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Section-B

 

B2M

See:        Beta2 Microglobulin

 

 

B12 ASSAY

See:        Vitamin B12               Vitamin B12/Folate

  

POWERCHART NAME

BACTERIAL ANTIGEN CSF

Test no longer available.

POWERCHART NAME

BACTERIAL ANTIGENS CSF NEONATAL (< 1 week of age)

SEE: GBSAG

 

POWERCHART NAME

BACTERIAL ANTIGENS CSF PEDIATRIC (1 week to 17 years)

Test no longer available.

 

POWERCHART NAME

BACTERIAL ANTIGENS CSF ADULT (18 years and older)

Test no longer available.

 

POWERCHART NAME

BACTERIAL ANTIGENS URINE NEONATAL (< 1 week of age)

Test no longer available.

 

POWERCHART NAME

BACTERIAL ANTIGENS URINE PEDIATRIC (1 week to 17 years)

Test no longer available.

 

POWERCHART NAME

BACTERIAL ANTIGENS  URINE ADULT (18 years and older)

Test no longer available.

 

TEST NAME

BACTERIAL CULTURE

See: 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.

 

TEST NAME

BACTERIAL MENINGITIS ANTIGENS (CSF AND URINE):

See:  Bacterial Antigens based on common agents of meningitis for certain age groups and the site of the specimen.

 

POWERCHART NAME

CULTURE IDENTIFICATION BACTERIAL

MERCY TEST NAME

BACTERIAL ID RL

MERCY LAB CODE

MCID

Specimen: 

Submit each organism to be identified on a separate plate. Colonies should be well isolated. 

Comment:  

  • 1 organism should be submitted PER request.
  • Write MCID on the order form. Indicate the specimen source.
  • A Reference Bacterial Examination form should be submitted with each order. Send this form with the order form.
  • On the Reference Bacterial Examination form, indicate if susceptibility testing is needed. Susceptibilities will be performed at an additional charge.
  • A copy of the Reference Bacteria Form is located in the HELP section.

Processing:

Seal the culture plate and send at room temperature to Mercy lab.

Method:

Standard culture techniques

CPT Code:  

87077

 

 

 

BARBITURATES

See:   Drug Abuse Random Urine            Drug Screen Body Fluid*          Drug Screen Serum*          Phenobarbital

 

 

BARR BODY SMEAR

See: Cytology Section Barr Body Smear

 

POWERCHART NAME

(BMP) BASIC METABOLIC PANEL

 

BASIC METABOLIC PNL

MERCY LAB CODE

METB

Includes:

Anion Gap, BUN, BUN/Creatinine Ratio, Calcium, Chloride, CO2, Creatinine, Potassium, Sodium, Glucose

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: 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: See individual test entry.
Method:   See individual test entry.
CPT Code:  80048

 

 

BENCE JONES PROTEIN

See:   Monolonal Protein Study, Urine*

 

 

BENZODIAZEPINE

See:   Drug Abuse Random Urine            Drug Screen Body Fluid*          Drug Screen Serum*

 

POWERCHART NAME

BETA-2 MICROGLOBULIN

MERCY TEST NAME

BETA 2 MICROGLBN*

MERCY LAB CODE

B2MG

Specimen: 1.0 ml serum from a SST tube or a plain red top tube.  Minimum 0.5 ml.
Processing: Send refrigerated to Mayo, ambient or frozen
Performed: Daily.
Reference value: Included in report.
Method:  Nephelometry
CPT Code: 82232

 

POWERCHART NAME

BETA-2 TRANSFERRIN:  Detection of Spinal Fluid in Other Body Fluid

MERCY TEST NAME

General Miscellaneous

MERCY LAB CODE

CMIS

Specimen:

Order General Miscellaneous Lab, specify in comment:  Mayo order code BETA2 Beta-2 Transferrin, and source of specimen.

0.5 ml body fluid such as ear or nasal fluid, or other fluid.  Indicate specimen type.

NOTE:  Although results may be obtainable on smaller specimens (perhaps as little as 0.05ml, depending on the protein concentrations and percentage of spinal fluid in the specimen),  Reliable results are best obtained with an adequate specimen volume..

