|
|
|
Section-M
|
|
POWERCHART NAME
|
MAGNESIUM LEVEL
|
|
MERCY TEST NAME
|
MAGNESIUM
|
MERCY LAB CODE
|
MG
|
|
|
| Specimen: |
- Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
- Preferred reference lab: 0.5 ml serum from SST tube.
- Also acceptable: Sodium heparin, Amm heparin, serum from a plain red top tube.
|
| Stability: |
8 hours room temperature, 48 hours refrigerated, freeze if >48 hours. |
| Cause for rejection: |
Avoid hemolysis, stasis or contamination with tissue fluid. |
| Performed: |
Within 8 hours of receipt. Available stat |
| Reference value: |
1.8-2.5 mg/dl |
| Method: |
Colorimetric |
| CPT Code: |
83735 |
|
TEST NAME
|
MATURATION INDEX
|
|
MERCY TEST NAME
|
MATURATION INDEX
|
MERCY LAB CODE
|
MTR
|
| Patient preparation: |
Patient should not douche, use any medications or creams in the vagina, or have intercourse for 24 - 48 hours prior to specimen collection. Specimen collection is not recommended during a patient’s menstrual cycle.
|
| Specimen: |
A vaginal smear from the mid lateral vaginal wall is the area of choice, therefore ensuring an accurate index evaluation. Obtaining the specimen from any other area will not always reflect an accurate or true maturation index.
|
| Comment: |
Please include all appropriate information on the cytology requisition form. |
| Processing: |
After slide preparation, cytofixative spray must be applied immediately to ensure preservation. Slides must be labeled with patient first and last name in pencil.
|
| Performed: |
Monday through Friday. |
| Reference value: |
Within normal limits. Parabasal/intermediate/superficial. |
| Method: |
Papanicolaou stain. |
| CPT Code: |
88155 |
|
POWERCHART NAME
|
MERCURY LEVEL
|
|
MERCY TEST NAME
|
MERCURY*
|
MERCY LAB CODE
|
MERC
|
| Specimen: |
- 2.0 ml whole blood from navy blue top EDTA trace metal tube. Minimum 0.3 ml.
- Always draw this tube first if multiple tubes are being drawn.
- Use alcohol, not iodine to cleanse venipuncture site.
- If a syringe is needed, use only Mayo EDTA yellow labeled, metal-free syringe.
|
| Processing: |
- Leave specimen in tube for shipping.
- Send refrigerated to Mayo. Ambient also acceptable. Mayo #8618.
|
| Performed: |
1 day. Test set up Monday through Saturday. |
| Reference value: |
Included with report.
|
| Method: |
Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) |
| CPT Code: |
83825 |
|
TEST NAME
|
MESANTOIN (MEPHENYTOIN)
|
|
MERCY TEST NAME
|
MISC GENERAL LAB
|
MERCY LAB CODE
|
CMIS
|
| Comment: |
Order as a Miscellaneous Chemistry. Indicate test name in comment. Refer to Mayo catalog or computer for collection and processing information. |
|
POWERCHART NAME
|
HEAVY METALS SCREEN BLOOD
|
|
MERCY TEST NAME
|
METAL HVY BLD*
|
MERCY LAB CODE
|
MTHV
|
| Comments: |
- Mayo Medical Laboratories (MML) is requiring the completion of the T491, Lead/Heavy Metal Reporting form. Due to state requirements and CDC recommendations, MML is required to report patient demographic information to each state on all leads and heavy metals testing. Mayo Lead/Heavy Metals Form
- To be used primarily for Hazardous Materials Teams, such as EMT's or firefighters.
Screens only for Arsenic, Cadmium, Lead and Mercury.
|
| Specimen: |
- Draw tubes for metal BEFORE any other tubes are drawn.
- At least 2.5 ml needs to be in the tube. 1 royal blue top EDTA (Monoject trace element blood collection tube) tube. Pediactric volume: 1.0 ml.
- Use alcohol, not iodine to cleanse venipuncture site.
- If a syringe is needed, use only Mayo metal-free syringe.
|
| Processing: |
- EDTA metal free tube: Send as is. Do not centrifuge.
- Send refrigerated to Mayo. Ambient and frozen also acceptable. Mayo HMSBR.
|
| Performed: |
1-3 days. Test set up Monday through Friday; 8 a.m. - 2 p.m. Saturday ; 8 a.m. - 3 p.m. |
| Reference value: |
Included with report. |
| Method: |
Refer to individual test or see Mayo catalog. |
| CPT Code: |
82175 Arsenic 82300 Cadmium 83655 Lead 83825 Mercury
|
|
POWERCHART NAME
|
HEAVY METALS SCREEN 24 HOUR URINE
|
|
MERCY TEST NAME
|
HEAVY METALS, URINE*
|
MERCY LAB CODE
|
VMET
|
| Includes: |
Arsenic Cadmium Lead Mercury
|
| Patient Instructions: |
- For 48 hours before starting the 24-hour urine collection and during the collection, do not eat seafood.
