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Section-C (Cs-Cy)
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POWERCHART NAME
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DIFFERENTIAL CSF
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MERCY TEST NAME
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CSF DIFF
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MERCY LAB CODE
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CSFD
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| 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.
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| 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
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POWERCHART NAME
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CS (Cardiac Surgery) PANEL
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MERCY TEST NAME
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CS PANEL
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MERCY LAB CODE
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CSPL
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| Comment: |
Orderable only by Cardiac Surgery Personnel. |
| Includes: |
Hemogram Glucose Ionized calcium
Potassium Sodium
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| 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.
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| CPT Code: |
85027 Hemogram
82947 Glucose
84132 Potassium
84295 Sodium
82330 Calcium, Ionized
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POWERCHART NAME
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CUTANEOUS IMMUNOFLUOR-BIOPSY
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MERCY TEST NAME
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CUTAN IMMU BIOP*
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MERCY LAB CODE
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CTMB
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| 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 #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+*
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POWERCHART NAME
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CUTANEOUS IMMUNOFLUOR-SEROLOGY
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MERCY TEST NAME
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CUTAN IMMU SER*
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MERCY LAB CODE
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CUTS
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| 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 #8052. |
| Performed: |
2 days. Test set up Monday through Friday. |
| Reference value: |
Negative in normal individuals.
Descriptive report is included if indicated.
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| 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.
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| CPT Code: |
86255 x2 |
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POWERCHART NAME
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CYCLIC CITRULLINATED PEPTIDE ANTIBODY IgG
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MERCY TEST NAME
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CCP ANTIBODIES
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MERCY LAB CODE
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CCPAB
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| 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 |
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POWERCHART NAME
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CYCLOSPORIN LEVEL
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MERCY TEST NAME
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CYCLOSPORIN*
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MERCY LAB CODE
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CYCL
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| 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.
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| Specimen: |
3 ml EDTA whole blood. Minimum 1 ml. Do not spin down. |
| Processing: |
Send refrigerated to Mayo. Frozen or ambient acceptable. Mayo #8931. |
| Performed: |
1 day. Test set up at Mayo Monday through Sunday. |
| Reference value: |
100 - 400 ng/ml. |
| Method: |
High Performance Liquid Chromatography/Tandem Mass Spectrometry (Hplc-ms/ms) |
| CPT Code: |
80158 |
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TEST NAME
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CYSTINURIA PROFILE, QUANT. 24 HR URINE
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MERCY TEST NAME
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MISC GENERAL LAB
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MERCY LAB CODE
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CMIS
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| 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 #8376.
- Include 24 hour urine volume.
|
| Performed: |
Monday through Friday at Mayo. |
| Reference values: |
CYSTINE
3 - 15 Years
> 16 Years
LYSINE
3 - 15 Years
> 16 Years
ORNITHINE
3 - 15 Years
> 16 Years
ARGININE
3 - 15 Years
> 16 Years |
11 - 53 mcmol/24hr
28 - 115 mcmol/24hr
19 - 140 mcmol/24hr
32 - 290 mcmol/24hr
3 - 16 mcmol/24hr
5 - 70 mcmol/24hr
10 - 25 mcmol/24hr
13 - 64 mcmol/24hr
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| 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
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| CPT Code: |
82136 |
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POWERCHART NAME
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CYTOMEGALOVIRUS (CMB) ANTIBODY IgG & IgM
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MERCY TEST NAME
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CMV AB, IGG/IGM QN *
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MERCY LAB CODE
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CMVGM
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| Specimen: |
0.5 ml of serum from a plain red-top or a serum gel tube. Minimum 0.4 ml. |
| Cause for rejection: |
Hemolysis and Lipemia. |
| Processing: |
Send refrigerated to Mayo. Frozen acceptable. Mayo #84420. |
| Performed: |
Within 3 days from order. Monday through Saturday. |
| Reference Value: |
Included with test results. |
| Method: |
IgM Enzyme-Linked Flouresence Assay (ELFA).
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| CPT Code: |
IgG 86644
IgM 86645
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POWERCHART NAME
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CYTOMEGALOVIRUS PCR QUANTITATIVE
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MERCY TEST NAME
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CYTOMEGALOVIRUS QN*
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MERCY LAB CODE
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QCMV
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| Specimen: |
1 mL of plasma from lavendar top (EDTA) |
| Processing: |
Send refrigerated to Mayo. Frozen acceptable. Mayo QCMV. |
| Performed: |
Within 3 days from order. Monday through Saturday. |
| Reference Value: |
Included with test results. |
| Method: |
Real-Time Polymerase Chain Reaction (PCR) DNA Probe Hybridization
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| CPT Code: |
87497
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POWERCHART NAME
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NEUTROPHIL CYTOPLASM ANTIBODY ID
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MERCY TEST NAME
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CYTOPLASMIC NEUT AB*
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MERCY LAB CODE
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ANCA
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| 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 is positive, Myeloperoxidase Antibodies (Mayo 80389 / MPO) will be reflexed and charged per Mercy Medical Center - NI lab policy. |
| Processing: |
Send refrigerated to Mayo. Frozen acceptable. Mayo ANCA. |
| Performed: |
2-4 days. Monday through Saturday; 11 a.m. |
| Reference value: |
Included in report.
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| CPT Code: |
86255 Screen
86256 Titer (If Appropriate) 83516 Myeloperoxidase antibodies (if appropriate)
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