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Section-P (Po-Pz)

 

POWERCHART NAME

PORPOBILINOGEN, QUANTITATIVE, RANDOM URINE

MERCY TEST NAME

MISCELLANEOUS GENERAL LAB

MERCY LAB CODE

 CMIS

Specimen:
  • 20 - 50 mL random urine.  Minimum 15 ml. 
  • PROTECTED FROM LIGHT. Wrap specimen in aluminim foil or use amber bottle.
  • Note:No preservative needed, but pH must be >5.0.  Freeze specimen immediately after collection.
  • Ideally, specimen collection should occur during the acute phase.  Porpholbinogen may be normal when the patient is not exhibiting symptoms.
Processing: 
  • Freeze specimen immediately after collection in amber bottle.  Wrap specimen in aluminim foil to protect from light.  Sent frozen within 72 hours to Mayo. 
  • Mayo order code PBGU.
Performed: 2 days. Monday through Friday 8 a.m.
Reference value: Included with report
Method:    Isotope dilution liquid chromatography-tandem mass spectrometry.
CPT Code:  

84110

 

POWERCHART NAME

PORPHYRIN QUANTITATIVE FRACTION 24 HOUR URINE

MERCY TEST NAME

PORPHY QNT 24UR*  

MERCY LAB CODE

 PRPQ

Patient preparation:  Patient should be off medications, if possible, for at least 1 week.
Includes:  

Uroporphyrins, heptacarboxylporphyrins, hexacarboxylporphyrins, tricarboxyl, pentacarboxylporphyrins, coproporphyrins and porphobilinogen.

Specimen:
  • 24-hour urine specimen. 
  • Add 5 gram sodium carbonate as a preservative BEFORE starting the collection. 
  • Refrigerate during collection.
  • PROTECT FROM LIGHT 
  • pH of specimen must be >7.0.
Processing: 
  • Aliquot 20-50 ml and indicate total 24-hour volume.  Minimum 15 ml. 
  • Send frozen to Mayo.  Mayo PQNU.
Performed:  2-3 days.  Test set up Monday through Friday; 7 a.m.
Reference value: Included with report
Method:    High-Performance Liquid Chromatography (HPLC) with Fluorometric Detection.
CPT Code:  

84120
84110

 

POWERCHART NAME

PORPHYRIN QUANTITATIVE FRACTION RANDOM URINE

MERCY TEST NAME

PORPHY QNT RNDM UR*

MERCY LAB CODE

 PORPHR

Specimen:
  • 20 - 50 mL random urine.  Minimum 15 ml. 
  • PROTECTED FROM LIGHT
  • Note:Patient should abstain from alcohol 24 hours prior to collection.  Please include list of medications the patient is currently taking and forward with the specimen.
Processing: 
  • Specimen should be sent frozen within 72 hours to Mayo in a amber vial to PROTECT FROM LIGHT
  • Mayo order code PQNRU.
Reference value: Included with report
Method:    High Performance Liquid Chromatography with Fluorometric Detection (HPLC)
CPT Code:  

84120
84110

 

POWERCHART NAME

PORPHYRINS SCREEN URINE

Test No Longer Available 5/7/2007
See: Porphyrins Quant Fraction Random Urine

 

POWERCHART NAME

POTASSIUM  LEVEL

MERCY TEST NAME

POTASSIUM  

MERCY LAB CODE

K

Specimen:  
  • Preferred in house:0.5 ml lithium heparin plasma from a PST tube.  
  • Preferred reference lab: 0.5 ml serum from an SST tube.
  • Also acceptable: serum from a plain red top tube and NA heparin plasma.