- High concentrations of gadolinium and iodine are known to interfere with most metals tests. If either gadolinium- or iodide-containing contrast media has been administered, a specimen cannot be collected for 96 hours.
- 24-Hour volume is required on request form for processing.
|
| Comment: |
Mayo Medical Laboratories (MML) is requiring the completion of the T491, Lead/Heavy Metal Reporting form. Due to state requirements and CDC recommendations, MML is required to report patient demographic information to each state on all leads and heavy metals testing. Mayo Lead/Heavy Metals Form
|
| Specimen: |
- 24-hour specimen.
- Collect in clean, plastic urine container with no metal cap or glued inserts.
- Refrigerate during collection. No preservative
|
| Processing: |
- Aliquot 10 ml and indicate total 24-hour volume. Send specimen in clean, plastic aliquot container with no metal cap or glued insert Mix well before aliquot is taken.
- Refrigerate specimen within 4 hours of completion of 24 hour collection, and send refrigerated to Mayo. Mayo #8633.
- The addition of preservative or application of temperature controls must occur within 4 hours of completion of the collection. See Mayo Test Catalog for special instructions on collections with preservatives
|
| Performed: |
1 day. Test set up Monday through Saturday. |
| Reference value: |
Included with report |
| Method: |
See individual test entry or Mayo catalog. |
| CPT Code: |
82175 Arsenic 82300 Cadmium 83655 Lead 83825 Mercury
|
|
POWERCHART NAME
|
METANEPHRINES FRACTIONATION FREE PLASMA
|
|
MERCY TEST NAME
|
METANEPHEPHRINES FRAC
|
MERCY LAB CODE
|
PMET
|
| Specimen: |
1 mL plasma from lavendar top (EDTA) tube.
|
| Stability: |
14 days frozen, 7 days refrigerated
|
| Lab Processing: |
Send frozen to Mayo. Mayo PMET
|
| Performed: |
2 - 4 days. Monday through Saturday; 1 p.m. -Not reported on Sunday. |
| Reference value: |
Included with test results. |
| Method: |
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) |
| CPT Code: |
83835 |
|
POWERCHART NAME
|
METANEPHRINES FRACTIONATION 24 HOUR URINE
|
|
MERCY TEST NAME
|
METANEPH, FRAC 24UR*
|
MERCY LAB CODE
|
MTPH
|
| Comment: |
- Methylglucamine (Renografin) interferes with the testing procedure. Allow 1 week after administration before collecting sample. Other drugs that interfere: Tricyclic anitdepressants, Chlorpromazine, imipramine, phenothiazines, labetatol, sotalol and methylodopa.
- A single 24- hour urine collection may be used for CATECHOLAMINE FRACTIONATION [CTCH], METANEPHRINES and VMA [VVMA].
- The specimen must be kept refrigerated during colleciton.
|
| Specimen: |
- Berfore start of collection, add 25 ml 50% acetic acid preservative. Use 15 ml 50% acetic acid for children <5 years old. RL Clients, please call Mercy Lab to have a jug prepared with preservative.
- Refrigerate during collection. Click on 24-hour urine preservative chart for other acceptable temperatures and additives.
|
| Referemce: |
- Adjust pH to 2.0-4.0 with 50% acetic acid.
- Aliquot 10 ml and indicate total 24-hour volume.
|
| Lab Processing: |
Separate aliquots must be submitted for Catecholamine Fractionation and VMA if collected with this specimen. Identify which specimen is for Metanephrine.
|
| Mercy lab processing: |
Send 10 ml in a 13 ml urine tube refrigerated to Mayo. Minimum 2 ml. Ambient and frozen also acceptable. Mayo #83006 |
| Performed: |
2 days. Test set up Monday through Saturday. |
| Reference value: |
Included with test results. |
| Method: |
Liquid Chromatography-Tandem Mass Spectrometry |
| CPT Code: |
83835 |
|
TEST NAME
|
METANEPHRINES, FRACTIONATED, RANDOM URINE*
|
|
MERCY TEST NAME
|
MISC GENERAL LAB
|
MERCY LAB CODE
|
CMIS
|
| Caution: |
Tricyclic antidepressants (TCA) and labetalol and sotalol (beta blockers) may elevate levels of metanephrines. If clinically feasible, these medications should be discontinued at least 1 week before urine collection.
