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Section-C (Co-Cr)

TEST NAME

CO2

See: Carbon Dioxide

 

TEST NAME

COAGULATION CONSULTATION (MAYO)

MERCY TEST NAME MISC GENERAL LAB MERCY LAB CODE CMIS
Comment:

Mayo Coagulation Consultation Panels:
Mayo order code THRMP- Thrombophilia Profile
Mayo order code BDIAL- Bleeding Diathesis Profile, Limited
Mayo order code LUPPR- Lupus Anticoagulant Profile
Mayo order code PROCT- Prolonged Clot Time Profile
Mayo order code VWPR- Von Willebrand Profile

Specimen:
  • See Mayo test catalog for specific patient, specimen, and processing requirements for each coagulation consultation panel.
  • Careful specimen handling will most often ensure acceptable specimens and valid results.
  • Send a Coagulation Request Form with the specimen, which is party of the Mayo additional test information form.
Specimen Processing:

Double spin coagulation specimens to ensure that all platelets are removed:     1.  Centrifuge specimen.  Aliquot plasma (leaving some above the cells) to a plastic centrifuge tube.   2.  Centrifuge the aliquot tube.  Pipette plasma (leaving some above the bottom of the tube) to another plastic aliquot tube.   3.  Store plasma as required for the test ordered.

 

TEST NAME

COAGULATION FACTORS

See:  Factor VIII Assay
Consult lab for other factors

 

POWERCHART NAME

COCCIDIOIDES ANTIBODY

MERCY TEST NAME

COCCIDIOIDES AB*

MERCY LAB CODE

COCD

Specimen: 

2 mL Serum from a plain red top tube, serum gel is acceptable.

Processing: Send refrigerated to Mayo. Mayo code - COXIS
Comment:

If this initial Coccidioides Antibody testing is positive then additional reflex testing (Mayo code - RSCOC) Coccidioides Antibody by Complement Fixation, and Immunodiffusion (IgG, IgM) will be performed at an additional charge.

Performed:  Monday - Friday, Sunday 9 am
Reference value:  Included in report
Method:  Enzyme Immunoassay (EIA)
CPT Code:   86635  Coccidioides Antibody
86635  Coccidioides CF (If applicable)
86635  Coccidioides IgG (If applicable)
86635  Coccidioides IgM (If applicable)

 

TEST NAME

COCAINE

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

 

POWERCHART NAME

COLD AGGLUTININ SCREEN

MERCY TEST NAME

COLD AGGLUT

MERCY LAB CODE

COLD

Specimen: 
  • Preferred specimen: 1 ml plasma from pink top tube.   Draw a separate tube if ordered with Type & Screen or Crossmatch. 
  • Also acceptable: EDTA plasma from purple top tube or serum from plain red top tube.
Cause for rejection: SST is unacceptable. Hemolyzed specimens are unacceptable.
Processing:
  • Incubate pink EDTA tube in a 37 degree waterbath for 10-15 minutes. 
  • Centrifuge 10 minutes at room temperature. 
  • Remove plasma immediately. 
  • Refrigerate plasma/serum if not tested immediately.
  • Reference Lab Clients: Follow above procedure, then remove aliquot and freeze immediately.
Performed:  Daily with 2000 cutoff.  Available stat
Reference value:  0 - 15
Method:  Hemagglutination at 4°C.
CPT Code:   86157

 

POWERCHARTNAME

COLLECTION CAPILLARY BLOOD GASES

MERCY TEST NAME

COLLECT CHG CBG   

MERCY LAB CODE

 CCBG

Specimen: 
  • The patient’s heel or finger must be warmed prior to specimen collection. 
  • Refer to Phlebotomy Procedure Manual for complete specimen collection instructions.
Comment:
  • Available stat. 
  • Included in the capillary venous blood gas order set
  • Outpatients-order CBGCVP for the blood gas test along with the CCBG for collect charge 
  • Lab collects and testing performed by CV&P. 
  • This can NOT be used for venous collections.
Method:  Heel stick, Fingerstick
CPT Code:  36416

 

POWERCHARTNAME

COLLECTION DONOR CANDIDATE

MERCY TEST NAME

COLLECT CHG DONOR 

MERCY LAB CODE

 MDONOR

Specimen: 

Collect tubes are in kit.

