Test Information

Test Name:

17-OH PROGESTERONE

Test Code:

HYDRO

Alias:

17-Alpha-Hydroxprogesterone 17-OH Progesterone 17-OHP OH-Progesterone

CPT Code(s):

83498

Preferred Specimen:

1 mL Serum

Min. Volume:

0.5 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated: 14 days (separated plasma)

Stability:

Room temperature: 7 days Refrigerated: 7 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

3-7 Days

Clinical Significance:

Markedly elevated in patients with congenital adrenal hyperplasia;1-5 evaluate hirsutism and/or infertility;6 assess or rule out certain adrenal or ovarian tumors with endocrine activity7

Performing Lab:

Labcorp-070085

Test Name:

5-HYDROXYINDOLEACETIC ACID, 24 HOUR URINE

Test Code:

P9795

Alias:

5-HIAA, Quantitative, 24-Hour Urine Serotonin Metabolite, 24-Hour Urine

CPT Code(s):

83497

Preferred Specimen:

4 Ml aliquot URINE

Min. Volume:

1 mL aliquot (Note: This volume does not allow for repeat testing.)

Transport Container:

Plastic urine container, no preservative (Note: 1 g/L boric acid may be added as a preservative for other tests without harm to 5-HIAA.)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

4-8 Days

Performing Lab:

Labcorp-004069

Test Name:

ACETYLCHOLINE RECEPTOR BINDING ANTIBODY

Test Code:

P9105

Alias:

AChR-binding Antibodies ACRAB Myasthenia Gravis Antibody

CPT Code(s):

83519

Preferred Specimen:

1.0 mL serum

Min. Volume:

0.3 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Transport Temperature:

Refrigerated

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

2-4 Days

Clinical Significance:

Test for the laboratory diagnosis of myasthenia gravis (MG)

Performing Lab:

Labcorp-085902

Test Name:

AChR BLOCKING ABS, SERUM

Test Code:

085926

Alias:

AChR-blocking Antibodies ACRAB Anti-AChR Antibody Myasthenia Gravis Antibody

CPT Code(s):

86042

Preferred Specimen:

SERUM

Min. Volume:

0.3 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 13 days Refrigerated: 13 days Frozen: 13 days Freeze/thaw cycles: Stable x3

Schedule:

3 - 7 days

Clinical Significance:

Myasthenia gravis (MG) is an acquired disorder of neuromuscular transmission that is characterized by skeletal muscle weakness and fatigability on exertion that is exacerbated by repeated muscle activity.2-7 This autoimmune disease is caused by antibodies directed toward receptors embedded in the motor endplate of the neuromuscular junction. Progressive weakness of the ocular muscles manifesting as asymmetric ptosis and variable diplopia are the presenting symptoms in 60% of patients.5,7 Many patients progress to more generalized weakness of peripheral limb muscles and muscles required for body posture, including facial and neck muscles. Bulbar muscle weakness compromises speaking (dysarthria), chewing and swallowing (dysphagia) and respiratory muscle weakness can lead to a myasthenic crisis where patients need to be ventilated artificially.8 Clinical symptoms may be restricted to one muscle group, in particular the eye muscles (ocular MG), or may become generalized (generalized MG).5-8 Patients with MG frequently have thymic abnormalities (thymic hyperplasia or thymoma).9 Ten to 15 percent of patients with MG patients have thymoma, and up to 50% of thymoma patients develop MG.9 It is thought that the thymus plays a role in MG pathogenesis and these patients respond well to the surgical removal of the thymus gland.10 Neonatal MG can occur as a result of trans-placental transit of antibodies from an affected mother to the fetus, or in some cases, due to antibody to the fetal form of AChR.11-13 In the latter case, the mother may be unaffected. It should be noted that the AChR antibody assays employed by Labcorp contain a mixture of adult and embryonic AChRs allowing for the detection of autoantibodies to both proteins. In most cases affected babies are born with a diminished ability to suck and generalized hypotonia. Decrease in utero feta movement caused by MG can also result in arthrogryposis multiplex congenital, a condition where the neonate suffers from contractures in more than two joints and in multiple body areas. The majority of patients with MG have antibodies to the acetylcholine receptor (AChR) and, less frequently, to the other proteins at postsynaptic membrane of the neuromuscular junction.14-16 AChR antibodies impede neuromuscular transmission by a range of pathogenic mechanisms including the alteration of tissue architecture and/or by causing a reduction the density of functionality of AChRs.1,17-21 Three functionally different types of antibodies against muscle AChR can be measured.1,21-24 • AChR binding antibodies attach to the AChR activate the complement system result in in destruction and focal lysis of the neuromuscular junction leading to the destruction of AChR and AChR-related protein at the end-plate.1,20 • AChR blocking antibodies functionally block the binding of the neurotransmitter acetylcholine to the receptor.20 These antibodies usually occur in association with AChR-binding antibodies and have a higher prevalence in generalized MG compared with ocular MG.20 • AChR modulation antibodies crosslink receptor subunits in such as way as to cause the receptors to be internalized and degraded in a process known as antigenic modulation.20,22,25-27 Modulating antibodies are implicated with an increased risk of thymoma and the majority of patients with thymoma have modulating antibodies.28 Test for serum autoantibodies are highly sensitive and specific for generalized MG but lack sensitivity when there is pure ocular involvement.1,14,29-30 Approximately 85% of patients with generalized MG have detectable muscle AChR antibodies (of one or more types), while fewer patients with ocular MH have the antibodies (50-60%).4,30 In general, an elevated level of any one of the AChR-binding antibodies in a patient with compatible clinical features confirms the diagnosis of MG. Approximately 15 percent of individuals with confirmed myasthenia gravis have no measurable AChR binding, blocking, or modulating antibodies. Thirty-five percent of these patients (six percent of all MG patients) will have antibodies directed against a muscle-specific tyrosine kinase (MuSK).10,31 Autoantibodies levels do not generally correlate with disease severity. However, in individual patients, serial antibody titers tend to correlate with disease status.18,19,32-34 Autoantibodies directed against the contractile elements of striated muscle are found in 30% of adult patients with myasthenia gravis and in 80% of those with thymoma.35-37 Striational antibodies are associated with the late-onset MG subgroup and are rarely found in AChR antibody-negative MG.

Performing Lab:

LABCORP-085926

Test Name:

AChR-MODULATING AB

Test Code:

505225

CPT Code(s):

86043

Preferred Specimen:

0.5 mL SERUM

Min. Volume:

0.3 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

5-7 Days

Clinical Significance:

Diagnose myasthenia gravis (MG); monitor response to treatment of myasthenia gravis

Performing Lab:

Labcorp-505225

Test Name:

ACID-FAST (MYCOBACTERIA) SMEAR AND CULTURE

Test Code:

P6920

Alias:

Blood Mycobacteria Culture Culture, Acid-Fast (Sputum, Tissue, Urine, and Gastric Contents) Culture, Blood, Mycobacteria Mycobacteria Culture (Sputum, Tissue, Urine, and Gastric Contents)

CPT Code(s):

87116;87206

Preferred Specimen:

First morning sputum (not saliva) (three separate specimens from three separate days are recommended), fasting gastric aspirate, induced sputum, whole blood, tissue, biopsy, bronchial aspirate, urine, skin, cerebrospinal fluid (CSF), bone marrow, body fluid, stool. Swabs of exudate from skin sources are acceptable, otherwise swab specimens should not be submitted. Collect aspirate using sterile, nonbacteriostatic saline or other noninhibitory medium. Do not send syringe; it will be rejected.

Min. Volume:

5-10 mL sputum, bronchoalveolar lavage (BAL) or other respiratory specimen; 10 mL whole blood; 2 cm3 tissue; 5 mL CSF; 5-10 mL bone marrow (or as much as possible); 5-10 mL body fluid (pleural, pericardial, chronic peritoneal dialysate); 5-10 mL gastric aspirate/lavage (neutralized to pH 7 with sodium carbonate within 4 hours of collection); 20-40 mL urine (first morning specimen); 5 mL or 1 g stool; biopsy of skin

Transport Container:

Sterile container with tight screw-cap seal or green-top (sodium heparin) tube or yellow-top (SPS) tube or Para-Pak® White

Collection Instruction:

Transport Temperature:

Refrigerate. If sample is to be split for other tests, specimen should be divided at the time of collection so that each portion is transported at the appropriate temperature.

