TEST NAME

C REACTIVE PROTEIN   

See:   CRP

POWERCHART NAME

C3 COMPLEMENT

MERCY TEST NAME

C3 COMPLEMENT

MERCY LAB CODE

C3

Stability:

POWERCHART NAME

C4 COMPLEMENT

MERCY TEST NAME

C4 COMPLEMENT

MERCY LAB CODE

C4

POWERCHART NAME

CA 125

MERCY TEST NAME

CA 125

MERCY LAB CODE

CA125

• Preferred in house: 1 ml serum from a SST tube. 
• Preferred reference lab: 1 ml serum from SST tube. Freeze a separate aliquot of specimen within 24 hours of collection.  Do not use this aliquot for anything else. 
• Also acceptable: serum from a plain red top tube or plasma from a PST tube.

The assay should not be performed until at least 3 weeks after the completion of primary chemotherapy and at least 2 months following abdominal surgery.

TEST NAME

CA15-3

MERCY TEST NAME

CA 15-3

MERCY LAB CODE

CA153B

Performed:

Within 8 hours of receipt, 7 days a week.

Reference value:

Males: <31.3 U/ml (use not defined)
Females: <31.3 U/ml

TEST NAME

CA19-9

MERCY TEST NAME

CA 19-9

MERCY LAB CODE

CA199

Performed:

Within 8 hours of receipt, 7 days a week.

Reference value:

Males: <35.0 U/mL
Females: <35.0 U/mL

CALCITONIN*

MERCY LAB CODE

CLCN

POWERCHART NAME

 CALCIUM TOTAL

MERCY TEST NAME

 CALCIUM    

MERCY LAB CODE

CA

• 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 plasma, Amm heparin or serum from a plain red top tube. 

0-10 days:             7.6-10.4 mg/dL
10 days - 2 years:  9.0-11.0 mg/dL
2-12:                     8.8-10.8 mg/dL
>12:                      8.6-10.3 mg/dL

Calcium Arsenazo Colorimetric

POWERCHART NAME

CALCIUM 24 HOUR URINE

MERCY TEST NAME

CALCIUM 24UR      

MERCY LAB CODE

VCAL

A single 24-hour urine collection may be used for Calcium, Phosphorus and Uric Acid.

• 20 ml from a 24-hour collection.  Indicate total volume. Refrigerate
• Special processing will be done at Mercy Lab.  Instructions in urinalysis manual.

TEST NAME

CALCIUM FREE

See:   Calcium Ionized

POWERCHART NAME

CALCIUM IONIZED

MERCY TEST NAME

CALCIUM IONIZED   

MERCY LAB CODE

CAI

• 0.5 ml whole blood from green top tube. 
• Keep the tube capped until analysis.
• For single ionized calcium orders, completely fill a separate tube. 
• Place on ice and deliver to the Lab immediately. 

Hemolyzed specimens or specimens other than unopened green top tubes, except for capillary specimens in green top microtainers tubes.

Cord blood: 1.30 - 1.60 mmol/L
< 1 day: 1.21 - 1.46 mmol/L
1 - 2 days: 1.10 - 1.36 mmol/L
3 - 4 days: 1.15 - 1.42 mmol/L
5 days - 11 months: 1.22 - 1.48 mmol/L
1 - 17 years: 1.20 - 1.38 mmol/L
> 17 years: 1.16 - 1.32 mmol/L

POWERCHART NAME

CALCIUM RANDOM URINE

MERCY TEST NAME

CALCIUM R UR

MERCY LAB CODE

UCAL

• 5 ml random urine.  Refrigerate.  
• Special processing will be done at Mercy Lab.  Instructions in urinalysis manual.

Calcium Arsenazo Colorimetric

TEST NAME

CALCIUM/CREATININE RATIO

Order Calcium Random Urine and Creatinine Random Urine.
This is a calculation which is done by the physician/nursing service.

Calcium/Creatinine Ratio =  Calcium Random Urine (mg/dl) 
                                                   Creatinine Random Urine (mg/dl)

TEST NAME

CALCULUS RENAL

See:   Stone Analysis*

TEST NAME

CANCER ANTIGEN 125

See:   CA125

TEST NAME

CANCER ANTIGEN 27.29

See: CA153. 

CA153 replaces CA27.29 for tests run at Mercy effective 4-25-12.  If CA27-29 is specifically needed, it will be sent to Mayo.  Order General Miscellaneous Chemistry and give test name in comment.  Also specify that test is to go to Mayo.

TEST NAME

CAPILLARY BLOOD GASES

See:   Collection Charge Capillary Blood Gases

POWERCHART NAME

CARBAMAZEPINE  (TEGRETOL) LEVEL

MERCY TEST NAME

CARBAMAZEPINE      

MERCY LAB CODE

CAR

• 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 plasma, or serum from  a plain red top tube.  

Specimen must not be hemolyzed, lipemic or icteric.

