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Section-H (Hepatic - Hy)

POWERCHART NAME

HEPATIC FUNCTION PANEL

MERCY TEST NAME

HEPATIC FUNCTION PNL

MERCY LAB CODE

HFPL

Includes:

Albumin              Alkaline Phosphatase ALT
AST                      Bilirubin: Total, Direct, Indirect                        
Total Protein      A/G Ratio

Comment: If a Comprehensive Metabolic Panel and Hepatic Function Panel are ordered at the same time, Lab will change the order to a Basic Metabolic Panel and Hepatic Function Panel to meet compliance regulations regarding duplicate tests.
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: Na heparin plasma, serum from a plain red top tube.

 Stability:

8 hours room temperature, 48 hours refrigerated, freeze if >48 hours.
Performed: Within 8 hours of receipt.  Available stat.
Reference value:  See individual test entry
Method:  See individual test entry
CPT Code:  80076

 

TEST NAME

HEPATIC PANEL

See: Hepatic Function Panel  

 

HEPATITIS TESTING OPTIONS
HEPATITIS ACUTE PANEL See: HPACUT
HEPATITIS CHRONIC/UNKNOWN PANEL See: HPCHRN
HEPATITIS EMPLOYEE EXPOSURE PANEL See:HPCHRN
HEPATITIS PREVIOUS PANEL Order:  HPCHRN + HAVG
HEPATITIS A IgM ANTIBODY See: HAVMAB or HPACUT
HEPATITIS A Total Antibody See: HAVG
HEPATITIS B CORE, IgM ANTIBODY See: HBCMAB or HPACUT
HEPATITIS B CORE, TOTAL ANTIBODY See: HPCHRN or HBCTAB
HEPATITIS B SURFACE ANTIBODY (vaccine immunity) See: HPBSAB or HPCHRN
HEPATITIS B SURFACE ANTIGEN See: HBSA or HPACUT or HPCHRN
HEPATITIS C ANTIBODY See: HCVAB or HPACUT or HPCHRN
HEPATITIS C RIBA*

See: HCVRNA

HEPATITIS C RNA QUANT* See: HCVRNA
Call Laboratory (extension 87499) for additional infomation or details.

 

POWERCHART NAME

HEPATITIS A (HAAb) IgM ANTIBODY

MERCY TEST NAME

HEPATITIS A IgM AB

MERCY LAB CODE

HAVMAB

Specimen:  1 ml serum from SST tube. Centrifuge within 6 hours of collection. 
Stability: 7 days refrigerated.
Included in: Hepatitis Acute Panel or may be ordered separately.
Cause for rejection:

The following samples are unacceptable and will not be tested;   heat treated, hemolyzed, cadaveric specimens, body fluid other than serum or plasma.

Processing:

Frozen specimens or specimens containing fibrin, red cells, or other particulate matter must be transferred and centrifuged for 10 minutes before testing.

Performed:  

Within 8 hours of receipt. Available stat.

Reference value: 

Not Detected

Method: Chemiluminescent Microparticle Immunoassay
CPT Code:

86705

 

POWERCHART NAME

HEPATITIS A ANTIBODY TOTAL

MERCY TEST NAME

HEPATITIS A TOTAL AB

MERCY LAB CODE

HAVG

Specimen:  2 ml serum from SST tube. 
Cause for rejection:

Mild to gross hemolysis is unacceptable and will not be tested    

Comment:

 Mayo HAV.

Processing:

Freeze aliquot.

Performed:  

Monday through Saturday

Reference value: 

Included with test results.

Method: Chemiluminescence Immunoassay
CPT Code:

86708

 

POWERCHART NAME

HEPATITIS ACUTE PANEL

MERCY TEST NAME

HEPATITIS ACUTE

MERCY LAB CODE

HPACUT

Includes:

Hepatitis B Surface Antigen, Hepatitis B Core IgM Antibody, Hepatitis C Antibody, Hepatitis A Antibody IgM

Specimen:  4 ml serum from a SST tube.  Centrifuge within 6 hours of collection.
Stability: 24 hours refrigerated, freeze if >24 hours.
Cause for rejection:

The following samples are unacceptable and will not be tested; heat treated, hemolyzed, heparinized, cadaveric specimens, body fluids other than serum and plasma.