Stability:
8 hours room temp, 48 hours refrigerated, freeze if >48 hours.
Cause for rejection:  Hemolyzed specimen not acceptable.
Performed:  Within 8 hours of receipt.  Available stat.
Reference value: 

0 - 2 days: 3.7 - 5.9 mmol/L
3 days - 11 months: 4.1 - 5.3 mmol/L
1 - 12 years: 3.4 - 4.7 mmol/L
> 12 years: 3.5 - 5.1 mmol/L          

Method:   ISE Indirect Potentiometry
CPT Code:   84132

 

TEST NAME

POTASSIUM/SODIUM URINE

  See: Sodium/Potassium 24-Hour Urine       See:    Sodium/Potassium Random Urine

 

POWERCHART NAME

POTASSIUM  RANDOM URINE

MERCY TEST NAME

POTASSIUM  R UR

MERCY LAB CODE

UK

Specimen:   5 ml random urine.  Refrigerate.
Performed:  Within 8 hours of receipt.  Available stat.
Reference value: 

No normal range available.  Random urine potassium values average 40 mmol/L.  These values are diet dependant.  Longer 12 or 24 hour urine collections are preferred.

Method:   ISE Indirect, Potentiometry
CPT Code:   84133 Potassium Urine

 

POWERCHART NAME

POTASSIUM  24 HOUR URINE

MERCY TEST NAME

POTASSIUM 24 UR

MERCY LAB CODE

UK

Specimen:   24-hour urine specimen.  Refrigerate during collection, no preservative.
Processing: Aliquot 10 ml and indicate total 24-hour volume.  Send refrigerated.
Performed:  Within 8 hours of receipt. 
Reference value: 

Potassium:25-125 mmol/24 HR

Method:   ISE Indirect, Potentiometry
CPT Code:   84133 Potassium Urine

 

POWERCHART NAME

PREALBUMIN

MERCY TEST NAME

PREALBUMIN          

MERCY LAB CODE

PAB

Specimen: 
  • Fasting is recommended.
  • 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 plasma and serum from a plain red top tube. 
Stability:

8 hours room temp, 48 hours refrigerated, freeze if >48 hours

Cause for rejection:  Avoid lipemic, icteric and hemolyzed samples.
Performed:    Within 8 hours of receipt.  Available Stat.
Reference value:   17-34 mg/dl
Method: Immunoturbidimetric
CPT Code:  84134

 

POWERCHART NAME

PRE-ECLAMPTIC PANEL

MERCY TEST NAME

PRE-ECLAMPTIC PNL

MERCY LAB CODE

PEPN

Includes:

CBC with Diff               ALT                 AST  LD                 Uric Acid          Creatinine

Specimen: 
  • Preferred in house: 1.5 ml whole blood from EDTA tube and 1.0 ml lithium heparin plasma from a PST tube.
  • Preferred reference lab: 1.5 ml whole blood from EDTA tube and 1.0 ml serum from a SST tube.
  • Also acceptable: Serum from a plain red top tube and Sodium heparin plasma.
Stability:
  • EDTA tube:  36 hours room temp or refrigerated. 
  • Plasma and Serum:  8 hours room temperature, 24 hours refrigerated, freeze if >48 hours.
Performed:  Within 8 hours of receipt.  Available stat.
Reference value:  See individual test entry.
Method:   See individual test entry.
CPT Code:

85025 CBC
84460 ALT                    
84550 Uric Acid
84450 AST                           
82565 Creat
83615 LD

 

POWERCHART NAME

PREGNANCY TEST QUALITATIVE SERUM

MERCY TEST NAME

PREG TEST SERUM    

MERCY LAB CODE

HCGS

Specimen: 
  • Preferred in house: 1 ml serum from a SST tube. 
  • Preferred reference lab: 1 ml serum from a SST tube.
  • Hemolysis and icterus do not interfere with testing.
Cause for rejection:  Plasma is not acceptable.
Stability: 8 hours room temp, 48 hours refrigerated, freeze if >48 hours.  May be frozen only once.
Performed:  Within 8 hours of receipt.  Available stat
Reference value: 

Negative: Non-pregnant females and healthy males
Positive: HCG present is equal to or greater than 25 MIU/ML

Method:   Immunoassay with monoclonal antibody.
CPT Code:   84703

 

POWERCHART NAME

PREGNANCY TEST QUANTITATIVE

See: HCG Quantitative

 