Comment:
  • Patient is registered in the Health Quest system by outpatient registration staff and instructed to go to the laboratory on the second floor. 
  • Client services order MDONOR.
  • Service is done at no charge to the patient.
  • No additional processing charges or collection charge is added.
Processing Collection kits are received in advance and kept in processing until patient arrives

 

TEST NAME

COMPATIBILITY TEST

See:   Crossmatch

 

POWERCHART NAME

COMPLEMENT TOTAL (CH50)

MERCY TEST NAME

COMPLEMENT TTL*

MERCY LAB CODE

CMPT

Specimen:    1 ml serum from a plain red top tube. Serum gel tube is not acceptable. Minimum 0.5 ml.
Stability: Frozen
Processing:
  • Separate from clot and freeze immediately. 
  • Send frozen to Mayo.  Mayo order code COM.
Performed:  2 days.  Test set up Monday through Saturday; 3 p.m..
Reference value:  Included in report.
Method:  CH50 Automated Liposome Lysis Assay
CPT Code:  86162

 

POWERCHART NAME

COMPREHENSIVE METABOLIC PANEL

MERCY TEST NAME

COMP METABOLIC PNL

MERCY LAB CODE

CMPL

Includes: Albumin
ALT 
AST  
Creatinine 

Alkaline Phosphatase
Bilirubin: Total 
Calcium  Glucose

Anion Gap
BUN
Chloride  
Potassium   
Total Protein 
CO2  
Sodium
A/G Ratio
.
Specimen:
  • Preferred in house: 1 ml lithium heparin plasma from a PST tube.  
  • Preferred reference lab: 1 ml serum from a SST tube.  
  • Also acceptable; serum from a plain red top tube.
  • Keep tube closed.
Stability: 8 hours room temp, 48 hours refrigerated, freeze if >48 hours.
Cause for rejection:   Grossly hemolyzed specimens not acceptable.
Panel run:  Within 8 hours of receipt.
Reference value:  See individual test entry.
Method:  See individual test entry.
CPT Code:  80053

 

POWERCHART NAME

COOMBS DIRECT

MERCY TEST NAME

COOMBS DIRECT     

MERCY LAB CODE

CMBS

Comment: 

For newborns: Order a Cord Blood Routine whenever a Direct Coombs is needed if the cord blood is available and this is the initial Direct Coombs order.

Specimen:  One 6 ml pink top tube or purple top tube. Do not spin.  Refrigerate.
Performed:  Within 8 hours of receipt.  Available stat.
Reference value:  Negative
Method: Serological
CPT Code:  86880

 

TEST NAME

COOMBS INDIRECT

See:   Antibody Screen

 

POWERCHART NAME

COPPER LEVEL

MERCY TEST NAME

COPPER*

MERCY LAB CODE

COPP

Specimen: 
  • Draw before any other tubes are drawn.  0.8 ml serum from Navy blue monoject-no additive, trace element blood collection tube.
  • Use alcohol, not iodine to cleanse venipuncture site. 
Cause for rejection:  The use of other tubes is unacceptable.
Processing:
  • Allow to clot well (for at least 30 minutes before spinning).   Then centrifuge the specimen to separate serum from the cellular fraction.  Serum must be removed from the cells within 4 hours of specimen collection.   Pour serum into a Mayo Free vial.  Do NOT use a transfer pipet or wooden sticks.  Avoid hemolysis
  • Send to Mayo refrigerated. Ambient acceptable.  If specimen will be stored more than 48 hours, send frozen.            Mayo order code CUS.
Performed:  1-3 days.   Monday through Friday; 8 a.m. - 6 p.m.; Saturday; 8 a.m.- 3 p.m..
Reference value:  included with report
Method:  Dynamic Reacation Cell Inductively Coupled Plasma Mass Spectrometry
CPT Code:  82525

 

TEST NAME

CORPROPORPHYRINS

See:  Porphyrin Quantitative 24-Hour Urine*
Porphyrin Screen Random Urine

 

