Print    Email
Decrease (-) Restore Default Increase (+)

Section-F (Fr-Fz)

POWERCHART NAME

FRACTIONAL EXCRETION SODIUM

MERCY TEST NAME

FRACT EXCRET SODIUM

MERCY LAB CODE

VFES

Includes:   Includes random urine sodium, random urine creatinine, and Fractional Excretion Sodium Interpretation..
Comment:  Lab will place an order for a SERUM Sodium and SERUM Creatinine when the urine specimen is received in the Lab.  The serum specimen must be collected within 1 hour of the random urine collection.
Specimen:  Random urine specimen plus 1 ml serum from a SST or PST tube.  Blood specimen must be collected within 1 hour of urine specimen.
Processing:  Aliquot 1-5 ml urine.
Performed: Within 8 hours of receipt.
Reference value: 

Interpretation table is included with results. Calculations are based on Urine Sodium, Urine Creatinine, Serum Sodium and Serum Creatinine.

Method: Refer to individual test entry.
CPT Code:

84300  Sodium Ur+
82570  Creat R UR

 

TEST NAME

FRACTIONATED ALKALINE PHOSPHATASE

See:   Alkaline Phosphatase Isoenzymes

 

TEST NAME

FRACTIONATED ENZYMES

Contact the physician for specific enzymes to be fractionated and order specific test.

 

TEST NAME FRAGILE X STUDIES See:  Fragile X, Molecular Analysis
Comment:

Fragile X, Molecular Analysis is useful for documentation of carrier status and prenatal diagnosis of fragile X syndrome. Prior consulation with a medical geneticist is recommend.

 

POWERCHART NAME CHROMOSOME STUDY FRAGILE X
MERCY TEST NAME

FRAG X MOL ANLYS*  

MERCY LAB CODE

FXMA

Specimen: 

10 ml EDTA whole blood from purple top tubes or 2 yellow ACD tubes. Minimum 1 ml.  Draw as much as possible, as Mayo preserves some for more testing, and also for repeat testing.

NOTE:  Amniotic fluid and chorionic villus may also be tested.  DO NOT collect these specimens before consultation with Mayo Medical Laboratories.  Complete collection instructions are found in the Mayo catalog. Call the Lab for a copy of these instructions.

Comment:

Useful for documentation of carrier status and prenatal diagnosis for fragile X syndrome.
Prior consultation with a medical geneticist is recommended.

Processing:
  • Send whole blood.  DO NOT CENTRIFUGE!
  • Samples should arrive at Mayo within 72 hours of collection. 
  • Reason for referral and relevant clinical and family information must be submitted with specimen. 
  • Complete a Molecular Genetics Information sheet and Genetics request form and send with specimen. 
  • Send at room temperature ONLY.  Mayo order code FXPB.
Performed:  14 days.  Test set up Monday.
Method: Direct Mutation analysis by Southern Blot and Polymerase Chain Reaction (PCR).
CPT Code: 

81243

 

TEST NAME

FRAGILE X SYNDROME: MOLECULAR & CHROMOSOME ANALYSIS

Can be ordered as these two tests   1.  Fragile X Syndrome, Molecular Analysis (FXMA)
                                                                     2.  Chromosome Analysis, for Congenital Disorders, Blood (CHRC)

 

TEST NAME

FREE DILANTIN

See:  Phenytoin Total & Free

 

TEST NAME

FREE LIGHT CHAIN

See: Immunoglobulin Free Light Chain

 