Comment: If direct collection is not feasible, specimen may be collected using a cotton swab.  Place cotton swab in as small a container as possible (for example,  a tightly stoppered test tube.) Do NOT add any additional fluid to swab.  Tightly seal container.
Processing: Send frozen to Mayo, ambient or refrigerated acceptable. Mayo order code BETA2.
Performed: Monday through Saturday, 1PM.
Reference value: Negative
Method:  Electrophoresis/Immunofixation-Peroxidase Antisera/Dimethylformamide Visualization.
CPT Code: 86335

 

POWERCHART NAME

BETA CAROTENE LEVEL

MERCY TEST NAME

BETA CAROTENE*

MERCY LAB CODE

BCARO

Comment:
  • Patient must be fasting (12-14 hours)
  • Patient must not consume any alcohol for 24 hours before drawing the specimen
Specimen: 1 ml serum from plain red top tube.  Minimum 1.5 ml.  Protect specimen from light.
Processing: Send refrigerated to Mayo.  Frozen acceptable. Mayo order code  BCARO
Reference value: Included with test results.
Method:  High-pressure liquid chromatography (HPLC).
CPT Code: 86335

 

 

 

BETA GLOBULIN

See:   C3 Complement*

 

POWERCHART NAME

Beta Hydroxybutyrate Level

MERCY TEST NAME

Beta Hydroxybutyrate Level

MERCY LAB CODE

BHOB

Specimen: 0.5 ml serum or plasma from lithium heparin tube. Plasma from EDTA and sodium fluoride tubes also acceptable.  Stable refrigerated 7 days.
Performed:  Within 8 hours of receipt.
Reference value: Negative
Method:  Enzymatic quantitation of B-hydroxybutyrate by B-hydroxybutyrate dehydrogenase.
CPT Code: 82010

 

 

BETA SUBUNIT-HCG

See:   HCG Quant Serum           HCG Tumor Marker*

 

 

BETKE-KLEIHAUER STAIN

See:   Fetal/Maternal Erythrocyte Ratio

 

 

BICARB

See: Carbon Dioxide

 

 

BILE URINE

See:  Urine Dipstick           Urinalysis Routine

 

 

BILIRUBIN FRACTIONATED

See:Bilirubin Panel      This test is NOT reported in Comp. Met. Panel

 

POWERCHART NAME

BILI DIRECT

MERCY TEST NAME

BILI DIRECT

MERCY LAB CODE

BID

Includes: Direct Bilirubin
Included in: HFPL Hepatic Function Panel, BILI Bilirubin Panel
Specimen:
  • Preferred in house: 0.5 ml plasma from a Lithium Heparin PST tube.
  • Preferred reference lab: 0.5 ml serum from a SST tube.
  • Also acceptable:  Sodium heperin, amm heparin, 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:

0-15 days: 0-0.6 mg/dl
>15 days:  0-0.3 mg/dl 

Method: Azobilirubin Colorimetric
CPT Code: 

82248 Bili Direct

 

POWERCHART NAME

BILIRUBIN NEONATAL TOTAL AND DIRECT

MERCY TEST NAME

BILI NEONATE

MERCY LAB CODE

BILI

  No longer available. Order Bilirubin Total and Direct

 

POWERCHART NAME

BILIRUBIN TOTAL AND DIRECT

MERCY TEST NAME

BILI PNL

MERCY LAB CODE

BILI

Includes:  Total, Direct and Indirect bilirubin.
Included in: HFPL Hepatic Function Panel, BILI Bilirubin Panel
Specimen:
  • Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
  • Preferred reference lab: 0.5 ml serum from SST tube.
  • Also acceptable:  Sodium heparin, amm heparin, 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:

Total:    0-1 days:      2.0-6.0 mg/dl
             2-6 days:      6.0-10.0 mg/dl
             6-30 days:     4.0-8.0 mg/dl
             >30 days:      0.3-1.0 mg/dl
Direct:   0-15 days:     0-0.6 mg/dl
              >15 days:     0-0.3 mg/dl
Indirect: 0-1 days:      1.4-6.0 mg/dl
              2-5 days:      5.4-10.0 mg/dl
              6-14 days:     3.4-8.0 mg/dl
              15-30 days:   3.7-8.0 mg/dl
              >30 days:      0.0-1.2

