TEST  NAME

A1C

See:    Hemoglobin A1C

TEST NAME

ABDOMINAL FLUID CYTOLOGY

See: Cytology Section Peritoneal Fluid

POWERCHART NAME

ABO + RH(D) BLOOD TYPING

MERCY TEST NAME

ABO GROUP/RH TYPE

MERCY LAB CODE

ABRX

Includes ABO group and Rh type.  ABO and Rh are not ordered separately.

• Preferred in hourse: One 6 ml pink top tube. 
• Preferred reference lab; One 6 ml pink to tube. 
• Also acceptable:  EDTA plasma.

• ABO+ 86900
  RH+    86901

TEST  NAME

ABG (ARTERIAL BLOOD GASES)

Done by Cardio-Vascular & Pulmonary.  For capillary gases see COLLECTION CHARGE CAPILLARY BLOOD GASES.

 TEST NAME

ACCUTANE PANEL

See: Dermatology Panel  

TEST NAME

ACE

See: Angiotensin Converting Enzyme

POWERCHART NAME

ACETAMINOPHEN (TYLENOL) LEVEL

MERCY TEST NAME

ACETAMINOPHEN

MERCY LAB CODE

ACMN

• Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.  
• Preferred reference lab: 0.5 ml  serum from a SST tube.    
•  Also acceptable EDTA plasma or serum from a plain red tube.        

 TEST NAME

ACETONE (KETONES) QUALITATIVE SERUM

See: 

Beta Hydroxybutyrate Level

TEST NAME

ACETONE URINE

See:   Urine Dipstick

POWERCHART NAME

ACETYLCHOLINE RECEPTOR BINDING ANTIBODY

MERCY TEST NAME

ACET RECP BNDG*

MERCY LAB CODE

ACHRBA

POWERCHART NAME

ACETYLCHOLINESTERASE RBC*

MERCY TEST NAME

ACETYLCHOL RBC*      

MERCY LAB CODE

ARBC

4ml whole blood from EDTA tube.  2.5 ml minimum 

• Send REFRIGERATED to Mayo.  DO NOT FREEZE. Mayo # 8522.
• Specimen must arrive at Mayo within 72 hours of collection.
• Enter specimen type sent (EDTA whole blood) in internal notes on the Mayo computer.  
•  Use bubble wrap to protect specimen.

TEST NAME

ACID PHOSPHATASE SERUM

See: Prostatic Acid Phos*

TEST NAME

ACT

See:   Clotting Time Activated

POWERCHART NAME

ACTH Adrenocorticotropic

MERCY TEST NAME

ACTH*

MERCY LAB CODE

ACTH

• Draw 5 ml blood into pre-chilled purple top tubes. 
• Tubes MUST be ice-cooled before collection.
• Immediately place tubes in ice after collection.
•  Immediately seperate plasma in refrigerated centrifuge.

TEST NAME

ACTH STIMULATION TEST

See:   Cortisol ACTH Response

TEST NAME

ACTIVATED PARTIAL THROMBOPLASTIN

See:   PTT

TEST NAME

ADVANCED LIPID PROFILE

See: VAP Lipid Profile

POWERCHART NAME

AEGIS FORENSIC DRUG TESTING* TEST - NO LONGER AVAILABLE - DISCONTINUED

MERCY TEST NAME

AEGIS FORENSC DRUG*

MERCY LAB CODE

AFDT

82055 x2 Drug AB Etoh Scn+*
80100 x2 Drug Ab Scn+*
80101 x5 Single Drug Class+*

MERCY TEST NAME

AEROBIC CULTURE/GRAM STAIN

Cultures are listed according to collection site.
Order according to the source of the specimen.
If there is no culture for the specific source, then order according to the type of culture, i.e.: body fluid, wound, etc.

POWERCHART NAME

AFB CULTURE OTHER

MERCY TEST NAME

ACID FAST CLT/SMR* 

MERCY LAB CODE

AFBCLT

Comment: 

Specify collection site when ordering.

Specimen: 

Submit each specimen in a sterile container with a tight fitting lid.

• Body fluids:  Minimum of 5 ml specimen.  60 ml preferred.
• Bronchus washings/brushings:  Minimum of 5 ml bronchus washings/brushings.
• Cerebrospinal fluid:  1 ml CSF minimum in a sterile plastic screw cap tube.
• Gastric washings:  1 ml specimen minimum.
• Sputum:  Minimum of 5 ml specimen.  A first morning specimen is recommended.
• Stool:  Submit a pea size sample.  No preservative.
• Tissue:  Submit a pea size sample. Can be placed in a small amount of saline to prevent drying out.
• Urine:  Minimum of 50 ml of urine. The first morning specimen is recommended. 
• Bone Marrow: Send using lithium heparin tubes.

