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Section-N
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POWERCHART NAME
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NEONATAL METABOLIC SCREEN
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MERCY TEST NAME
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NEONT MET SCR*
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MERCY LAB CODE
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NNT
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| Includes: |
Hypothyroidism Phenylketonuria Expanded Screening Disorders Hemoglobinopathies Biotinidase Deficiency Congenital Adrenal Hyperplasia Galactosemia Cystic Fibrosis
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| Specimen: |
- Capillary blood specimen collected by Laboratory on INMSP form.
- Instructions for collection technique on the INMSP form must be carefully followed to avoid rejection of the specimen.
- The specimen should be collected when the infant is more than 24 hours old and less than 5 days, but must be collected prior to discharge.
- A repeat specimen must be collected within 14 days of age when the first specimen was collected prior to 24 hours after birth.
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| Processing: |
Send to University Hygienic Laboratory, Des Moines. |
| Performed: |
7 days |
| Reference value: |
See State Laboratory report for reference values. |
| Method: |
Phenylketonuria: No longer reported separately 9/3/05 included in Expanded Screening Disorders. Galactosemia (Classic): Quantitative Fluorometric Assay Hemoglobinopathy: High Precision liquid Chromatography Hemoglobin Electrophoresis Congenital Adrenal Hyperplasia: Fluoroimmunoassay for 17 alpha-OH Progesterone (17 OHP) Hypothyroidism: Fluoroimmunoassay for Thyrotropin (TSH) Biotinidase Deficiency: Qualitative Assay for Biotmidase Expanded Screening Disorders: Tandem Mass Spectrometry (MS/MS) Cystic Fibrosis: Immuno Reactive Trypsinogen (IRT)
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| CPT Code: |
Biotinidase 82261 Galactose Transferase 82776 Hemoglobin Electrophoresis 83020 Tanden mass spectrometry 83789 Progesterone 84144 TSH 84443 Cystic Fibrosis 83516
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| Comment: |
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POWERCHART NAME
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NEWBORN METABOLIC SCREEN REPEAT
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MERCY TEST NAME
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NEONT MET SCR RPT*
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MERCY LAB CODE
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NNTR
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| Includes: |
Hypothyroidism Galactosemia Expanded Screening Disorders Hemoglobinopathies Congenital Adrenal Hyperplasia Biotinidase Deficiency Phenylketonuria Cystic Fibrosis |
| Comment: |
- To be used when the neonatal metabolic screen is to be repeated by the State Lab.
- The patient will be charged a processing fee only.
- Nursery is to notify ER as to which baby will be returning.
- A repeat INMSP form will be provided to the Lab by the State Lab.
- A repeat specimen must be collected within 14 days of age if first specimen was collected prior to 24 hours after birth.
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| Specimen: |
Capillary blood specimen collected by Laboratory on INMSP form. Instructions for collection technique on the INMSP form must be carefully followed to avoid rejection of the specimen.
|
| Processing: |
Send to University Hygienic Laboratory, Des Moines. |
| Performed: |
7 days |
| Reference value: |
Send to University Hygienic Laboratory, Des Moines |
| Method: |
Phenylketonuria: No longer reported separately 9/3/05 included in Expanded Screening Disorders Galactosemia (Classic): Quantitative Fluorometric Assay Hemoglobinopathy: High Precision liquid Chromatography Hemoglobin Electrophoresis Congenital Adrenal Hyperplasia: Fluoroimmunoassay for 17 alpha-OH Progesterone (17 OHP) Hypothyroidism: Fluoroimmunoassay for Thyrotropin (TSH) Biotinidase Deficiency: Qualitative Assay for Biotmidase Expanded Screening Disorders: Tandem Mass Spectrometry (MS/MS) Cystic Fibrosis: Immuno Reactive Tripsinogen (IRT) |
| CPT Code: |
99001 |
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TEST NAME
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NEUTROPHIL CYTOPLASM ANTIBODY ID
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See: Cytoplasmic Neut AB* |
| MERCY TEST NAME |
CYTOPLASMIC NEUT AB* |
MERCY LAB CODE |
ANCA |
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POWERCHART NAME
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NEUTROPHIL CYTOPLASM ANTIBODY VASCULITIS PANEL |
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MERCY TEST NAME
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VASCULITIS ANCA PANEL*
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MERCY LAB CODE
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see VAPNL
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POWERCHART NAME
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NICOTINE AND METABOLITE SCREEN |
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MERCY TEST NAME
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NICOTINE METABOLITE*
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MERCY LAB CODE
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NICOT
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| Specimen: |
1.4 ml serum from plain red top tube. Minimum 0.4 ml.