Method:  Azobilirubin Colorimetric
CPT Code: 

82247 Bili, Total
82248 Bili, Direct

 

POWERCHART NAME

BILIRUBIN TOTAL

MERCY TEST NAME

BILI TOTAL

MERCY LAB CODE

BIT

Includes:  Total Bilirubin.
Included in: CMPL Comprehensive Metabolic Panel, HFPL Hepatic Funciton Panel, BILI Bilirubin Panel
Specimen:
  • Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
  • Preferred reference lab: 0.5 ml serum from SST tube. 
  • Also acceptable: Sodium heparin, amm heparin, 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:

Total: 0-1 days:    2.0-6.0 mg/dl
           2-6 days:   6.0-10.0 mg/dl
           6-30 days: 4.0-8.0 mg/dl
           >30 days:  0.3-1.0 mg/dl

Method:  Azobilirubin Colorimetric
CPT Code: 

82247 Bili, Total

 

POWERCHART NAME

BILIRUBIN SCAN AMNIOTIC FLUID

MERCY TEST NAME

BILI SCAN AF*

MERCY LAB CODE

SCN

Specimen:  3.5 ml amniotic fluid in sterile opaque container.  Minimum 1.7 ml.
Comment:  Indicate duration of pregnancy in comment field.
Processing:
  • Centrifuge and separate supernatant. 
  • Send both sediment and supernatant in separate amber  vials.
  • Label vials appropriately (sediment or supernatant). 
  • Protect from light. 
  • Indicate duration of pregnancy on Mayo order system. 
  • Send frozen to Mayo. Mayo order code AFBIL.
Performed: 1 day.  Test set up Monday through Saturday.
Reference value: Included with test results.  Reference values are dependent on duration of pregnancy.
Method:  Spectrophotometric Scan
CPT Code: 82247

 

 

BIOPSY

See:  Tissue Exam Gross & Microscopic

 

POWERCHART NAME

BK VIRUS QUANTITATIVE PCR

MERCY TEST NAME

BK VIRUS PCR QUANT

MERCY LAB CODE

QBK

Specimen:  1 mL plasma from lavendar (EDTA) tube.
Stability:

 7 days refrigerated, 7 days frozen

Processing:

Send refrigerated to Mayo.  Mayo order code QBK

Performed: 1 day.  Monday through Saturday.
Reference value: Included in reports.
Method:  Real-Time Polymerase Chain Reaction (PCR) / DNA Probe Hybridiztion
CPT Code: 87799

 

 

Bleeding Time Ivy

No longer available 9-24-2013.

If patient is on aspirin, Platelet Inhibition Aspirin is an alternative.

 

POWERCHART NAME

BLOOD CULTURE

MERCY TEST NAME

BLOOD CLT

MERCY LAB CODE

BLC

Order: 

If yeast or fungus is suspected, see Blood Culture/Fungus. If Mycobacteremia (AFB/TB) is suspected, see Blood Culture/Acid Fast Organisms.

Specimen:  

Specimens must be collected using sterile techniques.

  • Cleanse site with 70% isopropyl alcohol, followed by a 2 minute scrub with 2% tinctures of iodine solution.
  • Remove & discard the plastic cover(s) from the culture bottle.
  • Disinfect the rubber septum of each bottle with a 70% alcohol pad or iodine. 
  • Do not touch venipuncture site.  Use a syringe or BacTALERT Blood Collection Adapter set to obtain the blood cultures.  Draw 1-4 ml for pediatric patients
  • For syringe draws only: Place a new needle on the syringe.  Put blood into blood culture bottles, using the following procedure:

Pediatric (<5yrs): Inject 1-4 ml whole blood into the BacTALERT Pediatric PF bottle (yellow) Avoid injecting air into the bottle.  Invert to mix. Patients > 5 yrs old: Draw 20 ml blood. Inject 10 ml blood into the aerobic bottle (green) and 10 ml of whole blood into the anaerobic bottle (purple)  Avoid injecting air into the bottles.  Invert to mix.

  • If the BacTALERT Blood Collection Adapter set is used, collect 4ml of blood into the Pediatric PF bottle (yellow) OR 10ml of blood into each of the aerobic (green) and anaerobic (purple) bottles.