Schedule:

43 - 56 days

Clinical Significance:

This test is set up in the Labcorp computer as a sequential series of tests to comply with customer needs and bill for testing that is performed. Smear, when appropriate, is a separate test along with appropriate specimen processing needed to perform the smear and culture. The culture portion of the test is also separate, and, once growth of acid-fast organisms (or other aerobic actinomycetales) is detected, the culture portion is reported and identification testing begins with PCR-based identification. The results of the PCR identification will be reported whether positive or negative. If negative, identification will proceed by MALDI-TOF and/or DNA sequencing. Biopsy or body fluid: Occult infections with nontuberculous mycobacteria, particularly Mycobacterium avium and Mycobacterium intracellulare, occur in patients with acquired immune deficiency syndrome (AIDS).7 In some institutions, the incidence of isolation of non-Mycobacterium tuberculosis species, specifically M. avium complex, may exceed the rate of isolation of M. tuberculosis. Mycobacteria have been recovered from culture of Kaposi sarcoma and bone marrow specimens in which the characteristic granulomatous reaction has been absent.8,9 Optimal isolation of mycobacteria from tissue is accomplished by processing as much tissue as possible for culture. Swabs should not be submitted. Tuberculous spondylitis represents 50% to 60% of all cases of skeletal tuberculosis. It is seen in children in developing countries and adults older than 50 years of age in the United States and Europe. Frequently, several vertebrae are involved and adjacent psoas muscle abscesses or paravertebral abscesses are not uncommon ("cold abscesses"). Colony counts obtained from bone biopsies are low; however, >90% are culture positive. The diagnosis of vertebral tuberculosis should be considered in all cases of unexplained spondylitis. Cases of sternal wound infection, early prosthetic valve endocarditis, infections complicating mammary augmentation surgery and other cutaneous/subcutaneous infections have been attributed to rapidly growing mycobacteria.10,11 M. fortuitum is the most commonly implicated Mycobacterium in these infections, which are thought to be caused by local environmental strains rather than contaminated commercial surgical materials or devices. Rapidly growing mycobacteria often grow on routine bacterial culture media within the time allotted to incubating routine bacterial cultures. Such organisms may be misidentified as "diphtheroids" and disregarded as contaminants. Pleural effusions frequently yield positive cultures in cases of pulmonary tuberculosis. The diagnosis of peritoneal tuberculosis is difficult and is usually made at laparotomy or after a considerable delay. Tuberculosis should be considered in any patient with ascitic fluid and chronic abdominal pain.12 Peritoneal tuberculosis accounted for 11% of a series of cases of extrapulmonary tuberculosis reported by Alvarez and McCabe.13 Pericardial tuberculosis accounts for <5% of extrapulmonary tuberculosis and frequently requires biopsy for diagnosis. See table.

Performing Lab:

LABCORP-183753

Test Name:

ACTH, PLASMA

Test Code:

P9125

Alias:

ACTH; Corticotropin

CPT Code(s):

82024 (per specimen)

Preferred Specimen:

0.8 mL Plasma, Frozen

Min. Volume:

0.3 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Frozen

Stability:

Room temperature: UnstableRefrigerated: UnstableFrozen: 14 daysFreeze/thaw cycles:Stable x1

Schedule:

1-2 Days

Clinical Significance:

Pituitary function test useful in the differential diagnosis of Cushing syndrome, ectopic ACTH syndrome (eg, carcinoma of lung, islet cell tumors, carcinoid tumors, medullary carcinoma of thyroid), Addison disease, hypopituitarism, and ACTH-producing pituitary tumors (eg, Nelson syndrome)

Performing Lab:

Labcorp-004440

Test Name:

ACTIN (SMOOTH MUSCLE) ANTIBODY

Test Code:

P9380

Alias:

Antiactin Smooth Muscle Antibodies

CPT Code(s):

86015

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

2-3 Days

Clinical Significance:

Detection of antibodies aids in the diagnosis of autoimmune liver diseases such as autoimmune hepatitis (AIH) and primary biliary cirrhosis (PBC)

Performing Lab:

Labcorp-006643

Test Name:

AFP QUAD SCREEN

Test Code:

QUARD

Alias:

AFP Tetra Alpha-Fetoprotein (AFP) Tetra Profile

CPT Code(s):

82105;84702;86336

Test Includes:

α-Fetoprotein, serum; dimeric inhibin A (DIA); human chorionic gonadotropin (hCG); unconjugated estriol (uE3)

Preferred Specimen:

5.0 mL SERUM

Min. Volume:

3.0 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

NO ADDITIVE/GEL (RED-TOP)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

2 - 5 days

Clinical Significance:

Screening test for open neural tube defects (detects 80% open spina bifida, 90% anencephaly), Down syndrome (detects 75% to 80%), and trisomy 18 (detects 73%)

Performing Lab:

Labcorp-017319

Test Name:

AFP, SERUM, TUMOR MARKER

Test Code:

P1813

Alias:

AFP, Serum Alpha-Fetoprotein (AFP), Serum, Tumor Marker

CPT Code(s):

82105

Preferred Specimen:

1.0 mL Serum

Min. Volume:

0.7 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

1-2 DAYS

Clinical Significance:

The most important application of AFP testing in cancer management is for testicular cancer. Although not present in pure seminoma,1 elevated serum AFP is closely associated with nonseminomatous testicular cancer.2-4 The measurement of AFP in serum, in conjunction with serum hCG, is an established regimen for monitoring patients with nonseminomatous testicular cancer.5-8 In addition, monitoring the rate of AFP clearance from serum after treatment is an indicator of the effectiveness of therapy.9,10 Conversely, the growth rate of progressive cancer can be monitored by serially measuring serum AFP concentration over time.11 Serial serum AFP testing is a useful adjunctive test for managing nonseminomatous testicular cancer.

Performing Lab:

Labcorp-002253

Test Name:

ALANINE AMINOTRANSFERASE (ALT, SGPT)

Test Code:

SGPT

Alias:

ALT, SGPT

CPT Code(s):

84460

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

.3 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 3 days

Schedule:

1-2 DAYS

Clinical Significance:

Alanine aminotransferase (ALT) measurements are useful in the diagnostics and treatment of certain liver diseases (e.g. viral hepatitis and cirrhosis) and heart disease.

Performing Lab:

Simple Laboratories

Test Name:

ALBUMIN, SERUM

Test Code:

ALB

CPT Code(s):

82040

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 7 days Refrigerated: 1 Month

Schedule:

1-2 DAYS

Clinical Significance:

Serum albumin measurements are used in the diagnosis of numerous diseases. Elevated serum albumin levles are usually the result of dehydration. Decreased serum albumin leves are found in a number of conditions including kidney disease, liver disease, infections, severe burns, and cancer.

Performing Lab:

Simple Laboratories

Test Name:

ALDOLASE

Test Code:

82085

Alias:

Fructose-1,6 bisphospate

CPT Code(s):

82085

Preferred Specimen:

0.5 mL Serum or plasma

Min. Volume:

0.2 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 1 days Refrigerated: 7 days Frozen: 15 days Freeze/thaw cycles:Stable x3

Schedule:

2-3 Days

Clinical Significance:

Evaluate muscle wasting process. High levels are found in progressive Duchenne muscular dystrophy (MD). Elevations occur in carriers of MD, in limb-girdle dystrophy and other dystrophies, in dermatomyositis, polymyositis, and trichinosis, but not in neurogenic atrophies (eg, multiple sclerosis or in myasthenia gravis).

Performing Lab:

Labcorp-002030

Test Name:

ALDOSTERONE, LCMS, SERUM

Test Code:

82088

CPT Code(s):

82088

Preferred Specimen:

1.2 mL Serum or plasma

Min. Volume:

1 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 3 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

4-7 Days

Clinical Significance:

Evaluate patients with hypertension and possible hyperaldosteronism

Performing Lab:

Labcorp-004374

Test Name:

ALKALINE PHOSPHATASE ISOENZYMES

Test Code:

84080

Alias:

Fractionated Alkaline Phosphatase Kasahara Isoenzymes Nag Ao Isoenzymes Regan Isoenzymes

CPT Code(s):

84075; 84080

Test Includes:

Relative percentages of liver, bone, and intestinal alkaline phosphatase isoenzymes and total alkaline phosphatase

Preferred Specimen:

1.6 mL SERUM

Min. Volume:

0.8 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature 7 days Refrigerated 7 days Frozen 3 months Freeze/thaw cycles Stable x3

Schedule:

3-5 DAYS

Clinical Significance:

Evaluate the contribution of the isoforms of ALP from liver, bone, and bowel to total ALP; investigate elevations of ALP to determine the tissue of origin

Performing Lab:

Labcorp-001612

Test Name:

ALKALINE PHOSPHATASE, TOTAL

Test Code:

ALK

Alias:

ALK PHOS. ALP

CPT Code(s):

84075

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 4 days Frozen: 2 Months

Schedule:

1-2 DAYS

Clinical Significance:

Mesurements of serum alkaline phosphatase (ALP) are used in the diagnosis of hepatobiliary disorders and bone disease associated with increased osteoblastic activity. Certain conditions such as Hodgkin's Disease, congestive heart failure and ulcerative colitis will produce moderate elevation in alkaline phosphatase levels. Non-pathologic elevations can be observed in the thrid trimester of pregnancy.