POWERCHART NAME

PREGNANCY TEST URINE

MERCY TEST NAME

PREG TEST UR QAL  

MERCY LAB CODE

HCGU

Specimen:  5 ml fresh urine specimen (first AM specimen preferred) 
Stability: 48 hours refrigerated.
Performed:  Within 8 hours of receipt.  Available stat.
Reference value: 

Negative: Non-pregnant females and healthy males
Positive: HCG present is equal to or greater than 20 MIU/ML

Method:   Immunoassay with monoclonal antibody.
CPT Code:   81025

 

TEST NAME

PRENATAL PROFILES:

See: PNP with HIV test
PNP without HIV test

Comment: 

There are 2 Prenatal Profiles offered: PNP with HIV test OR PNP without HIV test

Reference Lab Clients:
Prenatal Profile 1 =  PNP with HIV testing.
Prenatal Profile 2 =  PNP without HIV testing.
The office or Reference Lab Client must specify on the form if a PNP without HIV is needed.
If nothing is specified, a PRENATAL PROFILE WITH HIV will be ordered.

 

POWERCHART NAME

PRENATAL PANEL  WITH HIV

MERCY TEST NAME

PRENATAL PROFILE (WITH HIV)

MERCY LAB CODE

PTYS & PNP

Comment: 

Patient must sign an HIV informed consent form before collection of specimen. 
No verbal report release will be allowed.  Forms are to stay with the patient chart.

Includes:   

Syphilis, IgG                       Rubella                             HIV
CBC with Diff                    ABO Group/RH Type      Hepatitis B Surface Antigen(HBsAg)
Antibody ID (when antibody screen is positive)           Antibody screen

Comment:
  • Antibody titer is not included.  If desired it must be ordered separately by the physician.
  • When antibody screen is positive, the antibody ID will be done and charged.
  • When the HIV test is positive, a HIV evaluation will be done and charged.
  • When the HBS antigen test is positive, neutralization testing will be done and charged.
  • When the syphilis test is positive, RPR testing will be done and charged.
Specimen: 

Two SST tubes, One Pink top tube, and one Purple top tube
  Specimen Minimums:
    Pink tube: 2 ml minimum for ABO/RH & Antibody Screen 
    Purple tube: 1 ml minimum for the CBC.  May also use a capillary tube minimum of 300 mcl.
    SST tube: 3-4 ml Serum minimum:

Processing: 

CBC is stable 36 hours at either room temperature or refrigerated. 
HBsAg, HIV, Syphilis, and Rubella: centrifuge within 6 hours of draw and leave in original tube.
Type & Screen:  One pink top tube, centrifuged, do not aliquot.

Performed: 

Type & Screen: Daily
Syphilis: Monday- Friday 0800 cutoff
Rubella, HIV, and HBsAg: within 8 hours of receipt. 
CBC: Within 8 hours of receipt.

Reference value:  See individual test entry.
Method:  See individual test entry.
CPT Code:  

80055 Prenatal Prof (No HIV)
87389 HIV+

 

POWERCHART NAME

PRENATAL PANEL (NO HIV)

MERCY TEST NAME

PRENATAL PROF (NO HIV)

MERCY LAB CODE

PNPO & PTYS

Includes: 

ABO Group/RH Type                 Hepatitis B Surface Antigen(HBsAg)
Antibody screen                          Antibody ID (when antibody screen is positive)
CBC with Diff                             Rubella                    Syphilis, IgG

Comment:
  • Antifody titer is not included and if desired, it must be ordered separately by the physician.
  • When antibody screen is positive the antibody ID will be done and charged.
  • When the HBS antigen test is positive the neutralization testing will be done and charged.
  • When the syphilis test is positive, RPR testing will be done and charged.

Reference Lab Clients:  Please specify on order form PNP/NO HIV.  If nothing is specified, a Prenatal Profile with HIV will be done.

Specimen: 

Two SST tubes, one Pink top tube, and one Purple top tube.
Specimen Minimums:
  Pink tube: 2 ml minimum for ABO/RH & Antibody Screen.
  Purple tube: 1 ml minimum for the CBC. May also use a capillary tube minimum of 300 mcl.
  SST tube: 3 ml SERUM minimum

Processing: 

CBC is stable 36 hours at either room temperature or refrigerated.