Comments:

  • A minimum of two sets of blood cultures within a 24 hour period is recommended.
  • Culture is tested daily by continuous monitoring technology.
  • Culture detects both aerobic and anaerobic bacteria.
  • The aerobic and pediatric bottles contain activated charcoal which will aid in the recovery of organisms if antimicrobial therapy was initiated before the culture was obtained.
  • ALL POSITIVE BLOOD CULTURE RESULTS WILL BE PHONED TO THE PHYSICIAN, NURSING PERSONNEL OR ORDERING LOCATION RESPONSIBLE FOR THE PATIENT.
  • Susceptibility testing will routinely be performed on ALL aerobic isolates. (EXCEPT diphtheroids, Bacillus species, Viridans Streptococcus and Micrococcus species).

RL Client Comments:

  1. Mark BLOOD CULTURE on the order form. Indicate the specific draw site on the form (Line draw, Rt arm, etc).
  2. Blood cultures drawn using Mercy lab’s bottles (BacTALERT) should be left at room temperature until the Mercy courier picks up the samples. DO NOT PLACE THE BOTTLES IN ANY INCUBATOR AT YOUR LAB.
  3. Send the blood culture bottles at room temperature to Mercy lab.

Performed:

Preliminary report:  Daily Final report:  5 days

Reference value: 

No growth

Method:

Automated Continuous Monitoring Technology

CPT Code:

87040

 

POWERCHART NAME

BLOOD CULTURE/ACID FAST ORGANISMS*

MERCY TEST NAME

MISC MICROBIOLOGY

MERCY LAB CODE

MISM

Order:

Order Miscellaneous microbiology.  Specify MYCOBACTERIAL CULTURE, BLOOD in comment.

Specimen:

Draw 20 ml heparinized (green top tubes) whole blood using aseptic technique.  Invert tubes to mix.

Processing:

Specimens need to be processed immediately upon being drawn. SPECIMENS MUST ARRIVE AT MAYO LAB WITHIN 48 HOURS OF BEING DRAWN

 

RL Client Comments:

  • Write MYCOBACTERIAL CULTURE, BLOOD (Mayo order code CTBBL) on order form.
  • Send the specimen to Mercy lab immediately after drawing. The specimen needs to arrive at Mayo Lab within 48 hours of drawing the specimen.
  • Send the heparinized green top vacutainer tubes to Mercy lab at room temperature or refrigerated.

Performed:

Monday through Sunday; Continuously

Mayo Order Number:

82443

Reference value: 

Negative.  If positive, Mycobacterium will be identified.

Method:

Continuously Monitored Automated Broth Culture Instrument with Conventional Methods for Identification of Mycobacteria

CPT Code: 

87116 (Additional CPT codes may be added if the culture is positive)

 

POWERCHART NAME

BLOOD CULTURE FUNGUS

MERCY TEST NAME

BLOOD CLT/FUNGUS

MERCY LAB CODE

BLF

Comment: 

See beginning of section for ordering help and codes.

Specimen: 

Patients 6 yrs of age and older:  10 ml whole blood drawn into Isolator 10 tube. Short samples decrease the already low number of organisms.

Patients 5 years of age and under:  1.5 ml whole blood drawn into pediatric Isolator tube.

Specimens are to be collected using the following instructions:

  • Disinfect the stopper of Isolator tube with 10% PVP iodine.
  • Cleanse and disinfect the venipuncture site, and maintain aseptic technique.
  • Collect blood sample with the patient's arm in a downward position. (1.5 ml for patient 5 yrs and under) (10 ml for patients over 5 years.)
  • Gently invert the tube 8 to 10 times immediately after collection.  Incomplete mixing causes small clots to form.  Clotted samples are unacceptable and must be redrawn.
  • Transport promptly to the lab.

RL Client Comments:

  • Write in Blood Culture/Fungus on RL order form. Indicate source on order form.
  • Send at room temperature.

Performed:

Preliminary report:  5 days Final report:  4 weeks

Reference value: 

No fungus isolated.  Positives will have fungus identified.

Method

Lysis centrifugation and standard culture techniques.