|
| Specimen: |
5.0 mL from a random urine collection. Minimum 3 ml. No Preservative. |
| Processing: |
Send specimen frozen in a plastic 13 mL urine tube/containter. Refrigerated or ambient also acceptable. Mayo # 83005.
|
| Performed: |
2 days. Test set up Monday through Sunday. |
| Reference value: |
Included with report. |
| Method: |
High-Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS,MS) |
| CPT Code: |
83835 |
|
POWERCHART NAME
|
METHADONE (Dolophine) SCREEN URINE
|
|
MERCY TEST NAME
|
METHADONE SCR UR
|
MERCY LAB CODE
|
METD
|
| Comment: |
Performed at Mercy in Mason City. No chain of custody is kept.
|
| Screens for: |
Screens for Methadone in human urine, at a cutoff value of 300 nanogram/mL.
Screening test for medical decisions, not for legal chain of custody.
Interference has been demonstrated from mefenamic acid, a nonopioid analygesic.
|
| Comment: |
This assay provides only a preliminary analytical result. To obtain a confirmed analytical result, order Miscellaneous General Lab and specify: Mayo #83129 Methadone Confirmation, Urine.
|
| Specimen: |
30 ml urine. No preservative. |
| Processing: |
Aliquot and refrigerate.
|
| Performed: |
Screening test done within 8 hours of receipt. Available stat. Done at Mercy Laboratory. |
| Reference value: |
None detected
|
| Method: |
Homogenous Enzyme Immunoassay |
| CPT Code: |
G0434 Drug Scr Mod Cmplx /ENCT <=5. |
|
POWERCHART NAME
|
METHOTREXATE LEVEL
|
|
MERCY TEST NAME
|
METHOTREXATE*
|
MERCY LAB CODE
|
METH
|
| Specimen: |
1 ml serum from plain red top tube. Minimum 0.5 ml. Serum gel tube not acceptable. |
| Processing: |
Protect specimen from light. Send frozen to Mayo. Refrigerated also acceptable. Mayo #8721. |
| Performed: |
1 day. Test set up Monday through Sunday. |
| Reference value: |
Nontoxic drug concentration after 72 hrs: <0.1 mcmol/L |
| Method: |
Enzyme-Multiplied Immunoassay (EMIT) |
| CPT Code: |
83520 |
|
POWERCHART NAME
|
METHYLMALONIC ACID LEVEL
|
|
MERCY TEST NAME
|
METHYLMALONIC ACID
|
MERCY LAB CODE
|
MMAS
|
| Specimen: |
1.5 mL serum from plain red top tube or SST acceptable.
|
| Processing: |
Send refrigerated to Mayo. Frozen and ambient acceptable. |
| Performed: |
Monday through Friday; Continuous until noon. |
| Reference Value: |
Included in report. |
| Method: |
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) |
| CPT Code: |
83921 |
|
POWERCHART NAME
|
MICROALBUMIN 24 HOUR URINE
|
|
MERCY TEST NAME
|
MICROALBUMIN 24UR
|
MERCY LAB CODE
|
VACL
|
| Comment: |
- Avoid strenous physical activity for 24 hours prior to collection.
- A 24-hour collection is the preferred specimen. Note in comment if a 12-hour collection is submitted. If less than a 12-hour collection, order MICROALBUMIN RANDOM URINE.
|
| Specimen: |
10 ml aliquot from 24-hour collection. No preservative. Refrigerate. Specimen must not be visibly contaminated with blood or menstrual fluid.
|
| Stability: |
72 hours refrigerated.
|
| Processing: |
Aliquot and indicate total volume. Centrifuge prior to analysis. |
| Performed: |
Monday-Friday 0900 cutoff |
| Reference values: |
Normal: Micro: Macro:
|
Calculated Microalbumin: 0-30 mg/24 Hours 30-300 mg/24 Hours >300 mg/24 Hours
|
Microalbumin Clearance: 0-20 mcg/MIN 20-200 mcg/MIN >200 mcg/MIN
|
| Method: |
Immunoturbidimetric |
| CPT Code: |
82043 |
|
POWERCHART NAME
|
MICROALBUMIN QUANTITATIVE RANDOM URINE
|
|
MERCY TEST NAME
|
MICROALBUMIN R UR
|
MERCY LAB CODE
|
UMAL
|
| Includes: |
Microalbumin, Creatinine, Microalbumin/creatinine ratio. |
| Specimen: |
5 ml random urine, preferably first morning specimen. Refrigerate.
|
| Stability: |
72 hours refrigerated.
