|
|
|
Section-T (Ta-Tn)
|
|
POWERCHART NAME
|
T3 (TRIODOTHYRONINE) FREE
|
|
MERCY TEST NAME
|
T3 FREE
|
MERCY LAB CODE
|
T3F
|
| 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.
- Stable 8 hours at room temperature, 48 hours refrigerated or freeze.
|
| Comment: |
Included in Thyroid Hyper Panel. |
| Processing: |
Regional Lab Clients: Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 48 hours of collection.
|
| Performed: |
Available 24 hours a day, Sunday through Saturday. |
| Reference value: |
2.5 - 3.9 pg/ml |
| Method: |
Competitive Binding Immunoassay Chemiluminescent |
| CPT Code: |
84481 |
|
POWERCHART NAME
|
T3 TOTAL
|
|
MERCY TEST NAME
|
T3 TOTAL
|
MERCY LAB CODE
|
T3
|
| 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 |
Send refrigerated. Freeze if test will not be run within 48 hours. |
| Performed: |
Within 8 hours of receipt. |
| Reference value: |
< 3 years: not established >3 years:87-178 ng/dl
|
| Method: |
Chemiluminescent Immunoassay |
| CPT Code: |
84480 |
|
POWERCHART NAME
|
T4 (THYROXINE) FREE
|
|
MERCY TEST NAME
|
T4 FREE
|
MERCY LAB CODE
|
T4F
|
| 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.
|
| Comment: |
Included in Thyroid Hyper Panel and Thyroid Hypo Panel.
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 . |
| Reference value: |
Male and Female: 0.61 - 1.12 NG/DL
Pregnant Females: 1st Trimester 0.52 - 1.08 NG/DL 2nd Trimester 0.45 - 0.99 NG/DL 3rd Trimester 0.48 - 0.95 NG/DL
|
| Method: |
Competitive Binding Immunoassay Chemiluminescent |
| CPT Code: |
84439 |
|
POWERCHART NAME
|
T4 TOTAL
|
|
MERCY TEST NAME
|
T4 TOTAL
|
MERCY LAB CODE
|
T4TL
|
| Specimen: |
0.6 ml serum from a SST or plain red top tube. |
| Processing: |
Sent refrigerated to Mayo. Mayo # 8724 |
| Performed: |
Monday through Friday 5 a.m. - 12 a.m., Saturday 6 a.m. - 6 p.m. |
| Reference value: |
Included with test results
|
| Method: |
Immunoenzymatic Assay |
| CPT Code: |
84436 |
|
POWERCHART NAME
|
T AND B CELL QUANTITATION BY FLOW CYTOMETRY
|
|
MERCY TEST NAME
|
T&B CELL QN*
|
MERCY LAB CODE
|
TBCL
|
| Specimen: |
3 mL EDTA (purple top) whole blood
|
| Processing: |
Send specimen in original collection tube, DO NOT ALIQUOT. Specimen must be received by Mayo within 48 hr of collection. Send Ambient to Mayo. Mayo code - TBBS
|
| Performed: |
Daily, Monday thru Sunday continuously |
| Reference value: |
- Included in report
|
| Method: |
Flow cytometry |
| CPT Code: |
86359 – T Cells, Total Count 86360 – Absolute CD4/CD8 Count with Ratio 86355 – B Cells, Total Count 86357 – Natural Killer (NK) Cells, Total count
|
|
POWERCHART NAME
|
TACROLIMUS LEVEL
|
|
MERCY TEST NAME
|
TACROLIMUS*
|
MERCY LAB CODE
|
TACRO
|
| Specimen: |
3 mL whole blood from a (purple top) EDTA .
|
| Processing: |
Send specimen in original collection tube. Sent refigerated to Mayo. Mayo # 80783/TACRO
|
| Performed: |
Daily |
| Reference value: |
- Included in report.
|
| Method: |
High-Pressure Liquid Chromatography/Tandem Mass Spectrometry (HPLC-MS/MS) |
| CPT Code: |
80197 - Tacrolimus
|
|
POWERCHART NAME
|
TB Gold Quantiferon
|
|
MERCY TEST NAME
|
TB TEST QF GOLD
|
MERCY LAB CODE
|
TBGOLD
|
| Specimen: |
Special collection kit, Quantiferon-TB Gold In-Tube collection kit.
