Test Information

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:

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:

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 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:

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 AcidCobalamin, True / Folic Acid

CPT Code(s):

82746, 82607

Test Includes:

Vitamin B12Folate, Serum

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

0.5 mL serumThis volume does not allow for repeat testing.

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 8 hoursRefrigerated: 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:

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:

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:

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:

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:

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:

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:

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:

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)

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:

See Individual Tests

Performing Lab:

Simple Laboratories

Test Name:

CHLAMYDIA/GONORRHOEAE, ORAL, PCR

Test Code:

LS5003

Alias:

C. trachmoatis CT GC N. gonorrhoeae

CPT Code(s):

87491; 87591

Test Includes:

CHLAMYDIA; GONORRHOEAE

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)

Transport Temperature:

Refrigerated

Stability:

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

Schedule:

1-3 Days

Clinical Significance:

See Individual Tests

Performing Lab:

Simple Laboratories

Test Name:

CHLAMYDIA/GONORRHOEAE, URINE, PCR

Test Code:

LS5063

Alias:

C. trachmoatis CT GC N. gonorrhoeae

CPT Code(s):

87491;87591

Test Includes:

Chlamydia trachomatis & Neisseria gonorrhoeae detection

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 hours 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:

See Individual Tests

Performing Lab:

Simple Laboratories

Test Name:

CHLORIDE

Test Code:

CL

CPT Code(s):

82435

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 Temp: 7 Days Refrigerated: 7 Days

Schedule:

1-2 Days

Clinical Significance:

Electrolytes affect most metabolic processes. They serve to maintain osmotic pressure and hydration of various body fluids, proper body pH and regulation of appropriate heart and muscle functions. Electrolytes are also involved in oxidation-reduction reactions and participate as essential parts or, cofactors, in enzyme reactions.

Performing Lab:

Simple Laboratories

Test Name:

CHOLESTEROL, TOTAL

Test Code:

CHOL

CPT Code(s):

82465

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:

Cholesterol measurements are used in the diagnosis and treatment of atherosclerotic coronary artery disease. Cholesterol measurements are also used in the diagnosis of metabolic disorders involving lipids and lipoproteins. Total serum cholesterol concentrations depend on many factors including age, gender, diet, physical activity, liver disease, and other metabolic disorders

Performing Lab:

Simple Laboratories

Test Name:

CMP (COMPREHENSIVE METABOLIC PANEL)

Test Code:

CMP

Alias:

cmp, comp

CPT Code(s):

80053

Test Includes:

Glucose, Urea Nitrogen (BUN), Creatinine, Sodium (Na), Potassium (K), Chloride (CL), Carbon Dioxide (CO2), Anion Gap, Calcium, Total Protein, Albumin, AST (SGOT), ALT (SGPT), Alkaline Phosphatase, Total Bilirubin, 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:

Room Temp: 24 Hours Refrigerated: 3 Days

Schedule:

1-2 Days

Clinical Significance:

The tests in a Comprehensive Metabolic Panel (CMP) are used as a broad screening tool to evaluate kidney and liver function, electrolyte and acid-base balance, as well as blood sugar and protein levels.

Performing Lab:

Simple Laboratories

Test Name:

CO2 (CARBON DIOXIDE)

Test Code:

CO2

CPT Code(s):

82374

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:

CO2 measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.

Performing Lab:

Simple Laboratories

Test Name:

COMPLETE BLOOD COUNT (CBC) WITH DIFFERENTIAL

Test Code:

LS5067

Alias:

CBC W/DIFF

CPT Code(s):

85025

Test Includes:

WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, Platelet Count, RDW-CV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils and Immature Granulocytes).

Preferred Specimen:

4.0 mL WHOLE BLOOD

Min. Volume:

1.0 mL WHOLE BLOOD

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 24 hoursRefrigerated: 48 hours

Schedule:

1-2 DAYS

Clinical Significance:

This test is used to evaluate overall health and detect a wide range of hematologic disorders, including anemia, leukemia and inflammatory processes. It is also used to assist in managing medications and chemotherapeutic decisions.

Performing Lab:

Simple Laboratories

Test Name:

COMPLETE BLOOD COUNT (CBC) WITHOUT DIFFERENTIAL

Test Code:

LS5077

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 hoursRefrigerated: 48 hours

Clinical Significance:

1-2 Days

Performing Lab:

Simple Laboratories

Test Name:

CORTISOL, SERUM

Test Code:

CORT

Alias:

COMPUND F; HYDROCORTISONE

CPT Code(s):

82533

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temp: 8 hours Refrigerated: 48 Hours

Schedule:

1-2 DAYS

Clinical Significance:

Abnormal changes in cortisol levels occur due to hypothalamic, pituitary, or adrenal malfunction. If undiagnosed and untreated, these disorders can lead to severe metabolic imbalance which may be life-threatening. The measurement of serum or plasma cortisol - utilizing morning and evening levels and/or stress tests such as ACTH stimulation or dexamethasone suppression - aids in the diagnosis of adrenal related disease. Excess cortisol levels are found in Cushing’s syndrome (adrenal cortical hyperfunction) while decreased levels are found in Addison’s Disease (adrenal cortical insufficiency).

Performing Lab:

Simple Laboratories

Test Name:

COVID-19/FLU/RSV, PCR

Test Code:

LS5021

Alias:

4PLEX

Test Includes:

Influenza A, Influenza B, Respiratory Syncytial virus (RSV), and SARS-CoV-2

Preferred Specimen:

Nasopharyngeal or nasal swab

Transport Container:

RED CAP VIRAL PBS SWAB

Collection Instruction:

Schedule:

1 Days

Clinical Significance:

This test is for use in individuals suspected of a respiratory viral infection.

Performing Lab:

Simple Laboratories

Test Name:

CREATININE

Test Code:

CREAT

CPT Code(s):

82565

Test Includes:

CREATININE, GFR(AFRICAN AMERICAN, GRF(OTHERS)

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 Frozen: 3 Months

Schedule:

1-2 DAYS

Clinical Significance:

Measurements of creatinine are used in the diagnosis and treatment of renal disease. Serum creatinine measurements prove useful in evaluation of kidney glomerular function and in monitoring renal dialysis. However, the serum level is not sensitive to early renal damage and responds more slowly than blood urea nitrogen (BUN) to hemodialysis during treatment of renal failure. Both serum creatinine and BUN are used to differentiate prerenal and postrenal (obstructive) azotemia. An increase in serum BUN without concomitant increase of serum creatinine is key to identifying prerenal azotemia. With postrenal azotemia, both serum BUN and creatinine rise, but the rise is disproportionately greater for BUN.

Performing Lab:

Simple Laboratories

Test Name:

CREATININE KINASE (CK)

Test Code:

CPK

Alias:

CPK, Creatine Phosphokinase

CPT Code(s):

82550

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: 8-12 hours Frozen: 1 month *Freeze if testing will be delayed* If freezing is required, spin and separate serum prior to freezing

Schedule:

1-2 DAYS

Clinical Significance:

Measurements of Creatine Kinase are used in the diagnosis and treatment of myocardial infarction and muscle disease, such as progressive Duchenne-type muscular dystrophy.

Performing Lab:

Simple Laboratories

Test Name:

CREATININE, RANDOM URINE

Test Code:

CREAU

CPT Code(s):

82570

Preferred Specimen:

RANDOM URINE

Min. Volume:

1.0 mL RANDOM URINE

Transport Container:

STERILE CUP

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 2 days Refrigerated: 6 days *BD UA Preservative tube: 24 hours refrigerated

Schedule:

1-2 DAYS

Clinical Significance:

Creatinine is a waste product derived from creatine, excreted by the kidneys and is a measure of renal function. Creatinine measurements are used in the diagnosis and treatment of renal diseases, in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes.

Performing Lab:

Simple Laboratories

Test Name:

CT/GC/TV, GENITAL, PCR

Test Code:

LS9011

CPT Code(s):

87491; 87591; 87661

Test Includes:

CT, GC, TV

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)

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:

See Individual Tests

Performing Lab:

Simple Laboratories

Test Name:

CT/GC/TV, URINE, PCR

Test Code:

LS9010

CPT Code(s):

87491; 87591; 87661

Test Includes:

CT, GC, TV

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:

See Individual Tests

Performing Lab:

Simple Laboratories

Test Name:

CT/GC/TV/MGEN, GENITAL, PCR

Test Code:

LS9013

CPT Code(s):

87491; 87591; 87661; 87581

Test Includes:

CT, GC, TV, MGEN

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)

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:

See Individual Tests

Performing Lab:

Simple Laboratories

Test Name:

CT/GC/TV/MGEN, URINE, PCR

Test Code:

LS9012

CPT Code(s):

87491; 87591; 87661; 87581

Test Includes:

CT, GC, TV, MGEN

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:

See Individual Tests

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: ANAEROBIC/AEROBIC

Test Code:

LS5047

CPT Code(s):

87070;87075

Test Includes:

Aerobic culture Anaerobic culture Gram stain Organism ID and Susceptibility testing (when appropriate)

Preferred Specimen:

TISSUE BIOPSY OR ASPIRATED MATERIAL

Transport Container:

STERILE CUP OR ESWAB

Collection Instruction:

Transport Temperature:

ROOM TEMPERATURE

Stability:

24 HOURS

Schedule:

Gram stains are reported within 24 hours of specimen receipt. Aerobic culture plates are examined daily for at least 3 days. Anaerobic culture plates are examined daily for at least 4 days.