HBsAg, Syphilis, and Rubella:  Centrifuge within 6 hours of collection and leave in original tube.
Type & Screen: One Pink top tube, centrifuged, do not aliquot.

Performed: 

Type & Screen: Daily
Syphilis: Monday- Friday 0800 cutoff
Rubella and HBsAg: 
CBC: Within 8 hours of receipt.

Reference value: See individual test entry.
Method:  See individual test entry.
CPT Code:  80055

 

POWERCHART NAME

PRIMIDONE (MYSOLINE) WITH PHENOBARBITAL LEVEL

MERCY TEST NAME

PRIMIDON PHENOBRB*

MERCY LAB CODE

PRIM

Comments: 

DO NOT order an additional Phenobarbitol. Indicate time last dose in the comment field.

Specimen:  1.0 ml serum from plain, red-top tube.  Send specimen Refrigerated . Mayo order code  PBPR.
Performed:  Monday through Sunday at Mayo Labs. 
Reference value:  

Included with test results.

Method:  Immunoassay
CPT Code:

80188 Primidone
80184 Phenobarbital

 

POWERCHART NAME

PROCAINAMIDE WITH N-ACETYLPROCAINMIDE LEVEL

MERCY TEST NAME

PROCAINAMIDE NAPA*

MERCY LAB CODE

PRCN

Specimen: 

Draw blood in a plain, red-top tube.  Spin down and send 1 mL of serum.  Collection time is not critical.  Send refrigerated to Mayo
 Mayo order code PA.

Comment:  Indicate time last dose in the comment field.
Performed:     Monday through Sunday.
Reference value:

 Included in report.

Method: Immunoassay
CPT Code:  80192

 

POWERCHART NAME

PROCESSING COLLECTION KIT

MERCY TEST NAME

PROCESSING CHG

MERCY LAB CODE

PRCS

Comment: To be ordered on any specimen collected for shipping and testing at an outside facility when the order and results are not handled through Mercy.

 

POWERCHART NAME

PROGESTERONE LEVEL

MERCY TEST NAME

PROGESTERONE      

MERCY LAB CODE

PROG

Specimen:  0.5 ml serum from SST tube.  To avoid time related absorption, do not store in collection vials with gel separators.
Cause for rejection: Avoid grossly lipemic specimens.  Plasma is not acceptable.
Processing:

Stable 8 hours at room temperature.  Stable 48 hours refrigerated.  Freeze if testing is not completed within 48 hours of collection.

Regional Lab Clients:
  Serum must be removed from gel tube.  Freeze if not received at Mercy Medical Center_North Iowa Laboratory within 48 hours of collection.

Performed:  Within 8 hours of receipt. Available stat.
Reference value:

Male:  0-1 years:  0.87-3.37 ng/ml
Male:  2-9 years:  0.12-0.14 ng/ml
Male:   10-18 years:  Adult levels are attained by puberty
Male, adult:  0.1-2.1 ng/ml

Female:  0-1 years:  0.87-3.37 ng/ml
Female:  2-9 years:  0.12-0.14 ng/ml
Female: 10-18 years: Values increase through puberty and adolescence.                               
Non-pregnant female:  mid-follicular phase:  0.3-1.5 ng/ml.
                                mid-Luteal phase:  5.2-18.6 ng/ml
Post menopausal, (not on hormone replacement therapy): Pregnant female:  first trimester: 4.7-50.7 ng/ml.
                         second trimester: 19.4-45.3 ng/ml.

Method:   Competitive Binding Immunoassay Chemiluminescent
CPT Code:  84144

 

TEST NAME

PROGESTERONE RECEPTOR

See:  Estrogen/Progesterone Receptor Assay Quantitative (Paraffin Block)*

 

TEST NAME

PROGESTERONE SALIVA

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Specimen: 2 ml saliva.
Processing: 

Centrifuge to remove artifacts.  Send 1 ml frozen to Mayo.  Order Wild 30 and type in Progesterone in Saliva to Interscience.