Because of the specialized handling and processing of the test kit, patients will need to be drawn at the Mercy Medical Center-North Iowa OP Draw Station only, located on the 1st floor.
The only acceptable draw days and time are Monday, Tuesday and Wednesday with a 1700 cut off.
|
| Cause for rejection: |
Specimens drawn on Thursday, Friday, Saturday and Sunday.
|
| Processing: |
Microbiology Dept. of MMCNI will further process the sample once it is received in the department before it is sent to University Hygienic Laboratory for testing |
| Reference value: |
- Negative
|
| CPT Code: |
86480
|
|
POWERCHART NAME
|
TESTOSTERONE TOTAL
|
|
MERCY TEST NAME
|
TESTOST TTL*
|
MERCY LAB CODE
|
TSTT
|
| Specimen: |
1.0 ml serum plain red top tube (serum gel is acceptable). |
| Processing: |
Send refrigerated to Mayo . Mayo # 8533/TTST. Patients’ age and sex are required on requisition for processing.
|
| Performed: |
2 days. Test set up Monday through Saturday. |
| Reference value: |
Included in report. |
| Method: |
Liquid Chromatography – Tandem Mass spectrometry (LC-MS/MS) |
| CPT Code: |
84403
|
|
POWERCHART NAME
|
TESTOSTERONE LEVEL TOTAL + FREE
|
|
MERCY TEST NAME
|
TESTOST TTL FRE*
|
MERCY LAB CODE
|
TSTF
|
| Specimen: |
2.5 ml serum from a plain red top tube. SST is acceptable. No change in volume. |
| Processing: |
Send refrigerated to Mayo. Mayo - TGRP. |
| Performed: |
5 days. Test set up Monday through Friday, Sunday 1 p.m. |
| Reference value: |
Included with report. |
| Method: |
Liquid Chromatography – Tandem Mass spectrometry (LC-MS/MS) Equilibrium Dialysis
|
| CPT Code: |
84403 Testost Ttl* 84402 Testost Free+*
|
|
POWERCHART NAME
|
THEOPHYLLINE LEVEL
|
|
MERCY TEST NAME
|
THEOPHYLLINE
|
MERCY LAB CODE
|
THEO
|
| Patient preparation: |
Restrict the following for 24 hours prior to test: Theobromine (in chocolate products), acetaminophen, hydrochlorothiazide, isoniazid, oxazepam, phenylbutazone, probenecid and sulfanilamide. Diphylline is not measured in this test.
|
| Specimen: |
0.5 ml lithium heparin plasma from a PST tube. EDTA plasma is also accepted. Stable 48 hours refrigerated. |
| Cause for rejection: |
Specimen must not be hemolyzed, lipemic or icteric. |
| Comment: |
Indicate date and time of last dose in comment. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Therapeutic range: |
0-17 years: 5-20 mcg/ml >17 years: 10-20 mcg/ml
|
| Method: |
Emit Enzyme Immunoassay |
| CPT Code: |
80198 |
|
TEST NAME
|
THORACENTESIS FLUID CYTOLOGY
|
See: Cytology Section Pleural Fluid
|
|
POWERCHART NAME
|
THROAT CULTURE
|
|
MERCY TEST NAME
|
THRT CLT STREP
|
MERCY LAB CODE
|
THSC
|
|
Specimen:
|
Collect the specimen with a double swab Culturette. Rub the sterile swabs firmly over the back of the throat (posterior pharynx), both tonsils, and any areas of inflammation.
|
|
Comments:
|
- Screens only for significant Beta Hemolytic Streptococci.
- If specifically looking for yeast, see Yeast Culture/Direct Prep.