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN (10) – INHALANT PANEL

Test Code:

ALPR10

CPT Code(s):

86003X10

Preferred Specimen:

3.0 mL SERUM

Min. Volume:

2.5 mL SERUM

Transport Container:

2-SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, A. ALTERNATA MOLD

Test Code:

60202

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, A. FUMIGATUS MOLD

Test Code:

60251

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, BERMUDA GRASS

Test Code:

60418

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, C. HERBARUM MOLD

Test Code:

60756

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, CAT DANDER

Test Code:

68338

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, CLAM

Test Code:

60764

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, COCKROACH

Test Code:

60780

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, COD FISH

Test Code:

60822

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, COMMON RAGWEED

Test Code:

60855

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, CORN

Test Code:

72488

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, COTTONWOOD TREE

Test Code:

60905

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, D. FARINAE MITE

Test Code:

264192

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, D. PTERONYSSINUS MITE

Test Code:

72785

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, DOG DANDER

Test Code:

60988

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, EGG WHITE

Test Code:

61069

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, ELM TREE

Test Code:

61093

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, FEATHER MIX

Test Code:

152157

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, GLUTEN

Test Code:

61259

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, HAZELNUT

Test Code:

61366

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, HOUSE DUST GREER

Test Code:

98285

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, M. RACEMOSUS MOLD

Test Code:

61820

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, MAPLE LEAF SYCAMORE

Test Code:

152850

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, MAPLE TREE

Test Code:

71555

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, MILK

Test Code:

61747

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, MOUNTAIN CEDAR

Test Code:

61788

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, MOUSE

Test Code:

197517

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, MULBERRY TREE

Test Code:

62810

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, OAK TREE

Test Code:

61895

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, P. NOTATUM MOLD

Test Code:

62125

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, PEANUT

Test Code:

62067

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, PECAN/HICKORY TREE

Test Code:

62091

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, ROUGH MARSH ELDER

Test Code:

62323

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, ROUGH PIGWEED

Test Code:

76042

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, RUSSIAN THISTLE

Test Code:

62349

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, SCALLOP

Test Code:

76919

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, SESAME SEED

Test Code:

62422

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, SHRIMP

Test Code:

62463

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, SOYBEAN

Test Code:

62489

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, TIMOTHY GRASS

Test Code:

62653

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, WALNUT FOOD

Test Code:

62737

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, WALNUT TREE

Test Code:

339820

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, WHEAT

Test Code:

62760

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGEN, WHITE ASH TREE

Test Code:

62786

CPT Code(s):

86003

Preferred Specimen:

0.3 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGENS (12) – FOOD PANEL

Test Code:

ALFOOD

Alias:

FOOD PANEL

CPT Code(s):

86003x12

Test Includes:

Clam IgE Codfish IgE Corn, Maize IgE Sesame Seed Egg White IgE Milk, Cow IgE Peanut IgE Scallop IgE Shrimp IgE Soybean IgE Walnut IgE Wheat IgE

Preferred Specimen:

3.0 mL SERUM

Min. Volume:

2.5 mL SERUM

Transport Container:

2-SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGENS (16) – CHILDHOOD ALLERGY PANEL

Test Code:

ALCHIL

Alias:

ALLERGY

CPT Code(s):

82785;86003X16

Test Includes:

D. FARINAE IgE D.PTERONYSSINUS IgE C.HERBARUM IgE CAT DANDER IgE DOG DANDER IgE COCKROACH IgE A. ALTERNATA IgE EGG WHITE IgE MILK IgE PEANUT IgE CODFISH IgE SHRIMP IgE SOYBEAN IgE WALNUT IgE WHEAT IgE MOUSE IGE TOTAL IGE

Preferred Specimen:

3.0 mL SERUM

Min. Volume:

2.5 mL SERUM

Transport Container:

2-SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALLERGENS (27) – RESPIRATORY PANEL, REGION 8 (IA,IL,MO)

Test Code:

ALRES

Alias:

ALLERGY

CPT Code(s):

82785;86003X16

Test Includes:

MOUSE A. ALTERNATA (TENUIS) IgE A. FUMIGATUS IgE BERMUDA GRASS IgE BIRCH IgE C. HERBARUM IgE CAT DANDER IgE COCKROACH, GERMAN IgE COTTONWOOD IgE D. FARINAE IgE D. PTERONYSSINUS IgE DOG DANDER IgE ELM, AMERICAN WHITE IgE MAPLE IgE MAPLE LEAF SYCAMORE IgE MOUNTAIN JUNIPER/MTN CEDAR IgE MULBERRY IgE OAK, WHITE IgE PECAN, HICKORY IgE PENICILLIUM RAGWEED, SHORT COMMON IgE ROUGH PIGWEED IgE SALTWORT-RUSSIAN THISTLE IgE SHEEP SORREL IgE TIMOTHY GRASS IgE WALNUT TREE IgE WHITE ASH IgE IgE TOTAL

Preferred Specimen:

3.0 mL SERUM

Min. Volume:

2.5 mL SERUM

Transport Container:

2-SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 Days

Schedule:

2-4 DAYS

Clinical Significance:

Allergen assays are used as a diagnostic aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings

Performing Lab:

Simple Laboratories

Test Name:

ALPHA-1-ANTITRYPSIN, SERUM

Test Code:

82103

Alias:

Acute Phase Proteins Alpha1-Protease Inhibitor

CPT Code(s):

82103

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

Detection of hereditary decreases in the production of α1-antitrypsin (α1AT). Decreased or nearly absent levels of α1AT can be a factor in chronic obstructive lung disease and liver disease. An increased prevalence of non-MM phenotypes is found with cryptogenic cirrhosis and with CAH. Cirrhosis in a child should raise consideration of α1AT deficiency or Wilson's disease. Diagnosis of inflammatory states, if elevated (eg, rheumatoid arthritis, bacterial infection, vasculitis, neoplasia).

Performing Lab:

Labcorp-001982

Test Name:

AMMONIA, PLASMA

Test Code:

JAMMON

Alias:

NH3 NH4

CPT Code(s):

82140

Preferred Specimen:

3.0 mL plasma Draw one EDTA (lavender) for this test only. Do not combine with other tests.

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Frozen

Stability:

Frozen: 24 hours

Schedule:

1-2 Days

Clinical Significance:

Circulatory ammonia levels in normal individuals are relatively low despite the fact that ammonia is continuously produced from dietary and amino acid metabolism. Monitoring blood ammonia levels can be useful in the diagnosis of hepatic encephalopathy and hepatic coma in the terminal stages of liver cirrhosis, hepatic failure, acute and subacute necrosis, and Reye’s syndrome. Hyperammonemia in infants may be an indicator of inherited deficiencies of the urea cycle metabolic pathway.

Performing Lab:

Jackson Park Hospital

Test Name:

AMYLASE ISOENZYMES

Test Code:

123110

Alias:

Amylase Fractionation Isoamylase Pancreatic Amylase Salivary Amylase

CPT Code(s):

82150 (X2)

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 7 days Refrigerated: 30 days

Schedule:

2-3 Days

Clinical Significance:

Evaluate parotitis and pancreatic disease. Amylase is primarily produced in the pancreas and salivary glands. Isoenzymes may be used to determine the source of an elevated amylase concentration. Measurement of pancreatic amylase activity is of value in diagnosing pancreatitis and other pancreatic disorders that result in the elevation of serum and urine amylase.

Performing Lab:

Labcrop-123110

Test Name:

AMYLASE, SERUM

Test Code:

AMYL

CPT Code(s):

82150

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 7 days Refrigerated: 7 days

Schedule:

1-2 Days

Clinical Significance:

Amylase is found primarily in the pancreas and salivary glands. Elevated serum levels are associated with acute pancreatitis and other pancreatic disorders as well as mumps and bacterial parotitis.

Performing Lab:

Simple Laboratories

Test Name:

ANA REFLEX TITER/DSDNA

Test Code:

ANAPRO

CPT Code(s):

86038

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days

Schedule:

1-2 Days

Clinical Significance:

The antinuclear antibody (ANA) test is an indirect immunofluorescent test to detect antinuclear antibody activity in sera of patients with autoimmune rheumatic disease and connective tissue disease.

Performing Lab:

Simple Laboratories

Test Name:

ANA SCREEN ONLY

Test Code:

ANA

CPT Code(s):

86038

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days

Schedule:

1-2 Days

Clinical Significance:

The antinuclear antibody (ANA) test is an indirect immunofluorescent test to detect antinuclear antibody activity in sera of patients with autoimmune rheumatic disease and connective tissue disease.

Performing Lab:

Simple Laboratories

Test Name:

ANAPLASMA PHAGOCYTOPHILUM (HGE) AB, IgG/IgM

Test Code:

164672

Alias:

Anaplasma phagocytophilum Ehrlichia HGE Tickborne

CPT Code(s):

86666(X2)

Preferred Specimen:

0.4 mL SERUM

Min. Volume:

0.2 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

1-4 Days

Clinical Significance:

This test is used for detection and semiquantitation of serum IgG and IgM antibodies to Anaplasma phagocytophilum (HGE) to aid in the diagnosis of human granulocytic ehrlichiosis. Confirmation of diagnosis is based on laboratory testing, but antibiotic therapy should not be delayed in patients with a suggestive clinical presentation. The diagnosis of acute anaplasmosis cannot be confirmed solely by the presence of antibodies in a serum sample collected at a single timepoint. DNA PCR can be used to diagnose acute infection. Demonstration of a 4-fold rise in IgG-specific antibody titers by IFA in paired samples (acute and convalescent) confirms infection with A. phagocytophilum. IgM antibodies are less specific than IgG antibodies and are more likely to generate false positive results. IgM results alone should not be used for laboratory diagnosis. Antibody titers are frequently negative during the first 7-10 days of illness.