POWERCHART NAME

CORD BLOOD STUDIES

MERCY TEST NAME

CORD BLD ROUTINE  

MERCY LAB CODE

CRDB

Specimen: 
  • 5-10 ml whole blood collected from the umbilical cord. Blood is to be placed in a red top tube and purple top tube.  Refrigerate.
  • NOTE:  Tubes must be labeled with baby's identification, mother's FULL name, date and time of delivery.
Comment: 
  • Enter mother's FULL name in comment field.
  • Includes ABO Group/RH Type and Direct Coombs (DAT). 
  • If the Direct Coombs is positive, Lab will order and charge for a CBC, Cell Morphology, Bilirubin from the cord blood and Antibody ID from the eluate.
Performed: 

Within 8 hours of receipt.  Available stat.

Reference value:  Direct Coombs:  NEGATIVE
Method:  Serological
CPT Code:

86900 ABO
86901 RH
86880 Direct Coombs      

 

TEST NAME

CORTICOID

See:   Cortisol*

 

TEST NAME

CORTICOSTEROID

See:   Cortisol*

 

POWERCHART NAME

CORTISOL Total

MERCY TEST NAME

CORTISOL Total

MERCY LAB CODE

CORT

Specimen:
  • Preferred in house: 0.5 ml serum from a SST tube.
  • Preferred reference lab: 0.5 ml serum from a SST tube.
  • Also acceptable: serum from a plain red top tube or heparin plasma from a PST tube.
Stability: 8 hours room temp, 48 hours refrigerated, freeze if >48 hours.
Processing:   Send refrigerated.
Performed:  Within 8 hours of receipt.
Reference value: Not available
Method: Automated Chemiluminescent Immunoenzymatic Assay.
CPT Code:  82533

                                                    

POWERCHART NAME

Cortisol Challenge

MERCY TEST NAME

CORTISOL ACTH RES

MERCY LAB CODE

CORT     3 orders

Specimen: 
  • Preferred in house; 0.5 ml plasma from lithium heparin PST tube. 
  • Preferred reference lab: 0.5 ml  serum from a SST tube. 
  • Also acceptable: serum  from a plain red top tube.  
  • A Cortisol Random (CORT) order will be required for each specimen to be collected.

Note:

Mercy lab clients:  Testing is done in the Mercy Cancer Center.  Ordering clinic will fill out form OMH-146, following the directions on the form for the information required.  Fax order and accompanying information to Mercy First Call at 641-428-6140, who will fax the information to Mercy's Cancer Center.  Mercy Cancer Center will schedule the appointment and call the patient with instructions. 

Outpatient draw staff,:  This test is never drawn in the outpatient draw station.  If outpatient presents with orders for this testing, have patient registration staff  contact Mercy Cancer Center at 641-428-6322 to verify clinic orders and patient arrival time.

Stability:

 

8 hours room temp, 48 hours refrigerated, freeze if >48 hours.

Suggested Collection:

3 separate specimens, requiring 3 separate CORT orders, one prior to and two following injection of 0.25 mg Cortrosyn, given IV bolus, at times specified by Nursing Service.

  1. Baseline:  Collect prior to injection
  2. 30 minutes following injection
  3. 60 miniutes following injection

Nursing service will obtain Cortrosyn from Pharmacy.

Processing:  Send refrigerated.
Performed: Within 8 hours of receipt .
Reference value: Expected values during ACTH stimulation: over twice (usually 2-3 times) reference a.m. level.
Method: Automated Chemiluminescent Immunoenzymatic Assay.
CPT Code:  82533x3

 

POWERCHART NAME

CORTISOL WITH CORTISONE FREE 24 HOUR URINE

MERCY TEST NAME

CORTSL/CORTSNE 24U*

MERCY LAB CODE

CRTF

Specimen: 
  • Collect a 24-hour urine specimen. 
  • At start of collection, add 25 ml of 50% acetic acid preservative. (15 ml 50% acetic acid for children
Processing:
  • Aliquot 5 ml and indicate total volume. 
  • Adjust pH to 2.0-4.0 with 50% acetic acid.
  • Send refrigerated in 13 ml urine tube to Mayo. Frozen acceptable.  Mayo order code COCOU. 
  • Click on 24-hour urine preservative chart for other acceptable temperatures and additives.
Performed: Test set up Monday through Saturday.
Reference value:

Included with results.
CAUTIONS:
  Acute stress (including hospitalization and surgery), alcoholism, depression, and many drugs (ex: exogenous cortisone, anticonvulsants), can obliterate normal diurnal variation, affect response to suppression/stimulation tests, and cause elevated baseline levels.