Processing:

Frozen specimens or specimens containing fibrin, red cells, or other particulate matter must be transferred and centrifuged for 10 minutes before testing.

Performed:  

Within 8 hours of receipt.  Available stat. 

Comment:
  • If Hepatitis B Surface antigen is detected, specimen will be forwarded to Mayo Medical Laboratories for additional testing. Mayo code HBAG, HBGNT if appropriate.
  • If Hepatitis C is detected, Confirmatory hepatitis C virus, RT-PCR will be performed and charged.
  • Ordering Acute and Chronic Hepatitis Profile will result in duplication of tests.  Order Chronic Hepatitis Profile and add HAVMAB and HBCMAB to include both acute and chronic profiles.
Reference value: 

Hepatitis B Surface Antigen - Not Detected
Hepatitis A Antibody, IgM Antibody - Not Detected
Hepatitis B Core, IgM Antibody - Not Detected
Hepatitis C Antibody - Not Detected

Method: Chemiluminescent Microparticle Immunoassay
CPT Code:

80074 Acute profile
87341 HBGNT (if appropriate)
87522 HCV Confirmatory (if appropriate)

 

POWERCHART NAME

HEPATITIS B CORE TOTAL ANTIBODY

MERCY TEST NAME

Hepatitis B Core Total Antibody

MERCY LAB CODE

HBCTAB

Specimen: 

0.5 ml serum from a SST tube. 

Stability: 7 days refrigerated.
Included in: Hepatitis Chronic Profile or is available separately.
Cause for rejection:

The following samples are unacceptable and will not be tested; heat treated, hemolyzed, cadaveric specimens, body fluids other than serum or plasma.

Processing:

Frozen specimens or specimens containing fibrin, red cells, or other particulate matter must be transferred and centrifuged for 10 minutes before testing.

Performed:  

Within 8 hours of receipt.  Available stat. 

Reference value: 

Not Detected

Comment:

If Hepatitis B Core Total Antibody is detected, Hepatitis B Core, IgM Antibody will be performed and charged.

Method: Chemiluminescent Microparticle Immunoassay
CPT Code:

86704- HBCTAB
86705-HBCMAB (if appropiate)

 

POWERCHART NAME

HEPATITIS CHRONIC PROFILE

MERCY TEST NAME

HEPATIT CH UK*

MERCY LAB CODE

HPCHRN

86706Includes:

Hepatitis B Surface Antigen, Hepatitis B Surface Antibody, Hepatitis C Antibody, Hepatitis B Core Total Antibody

Specimen: 4 ml serum from a SST tube.  Centrifuge within 6 hours of collection. 
Stability: 24 hours refrigerated, freeze if >24 hours.
Cause for rejection:

The following samples are unacceptable and will not be tested; heat treated, hemolyzed, heparinized.

Processing:

Frozen specimens or specimens containing fibrin, red cells, or other particulate matter must be transferred and centrifuged for 10 minutes before testing.

Performed:

Within 8 hours of receipt.  Available stat. 

Comment
  • If Hepatitis B Surface antigen is detected, specimen will be forwarded to Mayo Medical laboratories for additional testing Mayo code HBAG, HBGNT if appropriate.
  • If Hepatitis C is detected, Confirmatory hepatitis C virus, RT-PCR will be performed and charged.
  • Ordering Acute and Chronic Hepatitis Profile will result in duplication of tests.  Order Chronic Hepatitis Profile and add HAVMAB and HBCMAB to include both acute and chronic profiles.
Reference value: 

Hepatitis B Surface Antigen - Not Detected  
Hepatitis C Antibody - Not Detected
Hepatitis B Core Total Antibody - Not Detected
Hepatitis B Surface Antibody - Detected - Indicates immunity or exposure of HBV, Not Detected - No immunity to HBV