|
| Comment: |
Patient should refrain from exercising for at least 24 hours before urine collection. |
| Performed: |
Monday-Friday 0900 cutoff |
| Reference values: |
Microalbumin: 0-2.0 mg/dl Microalbumin/Creatinine ratio: 0-30 mg/g Micro 30-300 mg/g Macro >300 mg/g Refer to table “Microalbuminuria in Diabetes” in Special Helps section of Lab Test Index.
|
| Method: |
Microalbumin: Immunoturbidimetric Creatinine: Enzymatic, Alkaline Picrate-Kinetic
|
| CPT Code: |
82043 Microalbumin Urine 82570 Creat R UR
|
|
POWERCHART NAME
|
MISCELLANEOUS GENERAL LAB
|
|
MERCY TEST NAME
|
MISC GENERAL LAB
|
MERCY LAB CODE
|
CMIS
|
| Specimen: |
Specimen dependent on test ordered. |
| Comment: |
Indicate test in comment field. |
|
POWERCHART NAME
|
MISCELLANEOUS HEMATOLOGY
|
TEST NO LONGER AVAILABLE 8/8/2007 |
|
POWERCHART NAME
|
MISCELLANEOUS IMMUNOHEMATOLOGY
|
|
MERCY TEST NAME
|
MISC IMMUNOHEM
|
MERCY LAB CODE
|
MISI
|
| Specimen: |
Specimen dependent on test ordered. |
| Comment: |
Indicate test in comment field. |
|
POWERCHART NAME
|
MISCELLANEOUS URINALYSIS/PHLEBOTOMY
|
TEST NO LONGER AVAILABLE 8/8/2007 |
|
POWERCHART NAME
|
MITOCHONDRIAL ANTIBODY (M2)
|
|
MERCY TEST NAME
|
MITOCHOND AB, M2*
|
MERCY LAB CODE
|
MTAB
|
| Specimen: |
0.5 ml serum from a SST tube or plain red top tube. Minimum 0.35 ml. |
| Processing: |
Send refrigerated to Mayo. Ambient <12 hours old acceptable. Frozen also acceptable. Mayo # 8176. |
| Performed: |
1 day. Test set up Monday through Saturday. |
| Reference value: |
Included with test results. |
| Method: |
Enzyme Immunoassay (EIA) |
| CPT Code: |
83516 |
|
POWERCHART NAME
|
MIXING TEST
|
|
MERCY TEST NAME
|
MIXING TEST
|
MERCY LAB CODE
|
MIXT
|
| Includes: |
Protime and PTT, Thrombin Time. Protime Mixing Test, PTT Mixing Test are ordered and charged by the Lab as indicated.
|
| Specimen: |
Draw 3 blue top tubes filled. Need 5-6 ml plasma. |
| Stability: |
4 hours refrigerated, freeze if >4 hours. |
| Cause for rejection: |
Hemolysis. |
| Processing: |
- Centrifuge immediately. Store at 2-8° C.
- Test within 4 hours of collection.
- Double spin, seperate plama and freeze if testing is delayed longer than 4 hours.
Double spin coagulation specimens to ensure that all platelets are removed: 1. Centrifuge specimen. Aliquot plasma (leaving some above the cells) to a plastic centrifuge tube. 2. Centrifuge the aliquot tube. Pipette plasma (leaving some above the bottom of the tube) to another plastic aliquot tube. 3. Store plasma as required for the test ordered.
Reference Lab Clients: Label vial "Citrated Plasma".
|
| Performed: |
Within 24 hours of receipt. Available stat |
| Reference value: |
Protime: 9.1 – 11.1 seconds PTT: 23.2 - 31.2 seconds Thrombin Time: 17.3 - 21.3 seconds
|
| Method: |
Photo Optical Clot Detection |
| CPT Code: |
85610 Protime 85730 PTT 85670 Thrombin Time
If indicated: 85611 Protime Mixing Test 85732 PTT Mixing Test
|
|
POWERCHART NAME
|
MONOCLONAL PROTEIN STUDY
|
|
MERCY TEST NAME
|
MONOCLONAL PRT STY*
|
MERCY LAB CODE
|
MPS
|
| Includes: |
- Protein electrophoresis, heavy chain typing, light chain typing (kappa and lambda).
- The laboratory will evaluate the electrophoresis and perform the appropriate test (immunosubtraction or immunofixation).