Method:  Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
CPT Code: 

83789
82530

 

TEST NAME

CORTROSYN ACTH STIMULATION

See:   Cortisol ACTH Response

 

TEST NAME

COXSACKIE VIRUS*

See: Virus Serology

 

POWERCHART NAME

C-PEPTIDE

MERCY TEST NAME

C-PEPTIDE*

MERCY LAB CODE

CPEPT

Patient preparation: Fasting patient.
Specimen:  0.5 ml serum from a SST or plain red top tube. Minimum 0.4 ml.
Processing:  Send frozen to Mayo. Refrigerated acceptable. Mayo order code CPR.
Performed: 3 days.  Monday through Friday: 5 a.m. - 12 a.m., Saturday 6 a.m. - 6 p.m.
Reference value:

Included with test results

Method:  Electrochemiluminescence Immunoassay
CPT Code:  84681

 

TEST NAME

CPK   

See:   CK

 

TEST NAME

C REACTIVE PROTEIN

See:   CRP

 

 

POWERCHART NAME

CREATININE

MERCY TEST NAME

CREATININE             

MERCY LAB CODE

CREAT

Specimen:
  • Preferred in house: 0.5 ml serum from an SST tube.
  • Preferred reference lab: 0.5 ml serum from a SST tube.
  • Also acceptable: Sodium Heparin, or serum from a plain red top tube. 
Stability: 8 hours room temp, 7 days refrigerated, freeze if >48 hours.
Performed:  Within 8 hours of receipt.  Available stat
Reference value:

Male:     0.7-1.3 mg/dl
Female: 0.6-1.2 mg/dl

Method:   Alkaline Picrate-Kinetic
CPT Code:  82565

 

POWERCHART NAME

Creatinine Body Fluid

MERCY TEST NAME

CREATININE BODY FL

MERCY LAB CODE

FCREA

Comment:

Indicate specimen source in comment field.

Specimen: 1 ml body fluid. Refrigerate
Performed:  Within 8 hours of receipt.  Available stat
Reference value:

Dependant on body fluid source

Method:   Alkaline Picrate-Kinetic
CPT Code:  82570

 

POWERCHART NAME

Creatinine 24 HOUR URINE.  Not available Powerchart orders

MERCY TEST NAME

CREAT 24UR

MERCY LAB CODE

VCRT

Includes:

Volume (ml/24 hours)
Calc. Creatinine (g/24 hours)

Specimen:
  • 10 ml urine from a 24-hour urine specimen. 
  • Refrigerate urine during collection, no preservative required. 
  • Stable 7 days when refrigerated.
Comment: A single 24-hour urine collection may be used for CREATININE 24 HOUR URINE and TOTAL PROTEIN [PROT24U].
Processing: Aliquot 10 ml urine and indicate total 24 hour volume.  Refrigerate.
Performed:  Within 8 hours of receipt.
Reference value:  Creatinine Male 
0.8 - 2.8 g/24hrs
Female
0.8 - 2.8 g/24hrs
Method:  Alkaline Picrate-Kinetic
CPT Code: 82575

 

POWERCHART NAME

CREATININE CLEARANCE 24 HOUR URINE

MERCY TEST NAME

CREAT CL 24UR

MERCY LAB CODE

VCCL

Includes:

Volume (ml/24 hours)                     Raw Creatinine (mg/dl)
Calc. Creatinine (g/24 hours)            Creatinine Clearance (ml/min)