Cause for rejection:

Serum is submitted for testing.

Processing:

• Send to the laboratory immediately after collection.
• Specimens are referred to Mayo Medical Laboratories, Rochester, MN for an AFB smear and culture.

RL Client Comments:

• Write AFB Culture/Smear on the order form. Indicate the specimen source.
• Send specimens refrigerated to Mercy lab.

Performed:

Smear:  Monday through Sunday. Mayo will contact Mercy Lab if positive.
Final:  8 weeks. Mayo will notify Mercy Lab if culture is positive prior to 8 weeks.

• If tissue is submitted for testing, an additional charge will be assessed for processing.
• If a bacteremia due to mycobacterium is suspected, see BLOOD CULTURE/ACID FAST ORGANISMS

Reference values:

AFB smear: No acid fast organisms seen.
If the smear is positive: Mycobacterium tuberculosis, Amplified Direct
Test is available at an additional charge.

AFB culture: No acid fast organisms isolated.
If the culture is positive for Mycobacterium: Antimicrobial Susceptibility testing is available at an additional charge. This testing has to be requested by the ordering location or provider.

Method:

AFB smear: Auramine-Rhodamine Stain
AFB culture: Automated Detection plus 7H10-11 agar
Identification of AFB isolates by rapid methods: Nucleic Acid Probes, DNA Sequencing and Real-Time PCR, when appropriate.

CPT Code:

87206- Smear
87116- Culture, Mycobacterium
87150 - Microbial Probe, Fungus Ident (if appropriate)
87153 - Mycobacteria Ident by Sequencing (if appropriate)
87176- Tissue Processing (if appropriate) 87015 - Mycobacteria Culture, Concentration (if appropriate)

TEST NAME

AFP     

See:   Alpha Fetoprotein Maternal Serum* 

TEST NAME

AFP TUMOR MARKER

See:   Alpha Fetoprotein Tumor Marker*

POWERCHART NAME

AG RATIO (Albumin Globulin Ratio)

MERCY TEST NAME

AG RATIO

MERCY LAB CODE

AG

AG Ratio is a calculation and not orderable by itself. 

POWERCHART NAME

ALBUMIN LEVEL

MERCY TEST NAME

ALBUMIN

MERCY LAB CODE

ALB

• Preferred in house: 0.5 ml lithium heparin plasma from a PST tube. 
• Preferred reference lab: 0.5 ml serum from a SST tube.   
• Also acceptable: Sodium heparin,  EDTA plasma, or serum from a plain red top tube.

<1 month:
1 - 3 months:
4 - 11 months:
1 - 59 years:
60 - 79 years:
> 79 years:

2.9 - 5.5 g/dl
2.8 - 5.0 g/dl
3.9 - 5.1 g/dl
3.5 - 5.0 g/dl
3.2 - 4.8 g/dl
3.1 - 4.6 g/dl

TEST NAME

ALBUMIN CLEARANCE

See:   Microalbumin 24-hour Urine

TEST NAME

ALBUMIN/CREATININE RATIO

See:   Microalbumin Random Urine

POWERCHART NAME

ALCOHOL (ETHANOL) LEVEL

MERCY TEST NAME

ALCOHOL ETHYL BLD

MERCY LAB CODE

ALCO

• Preferred in house: 1 ml lithium heparin plasma from a PST tube. 
• Preferred reference lab: 1 ml serum from SST tube.   
• Also acceptable:  Sodium heparin, Amm heparin, NaFl,  EDTA plasma or serum from a plain red top tube.  
• Do not open until time of testing. 
• Unopened, pierced caps are OK to use. 

Stability:

• Laboratory personnel will not draw legal alcohols.
• If a legal issue is involved, Refer to Nursing Supervisor Manual.

0 - 50 mg/dl
51 - 100 mg/dl
101 - 300 mg/dl
301 - 400 mg/dl
401 - 1000 mg/dl

No apparent signs of intoxication
Various signs of intoxication
Under the influence, depression of CNS apparent
CNS impairment is more pronounced, coma may appear
Death may occur

POWERCHART NAME

ALCOHOL LEGAL BLOOD testing discontinued 9/15/09

MERCY TEST NAME

ALCOHOL BLD LEGAL

MERCY LAB CODE

EOTH

• Nursing Supervisor and Law Enforcement perform the collection. 
• Specimen goes with the officer and is tested at a laboratory of their choosing. 
• Mercy Lab does not provide the collection material, nor is involved in the collection, processing or testing.