- Immunoglobulins (Mayo test #8156) will no longer be added unless specifically ordered by the physician. There is a separate charge for immunoglobulins.
|
| Specimen: |
1.0 ml serum from a SST or plain red- top tube. Minimum 1.0 ml. |
| Comment: |
Replaces Mayo tests Serum Immunoelectrophoresis # 8183, Immunofixation # 8824, and Monoclonal Protein Analysis # 8653. |
| Processing: |
Send refrigerated to Mayo. Frozen acceptable. Ambient < 3 days also acceptable. Mayo #81756. |
| Performed: |
1 day. Test set up Monday through Saturday. |
| Reference value: |
The electrophoretic pattern and strip (when applicable) are sent by mail. A narrative report is provided. |
| Method: |
Biuret,Agarose Gel Electrophoresis,immunofixation |
| CPT Code: |
84165 Protein Electrophoresis 86334 Immunofixation electrophoresis 84155 Protein Total
|
|
POWERCHART NAME
|
MONOCLONAL PROTEIN STUDY 24 HOUR URINE
|
|
MERCY TEST NAME
|
MONOCLONAL PRT STY, 24UR*
|
MERCY LAB CODE
|
MCPSU
|
| Specimen: |
50 mL urine from a 24° collection (no preservative). Minimum 25 ml. Keep refrigerated during collection.
|
| Processing: |
- Aliquot specimen among one plastic, 60mL urine bottle and one plastic, 13mL urine tube. The labeling of aliquots is very important. Aliquot at least 1 mL into the 13 mL urine tube and label as the Total Protein test. The rest of the specimen should be put in the 60 mL urine bottle and labeled as Monoclonal protein study urine.
- Send refrigerated to Mayo. Frozen acceptable. Ambient <3 days also acceptable. Mayo #8823/MPSU.
|
| Comment: |
see MPSUR for random urine collection |
| Performed: |
Result available 3 days from collection. Monday – Saturday. |
| Reference Values: |
Included with test results. |
| Method: |
Dye binding for quantitation of total protein, agarose gel protein electrophoresis, immunofixation heavy and light chain typing. |
| CPT Code: |
84166 Protein Electrophoresis Urine 84156 Protein Total Urine 86335 Immunofixation Electrophoresis
|
|
POWERCHART NAME
|
MONOCLONAL PROTEIN STUDY RANDOM URINE
|
|
MERCY TEST NAME
|
MONO PRT STY RNMU*
|
MERCY LAB CODE
|
MPSUR
|
| Specimen: |
50 mL urine from a random collection. No preservative.
|
| Processing: |
- Aliquot specimen among one plastic, 60mL urine bottle and one plastic, 13mL urine tube. The labeling of aliquots is very important. Aliquot at least 1 mL into the 13 mL urine tube and label as the Total Protein test. The rest of the specimen should be put in the 60 mL urine bottle and labeled as Monoclonal protein study urine.
- Send refrigerated to Mayo. Frozen acceptable. Ambient within 72 hours. Mayo RMPSU.
|
| Comment: |
see MCPSU for 24o collection |
| Performed: |
Result available 2-3 days from collection. Monday – Saturday. |
| Reference Values: |
Included with test results. |
| Method: |
Dye binding for quantitation of total protein, agarose gel protein electrophoresis, immunofixation heavy and light chain typing. |
| CPT Code: |
84166 Protein Electrophoresis Urine 84156 Protein Total Urine 86335 Immunofixation Electrophoresis
|
|
POWERCHART NAME
|
MONO LIKE SYNDROME Test discontinued 5/26/09. See Epstein Barr Virus Panel (EBVAB) for suggested alternative test.
|
|
MERCY TEST NAME
|
MONO-LIKE SYNDROME
|
MERCY LAB CODE
|
MOLS
|
|
POWERCHART NAME
|
MONO SCREEN
|
|
MERCY TEST NAME
|
MONOSCREEN
|
MERCY LAB CODE
|
MOSC
|
| 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 EDTA plasma.
- Remove serum or plasma from cells.
|
| Stability: |
72 hours refrigerated. Freeze if >72 hours.
|
| Cause for rejection: |
Gross hemolysis, lipemia, and turbidity are unacceptable. |
| Processing: |
Freeze if not done within 24 hours. |
| Performed: |
Within 8 hours of receipt. Available stat. Monday- - Friday 0800 cutoff |
| Reference value: |
Negative |
|
Method: |
Hemagglutination |
| CPT Code: |
86308 Monoscreen |
|
POWERCHART NAME
|
MRSA PCR (MRSA Wound Surveillance)
|
|
MERCY TEST NAME
|
MRSA by PCR
|
MERCY LAB CODE
|
MRSAWD
|
| Specimen: |
Superficial wound, skin swab,. Collect using a routine culturette.
|
| Comments: |
This order is to screen for colonization ONLY.
Enter site of collection in specimen source area. Make sure collection site is indicated on culturette.
