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Section-C (Cs-Cy)

 

TEST NAME

CRYSTALS BODY FLUID

 See: BODY FLUID CRYSTALS

TEST NAME

CSF CULTURE +SUSECEPTIBILITY + SMEAR DIRECT

See: BODY FLUID CULTURE +SUSECEPTIBILITY + SMEAR DIRECT

POWERCHART NAME

DIFFERENTIAL CSF

MERCY TEST NAME

CSF DIFF

MERCY LAB CODE

CSFD

Comment: 
  • CSF Differential is included in Cell Count CSF if ≥ 6 WBC/mcl are present.
  • To be ordered by Regional Hospitals when they are doing the cell counts at their facility and want to refer the differential to Mercy.
Specimen: 
  • Send 2 cytocentrifuge prepared slides, unstained.
  • If a cytocentrifuge is not available, mix 1 drop of 22% albumin with 3-5 drops of CSF.  Place a drop on the slide and allow to air dry, do not spread. 
Stability: 1 hour room temp
Cause for rejection: 
  • Up to 40% of cells in CSF lyse within 1 hour after collection. 
  • It is not acceptable to send CSF fluid.
Performed: Within 8 hours of receipt.  Available stat.
Reference values: Age 
 0 - 1 year 
> 1 year 
Neutrophil  
0 - 8% 
0 - 6%
Lymphocyte
5 - 35%
40 - 80%
Monocyte
50 - 90%
15 - 45%
Method:   Microscopic exam of Wright stained smear.
CPT Code:   NA

 

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

TEST NAME

CSF ELECTROPHORESIS

See:  IGG index CSF*

 

TEST NAME

CSF:  Detection in other Body Fluids.

See:    

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

 

POWERCHART NAME

CS (Cardiac Surgery) PANEL

MERCY TEST NAME

CS PANEL

MERCY LAB CODE

CSPL

Comment:  Orderable only by Cardiac Surgery Personnel.
Includes:

Hemogram                             Glucose                          Ionized calcium
Potassium                              Sodium

Specimen:   2 ml whole blood from purple top tube AND 0.5 ml whole blood from green top (lithium heparin) tube without gel.
Reference value: See individual test entry
Method:  
  • Sodium, Potassium, Ionized calcium by direct ion selective electrode potentiometry.
  • Glucose by amperometrically.
  • Hemogram by automated cell counter.
CPT Code: 

85027     Hemogram
82947     Glucose
84132     Potassium
84295     Sodium
82330     Calcium, Ionized

 

POWERCHART NAME

CUTANEOUS IMMUNOFLUOR-BIOPSY

MERCY TEST NAME

CUTAN IMMU BIOP*

MERCY LAB CODE

CTMB

Specimen:    4 MM punch biopsy of recent lesion and small portion of normal tissue placed into Mayo's special transport media.
Comment: 

Fill out a pink Pathology/Dermatology Request Form and include patient's age, sex, diagnosis, biopsy site, sun exposure of specimen (exposed, unexposed) and involvement of specimen (perilesional, involved, uninvolved).

Processing: Send ambient to Mayo  with request form.  Mayo order code 8041.
Performed:  1 day.  Test set up Monday through Friday.
Reference value:   Descriptive report included.
Method:  Direct Immunofluorescence staining of cryostat prepared skin biopsy sections for IgG, IgM, IgA, C3, and Fibrinogen deposition.
CPT Code: 

88323 Cutan Imm Biop+*
88346 x5 Immuflr Stn Dir+*

 

POWERCHART NAME

CUTANEOUS IMMUNOFLUOR-SEROLOGY

MERCY TEST NAME

CUTAN IMMU SER*

MERCY LAB CODE

CUTS

Specimen:  2 ml serum from a SST or plain red top tube. Minimum 0.5 ml.
Processing;  Send ambient  to Mayo in a screw cap plastic vial.  Refrigerated or  frozen acceptable.  Mayo order code CIFS.
Performed:  2 days.  Test set up Monday through Friday.
Reference value:  

Negative in normal individuals.
Descriptive report is included if indicated.

Method: 

Detection of IgG anti-intercellular substance and anti-basement membrane zone (BMZ) antibodies by indirect immunofluorescence technique using Rhesus monkey esophagus substrate and human NaCl split-skin substrate.  Serum is tested for presence and titer of antibodies. Titer is obtained on monkey esophagus substrate, and pattern of BMZ fluorescence is determined on split-skin substrate.

CPT Code:  86255 x2

 

POWERCHART NAME

CYCLIC CITRULLINATED PEPTIDE ANTIBODY IgG

MERCY TEST NAME

CCP ANTIBODIES

MERCY LAB CODE

CCPAB

Specimen: 0.5 ml serum from a SST or plain red-top tube. Minimum volume 0.4 ml.
Processing:   Stable 7 days refrigerated.
Cause for rejection:  Gross Hemolysis, heat-inactivated, obvious microbial contamination, cadaver specimens, body fluids other than human serum. 
Performed:  Within 8 hours of receipt. 
Reference range: 0.0-5.0 U/mL
Method:   Chemiluminescent microparticle immunoassay.
CPT   86200

 

POWERCHART NAME

CYCLOSPORA STAIN

MERCY TEST NAME

CYCLOSPORIN STAIN (stool specimen required)

MERCY LAB CODE

CYSTN

Specimen: 

Submit only 1 of the following specimens:

Preserved stool:

  • Transfer enough stool specimen to bring the liquid level up to the fill line indicated on the  ECOFIX
    preservative.  DO NOT OVERFILL.
  • Mix thoroughly.  Pieces should be pea size or less.
  • Send ambient.