POWERCHART NAME

ALCOHOL (ETHANOL) LEVEL URINE

MERCY TEST NAME

ALCOHOL ETHYL UR

MERCY LAB CODE

UALC

• Laboratory personnel will accept only non-legal alcohols. 
• If a legal issue is involved, chain of custody MUST be maintained.  Refer to Nursing Supervisor Manual. 
• Urine alcohol concentrations cannot be reliably correlated with blood levels.

Numerical value is reported.
Positive results should be confirmed by an alternate method such as gas chromatography.
Contact the Lab within 1 day if confirmatory testing is needed.

POWERCHART NAME

ALCOHOL LEGAL URINE testing discontinued 9/15/09

MERCY TEST NAME

ALCOHOL UR LEGAL  

MERCY LAB CODE

 UALL

• Nursing Supervisor and Law Enforcement perform the collection. 
• Specimen goes with the officer and is tested at a laboratory of their choosing. 
• Mercy Lab does not provide the collection material, nor is involved in the collection, processing or testing.

POWERCHART NAME

ALDOLASE

MERCY TEST NAME

ALDOLASE*

MERCY LAB CODE

ALDL

POWERCHART NAME

ALDOSTERONE LEVEL

MERCY TEST NAME

ALDOSTERONE*

MERCY LAB CODE

ALDS

• 1.2 ml serum from a plain red top tube or SST tube.  0.6 ml minimum.  
• Collect at 0800. 8 a.m. draw time (after the patient is active for 2 hours) is recommended; preferably no later than 10 a.m. This is the preferred time because of normal range, but will accept other times.
• Specify specimen source as multiple specimens may be collected during a procedure.

Included with report

POWERCHART NAME

ALDOSTERONE 24 HOUR URINE

MERCY TEST NAME

ALDOSTERONE, 24UR*

MERCY LAB CODE

ALDOU

• Add 25ml of 50% Acetic Acid as preservative at start of collection. 
• Children <5 years old, add 15ml of 50% acetic acid as preservative at start of collection. 
• Keep Refrigerated. 
•  Addition of preservative may occur within 4 hours of completion of collection. 

• 11 ml in a 13ml aliquot tube from a measured 24 -hour specimen.  6 ml minimun.
• Record 24-hour volume on aliquot.
• Send refrigerated. Frozen acceptable.  Ambient acceptable with preservative.  Mayo # 8556. 

POWERCHART NAME

ALKALINE PHOSPHATASE

MERCY TEST NAME

ALK PHOS

MERCY LAB CODE

ALKP

• Preferred in house:0.5ml lithium heparin plasma from a PST tube. 
• Preferred reference lab: serum from a SST tube.  
• Also acceptable: Sodium Heparin plasma,  Amm heparin, or serum from a plain red top tube.

Male and Female Ranges not Established

104-345 IU/L
93-309   IU/L
69-325   IU/L
42-362   IU/L
50-390   IU/L
47-468   IU/L
31-112   IU/L

POWERCHART NAME

ALKALINE PHOSPHATASE BONE SPECIFIC

MERCY TEST NAME

BONE ALK PHOS*

MERCY LAB CODE

BALP

TEST NAME

ALKALINE PHOSPHATASE WITH FRACTIONATION

See: Alkaline Phosphatase Isoenzymes*

POWERCHART NAME

ALKALINE PHOSPHATASE TOTAL AND ISOENZYMES

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

• 1.0 ml serum from a SST tube or plain red top tube. Send two 0.5 ml aliquots of serum frozen in plastic vials.
• Minimum: 0.5 ml divided into 2 tubes each containg 0.25 ml.

Included with report.

Photometric, P-Nitrophenol Phosphate
Electrophoresis, Densitometry

84080 Alk Phos Isoenzymes
84075 Alk Phos Total

TEST NAME

ALLERGEN MULTIPLE SCREEN*

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

The multiple allergen screen is a very sensitive first-order test for allergic disease.
Also includes Immunoglobulin E testing.

Send 1 miscellaneous chemistry order for each multiple allergen screen requested, putting allergen screen name in comment field.
(Example: you would need 1 order for major molds allergen screen, another order for dairy allergen screen, etc...)

Please contact the Lab if you need help to determine which allergen screen is appropriate or need to know what specific allergens are being tested in a particular allergen screen.

Mayo offers the following multiple allergen screens:
Geographical area panels for trees, grasses, and weeds.  Seasonal recommendations are provided by Mayo.Food panels include dairy, fish, grains, meats, nuts, seafood.
Other significant allergen groups including molds, household, epithelia groupings.

