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Section-I

 

POWERCHART NAME

IA-2 ANTIBODY

MERCY TEST NAME

IAB2

MERCY LAB CODE

IAB2

Includes: Islet Antigen 2 (IA-2) Antibody                    
Specimen: 1.0 ml serum from  plain red top tube or SST tube.                                                                                     
Processing: Send refrigerated to Mayo. Mayo order code  IA2.
Performed: Tuesday, Thursday; 10:00 a.m.
Reference value: Included with report
Method:

Radioimmunoprecipitation

CPT Code:  86341

 

TEST NAME

IBC

See:  Iron & IBC

 

TEST NAME

ICT

See: Occult Blood Fecal ICT Screen

 

POWERCHART NAME

IGA GAMMAGLOBULIN

MERCY TEST NAME

IGA

MERCY LAB CODE

IGA

Patient preparation: Fasting.
Specimen: 0.5 ml serum from SST or plain red top tube, lithium heparin plasma, or EDTA plasma.  Minimum 0.5 ml.
Cause for rejection Hemolysis or gross lipemia.
Comment:  Included in Immunoglobulins or may be ordered separately. 
Processing: Send refrigerated.  Freeze if longer than 3 day storage.
Performed: Within 8 hours of receipt.
Reference value:

Both Male and Female (mg/dL)

0-4 months:  7-37

5 - 8 months:  16-50

9-14 months:  27-66

15 -24 months:  36-79

2-3 years:  27-246

4-6 years:  29-256

7-9 years:  34-274

10-12 years:  42-295

13-15 years:  52-319

16-17 years:  60-337

>17 years:  66-433

Method: Immuno Turbidimetric
CPT Code:  82784

 

TEST NAME

IGE ALLERGEN SPECIFIC ANTIBODY

See:   Allergen Single*

 

POWERCHART NAME

IGE GAMMAGLOBULIN

MERCY TEST NAME

IGE*

MERCY LAB CODE

IGE

Specimen: 0.5 ml serum from SST or plain red top tube.  Minimum 0.3 ml.
Processing: Send refrigerated to Mayo.  Frozen acceptable.  Mayo order code IGE.
Performed: 1-3 days.  Test set up Monday through Friday;9 a.m.- 8 p.m.
                   Saturday; 8 a.m. - 3 p.m..
Reference value:  Included with report
Method:   Fluorescence Enzyme Immunoassay (FEIA)
CPT Code: 82785

 

POWERCHART NAME

IGG GAMMAGLOBULIN

MERCY TEST NAME

IGG

MERCY LAB CODE

IGG

Patient preparation: Fasting.
Specimen: 0.5 ml serum from SST or plain red top tube, lithium heparin plasma, or EDTA plasma.  Minimum 0.5 ml.
Cause for rejection Hemolysis or gross lipemia.
Comment:  Included in Immunoglobulins or may be ordered separately. 
Processing: Send refrigerated.  Freeze if longer than 3 day storage.
Performed: Within 8 hours of receipt.
Reference value:

Both Male and Female (mg/dL)

0-4 months:  100-334

5 - 8 months:  164-588

9-14 months:  246-904

15 -24 months:  313-1170

2-3 years:  295-1156

4-6 years:  386-1470

7-9 years:  462-1682

10-12 years:  503-1719

13-15 years:  509-1580

16-17 years:  487-1327

>17 years:  635-1741

Method: Immuno Turbidimetric
CPT Code:  82784

 

POWERCHART NAME

IGG INDEX CSF

MERCY TEST NAME

IGG INDEX CSF*

MERCY LAB CODE

CIGG

Specimen:  1 ml spinal fluid plus 1 ml serum from SST or plain red top tube.  Minimum 0.5 ml CSF and 0.5 ml serum.  
Comment: 

Nursing Service must notify the Lab when the CSF is collected so that the CSF and serum specimens can be collected within 1 week of each other.