CPT Code:

87103

 

 

 

BLOOD GAS ANALYSIS 

Arterial Blood Gases are collected and performed by Cardio-Vascular & Pulmonary. Capillary Blood Gases see: COLLECTION CAPILLARY CHARGE BLOOD GASES

Venous Blood Gases :
PowerChart user selects Blood Gas Venous Order Set(MC) from the PowerChart order dictionary.  "Venous Blood" is defaulted in for the user as the "additional instructions/comments."

The PowerChart paper order sheet prints to the printer in Cardiovascular Pulmonary (CVP).  The Venous Blood comment is visible for them.

The order CVBG-collect venous blood gas, appears on the collection handheld device.  This will be the notification to the lab that a venous blood gas has been ordered and needs to be collected.  Lab will go to the patient and if CVP is not there will page CVP at #791.   Lab will enter as the result to CVBG who they handed the specimen off to in CVP. 

 

Outpatient Draw Station- Order CVBG for venous blood gas collections.  Label will print at designated printer for ordering location.  Page CVP RTech at #791 and make arrangements to hand specimen off to CVP for testing. Result the CVBG test via function ME and worksheet BEDS with the name of the CV&P tech spoken to, the date and time the specimen was tubed, and where the specimen was tubed.                                             

 

 

BLOOD OCCULT BODY FLUID

See: Gastroccult ® Body Fluid

 

 

BLOOD OCCULT FECES

See:  Hemoccult®

 

 

BLOOD OCCULT URINE

See:   Urine Dipstick           Urinalysis Routine

 

POWERCHART NAME

BLOOD PARASITES  (MALARIA SMEAR)

MERCY TEST NAME

BLOOD PARASITES  (MALARIA SMEAR)

MERCY LAB CODE

MAL

Specimen: 

Non-anticoagulated venous blood or peripheral blood from finger or earlobe preferred. Prepare 3 thick and 3 thin smears on separate slides. EDTA blood can be used if slides are prepared within 1 hour of collection.

Prepare slides as follows:
THIN SMEARS:   Prepare at least 3 thin blood smears in the same manner as for a differential.

THICK SMEARS: Place a drop of blood on a slide.  Using the corner of a clean slide or applicator stick, spread the blood in a circle about the size of a dime. If proper thickness is achieved, ordinary print should barely be visible through the wet center.

Allow both thick and thin films to air dry without heating. The thick smear must dry 8-10 hours before staining.

Comment: Collection available stat.  Collection time is determined by the fever pattern.  Consult the Hematology Department.
Performed:  Within 24-72 hours of receipt.
Reference value: No malaria or blood parasites seen.
Method:   Microscopy, Giemsa/Wright stained smears.
CPT Code:   87207

 

POWERCHART NAME

BLOOD PATCH COLLECTION

MERCY TEST NAME

BLOOD PATCH COLL   

MERCY LAB CODE

PTCH

Specimen:  Specimen is collected for use in conjunction with anesthesia procedure.
Comment:

PROCEDURE  (FOUND IN PHLEBOTOMY PROCEDURE MANUAL, #29)  12-31-2013

The floors will call the lab and ask that a phlebotomist come to the patient’s room to assist the Anesthesiologist in the blood drawing for the epidural blood patch.

  1. The floor will place an order on the PowerChart system the test name is blood patch collection.
  2. This is a “sterile procedure”.  Anesthesia staff will explain the procedure to the patient while the Phlebotomist is putting on the gown, gloves, and mask.
  3. With the patient lying on their side, the Phlebotomist will stand in front of the patient.  The patient’s arm is to be extended toward you.
  4. As the doctor is preparing the site on the patients back, the Phlebotomist will prepare the arm site to perform the venipuncture, using iodine to cleanse, allow to air dry.  The doctor provides a sterile 20cc syringe.  The Phlebotomist will provide a 20g sterile needle or a 19g sterile butterfly.
  5. When the doctor is in the epidural cavity of the spine, they will say, “Okay, draw”.  The Phlebotomist will quickly draw 20 cc of blood from the vein, keeping a sterile field, and hand the syringe to the doctor.
  6. The doctor will inject the blood into the spinal cavity of the patient.
  7. Place a gauze and paper tape over the venipuncture site and return to the lab.
  8. Use function CLVS to verify the collect time in Sunquest.  For the phlebotomy workload code, use PA, comma then enter the length of time the procedure took.  DO NOT add a collect charge.
  9. In function ME, use worksheet PHL, type in PATC and accept.
Performed: Available stat
Method:  Venipuncture
CPT Code: G0001