Performing Lab:

Labcorp-164672

Test Name:

ANCA PROFILE

Test Code:

163873

Alias:

MPO-ANCA PR3-ANCA

CPT Code(s):

83516 (x2); 86037 (x3)

Preferred Specimen:

3.0 mL SERUM

Min. Volume:

1.5 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature; 14 days Refrigerated; 14 days Frozen; 14 days Freeze/thaw cycles: Stable x3

Schedule:

4-7 DAYS

Clinical Significance:

For diagnosis and monitoring inflammatory activity in primary systemic small vessel vasculitides. The anti-PR3-ANCA Immunoassay is useful for confirming positive ANCA results by IFA, particularly with the cANCA pattern. Presence of anti-PR3 antibodies is highly specific for Wegener granulomatous (WG) disease, for which the sensitivity is reported to be 98%. Levels of anti-PR3 are elevated during active phases of disease and lower during remission. Monitoring anti-PR3 levels, therefore, can aid in disease management. The anti-MPO-ANCA Immunoassay is useful for confirming positive ANCA results by IFA, particularly with the P-ANCA pattern. Presence of anti-MPO antibodies is highly specific for idiopathic and vasculitis-associated crescentic glomerulonephritis, classic polyarteritis nodosa, Churg-Strauss syndrome, and polyangiitis overlap syndrome without renal involvement. Levels of anti-MPO are elevated during active phases of disease and lower during remission. Therefore, monitoring anti-MPO levels can aid in disease management.

Performing Lab:

Labcorp-163061

Test Name:

ANDROSTENEDIONE, SERUM

Test Code:

AND

Alias:

4-Androstenedione δ4-Androstene,3,17-dione

CPT Code(s):

82157

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL

Transport Container:

NO ADDITIVE/GEL (RED-TOP). Do not use a gel-barrier tube. The use of gel-barrier tubes is not recommended due to slow absorption of the steroid by the gel. Depending on the specimen volume and storage time, the decrease in androstenedione level due to absorption may be clinically significant.

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x2

Schedule:

4-6 Days

Clinical Significance:

Androstenedione is useful when evaluating patients with androgen excess and managing patients with Congenital Adrenal Hyperplasia (CAH).

Performing Lab:

LABCORP-004705

Test Name:

ANGIOTENSIN CONVERTING ENZYME, SERUM (ACE)

Test Code:

82164

CPT Code(s):

82164

Preferred Specimen:

0.5 mL SERUM

Min. Volume:

0.2 mL

Transport Container:

NO ADDITIVE/GEL (RED-TOP)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 10 days Refrigerated: 10 days Frozen:7 months Freeze/thaw cycles: Stable x4

Schedule:

2-3 Days

Clinical Significance:

High in sarcoidosis, more often when the disease is active. Of value in assessing the response of sarcoidosis to corticosteroid therapy. Changes in serum ACE correlate with clinical status and results of gallium scans (which reflect presence and activity of inflammatory granulomatous lesions). Falling ACE level is a favorable prognostic sign. Rising levels may reflect activity uncontrolled by therapy.

Performing Lab:

Labcorp-010116

Test Name:

ANTI CCP IGG

Test Code:

632174

Alias:

A-CCP Anti-Cyclic Citrullinated Peptide

CPT Code(s):

86200

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 3 days

Schedule:

1-2 Days

Clinical Significance:

The presence of CCP antibodies, when considered in conjunction with other laboratory and clinical findings, is an aid in the diagnosis of rheumatoid arthritis (RA). Approximately 70% of RA patients are positive for anti-CCP IgG, while only 2% of random blood donors and control subjects are positive.

Performing Lab:

Simple Laboratories

Test Name:

ANTI SSA/RO

Test Code:

299586

CPT Code(s):

86235

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 ml serum *This volume does not allow for repeat testing.

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days

Schedule:

1-2 Days

Performing Lab:

Simple Laboratories

Test Name:

ANTI SSB/LA

Test Code:

487165

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 ml serum *This volume does not allow for repeat testing.

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days

Schedule:

1-2 Days

Performing Lab:

Simple Laboratories

Test Name:

ANTI-DNASE B (STREPTOCOCCAL) AB

Test Code:

96289

Alias:

ADB Anti-DNase B Antibodies DNase-B DNase-B Antibodies Streptococcal Antibodies Streptodornase

CPT Code(s):

86215

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 9 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

3-5 Days

Clinical Significance:

Provides evidence of an existing or past streptococcal infection

Performing Lab:

Labcorp-096289

Test Name:

ANTI-HU, RI, YO AB PROFILE, SERUM

Test Code:

505240

CPT Code(s):

86255(X3)

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

3-5 Days

Clinical Significance:

Evaluation of patients with suspected paraneoplastic neurologic syndrome such as encephalomyelitis.

Performing Lab:

Labcorp-505240

Test Name:

ANTI-MULLERIAN HORMONE (AMH)

Test Code:

P0566

Alias:

Müllerian-inhibiting Substance

CPT Code(s):

82397

Preferred Specimen:

1.0 mL SERUM, FROZEN

Min. Volume:

0.2 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Frozen

Stability:

Room temperature: 1 day Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x6

Schedule:

4-7 DAYS

Clinical Significance:

The determination of AMH is used for the assessment of the ovarian reserve in women presenting to fertility clinics. This system is intended to distinguish between women presenting with AFC (antral follicle count) values >15 (high ovarial reserve) and women with AFC values <15 (normal or diminished ovarian reserve). This system is intended to be used for assessing the ovarian reserve in conjunction with other clinical and laboratory findings before starting any fertility therapy.

Performing Lab:

labcorp-500183

Test Name:

ANTIBODY SCREEN

Test Code:

P5010

Alias:

Indirect Antiglobulin Test Indirect Coombs'

CPT Code(s):

86850

Preferred Specimen:

4.0 mL WHOLE BLOOD

Min. Volume:

1.0 mL WHOLE BLOOD

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 3 days

Schedule:

1-2 DAY

Clinical Significance:

Detect atypical IgG antibodies prior to transfusion or during pregnancy. The technique is designed specifically to detect IgG antibodies, though on occasion, some IgM antibodies may also be detected. Antibodies detected by the antibody screen will be subsequently identified, and a titer performed if the antibody identified is considered to be clinically significant during pregnancy.

Performing Lab:

Labcorp-006015

Test Name:

ANTICARDIOLIPIN ANTIBODIES, IgA, IgM, IgG

Test Code:

86147

Alias:

Antiphospholipids Cardiolipin Antibodies

CPT Code(s):

86147

Test Includes:

Anticardiolipin antibodies, IgA, quantitative; anticardiolipin antibodies, IgG, quantitative; anticardiolipin antibodies, IgM, quantitative

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL (Note: This volume does not allow for repeat testing.)

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days `

Schedule:

1-3 Days

Clinical Significance:

Anticardiolipin antibodies are often present in individuals with the antiphospholipid antibody syndrome.1,2

Performing Lab:

Labcorp-161950

Test Name:

ANTIDIURETIC HORMONE (ADH), PLASMA

Test Code:

046557

Alias:

Arginine Vasopressin, AVP Vasopressin

CPT Code(s):

84588

Preferred Specimen:

2.0 mL PLASMA FROZEN

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Frozen

Schedule:

4-12 Days

Clinical Significance:

Useful for the differential diagnosis of patients with water balance disorders, including diabetes insipidus in conjunction with osmolality and hydration status

Performing Lab:

Labcorp-010447

Test Name:

ANTIPANCREATIC ISLET CELLS

Test Code:

160721

CPT Code(s):

86341

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

2-7 Days

Performing Lab:

Labcorp-160721

Test Name:

ANTIPARIETAL CELL AB (APCA)

Test Code:

PPCA

Alias:

Gastric Parietal Cell Antibodies

CPT Code(s):

83516

Test Includes:

Titer

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

2-4 Days

Clinical Significance:

Detection of gastric parietal cell antibodies of the IgG class in human sera. Autoantibodies to gastric parietal cells are found in approximately 90% of patients with pernicious anemia and in about 30% of first degree relatives of patients with pernicious anemia. Increased levels of gastric parietal cells have been found in patients with thyroid disease, iron deficiency anemia, alopecia areata, and vitiligo.