Clinical Significance:

The demonstration of anaerobes from normally sterile sites (i.e. blood, joint fluid, tissue) is generally clinically significant. The quality and usefulness of an anaerobic culture is directly related to the appropriateness of the specimen, the collection method, and the timely transport and processing of the specimen.

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: BLOOD

Test Code:

LS5048

CPT Code(s):

87040

Test Includes:

Culture Organism ID and susceptibility testing (when appropriate)

Preferred Specimen:

20.0 mL WHOLE BLOOD

Min. Volume:

1.0 mL whole blood

Transport Container:

Blood culture bottles, (1 set = one aerobic bottle and one anaerobic bottle)

Collection Instruction:

Transport Temperature:

ROOM TEMPERATURE

Stability:

24 HOURS

Schedule:

Blood culture bottles are placed on continuously monitoring instrument, they are removed when flagged "positive" or after 5 days if negative.

Clinical Significance:

Bacterial sepsis constitutes one of the most serious infectious diseases. The detection of microorganisms in a patient's blood has importance in the diagnosis and prognosis of endocarditis, septicemia, or chronic bacteremia.

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: BODY FLUID

Test Code:

LS5062

Test Name:

CULTURE: EYE

Test Code:

LS5049

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: NASAL, R/O MRSA

Test Code:

LS5039

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: SPUTUM

Test Code:

LS5050

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: STOOL

Test Code:

LS5043

CPT Code(s):

87045, 87046

Test Includes:

Bacterial culture

Preferred Specimen:

Stool (feces)

Min. Volume:

Add specimen up to the red line as indicated on stool collection vial

Transport Container:

Para-pak C & S (orange cap) vial

Collection Instruction:

Transport Temperature:

ROOM TEMPERATURE OR REFRIGERATED

Stability:

Preservative Vial: Room temperature or refrigerated: 4 days Non-preserved Stool: Room temperature: 1 hour Refrigerated: 24 hours

Schedule:

Culture plates are examined daily for at least 2 days.

Clinical Significance:

This test includes bacterial culture for intestinal pathogens. The final report will list presence or absence of Salmonella, Shigella, E.coli: 0157 and Campylobacter.

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: THROAT (INCL STREP A)

Test Code:

LS5044

CPT Code(s):

87070

Test Includes:

Throat culture to detect Group A strep, Group C strep, Group G strep and Arcanobacterium haemolyticum.

Preferred Specimen:

Throat swab

Transport Container:

E-SWAB

Collection Instruction:

Transport Temperature:

ROOM TEMPERATURE

Stability:

Room temperature or refrigerated: 48 hours

Schedule:

Culture plates are examined daily for at least 2 days.

Clinical Significance:

This test may be useful in the detection of yeast (Candida species) or bacterial agents of pharyngitis (such as Group A strep, Group C strep, Group G strep or Arcanobacterium hemolyticum). Other bacterial agents, such as Neisseria gonorrhoeae or Bordetella pertussis require specialized testing. (Order GC screen culture or Bordetella pertussis PCR).

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: UROGENITAL

Test Code:

LS5051

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: VAGINAL GROUP B

Test Code:

LS5060

CPT Code(s):

87081

Preferred Specimen:

Swab (vaginal and rectal site during pregnancy)

Transport Container:

E-SWAB

Collection Instruction:

Transport Temperature:

ROOM TEMPERATURE

Stability:

Room Temperature: 24 hours Refrigerated: 4 days

Schedule:

Cultures are examined daily for up to 3 days.

Clinical Significance:

This test includes a bacterial culture for the detection of Group B beta hemolytic strep. Most cases of early onset neonatal group B streptococcal (GBS) disease have intrapartum pathogenesis. Attack rates increase 20 fold for infants born to group B streptococcal colonized mothers. Intrapartum prophylaxis in women with positive perinatal screens and certain perinatal risk factors can prevent early onset neonatal group B streptococcal disease.

Performing Lab:

Simple Laboratories

Test Name:

CULTURE: WOUND

Test Code:

LS5057

Alias:

Anaerobic Culture, Wound

CPT Code(s):

87070, 87075, 87205

Test Includes:

Gram stain, isolation, and identification of potential anaerobic and aerobic pathogens (additional charges/CPT code[s] may apply); susceptibility testing if culture results warrant (at an additional charge). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed.

Preferred Specimen:

SWAB

Transport Container:

BLUE CAP GEL SWAB

Collection Instruction:

Transport Temperature:

Room Temperature

Schedule:

1-4 Days

Performing Lab:

Simple Laboratories

Test Name:

CULTURE:URINE

Test Code:

LS5056

CPT Code(s):

87086

Test Includes:

Bacterial culture Organism ID and Susceptibility testing (when appropriate)

Preferred Specimen:

5.0 mL URINE

Min. Volume:

3.0 mL urine in urine culture tube (gray) or 0.5 mL urine in sterile urine cup (if cup is sent for UA and culture, pour off a portion of the sample for UA so culture portion is not contaminated)

Transport Container:

Urine culture tube (gray cap) or sterile cup

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Urine culture tube (gray) Room temperature: 48 hours Refrigerated: 48 hours Sterile urine cup Room temperature: 2 hours Refrigerated: 24 hours

Schedule:

2-4 Days

Clinical Significance:

If culture is positive, identification and susceptibility will be performed when appropriate at an additional charges/CPT codes. Cultures are useful and important in the isolation and identification of potentially pathogenic organisms that can cause a variety of human infections. With the aid of the susceptibility studies, results of cultures can assist the clinicians with the diagnosis and treatment of patients with bacterial infections.

Performing Lab:

Simple Laboratories

Test Name:

DHEA SULFATE

Test Code:

DHEAS

Alias:

DEHYDROEPIANDROSTERONE SULFATE DHEA SO4 DHEAS DHEA-S

CPT Code(s):

82627

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temp: 8 hours Refrigerated: 48 hours Freeze at <-20 C for longer stability

Schedule:

1-2 Days

Clinical Significance:

DHEA-S may be used in the differential diagnosis of Cushing’s syndrome. DHEA-S may also be used to evaluate adrenocortical diseases, such as congenital adrenal hyperplasia and adrenal tumors. In hirsute female patients, increased DHEA-S levels have been associated with virilizing adrenal tumors. Patients with polycystic ovary syndrome have often demonstrated elevated levels of DHEA-S, suggesting an adrenal androgen contribution to the defect in this disorder.

Performing Lab:

Simple Laboratories

Test Name:

ELECTROLYTE PANEL

Test Code:

LYTES

CPT Code(s):

80051

Test Includes:

Sodium (Na), Potassium (K+), Chloride (Cl), Carbon Dioxide (CO2), Anion Gap

Preferred Specimen:

2.0 mL SERUM OR PLASMA

Min. Volume:

0.5 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

REFRIGERATED

Stability:

Room temperature: 12 hours Refrigerated: 7 days

Schedule:

Set up: Daily; Results in 24-48 hours

Clinical Significance:

Electrolytes are electrically charged minerals that are found in body tissues and blood in the form of dissolved salts. They help move nutrients and wastes out of the body's cells, maintain a healthy water balance, and help stabilize the body's pH level. The electrolyte panel is used to screen for an electrolyte or acid-base imbalance and to monitor the effect of treatment on a known imbalance that is affecting bodily organ function.

Performing Lab:

Simple Laboratories

Test Name:

ESTRADIOL

Test Code:

ESTRA

Alias:

E2 Estradiol 17 Estradiol 946

CPT Code(s):

82670

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: 8 hours Refrigerated: 48 hours Frozen: 1 week

Schedule:

1-2 Days

Clinical Significance:

Levels of estradiol are used to monitor ovulatory status. Because estradiol levels reflect follicular maturation, the measurement of estradiol as citied in the scientific literature has been used as a valuable tool in the assessment of sexual development, etiology of amenorrhea, causes of infertility and menopause. Abnormally high levles in males are indicative of feminizing syndromes such as gynecomastia.

Performing Lab:

Simple Laboratories

Test Name:

FECAL IMMUNOCHEMICAL TEST (FIT)

Test Code:

LS5042

Alias:

FIT iFOBT

CPT Code(s):

82274

Preferred Specimen:

STOOL

Transport Container:

STERILE CUP

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room Temperature: 15 days

Schedule:

1-3 Days

Clinical Significance:

Qualitative detection of fecal occult blood

Performing Lab:

Simple Laboratories

Test Name:

FERRITIN

Test Code:

FERR

CPT Code(s):

82728

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 8 hours Refrigerated: 5 days* Frozen: 1 month

Schedule:

1-2 Days

Clinical Significance:

Useful as indicator of body iron stores. Used in the diagnosis of hypochromic, microcytic anemias.

Performing Lab:

Simple Laboratories

Test Name:

FOLATE, SERUM

Test Code:

FOL

Alias:

FOLIC ACID

CPT Code(s):

82746

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 48 hours Frozen: 6 months

Schedule:

1-2 Days

Clinical Significance:

Folate deficiency can be caused by insufficient dietary intake, malabsorption or excessive folate utilization. Excessive utilization occurs very commonly during pregnancy. Alcoholism, hepatitis, or other liver-damaging diseases can also cause excessive folate utilization. Folate levels in both serum and red blood cells are used to assess folate status. The serum folate level is an indicator of recent folate intake. Red blood cell (RBC) folate is the best indicator of long term folate stores. A low RBC folate value can indicate a prolonged folate deciency.