 

TEST NAME

BLOOD SUGAR

See: Glucose Blood

 

TEST NAME

BLOOD TYPE

See:ABO Group/RH Type

 

TEST NAME

BLOOD VOLUME

See: Red Cell Volume

 

POWERCHART NAME

BNP (B-TYPE NATRIUREIC PEPTIDE)

MERCY TEST NAME

BNP

MERCY LAB CODE

BNP

Specimen: 
  • Preferred in house: 1 mL EDTA plasma from a pink top tube. Plasma must be separated from cells with 7 hours and refrigerated. 
  • Preferred reference lab: 1 ml EDTA plasma from a pink top tube.  Freeze aliquot within 24 hours of collection. Plasma must be separated from cells within 7 hours and refrigerated.
  • Also acceptable;  a seperate purple top tube, or 2 full purple capillary tubes. Plasma must be separated from cells within 7 hours and refrigerated.
  • Use only plastic transfer pipets and plastic aliquot tubes, as BNP is unstable in glass containers.
  • Avoid severe hemolysis.
Stability:
  • Whole blood samples may be stored at room temperature or refrigerated for up to 7 hours proir to testing. 
  • Plasma sambles may be stored at 8 hours at room temperature or up to 24 hours refrigerated prior to testing. 
  • Freeze if > 24 hours.
Cause for Rejection: Clotting
Performed:  Same shift. Available stat.
Reference Value:

0-100 pg/mL Interpretation:     101-199  pg/mL:likely compensated CHF     200-400 pg/mL: likely moderate CHF     >400 pg/mL: likely moderate to severe CHF

Method:  Fluorescence Immunoassay
CPT Code:   83880

 

 

BODY FLUID

See:  Amylase Body Fluid          Body Fluid Crystals         
Body Fluid Culture/Gram Stain   Cell Count Body Fluid          Lactate Body Fluid                        Latex RA Body Fluid         
LD Body Fluid                               pH Body Fluid         
Protein Total Body Fluid          
Sodium/Potassium Body Fluid    Triglyceride Body Fluid          Uric Acid Body Fluid                       Miscellaneous Chemistry

 

POWERCHART NAME

BODY FLUID FOR CRYSTALS

MERCY TEST NAME

BODY FL CRYSTALS

MERCY LAB CODE

BCRY

Specimen: Put 1 ml body fluid in a plain red top tube.   Refrigerate.
Cause for rejection: EDTA (purple top tube) is not acceptable.
Comment: Indicate specimen source in comment.
Performed:  Within 8 hours of receipt.
Reference value: Negative
Method:  Microscopic examination using polarized filter.
CPT Code: 89060

 

POWERCHART NAME

BODY FLUID CULTURE +SUSECEPTIBILITY + SMEAR DIRECT

MERCY TEST NAME

BODY FLD CLT/GS

MERCY LAB CODE

FLDC

Order: 

Specify site when ordering.

Specimen:  

Collect aseptically by needle aspiration or surgical procedure. Submit all specimens in a sterile syringe with the needle discarded or sterile screw top container or tube.  Deliver to the lab as soon as possible.

  1. Bone marrow: 1.5 ml placed in a Wampole Isolator tube (available from lab)
  2. CSF fluid:  1 ml minimum, placed in sterile screw capped tube.  Do not refrigerate.
  3. Joint:  1 ml aspirate
  4. Pericardial:  1 ml  aspirate
  5. Peritoneal:  1-2 ml aspirate
  6. Pleural:  5-10 ml aspirate
  7. Thoracic: 5-10 ml aspirate

Cause for rejection:

Fluid injected into a CULTURETTTE is unacceptable. A SWAB SPECIMEN IS NOT ADEQUATE.

Comments:

  • Recovery of microorganisms from these sites is dependent on the volume of specimen received.
  • ALL POSITIVE GRAM STAINS, on the above listed sterile body sites, will be phoned to the Provider, Nursing personnel or ordering location responsible for the patient.
  • Positive CSF Cultures will be phoned to the Provider, Nursing personnel or ordering location responsible for the patient. 
  • Susceptibility testing will be performed on significant isolates.