Performing Lab:

Labcorp-006486

Test Name:

ANTIPROTEINASE 3 (PR3) ANTIBODIES

Test Code:

163067

Alias:

c-ANCA-Specific Antibody Proteinase 3 Antibodies

CPT Code(s):

83516

Preferred Specimen:

0.6 mL SERUM

Min. Volume:

0.3 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

2-4 Days

Clinical Significance:

Antineutrophil cytoplasmic antibodies (ANCA) are a group of antibodies directed against cytoplasm antigens of neutrophilic granulocytes and monocytes. ANCA examinations are considered basic tests in immunological laboratories. The determination of ANCA is of great importance, in particular in the case of suspected acute vasculitis of small vessels, with severe pulmonary impairment or renal failure, but also in some non-vasculitis clinical syndromes such as inflammatory bowel diseases, e.g. ulcerative colitis. The most common target antigens of ANCA-associated vasculitis are proteinase 3 or myeloperoxidase. Antibodies against proteinase 3 (PR3) are referred to as c-ANCA fluorescent subtype, namely cytoplasmic antibodies (granular cytoplasmic fluorescence). PR3 is a neutral serine proteinase 3, also known as Wegener's autoantigen. Antibodies against PR3 are a highly specific marker in diagnosing Wegener's granulomatosis.

Performing Lab:

Labcorp-163067

Test Name:

ANTITHROMBIN ACTIVITY

Test Code:

P9400

Alias:

Antithrombin III Activity Antithrombin III, Functional AT3 Activity Factor Xa Inhibitor Heparin Cofactor Activity Serine Protease Inhibitor

CPT Code(s):

85300

Preferred Specimen:

1.0 mL PLASMA

Transport Container:

SODIUM CITRATE (LT BLUE TOP)

Collection Instruction:

Transport Temperature:

Frozen

Stability:

Frozen: 28 days Freeze/thaw cycles: Stable x3

Schedule:

2-3 Days

Clinical Significance:

This test is used for confirmation and characterization of acquired or congenital AT deficiency.

Performing Lab:

Labcorp-015040

Test Name:

APOLIPOPROTEIN A1

Test Code:

016873

Alias:

A-1 Apolipoprotein Alpha-Apolipoprotein

CPT Code(s):

82172

Preferred Specimen:

2.0 mL SERUM OR PLASMA

Min. Volume:

2.0 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

Apo A-1 comprises 60% to 70% of the protein content of HDL. Apo A-1 serves as an activator of LCAT which is involved in the transport of cholesterol from peripheral tissues to the liver where it is degraded. Decreased serum HDL cholesterol levels have been reported to correlate with increased risk of coronary artery disease (CAD); however, Apo A-1 has been suggested as a better discrimination of CAD than HDL.1 Apo A-1 levels also correlate with survival rates or risk factors for patients with myocardial infarction and peripheral vascular disease. Measurement of Apo A-1 may also aid in the diagnosis of Tangier disease (absence of alpha-lipoprotein).

Performing Lab:

Labcorp-016873

Test Name:

APOLIPOPROTEIN ASSESSMENT

Test Code:

7018

Alias:

Alpha and Beta Apolipoproteins

CPT Code(s):

82172, 82172

Preferred Specimen:

4.0 mL SERUM OR PLASMA

Min. Volume:

4.0 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

Studies have shown that the ratio of apolipoprotein A-1:apolipoprotein B may correlate better with increased risk of coronary artery disease (CAD) than total cholesterol, and LDL:HDL ratio.

Performing Lab:

Labcorp-216010

Test Name:

APOLIPOPROTEIN B

Test Code:

071013

Alias:

Beta Apolipoprotein

CPT Code(s):

82172

Preferred Specimen:

2.0 mL SERUM OR PLASMA

Min. Volume:

2.0 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

LDL and its major protein, apolipoprotein B, play an essential role in lipid transport and metabolism. Apo B may regulate cholesterol synthesis through its interaction with specific cell membrane receptors and by inhibition of HMG Co A reductase. This enzyme has been identified as the rate controlling enzyme in cholesterol biosynthesis. Apo B may be important in the genesis of atherosclerosis and its quantitation useful in the evaluation of patients at risk for or having coronary atherosclerosis (CAD). High levels indicate increased risk for CAD.

Performing Lab:

Labcorp-071013

Test Name:

ARSENIC, BLOOD

Test Code:

P9420

CPT Code(s):

82715

Preferred Specimen:

2.0 mL WHOLE BLOOD

Min. Volume:

0.6 mL

Transport Container:

EDTA METAL FREE(ROYAL BLUE)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

3-5 Days

Clinical Significance:

Monitor recent or acute exposure to arsenic

Performing Lab:

Labcorp-007245

Test Name:

ASO (ANTISTREPTOLYSIN O TITER)

Test Code:

ASO

Alias:

ASO

CPT Code(s):

86060

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

1-2 Days

Clinical Significance:

An elevated level of ASO is an indication of recent infection, and can be an aid in the diagnosis of acute rheumatic fever and post-streptococcal glomerulonephritis.

Performing Lab:

Simple Laboratories

Test Name:

ASPARTATE AMINOTRANSFERASE (AST,SGOT)

Test Code:

SGOT

Alias:

AST, SGOT

CPT Code(s):

84450

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 24 hours Refrigerated: 4 weeks days

Schedule:

1-2 Days

Clinical Significance:

Serum AST is one of a group of enzymes which catalyzes the interconversion of amino acids and keto acids by transfer of amino groups. Transaminases are widely distributed in body tissues with significant amounts found in the heart and liver. Lesser amounts are also found in skeletal muscles, kidneys, pancreas, spleen, lungs, and brain. Injury to these tissues result in the release of the AST enzyme to general circulation

Performing Lab:

Simple Laboratories

Test Name:

B12 + FOLIC ACID

Test Code:

043

Alias:

B12 / Folic Acid Cobalamin, True / Folic Acid

CPT Code(s):

82746, 82607

Test Includes:

Vitamin B12 Folate, Serum

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

0.5 mL serum This volume does not allow for repeat testing.

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 8 hours Refrigerated: 3 days

Schedule:

1-2 Days

Clinical Significance:

See individual test

Performing Lab:

Simple Laboratories

Test Name:

BACTERIAL VAGINOSIS PANEL

Test Code:

LS5002

CPT Code(s):

81513

Test Includes:

ATOPOBIUM; BVAB2; MEGASPHAERA 1

Preferred Specimen:

Vaginal swab using Aptima Multitest swab (orange) - Clinician-collected or self-collected

Transport Container:

APTIMA MULTI-TEST SWAB (ORANGE)

Collection Instruction:

Transport Temperature:

Room Temperature or Refrigerated

Stability:

After collection, swab specimens in transport tubes can be stored at 2ºC to 30ºC for up to 30 days.

Schedule:

1-3 Days

Clinical Significance:

The Aptima BV assay is an in vitro nucleic acid amplification test that utilizes real time transcription-mediated amplification (TMA) for detection and quantitation of ribosomal RNA from bacteria associated with bacterial vaginosis (BV), including Lactobacillus (L. gasseri, L. crispatus, and L. jensenii), Gardnerella vaginalis, and Atopobium vaginae.

Performing Lab:

Simple Laboratories

Test Name:

BARTONELLA ANTIBODY PROFILE

Test Code:

163162

Alias:

Rochalimaea Bacillary Angiomatosis (BA) Cat Scratch Disease Antibody

CPT Code(s):

86611(X4)

Test Includes:

Bartonella henselae, IgG; Bartonella henselae, IgM; Bartonella quintana, IgG; Bartonella quintana, IgM

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-5 Days

Clinical Significance:

Bartonella (formerly Rochalimaea) henselae has become firmly established as the primary etiologic agent for cat scratch disease (CSD). Bartonella quintana, known for some time as a cause of trench fever, is also associated with CSD and bacillary angiomatosis (BA). Both diseases frequently affect immunocompromised patients, particularly those infected with HIV-1. Although CSD is generally a self-limiting disease, it can be life-threatening.

Performing Lab:

Labcorp-163162

Test Name:

BETA HUMAN CHORIONIC GONADOTROPIN (BHCG), QUANTITATIVE

Test Code:

HCGQNT

Alias:

Beta HCG,Quantitative hCG,Quantitative Pregnancy Test, Quantitative βHCG, Tumor Marker βHCG,Quantitative

CPT Code(s):

84702

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

1.0 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 8 hours Refrigerated: 48 hours Frozen: 6 months

Schedule:

1-2 Days

Clinical Significance:

Human chorionic gonadotropin (hCG) is a glycoprotein hormone produced by the placenta. The hormone is an excellent marker for pregnancy. Healthy, non-pregnant females have low to undetectable hCG levels. During pregnancy, hCG concentrations increase then show a gradual decrease after the first trimester. Unusually low or rapidly declining levels may indicate an abnormal condition such as ectopic pregnancy or impending spontaneous abortion. A quantitative hCG test may also be ordered to help diagnose gestational trophoblastic disease or germ cell tumors of the testes or ovary.

