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Section-A (Am-Az)

 Section A (Am-Az)

POWERCHART NAME

  

MERCY TEST NAME

AMIKACIN PEAK

MERCY LAB CODE

CMIS

Specimen:
  • 1 ml serum.   Minimum volume 0.25 mL.
  •  Gel tube not acceptable.
  • Serum should be drawn 30 to 60 minutes after last dose.  Spin specimen down within 2 hours of draw.  Send specimen in a plastic vial.         
Mayo Test number/Code:  Mayo order code AMKPK
RL Comment: 

Send specimen FROZEN to Mercy Lab.  Refrigerated acceptable.  Ambient NOT acceptable.

Processing:   Send 1.0 ml serum FROZEN to Mayo.  Refrigerated acceptable.  Ambient NOT acceptable.
Performed: Monday through Sunday; Time varies
Reference: Included with results.
Method: Enzyme-Multiplied Immunoassay Technique (EMIT)
CPT Code: 80150

  

POWERCHART NAME

  

MERCY TEST NAME

AMIKACIN,RANDOM

MERCY LAB CODE

CMIS

Specimen:
  • 1 ml of serum.   Minimum volume 0.25 mL.
  •  Gel tube not acceptable.
  • Serum should be down within 2 hours of draw.  Send specimen in a plastic vial.        
Mayo Test number/Code:  Mayo order code AMIKR
RL Comment: 

Send specimen FROZEN to Mercy Lab.  Refrigerated acceptable.  Ambient NOT acceptable.

Processing:   Send 1.0 ml serum FROZEN to Mayo.  Refrigerated acceptable.  Ambient NOT acceptable.
Performed: Monday through Sunday; Time varies
Reference: Included with results.
Method: Enzyme-Multiplied Immunoassay Technique (EMIT)
CPT Code: 80150

 

POWERCHART NAME

 

MERCY TEST NAME

AMIKACIN,TROUGH

MERCY LAB CODE

CMIS

Specimen:
  • 1 ml of serum.   Minimum volume 0.25 mL.
  •  Gel tube not acceptable.
  •  Draw blood immediately before next scheduled dose.  Spin specimen down within 2 hours of draw.  Send specimen in a plastic vial.        
Mayo Test number/Code:  Mayo order code AMIKT
RL Comment: 

Send specimen FROZEN to Mercy Lab.  Refrigerated acceptable.  Ambient NOT acceptable.

Processing:   Send 1.0 ml serum FROZEN to Mayo.  Refrigerated acceptable.  Ambient NOT acceptable.
Performed: Monday through Sunday; Time varies
Reference: Included with results.
Method: Enzyme-Multiplied Immunoassay Technique (EMIT)
CPT Code: 80150

 

TEST NAME

AMINO ACID SCREEN

See:  Inborn Errors Of Metabolism Screen*

 

TEST NAME

AMINOPHYLLINE

See:  Theophylline

 

POWERCHART NAME

AMIODARONE LEVEL

MERCY TEST NAME

AMIODARONE*

MERCY LAB CODE

AMDR

Specimen:
  • 3.0 ml serum from a PLAIN red top tube. Minimum 0.5 ml.
  •  Gel tube not acceptable.
  • Collect no sooner than 12 hours after last dose.         
Comment:  Indicate time last dose in comment.
Processing: 

Send 3.0 ml serum FROZEN to Mayo.  Refrigerated acceptable. Ambient

Performed:   1-5 days.  Test set up Monday through Friday; 8 a.m..
Reference value:  Included with results
Method:  High Turbulence Liquid Chromatography - Tandem Mass Spectromety (HTLC - MS/MS)
CPT Code: 80299

 