Specimen:
  • 0.5 ml serum from PST or SST plus 10 ml urine from a 24-hour urine specimen. 
  • Refrigerate urine during collection, no preservative required. 
  • Refrigerate serum.
  • Stable 7 days when refrigerated
Comment:
  1. A single 24-hour urine collection may be used for CREATININE CLEARANCE and TOTAL PROTEIN [PROT24U].
  2. Outpatients and Inpatient, Mercy Laboratory will order the appropriate serum creatinine (CRTMM) if a serum creatinine has not been completed within 48 hours.  This will be done at no additional charge. The patient needs to have blood drawn when the container is picked up or delivered. In order to avoid possible duplication, the serum creatinine is not to be ordered by the physician office, the hospital floor or admitting.
  3. Regional Lab Clients, send 0.5 ml serum for the creatinine at the same time that the urine specimen is sent.  This enables analysis of both specimens by the same method for accuracy. 
    Mercy Laboratory will order the serum creatinine at no charge.  Do not order a single creatinine on the requisition.
Processing: Aliquot 10 ml urine and indicate total 24 hour volume.  Refrigerate.
Performed:  Within 8 hours of receipt.
Reference value:  Creatinine   Male 
0.8 - 2.8 g/24hrs
Female
0.8 - 2.8 g/24hrs
  Creatinine clearance  Age  
< 41 Yrs:
41 - 50 Yrs:
51 - 60 Yrs:
61 - 70 Yrs:
>70 Yrs: 
Male
71 - 137
71 - 131
71 - 125 
71 - 119 
71 - 113 
Female
71 - 128 ml/minute
71 - 122 ml/minute
71 - 116 ml/minute
70 - 110 ml/minute
64 - 104 ml/minute
Method:  Alkaline Picrate-Kinetic
CPT Code: 82575

 

POWERCHART NAME

CREATININE RANDOM URINE

MERCY TEST NAME

CREAT R UR

MERCY LAB CODE

UCRT

Specimen: 5 ml random urine.  Refrigerate.  Stable 7 days when refrigerated.
Performed:  Within 8 hours of receipt.
Method:  Alkaline Picrate-Kinetic
CPT Code:  82570

 

TEST NAME

Cross Linked Degradation Products

See:  D-DIMER TEST 

 

POWERCHART NAME

TRANSFUSION ORDER SET CROSSMATCH

MERCY TEST NAME

CROSSMATCH

MERCY LAB CODE

XMI

Includes:  ABO Group/RH Type, Antibody Screen, and compatibility testing.
Comment: 
  • A Type & Screen is included in a crossmatch order.  Do NOT order separately.
  • Irradiation or CMV neg blood, see step 2.
  • For PAT patients:  If surgery is scheduled for more than two days from the date the specimen is drawn, order a Type & Screen instead of a crossmatch.  A crossmatch will need to be ordered and done when the patient is admitted.
  • A hemoglobin must be ordered if one has not been performed at Mercy Medical Center-North Iowa Laboratory within one week prior to transfusion for outpatients.
  1. Indicate number of units to be crossmatched in units ordered field.  Packed cells will be processed for all crossmatches.
  2. If irradiation or CMV negative blood is needed, indicate so in the  comment field for each order.  It is not sufficient to send a message to cover all orders. Prestorage leuko-reduced red cells (CMV safe) will be provided if CMV negative is ordered. Call the Lab when irradiated blood is ordered as
    special arrangements may be necessary.
Specimen:
  • Preferred specimen: One 6 ml pink top tube.
  • Also acceptable: Purple top tube.  
  • Refrigerate. 
  • SST is unacceptable.

All patients drawn for possible blood product transfusion MUST be correctly identified and MUST BE WEARING an armband with their FULL NAME and MEDICAL RECORD NUMBER before the patient is drawn.

A check mark MUST be put by the Medical Record number on the tubes drawn for a Crossmatch by the person drawing the specimen indicating the phlebotomist has matched the medical record number on the Specimen with the medical record number on the Patient Armband and it is identical along with the name and other pertinent information. Date, time, and initials of the individual collecting the specimen must be on the tube.

FOR OUTPATIENT AND PRE-SURGICAL PATIENTS:
All the above guidelines must be followed  The PATIENT is also to be informed to leave the armband on and if the armband is removed they will need to be redrawn and testing repeated. **Qualified staff may remove the armband and replace it with another armband after careful matching.