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| Processing: |
Send refrigerated to Mayo. Ambient and frozen also acceptable. Mayo #82509 |
| Performed: |
Monday through Friday, Sunday ; 1 p.m. |
| Reference value: |
Included with results. |
| Method: |
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) |
| CPT Coe: |
83887 |
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TEST NAME
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NIPPLE DISCHARGE CYTOLOGY
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See: Cytology Section Breast Fluid
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TEST NAME
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NORTRIPTYLINE SERUM*
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MERCY TEST NAME
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MISC GENERAL LAB
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MERCY LAB CODE
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CMIS
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| Specimen: |
- 3 ml serum from plain red top tube. minimum 1.1 ml.
- Specimen should be drawn 12 hours after last dose.
- Remove serum from cells within 2 hours.
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| Cause for rejection: |
Serum from SST tubes. |
| Comment: |
Indicate time of last dose in comment field. |
| Processing: |
- Centrifuge and remove serum within 2 hours after collection.
- Send refrigerated to Mayo. Ambient and frozen also acceptable. Mayo # 81858.
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| Performed: |
2 days. Test set up Monday through Saturday. |
| Reference value: |
Included with results. |
| Method: |
High-Pressure Liquid Chromotography (HPLC) |
| CPT Code: |
80182 Nortroptyline+* |
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TEST NAME
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N-TELOPEPTIDES, URINE
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MERCY TEST NAME
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MISC GENERAL LAB
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MERCY LAB CODE
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CMIS
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| Specimen: |
- 4.0 ml from 24 hour urine collection. Minimum 1.5 ml.
- No preservative, refrigerate specimen during collection.
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| Comment: |
Random urine specimens and second morning voided specimens are acceptable, but 24-hour collections are preferred. |
| Processing: |
- Send frozen to Mayo. Refrigerated also acceptable. Mayo #81549.
- Include 24 hour urine volume.
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| Performed: |
1 day. Test set up Monday and Thursday. |
| Reference value: |
Males: <65 pmol/mmol creatinine Females: Premenopausal: <65 pmol/mmol creatinine Postmenopausal: <131 pmol/mmol creatinine
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| Method: |
Enzyme-Linked Immunoabsorbent Assay (ELISA) |
| CPT Code: |
82523 |
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POWERCHART NAME
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NUTRITION PANEL
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MERCY TEST NAME
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NUTRITION PNL
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MERCY LAB CODE
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NPNL
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| Includes: |
| A/G Ratio |
Albumin |
Anion Gap |
BUN |
| BUN/Creat Ratio |
Calcium |
Calcium Ionized |
Chloride |
| Cholesterol |
Creatinine |
CO2 |
Glucose |
| Magnesium |
Phosphorus |
Potassium |
Prealbumin |
| Sodium |
Total Protein |
Triglyceride |
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| Specimen: |
Draw 2 tubes: 1 large lithium heparin PST tube and 1 small green top tube. Place small green top tube on ice. Refrigerate. PST tube stable 8 hours at room temperature, 48 hours refrigerated. Freeze if > 48 hours. Small green top tube is stable 12 hours if capped and refrigerated. Keep tubes closed.
Regional Lab Clients: Draw 1 large lithium heparin PST tube and 1 full small green top tube. Centrifuge large PST tube. Do not open or spin small green top tube. Keep refrigerated. Send on ice.
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| Processing: |
LARGE PST TUBE: Centrifuge.
SMALL PST TUBE: Leave on ice.
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| Performed: |
Within 8 hours of receipt. Available stat.
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| Reference value: |
See individual test entry. |
| Method: |
See individual test entry. |
| CPT Code: |
82330 Calcium Ionized+ 84134 Prealbumin 82465 Cholesterol 84155 Prot TTL 80069 Renal Function Panel 84478 Triglyceride 83735 Magnesium
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