Processing:
  • Include both CSF and serum specimens, label specimens appropriately. 
  • Send refrigerated to Mayo. Refrigerated 14 days, frozen or ambient 14 days also acceptable. Mayo - SFIN.
Performed: Test set up Monday through Saturday.
Reference value: Included with report
Method:    Rate Nephelometry
CPT Code: 

82040 Albumin,serum
82042 Albumin,spinal fluid
82784 x2 IgG,serum and spinal fluid

 

POWERCHART NAME

IGG SUBCLASSES

MERCY TEST NAME

IGG SUBCLASS*

MERCY LAB CODE

IGS

Comment: This test includes Total IgG, IgG1, IgG2, IgG3 and IgG4.  This test should not be ordered with IMMG.  Order IGM and IGA9 separately if needed along with IGS.
Specimen:  1 ml serum from SST tube or plain red top tube.
Processing:  Send refrigerated to Mayo. Refrigerated, ambient, or frozen
Performed: Monday through Saturday.
Reference value:  Included with report
Method: Nephelometry
CPT Code: 82787   x4 IgG Subclasses
82784   IgG, Total

 

POWERCHART NAME

IGM GAMMAGLOBULIN

MERCY TEST NAME

IGM

MERCY LAB CODE

IGM

Specimen: 

1 mL serum from SST or plain red top tube, lithium heparin plasma, or EDTA plasma.  Minimum 0.5 mL.

Cause for rejection

 Hemolysis or gross lipemia.

Processing: 

Send refrigerated.  Freeze if storage will be longer than 3 days.

Performed: Within 8 hours of receipt.
Reference value:

Both Male and Female (mg/dL)

0-4 months:  26-122

5 - 8 months:  32-132

9-14 months:  40-143

15 -24 months:  46-152

2-3 years:  37-184

4-6 years:  37-224

7-9 years:  38-251

10-12 years:  41-255

13-15 years:  45-244

16-17 years:  49-201

>17 years:  45-281

Method:  Immuno Turbidimetric
CPT Code:

82784

 

 

POWERCHART NAME

IMIPRAMINE & DESIPRAMINE LEVEL

MERCY TEST NAME

IMIPRA DESIPRA*

MERCY LAB CODE

IMDS

Specimen: 
  • 3 ml serum in a plain red top tube.  Minimum 1.1 ml.
  • Collect 12 hours after the last dose.
  • Spin down within 2 hours of draw.
Cause for rejection: Serum from SST tube.
Comment: Indicate time of last dose in comment.
Processing: 
  • Remove plasma from cells within 2 hours of collection.
  • Send refrigerated to Mayo. Ambient or frozen also acceptable.  Mayo order code IMPR.
Performed: 2-4 days.  Test set up Monday through Saturday.
Reference value:

Included in report.

Method:  High-Pressure Liquid Chromatography (HPLC)
CPT Code:

80174 Imipramine+*
80160 Desipramine+*

 

TEST NAME

IMMUNOELECTROPHORESIS 24-HOUR URINE*

See: Monoclonal Protein Study, Urine*

 

TEST NAME

IMMUNOELECTROPHORESIS CSF

See:  IgG Index CSF*

 

TEST NAME

IMMUNOELECTROPHORESIS SERUM*

See: Monoclonal Protein Study*

 

POWERCHART NAME

IMMUNOGLOBULIN FREE LIGHT CHAIN

MERCY TEST NAME

IMMUNO FR LT CHAIN*

MERCY LAB CODE

IFLC

Specimen:

1.0 ml serum in a SST or plain red top tube.  Minimum 0.5 ml.

Processing:  Send refrigerated to Mayo.Refrigerated
Performed:  Monday through Saturday; Continuously until 3:00 pm.
Reference Value:

Included in report.

Method:   Nephelometry.
CPT Code:  83883/x2

 

POWERCHART NAME

IMMUNOGLOBULIN G, A, M PANEL

MERCY TEST NAME

IMMUNOGLOB A,G,M

MERCY LAB CODE

IMMG

Comment: Includes IGA, IGG and IGM.  This test should not be ordered with IGS.  If subclasses of IgG are needed along with IgM and IgA, order IGS, IGA and IGM.
Specimen:      1 ml serum from a SST tube or plain red top tube, lithium heparin plasma, or EDTA plasma.  Minimum 0.5 ml.
Cause for rejection: Hemolysis or gross lipemia.
Processing: Send refrigerated.  Freeze if storage will be greater than 3 days.
Performed: Within 8 hours of results.
Reference value:  Refer to IGA, IGG, IGM
Method:  Immuno Turbidimetric
CPT Code:  82784 X3 Immunoglob Each+* X3

 

TEST NAME

IMMUNOGLOBULIN SERUM

See:      Immunoglobulin IgA Serum
       Immunoglobulins IGG, A, M serum

 

TEST NAME

INDIRECT COOMBS

See: Antibody Screen

 

POWERCHART NAME

INFLUENZA A by PCR

MERCY TEST NAME

 

MERCY LAB CODE

MISM

Specimen:

Nasal swab using the Medical Diagnostic Lab NasoSwab™ transporter.