Performing Lab:

Simple Laboratories

Test Name:

FSH (FOLLICLE STIMULATING HORMONE)

Test Code:

FSH

Alias:

hFSH, Pituitary Gonadotropin

CPT Code(s):

83001

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 48 hours* Refrigerated: 48 hours (tubes containg gel) Refrigerated: 7 days (all other tubes) Frozen: 6 months

Schedule:

1-2 Days

Clinical Significance:

Human LH and FSH levels are commonly determined in investigations of menstrual, fertility, and pubertal developmental disorders such as premature ovarian failure, menopause, ovulatory disorders and pituitary failure. The ratio of hLH/hFSH has been used to assist in the diagnosis of polycystic ovary disease. Low levels of hLH and hFSH may indicate pituitary failure while elevated hLH and hFSH levels along with decreased levels of gonadal steroids may indicate gonadal failure (menopause, ovariectomy, premature ovarian syndrome, Turner’s Syndrome). Low gonadotropin levels are usually observed in females taking oral steroid-based contraceptives. In the male, elevated hFSH and hLH with low levels of gonadal steroids may indicate testicular failure or anorchia. In Klinefelter’s syndrome hFSH may be elevated due to Sertoli cell failure.

Performing Lab:

Simple Laboratories

Test Name:

GAMMA GLUTAMYL TRANSFERASE (GGT)

Test Code:

GGTP

CPT Code(s):

82977

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

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

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: ASAP Refrigerated: 1 month

Schedule:

1-2 Days

Clinical Significance:

GGT measurements are used in the diagnosis and treatment of liver diseases such as alcoholic cirrhosis and primary and secondary liver tumors.

Performing Lab:

Simple Laboratories

Test Name:

GASTROINTESTINAL PATHOGEN PANEL (PCR)

Test Code:

LS5011

Alias:

MOLECULAR

Test Includes:

Campylobacter Enteroaggregative E.coli (EAEC) Enteropathogenic E.coli (EPEC) Enterotoxigenic E.coli (ETEC) Salmonella Shiga-like toxin producing E.coli (STEC), including E.coli O157 Shigella / Enteroinvasive E.coli (EIEC) Plesiomonas shigelloides Vibrio, including Vibrio cholera Yersinia enterocolitica Cryptosporidium Cyclospora cayetanensis Entamoeba histolytica Giardia lamblia Adenovirus F 40/41 Astrovirus Norovirus GI/GII Rotavirus A Sapovirus (genogroups I, II, IV and V)

Preferred Specimen:

STOOL

Min. Volume:

0.5 mL

Transport Container:

STERILE CUP

Collection Instruction:

Transport Temperature:

ROOM TEMPERATURE

Performing Lab:

Simple Laboratories

Test Name:

GLUCOSE

Test Code:

GLU

Alias:

BLOOD SUGAR

CPT Code(s):

82947

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: 8 hours Refrigerated: 3 days Room Temperature (Sodium Fluoride only): 3 days

Schedule:

1-2 Days

Clinical Significance:

Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolism disorders, including diabetes mellitus, neonatal hypoglycemia and idiopathic hypoglycemia, and pancreatic islet cell carcinoma.

Performing Lab:

Simple Laboratories

Test Name:

GLUCOSE, FASTING

Test Code:

FBS

Alias:

Blood Sugar

CPT Code(s):

82947

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL serum or plasma 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 Room Temperature (Sodium Fluoride only): 3 days

Schedule:

1-2 Days

Clinical Significance:

Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolism disorders, including diabetes mellitus, neonatal hypoglycemia and idiopathic hypoglycemia, and pancreatic islet cell carcinoma.

Performing Lab:

Simple Laboratories

Test Name:

GRAM STAIN

Test Code:

LS5053

CPT Code(s):

87205

Preferred Specimen:

Any site (swab, body fluid, respiratory samples)

Transport Container:

culture swab or sterile cup

Transport Temperature:

ROOM TEMPERATURE OR REFRIGERATED

Stability:

Room temperature: 24 hours Refrigerated: 48 hours

Schedule:

Set up: Daily; Results in 24-48 hours

Clinical Significance:

The gram stain is used to differentiate intact morphologically similar bacteria into two groups based on cell color after staining. In addition, cell form, size and structural details are evident. Such preliminary information provides important clues to the types of organisms present, the further techniques required to characterize them, and the therapy to initiate while awaiting test results.

Performing Lab:

Simple Laboratories

Test Name:

HCG (BETA) QUALITATIVE, URINE

Test Code:

UCG

Alias:

hCG hCG-U Pregnancy test

CPT Code(s):

81025

Preferred Specimen:

RANDOM URINE

Min. Volume:

1.0 mL URINE

Transport Container:

URINE CUP

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: not recommended Refrigerated: 48 hours

Schedule:

1-2 Days

Clinical Significance:

Human chorionic gonadotropin (hCG) is a glycoprotein hormone secreted by the developing placenta shortly after fertilization. In normal pregnancy, hCG can be detected in both urine and serum as early as 7 to 10 days after conception. The appearance of hCG in both urine and serum soon after conception, and its subsequent rapid rise in concentration during early gestational growth, make it an excellent marker for the early detection of pregnancy.

Performing Lab:

Simple Laboratories

Test Name:

HCG (HUMAN CHORIONIC GONADOTROPIN), QUALITATIVE SERUM

Test Code:

HCG

Alias:

HCG, Qualitative Serum Pregnancy Test, Qualitative Serum βHCG,Qualitative Serum

CPT Code(s):

84703

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 ML SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: not recommended Refrigerated: 48 hours

Schedule:

1-2 Days

Clinical Significance:

Human chorionic gonadotropin (hCG) is a glycoprotein hormone secreted by the developing placenta shortly after fertilization. In normal pregnancy, hCG can be detected in both urine and serum as early as 7 to 10 days after conception. The appearance of hCG in both urine and serum soon after conception, and its subsequent rapid rise in concentration during early gestational growth, make it an excellent marker for the early detection of pregnancy.

Performing Lab:

Simple Laboratories

Test Name:

HDL (HIGH-DENSITY LIPOPROTEIN)

Test Code:

HDL

Alias:

Alpha-Lipoprotein HDL Cholesterol HDLC

CPT Code(s):

83718

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 ML SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 14 hours Refrigerated: 7 days Frozen: 3 months

Schedule:

1-2 Days

Clinical Significance:

HDL cholesterol is inversely related to the risk of developing coronary artery disease. A low HDL/LDL cholesterol ratio is directly related to the risk of developing coronary artery disease. A high HDL cholesterol is associated with the “longevity” syndrome.

Performing Lab:

Simple Laboratories

Test Name:

HEMATOCRIT

Test Code:

LS0874

Alias:

HCT; PACKED CELL VOLUME, PCV

CPT Code(s):

85014

Preferred Specimen:

4.0 mL WHOLE BLOOD

Min. Volume:

1.0 mL WHOLE BLOOD

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 24 hoursRefrigerated: 48 hours

Schedule:

1-2 Days

Clinical Significance:

Hematocrit is used to evaluate anemia, polycythemia, blood loss, and state of hydration and response to treatment.

Performing Lab:

Simple Laboratories

Test Name:

HEMOGLOBIN A1C

Test Code:

LS5064

Alias:

HGB A1C

CPT Code(s):

83036

Preferred Specimen:

2.0 mL WHOLE BLOOD

Min. Volume:

1.0 mL WHOLE BLOOD

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 3 daysRefrigerated: 7 days

Schedule:

1-2 Days

Clinical Significance:

Hemoglobin A1C measurements are used in the clinical management of diabetes to assess the long-term efficacy of diabetic control. Diabetes causes elevated levels of glucose to circulate in the blood. Maintaining normal levels of blood glucose is part of the routine management of diabetics. Continuous and careful management of blood glucose levels prevents development of serious long term complications resulting from vascular impairment such as retinopathy, nephropathy, and neuropathy. Although a fasting blood glucose measurement gives the clinician information about the patient’s status over the last twelve hours, the stable HbA1C offers a more accurate indication of the patient’s long-term diabetic control over the last two to three months.

Performing Lab:

Simple Laboratories

Test Name:

HEMOGLOBIN and HEMATOCRIT

Test Code:

LS5083

Alias:

HGB, HCT

CPT Code(s):

85018; 85014

Test Includes:

HemoglobinHematocrit

Preferred Specimen:

4.0 mL WHOLE BLOOD

Min. Volume:

1.0 mL WHOLE BLOOD

Transport Container:

EDTA (LAVENDER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 24 hoursRefrigerated: 48 hours

Schedule:

1-2 Days

Clinical Significance:

Used to evaluate anemia, polycythemia, blood loss, state of hydration, and response to treatment.

Performing Lab:

Simple Laboratories

Test Name:

HEPATIC FUNCTION PANEL

Test Code:

HF

Alias:

LFT, Liver Function Tests, Liver Panel

CPT Code(s):

80076

Test Includes:

ALBUMIN, ALKALINE PHOSPHATASE, ALT(SGPT), AST (SGOT), DIRECT BILIRUBIN, TOTAL PROTEIN

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 12 hours Refrigerated: 2 days

Schedule:

1-2 Days

Clinical Significance:

Used to evaluate the liver for injury, infection, or inflammation.

Performing Lab:

Simple Laboratories

Test Name:

HEPATITIS A IGM

Test Code:

HAIGM

Alias:

Anti-HAV, IgM HAV Antibody, IgM HAV, IgM

CPT Code(s):

86709

Preferred Specimen:

2.0 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 Freeze for longer stability.