Method: Chemiluminescent Microparticle Immunoassay
CPT Code:

87340 - HBSA
87341 - HBGNT (if appropriate)
86803 - HCVAB
87522 - HCVRNA (if appropriate)
86704 - HBCTAB
86705 - HBCMAB (if appropriate)
86706 - HPBSAB

  

POWERCHART NAME

HEPATITIS EMPLOYEE EXPOSURE PANEL

MERCY TEST NAME

HEPATITIS SRV

MERCY LAB CODE

see HPCHRN

Comment:
  1. No longer available
  2. Post exposure testing on employees and source patients must be on manual requisition form from Mercy Employee Health.  See HPCHRN for hepatitis testing information.

 

POWERCHART NAME

HEPATITIS B SURFACE ANTIGEN

MERCY TEST NAME

HEPATITIS B SURF Ag

MERCY LAB CODE

HBSA

Specimen:

2 ml serum from a SST tube. Centrifuge within 6 hours of collection. 

Stability: 48 hours refrigerated, freeze if >48 hours.
Included in: 

Prenatal Profile, Hepatitis Acute Panel, Hepatitis Chronic/Unknown Panel, or may be ordered separately.

Cause for rejection: The following samples are unacceptable and will not be tested; heat treated, hemolyzed, heparinized, cadaveric samples, body fluids other than serum or plasma.
Comments:
  1. If Hepatitis B Surface Antigen is detected, specimen will be forwarded to Mayo Medical Laboratories for additional testing. Mayo code - HBAG, HBGNT if appropriate.
  2. Performance has not been established for newborns, cord blood, body fluids.
Processing:

Frozen specimens or specimens containing fibrin, red cells, or other particulate matter must be transferred and centrifuged for 10 minutes before testing.

 Performed:   Within 8 hours of receipt.  Available stat. 
Reference value: Not detected.
Method: Chemiluminescent Microparticle Immunoassay
CPT Code:  

87340 HBSA
87341 HBGNT (If appropriate)

 

POWERCHART NAME

HEPATITIS B SURFACE ANTIBODY

MERCY TEST NAME

HEPATITIS ANTI HBS

MERCY LAB CODE

HPBSAB

Comment: 
  1. Test to detect immunity from vaccination and/or exposure to HBV
  2. Includes quantification of antibody.
Specimen: 1 ml serum from a SST tube.   Centrifuge within 6 hours of collection. 
Stability; 7 days refrigerated.
Cause for rejection: The following samples are unacceptable and will not be tested; heat treated, hemolyzed, cadaveric specimens, body fluids.
Included in: Hepatitis Acute Panel, Hepatitis Chronic/Unknown Panel, or may be ordered separately.
Processing: 

Frozen specimens or specimens containing fibrin, red cells, or other particulate matter must be transferred and centrifuged for 10 minutes before testing.

Performed:    Within 8 hours of receipt.  Available stat. 
Reference value:

>12.00 mIU/mL - Indicates immunity or exposure to HBV

Method:  Chemiluminescent Microparticle Immunoassay
CPT Code: 86706

 

POWERCHART NAME

HEPATITIS B CORE IgM ANTIBODY

MERCY TEST NAME

HEP B CORE IgM AB

MERCY LAB CODE

HBCMAB

Specimen: 

1 ml serum from a SST tube. 

Stability:  48 hours refrigerated, freeze if>48 hours.
Included in: Hepatitis Acute Panel or may be ordered separately.
Cause for rejection: The following samples are unacceptable and will not be tested; heat treated, hemolyzed, cadaveric specimens or body fluids other than serum or plasma.
Processing: 

Frozen specimens or specimens containing fibrin, red cells, or other particulate matter must be transferred and centrifuged for 10 minutes before testing.

Performed: Within 8 hours of receipt.  Available stat. 
Reference value: Not Detected
Method: Chemiluminescent Microparticle Immunoassay
CPT Code: 86705

 

POWERCHART NAME

HEPATITIS C ANTIBODY

MERCY TEST NAME

HEPATITIS C AB

MERCY LAB CODE

HCVAB

Specimen: 

3 ml serum from a SST tube.   Centrifuge within 6 hours of collection. 