If the provider is checking for infection and wants to treat the patient, see Culture wound other (WND/ABS CLT/GS).
|
| Intended Use: |
The intended use of this assay is to screen Mercy Hospital patients for MRSA colonization, by screening nasal and non-infectious wounds, as needed. The rapid turnaround of results will allow for better patient throughput & bed management (the need or no need to move the patient to isolation) by Mercy staff. This is in line with Mercy's Service and Stewardship pillars.
Clinics: The wound surveillance assay is not intended for clinic use. Nasal surveillance assay is the only appropriate assay, in this instance. Wounds should continue to be ordered as a culture, to look for MRSA.
Hospital reference labs: The wound surveillance assay is not intended for hospital reference lab use, unless a wound surveillance protocol has been established by the reference lab's Infection Prevention Dept., for this type of specimen.
|
| Stability: |
Send culturette at room temperature within 24 hrs, 5 days refrigerated.
|
| Performed: |
Within 8 hours of receipt. |
| Reference value: |
Negative |
| Method: |
PCR |
| CPT Code: |
87941
|
|
POWERCHART NAME
|
MRSA Screen PCR (Nasal Only) (MRSA NASAL SURVEIL)
|
|
MERCY TEST NAME
|
MRSA by PCR
|
MERCY LAB CODE
|
MRSANS
|
| Specimen: |
Nasl, collect using routine culturette.
|
| Comments: |
This order is to screen for colonization ONLY. Make sure collection site (Nasal) is indicated on culterette label also.
If the provider is checking for a nasal infection and wants to treat the patient, contact the microbiology lab for correct ordering of this type of request.
Contact the microbiology lab before collecting the specimen when sites other than nasal are being submitted.
|
| Intended Use: |
The intended use of this assay is to screen Mercy Hospital patients for MRSA colonization, by screening nasal and non-infectious wounds, as needed. The rapid turnaround of results will allow for better patient throughput & bed management (the need or no noeed to move the patient to isolation) by Mercy staff. This is in line with Mercy's Service and Stewardship pillars.
The wound surveillance assay is not intended for clinic use. Nasal surveillance assay is the only appropriate assay, in this instance. Wounds should continue to be ordered as a culture, to look for MRSA.
|
| Stability: |
Send culturette at room temperature within 24 hrs, 5 days refrigerated.
|
| Performed: |
Within 8 hours of receipt. |
| Reference value: |
Negative |
| Method: |
PCR |
| CPT Code: |
87641
|
|
POWERCHART NAME
|
MS (MULTIPLE SCLEROSIS) PANEL
|
|
MERCY TEST NAME
|
MS PROFILE*
|
MERCY LAB CODE
|
MSPROF
|
| Comment: |
This test requires both CSF and serum. Please notify Lab when this test is ordered so that a blood specimen can be collected at the same time.
|
| Includes: |
IgG: CSF Albumin, CSF IgG, CSF Index, CSF IgG/Albumin Serum IgG, Serum Albumin, Serum IgG Albumin Oligoclonal Bands: CSF bands, serum bands
|
| Specimen: |
1.0 ml CSF and 1.0 ml serum from SST or plain red top tube. Minimum 0.5 ml CSF and 0.5 ml serum. Nursing Service must notify the Lab when CSF is collected so that the CSF and serum specimens can be collected. Spinal Fluid must be obtained within 1 week of serum draw.
|
| Processing: |
- DO NOT perform any CSF testing at Mercy Laboratory until AFTER CSF specimen has been processed for Mayo testing.
- 1 ml CSF, send in original tube when possible. Label tube as CSF.
- 1 ml serum in vial labeled as such.
Mayo # 83305/MSP2
Record on Mayo batch list to prioritize as follows: #1 IGG (MS Panel) #2 Oligoclonal banding
Record on Mayo batch list: # of ml of CSF sent.
SEND ALL TESTS REFRIGERATED TO MAYO. LABEL 1 ALIQUOT CSF (1.0 ml) AND 1 ALIQUOT SERUM (1.0 ml).
|
| Performed: |
3 days |
| Reference value: |
Included with test results |
| Method: |
Refer to individual tests. |
| CPT Code: |
83916 Oligoclon Band+* x2 82040 Albumin 82784 x2 Immunoglb Each+* x2 82042 Albumin, CSF
|
|
TEST NAME
|
MUMPS ANTIBODY IgG
|
|
MERCY TEST NAME
|
MUMPS IgG Screen
|
MERCY LAB CODE
|
MUMPGG
|
| Comment: |
Testing done at Mercy Lab is for post-immunization immune status only. |
| Specimen: |
1 ml serum from a SST tube or plain red top tube. Minimum 0.5 ml. |
| Cause for Rejection: |
Grossly hemolyzed or lipemic serum. |
| Processing: |
Send specimen to Mercy lab FROZEN. |
| Performed: |
Thursdays, Noon |
| Method: |
Enzyme Immunoassay (EIA)
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| CPT Code: |
86735
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|
TEST NAME
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MUSCLE BIOPSY
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MERCY TEST NAME
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MUSCLE BIOPSY*
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MERCY LAB CODE
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MSCX
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| Comment: |
- Notify Pathology Department 24 hours in advance. Test done Monday through Wednesday only.