Schedule:

1-2 DAYS

Clinical Significance:

Appearance of anti-hepatitis A IgM antibodies in the circulation demonstrates a recent exposure to HAV. Anti-HAV IgM antibodies appear a few days after infection and persist at elevated levels in the bloodstream for a few months. Detection of anti-HAV IgM does not necessarily imply an acute HAV infection due to the longevity of anti-HAV IgM. The detection of anti-HAV IgM can be useful for the differential diagnosis of hepatitis A from other forms of viral hepatitis. Any diagnosis should take into consideration the patient’s clinical history and symptoms, as well as other laboratory data.Patients with specimens exhibiting borderline results should be re-tested at approximately two week intervals. These patients may be at the beginning or the end of the acute infection. Testing for anti-HAV IgM at two week intervals will distinguish between early acute or a recovering individual. Rapid rise is associated with an early acute infection. Gradual decrease or a steady level of antibody is normally associated with late acute stage of infection.

Performing Lab:

Simple Laboratories

Test Name:

HEPATITIS B CORE ANTIBODY, IgM

Test Code:

HBCIGM

Alias:

Anti-HBc, IgM HBc Antibody, IgM

CPT Code(s):

86705

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: 8 hours Refrigerated: 48 hours

Schedule:

1-2 DAYS

Clinical Significance:

Hepatitis B Core IgM is intended for use in the qualitative detection of IgM antibodies to hepatitis B core antigen (anti-HBc IgM) in human serum or plasma.

Performing Lab:

Simple Laboratories

Test Name:

HEPATITIS B SURFACE ANTIBODY, QUALITATIVE

Test Code:

HAB

Alias:

Anti-HBs HBsAb Hep B

CPT Code(s):

86706

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.2 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

1-2 DAYS

Clinical Significance:

Anti-HBs is used for the detection of antibody to hepatitis B surface antigen in human serum or and EDTA, heprin or citrated plasma. Results may be used as an aid in the determination of susceptibility to hepatitis B virus (HBV) infection in individuals prior to or following HBV vaccination or where vaccination status is unknown.

Performing Lab:

Simple Laboratories

Test Name:

HEPATITIS B SURFACE ANTIGEN

Test Code:

HEP

Alias:

HBSAg Hep B Hepatitis

CPT Code(s):

87340

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

0.2 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 6 days Refrigerated: 14 days

Schedule:

1-2 DAYS

Clinical Significance:

Assays for Hepatitis B Surface Antigen (HBsAg) are routinely used to aid in the diagnosis of suspected hepatitis B virus (HBV) infections and to monitor the status of infected individuals, i.e. whether the patient's infection has resolved or the patient has become a chronic carrier of the virus. For the diagnosis of acute or chronic hepatitis, HBsAg reactivity should be correlated with patient history and the presence of other hepatitis B serological markers. Prenatal testing has been recommended by the Centers for Disease Control and Prevention (CDC) to identify newborns from HBV carrier mothers that may benefit from prophylactic treatment.

Performing Lab:

Simple Laboratories

Test Name:

HEPATITIS C ANTIBODY, REFLEX CONFIRMATION

Test Code:

HEPC

Alias:

Anti-HCV HCV Hep C

CPT Code(s):

86803

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM

Transport Container:

2-SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days

Schedule:

1-2 DAYS

Clinical Significance:

The presence of anti-HCV indicates that an individual may have been infected with HCV, may harbor infectious HCV, and/or may be capable of transmitting HCV infection. Although the majority of infected individuals may be asymptomatic, HCV infection may develop into chronic hepatitis, cirrhosis, and/or increased risk of hepatocellular carcinoma.

Performing Lab:

Simple Laboratories

Test Name:

HEPATITIS PANEL, ACUTE

Test Code:

033

CPT Code(s):

80074

Preferred Specimen:

8.0 mL SERUM

Min. Volume:

Hepatitis A, IgM Hepatitis B Core Antibody, IgM Hepatitis B Surface AntigenHepatitis C Antibody with Confirmation

Transport Container:

4 - SST(GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

REFER TO INDIVIDUAL TESTS

Schedule:

1-3 Days

Clinical Significance:

REFER TO INDIVIDUAL TESTS

Performing Lab:

Simple Laboratories

Test Name:

HERPES SIMPLEX VIRUS (HSV) TYPE SPECIFIC 1

Test Code:

86695

CPT Code(s):

86695

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 Frozen: 1 month

Schedule:

1-3 Days

Clinical Significance:

Herpes simplex virus (HSV) infects neonates, children and adults. Transmission can result from direct contact with infected secretions from either a symptomatic or asymptomatic host. HSV has been characterized into 2 distinct serotypes: HSV-1 and HSV-2. HSV-1 is generally associated with infection in the tongue, mouth, lips, pharynx and eyes, whereas HSV-2 is primarily associated with genital and neonate infection. As with other serological tests, negative results do not rule out the diagnosis of herpes simplex disease. The time required to seroconvert following primary infection varies with the individual, the specimen many have been drawn prior to the appearance of detectable antibodies. There are reports of sero-reversion. When appropriate, e.g., in suspected early herpes simplex disease, the test should be repeated or tested with a different assay. If on re-testing, the result remains negative, then a second sample should be drawn 4-12 weeks later and testing repeated. A single positive result only indicates previous immunologic exposure; level of antibody response or class of antibody response may not be used to determine active infection or disease stage.

Performing Lab:

Simple Laboratories

Test Name:

HERPES SIMPLEX VIRUS (HSV) TYPE SPECIFIC 2

Test Code:

86696

CPT Code(s):

86696

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 Frozen: 1 month

Schedule:

1-3 Days

Clinical Significance:

Herpes simplex virus (HSV) infects neonates, children and adults. Transmission can result from direct contact with infected secretions from either a symptomatic or asymptomatic host. HSV has been characterized into 2 distinct serotypes: HSV-1 and HSV-2. HSV-1 is generally associated with infection in the tongue, mouth, lips, pharynx and eyes, whereas HSV-2 is primarily associated with genital and neonate infection. As with other serological tests, negative results do not rule out the diagnosis of herpes simplex disease. The time required to seroconvert following primary infection varies with the individual, the specimen many have been drawn prior to the appearance of detectable antibodies. There are reports of sero-reversion. When appropriate, e.g., in suspected early herpes simplex disease, the test should be repeated or tested with a different assay. If on re-testing, the result remains negative, then a second sample should be drawn 4-12 weeks later and testing repeated. A single positive result only indicates previous immunologic exposure; level of antibody response or class of antibody response may not be used to determine active infection or disease stage.

Performing Lab:

Simple Laboratories

Test Name:

HERPES SIMPLEX VIRUS TYPE 1/2 IGG

Test Code:

86694

Alias:

Herpes Simplex Virus (HSV), Type Specific 1/2 IgG

CPT Code(s):

86695; 86696

Test Includes:

HSV-1 IgG Antibody; HSV-2 IgG Antibody

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 Frozen: 1 month

Schedule:

1-3 Days

Clinical Significance:

Herpes simplex virus (HSV) infects neonates, children and adults. Transmission can result from direct contact with infected secretions from either a symptomatic or asymptomatic host. HSV has been characterized into 2 distinct serotypes: HSV-1 and HSV-2. HSV-1 is generally associated with infection in the tongue, mouth, lips, pharynx and eyes, whereas HSV-2 is primarily associated with genital and neonate infection. As with other serological tests, negative results do not rule out the diagnosis of herpes simplex disease. The time required to seroconvert following primary infection varies with the individual, the specimen many have been drawn prior to the appearance of detectable antibodies. There are reports of sero-reversion. When appropriate, e.g., in suspected early herpes simplex disease, the test should be repeated or tested with a different assay. If on re-testing, the result remains negative, then a second sample should be drawn 4-12 weeks later and testing repeated. A single positive result only indicates previous immunologic exposure; level of antibody response or class of antibody response may not be used to determine active infection or disease stage.

Performing Lab:

Simple Laboratories

Test Name:

HERPES SIMPLEX VIRUS TYPE 1/2 PCR

Test Code:

LS5025

CPT Code(s):

87529x2

Test Includes:

Detection of HSV 1 & 2 subtypes by RT-PCR

Preferred Specimen:

APTIMA ORANGE SWAB

Transport Container:

APTIMA ORANGE SWAB

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days

Clinical Significance:

HSV-1 and HSV-2 are members of the alpha-herpesviridae subfamily. HSV is an enveloped virus with a capsid containing viral DNA. Although HSV-1 and HSV-2 are closely related, the two viruses are serologically and genetically distinct. Encephalitis is inflammation of the brain associated with clinical evidence of neurologic dysfunction. Of the pathogens reported to cause encephalitis, the majority are viruses. In general, the most commonly identified etiologies in the United States are herpes simplex virus, West Nile virus, and the enteroviruses, followed by other herpes viruses. HSV causes about 5–10% of all encephalitis cases, and is one of the most common causes of identified sporadic encephalitis globally. HSV encephalitis occurs in all ages, and during all seasons. HSV-1 encephalitis is more common in adults; and HSV-2 encephalitis is more common in neonates. One study reported a neonatal herpes rate of 1 case per 3,200 live births in the U.S. Clinical features involved with HSV encephalitis include fever, hemicranial headache, language and behavioral abnormalities, memory impairment, and seizures.