- Susceptibility testing will NOT routinely be performed, unless requested by the provider at the time of ordering.
|
|
RL Client Comments:
|
- Mark THROAT CULTURE FOR BETA STREP on order form.
- Send culturette at room temperature.
|
|
Performed:
|
Final report: 1-2 days
|
|
Reference value:
|
No Group A beta-hemolytic Streptococci isolated. Normal throat flora.
|
|
Method:
|
Routine culture techniques.
|
|
CPT Code:
|
87081
|
|
POWERCHART NAME
|
THROMBIN TIME
|
|
MERCY TEST NAME
|
THROMBIN TIME
|
MERCY LAB CODE
|
TT
|
| Specimen: |
Draw blue top tube filled with amount of blood listed on label. |
| Cause for Rejection: |
Gross hemolysis. Improperly filled tubes will not be tested. |
| Processing: |
Centrifuge immediately. Stable 4 hours at room temperature. Test heparin containing specimens within 2 hours. DO NOT FREEZE SPECIMEN. |
| Preformed: |
Within 8 hours of receipt, available stat. |
| Reference value: |
17.3-21.3 seconds |
| Method: |
Photo-optical clot detection. |
| CPT Code: |
85670 |
|
POWERCHART NAME
|
THYROGLOBULIN ANTIBODY
|
|
MERCY TEST NAME
|
THYROGLOBULIN AB *
|
MERCY LAB CODE
|
THYBS
|
| Specimen: |
0.6 ml serum from a SST tube or plain red top tube. |
| Processing: |
Send refrigerated. Mayo #84382 |
| Performed: |
Test set up Monday through Friday 5 a.m. - 12 a.m.,Saturday 6 a.m. - 6 p.m. |
| Reference value: |
Included with results. |
| Method: |
Electrochemiluminescence Immunoassay |
| CPT Code: |
86800 |
|
POWERCHART NAME
|
THYROGLOBULIN TUMOR MARKER
|
|
MERCY TEST NAME
|
THYROGLOBLN TUMOR*
|
MERCY LAB CODE
|
THYTMR
|
| Specimen: |
1.5 ml serum from a SST or plain red top tube. |
| Processing: |
Send refrigerated. 2 aliquots to Mayo. Mayo HTG1 |
| Performed: |
Test set up Monday through Friday 5 a.m. - 12 a.m.,Saturday 6 a.m. - 6 p.m. |
| Reference value: |
Included with results. Includes Thyroglobulin Antibody Screen and Thyroglobulin Tumor Marker. |
| Method: |
Immunoenzymatic Assay. |
| CPT Code: |
86800 Thyroglobulin Antibody Screen 84432 Thyroglobulin Tumor Marker |
|
POWERCHART NAME
|
THYROPIN BINDING INHIBITORY IMMUNOGLOBULINS
|
|
MERCY TEST NAME
|
TBG IMMUNOLOGIC*
|
MERCY LAB CODE
|
TBGI
|
| Specimen: |
0.5 ml serum from a plain red tob tube. (0.35 ml minimum) |
| Cause for rejection: |
Hemolysis is not acceptable. |
| Processing: |
Send refrigerated to Mayo. Mayo # 9263. |
| Performed: |
2 days. Test set up Monday through Saturday. |
| Reference value: |
Included with test results |
| Method: |
Solid-Phase Chemiluminescent Assay |
| CPT Code: |
84442 |
|
POWERCHART NAME
|
THYROID HYPER PANEL
|
|
MERCY TEST NAME
|
THYRD HYPER PNL
|
MERCY LAB CODE
|
THPE
|
| Includes: |
T4 Free and T3 Free. |
| 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.
Freeze if test not performed within 48 hours.
. |
| Performed: |
Within 8 hours of receipt. |
| Reference value: |
See individual test entry. |
| Method: |
Competitive Immunoassay Chemiluminescent |
| CPT Code: |
84439 T4 Free 84481 T3 Free
|
|
POWERCHART NAME
|
THYROID HYPO PANEL (TSH SENSITIVE AND FREE T4)
|
|
MERCY TEST NAME
|
THYRD HYPO PNL
|
MERCY LAB CODE
|
THPO
|
| Includes: |
T4 Free and TSH Sensitive. |
| 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.