Stability: 24 hours refrigerated, freeze if >24 hours.
Included in: Hepatitis Acute Panel, Hepatitis Chronic/Unknown Panel,  or may be ordered separately.
Cause for rejection: The following samples are unacceptable and will not be tested; heat treated, hemolyzed, cadaveric specimens, or body fluids other than serum or plasma.
Comment: Confirmatory Hepatitis C Virus, RT-PCR (Mayo # 83142) will be performed and charged when screen is positive.
Processing: 

Frozen specimens or specimens containing fibrin, red cells, or other particulate matter must be transferred and centrifuged for 10 minutes before testing.

Performed:  Within 8 hours of receipt.  Available stat. 
Reference value: Not Detected
Method: Chemiluminescent Microparticle Immunoassay

CPT Code:

86803
87522 (If Appropriate)

 

TEST NAME

HEPATITIS C ANTIBODY CONFIRMATION (RIBAC)

No longer available.  Mayo recommends ordering HCVQU     HEPATITIS C ANTIBODY CONFIRMATION (HCVRNA)

 

POWERCHART NAME

HEPATITIS C RNA (QUANT)

MERCY TEST NAME

HCV RNA DETECT/QN*

MERCY LAB CODE

HCVRNA

Specimen: 1.5 ml serum from a SST tube.  Minimum 0.8 ml.
Comment:  

This test is intended to be used to monitor known HCV positive infections.
This test is not intended for primary detection of HCV infections.
If Mercy's Hepatitis C antibody is positive this test is reflexed and referred to Mayo at an additional charge.

Processing: 
  • Spin down.  Remove serum within 6 hours of draw, and put in a screw-capped, plastic vial. 
  • Send frozen to Mayo.  Refrigerated 24 hours acceptable.  Mayo HCVQU.
Performed:   Monday through Saturday; 7 a.m..-4 p.m.
Reference Value: Included with results.
Method:  Real-Time PCR + TaqMan probe hybridization (Cobas AmpliPrep/Cobas TaqMan HCV Test,[version 2.0])
CPT Code:  87522

 

TEST NAME

HEPATITIS PREVIOUS PANEL

ORDER:  HPCHRN + HAVG

 

POWERCHART NAME

DERMAL, Herpes Simplex & Herpes (Varicella) Zoster 

MERCY TEST NAME

DERMAL, Herpes Simplex Virus & Varicella Zoster Virus, DNA Detection by PCR

MERCY LAB CODE

CMIS

Order:

Specify site when ordering.

Specimen:

  • Collect lesion/dermal specimens using a routine culturette (culture swab). 
  • Refrigerate specimen immediately. 

Comments:

Calcium alginate tipped swabs, wooden swabs, or culture transport media containing gel is not acceptable.

RL Client Comments:

  1. Write DERMAL HSV/VZV (Mayo LHSVZ ) on order form. Indicate specimen source.
  2. Send specimen refrigerated to Mercy lab.

Processing:

Send refrigerated to Mayo.  Frozen acceptable. Mayo LHSVZ

Performed:

1 day, test setup Monday through Sunday.

Reference value:

Negative.
Positive HSV1, HSV2, or VZV will be reported

Method:

Detection of HSV and VZV by LightCycler PCR

CPT Code:

87529 HSV1 and HSV2
87798 VZV

 

POWERCHART NAME

HERPES SIMPLEX PCR    

MERCY TEST NAME

 HERPES BY PCR*         

MERCY LAB CODE

HSVPCR

Genital Specimens:

Collect cervix, rectum, urethra, vagina, or other genital sites on a routine culturette (culture swab).   Send refrigerated.  DO NOT USE CALCIUM ALGINATE OR TRANSPORT SWABS CONTAINING GEL.