Performing Lab:

Simple Laboratories

Test Name:

HIV-1/2 AG/AB WITH REFLEX

Test Code:

013001

Alias:

HIV

CPT Code(s):

87389

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days

Schedule:

1-2 Days

Clinical Significance:

This qualitative assay is intended to be used as an aid in the diagnosis of HIV-1/HIV-2 infection, including acute or primary HIV-1 infection. The assay may also be used as an aid in the diagnosis of HIV-1/HIV-2 infection in pediatric subjects (children as young as two years) and in pregnant women. A test result that is non-reactive does not exclude the possibility of exposure to HIV-1 and/or HIV-2 may be due to antigen and antibody levels that are below the limit of detection of this assay.

Performing Lab:

Simple Laboratories

Test Name:

HUMAN SEX HORMONE BINDING GLOBULIN

Test Code:

SEXHOR

Alias:

SHBG

CPT Code(s):

84270

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days Frozen: 2 months

Schedule:

1-2 Days

Clinical Significance:

Testosterone, dihydrotestosterone, and estrogens circulate in serum bound to Sex Hormone Binding Globulin (SHBG). SHBG concentrations are increased in pregnancy, hyperthyroidism, cirrhosis, oral estrogen administration, and by certain drugs. Concentrations are decreased by testosterone, hypothyroidism, Cushing's syndrome, acromegaly, and obesity.

Performing Lab:

Simple Laboratories

Test Name:

IRON

Test Code:

FE

Alias:

FE

CPT Code(s):

83540

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

1-2 Days

Clinical Significance:

Alterations in iron and total iron binding capacity levels result from changes in iron intake, absorption, storage, and release mechanisms. Such changes are indicative of a wide range of dysfunctions including anemias, hemochromatosis, nephrosis, cirrhosis, and hepatitis. Both iron and total iron binding capacity measurements are important for definitive diagnosis because they are interrelated.

Performing Lab:

Simple Laboratories

Test Name:

IRON/TRANSFERRIN WITH CALCULATED TIBC

Test Code:

TIBCP

Alias:

FE, SIDERPHILIN, TIBC

CPT Code(s):

83540, 84466

Test Includes:

Iron, Transferrin and calculated TIBC

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 5 days

Schedule:

1-2 Days

Clinical Significance:

Alterations in iron and TIBC levels result from changes in iron intake, absorption, storage, and release mechanisms. Such changes are indicative of a wide range of dysfunctions including anemias, hemochromatosis, nephrosis, cirrhosis, and hepatitis. Both iron and total iron binding capacity measurements are important for definitive diagnosis because they are interrelated. Transferrin is a plasma protein whose primary function is to transport absorbed iron or stored iron to sites in the body involved in erythropoiesis. The measurement of transferrin aids in the diagnosis of malnutrition, acute inflammation, infection, assessment of renal function, and red blood cell disorders such as iron deficiency anemia.

Performing Lab:

Simple Laboratories

Test Name:

LDH (LACTATE DEHYDROGENASE)

Test Code:

LDH

Alias:

LD, LDH

CPT Code(s):

83615

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:

Refrigerated: 3 days

Schedule:

1-2 Days

Clinical Significance:

Elevations in serum lactate dehydrogenase (LD) occur from myocardial infarction, liver disease, pernicious and megaloblastic anemias, pulmonary emboli, malignancies, and muscular dystrophy. A combined analysis of LD and CK (creatine kinase) isoenzymes provides a definite diagnosis of acute myocardial infarction.

Performing Lab:

Simple Laboratories

Test Name:

LH (LUTEINIZING HORMONE)

Test Code:

LH

Alias:

hLH ICSH Interstitial Cell Stimulating Hormone Pituitary Gonadotropin

CPT Code(s):

83002

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: 72 hours* Refrigerated: 7 days

Schedule:

1-2 Days

Clinical Significance:

Concentrations of hLH and hFSH are commonly determined in investigations of menstrual cycle, fertility, and pubertal developmental abnormalities, such as premature ovarian failure, menopause, ovulatory disorders and pituitary failure. The ratio of hLH/hFSH has been used to assist in the diagnosis of polycystic ovary disease. Low concentrations of hLH and hFSH may indicate pituitary failure while elevated concentrations of hLH and hFSH along with decreased concentrations of gonadal steroids may indicate gonadal failure (menopause, ovariectomy, premature ovarian syndrome, Turners Syndrome). Low concentrations of gonadotropin are usually observed in females taking oral steroid based contraceptives. In the male, elevated hLH and hFSH with low concentrations of gonadal steroids may indicate testicular failure or anorchia. In Klinefelter’s syndrome hLH may be elevated due to Sertoli cell failure.

Performing Lab:

Simple Laboratories

Test Name:

LIPASE

Test Code:

LIPA

CPT Code(s):

83690

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:

Measurements of serum lipase are used in the diagnosis and treatment of acute pancreatitis or pancreatic injury.

Performing Lab:

Simple Laboratories

Test Name:

LIPID PANEL RFX DIRECT LDL

Test Code:

LDLR

Alias:

Lipid Panel with LDL-Calc (AMA)

CPT Code(s):

80061

Test Includes:

Total Cholesterol, HDL Cholesterol, LDL Cholesterol (calculated), Triglycerides, Cholesterol/HDL Ratio

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 72 hours* Refrigerated: 7 days

Schedule:

1-2 Days

Clinical Significance:

The tests in a lipid panel are used to determine the risk of coronary heart disease. These tests are good indicators of whether someone is likely to have a heart attack or stroke caused by blockage of blood vessels or hardening of the arteries.

Performing Lab:

Simple Laboratories

Test Name:

LOW DENSITY LIPOPROTEIN (LDL), DIRECT MEASUREMENT

Test Code:

LDLD

Alias:

LDL Cholesterol, Direct

CPT Code(s):

83721

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 m SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

1-2 Days

Clinical Significance:

LDL cholesterol is directly related to the risk of developing coronary heart disease. A low HDL/LDL cholesterol ratio is directly related to the risk of developing coronary artery disease. Elevated LDL cholesterol is the primary target of cholesterol-lowering therapy.

Performing Lab:

Simple Laboratories

Test Name:

MAGNESIUM, SERUM

Test Code:

MG

Alias:

MG, MAG

CPT Code(s):

83735

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:

Magnesium measurements are used in the diagnosis and treatment of hypomagnesemia (abnormally low) and hypermagnesemia (abnormally high).Decreased serum magnesium levels have been observed in cases of diabetes, alcoholism, diuresis, hyperthyroidism, hypoparathyroidism, malabsorption, hyperalimentation, myocardial infarction, congestive heart failure and liver cirrhosis. Increased serum magnesium levels have been found in cases of renal failure, dehydration, severe diabetic acidosis and Addison’s Disease.

Performing Lab:

Simple Laboratories

Test Name:

MICROALBUMIN WITH CREATININE RATIO, RANDOM URINE

Test Code:

MAP

Alias:

Albumin:Creatinine ratio, random urine

CPT Code(s):

82570, 82043

Test Includes:

Microalbumin Creatinine Microalbumin/creatinine ratio

Preferred Specimen:

RANDOM URINE

Min. Volume:

1.0 mL RANDOM URINE

Transport Container:

STERILE CUP

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 72 hours Freezing is not recommended

Schedule:

1-2 Days

Clinical Significance:

Refer to individual tests.

Performing Lab:

Simple Laboratories

Test Name:

MYCOPLASMA GENITALIUM, GENITAL

Test Code:

LS5013

CPT Code(s):

87563

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:

ROOM TEMPERATURE

Stability:

After collection, swab specimens in transport tubes can be stored for up to 60 days.

Schedule:

1-3 Days

Clinical Significance:

The Aptima Mycoplasma genitalium assay is an in vitro nucleic acid amplification test (NAAT) for the qualitative detection of ribosomal RNA (rRNA) from Mycoplasma genitalium. It is intended for use as an aid in the diagnosis of M. genitalium urogenital infections in male and female patients.

Performing Lab:

Simple Laboratories

Test Name:

MYCOPLASMA GENITALIUM, URINE

Test Code:

LS5014

CPT Code(s):

87563

Preferred Specimen:

MALE OR FEMALE URINE

Transport Container:

APTIMA URINE TRANSPORT TUBE (YELLOW)

Collection Instruction:

Transport Temperature:

ROOM TEMPERATURE

Stability:

After collection, swab specimens in transport tubes can be stored for up to 60 days.

Schedule:

1-3 Days

Clinical Significance:

The Aptima Mycoplasma genitalium assay is an in vitro nucleic acid amplification test (NAAT) for the qualitative detection of ribosomal RNA (rRNA) from Mycoplasma genitalium. It is intended for use as an aid in the diagnosis of M. genitalium urogenital infections in male and female patients.

Performing Lab:

Simple Laboratories

Test Name:

NEISSERIA GONORRHOEAE, GENITAL, PCR

Test Code:

LS5007

Alias:

GC N. gonorroeae

CPT Code(s):

87591

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)

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 gonococcal urogenital disease.

Performing Lab:

Simple Laboratories

Test Name:

NEISSERIA GONORRHOEAE, URINE, PCR

Test Code:

LS5009

Alias:

GC N. gonorroeae

CPT Code(s):

87951

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 gonococcal urogenital disease.

