storage/Transport Temperature

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

Stability (from collection to initiation)

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

Remarks

Identify fluid source on request form.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Conductivity

Reported

Same day

Synonyms

  • LAB3314
  • UREA BF
  • Urea Body Fluid
Result Interpretation

Interpretive Data

The reference range for urea in body fluids is undefined.  The result must be integrated into the clinical context and/or compared to a synchronous serum or plasma measurement. 
This test was developed and its performance characteristics determined by University of Colorado Hospital.  It has not been cleared or approved by the FDA.  The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84520

UREA RANDOM URINE

LAB3283

UREA RANU

Collect

5 mL random urine in plastic container, no preservative.

Pediatric Collection

0.2 mL urine

Unacceptable Conditions

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

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 2 days; Refrigerated: 7 days; Frozen (-20 degrees C): 1 month.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Conductivity

Reported

Same day

Synonyms

  • LAB3283

Reference Interval

Reference ranges are available for 24-hour urine specimens.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84540

Collection

LAB3283

UREA RANU

Collect

5 mL random urine in plastic container, no preservative.

Pediatric Collection

0.2 mL urine

Unacceptable Conditions

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

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 2 days; Refrigerated: 7 days; Frozen (-20 degrees C): 1 month.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Conductivity

Reported

Same day

Synonyms

  • LAB3283
Result Interpretation

Reference Interval

Reference ranges are available for 24-hour urine specimens.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84540

UREA TIMED URINE

LAB3282

UREA TIMU

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

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

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 2 days; Refrigerated: 7 days; Frozen (-20 degrees C): 1 month.

Remarks

Requisition must state date and collection period. Refrigerate during collection.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Conductivity

Reported

Same day

Synonyms

  • LAB3282

Reference Interval

Effective 05/20/2014:

7 - 20 g/Day

 

Before 05/20/2014:

Urea Excretion: 12 - 20 g/Day

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84540

Collection

LAB3282

UREA TIMU

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

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

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 2 days; Refrigerated: 7 days; Frozen (-20 degrees C): 1 month.

Remarks

Requisition must state date and collection period. Refrigerate during collection.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Conductivity

Reported

Same day

Synonyms

  • LAB3282
Result Interpretation

Reference Interval

Effective 05/20/2014:

7 - 20 g/Day

 

Before 05/20/2014:

Urea Excretion: 12 - 20 g/Day

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84540

UREA, 24 HOUR URINE

LAB4845

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: 2 days; Refrigerated: 7 days; Frozen (-20 degrees C): 1 month.

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

Conductivity

Reported

Same day

Synonyms

  • UREA 24U

Reference Interval

Effective 05/20/2014:

7 - 20 g/Day

 

Before 05/20/2014:

Urea excretion: 12 - 20 g/Day

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84540

Collection

LAB4845

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: 2 days; Refrigerated: 7 days; Frozen (-20 degrees C): 1 month.

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

Conductivity

Reported

Same day

Synonyms

  • UREA 24U
Result Interpretation

Reference Interval

Effective 05/20/2014:

7 - 20 g/Day

 

Before 05/20/2014:

Urea excretion: 12 - 20 g/Day

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84540

URIC ACID RANDOM URINE

LAB3285

URIC RANU

Collect

5 mL random urine in plastic container, no preservative.

Pediatric Collection

0.2 mL urine

Unacceptable Conditions

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

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 3 days; Refrigerated: 7 days; Frozen (-20 degrees C): 6 months.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Enzymatic

Reported

Same day

Synonyms

  • LAB3285

Reference Interval

Reference ranges are available for 24-hour urine specimens.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84560

Collection

LAB3285

URIC RANU

Collect

5 mL random urine in plastic container, no preservative.

Pediatric Collection

0.2 mL urine

Unacceptable Conditions

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

Storage/Transport Temperature

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

Stability (from collection to initiation)

Ambient: 3 days; Refrigerated: 7 days; Frozen (-20 degrees C): 6 months.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Enzymatic

Reported

Same day

Synonyms

  • LAB3285
Result Interpretation

Reference Interval

Reference ranges are available for 24-hour urine specimens.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84560

URIC ACID SERUM

LAB141

URIC ACID

Collect

One 4.5 mL Green top with gel (PST), plasma (lithium heparin).

Pediatric Collection

At least 0.5 mL whole blood collected in a microtainer, green top with gel, lithium heparin plasma.

Unacceptable Conditions

Potassium oxalate/sodium fluoride anticoagulant (gray top); sample not maintained at correct temperature; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

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

Stability (from collection to initiation)

Before centrifugation: Ambient, 1 hour.

After centrifugation: Ambient, 8 hours; Refrigerated, 48 hours; Frozen, Unacceptable.

Plasma aliquot: Ambient: 3 days; Refrigerated: 7 days; Frozen (-20 degrees C): 6 months.

Remarks

Patients on Rasburicase require special collection requirements:

 

1. Order Uric Acid as single test.

2. Collect Uric Acid in a pre-chilled green top tube with gel.

3. Transport on ice immediately.

4. Stable 4 hours on ice.

5. This Rasburicase (Elitek) protocol must be followed for 4 days after last dose.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Enzymatic

Reported

Same day

Synonyms

  • LAB141

Reference Interval

Effective 05/20/2014:

Males, 4.4 - 7.6 mg/dL

Females, 2.3 - 6.6 mg/dL

 

Before 05/20/2014:

2.6-8.7 mg/dL

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84550

Collection

LAB141

URIC ACID

Collect

One 4.5 mL Green top with gel (PST), plasma (lithium heparin).

Pediatric Collection

At least 0.5 mL whole blood collected in a microtainer, green top with gel, lithium heparin plasma.

Unacceptable Conditions

Potassium oxalate/sodium fluoride anticoagulant (gray top); sample not maintained at correct temperature; sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

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

Stability (from collection to initiation)

Before centrifugation: Ambient, 1 hour.

After centrifugation: Ambient, 8 hours; Refrigerated, 48 hours; Frozen, Unacceptable.

Plasma aliquot: Ambient: 3 days; Refrigerated: 7 days; Frozen (-20 degrees C): 6 months.

Remarks

Patients on Rasburicase require special collection requirements:

 

1. Order Uric Acid as single test.

2. Collect Uric Acid in a pre-chilled green top tube with gel.

3. Transport on ice immediately.

4. Stable 4 hours on ice.

5. This Rasburicase (Elitek) protocol must be followed for 4 days after last dose.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Enzymatic

Reported

Same day

Synonyms

  • LAB141
Result Interpretation

Reference Interval

Effective 05/20/2014:

Males, 4.4 - 7.6 mg/dL

Females, 2.3 - 6.6 mg/dL

 

Before 05/20/2014:

2.6-8.7 mg/dL

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84550

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