Dermal Specimens:

See test DERMAL, HERPES SIMPLEX & HERPES (VARICELLA) ZOSTER
(Mayo does this combo on all dermal specimens)

Ocular Specimens:

Collect Ocular specimen on a routine culturette (culture swab).  Send refrigerated.  DO NOT USE CALCIUM ALGINATE OR TRANSPORT SWABS CONTAINING GEL.

Body Fluid or Spinal Fluid:

  • Send 0.5 ml of fluid in a sterile, screw-capped container.  Minimum 0.3 ml. 
  • Send refrigerated.

Respiratory Specmens:

  • Send 1.5 ml of bronchial washing, bronchoalveolar lavage, nasopharyngeal aspirate or washing, sputum, or tracheal aspirate in a sterile, screw-capped container. Minimum 1.0 ml. 
  • Send refrigerated.

Throat Swabs:

Collect the specimen on a routine culturette (culture swab).  Send refrigerated.  DO NOT USE CALCIUM ALGINATE OR TRANSPORT SWABS CONTAINING GEL.

Tissue:

Send tissue from a brain, colon, kidney, liver, lung, etc. in a sterile, screw-capped container containing 1.0 to 2.0 ml sterile saline.  Send refrigerated.

RL Client Comments:

  1. Mark Herpes Simplex Culture on RL order form. Indicate source.
  2. Send the specimen refrigerated to Mercy lab.

Processing:

Send refrigerated. Mayo  LHSV.

Performed:

Monday- Saturday
Results available 3 days from collection

Method:

Real-Time Polymerase Chain Reaction

CPT Code:

87529

  

POWERCHART NAME

HERPES SIMPLEX TYPE I AND TYPE II ANTIBODIES

MERCY TEST NAME

HSV TYPES 1 & 2 AB*

MERCY LAB CODE

HSVT12

Specimen:

1.0 ml serum from a plain red-top or serum gel tube.

Processing:

Specimen should be aliquoted and sent refrigerated.  Mayo  order code HSV.

Reference Range:

Included in report.

 Performed:

 Monday - Saturday; 9 a.m.
Results available 1-2 days from collection.

 Method

 HS2G and HS1G: Multiplex Flow Immunoassay
MHSV Enzyme Immunoassay (EIA)
HSMR:Immunofluorescence Assay (IFA)

CPT Code:

86695 HSV IgG Type 1
86696 HSV IgG Type 2
86694 HSV Ab Screen IgM, by EIA (if appropriate)
86694 HSV Ab, IgM, by IFA (if appropriate)

 

TEST NAME

HERPES SKIN SCRAPING FOR CYTOLOGY

See: Cytology Section Tzanck Smear

 

TEST NAME

HERPES ZOSTER TITER

See: Varicella Zoster

 

TEST NAME

HETEROPHILE TITER

See:  Monoscreen

 

TEST NAME

HG LEVEL

See:  Mercury*

 

POWERCHART NAME

HIAA-5 HYDROXYINDOLE ACETIC ACID URINE

MERCY TEST NAME

HIAA 5 24UR*

MERCY LAB CODE

HIAA

Patient preparation:

For 48 hours before starting the 24-hour collection and during the collection do not eat any of the following: avocados, bananas, butternut, cantaloupe, dates, eggplant, hickory nut, grapefruit, honeydew melon, kiwi fruit, pecans, pineapples, plantain, plums, tomatoes and walnuts.

Specimen:
  • 24-­hour urine collection. 
  • Before start of collection, add 25 ml 50% acetic acid preservative (15 ml for children
  • Refrigerate during collection.
Processing: 
  • Aliquot 5 ml into a 13 mL urine tube and indicate total 24-hour volume.  Minimum 3.5 ml.
  • Adjust pH to 2.0-4.0 with 50% acetic acid. 
  • Send refrigerated to Mayo. Frozen acceptable. Mayo order code HIAA.
Performed:   2 days.  Test set up Monday through Friday.
Reference value: included with report
Method:  Liquid Chromatography-tandem mass spectrometry (LC-MS/MS)
CPT Code:   83497