Performing Lab:

Simple Laboratories

Test Name:

PARATHYROID HORMONE (PTH), INTACT

Test Code:

PTH

Alias:

PARATHYRIM

CPT Code(s):

83970

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:

Room Temperature: 4 hours (serum) 8 hours (plasma) Refrigerated: 8 hours (serum) 48 hours (plasma) Frozen: 6 months (serum or plasma)

Schedule:

1-2 Days

Clinical Significance:

In patients with disorders of calcium metabolism, quantitative determination of circulating PTH may assist in the differential diagnosis of hypercalcemia and hypocalcemia. In hypercalcemia due to primary hyperparathyroidism or ectopic PTH secretion (pseudo hyperparathyroidism), most patients have increased PTH levels. By contrast in hypercalcemia due to malignancy or other causes, the concentration of PTH in the circulation is typically low, either below or towards the low end of the reference range for apparently healthy individuals.

Performing Lab:

Simple Laboratories

Test Name:

PHOSPHORUS

Test Code:

PHOS

Alias:

Inorganic phosphorus Phos Phosphate PO4

CPT Code(s):

84100

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 8 hours Refrigerated: 7 days

Schedule:

1-2 Days

Clinical Significance:

Measurements of inorganic phosphorus are used in the diagnosis and treatment of various disorders including parathyroid gland and kidney diseases, and vitamin D imbalance.

Performing Lab:

Simple Laboratories

Test Name:

POTASSIUM

Test Code:

K

Alias:

K K+ LAB114

CPT Code(s):

84132

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

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

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 8 hours Refrigerated: 48 hours Longer stability if frozen

Schedule:

1-2 Days

Clinical Significance:

Electrolytes affect most metabolic processes. They serve to maintain osmotic pressure and hydration of various body fluids, proper body pH and regulation of appropriate heart and muscle functions. Electrolytes are also involved in oxidation-reduction reactions and participate as essential parts or, cofactors, in enzyme reactions.

Performing Lab:

Simple Laboratories

Test Name:

PROGESTERONE

Test Code:

PROG

CPT Code(s):

84144

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 1 day Refrigerated: 2 days Freeze sample for longer stability. Specimens should not be stored in SST.

Schedule:

1-2 Days

Clinical Significance:

Progesterone levels are indicative of viable pregnancies. Ultrasonography is required to confirm viability at low progesterone levels. Serum concentrations are relatively constant at 8-10 weeks gestation, unless the pregnancy is failing, which can be signaled by decreasing progesterone values. After 10-12 weeks, levels increase more rapidly, but serum progesterone determinations are not considered useful for diagnoses in late pregnancy. Ovulation, and the presence of a functioning corpus luteum, can be demonstrated with serial determinations of serum progesterone. Luteal phase dysfunction may be diagnosed when ovulation has occurred and there is inadequate luteinization and reduced progesterone secretion.

Performing Lab:

Simple Laboratories

Test Name:

PROLACTIN

Test Code:

PROL

CPT Code(s):

84146

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 8 hours Refrigerated: 48 hours

Schedule:

1-2 Days

Clinical Significance:

Prolactin is secreted by the anterior pituitary gland and is required for normal breast development and lactation in women. Prolactin levels will rise throughout gestation. In the absence of breast feeding, prolactin levels will return to normal within three weeks after birth. Abnormally high levels of prolactin are often associated with female infertility, impotence and infertility in males, primary hypothyroidism, and pituitary tumors.

Performing Lab:

Simple Laboratories

Test Name:

PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL

Test Code:

PSA

CPT Code(s):

84153

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room Temperature: 8 hours Refrigerated: 24 hours

Schedule:

1-2 Days

Clinical Significance:

Prostate Specific Antigen (PSA) levels in human serum aid in the detection of prostate cancer in men aged 50 years or older. Prostate biopsy is required for the diagnosis of cancer. It is also used for further indicatetions for the serial measurement of PSA to aid in the prognosis and management of patients with prostate cancer.

Performing Lab:

Simple Laboratories

Test Name:

PROTEIN, TOTAL SERUM

Test Code:

TP

CPT Code(s):

84155

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: 30 days

Schedule:

1-2 DAYS

Clinical Significance:

Measurements of Total Protein are used in the diagnosis and treatment of a variety of diseases involving the liver, kidney, or bone marrow as well as other metabolic and nutritional disorders. The total serum protein is the sum of all circulating proteins and is a major component of blood. It is often useful, however, in interpreting the significance of the total protein concentration to have more specific knowledge of individual fractions such as albumins and globulins.

Performing Lab:

Simple Laboratories

Test Name:

PROTHROMBIN TIME (PT)(PROTIME)

Test Code:

LS5090

CPT Code(s):

85610

Preferred Specimen:

1 - full (see fill line on tube) Sodium Citrate (lt blue)

Min. Volume:

1 - full (see fill line on tube) Sodium Citrate (lt blue) tube or 1.0 mL frozen platelet-poor plasma

Transport Container:

SODIUM CITRATE (LT BLUE TOP)

Collection Instruction:

Transport Temperature:

Room temperature or frozen (refer to stability times)

Stability:

Room temperature: 24 hoursRefrigerated: unacceptableFrozen: 14 days (platelet-poor plasma only)

Schedule:

1-2 DAYS

Clinical Significance:

Prothrombin time is used for the evaluation of the extrinsic coagulation pathway and the monitoring of oral anticoagulant therapy (OAT).

Performing Lab:

Simple Laboratories

Test Name:

PTT, ACTIVATED (APTT)

Test Code:

LS0961

CPT Code(s):

85730

Preferred Specimen:

1 - full (see line on tube) Sodium Citrate (lt blue) tube

Min. Volume:

1 - full (see line on tube) Sodium Citrate (lt blue) tube or 1.0 mL frozen platelet-poor plasma

Transport Container:

SODIUM CITRATE (LT BLUE TOP)

Collection Instruction:

Transport Temperature:

Room Temperature

Stability:

Room temperature: 24 hours (patients on heparin: 4 hours room temperature) Frozen: 14 days (platelet-poor plasma)

Schedule:

1-2 DAYS

Clinical Significance:

General screening procedure for the evaluation of the intrinsic coagulation pathway and to monitor patients receiving heparin anticoagulant therapy.

Performing Lab:

Simple Laboratories

Test Name:

RAPID FLU A/B

Test Code:

LS5018

Test Includes:

Influenza A, Influenza B

Preferred Specimen:

Nasopharyngeal or nasal swab

Transport Container:

RED CAP VIRAL PBS SWAB

Performing Lab:

Simple Laboratories

Test Name:

RENAL/KIDNEY FUNCTION PANEL

Test Code:

RENAL

Alias:

KIDNEY FUNCTION PANEL, KFP, RFP

CPT Code(s):

80069

Test Includes:

ALBUMIN, BUN (BLOOD UREA NITROGEN), CALCIUM, TOTAL, CHLORIDE, CO2, CREATININE, GLUCOSE

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 72 hours Refrigerated: 4 days

Schedule:

1-2 DAYS

Clinical Significance:

The kidney performs many physiological and excretory functions. The renal function panel evaluates the functional state of the kidney.

Performing Lab:

Simple Laboratories

Test Name:

RF (RHEUMATOID FACTOR) QUANTITATIVE

Test Code:

RA

Alias:

RF, RHEUMATOID

CPT Code(s):

86431

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 24 hours Refrigerated: 8 days

Schedule:

1-2 DAYS

Clinical Significance:

Rheumatoid factors (RF) are antibodies directed against antigenic determinants on the Fc fragment of IgG. These are usually IgM antibodies, but may be IgG, IgA or IgE.

Performing Lab:

Simple Laboratories

Test Name:

RPR SCREEN WITH REFLEX TO TITER

Test Code:

RPR

Alias:

Non-Treponemal Syphilis serology

CPT Code(s):

86592

Test Includes:

RPR Screening *Note: This test is meant for screening purposes of known Syphilis patients. There is no confirmation test associated with this order.

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 5 days

Schedule:

1-2 DAYS

Clinical Significance:

RPR test is used for the rapid detection and the qualitative determination of syphilis in serum or plasma.

Performing Lab:

Simple Laboratories

Test Name:

RUBELLA ANTIBODY IGG

Test Code:

RUB

Alias:

3 Day Measles German Measles

CPT Code(s):

86762

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 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: 2 days

Schedule:

1-2 Days

Clinical Significance:

Rubella is a viral illness. The infection is usually benign or even unapparent in children or adults. Clinical manifestations include a generalized skin rash over the entire body, a low-grade fever, headache, and sometimes a sore throat. Infections in utero, particularly during the first four months of pregnancy, can lead to can lead to congenital defects such as deafness, cardiac problems, cataracts or glaucoma, and sometimes fetal death. Demonstration of rubella IgG antibody in a pregnant woman prior to conception provides assurance of fetal protection from possible rubella viral infection during pregnancy. Vaccination efficiency is demonstrated by detection of rubella IgG antibody in serum following immunization.

Performing Lab:

Simple Laboratories

Test Name:

SARS-COV-2 (COVID-19) DETECTION

Test Code:

LS5004

CPT Code(s):

87635

Preferred Specimen:

Nasopharyngeal or nasal swab

Transport Container:

RED CAP VIRAL PBS SWAB

Performing Lab:

Simple Laboratories

Test Name:

SODIUM, SERUM

Test Code:

NA

Alias:

NA

CPT Code(s):

84295

Preferred Specimen:

1.0 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 14 days Refrigerated: 14 days

Schedule:

1-2 Days

Clinical Significance:

Sodium measurements are used in the diagnosis and treatment of aldosteronism (excessive secretion of the hormone aldosterone), diabetes insipidus, adrenal hypertension, Addison's disease, dehydration, inappropriate antidiuretic hormone secretion, or other disease involving electrolyte imbalance.