Unpreserved stool:

  • 5-10 gm of feces submitted in clean container with tight fitting lid.
  • Send refrigerated within 3 days of collection.
Comments:

Patient should avoid use of anti-diarrheal medication (ie, Ioperamide or Pepto-Bismol)

The presence of barium will interfere with this test.

Processing: 

Ambient transport for preserved specimen.  Refrigerated ok.
Refrigerated transport for unpreserved specimen.  Frozen acceptable.  Mayo  order code CYCL.

Performed:  1 day.  Test set up at Mayo Monday through Sunday.
Reference value:  Included in report
Method:  Safranin stain of stool concentrate.
CPT Code:   87015-Concentration
87207-Stain

  

POWERCHART NAME

CYCLOSPORIN LEVEL

MERCY TEST NAME

CYCLOSPORIN*

MERCY LAB CODE

CYCL

Comment: 
  • Occasionally patients will come in with orders to have their Cyclosporin sent to another reference Lab.
  • Follow the instructions the patient presents for specimen collection and transportation.
  • These patients have a “processing charge” ordered. 
  • Please include time and date of last dose.
Specimen:  3 ml EDTA (purple top) whole blood. Minimum 1 ml.  Do not spin down.
Processing:  Send refrigerated to Mayo.  Send specimen in original collection tube.  Mayo order code CYSPR.
Performed:  1 day.  Test set up at Mayo Monday through Sunday.
Reference value:  Included in report
Method:  High Performance Liquid Chromatography/Tandem Mass Spectrometry (Hplc-ms/ms)
CPT Code:   80158

 

TEST NAME

CYSTINURIA PROFILE, QUANT. 24 HR URINE

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Patient preparation:  Collect before IVP.
Specimen:  24 hour urine collection.  No preservative, keep refrigerated during collection.
Processing:
  • Send 5 ml from well mixed 24 hour collection, frozen to Mayo. Minimum 1 ml.  Mayo order code CYSQN. 
  • Include 24 hour urine volume.
Performed:  Monday through Friday at Mayo.
Conversion Formulas:

Result in mcmol/24 hours X 0.24 = result in mg/24 hours
Result in mg/24 hours X 4.17 = result in mcmol/24 hours

CPT Code:  82136

 

POWERCHART NAME

CYTOMEGALOVIRUS (CMB) ANTIBODY IgG & IgM 

MERCY TEST NAME

 CMV AB, IGG/IGM QN *

MERCY LAB CODE

CMVGM

Specimen:  1 ml of serum from a plain red-top gel tube.                                                                                                                       
Cause for rejection: Hemolysis and Lipemia.
Processing:  Send  refrigerated to Mayo. Frozen acceptable.  Mayo order code CMVP.
Performed:  Within 3 days from order. Monday through Saturday.
Reference Value: Included with test results.
Method:

Mulitplex Flow Immunoassay (MFI)

CPT Code: 

IgG 86644
IgM 86645

 

POWERCHART NAME

CYTOMEGALOVIRUS DNA DETECT AND QUANT

MERCY TEST NAME

CYTOMEGALOVIRU DNA*

MERCY LAB CODE

CMVQU

Specimen:

 2.5 mL of plasma from lavendar top (EDTA)

Processing:

 Send frozen to Mayo. Mayo CMVQU.

Performed:

 Within 3 days from order.  Monday through Saturday.

Reference
Value:

 Included in report.

Method:

CMVQU: Real-TIme Reverse Transcription Chain Reaction (RT-PCR)

CPT Code: 

87497

 

POWERCHART NAME

NEUTROPHIL CYTOPLASM ANTIBODY ID

MERCY TEST NAME

CYTOPLASMIC NEUT AB*

MERCY LAB CODE

ANCA

Comment: This test is used to monitor patients diagnosed with Wegener’s Granulomatosis. This test should not be mistaken for granulocyte antibodies.
Specimen:  0.5 ml serum from a SST tube or plain red top tube. Minimum 0.35 ml.
Comment: If p-ANCA or c-ANCA is positive, Myeloperoxidase Antibodies (Mayo order code MPO) and Proteinase 3 (mayo order code PR3) will be reflexed and charged per Mercy Medical Center - NI lab policy.  These reflex tests will only be added if not ordered initially.
Processing:  Send refrigerated to Mayo. Frozen acceptable.  Mayo order code ANCA.
Performed: 2-4 days.  Monday through Saturday; 11 a.m.
Reference value: 

Included in report.

CPT Code: 

86255 Screen
86256 Titer (If Appropriate)   83516 Myeloperoxidase antibodies (if appropriate)

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