 

TEST NAME

PROGRAF

See: TACRO  

            

POWERCHART NAME

PROLACTIN LEVEL

MERCY TEST NAME

PROLACTIN           

MERCY LAB CODE

PRL

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 heparin plasma from a green top tube.
Processing: 

Stable 8 hours at room temperature.  Stable 48 hours refrigerated. 
Freeze if testing is not completed within 48 hours of collection.

Regional Lab Clients:
  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 48 hours of collection.

Performed:  Within 8 hours of receipt. Available stat.
Reference value:

Male:………2.6-13.1 ng/ml
Female:……                >50 years: 2.7-19.6 ng/lml
               In pregnancy, elevated Prolactin levels may be detected during the eighth week, with levels continuing to rise throughout gestation.  In the absence of breast feeding, Prolactin levels return to normal within three weeks of giving birth.

Method:  Sandwich Immunoassay Chemiluminescent
CPT Code:  84146

 

TEST NAME

PROSTATE SPECIFIC ANTIGEN SERUM

See:  PSA

 

POWERCHART NAME

PROSTATIC ACID PHOSPHATASE

MERCY TEST NAME

PROSTATIC ACID PHOS*

MERCY LAB CODE

ACPH

Specimen: 1 ml serum from SST. 
Processing: Send refrigerated to Mayo PACP.
Performed:  1-3 days.  Test set up Monday through Firday; 5 a.m.- 12 a.m., Saturday; 6 a.m.- 6 p.m..
Reference value:  Included in report.
Method: Automated Chemiluminescent Immunometric Assay.
CPT Code:   84066

 

POWERCHART NAME

PROTEINASE 3 AUTOANTIBODY

MERCY TEST NAME

PROTEINASE 3 AB*

MERCY LAB CODE

PRT3AB

Comment:

If Cytoplasmic Neutrophil ABS is ordered and p-ANCA is positive, Proteinase 3 Autoantibodies will be done and charged per Mercy Medical Center - North Iowa Lab policy. 
Test is also included in Cytoplasmic Neutrophil Antibodies Vasculitis Panel. (VAPNL)

Specimen: 0.5 mL serum from a plain red top tube, serum gel also acceptable.
Processing: Send refrigerated to Mayo.  Mayo order code  PR3.
Performed:  1 day.  Monday through Saturday.
Reference Value: 

Reference ranges included with results.

Method:   Multiplex flow immunoassay.
CPT Code:   83516

 

TEST NAME

PROTEIN BENCE JONES

See:  Monoclonal Protein Study, Urine*

 

TEST NAME

PROTEIN C

See: Included in Hypercoagulability Consult
May be ordered separately as CMIS

 

POWERCHART NAME

PROTEIN CREATININE RATIO RANDOM URINE

MERCY TEST NAME

PROTEIN/CREATININE RATIO URINE

MERCY LAB CODE

UPCRTO

Specimen:   

5 ml random urine specimen

Processing: 

Stable 7 days refrigerated .

Performed:  Within 8 hours of receipt.  Available stat.
Reference value: 

Protein Random Urine: 0-13.5 mg/dl
Creatinine Random Urine: not available
Protein/Creatinine Ratio Urine:                                            >3.5 is in the nephrotic range.

Method: 

Protein Urine:  Pyrogallol Red
Creatinine Urine:  Alkaline Picrate-Kinetic

CPT Code: 

82570 Creatinine Urine
84156 Protein Total Urine

 

POWERCHART NAME

PROTEIN ELECTROPHORESIS 24 HOUR URINE

MERCY TEST NAME

PROT ELEC 24UR*

MERCY LAB CODE

VELC

Specimen:   

50 mL from a 24-hour urine collection (no preservative).  Refrigerate during collection, no preservative. Must be a 24 hour collection.  

Comment:

 A different order code is used for random specimens.  See protein electrophoresis random.

Processing: 

Aliquot specimen among one plastic, 60 mL 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 Protein Electrophoresis. Send refrigerated to Mayo.  Mayo order code  EPU.