Performing Lab:

Simple Laboratories

Test Name:

STREP A, RAPID MOLECULAR

Test Code:

LS5022

CPT Code(s):

87651

Preferred Specimen:

THROAT SPECIMEN

Transport Container:

E-SWAB

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temp: 48 hours Refrigerated: 6 days

Schedule:

1-2 Days

Clinical Significance:

Group A strep is a bacterial pathogen that commonly cause infections in the throat. Treating an infected person with an appropriate antibiotic generally reduces the spread of the infection and reduces the risk of post-infection complications, such as rheumatic fever and acute glomerular nephritis.

Performing Lab:

Simple Laboratories

Test Name:

T3 FREE

Test Code:

FT3

Alias:

FT3 Triiodothyronine Unbound T3

CPT Code(s):

84481

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:

Room temperature: 8 hours Refrigerated: 2 days

Schedule:

1-2 DAYS

Clinical Significance:

With normal levels of thyroid binding proteins, free T3 levels correlate with total T3. Measuring free T3 is useful when altered levels of total T3 occur due to changes in thyroid hormone binding proteins, especially in cases with altered TBG or low albumin concentrations. Free T3 is elevated alone (T3 toxicosis) in about 5% of hyperthyroids.

Performing Lab:

Simple Laboratories

Test Name:

T3 UPTAKE

Test Code:

T3

Alias:

Hanolsky Uptake Tes Resin Uptake Resin Uptake (T3) T3 Index T3 Resin Uptake Triiodothyronine

CPT Code(s):

84479

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.5 mL

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 8 hours Refrigerated: 2 days

Schedule:

1-2 DAYS

Clinical Significance:

The thyroid hormone thyroxine (T4) is physiologically part of the regulating circuit of the thyroid gland and has an effect on general metabolism. The determination of total thyroxine only provides correct information when the thyroxine-binding capacity in serum is normal. The performance of a T-uptake or TBC assay provides a measure of the available thyroxine-binding sites.

Performing Lab:

Simple Laboratories

Test Name:

T3, TOTAL

Test Code:

84480

Alias:

T3 Hormone Triiodothyronine

CPT Code(s):

84480

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:

Room temperature: 8 hours Refrigerated: 2 days

Schedule:

1-2 DAYS

Clinical Significance:

The clinical importance of total T3 determination is in the diagnosis of thyroid disorders. Elevated levels of T3 occur in Graves’ disease, and most other classical causes of hyperthyroidism. Decreased levels occur in primary hypothyroid diseases such as Hashimoto’s thyroiditis and neonatal hypothyroidism or secondary hypothyroidism due to defects at the hypothalamo-hypophyseal level.

Performing Lab:

Simple Laboratories

Test Name:

TESTOSTERONE, TOTAL

Test Code:

TESTOS

CPT Code(s):

84403

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: 8 hours Refrigerated: 48 hours

Schedule:

1-2 DAYS

Clinical Significance:

Testosterone in males is secreted by adult Leydig cells and is controlled principally by lutenizing hormone (LH). The majority of serum testosterone is bound to sex hormone binding globulin (SHBG), but it also exists loosely bound to albumin and in the free state. An abnormally low total testosterone level in males can be indicative of hypogonadism, hypopituitarism, hyperprolactinemia, renal failure, hepatic cirrhosis, or Kleinfelter’s syndrome. High total testosterone values in males can be caused by adrenal and testicular tumors, congenital adrenal hyperplasia or abnormalities of the hypothalamic-pituitary-testicular axis.

Performing Lab:

Simple Laboratories

Test Name:

THYROGLOBULIN ANTIBODY

Test Code:

THYROG

CPT Code(s):

86800

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 8 days Refrigerated: 2 days Frozen: 1 Month

Schedule:

1-2 DAYS

Clinical Significance:

Circulating thyroid antibodies have been widely implicated in the etiology of autoimmune thyroid disease and both thyroglobulin and microsomal antibodies are measured routinely in clinical practice. Thyroglobulin autoantibodies are detected at high titers, mainly in autoimmune thyroiditis and Grave’s disease. Serum autoantibodies to thyroglobulin/colloid have been found in 40-70% of patients with chronic thyroiditis and in smaller percentages of patients with thyrotoxicosis and nontoxic goiters.

Performing Lab:

Simple Laboratories

Test Name:

THYROID PROFILE WITH TSH

Test Code:

T

Alias:

THYROID PANEL W/TSH

CPT Code(s):

84436; 84479; 84443

Test Includes:

TSH, T3 Uptake, T4 (Thyroxine) Total Free T4 Index (T7)

Preferred Specimen:

1.0 mL SERUM

Min. Volume:

0.3 mL SERUM

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 7 days Refrigerated: 7 days

Schedule:

1-2 DAYS

Clinical Significance:

Thyroid Panel - For diagnosis of hypothyroidism and hyperthyroidism.

Performing Lab:

Simple Laboratories

Test Name:

THYROXINE (T4)

Test Code:

T4

Alias:

T4 Total Tetraiodothyronine

CPT Code(s):

84436

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:

Room temperature: 8 hours Refrigerated: 48 hours

Schedule:

1-2 DAYS

Clinical Significance:

Thyroxine is commonly measured in serum as total T4, measuring both bound and free T4. It is used as a thyroid screening test alone or in conjunction with other thyroid tests. Measurement of total T4 gives a reliable reflection of clinical thyroid status in the absence of binding abnormalities. However, changes in binding proteins can occur which affect the level of total T4, but leave the level of unbound hormone unchanged. The clinical importance of total T4 determination is in the diagnosis and confirmation of thyroid disorders. Elevated levels of T4 occur in Graves’ disease, subacute thyroiditis, toxic nodule, or secondary (pituitary) hyperthyroidism. Decreased levels occur primarily due to defects at the hypothalamic-pituitary level.

Performing Lab:

Simple Laboratories

Test Name:

THYROXINE (T4), FREE

Test Code:

FT4

Alias:

FT4, UNBOUND T4

CPT Code(s):

84439

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:

Room Temperature: 8 hours Refrigerated: 48 hours Freeze samples for longer stability

Schedule:

1-2 DAYS

Clinical Significance:

Elevated free T4 levels support the clinical findings of a diagnosis of hyperthyroidism while clearly low freeT4 levles coupled with appropriate clinical findings, can establish a diagnosis of hypothyroidism. Measurment of free T4 levels along with other thyroid tests and clinical findings can establish borderline hyperthyroid and hypothyroid diagnoses.

Performing Lab:

Simple Laboratories

Test Name:

TPO (THYROPEROXIDASE) ANTIBODY

Test Code:

TPO

Alias:

Antimicrosomal Antibody Antithyroid Microsomal Antibody Anti-TPO Thyroid Peroxidase Autoantibodies TPO Autoantibodies

CPT Code(s):

86376

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM OR PLASA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 48 hours

Schedule:

1-2 DAYS

Clinical Significance:

The determination of TPOAb levels is the most sensitive test for detecting autoimmune thyroid disease. The highest TPOAb levels are observed in patients suffereing from Hashimoto's thyroiditis. In this disease, the prevalence of TPOAb is about 90% of cases confirming the autoimmune origin of the disease. These autoantibodies also frequently occur (60%-80%) in the course of Graves' disease.

Performing Lab:

Simple Laboratories

Test Name:

TRANSFERRIN

Test Code:

TRANS

Alias:

SIDEROPHILIN

CPT Code(s):

84466

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: 5 days

Schedule:

1-2 DAYS

Clinical Significance:

Transferrin levels rise with iron deficiency and fall in cases of iron overload. An increase in transferrin is seen in iron deficiency anemia. It may also be increased late in pregnancy and in women on oral contraceptives. It is decreased in conditions associated with increased protein loss, such as nephrotic syndrome, chronic renal failure, severe burns, and protein-deficiency states and in severe liver disease. Transferrin is a negative acute-phase protein and will be decreased during any inflammatory state or severe illness

Performing Lab:

Simple Laboratories

Test Name:

TREPONEMA PALLIDUM WITH REFLEX

Test Code:

013005

Alias:

Agglutination (TP-PA) Test T. pallidum Ab TP-PA

CPT Code(s):

86780

Test Includes:

Reflex to qualitative rapid plasma reagin (RPR) on positives. May carry additional CPT codes

Preferred Specimen:

2.0 mL SERUM

Min. Volume:

1.0 mL SERUM OR PLASMA

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Refrigerated: 7 days

Schedule:

1-2 DAYS

Clinical Significance:

If T. Pallidum antibody is equivocal or reactive, RPR screen with reflex to titer will be performed at an additional charge (CPT code 86592). If RPR screen is reactive, RPR titer will be performed at an additional charge (CPT code 86593). If RPR screen is non-reactive, it will reflex to another treponemal test for confirmation (FTA-ABS) at an additional charge (CPT code 86780).