TEST NAME

CARBATROL

See: Carbamazepine

POWERCHART NAME

CARBON DIOXIDE LEVEL

MERCY TEST NAME

CO2

MERCY TEST CODE

CO2

• 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 top tube. 

POWERCHART NAME

BLOOD GAS CARBON MONOXIDE SATURATION VENOUS

MERCY TEST NAME

C O SATURATION

MERCY TEST CODE

COSATV

• 1 ml whole blood drawn in the dark green-top tube which contains lithium heparin WITHOUT the gel.
• Testing can be done no matter how old the specimen is.  There is no time restrictions for this test. 
• This tube may not be used for other testing. 
• Do not open the tube until analysis. 
• Serum specimens, SST, and Purple top EDTA tubes are unacceptable.
   
  Reference Lab Clients: Send specimen on ice.

Instructions for Mercy Medical Center-NI:

In-house patients: If arterial gases are not needed, this order may be placed and lab staff will collect the venous specimen.  Upon collection, page the CV&P tech at #791 so they know to expect the specimen and to specify to which tube station lab should send the specimen to. Result the COCVP test via Function ME and worksheet BEDS with the name of the CV&P tech spoken to, the time the specimen was tubed and to where the specimen was tubed.

Regional Lab Clients:  Order COSATV in Sunquest . Page the CV&P RT tech at #791 so they know to expect the specimen and to specify to which tube station lab should send the specimen and a copy of the RL order to . Result the COCVP test via Function ME and worksheet BEDS with the name of the CV&P tech spoken to, the date/time the specimen was tubed and to where the specimen was tubed. Handle the RL billing slip in the same manner as the other lab specimens.

TEST NAME

CARCINOEMBROYONIC ANTIGEN

See: CEA

TEST NAME

CARDIAC/CARDIO CRP-HIGH SENSITIVE CRP/HSCRP

See:CRP SENS

POWERCHART NAME

CARDIAC ENZYMES (CK, LD, AST)

MERCY TEST NAME

CARDIAC ENZYM

MERCY LAB CODE

CENZ

CK, AST, LD, A CK-MB will be run and charged automatically on all male patients with a CK >273 IU/L and female patients with a CK >200 IU/L.
TROPONIN I IS NOT INCLUDED AS PART OF CARDIAC ENZYMES. 
TROPONIN I MUST BE ORDERED SEPARATELY.

Reference value:

Adult 

CK: 
LD:
AST:

82550  CK
84450  AST
83615  LD

POWERCHART NAME

CARDIAC MARKER PANEL (TROPONIN, CK, AST)         NO LONGER AVAILABLE 12-21-2011

MERCY TEST NAME

CARDIAC MARKER PANEL

MERCY LAB CODE

TEST NAME

CARDIAC SURGERY PANEL

See:   CS Panel

POWERCHART NAME

CARDIOLIPIN ANTIBODIES

MERCY TEST NAME

CARDIOLIPIN ATBY*  

MERCY LAB CODE

CRLA

POWERCHART NAME

CAROTENE LEVEL

MERCY TEST NAME

CAROTENE*

MERCY LAB CODE

CRTN

• Patient must be fasting (12-14 hours). 
• Patient must not consume any alcohol for 24 hours before drawing the specimen.

Included with the test results.

POWERCHART NAME

CATECHOLAMINE FRACTIONATION URINE

MERCY TEST NAME

CATECH FR 24UR*

MERCY TEST CODE

CTCH

• A single 24-hour urine collection may be used for CATECHOLAMINE FRACTIONATION, METANEPHRINES  [METN24U] and VMA  [VMA24UR].  
• The specimen must be kept refrigerated during collection.

• The drug Mandelamine interferes with the test procedure and should be discontinued 48 hours prior to collection of the specimen.
• This assay is of most value when the specimen is collected during a hypertensive episode.

• Before start of collection, add 25 ml 50% acetic acid preservative to the container (15 ml 50% acetic acid for children <5 years old. 
• RL Clients, please call Mercy Lab to have a jug prepared with preservative. 
• Refrigerate during collection.

• Separate aliquots must be submitted for Metanephrines and VMA if collected with this specimen. 
• Identify which specimen is for Catecholamine Fractionation. 

• 2 ml in a 13 ml urine tube.  Minimum 1.5 ml.  Mayo CATU.
• Send refrigerated to Mayo.  Frozen acceptable. Ambient with preservative acceptable. 

POWERCHART NAME

CATHETER TIP CULTURE

MERCY TEST NAME

CATHETER TIP CLT

MERCY LAB CODE

CTC

Order: 

Specify site of insertion.

Specimen:   

2 inches of catheter tip. 

• Aseptically remove the catheter tip from the patient. 
• Using sterile scissors, cut the catheter 2 inches from the tip. 
   
• Aseptically place catheter tip in a sterile PLASTIC CONTAINER with a tight-fitting lid.

Cause for rejection:

Foley Tip catheters will not be accepted. A culturette is not an acceptable transport device.

