|
|
|
Section-O
|
|
|
POWERCHART NAME
|
OLIGOCLONAL BANDING CSF
|
Also included in: MS Panel/Myelin Basic Protein*
|
|
MERCY TEST NAME
|
OLIGOCLONL BANDING*
|
MERCY LAB CODE
|
OLGBND
|
|
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:
|
Oligoclonal Bands: CSF bands, serum bands
|
|
Specimen:
|
- 0.5 ml CSF and 0.5 ml serum from plain red top tube or serum gel tube.
- Minimum 0.4 ml CSF and 0.4 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.
- 0.5 ml CSF, send in original tube when possible. Label tube as CSF.
- 0.5 ml serum in vial labeled as such.
- Record on Mayo batch list: # of ml of CSF sent.
- SEND ALL TESTS REFRIGERATED TO MAYO. LABEL 1 ALIQUOT CSF (0.5 ml) AND 1 ALIQUOT SERUM (0.5 ml). Mayo # 8017. AMBIENT AND FROZEN ACCEPTABLE.
|
|
Performed:
|
3 days
|
|
Reference value:
|
Included with test results
|
|
Method:
|
Isoelectric Focusing (IEF) with IgG Immunoblot Detection
|
|
CPT Code:
|
83916 Oligoclon Band+* x2
|
|
POWERCHART NAME
|
ORTHOPEDIC PANEL
|
|
MERCY TEST NAME
|
ORTHOPEDIC PANEL
|
MERCY LAB CODE
|
OPNL
|
| Includes: |
| Albumin |
Alkaline Phosphatase |
BUN |
Gamma GT |
| BUN/Creatinine Ratio |
Calcium |
Creatinine |
| Glucose |
Potassium |
Sodium |
|
| Specimen: |
- Preffered in house: 1.0 ml lithium heparin plasma from a PST tube.
- Preferred reference lab: 1.0 ml serum from SST tube.
- Also acceptable: Serum from plain red top tube.
|
| Stability: |
8 hours room temperature, 48 hours refrigerated, freeze if >48 hours. |
| Performed: |
Within 8 hours of collection. Available stat. |
| Reference values: |
See individual test entry. |
| Method: |
See individual test entry. |
| CPT Code: |
82040 Albumin 84075 Alk Phos 84520 BUN 82310 Calcium 82565 Creat 82977 Gamma GT 82947 Glucose 84132 Potassium 84295 Sodium
|
|
POWERCHART NAME
|
OSMOLALITY SERUM
|
|
MERCY TEST NAME
|
OSMOLALITY BLOOD
|
MERCY LAB CODE
|
OSM
|
| Specimen: |
0.5 ml plasma from PST or 0.5 mls serum from SST tube. |
| Stability: |
7 days refrigerated. |
| Comment: |
Included in Osmolality Ratio or can be ordered separately. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
280 - 300 mosm/kg |
| Method: |
Freezing point depression. |
| CPT Code: |
83930 |
|
POWERCHART NAME
|
OSMOLALITY RATIO (SERUM-URINE)
|
|
MERCY TEST NAME
|
OSMOLALITY RATIO
|
MERCY LAB CODE
|
OSMR
|
| Includes: |
Osmolality serum Osmolality urine Ratio |
| Specimen: |
- 0.5 ml plasma from PST or 0.5 ml serum from a SST tube and 1.0 ml random urine.
- Collect random urine within one hour of blood collection.
- Aliquot serum specimen.
- Lab must notify nursing service when blood collected.
|
| Stability: |
7 days refrigerated for serum, plasma, and urine.
|
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
Serum: 280 - 300 mosm/kg Urine: 300 - 1000 mosm/kg Ratio: 1.0 - 3.0
|
| Method: |
Freezing point depression. |
| CPT Code: |
83930 Osmolality 83935 Osmolality R UR
|
|
POWERCHART NAME
|
OSMOLALITY URINE
|
|
MERCY TEST NAME
|
OSMOLALITY R UR
|
MERCY LAB CODE
|
UOSM
|
| Specimen: |
1 ml random urine. |
| Stability: |
7 days refrigerated. |
| Comment: |
Included in Osmolality Ratio or can be ordered separately. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
300--1000 mosm/kg (varies with diet and fluid intake) |
| Method: |
Freezing point depression |
| CPT Code: |
83935 |
|
POWERCHART NAME
|
OXALATE 24 HOUR URINE
|
|
MERCY TEST NAME
|
OXALATE 24UR*
|
MERCY LAB CODE
|
VOXL
|
| Patient preparation: |
Avoid taking large doses (greater than 2.0 g orally/ 24 hours) of Vitamin C during collection. |
| Specimen: |
- 24 hour urine collection.
- Collect in metal free container with no metal cap or glued insert.
- Refrigerate during collection.
|
| Cause for rejection: |
Samples collected in or sent in containers with metal caps will not be tested. |
| Processing: |
- Add 30 ml 6N HCL within 4 hour of completion of collection.
- Transfer 30 ml aliquot to metal-free container. Minimum 5 ml.
- Adjust the pH to 2.5 - 3.0 with 6N HCL.
- Indicate total 24 hour volume.
- Send refrigerated to Mayo. Ambient and frozen acceptable. Mayo # 8669.
- Click on 24-hour urine preservative chart for other acceptable temperatures and additives
|
| Performed: |
1 day. Test set up Monday through Sunday. |
| Method: |
Enzymatic using Oxalate Oxidase. |
| CPT Code: |
83945 |
|
POWERCHART NAME
|
OXYCODONE, Urine Screening Test Discontinued at Mercy 10-1-2012. Send to Mayo.
|
|
MERCY TEST NAME
|
|
MERCY LAB CODE
|
CMIS
|
| Comment: |
Order Miscellaneous General Lab and specify: Mayo 91639/ FOXYC- Oxycodone Urine.
|
| Performed: |
Referred to MedTox. 5-9 days. |
| Reference value: |
Included in report.
|
| Method: |
Gas Chromatography/Mass Spec. |
| CPT Code: |
82542 |
|
|