Performing Lab:

Simple Laboratories

Test Name:

BILE ACIDS

Test Code:

10330

Alias:

Glyco and Taurochenodeoxycholic Acid

CPT Code(s):

82239

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.2 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Frozen

Stability:

Refrigerated: 3 days Frozen: 7 days Freeze/thaw cycles: Stable x3

Schedule:

2-3 Days

Clinical Significance:

Evaluate the enterohepatic cycle consisting of the biliary system, intestine, portal circulation, and hepatocytes

Performing Lab:

Labcorp-010330

Test Name:

BILIRUBIN DIRECT

Test Code:

DB

Alias:

Bilirubin, conjugated

CPT Code(s):

82248

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 3 DAYS *Specimen should be protected from light as much as possible prior to testing

Schedule:

1-2 Days

Clinical Significance:

The assessment of direct bilirubin is helpful in the determination of hepatic disorders. The increase in the total bilirubin associated with obstructive jaundice is primarily due to the direct fraction. Both direct and indirect bilirubin are increased in the serum with hepatitis. In the newborn patient with hemolytic jaundice and neonatal jaundice, the increase in the total bilirubin is primarily due to the indirect bilirubin fraction. This jaundice may be caused by Rh, ABO, or other blood group incompatibilities, by hepatic immaturity, or by hereditary defects in bilirubin conjugation.

Performing Lab:

Simple Laboratories

Test Name:

BILIRUBIN TOTAL

Test Code:

BT

CPT Code(s):

82247

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 3 days Frozen: 3 Months

Schedule:

1-2 Days

Clinical Significance:

Used in the diagnosis and treatment of liver, hemolytic, hematological, and metabolic disorders, including hepatitis and gall bladder blockage.

Performing Lab:

Simple Laboratories

Test Name:

BILIRUBIN, TOTAL AND DIRECT WITH INDIRECT CALC.

Test Code:

TB

CPT Code(s):

82248; 82247

Test Includes:

Total Bilirubin Direct Bilirubin Indirect Bilirubin (calculated)

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 3 days Frozen: 3 Months

Schedule:

1-2 Days

Clinical Significance:

Bilirubin measurements are used in the diagnosis and treatment of liver, hemolytic, hematological, and metabolic disorders, including hepatitis and gall bladder blockage.

Performing Lab:

Simple Laboratories

Test Name:

BIOPSY

Test Code:

PSURGP

Alias:

Biopsy Gross and Microscopic Pathology Microscopic Section Pathologic Examination Pathology Skin Lesion(s) Tissue Examination Surgical Pathology Tissue Pathology

CPT Code(s):

88300; 88302; 88304; 88305; 88307; 88309; 88311; 88312; 88313; 88314; 88319; 88321; 88323; 88325; 88342 (CPT codes are assigned by the pathologist when the case is complete; the codes listed here [in combination and with the appropriate multipliers] are most commonly used for histopathology.)

Test Includes:

Gross examination only and/or gross and microscopic examination and diagnosis

Preferred Specimen:

TISSUE

Transport Container:

Jars of assorted size containing 10% buffered formalin

Collection Instruction:

Transport Temperature:

Room Temperatue

Schedule:

2-3 Days

Clinical Significance:

Histologic diagnosis

Performing Lab:

Labcorp-550918

Test Name:

BMP (BASIC METABOLIC PANEL)

Test Code:

BMP

CPT Code(s):

80048

Test Includes:

Glucose, Urea Nitrogen (BUN), Creatinine, Sodium (Na), Potassium (K), Chloride (CL), Carbon Dioxide (CO2), Anion Gap, Calcium, GFR (African American), GFR (Others)

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 3 DAYS

Schedule:

1-2 Days

Clinical Significance:

BMP can evaluate kidney, electrolyte, acid-base balance, blood sugar, and calcium levels. Significant changes in these test results can indicate acute problems such as kidney failure, insulin shock or diabetic coma, respiratory distress, or heart rhythm changes.

Performing Lab:

Simple Laboratories

Test Name:

BNP (B -TYPE NATRIURETIC PEPTIDE)

Test Code:

BNP

Alias:

BNP; Brain Type Natriuretic Peptide

CPT Code(s):

83880

Preferred Specimen:

1.0 mL WHOLE BLOOD

Min. Volume:

0.5 mL WHOLE BLOOD

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Room Temp

Stability:

Room temperature: 24 Hours

Schedule:

1-2 Days

Clinical Significance:

The BNP test is intended to be used as an aid in th diagnosis and assessment of severity of congestive heart failure (also referred to as heart failure). The test also is used to fhte risk stratification of patients with acute coronary syndromes and for the risk stratification of patients with heart failure.

Performing Lab:

Simple Laboratories

Test Name:

BORDETELLA PERTUSSIS IGA, IGG, IGM

Test Code:

418772

CPT Code(s):

86615(X3)

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x4

Schedule:

1-5 Days

Clinical Significance:

Establish evidence of infection/exposure to Bordetella pertussis, the causative agent of whooping cough

Performing Lab:

Labcorp-164451

Test Name:

C-PEPTIDE

Test Code:

84681

Alias:

Connecting Peptide Insulin C-Peptide Proinsulin C-Peptide

CPT Code(s):

84681

Preferred Specimen:

0.8 mL SERUM

Min. Volume:

0.3 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 1 day Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

The principal use of C-peptide is in the evaluation of hypoglycemia. Patients with insulin-secreting neoplasms have high levels of both C-peptide and endogenous insulin; in contrast, patients with factitious hypoglycemia will have low C-peptide levels in the presence of elevated (exogenous) serum insulin. C-peptide is also useful in evaluating residual beta-cell function in insulin-dependent diabetics, many of whom have antibodies that interfere with insulin assays. Glucagon-stimulated C-peptide concentration has been shown to be a good discriminator between insulin-requiring and non−insulin-requiring diabetic patients. The diagnosis of islet cell tumor is supported by elevation of C-peptide when plasma glucose is low.

Performing Lab:

Labcorp-010108

Test Name:

C-REACTIVE PROTEIN

Test Code:

CRP

Alias:

CRP

CPT Code(s):

86140

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 11 days Refrigerated: 2 months

Schedule:

1-2 DAYS

Clinical Significance:

Measurement of CRP is useful for the detection and evaluation of infection, tissue injury, inflammatory disorders and associated diseases. Measurements may also be useful as an aid in the identification of individuals at risk for future cardiovascular disease. High sensitivity CRP (hsCRP) measurements, when used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes, may be useful as an independent marker of prognosis for recurrent events, in patients with stable coronary disease or acute coronary syndromes.

Performing Lab:

Simple Laboratories

Test Name:

C-REACTIVE PROTEIN, HIGH SENITIVITY

Test Code:

HSCRP

Alias:

Cardiac C-Reactive Protein Cardiac CRP CRP High Sensitivity CRP Hs HsCRP

CPT Code(s):

86141

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 ML SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 11 days Refrigerated: 2 months

Schedule:

1-2 DAYS

Clinical Significance:

Measurement of C-reactive protein aids in the evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases as part of the body’s non-specific inflammatory response to infection or injury. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes, CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome. A prognostic value for measuring CRP has been suggested from studies with cardiac patients where elevated levels of CRP were associated with a higher risk of having a future cardiac event. Elevated levels of CRP have been associated with poor prognosis in cases of stable angina, unstable angina, and myocardial infarction.

Performing Lab:

Simple Laboratories

Test Name:

CA 125

Test Code:

86304

Alias:

CA-125, Second Generation Assay

CPT Code(s):

86304

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.7 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

The Elecsys CA 125 II assay is labeled "For in vitro diagnostic use" in the manufacturer's package insert.1

Performing Lab:

Labcorp-002303

Test Name:

CA 15-3

Test Code:

PC153C

CPT Code(s):

86300

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.7 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

Quantitative measurement of cancer antigen 15-3

Performing Lab:

Labcorp-143404

Test Name:

CA 19-9

Test Code:

86301

CPT Code(s):

86301

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.7 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

Monitor gastrointestinal, pancreatic, liver, and colorectal malignancies

Performing Lab:

Labcorp-002261

Test Name:

CA 27-29

Test Code:

86300

Alias:

CA 27.29 Antigen Truquant BR

CPT Code(s):

86300

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

Manage patients with metastatic carcinoma of the breast

Performing Lab:

Labcorp-140293

Test Name:

CADMIUM, BLOOD

Test Code:

P9450

CPT Code(s):

82300

Preferred Specimen:

1.0 mL WHOLE BLOOD

Min. Volume:

0.6 mL

Transport Container:

EDTA METAL FREE(ROYAL BLUE)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles:Stable x3

Schedule:

2-4 Days

Clinical Significance:

Monitor recent or acute exposure to cadmium

Performing Lab:

Labcorp-085340

Test Name:

CALCITONIN

Test Code:

5630

Alias:

Thyrocalcitonin

CPT Code(s):

82308

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.4 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Frozen

Stability:

Room temperature: Unstable Refrigerated: Unstable Frozen: 90 days Freeze/thaw cycles: Stable x3

Schedule:

3-5 DAYS

Clinical Significance:

Calcitonin concentration is increased in patients with medullary thyroid carcinoma. Calcitonin concentrations may be used to monitor disease.