- Complete a manual Pathology Specimen form and a Muscle Histochemistry Information sheet.
These forms are available from the Histology Laboratory.
|
| Specimen: |
Excise 2 samples using sterilized muscle clamps. Sterilized biopsy forceps are available from the Histology Department. Send immediately to the Histology Laboratory for processing.
|
| Processing: |
Send specimen frozen on dry ice to Mayo. Mayo # 5338 |
| Preformed: |
7 days. Test set up 1-2 times a week at Mayo. |
| Reference value: |
Interpretive report provided. |
| CPT Code: |
88314 X7 acetic non-specific esterase, acid phosphatase, alpha-naphyl, cytochrome oxidase, NADH dehydrogenase, phosphorytase, and succinic dehydrogenase stains. 88314 X3 ATPase acid-alkaline stain 88313 X4 Hematoxylin-and-eosin, oil red O, periodic-acid schiff, and trichrome stains. 88305 surgical pathology exam.
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POWERCHART NAME
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MYASTHENIA GRAVIS PANEL
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MERCY TEST NAME
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MYASTHN GRAV ADULT*
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MERCY LAB CODE
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MYASA
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| Specimen: |
3 ml serum from a SST or plain red top tube. Minimum 2.0 ml. Hemolyzed specimen is unacceptable. NOTE: Patient should have no general anesethia or muscle-relaxant drugs in the previous 24 hours. Avoid Hemolysis.
|
| Processing: |
Send refrigerated to Mayo. Mayo # 83370. Ambient <72 hours acceptable. Frozen acceptable. CRMP-5-IgG Western Blot and ACh Receptor Ganglionic Neuronal Antibody, VGKC-Ab, and GAD65 will be ordered and preformed at an additional charge by Mayo as indicated by below:
If AChR modulating antibodies are >= 90% and striational antibodies are >= 1:60, AChR ganglionic neuronal autoantibody, glutamic acid decarboxylase autoantibody, voltage-gated potassium channel autoantibody and CRMP-5-IgG Western blot will be performed at an additional charge.
|
| Reference value: |
Included with report
|
| Method: |
ACh Receptor (Muscle) Binding AB Radioimmunoassay (RIA) ACh Receptor (Muscle) Modulating AB Radioimmunoassay (RIA) Striational (Striated Muscle) AB EnzymeImmunoassay (EIA) CRMP-5-IgG Western Blot Western Blot ACh Receptor Ganglionic Neuronal Antibody Radioimmunoassay (RIA) VGKC Radioimmunoassay (RIA) GAD65 Radioimmunoassay (RIA)
|
| CPT Code: |
83519-59 Ach receptor (muscle) binding antibodies 83520 Strait Antbdy+* 83519-59 ACh Receptor (Muscle) Modulating Antibodies 84182 CRMP-5-IgG Western Blot (if appropriate) 83519-59 ACh Receptor Ganglionic Neuronal Antibody (if appropriate) 83519 VGKC (if appropriate) 86341 GAD65(if appropriate)
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TEST NAME
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MYCOPLASMA GENITALIUM, MOLECULAR DETECTION, PCR
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MERCY TEST NAME
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MYCOPLASMA GENITALIUM, MOLECULAR DETECTION, PCR
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MERCY LAB CODE
|
CMIS
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| Specimen: |
- Cervix, Urethra, Urogenital, Vaginal,
Requires a special M5 transport media. Contact the microbiology lab for further collection and transport instructions.
- Amniotic, Pelvic, Prostatic secretion, Reproductive drainage, Semen
Requires a special M5 transport media. contact the microbiology lab for further collection and transport instructions.
- Urine (kidney stones)
Send specimen in sterile container 10 mL of urine
- Placenta, Products of conception, Genitourinary
5 mm in sterile container
|
| Comment: |
Mayo test #60755/ MGRP
|
| RL Client Comments |
- Write Mycoplasma Genitalium, Molecular Detection PCR Mayo #60755/ MGRP, on the order form.