Performed:  2 days.  Test set up Monday through Saturday.
Reference value:  The electrophoretic densitometry pattern will be sent by mail.
Method:  Agarose Gell Electrophoresis
CPT Code: 

84166 Protein Electrophoresis, Urine

84156 Protein, Total, Urine

86335 Immunofixation, Urine (if appropriate)

 

TEST NAME

PROTEIN ELECTROPHORESIS CSF

See:  IgG Index CSF*

 

POWERCHART NAME

PROTEIN ELECTROPHORESIS

MERCY TEST NAME

PROTEIN ELEC

MERCY LAB CODE

 PEL

Specimen:  1ml serum from SST or plain red-top tube.  Refrigerate.  Patient should be fasting.
Processing: Aliquot, send refrigerated to Mayo.  Mayo order code  PEL.
Performed: Test set up Monday through Saturday
Comment:

If multiple myeloma is suspected, please indicate

Referencel values:

Includeded with report. an interpretive comment is also provided with the report

Method:

Total protein:  Biuret
Protein Elecrophoresis:  Agarose Gel Electrophoresis
Immunofixation:  Immunofixation and/or immunodiffusion

CPT Code

84165 Protein Electrophoresis
86334 Immunofixation (If appropriate)
84155 Protein,Total

 

POWERCHART NAME

PROTEIN ELECTROPHORESIS  RANDOM URINE

MERCY TEST NAME

PROEIN ELEC UR

MERCY LAB CODE

 REPU

 

Specimen:  50 mL from a random collection.  No preservative.
Stability: Refrigerated 14 days, Frozen 5 days, Ambient 72 hours.
Processing: Aliquot, specimen between 1 plastic, 60-mL urine bottle and 1 plastic 13-mL urine tube. The labeling of the 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 Protein Electrophoresis.  Send refrigerated. Mayo order code REPU.
Performed: 2-3 days.  Electrophoresis Monday through Saturday;12:00 p.m.
Referencel values:

Included with report.

Method:

Dye binding (Pyrogallol Red)
 Agarose Gel Electrophoresi

CPT Code:

 84156-Protein,total
84166-Electrophoresis,protein
86335-Immunofixation(if appropriate)

 

TEST NAME

PROTEIN S

See:  Included in Hypercoagulability Consult
May be ordered separately as CMIS

 

POWERCHART NAME

PROTEIN

MERCY TEST NAME

PROT TTL

MERCY LAB CODE

TP

Specimen:  0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin plasma tubes are also acceptable.  Stable 48 hours refrigerated.
Cause for rejection: Hemolysis.
Performed:  Within 8 hours of receipt.
Reference value: 

< 1 month: 4.4 - 7.6 g/dl
1 -3 months: 4.2 - 7.4 g/dl
4 - 11 months: 5.6 - 7.2 g/dl
> 11 months: 6.3 - 8.2 g/dl

Method: Colorimetric
CPT Code: 84155

 

POWERCHART NAME

PROTEIN BODY FLUID

MERCY TEST NAME

PROT TTL BF

MERCY LAB CODE

FPRT

Comment:        Indicate specimen source in comment field.
Specimen:  1 ml body fluid placed in a plain red top tube.  Refrigerate.
Performed:  Within 8 hours of receipt.
Reference value:  Dependent on body fluid source
Method:  Colorimetric
CPT Code:  84157

 

POWERCHART NAME

PROTEIN CSF

MERCY TEST NAME

PROT TTL CSF

MERCY LAB CODE

CPRT

Specimen:  0.5 ml spinal fluid. 
Comment: 

Specimen must be transported in a screw top container.

Processing:  
  • Centrifuge every CSF specimen and analyze the supernatant. 
  • Refrigerate samples if not analyzed within 4 hours. 
  • Freeze specimens if not analyzed within 48 hours. 
Performed: Within 8 hours of receipt.  Available stat
Reference value: 

0-3 months: 20-100 mg/dl
>3 months:  15-45 mg/dl

Method:  Pyrogallol Red
CPT Code: 84157

 