RL Comments:

  • Write BODY FLUID CULTURE on order form. Include source on the form.
  • Send ALL specimens at Room Temp. CSF specimens MUST NOT be refrigerated.

Gram Stain will be performed next day by 1st shift UNLESS ordered to be called STAT with a specific phone number indicated.

Performed:

Gram stain: Within 8 hours of receipt, unless ordered STAT Preliminary reports:  Days 1 and 2 Final report:  3 days

Reference value: 

No growth (applies to normally sterile sites).

Method:

Standard culture techniques

CPT Code:  

87205 Gram stain 87070 Body Fld Clt

 

POWERCHART NAME

BODY FLUID DIFF

MERCY TEST NAME

BODY FLUID DIFF

MERCY LAB CODE

BFCC

Comment:
  • Body Fluid Differential is included in Cell Count Body Fluid.
  • To be ordered by Regional Hospitals when they are doing the cell counts at their facility and want to refer the differential to Mercy.
Specimens: Send 2 cytocentrifuge prepared slides, unstained or 1.0 ml of body fluid may be sent refrigerated and Mercy will prepare the slides.
Performed: Within 8 hours of receipt.  Available stat.
Method:  Microscopic exam of Wright's stained smear.
CPT Code:   NA

 

 

BODY FLUID FOR LATEX RA

See:   Latex RA Body Fluid

 

 

BONE DENSITY TEST

See:   N-Telopeptides, Urine

 

POWERCHART NAME

BONE MARROW COLLECTION

MERCY TEST NAME

BONE MARROW CL AS

MERCY LAB CODE

BM

Comment:

Not available stat. Nursing service must also fill out a yellow Surgical Specimen Slip and a white bone marrow history form to include patient history and clinical diagnosis.Available Monday through Friday, 0700-1500.  If a bone marrow examination is needed outside these hours, special arrangements may be made by contacting the Laboratory. Send Lab a message of all bone marrows scheduled  (include date and time). Nursing Service is to schedule with:

  1. Cancer Center for patients seen by the Cancer Center physicians.
  2. ER for all other patients.

Reference Lab Clients:

  1. Please completely fill out the pink Pathology Specimen Form, include patient history and clinical diagnosis.
  2. Send a copy of your CBC results and 2 peripheral smear slides.  Order Diff Manual and a Cell Morphology. 
  3. Send 2 unstained slides.  Fix 1 by dipping in Methanol for 10 seconds.  CBC results must be included.   OR   Send a purple top tube.  Order a CBC with Manual Diff and a Cell Morphology.  Mercy Lab will do a CBC and prepare the slides.
  4. Send 8 unstained bone marrow slides.
  5. MERCY LAB: Do not order BM in Misys.
Specimen:

Procedure will include collection of the following:  6 smears for Wright's Stain, smear for Iron Stain, CBC and Cell Morphology, 2 peripheral smears, Bone Marrow Clot and Biopsy. Lab will order the CBC if one has not been done within the previous 24 hours.

Performed: 2--4 days
Reference value: Descriptive report will be sent.
Method:  Microscopic examination of Wright stained and Iron stained smears.  Clot and core biopsy also examined microscopically.
CPT Code: 85097

 

TEST NAME

BONE MARROW DONOR COLLECTION KIT

See: Donor Collection

 

POWERCHART NAME

 BORDETELLA PERTUSSIS PCR

See: Pertussis PCR 

 

TEST NAME

BRAIN NATRIURETIC PEPTIDE

See:   BNP

 

 

BREAST ASPIRATE

See: Cytology Section Breast Specimen

  

 

BREAST CYST FLUID

See:  Cytology Section Breast Specimen

 

POWERCHART NAME

BREATH ALCOHOL

MERCY TEST NAME

BREATH ALCOHOL TESTING

MERCY LAB CODE

BATHW

Comment:
  1. Patient must have identification and should be accompanied by designated person.
  2. Post accident should be performed within 2 hour.
Performed: 

Monday - Friday 1630-0800.  Performed by Healthworks from 0800-1630. Saturday and Sunday, available 24 hours.

Method:   Fuel cell sensor.