 

TEST NAME

HIGH DENSITY LIPOPROTEIN

See:    HDL Cholesterol

 

TEST NAME

HIGH SENSITIVE CRP

See:    CRP Sens  (cardiac)

 

POWERCHART NAME

HISTOPLASMA ANTIBODY SCREEN

MERCY TEST NAME

HISTOPLASMA ANTBDY               

MERCY LAB CODE

HSTAB

Specimen:

0.7 ml serum from plain red top tube, gel tube acceptable

Processing: Send to Mayo refrigerated.  Frozen is acceptable.  Mayo order code SHSTO.
Performed: 1 day.  Monday through Friday.
Reference value:  Included in report.
Method: Complement Fixation (CF)/ Immunodiffusion
CPT Code: 

86698x3

 

TEST NAME

HIT SCREEN   (Performed at Mercy)

See:   Heparin Induced Thrombocytopenia Screen

 

TEST NAME

HIT PF4  (Sent To Mayo)

See:   Heparin PF4 AB

 

POWERCHART NAME

HIV 1 HIV 2 ANTIBODY HIV 1 p24 ANTIGEN

MERCY TEST NAME

HIV                 

MERCY LAB CODE

HIV

Specimen:
  • Preferred: 2 ml serum from a SST tube. 
  • Also acceptable: lithium heparin plasma, Na heparin, or EDTA plasma.  (NOTE:  Serum is needed if confirmatory testing is indicated.  Mayo only accepts serum samples for confirmatory testing.)
Stability: 7 days refrigerated.
Cause for rejection:

Cord blood is not an acceptable specimen for HIV testing.  The mother's serum should be tested.

The following samples are unacceptable and will not be tested; heat treated, grossly hemolyzed.

Comment:
  1. If this initial HIV testing is reactive, then laboratory will place an order for Sunquest code HIVE - HIV 1  HIV 2 Antibody Evaluation, which is performed at Mayo Medical Laboratories at an additional charge. Possible reflex testing includes: HIV 1 Ab Confirmation by IFA, HIV 2 Ab Evaluation, HIV 2 Ab Confirmation, and HIV 1, HIV 2 Ab Confirmation Evaluation by Western Blot.
  2. HIV is included in the Prenatal Profile with HIV test (PNP)
Performed: Within 8 hours of receipt.  Available stat.
Reference value:  HIV1 p24 antigen and HIV1/ HIV2 antibodies not detected.
Method: Chemiluminescent Microparticle Immunoassay

 

 

CPT Code: 

87389-HIV-1 and HIV-2 Antibody, HIV 1 p24 Antigen single assay.

86703-HIV-1 HIV-2 antibody evaluation (if appropriate)
86689-HIV-1 HIV-2 confirmation by Western blot (if appropriate)
86689-HIV-1 confirmation by immunofluorescence (if appropriate)
86689-HIV-2 confirmation (if appropriate)
86702-HIV-2 antibody evaluation (if appropriate)

 

 

 

POWERCHART NAME

HIV OCCUPATION EXPOSURE

(Performed on Source Patient ONLY)

MERCY TEST NAME

HIVSRV            

MERCY LAB CODE

 HIVS

Specimen:
  • Preferred: 2 ml serum from a SST tube. 
  • Also acceptable: lithium heparin, Na heparin, or EDTA plasma.

  • This test is designed to be done on the SOURCE patient only, following an exposure (blood and/or body fluids). The source patient is not required to sign an informed consent when an exposure has occurred, but should be informed that testing will be taking place. Orders need to be sent on a manual form.

    Autopsy specimens are sent to UHL-order HIVAUT
Stability

7 days refrigerated. 

Cause for rejection:

Cord blood is not an acceptable specimen for HIV testing.  The mother's serum should be tested.

The following samples are unacceptable and will not be tested; heat treated, grossly hemolyzed.