Performing Lab:

Labcorp-004895

Test Name:

CALCITRIOL (1,25 DI-OH VITAMIN D)

Test Code:

82652

Alias:

1,25(OH) Vitamin D 1,25-Dihydroxy Vitamin D 1,25-Dihydroxycholecalciferol Vitamin D, 1,25-Dihydroxy

CPT Code(s):

82652

Preferred Specimen:

0.5 mL SERUM OR PLASMA

Min. Volume:

0.3 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x4

Schedule:

2-4 DAYS

Clinical Significance:

This test is used to aid in the diagnosis of primary hyperparathyroidism, hypoparathyroidism, pseudohypoparathyroidism, renal osteodystrophy and vitamin D-resistant rickets.

Performing Lab:

Labcorp-081091

Test Name:

CALCIUM IONIZED, SERUM

Test Code:

P1240

Alias:

Calcium Filterable Calcium Unbound Ionized Calcium

CPT Code(s):

82330

Preferred Specimen:

1.0 mL SERUM

Transport Container:

NO ADDITIVE/GEL (RED-TOP)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days

Schedule:

1-2 DAYS

Clinical Significance:

Evaluate nonbound calcium, calcium metabolism, physiologically active calcium fraction, hyperparathyroidism, ectopic hyperparathyroidism. Occasionally useful when hypercalcemia coexists with abnormal protein state such as myeloma. Useful in assessing active calcium fraction in hypoproteinemia and acidosis when calcium is low.

Performing Lab:

Labcorp-004804

Test Name:

CALCIUM, 24 HR URINE

Test Code:

003269

CPT Code(s):

82340

Preferred Specimen:

25 mL IN 24 HOUR URINE CONTAINER

Min. Volume:

1.0 mL

Transport Container:

Preferred: Plastic urine container with at least 10 mL 6N HCl (hydrochloric acid). Specimens submitted without preservatives should be acidified after receipt to a pH <2.0 to dissolve calcium salts.

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 DAYS

Clinical Significance:

Reflects intake, rates of intestinal calcium absorption, bone resorption and renal loss. Those processes relate to parathyroid hormone and vitamin D levels. Evaluation of bone disease, calcium metabolism, renal stones (nephrolithiasis);1 idiopathic hypercalciuria,2 and especially, parathyroid disorders. Follow-up of patients on calcium therapy for osteopenia. High in 30% to 80% of instances of primary hyperparathyroidism, but urinary calcium excretion does not consistently, reliably distinguish hyperparathyroidism from other entities. High in sarcoidosis.3 Increased with immobilization, with steroid therapy, with Paget disease, and in primary (idiopathic) hypercalciuria.4 Increased with entities causing high ultrafiltrable calcium: ectopic hyperparathyroidism, some cases of renal tubular acidosis, Fanconi syndrome, increased calcium intake, vitamin D intoxication, hyperthyroidism, diabetes mellitus, acromegaly, glucocorticoid excess, some cases of Crohn's disease and ulcerative colitis, myeloma, some instances of leukemia and lymphoma, and carcinoma metastatic to bone. Reported relationship to hematuria in children.5 Low in familial hypocalciuric hypercalcemia, for which urine calcium measurements are mandatory; low with thiazide diuretics, vitamin D deficiency, renal osteodystrophy, vitamin D resistant rickets, hypoparathyroidism, pseudohypoparathyroidism and preëclampsia.6

Performing Lab:

Labcorp-003269

Test Name:

CALCIUM, SERUM

Test Code:

CA

CPT Code(s):

82310

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 7 days Refrigerated: 3 weeks Frozen: 8 months

Schedule:

1-2 Days

Clinical Significance:

Measurement of calcium is used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany (intermittent muscular contractions or spasms). Although more than 99% of body calcium exists in bones and teeth, it is the calcium in blood which is of most concern clinically. The bones serve as a reservoir to maintain relative constancy of serum calcium by releasing calcium when required to prevent hypocalcemia and trapping calcium to prevent excessively high levels of serum calcium. The uptake and release of calcium from bone is under the control of parathyroid hormone.

Performing Lab:

Simple Laboratories

Test Name:

CALPROTECTIN, FECAL

Test Code:

123255

CPT Code(s):

83993

Preferred Specimen:

1 g STOOL

Min. Volume:

0.5 g

Transport Container:

STERILE CUP

Collection Instruction:

Transport Temperature:

Frozen

Stability:

Room temperature: 2 days Refrigerated: 3 days Frozen: 4 months (stability provided by manufacturer or literature reference) Freeze/thaw cycles: Stable x3

Schedule:

4-6 Days

Clinical Significance:

An in vitro diagnostic to aid in the diagnosis of inflammatory bowel disease (IBD), Crohn's disease, and ulcerative colitis, and to differentiate IBD from irritable bowel syndrome (IBS) in conjunction with other clinical and laboratory findings.

Performing Lab:

Labcorp-123255

Test Name:

CANDIDA VAGINITIS (CV)/ TRICHOMONAS VAGINALIS (TV)

Test Code:

LS5010

CPT Code(s):

87481(X2); 87661

Test Includes:

CV, TV

Preferred Specimen:

Vaginal swab using Aptima Multitest swab (orange) - Clinician-collected or self-collected

Transport Container:

APTIMA MULTI-TEST SWAB (ORANGE)

Collection Instruction:

Transport Temperature:

Room Temperature or Refrigerated

Stability:

After collection, swab specimens in transport tubes can be stored at 2ºC to 30ºC for up to 30 days.

Schedule:

1-3 Days

Clinical Significance:

The Aptima CV/TV assay is an in vitro nucleic acid amplification test for the detection of RNA from microorganisms associated with vulvovaginal candidiasis and trichomoniasis. The assay utilizes real time transcription-mediated amplification (TMA) to detect and qualitatively report results for the following organisms: • Candida species group (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis) • Candida glabrata • Trichomonas vaginalis

Performing Lab:

Simple Laboratories

Test Name:

CARBAMAZEPINE (TEGRETOL)

Test Code:

TEGR

Alias:

CARBTROL

CPT Code(s):

80156

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

NO ADDITIVE/GEL (RED-TOP)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temp: 8 hours Refrigerated: 48 days

Schedule:

1-2 Days

Clinical Significance:

Monitoring serum carbamazepine concentrations, along with careful clinical assessment, is the most effective means of improving seizure control, reducing the risk of toxicity, and minimizing the need for additional anticonvulsant medication for the following reasons: •Serum carbamazepine concentrations correlate better with pharmacologic activity than does dosage. •Changes in carbamazepine’s half-life with prolonged treatment and interindividual differences in carbamazepine metabolism make it difficult to predict serum levels from the administered dosage, particularly during concomitant therapy with other anticonvulsants. Serum level monitoring helps physicians individualize dosage regimens.

Performing Lab:

Simple Laboratories

Test Name:

CATECHOLAMINE+VMA, 24 HR-URINE

Test Code:

286161

Alias:

Vanillylmandelic Acid (VMA) and Catecholamines, Fractionated, Urinary Free VMA and Catecholamines

CPT Code(s):

82384;84585

Test Includes:

Total free catecholamines (norepinephrine plus epinephrine, urine); vanillylmandelic acid (VMA), urine; urinary epinephrine, urinary norepinephrine, urinary dopamine

Preferred Specimen:

Urine (24-Hour)

Min. Volume:

60 mL

Transport Container:

Plastic urine container with 30 mL 6N HCl. Caution: Strong acid. LabCorp item number for this container is N° 21584.

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

6-9 Days

Clinical Significance:

Collection is of greatest value for evaluation of hypertension if performed during a hypertensive episode. Test is used to evaluate hypertension, especially if paroxysmal and to evaluate orthostatic hypertension. Test is also useful in the diagnosis of pheochromocytoma and in the diagnosis and follow-up of neuroblastoma and ganglioneuroblastoma, retinoblastomas, carcinoid tumors, carotid body tumors, and stress. Preoperative evaluation of neoplasia of childhood, especially when the tumor is in or about the adrenals. Evaluate multiple endocrine adenomatosis. Evaluate patient with medullary carcinoma of thyroid (for coexistent pheochromocytoma).

Performing Lab:

Labcorp-286161

Test Name:

CATECHOLAMINES FRANCTIONATED FREE, URINE

Test Code:

316203

Alias:

Dopamine, Random Urine Epinephrine, Random Urine Fractionation, Urinary Free Catecholamines Free Catecholamine Fractionation Norepinephrine, Random Urine

CPT Code(s):

82384;82570

Test Includes:

Urinary epinephrine; urinary norepinephrine; urinary dopamine; creatinine

Preferred Specimen:

10 mL Random Urine

Min. Volume:

4.0 mL

Transport Container:

Use random urine transport tube containing 6N HCl or urine Monovette® with pH stabilizer (LabCorp N° 56015). Monovette® instructions accompany units. Preservative must be added to the container prior to the start of the collection. If collecting without Monovette®, use plastic urine container and adjust urine pH to <5 with 6N HCI. Caution: Strong acid. May cause skin burns.