POWERCHART NAME

AMITRIPTYLINE + NORTRIPTYLINE LEVEL

MERCY TEST NAME

AMITRIP NORTRP*

MERCY LAB CODE

AMNP

Specimen:
  • 3 ml serum in a plain, red-top tube.  Minimum 1.1 ml.
  • Collect 12 hours after last dose.
  • Spin down within 2 hours of draw. 
Cause for rejection: Serum from SST tubes.
Comment: Indicate time of last dose in comment field.
Processing:  
  • Centrifuge and remove serum within 2 hours after collection. 
  • Send refrigerated to Mayo.  Ambient or frozen also acceptable. Mayo order code AMT.
Performed: 2 days.  Test set up Monday through Friday.
Reference Value: Included with results.
Method: High-Pressure Liquid Chromatography (HPLC)
CPT Code:

80152 Amitriptyline+*
80182 Nortroptyline+*

 

POWERCHART NAME

AMMONIA LEVEL

MERCY TEST NAME

AMMONIA             

MERCY LAB CODE

AMM

Specimen: 
  • Draw a separate sodium or lithium heparin green top tube. DO NOT USE SERUM.
  • Completely fill tube. 
  • Keep tightly stoppered at all times. 
  • Patient should not clench fist during specimen collection.  
  • Place tube in ice bath immediately after drawing
  • Venous blood is preferred to capillary blood since the latter may yield higher levels.
  • Do not use hemolyzed or lipemic samples.

Processing:

  • Preferred in house:  0.5 ml lithium heparin plasma from a PST tube.  Centrifuge within 15 minutes of collection and analyze immediately.
  • Preferred reference lab:  0.5 ml lithium heparin plasma from a PST tube.  Centrifuge and seperate plasma within 15 minutes of collection.  Please send frozen.
  • Also acceptable:  Sodium heparin or EDTA plasma.
Stability: Samples are stable for 3 hours at 2-4oC or 24 hours at -20o C.
Performed:  Within 8 hours of receipt.  Available stat.

Reference value:

0-14 days  64-107 mcmol/L
15-30 days  56-92 mcmol/L
> 1 month  16-53 mcmol/L

Method:   Enzymatic
CPT Code:  82140

 

TEST NAME

AMPHETAMINES

See:   Drug Abuse Random Urine

 

POWERCHART NAME

AMYLASE

MERCY TEST NAME

AMYLASE            

MERCY LAB CODE

AMY

Specimen: 
  • 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 heperin,  Amm heperin plasma or serum from a plain red top tube.
Stability: 8 hours room temp, 48 hours refrigerated, freeze if >48 hours
Performed: Within 8 hours of receipt.  Available stat.
Reference value: 29-103 U/L
Method: Enzymatic Rate
CPT Code:   82150

 

POWERCHART NAME

AMYLASE BODY FLUID

MERCY TEST NAME

AMYLASE BF

MERCY LAB CODE

FAMY

Specimen: 1 ml body fluid.  Refrigerate.
Comment:   Indicate source in comment field.
Performed: Within 8 hours of receipt.  Available stat.
Method:  Enzymatic Rate
CPT Code:  82150

 

POWERCHART NAME

AMYLASE PANCREATIC

MERCY TEST NAME

AMYLASE, PANCREATIC*

MERCY LAB CODE

PAMY

Specimen: 

0.5 ml serum from plain red top tube, serum gel is also acceptable

Processing: Send refrigerated to Mayo Medical Laboratories, Mayo order code - PAMY
Performed: Monday - Friday
Reference value: Included in report
Method: Double Monoclonal - Antibody technique / Coupled Kinetic Colorimetric procedure
CPT Code:   82150

.

TEST NAME

AMYLASE 12 - HOUR URINE

See:  Amylase 24-Hour Urine

 

POWECHART NAME

AMYLASE 24 HOUR URINE

MERCY TEST NAME

AMYLASE 24UR

MERCY LAB CODE

VAMY

Specimen: 
  • 20 ml from a 24-hour or 12-hour urine collection. 
  • No preservative needed. 
  • Refrigerate during collection.
Comment: 
  • A 24-hour collection is the preferred specimen. 
  • Note in comment if a 12-hour collection is submitted.  
  • If less than a 12-hour collection, order Amylase Quantitative Urine.
Processing: 

Aliquot 20 ml and indicate total 24 hour volume.  Refrigerate.

