POWERCHART NAME

HEPATIC FUNCTION PANEL

MERCY TEST NAME

HEPATIC FUNCTION PNL

MERCY LAB CODE

HFPL

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

• 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:

TEST NAME

HEPATIC PANEL

See: Hepatic Function Panel  

See: HCVRNA

POWERCHART NAME

HEPATITIS A (HAAb) IgM ANTIBODY

MERCY TEST NAME

HEPATITIS A IgM AB

MERCY LAB CODE

HAVMAB

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

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

Within 8 hours of receipt. Available stat.

Not Detected

86705

POWERCHART NAME

HEPATITIS A ANTIBODY TOTAL

MERCY TEST NAME

HEPATITIS A TOTAL AB

MERCY LAB CODE

HAVG

The following samples are unacceptable and will not be tested;  mild to gross hemolysis, gross lipemia, gross icterus    

 Mayo #8330/HAV

Freeze aliquot.

Monday through Saturday

Included with test results.

86708

POWERCHART NAME

HEPATITIS ACUTE PANEL

MERCY TEST NAME

HEPATITIS ACUTE

MERCY LAB CODE

HPACUT

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

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

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

Within 8 hours of receipt.  Available stat. 

• If Hepatitis B Surface antigen is detected, supplemental testing consisting of neutralization of surface antigen will be sent to Mayo Labs and charged.
• 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.

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

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

POWERCHART NAME

MERCY TEST NAME

Hepatitis B Core Total Antibody

MERCY LAB CODE

HBCTAB

0.5 ml serum from a SST tube. 

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

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

Within 8 hours of receipt.  Available stat. 

Not Detected

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

86704- HBCTAB
86705-HBCMAB (if appropiate)

POWERCHART NAME

HEPATITIS CHRONIC PROFILE

MERCY TEST NAME

HEPATIT CH UK*

MERCY LAB CODE

HPCHRN

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

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

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

Within 8 hours of receipt.  Available stat. 

• If Hepatitis B Surface antigen is detected, supplemental testing consisting of neutralization of surface antigen will be sent to Mayo Labs and charged.
• 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.

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

87340 - HBSA
87341 - Neutralization (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

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

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

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

1. If Hepatitis B Surface Antigen is detected, supplemental testing consisting of neutralization of surface antigen will be sent to Mayo at an additional charge.
2. Performance has not been established for newborns, cord blood, body fluids.

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

87340
87341 (neutralization if appropriate)

POWERCHART NAME

HEPATITIS B SURFACE ANTIBODY

MERCY TEST NAME

HEPATITIS ANTI HBS

MERCY LAB CODE

HPBSAB

1. Test to detect immunity from vaccination and/or exposure to HBV
2. Includes quantification of antibody.

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

>12.00 mIU/mL - Indicates immunity or exposure to HBV
<8.00 mIU/mL - Indicates no immunity to HBV

POWERCHART NAME

HEPATITIS B CORE IgM ANTIBODY

MERCY TEST NAME

HEP B CORE IgM AB

MERCY LAB CODE

HBCMAB

1 ml serum from a SST tube. 

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

POWERCHART NAME

HEPATITIS C ANTIBODY

MERCY TEST NAME

HEPATITIS C AB

MERCY LAB CODE

HCVAB

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

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

CPT Code:

86803
87522 (If Appropriate)

TEST NAME

HEPATITIS C ANTIBODY CONFIRMATION (RIBAC)

No longer available.  Mayo recommends ordering #83142     HEPATITIS C ANTIBODY CONFIRMATION (HCVRNA)

POWERCHART NAME

HEPATITIS C RNA (QUANT)

MERCY TEST NAME

HCV RNA DETECT/QN*

MERCY LAB CODE

HCVRNA

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.

• Spin down.  Remove serum within 6 hours of draw, and put in a screw-capped, plastic vial. 
• Send frozen to Mayo.  Refrigerated <2 days acceptable.  Mayo # 83142.

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#82048) on order form. Indicate specimen source.
2. Send specimen refrigerated to Mercy lab.