 

TEST NAME

BRONCHIAL BRUSH/WASH CYTOLOGY

See: Cytology Section Bronchial

 

POWERCHART NAME

BRONCHIAL QUALITATIVE + SMEAR DIRECT OTHER

MERCY TEST NAME

BRONCH QAL CLT/GS

MERCY LAB CODE

BQAL

Order:

Specify from which bronchus the specimen is collected when ordering.

Specimen: 

Minimum of 5 ml of bronchus washings collected through the inner chamber of the bronchoscope.  Submit in a sterile plastic container with a tight-fitting lid.

Comments:

  • Only significant respiratory isolates will be reported.
  • Susceptibility testing will be performed on significant isolates.

RL Comments:

  • Write QUALITATIVE BRONCHUS CULTURE on the order form. Indicate the specimen source on form.
  • Send at room temperature.

Performed:

Gram stain: 1st shift    RL: Next day, 1st shift Preliminary report: 1 day Final report: 2 days

Reference value:  

Normal flora of the upper respiratory tract.

Method:

Standard culture techniques

CPT Code: 

87205 Gram Stain 87070 Bronch Clt

 

POWERCHART NAME

BRONCHIAL QUANTITATIVE + SMEAR DIRECT OTHER

MERCY TEST NAME

BRONCH QNT CLT/GS

MERCY LAB CODE

BQNT

Order:

Specify from which bronchus the specimen is collected from.

To be ordered ONLY on Protected Brush Bronch Specimens (PSB). (other Bronch sources should be ordered as a QUAL culture).

Specimen:   

1 ml protected specimen brushings (PSB) placed in 1 ml normal saline.  Submit in a sterile plastic container with a tight-fitting lid.  Quantity of saline added is critical for accurate quantitation. 

Comments:

  • Includes quantitation in colony forming units (CFU/ml).
  • Susceptibility testing will be performed on significant isolates.

RL Client Comments:

  • Write QUANTITATIVE BRONCHUS CULTURE on order form. Indicate source on the form.
  • To be ordered ONLY on Protected Brush Bronch Specimens 
  • Send specimen(s) at room temperature to Mercy lab.

 

Performed:

Gram stain: 1st shift    RL: Next day, 1st shift Preliminary report: 1 day Final report: 2 days

Reference value:

No growth or Scant Normal flora of the upper respiratory tract.

Method:

Standard culture techniques.

CPT Code: 

87205 Gram Stain+ 87070 Bronch Clt+

 

TEST NAME

BUCCAL SMEAR

See: Cytology Section Barr Body Smear

 

POWERCHART NAME

BUN 

MERCY TEST NAME

BUN               

MERCY LAB CODE

BUN

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, EDTA 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: 

0-2 years:      4-15 mg/dl
3-16 years:    9-18 mg/dl
17-64 years:  8-22 mg/dl
>64 years:    10-28 mg/dl

Method:  Urease, Enzymatic
CPT Code:  84520

 

TEST NAME

BUN/CREATININE RATIO

Comment:

Bun/Creatinine Ratio is a calculation and not orderable by itself.

Included in: METB, CMPL, GHP, RPNL, NUTP, OPNL, DPNL, ATPN, TPNL.
Reference value: 10 - 20
Method: Urease, UV
CPT Code:  NA

 

POWERCHART NAME

BUN Post Dialysis

MERCY TEST NAME

BUN POST DIALYSIS

MERCY LAB CODE

BUNP

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, EDTA plasma or serum from a plain red top tube.
Stability: 8 hours room temp, 48 hours refrigerated, freeze if >48 hours.
Comment:

To be ordered by Dialysis only.

Performed: Within 8 hours of receipt.  Available stat.
Reference value:

0-2 years:     4-15 mg/dl
3-16 years:   9-18 mg/dl
17-64 years: 8-22 mg/dl
>64 years:   10-28 mg/dl

Method: Urease, Enzymatic
CPT Code:  84520

POWERCHART NAME

BUPRENORPHINE         Screening Test Discontinued at Mercy 10-1-12  Send to Mayo.

MERCY TEST NAME

BUPRENORPHINE

MERCY LAB CODE

CMIS

 Comment:

Order Miscellaneous General Lab and specify: Mayo order code BUPM  Buprenorphine and Norbuprenorphine Urine in comment.

Reference value:

None detected

CPT Code: 83925
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