Freeze if not tested within 48 hours.
|
| Performed: |
Within 8 hours of receipt.
|
| Reference value: |
See individual test entry. |
| Method: |
See individual test entry. |
| CPT Code: |
84439 T4 Free 84443 TSH
|
|
TEST NAME
|
THYROID RELEASING HORMONE STIMULATION TEST
|
See: TSH Sensitive
|
|
TEST NAME
|
THYROID-STIMULATING IMMUNOGLOBULIN SERUM*
|
|
MERCY TEST NAME
|
THYROID STIM IMGLB*
|
MERCY LAB CODE
|
THYIMG
|
| Specimen: |
0.5 ml serum from a SST or plain red top tube. |
| Processing: |
Send frozen to Mayo. Mayo # 8634. |
| Performed: |
Tuesday - Friday 10 AM |
| Reference Ranges: |
Included with results |
| Method: |
Recombinant Bioassay |
| CPT Code: |
84445 |
|
POWERCHART NAME
|
THYROPEROXIDASE ANTIBODY (TPO)
|
|
MERCY TEST NAME
|
THYROPEROXIDASE AB
|
MERCY LAB CODE
|
TPXD
|
| 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: |
Freeze if test will not be performed in 48 hours. |
| Performed: |
Within 8 hours of receipt. |
| Reference value: |
0-9 IU/ml |
| Method: |
Paramagnetic particle Chemiluninescent Immunoassay |
| CPT Code: |
86376 |
|
POWERCHART NAME
|
TISSUE CULTURE OTHER
|
|
MERCY TEST NAME
|
TISSUE CLT
|
MERCY LAB CODE
|
TISC
|
|
Order:
|
Specify site when ordering.
|
|
Specimen:
|
Aseptically place the specimen in a sterile plastic container with a tight fitting lid. The specimen should be surgically obtained. If unable to transport to the laboratory promptly, add 1 - 2 ml of sterile saline to the specimen container.
|
|
Comment:
|
Susceptibility testing will routinely be performed on significant isolates.
|
|
RL Client Comments:
|
- Write TISSUE CULTURE on the order form. Indicate the specimen source.
- Send specimen at room temperature.
|
|
Performed:
|
Preliminary reports: Days 1-4 Final report: 5 days
|
|
Reference value:
|
No growth.
|
|
Method:
|
Standard culture techniques
|
|
CPT Code:
|
87070
|
|
TEST NAME
|
TISSUE EXAMINATION GROSS & MICROSCOPIC
|
| Includes: |
Gross examination and microscopic if indicated. |
| Comment: |
Complete manual Pathology Specimen requisition form. Requisition must include pre-op diagnosis and operative findings. Specific specimen source and relevant patient history must be indicated.
|
| Specimen: |
Tissue specimen covered with 10% Formalin. Transport containers and 10% formalin are available from the Laboratory.
|
| Performed: |
2 days. |
| Reference value: |
Interpretation will be provided. |
| Method: |
Pathologist evaluation. |
| CPT Code: |
Varies. |
|
POWERCHART NAME
|
TISSUE TRANSGLUTAMINASE ANTIBODIES, IgA and IgG
|
|
MERCY TEST NAME
|
TISSUE TRANSGLUT AB*
|
MERCY LAB CODE
|
TISTA
|
| Specimen: |
1.0 ml or more of serum from a SST or plain red top tube. |
| Cause for rejection: |
Hemolysis. |
| Comment: |
Minimum volumes: Adult: 1.0 ml Pediatric: 0.5 ml
|
| Processing: |
Send refrigerated. Mayo # 83671. |
| Performed: |
Monday – Friday. |
| Reference Value: |
included with report
|
| Method: |
Enzyme-Linked Immunosorbent Assay (ELISA) |
| CPT Code: |
83516 x 2. |
|
|