Processing: Regional Lab Clients:  Crossmatch verification by transfusing facility is recommended for all units crossmatched at Mercy.
Performed:  Within 8 hours of receipt.  Available stat.
Method: Serological
CPT Code:

86900 ABO+
86901 RH+
86850 Antibody Sc
86920 Unit Compatibility (1 for each unit ordered)

For each unit issued: P9021 Packed Red Cells (Proc)*

 

POWERCHART NAME

CRP  (C-Reactive Protein)

MERCY TEST NAME

CRP

MERCY LAB CODE

CRP

Comment:  CRP SENS (CARDIAC) is also available.
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 removed from a plain red top tube.
Stability: 8 hours room temperature, 48 hours refrigerated, freeze if >48 hours.
Alternative Specimen: 200 mcl heparinized plasma from green top tube.  (Preferred for children and neonates.)
Performed:  Within 8 hours of receipt.  Available stat.
Reference value:   0.0-0.9 mg/dl
Method:   Immunoturbidimetric
CPT Code:   86140

 

POWERCHART NAME

CRP HIGH SENSITIVITY (CARDIAC)

MERCY TEST NAME

CRP SENS (CARDIAC)

MERCY LAB CODE

HSCRP

Pt Preparation:
  • Fasting is preferred. 
  • Sample should be collected 2 or more weeks after resolution of any acute inflammatory disease, recent infection, or trauma.
Comment: Predictive value is increased if at least two measurements are performed one month apart and the lowest value is used to calculate risk.
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: EDTA plasma tubes, or serum from a plain red top tube.
Stability:
  • Serum: 8 hours room temp, 72 hours refrigerated, freeze if >48 hours.
  • Plasma: 8 hours room temp,  72 hours refrigerated. Do not freeze.
Interpretation: 

1-3 mg/L – moderate risk
> 3 mg/L – high risk

Avoid:   Highly lipemic.
Performed:  Monday through Friday with 2200 cutoff time.
Reference Value: Male & Female:  0.0 - 3.0 MG/L
Method:  Immunoturbidimetric
CPT Code: 86141

 

POWERCHART NAME

CRYOGLOBULIN

MERCY TEST NAME

CRYOGLOBULIN* (CRYOGLOBULIN AND CRYOFIBRINOGEN PANEL)

MERCY LAB CODE

CRYG

Specimen: 
  • 5 ml serum from plain red top tube plus 1 ml EDTA plasma. Minimum 3 ml serum and 0.5 ml plasma.  Testing requires both specimens.
Processing:
  • Deliver to Lab immediately!
  • Keep specimens at 370C, 98.60F until delivered, by holding tubes in hands, may wrap tubes in a heel warmer.  Place plasma and serum in appropiately labeled plastic vials and mark each corresponding aliquot as serum or plasma.

  • Regional Lab Clients:  Keep specimens at 370C, 98.60F until the plasma and serum are removed from the cells.  It is very important that the specimen remain at 37 degrees C until after separation of plasma/serum from red cells.  Place plasma and serum in appropriately labeled plastic vials and mark each corresponding aliquot as serum or plasma.

  • Send refrigerated.  Frozen acceptable.  Mayo order code (CRGSP).
Cause for rejection:  A SST tube is not acceptable.
Performed:   2-10 days.  Test set up Monday through Friday.
Reference value:  Included with report.
Method: Quanitation and Qualitative typing.  Precipation at 1°C.  Includes cryofibrinogen.
CPT Code:  

82595 Cryoglobulin +*
82585 Cryofibrinogen +*

86334/Immunofixation (if appropriate)

Notes: If cryoglobulin has a result other than negative, then Mayo order code IMFXC "immunofixation cryoglobulin" will be performed at an additional charge.  Positive cryoglobulins of >=0.1 ml of precipitate will be typed once every 6 months.