Performing Lab:

Simple Laboratories

Test Name:

TRICHOMONAS VAGINALIS, GENITAL, PCR

Test Code:

LS5023

Alias:

Trichomonas NAT, TV

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)

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:

Trichomonas vaginalis infections cause vaginitis, urethritis and cervicitis. Discharge and small hemorrhagic lesions may be present in the genitourinary tract. Complications can include premature labor, low-birth-weight offspring, premature rupture of membranes and post-abortion or post-hysterectomy infection. An association with pelvic inflammatory disease, tubal infertility, and cervical cancer with previous episodes of trichomoniasis has been reported. Symptomatic women with trichomoniasis usually complain of vaginal discharge, vulvovaginal soreness and/or irritation. Dysuria is also common. However, it has been estimated that 10-50% of T. vaginalis infections in women are asymptomatic.

Performing Lab:

Simple Laboratories

Test Name:

TRICHOMONAS VAGINALIS, URINE, PCR

Test Code:

LS5024

Alias:

Trichomonas NAT, TV

CPT Code(s):

87661

Preferred Specimen:

APTIMA YELLOW URINE

Transport Container:

APTIMA URINE TRANSPORT TUBE (YELLOW)/STERILE CUP

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:

Trichomonas vaginalis infections cause vaginitis, urethritis and cervicitis. Discharge and small hemorrhagic lesions may be present in the genitourinary tract. Complications can include premature labor, low-birth-weight offspring, premature rupture of membranes and post-abortion or post-hysterectomy infection. An association with pelvic inflammatory disease, tubal infertility, and cervical cancer with previous episodes of trichomoniasis has been reported. Symptomatic women with trichomoniasis usually complain of vaginal discharge, vulvovaginal soreness and/or irritation. Dysuria is also common. However, it has been estimated that 10-50% of T. vaginalis infections in women are asymptomatic.

Performing Lab:

Simple Laboratories

Test Name:

TRIGLYCERIDES

Test Code:

TRIG

CPT Code(s):

84478

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 Frozen: 3 months

Schedule:

1-2 DAYS

Clinical Significance:

Triglyceride measurements are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism, or various endocrine disorders.

Performing Lab:

Simple Laboratories

Test Name:

TSH (THYROID STIMULATING HORMONE)

Test Code:

TSH

Alias:

Third Generation TSH Thyrotropin, Htsh

CPT Code(s):

84443

Preferred Specimen:

2.0 mL serum

Min. Volume:

.5 mL serum or plasma

Transport Container:

SST (GOLD/TIGER)

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Room temperature: 18 hours Refrigerated: 7 days Frozen: 1 month

Schedule:

1-2 DAYS

Clinical Significance:

The principal clinical use for hTSH measurement is for the assessment of thyroid status. hTSH is measured to: 1) Exclude hypothyroidism (elevated levels of hTSH) or hyperthyroidism (depressed or nondetectable levels of hTSH). 2) Monitor T4 replacement treatment in primary hypothyroidism or antithyroid treatment in hyperthyroidism. 3) Follow T4 suppression of the trophic influence of hTSH is “cold nodules” and non-toxic goiter. 4) Assess the response to TRH stimulating testing. As more sensitive and precise methods become available, hTSH measurements are also increasingly used to identify subclinical or latent hypothyroidism or hyperthyroidism.

Performing Lab:

Simple Laboratories

Test Name:

TSH, REFLEX FREE T4

Test Code:

013009

Alias:

hTSH Third Generation TSH Thyrotropin

CPT Code(s):

84443

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:

Room temperature: 72 hours Refrigerated: 7 days Frozen: 1 month

Schedule:

1-2 DAYS

Clinical Significance:

The principal clinical use for hTSH measurement is for the assessment of thyroid status. hTSH is measured to: 1) Exclude hypothyroidism (elevated levels of hTSH) or hyperthyroidism (depressed or nondetectable levels of hTSH). 2) Monitor T4 replacement treatment in primary hypothyroidism or antithyroid treatment in hyperthyroidism. 3) Follow T4 suppression of the trophic influence of hTSH is “cold nodules” and non-toxic goiter. 4) Assess the response to TRH stimulating testing. As more sensitive and precise methods become available, hTSH measurements are also increasingly used to identify subclinical or latent hypothyroidism or hyperthyroidism.

Performing Lab:

Simple Laboratories

Test Name:

U/A (URINALYSIS WITH MICROSCOPIC) REFLEX CULTURE

Test Code:

LS9006

Alias:

UA w/Micro, Reflex Culture

CPT Code(s):

81001

Test Includes:

Color, appearance, glucose, protein, bilirubin, pH, blood, ketones, nitrite, leukocytes, specific gravity, urobilinogen, and microscopic examination of urine

Preferred Specimen:

10.0 mL URINE

Min. Volume:

2.0 mL urine in urine preservative tube (speckled) and 3.0 mL urine in urine culture tube (gray)

Transport Container:

STERILE URINE CUP

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Urine Preservative Tube (speckled): Refrigerated/Room Temp: 48 hours Urine Culture Tube (gray): Room temperature or refrigerated: 48 hours Urine Non-Preservative tube: 48 Hours

Schedule:

1-2 DAYS

Clinical Significance:

Test results from a routine urinalysis may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and urinary tract infection.

Performing Lab:

Simple Laboratories

Test Name:

UREA NITROGEN (BUN)

Test Code:

BUN

Alias:

Blood Urea Nitrogen BUN

CPT Code(s):

84520

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: 24 hours Refrigerated: 3 days Frozen: 2-3 months

Schedule:

1-2 DAYS

Clinical Significance:

Measurements of urea nitrogen are used in the diagnosis and treatment of certain renal and metabolic disorders. Blood Urea Nitrogen (BUN) levels are a measure of kidney function and also of prerenal and postrenal conditions. Prerenal causes of elevated BUN include cardiac decompensation, water depletion or increased protein catabolism. Among the renal causes of increased levels are acute glomerulonephritis, chronic nephritis, polycystic kidney, nephrosclerosis, and tubular necrosis. Any type of obstruction of the urinary tract is a postrenal cause for elevated BUN levels. Both urea and creatinine are cleared by the renal glomeruli, however, urea is subsequently partially reabsorbed by the renal tubules, while creatinine is not. Consequently, serum urea nitrogen and serum creatinine determinations are frequently performed together in the differential diagnosis of kidney function.

Performing Lab:

Simple Laboratories

Test Name:

URIC ACID

Test Code:

UA

CPT Code(s):

84550

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: 5 days

Schedule:

1-2 DAYS

Clinical Significance:

Measurements of Uric Acid are used in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation or other wasting conditions, and of patients receiving cytotoxic drugs.

Performing Lab:

Simple Laboratories

Test Name:

URINALYSIS (UA)

Test Code:

LS5038

Alias:

U/A (URINALYSIS WITH MICROSCOPIC)

CPT Code(s):

81001

Test Includes:

Color, Appearance, glucose, protein, bilirubin, pH, blood, ketones, nitrite, leukocytes, specific gravity, urobilinogen, and microscopic examination of urine sediment

Preferred Specimen:

10.0 mL URINE

Min. Volume:

2.0 mL URINE

Transport Container:

STERILE URINE CUP

Collection Instruction:

Transport Temperature:

Refrigerated

Stability:

Sterile Cup: 48 hours refrigerated

Schedule:

1-2 DAYS

Clinical Significance:

Routine urinalysis may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and urinary tract infection.

Performing Lab:

Simple Laboratories

Test Name:

URINALYSIS W/ REFLEX TO UPP

Test Code:

LS9004

CPT Code(s):

81001

Preferred Specimen:

10.0 mL URINE

Min. Volume:

2.0 mL URINE

Transport Container:

STERILE CUP

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

1-2 Days

Performing Lab:

Simple Laboratories

Test Name:

URINALYSIS W/ REFLEX TO UPP AND CULTURE

Test Code:

LS9005

CPT Code(s):

81001

Preferred Specimen:

10.0 mL URINE

Min. Volume:

2.0 mL URINE

Transport Container:

STERILE CUP

Collection Instruction:

Transport Temperature:

Refrigerated

Schedule:

1-2 Days

Performing Lab:

Simple Laboratories

Test Name:

URINE PATHOGEN PANEL (PCR)

Test Code:

LS9002

Alias:

MOLECULAR UTI

CPT Code(s):

87481, 87640, 87653, 87150 x13, 87641, 87500, 87798 x13

Test Includes:

Staphylococcus aureus Acinetobacter baumannii Enterococcus faecalis Escherichia coli Klebsiella oxytoca Klebsiella pneumoniae Pseudomonas aeruginosa Enterobacter cloacae Proteus mirabilis Morganella morganii Citrobacter freundii Proteus vulgaris Klebsiella aerogenes Enterococcus faecium Mycoplasma hominis Ureaplasma urealyticun Providencia stuartii Serratia marcescens Staphylococcus saprophyticus Streptococcus agalactiae Candida tropicalis Candida krusei Candida albicans Candida glabrata Candida auris Candida lusitaniae Candida parapsilosis ampC mecA femA aph2 QnrB QnrA vanA1, vanA2 vanB NDM KPC OXA-48 VIM, IMP-7 SHV TEM CTX-M group 1 CTX-M group 2 mefA ErmA ErmB ant2 DfrA DfrA1 DfrA5 TetO Sul1 Sul2 GyrA ParC TetM TetB Antla

Preferred Specimen:

URINE

Transport Container:

STERILE CUP

Collection Instruction:

Performing Lab:

Simple Laboratories

Test Name:

VAGINITIS PANEL

Test Code:

LS9009

CPT Code(s):

81513; 87661; 87481 (X2)

Test Includes:

Bacterial vaginosis (BV) Candida vaginitis (CV) Trichomonas vaginalis (TV)