POWERCHART NAME

FROZEN PLASMA ORDER SET

MERCY TEST NAME

FFP FOR INFUS

MERCY LAB CODE

TFFP

Specimen:  EDTA plasma in a pink or purple top tube.  MRN must be checkmarked.
Use: Usage is indicated in the treatment of clotting factor deficincies.
Comment:
  • Use one order for up to 6 units.
  • In Powerchart, if plasma is needed "STAT", in the "Transfusion Priority" drop down select "STAT".
  • In Powerchart, if plasma is needed for a FUTURE DATE and TIME, in the "Transfusion Priority" drop down select "TIMED" and select future date and time to when you want the infusion.
  • If blood type has not been ordered for the episode, order "ABO+Rh(D) Blood Typing" 
  • Indicate number of units in the units ordered field. 
  • Allow 6 minutes thawing time for each unit ordered of FFP.
  • If FFP is for routine use, the process to receive a unit is to send the "Blood Product Request" slip when the unit is ready to be transfused.  When the request form is received the product will be thawed and the blood bank will call the requesting location to tell them the product is ready to be picked up.
  • During Massive Transfusion or Emergency Release, units will automatically be thawed according to orders.
Processing:

Give group specific or compatible disregarding Rh. Refer to procedure if specific group is unavailable. 

Performed:  Available stat.
Method:  Thawed
CPT Code: 86927 FFP (Admin) (1 for each unit)
P9017  FFP (Proc)*  (1 for each unit)

 

TEST NAME

FROZEN SECTION TISSUE EXAMINATION

Includes:  Tissue Exam Gross and Microscopic.
Comment:

Complete manual Pathology Specimen requisition form and Frozen Section Consultation requisition.
Pre-op diagnosis, patient history, and specimen source must be included. 
When sending breast biopsy for frozen section, please forward appropriate mammogram.

Specimen: 

Tissue specimen, fresh,  without formalin.

Reference Lab Clients:
Fresh tissue specimen (no formalin) must be kept on ice and transported to Mercy Histology Lab immediately. Notify the Histology Lab (641-428-7486) that the specimen is coming.

Performed: 

Pathologist report will be called to the physician within 15 minutes of receipt.

Reference Lab Clients:
Pathologist report will be called and faxed.

Reference value:  Interpretation will be provided.
Method:  Pathologist microscopic evaluation
CPT Code: 

88331 Frozen/Consult
88332 Frozen Additional

 

POWERCHART NAME

FSH LEVEL (FOLLICLE STIMULATING HORMONE LEVEL)

MERCY TEST NAME FSH MERCY LAB CODE FSH
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 green top tube.
Stability: 8 hours room temperature, 48 hours refrigerated, freeze if >48 hours.
Cause for rejection: Grossly hemolyzed specimens unacceptable.
Processing: 

 Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 48 hours of collection.

Performed: 

Within 8 hours of receipt.

REFERENCE VALUE MALE TABLE: 

Male

Age

Reference Range

 

1-7 days

<3.0 mIU/mL

 

8-15 days

<1.4

 

6 days to 3 years

<2.5

 

4-6 years

<6.7

 

7-8 years

<4.1

 

9-10 years

<4.5

 

11 years

0.4-8.9

 

12 years

0.5-10.5

 

13 years

0.7-10.8

 

14 years

0.5-10.5

 

15 years

0.4-18.5

 

16 years

<9.7

 

17 yearss

2.2-12.3

 

>18 years

1.0-18.0

 

 

 

 

Tanner Stage

Reference Range

 

        I

<3.7

 

        II

<12.2

 

        III

<17.4

 

        IV

0.3-8.2

 

        V

1.1-12.9

 

Puberty onset occurs for boys at a median age of 11.5 (+/- 2) years.  For boys, there is no proben relationship between puberty onset and body weight or ethnic origin.  Progression through tanner stages is variable.  Tanner stage V (adult) should be reached by age 18.