Performed:

Within 8 hours of receipt. 
Reference value: 120-648 U/24 Hours
Method:  Enzymatic Rate
CPT Code:  82150

 

POWERCHART NAME

AMYLASE QUANTITATIVE URINE

MERCY TEST NAME

AMYLASE QUANTITATIVE URINE

MERCY LAB CODE

XAMY

Includes:

Volume (mls)                        Amylase (U/L)
Collection duration (hours)      Calculated Amylase (U/HR)

Specimen: 

Urine other than random or 24 hour.

Reference Value:

5-27 U/hour

Method:

Enzymatic Rate
CPT Code: 82150

 

POWERCHART NAME

AMYLASE RANDOM URINE

MERCY TEST NAME

AMYLASE R UR

MERCY LAB CODE

UAMY

Specimen:  5 ml urine.  Refrigerate.
Performed:  Within 8 hours of receipt.  Available stat.
Method: Enzymatic Rate
CPT Code:  82150

 

POWERCHART NAME

ANA (ANTINUCLEAR ANTIBODY SCREEN)

MERCY TEST NAME

ANA

MERCY LAB CODE

ANASCN

Specimen: 
  • Minimum 2.0 ml serum from a SST tube
  • Aliquot specimen immediately, store frozen before testing
Stability:

To maintain the stability of the sample, specimens should be frozen as soon after the draw as possible. Samples are only stable for 24 hours refrigerated.

Comment: 

If the ANA screen is reported as positive, an Autoimmune Profile will be reflexed and resulted, at an additional charge. Mercy's Autoimmune Profile includes autoantibodies to: SSA, SSB, SMRNP, ScL-70, Jo-1, Centromere B, and dsDNA. The Histone is no longer available with this methodology.

Process:  Freeze.  If other tests are needed, separate aliquot tubes must be used for those tests.

Performed: 

 Monday and Thursday, 0800 cutoff
Reference value: 

>1.0 Positive

Method:  EIA
CPT Code:

ANA 86038
Autoimmune Profile, if indicated (dsDNA 86225, Other Autoantibodies 86235 x6)

 

TEST NAME

ANABOLIC STEROID SCREEN (test obsolete )

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Specimen: 30 mL from a random urine.  No preservative. 
Processing:  Send refrigerated to Mayo.   Indicate test name in comment field.
Preformed:   10 days.  Testing sent to Medtox Laboratories by Mayo Laboratory Monday-Friday.
Method: Gas Chromatography-Mass Spectrometry.
CPT Code: 

80101
82491
84403

 

TEST NAME

ANAEROBIC CULTURE + SMEAR

MERCY TEST NAME

ANAEROBIC CLT/GS

MERCY LAB CODE

ANER

Order:

Specify collection site when ordering.

Specimen:

DO NOT USE AEROBIC TRANSPORTER!

A Port-A-Cul Cary Blair tube or Port-A-Cul anaerobic transport vial should be used.  Both transport systems contain an indicator which will turn purple when oxygen is present.  DO NOT USE the transporter if the indicator is purple prior to opening the transporter.

Swab specimens: Embed swab deeply into Port-A-Cul Cary Blair tube and cap tightly. Two swabs from the same specimen site should be submitted in one transport tube.

Fluid or pus aspirates:  Inject specimen into Port-A-Cul vials. DO NOT inject air into vial.