• See Mayo catalog or Special Helps section of Lab Test Index for special instructions for specific Mayo ordering numbers for each allergen group. 
• Mayo requests that each allergen screen is to have it's own Mayo number. 
• Send a separate vial of serum for each allergen screen ordered. 
• Send refrigerated to Mayo.

POWERCHART NAME

RAST ALLERGEN

MERCY TEST NAME

ALLERGEN SINGLE*

MERCY LAB CODE

 ALRG

This test is useful principally to confirm the allergen specificity in patients with clinically documented allergic disease. 

Please note:
This test is for a very specific allergen requested. (Such as alfalfa grass or corn grass or birch tree, etc.) If the doctor is looking to see if the patient is allergic to grasses or trees, etc, then an allergen multiple screen should be ordered. Call Lab for help in ordering.

Send 1 order per specific allergen requested. Designate specific allergen to be tested. Refer to Special Helps section of Lab Test Index for a complete list of allergens available for testing.

• See Mayo catalog, special instructions for specific Mayo ordering numbers for each allergen.
• Send refrigerated to Mayo.

POWERCHART NAME

ALPHA FETOPROTEIN MATERNAL

MERCY TEST NAME

SINGLE MARKER AFP*

MERCY LAB CODE

SMAFP

• To be run between the 15th and 22nd gestational week. 16-18 weeks is optimal.
• The Mayo information form must be completed and sent with the patient/specimen. 
• Forms available from the Laboratory or from the intranet LTI -  Special Helps Section.  AFP Form.

• 1.0 ml serum refrigerated to Mayo.   Frozen is acceptable.  Mayo # 81169
• Must send the Mayo AFP form with the specimen.

Two-Site Immunoenzymatic (Sandwich) Assay

82105 – AFP

POWERCHART NAME

ALPHA FETOPROTEIN QUAD TEST

MERCY TEST NAME

QUAD SCRN 2ND TRI*

MERCY LAB CODE

QUADM

• To be run between the 15th and 22nd gestational week. 16-18 weeks is optimal.
• The Mayo information form must be completed and sent with the patient/specimen. 
• Forms available from the Laboratory or from the intranet LTI -  Special Helps Section.  AFP Form.
• Maternal Screen for neural tube defects and Down Syndrome and includes AFP; estriol, unconjugated; human chronic gonatropin (hcG), free alpha-subunit, and hcG, total beta-subunit.

• 1.0 ml serum refrigerated to Mayo.  Frozen is acceptable.  Mayo # 81149
• Must send the Mayo AFP form with the specimen.

Two-Site Immunoenzymatic (Sandwich and Competitive) Assay

81511

POWERCHART NAME

ALPHA FETOPROTEIN TUMOR MARKER

MERCY TEST NAME

AFP TUMOR MARKER

MERCY LAB CODE

AFPT

• Preferred in house: 1 ml serum from a SST tube.
• Preferred reference lab: 1 ml serum from a SST tube. 
• Also acceptable: serum from a plain red top tube.

Send Refrigerated.  Freeze if test will not be run within 48 hours.

POWERCHART NAME

ALPHA-1 ANTITRYPSIN

MERCY TEST NAME

ALPHA1 ANTITRYP*

MERCY LAB CODE

ALPA

POWERCHART NAME

ALT/SGPT

MERCY TEST NAME

ALT                

MERCY LAB CODE

ALT

• Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
• Preferred reference lab: 0.5  ml from serum SST tube. 
• Also acceptable:Sodium Heparin plasma, Amm heaparin, or serum from a plain red top tube.

Male: 17-63  IU/L
Female: 14-54  IU/L

POWERCHART NAME

ALUMINUM LEVEL

MERCY TEST NAME

ALUMINUM SERUM*

MERCY LAB CODE

ALUM

• 1.2 ml serum from a navy blue top no additive trace metal tube.   0.3 ml minimun. 
• Always draw this tube first if multiple tubes are being drawn.
• Use alcohol, not iodine to cleanse venipuncture site.
• If a syringe is needed, use only Mayo blue-labeled metal-free polypropylene syringe.

• Alow to clot well.
• After centrifugation, pour (DO NOT use transfer pipette or wooden sticks) serum into blue-labeled 5ml Mayo metal-free, screw-capped polyproplyene vial.
• Send refrigerated to Mayo.   Ambient and frozen also acceptable. Mayo AL
• If specimen will be stored more than 48 hours, send frozen.

Included with report.