Processing:

Send refrigerated to Mayo.  Frozen acceptable. Mayo #82048

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 # 80575

Performed:

Monday- Saturday
Results available 3 days from collection

Method:

Real-Time Polymerase Chain Reaction

CPT Code:

87529

TEST NAME

HERPES SIMPLEX SEROLOGY*

See: HSVT12

POWERCHART NAME

HERPES SIMPLEX TYPE I AND TYPE II ANTIBODIES

MERCY TEST NAME

HSV TYPES 1 & 2 AB*

MERCY LAB CODE

HSVT12

Enzyme Immunoassay (EIA) 
IgM:  Immunoflourescence Assay (IFA)

86694  HSV EIA                                                                                                                                                                              86695 Herpes Simplex, Type I                                                                                                                                                                                           86696 Herpes Simplex,  Type II                                                                                                                                                                                                                                                                                   86694  HSV 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

For 24 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.

• 24-­hour urine collection. 
• Before start of collection, add 25 ml 50% acetic acid preservative (15 ml for children <5 years old). 
• Refrigerate during collection.

• 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 # 9248.

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

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

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

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

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.

1. If initial testing is reactive,  then Mayo #23878 HIV 1/2 Antibody Confirmatory Evaluation is performed at an additional charge.  Reflex testing includes HIV 1 Western blot assay, HIV 2 antibody screen if appropriate, HIV1 antibody confirmation by IFA if appropriate, and HIV 2 antibody confirmation by immunoblot if appropriate.
2. HIV is included in the Prenatal Profile with HIV test (PNP)

87389-HIV-1 and HIV-2 Antibody, HIV 1 p24 Antigen single assay.
86689-HIV-1 confirmation by Western blot (if appropriate)
86689-HIV-1 confirmation by immunofluorescence (if appropriate)
86689-HIV-2 immunoblot (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

7 days refrigerated. 

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.

• 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 initial testing is reactive,  then Mayo #23878 HIV 1/2 Antibody Confirmatory Evaluation is performed at an additional charge.  Reflex testing includes HIV 1 Western blot assay, HIV 2 antibody screen if appropriate, HIV1 antibody confirmation by IFA if appropriate, and HIV 2 antibody confirmation by immunoblot if appropriate. 
• If the primary instrument in Lab is down, the rapid HIV kit by MedMira will be performed on the source patient only.

POWERCHART NAME

HLA B27

MERCY TEST NAME

HLA B27*

MERCY LAB CODE

HLAB27

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

• 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 # 9648.

POWERCHART NAME

HOMOCYSTEINE LEVEL

MERCY TEST NAME

HOMOCYSTEIN TL PL*

MERCY LAB CODE

HCYS

• 0.4 ml EDTA plasma. Minimum 0.15  ml.  
• Immediately place specimen on wet ice

Centrifuge promptly and remove 0.4 ml plasma from cells within 1 hour. 
Send plasma refrigerated to Mayo.  Frozen acceptable.  Mayo #80379.

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 #80379

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

Indicate source of specimen on specimen container/slide. Obtain one of the following:

1. A special specimen collection and transport kit from the lab (follow collection instructions in the kit)
2. A cervical biopsy
3. A Thin Prep PAP smear.  For Thin Prep Pap Smear specimen, minimum 6.0ml volume.

This is NOT a reflex test.  It requires a specific request from the provider. 
It will be ordered when an HPV test is requested without a Pap smear.

Send cervical swabs refrigerated to Mayo.  Mayo # 83344
Send cervical BIOPSY placed into 1.0 ml of digene specimen trasport medium frozen to Mayo.
Send Thin Prep vial ambient (refrigerated OK) to Mayo. (must be less than 21 days old DO NOT FREEZE)

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

0.6 ml serum from a plain red top tube only. Minimum 0.25 ml.

Send refrigerated to Mayo. Frozen or ambient acceptable.  Mayo #9231.

Adults:  Males: <200 ng/dl
        Females: Follicular: <80 ng/dl
                     Luteal: <285 ng/dl
                     Postmenopausal: <51 ng/dl

Children: Newborns: <630 ng/dl
             Prepubertal males: <110 ng/dl
             Prepubertal females: <100 ng/ml

HYPERCOAGULABILITY CONSULT*

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

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

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

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.

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. 

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