Comments:
  • If employee exposure testing is needed, order a routine HIV. The routine HIV test will be done and tests for HIV1 and HIV2 antibodies and HIV1 p24 Antigen).
  • To be ordered by Mercy Employee Health, Nursing Supervisor or any outside location requiring source patient testing. 
  • Reports are hand delivered to in-house Nursing Supervisors, or ED providers. Results are faxed to Employee Health and ASC.  Results do not go to PowerChart.
  • If this initial HIV testing is reactive, then laboratory will place an order for Sunquest code HIVE - HIV 1  HIV 2 Antibody Evaluation, which is performed at Mayo Medical Laboratories at an additional charge. Possible reflex testing includes: HIV 1 Ab Confirmation by IFA, HIV 2 Ab Evaluation, HIV 2 Ab Confirmation, and HIV 1, HIV 2 Ab Confirmation Evaluation by Western Blot.
  • If the primary instrument in Lab is down, the rapid HIV kit by MedMira will be performed on the source patient only.
Reference value: HIV1 p24 antigen and HIV1/ HIV2 antibodies not detected.
Method: Chemiluminescent Microparticle Immunoassay
CPT Code: 87389

 

POWERCHART NAME

HLA B27

MERCY TEST NAME

HLA B27*

MERCY LAB CODE

HLAB27

Specimen:

6 ml whole blood collected EDTA. Minimum 1.0 ml.
Specimen must arrive at Mayo reference lab within 96 hours of collection.

Processing:
  • Submit in original lavender top tubes, do not transfer blood to other containers. 
  • Send Ambient  Do NOT refrigerate and clearly label "DO NOT REFRIGERATE."  Mayo order code LY27B..
Performed:  2-6 days.  Monday through Saturday.
Reference value: Included with test results
Method: Flow cytometry.  All positive test results will be confirmed by complement dependent cytoxicity (CDC).
CPT Code:  86812

 

POWERCHART NAME

HOMOCYSTEINE LEVEL

MERCY TEST NAME

HOMOCYSTEIN TL PL*

MERCY LAB CODE

HCYS

Patient Preparation: Fasting for 4 hours.
Specimen:
  • 0.4 ml EDTA plasma. Minimum 0.15  ml.  
  • Immediately place specimen on wet ice
Processing:

Centrifuge promptly and remove 0.4 ml plasma from cells within 1 hour. 
Send plasma refrigerated to Mayo.  Frozen acceptable.  Mayo order code HCYSP.

Reference Lab Clients MUST centrifuge promptly and remove 0.4 ml plasma from cells within 1 hour before sending specimen.  Send plasma refrigerated.  Frozen acceptable.  Mayo order code HCYSP.

Performed:  2-5 days.  Test set up Monday through Friday; 2 p.m.
Reference value:  Reference ranges included with report.
Method:   Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
CPT Code:  83090

 

TEST NAME

Diagnostic H1N1

See:Diagnostic H1N1

 

TEST NAME

H. PYLORI

See: Helicobacter Pylori Antibody IgG / H. PYLORI ANTIBODY IgG

 

TEST NAME

H. PYLORI BREATH TEST

See:  Urea Breath Test

 

POWERCHART NAME

HUMAN PAPILLOMAVIRUS DNA HIRSK

MERCY TEST NAME

HPV DETECTION-HIGH RISK TYPES*

MERCY LAB CODE

HPVHR

Specimen:

Cervical or Vaginal specimen in a ThinPrep solution vial. Indicate source of specimen on container.

Note:  

This is NOT a reflex test.  It requires a specific request from the provider. 
This assay is validated but not FDA approved for vaginal source specimens.

Processing: 

Send specimens Ambient to Mayo. Mayo order code - HPV

Performed:  3-6 days.  Monday through Friday
Reference value:  Included in report.
Method:  Real-Time Polymerase Chain Reaction (PCR)
CPT Code:  87621

 

TEST NAME

HUMAN PAPILLOMAVIRUS*  (DNA Detection)

See:  HPV Detection*

 

TEST NAME

HUMAN PARVOVIRUS B19

See:  Parvovirus B19*

 

TEST NAME

HYDROTRYPTOMINE

See: HIAA-5 (Serotonin) 24 Hour Urine*

 

TEST NAME

17-HYDROXY-KETOSTEROIDS

See:  17-Ketogenic Steroids/17 Ketosteroids 24 HR Urine

 

POWERCHART NAME

HYDROXYPROGESTERONE 17-D LEVEL

MERCY TEST NAME

HYDROXYPROGESTRN 17*

MERCY LAB CODE

HYPG

Specimen: 

0.6 ml serum from a plain red top tube only.