Comment:

  • Only the approved NasoSwab™ transporter can be used for testing. Transporters can be requested from Mercy Microbiology Lab
  • Only 1 nostril needs to be swabbed for testing
  • Influenza B and/or H1N1 testing can also be performed on this same sample
  • The transporters MUST STAY AT ROOM TEMPERATURE before, during and after collection
  • Return the transporter to the lab ASAP after collection
  • Samples are sent to MDL Monday thru Saturday

Performed:

At Medical Diagnostic Laboratories, Daily with a 24 to 48 hour TAT

Reference value:

Negative for Influenza A

Method:

PCR

CPT Code:

87791

 

POWERCHART NAME

INFLUENZA B by PCR

MERCY TEST NAME

 

MERCY LAB CODE

MISM

Specimen:

Nasal swab using the Medical Diagnostic Lab NasoSwab™ transporter.

Comment:

  • Only the approved NasoSwab™ transporter can be used for testing. Transporters can be requested from Mercy Microbiology Lab
  • Only 1 nostril needs to be swabbed for testing
  • Influenza A and/or H1N1 testing can also be performed on this same sample
  • The transporters MUST STAY AT ROOM TEMPERATURE before, during and after collection
  • Return the transporter to the lab ASAP after collection
  • Samples are sent to MDL Monday thru Saturday

Performed:

At Medical Diagnostic Laboratories, Daily with a 24 to 48 hour TAT

Reference value:

Negative for Influenza B

Method:

PCR

CPT Code:

87791

 

POWERCHART NAME

INFLUENZA A and B, RAPID

MERCY TEST NAME

INFLUENZA A and B, RAPID

MERCY LAB CODE

INFLU

Specimen:  

Nasal wash/aspirate.  Specimen must be kept refrigerated and tested within eight hours of collection.

Comment: 

  • Test is very specimen dependent.  False negatives may be reported if the specimen is inadequate or poorly collected.
  • Immediately transport to Laboratory
  • Test differentiates between influenza A and influenza B.
  • Although testing is available whenever a diagnosis of influenza is suspected, testing for influenza is not recommended outside of the respiratory virus season or in the absence of a current outbreak due to low specificity of the tes.

RL Client Comments:

  • Write INFLUENZA A/B RAPID on the order form.
  • Send the specimen refrigerated to Mercy lab.

Performed:

Within 8 hours of collection.  Available stat.

Reference value:

Negative for Influenza A and B.

Method:

Lateral Flow Immunoassay.

CPT Code:

87804

 

 

TEST NAME

INR  (INTERNATIONAL NORMALIZED RATIO)

See:  Protime

 

POWERCHART NAME

INSULIN LEVEL

MERCY TEST NAME

INSULIN

MERCY LAB CODE

INS

Patient preparation: Patient must be fasting.
Specimen: 
  • 1 ml serum from SST.
  • Non-fasting specimens acceptable for special studies.
Stability: 8 hours room temperature, 24 hours refrigerated, freeze if > 24 hours.
Processing:
  • Send refrigerated.  
  • Freeze if test will not be run within 24 hours.
  • If multiple specimens are collected, enter a new order for each specimen.  Label each specimen with appropriate collection time.
Performed: Within 8 hours of receipt.
Reference value: 1.9-23.0 mcIU/ml
Method:  One-step Immunoenzymatic sandwich assay.
CPT Code: 83525

 

POWERCHART NAME

INSULIN LIKE GROWTH FACTOR 1

MERCY TEST NAME

INSULIN LIKE GF 1*       (SOMATOMEDIN-C)

MERCY LAB CODE

SOMC

Specimen:  
  • 0.5 ml serum from a SST or plain red-top tube. Minimum 0.35 ml. 
  • Spin down, promptly remove serum from cells.
Processing: Send frozen to Mayo order code IGF1I.
Performed:   Monday through Friday; 5 a.m. - 12 a.m., Saturday; 6 a.m. - 6 p.m.
Reference value: Reference ranges included with results.
Method:  Chemiluminescence .
CPT Code: 84305

 

POWERCHART NAME

INTRINSIC FACTOR ANTIBODY

MERCY TEST NAME

INTRINSIC FACTOR*

MERCY LAB CODE

IFAB

Specimen:

1.0 ml serum from a SST or plain red top tube.

Other: 

This test should not be ordered on patients who have received a radioisotope (either diagnostically or therapeutically) or a vitamin B12 injection within the last two weeks.