- Send M5 transporters to Mercy lab refrigerated
- Send Urine specimens refrigerated to Mercy lab
|
| Performed: |
Monday through Sunday |
| Reference value: |
Included with results. |
| Method: |
Real-Time Polymerase Chain Reaction (PCR) |
| CPT Code: |
87798 |
|
POWERCHART NAME
|
MYCOPLASMA PNEUMONIAE DNA PCR
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|
MERCY TEST NAME
|
MYCOPLASMA PNEUMONIAE DNA PCR
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MERCY LAB CODE
|
MYCPCR
|
| Specimen: |
- Bronch alveolar lavage (BAL), Bronch wash, Sputum
- Collect 1 mL in a sterile container and ship refrigerated
- CSF
- Collect 1 mL in a sterile container and ship refrigerated
- Pleural or Pericardial fluid
- Collect 1 mL in a sterile container and ship refrigerated
- Throat or Nasopharyngeal swab
- Collect swab, place in sterile M4 (red cap) or M5 (green cap) media and ship refrigerated
|
| RL Client Comments |
- Write Mycoplasma Pneumoniae by PCR, Mayo 91429 on the requisition - Send specimen refrigerated to Mercy Lab
|
| Processing: |
Send specimen refrigerated to Mayo. Mayo #91429 Testing is referred to and performed by Focus Diagnostics Inc. |
| Reference value: |
Included with results. |
| Method: |
Polymerase Chain Reaction (PCR) |
| CPT Code: |
87581
|
|
|
|
|
|
POWERCHART NAME
|
MYCOPLASMA PNEUMONIAE IgG IgM
|
|
MERCY TEST NAME
|
MYCO.PNEUM IGG, IGM*
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MERCY LAB CODE
|
MYCOGM
|
| Specimen: |
1.0 ml of serum from a plain red top tube or serum gel tube. Minimum 0.5 ml. |
| Processing: |
Send specimen refrigerate. Frozen acceptable. Mayo MYCPN |
| Comment: |
Cautions: The use of hemolyzed, lipemic, bacterially contaminated, or heat-inactivated specimens should be avoided. The continued presence or absence of antibodies cannot be used to determine the success or failure of therapy. |
| Reference value: |
Included with results. |
| Method: |
Enzyme Immunoassay (EIA) |
| CPT Code: |
86738 x 2 86738-Mycoplasm pneumoniae by indirect IFA ( if appropriate)
|
|
TEST NAME
|
MYCOPLASMA PNEUMONIAE, IgM *
|
Test No Longer Available 5/15/2007 |
|
TEST NAME
|
MYELIN BASIC PROTEIN CSF
|
Included with MS Panel/Myelin Basic Protein. Test cannot be ordered separately. See MS Panel/Myelin Basic Protein for information.
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|
POWERCHART NAME
|
MYELOPEROXIDASE (MPO) ANTIBODIES
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|
MERCY TEST NAME
|
MYELOPEROXIDASE AB*
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MERCY LAB CODE
|
MYPOX
|
| Specimen: |
0.5 ml serum from a SST tube or plain red top tube. Minimum 0.35 ml. |
| Comment: |
Useful for evaluation of patients with vasculitis and renal disease. If Cytoplasmic Neutrophil ABS is ordered, and p-ANCA is positive, Myeloperoxidase Antibodies, serum will be done and charged per Mercy Medical Center – North Iowa Lab policy. Test is also included in Cytoplasmic Neutrophil Antibodies Vasculitis Panel (VAPNL).
|
| Processing: |
Send refrigerated to Mayo. Frozen acceptable. Mayo # 80389. |
| Performed: |
4 days. Test set up Monday through Saturday; 4 p.m.. |
| Reference value: |
Reference ranges included with results. |
| Method: |
Multiplex flow immunoassay. |
| CPT Code: |
83516 |
|
POWERCHART NAME
|
MYOGLOBIN
|
|
MERCY TEST NAME
|
MYOGLOBIN
|
MERCY LAB CODE
|
MYO
|
| Specimen: |
0.5 ml lithium heparin plasma from a PST tube. |
| Stability: |
8 hours room temp, 24 hours refrigerated, freeze if >24 hours. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
Female: 14 - 66 ng/ml Male: 17 - 106 ng/ml
|
| Method: |
Sandwich Immunoassay Chemiluminescent |
| CPT Code: |
83874 |
|
POWERCHART NAME
|
MYOGLOBIN URINE
|
|
MERCY TEST NAME
|
MYOGLOBIN R UR*
|
MERCY LAB CODE
|
MYOU
|
| Specimen: |
5 ml random urine. Minimum 0.5 ml. No preservative required. |
| Processing: |
Transport in Mayo urine container, not serum vials. Indicate random on request form. Send refrigerated to Mayo. Frozen acceptable. Mayo # 9274.
|
| Performed: |
1 day. Test set up Monday through Saturday. |
| Reference value: |
Included with test results |
| Method: |
Latex Particle-Enhanced Immunonephelometry |
| CPT Code: |
83874 |
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