Processing:  

Send refrigerated to Mayo. Frozen or ambient acceptable.  Mayo order code OHPG.

Performed:  2 days.  Test set up is Monday through Friday.
Reference value:

Included in Report

Method:  High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
CPT Code: 83498

 

TEST NAME

HYPERCOAGULABILITY CONSULT*

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Comment: 
  • Enter test name in comment. 
  • Patient should not be receiving Coumadin or Heparin.  If so, indicate this in comment when ordering.
Includes:

Coagulation screening tests, and if indicated, Protein C, Antithrombin III, Plasminogen, and Protein S may be tested.

Specimen:

Draw one 7ml ACD tube (solution A or B is acceptable).  Minimum 3 ml.
Draw 6 large blue top tubes to yield 5 ml plasma for testing.
Fill tubes appropriately with amount of blood listed on the label.

Processing:

Blue Citrate Tubes: Centrifuge, remove plasma, spin plasma again, then aliquot to a new tube..
Note: Double-centrifuged specimen is critical for accurate results as platelet contamination may cause spurious results
Place 5.0 ml of citrate platelet poor plasma into 5 plastic vials, each containing 1 ml. (Glass vials cannot be accepted.)  Freeze immediately.
ACD Tube: DO NOT SPIN DOWN or open tube.  Send whole blood at ambient temp.
Send plasma to Mayo frozen.  Mayo #83093.  Complete a "Coagulation Consultation Patient Information Sheet" and a "Coagulation Request Form" and send with specimen. 

Reference value: An interpretation will be provided.
Performed: Varies.  Maximum in Lab time, 7 days.
CPT Code:

Tests performed as indicated. 

85300-AT activity
85303-Protein C activity
85306-Protein S antigen, free
85307-Activated protein resistance
85366-Soluble fibrin monomer
85379-D-Dimer
85384-Fibrinogen
85390-Coagulation interpretation and report
85610-PT
85613-DRVVT
85670-Thrombin time
85730-APTT
83891-Extraction
83892-Enzyme digestion
83896-x5 Hybridization
83903-Mutation screen
83912-Interpretation and report

85305-Protein S antigen, total (if appropriate)
85597-Platelet neutralization for lupus inhibitor (if appropriate)
85611-PT mix 1:1 (if appropriate)
85635-Reptilase time (if appropriate)
85732-APTT mix 1:1 (if appropriate)
85613-DRVVT mix & Confirmation ((if appropriate)
85306-Protein S Activity (if appropriate)
85302-Protein C Antigen (if appropriate)
85301-Antithrombin Antigen (if appropriate)
85420-Plasminogen activity (if appropriate)
85210-Factor II (if appropriate)
85220-Factor V (if appropriate)
85230-Factor VII (if appropriate)
85240-Factor VIII (if appropriate)
85250-Factor IX (if appropriate)
85260-Factor X (if appropriate)
85270-Factor XI (if appropriate)
85280-Factor XII (if appropriate)
85598-Staclot LA, P (if appropriate)
85613/DRVVT mix & Confirmation ((if appropriate)

 

 

 

TEST NAME

HYPERSENSITIVITY PNEUMONITIS

See:  Farmers Lung Serology*

 

TEST NAME

HYPERTENSIVE PANEL

Order BUN, Creatinine, Sodium, Potassium

 

TEST NAME

HYPERTHYROID PANEL

See:  Thyroid Hyper Panel

 

TEST NAME

HYPOTHYROID PANEL

See:  Thyroid Hypo Panel

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

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