 

ACCEPTABLE specimens for anaerobic culture

 

  • Exudates or aspirated pus from deep wounds/abscesses
  • Surgical specimens
  • Normally sterile body fluids
  • Transtracheal aspirates
  • Suprapubic urines from:
    • Percutaneous bladder aspiration
    • Nephrostomy tubes
    • Suprapubic catheter
  • Genital specimens ONLY as follows:
    • Cul de sac aspiration
    • Culdocentesis
  • Nasal Sinus (Aspirate)
  • Bartholins gland inflammation/secretions
  • Bronchoscopic secretions (protected specimen brush) 

 

UNACCEPTABLE specimens for anaerobic culture:

 

  • Superficial wounds
  • Specimens contaminated with intestinal flora -such as intestinal contents, colostomy sites, drainage from a pilonidal sinus, or bowel perforations.
  • Feces/rectal swabs
  • Throat/nasopharyngeal/Endotracheal Swab or Tracheostomy secretions 
  • Sputum/Bronchoalveolar lavage/Bronchoalveolar wash
  • Vaginal/cervical swabs
  • Midstream or catheterized urine specimens
  • Female: Vaginal/cervical/perineal
  • Male: Uretheral swabs/prostrate or seminal fluid

Comments:

  • Specimens will be processed according to site.  Only predominant anaerobes will be reported from cultures contaminated with oral, genital, or intestinal flora.
  • Identification to genus and species will only be performed on isolates from blood, CSF and other normally sterile body fluids.
  • Anaerobic susceptibility testing will not be performed. Anaerobic isolates may be referred to Mayo Laboratories, Rochester, MN for susceptibility testing upon special request.  Contact the Mercy Microbiology Lab for information.

RL Client Comments:

  • Write ANAEROBIC CULTURE on the order form. Indicate the specimen source.
  • Send anaerobic transporters at room temperature to Mercy lab.

Performed:

Gram stain: Within 8 hours of receipt.
Preliminary report:  2 - 4 days
Final report:  7 days

Reference values:

No anaerobes isolated (applies to normally sterile body sites).  Varies with site of collection.

Method:

Standard culture techniques.

CPT Code:

87205 Gram Stain
87075 Anaerobic Clt

 

TEST NAME

ANAFRANIL  

See:  Clomipramine*

 

TEST NAME

ANC (ABSOLUTE NEUTROPHIL COUNT)

See:  WBC and Auto Differential
CBC

 

TEST NAME

ANCA 

See:  Cytoplasmic Neu AB*

 

POWERCHART NAME

ANGIOTENSIN 1CONVERTING ENZYME (ACE)

MERCY TEST NAME

ANGIOTENS CONV*

MERCY LAB CODE

ANGV

Patient preparation: Patient must be fasting.
Specimen: 1 ml serum from a SST tube. (0.2 ml minimum volume).  Plain red top tube also acceptable
Cause for rejection:  Hemolyzed specimens are unacceptable.
Processing: Send refrigerated to Mayo. Refrigerated acceptable. Ambient
Performed:  1-3 days.  Test set up Monday through Saturday.
Reference value: 

included with report

  * The use of ACE-inhibiting antihypertensive drugs will cause decreased values.
Method:  Spectrophotometry
CPT Code:  82164

 

TEST NAME

ANION GAP

Comment: Anion gap is a calculation and is not orderable by itself. 
Included in: METB, CMPL, LYTE, GHP, RPNL, NUTP, TPNL
Reference value:   11 - 21 mmol/L
CPT Code: NA

 

TESTNAME

ANTIBODY IDENTIFICATION

Comment: 

To be ordered by Lab only.

Regional Lab Clients:
Order Antibody Screen.  An antibody identification will be ordered and charged only if screen is positive. Please see Special Helps Section for further information.

Specimen:

Two (2) 6 ml pink top tunes.   Refrigerate.
May also be done on an eluate from the patient's red cells or from cord blood red cells. 