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 3 days Refrigerated: 14 days Frozen: 30 days at 70°C

Schedule:

5-9 Days

Clinical Significance:

Work up neuroblastoma; diagnose pheochromocytoma. Pheochromocytomas and occasional paragangliomas may cause persistent or paroxysmal hypertension. Work up palpitation, severe headache, diaphoresis. Evaluate for possible multiple endocrine adenomatosis type II.

Performing Lab:

Labcorp-316203

Test Name:

CATECHOLAMINES, PLASMA

Test Code:

84152

Alias:

Adrenalin®, Plasma Dopamine, Plasma Epinephrine, Plasma Noradrenaline, Plasma Norepinephrine, Plasma

CPT Code(s):

82384

Test Includes:

Plasma catecholamines, fractionated (dopamine, epinephrine, norepinephrine)

Preferred Specimen:

3.0 mL PLASMA

Min. Volume:

2.2 mL PLASMA

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Frozen

Schedule:

4-6 Days

Clinical Significance:

Diagnose pheochromocytoma and those paragangliomas which may secrete epinephrine, norepinephrine, or both. Such tumors may cause paroxysmal or persistent hypertension. Investigation of hypertensive patients, especially younger individuals, particularly when hypertension is paroxysmal, suggesting pheochromocytoma. Plasma catecholamines with urinary metanephrines and VMA are a recommended test battery for pheochromocytoma.3 Others recommend plasma catecholamines when urinary collections are not diagnostic. Work up multiple endocrine adenomatosis, type II. Used also in diagnosis of disorders related to the nervous system and in assessment of resuscitation.4

Performing Lab:

Labcorp-084152

Test Name:

CBC HEMOGRAM

Test Code:

CBC

CPT Code(s):

85027

Test Includes:

White Blood Cells (WBC), Red Blood Cells (RBC), Hemoglobin, Hematocrit, Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), Mean Corpuscular Hemoglobin Concentration (MCHC), Platelet Count, RBC Distribution Width-Coefficient of Variation (RDW-CV)

Preferred Specimen:

3.0 mL WHOLE BLOOD

Min. Volume:

1.0 mL WHOLE BLOOD These volumes do not allow for repeat testing.

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 24 hours Refrigerated: 48 hours

Clinical Significance:

1-2 Days

Performing Lab:

Simple Laboratories

Test Name:

CD4:CD8 RATIO PROFILE

Test Code:

332551

Alias:

Percentage CD4+; absolute CD4+; percentage CD8+; absolute CD8+; CD4:CD8 ratio; CBC with differential

CPT Code(s):

86360

Preferred Specimen:

FULL TUBE-WHOLE BLOOD

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 2 Days

Schedule:

1-3 Days

Clinical Significance:

HIV-1 infection results in a decrease of CD4 T cells, an increase of CD8 T cells, a decrease in the CD4:CD8 ratio, and a progressive destruction of immune function. In HIV-1 seropositive patients, enumeration of CD4 T cells may be used for prognostic purposes and to monitor disease progression and antiretroviral therapy.

Performing Lab:

Labcorp-505271

Test Name:

CEA (CARCINOEMBRYONIC ANTIGEN)

Test Code:

CEA

CPT Code(s):

82378

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 48 hours

Schedule:

1-2 Days

Clinical Significance:

The measurement of serum CEA has shown substantial bene t in the prognosis and management of patients with malignant diseases, especially colorectal cancer. Serial measurements can be used to monitor patients for progression, regression or recurrence of cancer following treatment. A persistent elevation of CEA following therapeutic or surgical intervention signals residual disease or recurrence, whereas decreasing levels to within the normal range is indicative of successful intervention.

Performing Lab:

Simple Laboratories

Test Name:

CELIAC ANTIBODIES PROFILE

Test Code:

164010

Alias:

Deamidated Gliadin Antibodies (DGP) Gliadin Tissue Transglutaminase (tTG)

CPT Code(s):

82784; 86258 (X2); 86364 (X2)

Test Includes:

Deamidated gliadin IgA; deamidated gliadin IgG; tissue transglutaminase (tTG), IgA; tissue transglutaminase (tTG), IgG; serum IgA quantitation

Preferred Specimen:

3.0 mL SERUM

Min. Volume:

1.0 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 14 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

4-5 Days

Clinical Significance:

Aid in the diagnosis of gluten-sensitive enteropathies

Performing Lab:

Labcorp-164010

Test Name:

CELL COUNT, SYNOVIAL FLUID WITH CRYSTALS

Test Code:

89060

Alias:

Microscopic examination for RBCs and WBCs, differential, and crystals; macroscopic examination for appearance and viscosity

CPT Code(s):

89051, 89060

Preferred Specimen:

1.0 mL SYNOVIAL FLUID

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Refridgerated

Stability:

Refrigerated: 2 days

Schedule:

1-2 Days

Clinical Significance:

This test is used to evaluate synovial fluid for the presence of RBCs, WBCs, crystals and for physical appearance.

Performing Lab:

Labcorp-005231

Test Name:

CERULOPLASMIN

Test Code:

82390

CPT Code(s):

82390

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.2 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 7 days Refrigerated: 14 days Frozen: 14 days Freeze/thaw cycles: Stable x3

Schedule:

1-2 Days

Clinical Significance:

Decreased in most instances of Wilson's disease (hepatolenticular degeneration); hence, ceruloplasmin is used in evaluation of chronic active hepatitis, cirrhosis, and other liver disease. In Wilson's disease, there is decreased ability to incorporate copper into apoceruloplasmin. As a result, free copper levels in plasma and in tissue, especially liver and brain, are greatly increased. Should be considered in cases of central nervous system disease of obscure etiology. Neurological symptoms include problems of coördination. Ceruloplasmin is low in Menkes kinky hair syndrome (In Menkes syndrome the defect is secondary to poor absorption and utilization of dietary copper.) and with protein loss such as the nephrotic syndromes, malabsorption, and with some cases of advanced liver disease in which decreases of serum proteins have occurred. Ceruloplasmin is high in a variety of neoplastic and inflammatory states, since it behaves as an acute phase reactant, although levels rise more slowly than “acute phase reactants.” Increases are described with carcinomas, leukemias, Hodgkin's disease, primary biliary cirrhosis, and with SLE and rheumatoid arthritis. High levels occur in pregnancy, with estrogens, and with oral contraceptive use when the agent contains estrogen as well as progesterone. Increased with copper intoxication.

Performing Lab:

Labcorp-001560

Test Name:

CHLAMYDIA PHNEUMONIAE IGG/IGM

Test Code:

138338

CPT Code(s):

86631;86632

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Transport Temperature:

Refrigerated

Stability:

Refrigerate. Per the package insert: Samples are stable at room temperature for eight hours. After eight hours, samples should be refrigerated at 2° to 8° C for up to 48 hours. After 48 hours, freeze samples at -20° C or colder.

Schedule:

2-4 Days

Performing Lab:

Labcorp-138338

Test Name:

CHLAMYDIA TRACHOMATIS, GENITAL, PCR

Test Code:

LS5006

Alias:

C. trachomatis Chlamydia CT

CPT Code(s):

87491

Preferred Specimen:

Vaginal swab using Aptima Multitest swab (orange) - Clinician-collected or self-collected Female endocervical swab in Aptima Unisex swab (white) Male urethral swab in Aptima Unisex swab (white) Male self collected urethral meatal swab in Aptima Multitest swab

Transport Container:

APTIMA MULTI-TEST SWAB (ORANGE)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

60 days - after testing, specimens are stored in the lab for 7 days

Schedule:

1-3 Days

Clinical Significance:

This assay may be used to test specimens from symptomatic and asymptomatic individuals to aid in the diagnosis of chlamydial urogenital disease.

Performing Lab:

Simple Laboratories

Test Name:

CHLAMYDIA TRACHOMATIS, URINE, PCR

Test Code:

LS5008

Alias:

C. trachomatis Chlamydia CT

CPT Code(s):

87491

Preferred Specimen:

MALE OR FEMALE URINE

Transport Container:

APTIMA URINE TRANSPORT TUBE (YELLOW)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Urine, sterile container: Room temperature or refrigerated 24 hour APTIMA urine specimen tube: Room temperature or refrigerated 30 days (Note: after testing, specimens are saved in the lab for 7 days.)

Schedule:

1-3 Days

Clinical Significance:

This assay may be used to test specimens from symptomatic and asymptomatic individuals to aid in the diagnosis of chlamydial urogenital disease.

Performing Lab:

Simple Laboratories

Test Name:

CHLAMYDIA/GONORRHOEAE, GENITAL, PCR

Test Code:

LS5066

Alias:

C. trachmoatis CT GC N. gonorrhoeae

CPT Code(s):

87661

Preferred Specimen:

Vaginal swab using Aptima Multitest swab (orange) - Clinician-collected or self-collected Female endocervical swab in Aptima Unisex swab (white) Male urethral swab in Aptima Unisex swab (white) Male self collected urethral meatal swab in Aptima Multitest swab

Transport Container:

APTIMA SWAB (UNI-SEX OR VAGINAL SWAB)