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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 (order this for specimen not from OR10)

MERCY TEST NAME

CS PANEL

MERCY LAB CODE

CSPL

Comment:  Orderable only by Cardiac Surgery Personnel.  Used for specimens collected outside of the open heart surgery suite (OR10).
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

Cardiac Surgery Perfusion Perform (order only for specimens from OR10)

Comment:  Order only for specimens being performed while patient is in the open heart surgery suite (OR10).  Order is in the Surgery Express ORDER set.
Includes:

Blood Gas                             Glucose                          Ionized calcium
Potassium                            Sodium                           Hematocrit and calculated Hemoglobin

Reference value: Included with results.  Varies based on type of specimen.
Method:  

Direct electrochemical

CPT Code: 

82947     Glucose
84132     Potassium
82330     Calcium, Ionized
85014     Hematocrit
82805     Blood Gas w/ O2 Sat

 

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 IGG*

MERCY LAB CODE

CUT

Specimen:  2 ml serum from a SST or plain red top tube.
Processing;  Send refrigerated  to Mayo in a screw cap plastic vial.  Ambient or  frozen acceptable.  Mayo order code ( CIFS).
Performed:  2-7 days.  Test set up Monday through Friday; 7 a.m.-5 p.m.
Reference value:  

Included in report.

Method: 

Detection of IgG anti-intercellular substance (ICS) 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

 

TEST NAME

  CYTOMEGALOVIRUS (CMV), Molecular Detection, PCR,

MERCY TEST NAME

  MISC. GENERAL LAB

MERCY LAB CODE

CMIS

Specimen:               

 Must specify on requisition and specimen label, Cytomegalovirus, Molecular Detection, PCR,  Mayo test (LCMV). 

Fluid:
  •  Spinal, body, amniotic,ocular
  • 0.5 mL in sterile container
Respiratory:
  • Bronchial washing, bronchoalveolar lavage,nasopharyngeal aspirate or washing, sputum, trachael aspirate
  • 1.5 mL in sterile container
Genital:
  •  Cervix, vagina, urethra, anal/rectal, other genital sources
  • Culture swab.
Miscellanous:
  • Dermal, eye, nasal, saliva, throat
  • Culture swab
Tissue:
  •  Brain, colon, kidney, liver, lung, etc.
  • Entire collection of fresh tissue submitted in sterile container with 1 to 2 mL of sterile saline
Urine:
  • 1 mL random urine
  • In sterile container
Bone marrow:
  •  0.5 mL whole blood lavender top (EDTA)
Reference Value:

 Included in report.

Processing:

 Send all specimens refrigerated.  Mayo test (LCMV).

Method:

 Real-Time Polymersase Chain Reaction (PCR) / DNA Probe Hybridization

CPT Code: 

 87496

 

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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