Cause for rejection: Serum from a SST tube.
Performed:  Within 24 hours of receipt. 
Method:   Serological
CPT Code:   86870

 

POWERCHART NAME

ANTIBODY SCREEN

MERCY TEST NAME

ANTIBDY SC

MERCY LAB CODE

ABSN

Specimen:     One 6ml pink top tube.  Refrigerate.
Included in: Crossmatch, RHIG Evaluation, Type & Screen, or may be ordered separately.
Cause for rejection:  A SST tube is unacceptable because the gel may cause a false reaction.
Comment: 
  • If RHIG is to be given, RHIG Lot # must be ordered also. 
  • If antibody screen is positive, Lab will order and charge for an Antibody Identification.
Performed: Within 24 hours of receipt.  Available stat. 
Reference value:  Negative
Method:  Serological
CPT Code:  86850

 

TEST NAME

ANTIBODY SCREENING WITH RHIG

Test no longer available 1/8/2006

 

TEST NAME

ANTIBODY SCREEN/RH IMMUNE GLOBULIN

See: Antibody Screen
RHIG Lot #

 

POWERCHART NAME

ANTIBODY TITRATION

MERCY TEST NAME

ANTIBDY TITER

MERCY LAB CODE

ABTT

Specimen: Preferred specimed,1-6 ml pink top tube.  1-8 ml PLAIN red top tube also acceptable (NO serum separator).  Separate plasma and send original tube along with plasma.  All tubes must be labeled with the patient's name, date, and medical record number.  Refrigerate.
Cause for rejection: SST tube is unacceptable.
Comment: 
  • Blood Bank will order and charge for an Antibody Screen, and if positive, order and charge for an Antibody Identification if one has not been done within the previous 72 hours.
  • Titer will be performed by LifeServe Blood Center if Titer is indicated.

Mercy Medical Center-North Iowa Blood Bank Staff will order and perform an antibody screen using both solid phase and LIS method.  If solid phase antibody screen is positive, antibody ID will be performed at MMC-NI.  After the intitial testing is performed at MMC-NI, the specimen will be forwarded to LifeServe Blood Center if titer is indicated.

Performed: Monday--Friday 1300 cutoff
Method:   Serological
CPT Code:  886850/86870/86886(x2)

 

TEST NAME

ANTIBODY TO DS-DNA, SERUM

See:   DNA

 

POWERCHART NAME

ANTIBODY TO EXTRACTABLE NUCLEAR ANTIGEN EVALUATION

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

 

TEST NAME

ANTICARDIOLIPIN ANTIBODIES

See:   Cardiolipin Antibodies

 

TEST NAME

ANTICOAGULANT SCREEN

See:   Mixing Test

 

TEST NAME

ANTI-DNA

See:   DNA

 

TEST NAME

ANTI-ENA

See:   Antibody to Extractable Nuclear Antigen Evaluation

 

TEST NAME

ANTIGEN TYPING

MERCY TEST NAME

MISC IMMUNOHEM

MERCY LAB CODE

MISI

Specimen:  One 6 ml pink top tube or a purple top tube.  Red Cells are needed for testing.
Comment:  
  • Order Miscellaneous Immunohematology.  Enter specific antigen to be tested in comment.
  • Reference Lab Clients: Mark OTHER on requisition form.  Write antigen typing and the specific antigen(s) to be tested.
Processing:   Centrifuge.  Refrigerate specimen.
Performed:  Within 8 hours of receipt.
Method:  Serological
CPT Code:  86905

  

TEST NAME

ANTIMITOCHONDRIAL ANTIBODIES

See:  Mitochondrial Antibody*

 

TEST NAME

ANTINUCLEAR ANTIBODIES

See:   ANA

 

TEST NAME

ANTIPHOSPHOLIPID ANTIBODIES

See: Cardiolipin Antibodies

 

POWERCHART NAME

SMOOTH MUSCLE ANTIBODIES

MERCY TEST NAME

ANTI SMOOTH MUS AB*

MERCY LAB CODE

SMAB

Specimen: 0.5 ml serum from a SST tube. Plain red top tube also acceptable.  Minimum 0.2 ml.
Processing:  Send refrigerated to Mayo. Ambient and frozen also acceptable.  Mayo order code SMA.
Performed:  2-4 days.  Test set up Monday through Saturday. 
Reference value:  Included in report.
Method:  Indirect Immunofluorescence
CPT Code: 

86255 Screen
86256 Titer

 

TEST NAME

ANTISPERM ANTIBODY, INDIRECT

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Specimen:

Viable semen specimen

  1. After semen collection, wait 30 to 40 minutes until the semen is liquefied, then place in freezer.
  2. Send specimen frozen in plastic vial/container.
  3. Indicated seminal plasma for indirect assay on request form.
  4. Label specimen appropriately (seminal plasma for indirect assay)

Caution: Sperm antibody testing is not recommended for routine infertility testing.  In cases where specimen production may present difficulties, a serum specimen can be tested (see Mayo order code SAA "Sperm Antibody, Serum).