POWERCHART NAME

PROTEIN 24 HOUR URINE

MERCY TEST NAME

PROT TTL 24UR

MERCY LAB CODE

VPRT

Specimen: 24 hour urine specimen.  Refrigerate during collection, no preservative. 
Comment:  A single 24 hour urine collection may be used for Creatinine and Total Protein.
Processing:  Aliquot 10 ml and indicate total 24-hour volume.   Send refrigerated.  Stable 7 days refrigerated.
Performed: Within 8 hours of receipt.
Reference value:  0 - 150 mg/24 hours
Method:  Pyrogallol Red
CPT Code: 84156

 

POWERCHART NAME

PROTEIN RANDOM URINE

MERCY TEST NAME

PROT TTL R UR

MERCY LAB CODE

UPRT

Specimen:  2 ml random urine.  Refrigerate.  Stable 7 days refrigerated.
Performed:  Within 8 hours of receipt.
Reference value:  0 - 13.5 mg/dl
Method:   Pyrogallol Red
CPT Code:  84156

 

TEST NAME

PROTEIN URINE DIPSTICK

Alternative test: Urine Dipstick.

 

POWERCHART NAME

PROTIME

MERCY TEST NAME

PROTIME INR

MERCY LAB CODE

PTR 

Specimen: Draw a blue top tube (3.2% Citrate) filled appropriately with amount of blood listed on label. 
Cause for rejection:  Improperly filled tubes will NOT be tested.  Gross hemolysis unacceptable. 
Processing: 

Store at room temperature.  Unopened, unspun tubes are stable 24 hours from time of collection. If the order is for only a Protime, freeze if testing will not be done within 24 hours.  Freeze plasma if testing not done within 4 hours of collection if a PTT is also ordered.  Label frozen vial "CITRATED PLASMA". NOTE: Specimens for PTT MUST be removed from cells and tested within 4 hours of collection or frozen.

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.

Performed:  Within 8 hours of receipt.  Available stat.
Reference value: 

Protime INR Normal range (for patient not receiving anticoagulant):  0.8 - 1.2

Therapeutic range:

Protime INR range:              
2.0 - 3.0    

Indications:
Prophylaxis and treatment of venous thrombosis
Treatment of pulmonary embolism
Prevention of systemic embolism
Tissue heart valves
Acute myocardial infarction
Valvular heart disease
Atrial fibrillation (valvular and nonvalvular)
INR range:  3.0 - 4.5 Indications:
Recurrent systemic embolism
Mechanical prosthetic valves
(recommendation currently under review)
Method:  Photo-optical Clot Detection
CPT Code:  85610

 

POWERCHART NAME

PSA DIAGNOSTIC

MERCY TEST NAME

PSA

MERCY LAB CODE

PSA

Specimen: 

0.5 ml serum from SST. NOTE:  Obtain Specimen before prostate manipulation procedures. 
Alternatively, obtain specimen within one hour of rectal exam or delay collection for 24 hours.

Minimum waiting periods before PSA sampling.

Acute bacterial prostatitis------------------------------ 6 weeks
Acute urinary retention----------------------------------6 weeks
Prostate massage------------------------------------------6 weeks
Recent ejaculation----------------------------------------24 – 48 hours
Exercise (bicycle ergometry)---------------------------several days
TURP (transurethral resection of the prostate)------6 weeks

Cause for rejection: Plasma is unacceptable.
Processing:

Stable 8 hours at room temperature.  Stable 24 hours refrigerated.  Freeze if testing is not completed within 24 hours of collection.
Regional Lab Clients:
  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 24 hours of collection.

Performed: Within 8 hours of receipt.
Reference value: 

MALE  
        <40:  0 - 2.5 ng/ml
     40 - 49: 0 - 2.5 ng/ml
     50 - 59: 0 - 3.5 ng/ml
     60 - 69: 0 - 4.5 ng/ml
        > 69: 0 - 6.5 ng/ml

Method:  Sandwich Immunoassay Chemiluminescent
CPT Code:  84153

 

POWERCHART NAME

PSA SCREENING

MERCY TEST NAME

PSAS
 

MERCY LAB CODE

PSAS
 
Specimen:   