REFERENCE VALUE FEMALE TABLE:

Female

Age

Reference Range

 

1-7 days

<3.4

 

8-15 days

<1.0

 

16 days – 6 years

<3.3

 

7-8 years

<11.0

 

9-10 years

0.4-6.9

 

11 years

0.4-9.0

 

12 years

1.0-17.2

 

13 years

1.8-9.9

 

14-16 years

0.9-12.4

 

17 years

1.2-9.6

 

>/= 18 years

Premenopusal
    Follicular:  3.9-8.8
    Midcycle:  4.5-22.5
    Luteal:  1.8-5.1
Postmenopausal:  16.7-113.6

 

 

 

 

Tanner Stages

Reference Ranges

 

    I

0.4-6.7

 

    II

0.5-8.7

 

    III

1.2-11.4

 

    IV

0.7-12.8

 

    V

1.0-11.6

 

Puberty onset (transition from Tanner stage I to Tanner stage II) occurs for girls at a median age of 10.5 (+/- 2) years.  There is evidence that it may occur up to 1 year earlier in obese girls and in African-American girls.  Progression through Tanner stages is variable.  Tanner stage V (adult) should be reached by age 18.

Method:  Sandwich Immunoassay, chemiluminescent
CPT Code: 83001

 

TEST NAME

FSP

     See:   FDP Serum
                FDP Urine  

 

 TEST NAME

FTA ABSORBED, FT-ABS, or FTA-ABS

MERCY LAB CODE

see: SYPHL

 

POWERCHART NAME

FUNGUS CULTURE + DIRECT PREP

MERCY TEST NAME

FUNGUS CLT/DIR PR  

MERCY LAB CODE

FUNG

Order: 

Specify site when ordering. 

Specimen:

To prevent aerolization, specimens must be submitted in a sterile container with a TIGHT fitting screw top lid.  Culturettes must be capped snugly.  Submit according to the following guidelines:

  1. Body fluid:  5 ml minimum. Collect in sterile screw-capped vial.
  2. Bone marrow aspirate: 1.5 ml in small Wampole Isolater tube.
  3. Bone marrow biopsy:  Transport in a sterile screw-capped container with 1 ml sterile normal saline.
  4. Bronchus washings/brushings:  5 ml minimum. Collect in sterile screw-capped vial. 
  5. Corneal scraping or donor cornea:  Ophthalmologist is to collect and plate.  Contact Microbiology for media.
  6. Ear:  Collect sample on a routine culturette.
  7. Hair:  Collect hair and base of shaft in screw-capped vial.
  8. Nail cuttings: Submit cuttings in a screw-capped vial.
  9. Skin scrapings: Submit scrapings in a sterile screw-capped container.
  10. Sputum:  5 ml minimum. Collect in a screw-capped vial.
  11. Stool:  Freshly passed specimen. Submit specimen in a screw-capped vial.
  12. Tissue: Place tissue in 1-2 mL sterile saline in a screw-capped vial.
  13. Urine: 25-50 ml of clean catch, first morning specimen. Submit urine in a sterile screw-capped vial. Catheterized and suprapubic specimens are also acceptable.

RL Client Comments:

  • Write FUNGUS CULTURE on order form. Indicate specimen source.
  • Send specimens at room temperature to Mercy lab.

Performed:

Direct preparation:  1 day
Preliminary report:  2,3 weeks
Final report: 4 weeks

Reference value: 

Direct exam:  No yeast or hyphal elements seen.
Culture: No fungus isolated.

Method:

Standard culture techniques

CPT Codes: 

87205 Gram Stain
87102 Fungus Clt

 

POWERCHART NAME

CULTURE IDENTIFICATION FUNGUS

MERCY TEST NAME

FUNGAL ID

MERCY LAB CODE

FNID

Specimen:

Submit each yeast or fungus to be identified on a separate plate. 1 yeast or fungus per request.

RL Client Comments:

  1. Write FUNGAL IDENTFICATION on the order form. Indicate the source of the specimen.
  2. Send the culture plates sealed and at room temperature to Mercy lab.

Method:

Standard Culture Techniques.

CPT Code:

87102

 

FUNGAL SURVEY, FUNGAL ANTIBODY PANEL - Discontinued 05/06/14 by Mayo Laboratories.  Please refer to the April 2014 Lab Links for more details.  The following tests can be ordered individually. 

 

 

©  2014 

 Mercy Medical Center-North Iowa | 1000 4th Street SW Mason City, IA 50401 | 641-428-7000

                                   Follow Me on Pinterest   Google+