Processing: 
  • Send frozen, Mayo order code SAAI 
  • Minimum 1 ml.
Performed:  7 days, Wednesday, Send specimen Monday through Friday  
Reference value:  Included with test results.
Method:  Immunobead Technique
CPT Code: 

89325

 

TEST NAME

ANTITHROMBIN III ACTIVITY, PLASMA

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Specimen:  Draw 1 blue top (citrate) tube filled with volume of blood indicated on label.
Processing:  
  • Centrifuge, remove plasma, spin plasma again and place 1 ml of citrate platelet-poor plasma in plastic vial. (Glass vials cannot be accepted.)  Minimum 0.5 ml.
  • NOTE:  Double centrifuged specimens are critical for accurate results as platelet contamination may cause spurious results.
  • Freeze specimen immediately. 
  • Send frozen to Mayo.  Mayo order code ATTF.
Comment:

Included in hypercoagability coagulation consult. See Hypercoag Consult for ordering and collection information. Can be ordered separately. Order as a miscellaneous chemistry [CMIS] with the test name in comment. Indicate if patient is receiving Coumadin or Heparin.

Performed: 1 day.  Days test is set up varies at Mayo.
Reference value: 

Adults: 80 - 120%
Pediatric ranges available.

Method:  Amidolysis of Chromogenic Substrate
CPT Code:  85300

 

TEST NAME

ANTITHYROID ANTIBODY

See:   Thyroperoxidase Antibodies*

 

TEST NAME

ANTI – Xa ASSAY

See:   Factor XA

 

TEST NAME

aPTT

See:   PTT

 

 

APT Test

No longer available 9-24-2013.

 

TEST NAME

ARSENIC

See:  Metals Heavy/Essential 24-Hour Urine*  
        Metals Heavy Blood*

 

TEST NAME

ASCITES FLUID CYTOLOGY

See: Cytology Section Peritoneal Fluid

 

POWERCHART NAME

ASO (Antistreptolysin O Quantitative)

MERCY TEST NAME

ASO               

MERCY LAB CODE

ASO

Specimen:   0.5 ml serum from a SST tube.   
Stability: 7 days refrigerated, freeze if >7 days
Cause for Rejection: Hemolyzed serum is unacceptable.  Plasma specimens are unacceptable.
Comment:  ASO will be reported as a quantative number.  No titer will be needed.
Processing: Refrigerate.   Freeze serum if testing not performed within 7 days.
Performed: Within 8 hours of receipt.
Reference value: 

2-5 years:  0-100 IU/ML
6-19 years:  0-166 IU/ML

>20 years:  0-250 IU/ML

Method:

Latex particle Immuno Turbidimetric

CPT Code: 

86060

 

TEST NAME

ASO TITER

See:    2-14-13 No longer needed because ASO is reported quantatively.

 

TEST NAME

ASPIRIN

See:   Salicylates

 

POWERCHART NAME

AST/SGOT

MERCY TEST NAME

AST              

MERCY LAB CODE

AST

Specimen:  
  • 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, AMM heparin, or serum from a plain red to tube. 
Cause for rejection:  Hemolyzed serum is unacceptable.
Performed:  Within 8 hours of receipt.  Available stat.
Reference value: 

15-41 IU/L

Method: Enzymatic
CPT Code: 84450

 

TEST NAME

AUTOIMMUNITY PANEL

See:   ANA

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