0.5 ml serum from a SST tube. Avoid Hemolysis. NOTE: Obtain Specimen before prostate manipulation procedures.  Alternatively, obtain specimen within one hour of rectal exam or delay collection for 24 hours. Minimum waiting periods before PSA sampling:

Acute bacterial prostatitis------------------------------ 6 weeks
Acute urinary retention----------------------------------6 weeks
Prostate massage------------------------------------------6 weeks
Recent ejaculation----------------------------------------24 – 48 hours
Exercise (bicycle ergometry)---------------------------several days
TURP (transurethral resection of the prostate)------6 weeks

The screening prostate specific antigen PSAS test should be ordered only if all of the following conditions are true: 

  1. Patient is 50 years of age or older
  2. Test is being ordered for screening (no medically necessay signs, symptoms or diagnosis  on the Local Medical Review Policy).
  3. At least 12 months have passed following the month in which the last PSAS was preformed.
Cause for rejection: Plasma is unacceptable.
Processing: 

Stable 8 hours at room temperature.  Stable 24 hours refrigerated.  Freeze if testing is not completed within 24 hours of collection.
Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 24 hours of collection.

Performed:  Within 8 hours of receipt.
Reference value: 

MALE
         40 - 49:  0 - 2.5 ng/ml
         50 - 59:  0 - 3.5 ng/ml
         60 - 69:  0 - 4.5 ng/ml
            > 69:  0 - 6.5 ng/ml

Method:   Sandwich Immunoassay Chemiluminescent
CPT Code:  G0103

 

POWERCHART NAME

PSA FREE AND TOTAL

MERCY TEST NAME

PSA, TOTAL/FREE*

MERCY LAB CODE

FPSA

Specimen: 1.0 ml serum from a SST or plain red top tube.
Processing:  Send frozen to Mayo, PSAFT.  Specimen must be sent frozen (no other temp is acceptable)!
Performed: 3 days.  Monday through Friday; 5 a.m. - 12 a.m., Saturday; 6 a.m. - 6 p.m.
Reference value: Included in report.
Method: 

Electrochemiluminescent  Immunoassay (ECLIA)

CPT Code:

84153  PSA, Total+*
84154  PSA, Free+*

 

POWERCHART NAME

PSEUDOCHOLINESTERASE

MERCY TEST NAME

PSUDOCOLNSTRAS TTL*

MERCY LAB CODE

CLNS

Specimen:  0.5 ml serum from a SST or plain red top tube.
Processing: Sent refrigerated to Mayo.  Mayo order  code  PCHES. 
Performed:  Monday through Sunday.
Reference value: 

Included with test results.

Method: Photometric, Acetythiocholine Substrate    
CPT Code:   82480

 

POWERCHART NAME

PTT Partial Thromboplastin Time (aPTT)

MERCY TEST NAME

PTT (Partial Thromboplastin Time)

MERCY LAB CODE

PTT

Specimen:  Draw a blue top tube (3.2% citrate) filled appropriately with amount of blood listed on label.
Cause for rejection: Improperly filled tubes will NOT be tested.  Avoid gross hemolysis. 
Processing: 

In-house patients:  Centrifuge immediately.  Refrigerate.  Test within 4 hours of collection.

 if testing will be 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 in freezer.  Label aliquot vial "CITRATED PLASMA."

Regional Lab Clients:

  1. Centrifuge immediately.
  2. Aliquot specimen (leaving some above the cells) to a plastic centrifuge tube.
  3. Centrifuge the aliquot tube.  Pipette plasma (leaving some above the bottom of the tube) to another plastic aliquot tube.
  4. Send refrigerated if testing can be performed within 4 hours of collection.
  5. If testing will not be performed within 4 hours freeze specimen and send frozen.
  6. Label aliquot vial "CITRATED PLASMA."
Performed: Within 8 hours of receipt.  Available stat.
Reference value: 

26.0-38.0 seconds.  Applies only to PTT performed at MMC-NI using IL reagent SynthASil lot # NO233297.

Therapeutic range:  60-102 seconds.   Applies only to PTT performed at MMC-NI using IL reagent SynthASil lot # NO233297
Method:  Photo-optical clot detection.
CPT Code:  85730

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