Processing: Send refrigerated to Mayo. Frozen also acceptable.  Mayo order code IFBA.
Performed:  Monday through Saturday.
Reference Value: Reference ranges included with results.
Method: Compelitive binding immunoenzymatic assay
CPT Code:  86340

 

POWERCHART NAME

IRON BINDING CAPACITY PROFILE

MERCY TEST NAME

IRON IBC

MERCY LAB CODE

IIBC

Comment Collect prior to blood transfusion.
Comment

Includes:  2 measured tests:  Iron (FE), UIBC (Unsaturated Iron Binding Capacity)

Includes 2 Calculated Tests: 

TIBC (Total Iron Binding Capacity) = Iron + UIBC

% SAT (% Saturation) = Iron/TIBC X100.  The name Transferrin Saturation is equal to the name Iron Saturation.

Specimen: 
  • Preferred in house: 0.5 ml lithium heparin plasma from a PST tube. 
  • Preferred reference lab: 0.5 ml serum from a SST tube.
  • Also acceptable:  Sodium Heparin Amm heparin, and serum from a plain red top tube.  
  • Iron tests on patients who have had blood transfusion should be delayed several days. 
  • Early morning specimen is preferred. 
  • Refrigerate.
Stability:

 8 hours room temperature, 48 hours refrigerated, freeze if >48 hours.

Cause for rejection: Hemolyzed specimen not acceptable.
Performed: Available 24 hours a day, Sunday through Saturday.
Reference value:

Iron:                50-212 mcg/dL
TIBC:              250-425 mcg/dL
% Saturation:  20-50%

Method: 

Iron:  Colorimetric
IIBC: Direct UIBC measurement + Iron

CPT Code: 83540 Iron+
83550 IBC+

 

TEST NAME

IRON BINDING CAPACITY

See:  Iron & IBC

 

TEST NAME

IRON LIVER TISSUE

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Specimen:
  1. 0.5 mm X 1.0 cm from a needle biopsy of the liver.  A larger section is needed from a wedge biopsy.
  2. Place specimen in Mayo metal-free specimen vial.
  3. Any specimen vial other than a Mayo metal-free vial should be plastic, leached with 10% nitric acid for 2 days, rinsed with redistilled water, and dried in clean air.
  4. Paraffin block is also acceptable.
Processing:
  • Send refrigerated to Mayo. Refrigerated, ambient, or frozen
  • Include suspected diagnosis and clinical information.
Performed: 2 days.  Test set up Monday through Friday.
Reference value:

Iron:    Males: 200 - 2400 mcg/g dry weight. 
           Females: 400 - 1600 mcg/g dry weight.
           Iron Index:

Method:  HP ELAN6000 by Inductively Coupled Plasma/Mass Spectrometry (ICP/MS).
CPT Code:   83540

 

TEST NAME

IRRADIATION OF BLOOD PRODUCTS

Comment:

When irradiation of blood or platelets is required, indicate so in the comment field. Orders for irradiated products must be entered into the computer and called to Lab, no later than 1515, Monday through Friday, in order to be transfused within 24 hours of receipt. Special arrangements must be made when the irradiated product is requested after 1515 or on weekends or holidays.

 

TEST NAME

ISLET CELL  IgG ANTIBODY

MERCY TEST NAME

IAB2 – GAD

MERCY LAB CODE

I2GAD

Includes: 

IAB2 (Mayo 89588/IA2) and GAD (Mayo order code GD65S).

Specimen: 

2.0 ml serum from plain red top tube or SST.  

Processing:

Send 2.0 ml serum refrigerated. Refrigerated

Performed:  

IA2  Tuesday, Thursday; 10:00 a.m.
GAD Monday through Thursday, Sungday; 10 a.m.

Method:

IA2 Radioimmunoprecipitation
GAD Radioimmunoassay (RIA)

CPT Code:

IA2 86341
GAD65 86341

 

TEST NAME

ISOPROPANOL

See: Toxic Volatile Screen

 

TEST NAME

ITRACONAZOLE LEVEL

MERCY TEST NAME

ITRACONAZOLE

MERCY LAB CODE

ITCON

Specimen: 

1 mL serum from plain red top tube. 

 Stability:

 14 days refrigerate, 14 days ambient, 14 days frozen

Processing:

Send refrigerated to Mayo.  Mayo order code ITCON

Performed:  

1-3 days. Test Monday, Wednesday, Friday ; 9:00 a.m.

 Reference Value:

 Included in report.

Method:

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

CPT Code:

80299

 

TEST NAME

IVY BLEEDING TIME

See:  Bleeding Time

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