 

POWERCHART NAME

TRANSFUSION ORDER SET CRYOPRECIPITATE FOR INFUSION

MERCY TEST NAME

CRYO FOR INFUS

MERCY LAB CODE

CRYO

Comment: 
  • Indicate number of units desired. 
  • An order of 1 will be filled with a pre-pooled product equivalent to 5 individual cryo units. 
  • Cryoprecipitate contains factor VIII and fibrinogen.
Specimen:  No specimen needed.
Performed:   Allow 30 minutes thawing time.   Available stat.
Method:   Thawed and pooled.
CPT Code:

86927 Cryoprecipitate (1 for each unit)
86595 Cryoprecipitate Pool (Admin) (1 for each pool)
P9012 Cryoprecipitate (Proc)* (1 for each unit)

 

POWERCHART NAME

FIBRIN GLUE ORDER SET CRYOPRECIPITATE NOT FOR INFUSION

MERCY TEST NAME

CRYO NOT FOR INFUS

MERCY LAB CODE

CRYX

Comment:
  • To be ordered by Nursing Service at the same time an order is placed to Pharmacy for Fibrin Glue.
  • One order of Cryoprecipitate is necessary for each unit of Fibrin Glue requested. 
  • Used in the preparation of Fibrin Glue, a topical hemostatic agent used in surgery.
Specimen: None needed
Processing: Group specific cryoprecipitate is not needed.
Performed:  Allow 10-30 minutes thawing time.  Available stat.
Method:  Thawed.
CPT Code:  P9012 Cryoprecipitate (Proc)* (1 for each unit ordered)

  

POWERCHART NAME

CRYPTOCOCCAL CULTURE + DIRECT SMEAR CSF

MERCY TEST NAME

CRYPTO CLT/GS

MERCY LAB CODE

CRYP

Specimen:

  • 1 ml CSF minimum.  Submit in sterile plastic screw cap tube.
  • DO NOT refrigerate specimen.       

RL Client Comments:

  • Write CRYPTOCOCCAL CULTURE on order form. Indicate source (CSF).
  • Send specimen at room temperature to Mercy lab.

Performed:  

Direct gram Stain: Daily  1600 cutoff
Preliminary report:1 and 2 weeks 
Final report: 3 weeks

Reference value: 

Direct Gram stain: No yeast seen.
Culture: No Cryptococcus neoformans isolated. 

Method:

Culture: Standard culture techniques

CPT Code:  

87205 Gram Stain
87102 Yeast Clt

 

POWERCHART NAME

CRYPTOCOCCUS ANTIGEN SCREEN

MERCY TEST NAME

CRYPTOCOCCUS AG*

MERCY LAB CODE

CRYPA

Specimen: 1 mL Serum from plain red top tube, Serum gel is also acceptable
Processing:  Send Refrigerated to Mayo, Mayo code - SLFA
Comment:  If this initial Cryptococcus Antigen testing is positive then additional reflex testing (Mayo code - SLFAT) Cryptococcus Antigen Titer by Later Flow Assay (LFA) will be performed at an additional charge.
Performed: Daily at Mayo Medical Laboratories
Reference value:

Included in report

Method:  Lateral Flow Assay
CPT Code:  87899 Cryptococcus Ag Screen
87899 Cryptococcus Ag Titer (if applicable)

 

TEST NAME

CRYPTOSPORIDIUM

  See:  Giardia/Cryp Rapid

 

TEST NAME

CRYSTALS, BODY FLUID

See: Body Fluid Crystals

 

TEST NAME

CSF BACTERIAL ANTIGENS

See: Bacterial Antigens

 

TEST NAME

CSF CULTURE

See: Body Fluid Culture/Gram Stain

 

POWERCHART NAME

CSF CYTOLOGY

MERCY TEST NAME

CSF CYTOLOGY SPEC

MERCY LAB CODE

 

Comment:  All CSF Cytology specimens must be accompanied by the manual CSF Cytology requisition form which includes patient history, etc.
Specimen: 1 ml CSF.  Deliver to Lab immediately.
Processing:  
  • After Chemistry testing is completed, take specimen to Cytology, preserve properly, and place in the Cytology refrigerator. 
  • Use worksheet MISU for the test CSFC to enter DLV-;date xx ml. 
    DLV translates to "Delivered to Cytology on".
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 Mercy Medical Center-North Iowa | 1000 4th Street SW Mason City, IA 50401 | 641-428-7000

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