Comments:

• Quantitation will be reported for each isolate.  >15 colony forming units (CFU) is considered significant.
• Susceptibility testing will be performed on significant isolates.

RL Client Comments:

• Write CATHETER TIP CULTURE on order Form.  Indicate site of insertion.
• Send specimen at Room Temp.

Method:

Standard culture techniques

Reference value: 

No growth

Performed:

Preliminary report: 1 day
Final report: 2 days

CPT Code:  

87070

POWERCHART NAME

CBC

MERCY TEST NAME

CBC

MERCY LAB CODE

CBC

WBC
MCV
RDW

POWERCHART NAME

CBC with DIFFERENTIAL

MERCY TEST NAME

CBC with Diff

MERCY LAB CODE

CBCAD

85025

POWERCHART NAME

CBC with MANUAL DIFFERENTIAL

MERCY TEST NAME

CBC Diff MANUAL

MERCY LAB CODE

CBCD

To be ordered only when physician orders are CBC with Manual diff.

Cell morphology will be ordered and charged if established criteria/diagnosis are met.

85027 CBC

85007 Manual Differential

TEST NAME

CCP Antibodies

See:   CYCLIC CITRULLINATED PEPTIDE ANTIBODY IgG

POWERCHART NAME

CD4

MERCY TEST NAME

CD4 ABS, LYMPHOCYTES

MERCY LAB CODE

CD4A

ACD4 - Absolute Cd4
CD4 – CD4 Lymphocytes
NCCD3 – CD3 Lymphocytes

• 1 EDTA (pink top) for CBC. 
• Specimens will be accepted Monday –Thursday by no later than noon. 
• UIHC must receive the specimen within 24 hours of the draw time.
• A CBC must also be run and results need to be sent with specimen. 
• Specimens with absolute counts of <100mm3 will not be tested.

CD4: 34 – 62 %
ACD4: 263 – 2045 /mm3
NCCD3: 65 – 85 %

POWERCHART NAME

CEA

MERCY TEST NAME

CEA*

MERCY LAB CODE

CEA

• Preferred in house: 0.5 ml serum from a SST rube.
• Preferred reference lab: 0.5 ml serum from a SST tube.
• Also acceptable: serum from a  plain red top tube. 

0.0-3.0 ng/ml (Non smokers)

0.0-5.0 ng/ml (Smokers)

Beckman Coulter Unicel ™ DXI 800.

Two site immunoenzymatic sandwich assay

POWERCHART NAME

CELL COUNT BODY FLUID

MERCY TEST NAME

CELL COUNT BF

MERCY LAB CODE

BFCC

• 1-2 ml body fluid immediately placed in a purple top tube by nursing personnel after collection. 
• If specimen is placed in a plain top tube with heparin added, please note that on the tube.
• Invert tube several times. 
• Tubes are available from the Laboratory. 

• Pleural and peritoneal fluids are stable up to 48 hours refrigerated.
• Synovial fluids should be examined within 2 hours of collection.  If synovial fluid examination will be delayed > 2 hours, refrigerate specimen.

POWERCHART NAME

CELL COUNT CSF

MERCY TEST NAME

CELL COUNT CSF

MERCY LAB CODE

CCSF

WBC:<1 month: 0-30/mcl
        1 month through adult: 0-8 /mcl

Hemacytometer counting chamber.
Microscopic exam of Wright stained smear if >5 WBC/mcl.

POWERCHART NAME

CELL MORPHOLOGY

MERCY TEST NAME

CELL MORPHOLOGY

MERCY LAB CODE

CM

• Order a CBC/DIFF MANUAL if one has not been done within the previous 24 hours. 
• Indicate in comment if previous specimen is to be used. 
• Lab will order and charge for a cell morphology on any patient meeting established Laboratory guidelines.
  
  
• If pathologist review is needed on a body fluid specimen please order Cytology.  Send specimen (and slide if available) for Cytology.  See the Cytology Section for fluid preservation.

Blood smear prepared from a purple top tube.
Regional Lab Clients - Send a purple top tube, two unstained slides and either:

• Copy of your CBC results.  Order Diff Manual and a Cell Morphology.  Send completed Cell Morphology Information form.
  OR
• Order a CBC with Manual Diff and a Cell Morphology. Mercy Lab will do a CBC. 
• Send completed Cell Morphology Information form.
• Send any professional billing information forms or admission record forms to Mercy Pathology secretaries. This includes demographics and insurance information.

• 36 hours room temp or refrigerated. 
• If a manual diff or slide review was already done on the specimen, CM may be added anytime because the slide is already prepared.

TEST NAME

CELONTIN

See: Methsuximide*

TEST NAME

CEREBROSPINAL FLUID CYTOLOGY

See: Cytology Section Cerebrospinal Fluid

POWERCHART NAME

CERULOPLASMIN

MERCY TEST NAME

CERULOPLASMIN*

MERCY LAB CODE

CRLPSM

TEST NAME

CERVICAL SMEAR

See: Cytology Section Pap Smear