| TEST NAME |
C REACTIVE PROTEIN |
See: CRP |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
C3 COMPLEMENT* |
MERCY LAB CODE |
C3 |
| Specimen: | 1 ml serum from a SST tube. |
| Cause for rejection: | Lipemic specimens are unacceptable. |
| Processing: | Separate from cells and freeze immediately. Send frozen to Mayo. Mayo #8174. |
| Performed: | 1 day. Test set up Monday through Saturday. |
| Reference value: | 70-150 mg/dl |
| Method: | Rate nephelometry |
| CPT Code: | 86160 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
C4 COMPLEMENT* |
MERCY LAB CODE |
C4 |
| Specimen: | 1 ml serum from a SST or plain red top tube. |
| Processing: | Send refridgerated to Mayo. Mayo #8171. |
| Performed: | 1 day. Test set up Monday through Saturday. |
| Reference value: | 14-40 mg/dl |
| Method: | Rate nephelometry |
| CPT Code: | 86160 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CA 125 |
MERCY LAB CODE |
CA125 |
| Specimen: | 1 ml lithium heparin plasma from a PST tube. Stable 48 hours refrigerated. |
| Comment: | The assay should not be performed until at least 3 weeks after the completion of primary chemotherapy and at least 2 months following abdominal surgery. |
| Cause for rejection: | Hemolyzed specimens are unacceptable. |
| Processing: | Freeze separate aliquot of specimen. |
| Performed: | Monday, Wednesday, Friday, 2100 cutoff. |
| Reference Value: | Women: 0-35 U/ml |
| Method: | Sandwich Immunoassay Chemiluminescent |
| CPT Code: | 86304 |
| TEST NAME |
CA15-3* |
||
| MERCY TEST NAME |
MISC GENERAL LAB |
MERCY LAB CODE |
CMIS |
| Specimen: | 1 ml serum from a plain red top tube |
| Comment: | Order Misc Chemistry and indicate test name and Mayo # in comment. |
| Processing: | Send refridgerated to Mayo. Mayo #81607. |
Performed: |
1 day. Test set up Monday through Saturday. |
Reference value: |
Males: <30 U/ml (use not defined) |
| Method: | Enzyme-Labeled Sandwich Immunoassay |
| CPT Code: | 86316 |
| POWERCHART NAME | CALCITONIN | ||
| MERCY TEST NAME | CALCITONIN* |
MERCY LAB CODE |
CLCN |
| Caution: | This test is not useful for evaluating calcium metabolic diseases. |
| Comment: | Patient must be fasting. |
| Specimen: | 0.8 mL serum from a SST tube. |
| Performed: | 1 day. Test set up Monday and Saturday. |
| Processing: | Send frozen to Mayo. Mayo #9160. |
| Reference: | See report. |
| Method: | Two-site Chemiluminescence Immunoassay |
| CPT code: | 82308 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CALCIUM |
MERCY LAB CODE |
CAL |
| Specimen: | 0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin plasma is also accepted. Stable 48 hours refrigerated. |
| Cause for rejection: | Hemolyzed specimens are unacceptable. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Reference value: |
Male 7 days to 2 years: 9.1
- 10.9 mg.dl Female: |
| Method: | Indirect Potentiometry Utilizing a Calcium Ion Selective Electrode in Conjuction with a Sodium Reference Electrode |
| CPT Code: | 82310 |
| POWERCHART NAME |
CALCIUM 24 HOUR URINE |
||
| MERCY TEST NAME |
CALCIUM 24UR |
MERCY LAB CODE |
VCAL |
| Specimen: | 24-hour urine specimen. No preservative, refrigerate during collection. |
| Comment: | A single 24-hour urine collection may be used for Calcium, Phosphorus and Uric Acid. |
| Processing: | 20 ml from a 24-hour collection. Indicate total volume. Refrigerate. Special processing will be done at Mercy Lab. Instructions in urinalysis manual. |
| Performed: | Within 8 hours of receipt. |
| Reference value: | 100-300 mg/24 Hours |
| Method: | Indirect Potentiometry Utilizing a Calcium Ion Selective Electrode in Conjuction with a Sodium Reference Electrode |
| CPT Code: | 82340 |
| TEST NAME |
CALCIUM FREE |
See: Calcium Ionized |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CALCIUM IONIZED |
MERCY LAB CODE |
CAI |
| Specimen: | 0.5 ml whole blood from green top tube. Keep the tube capped
until analysis. |
| Comment: | Specimen needs to be tested within 12 hours of collection. |
| Cause for rejection: | Hemolyzed specimens or specimens other than unopened green top tubes, except for capillary specimens in green top microtainers tubes. |
| Performed: | Within 2 hours of receipt. Available stat. |
| Reference value: | Cord blood: 1.30 - 1.60 mmol/L |
| Method: | Ion selective electrode direct |
| CPT Code: | 82330 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CALCIUM R UR |
MERCY LAB CODE |
UCAL |
| Specimen: | 5 ml random urine. Refrigerate. |
| Performed: | Within 8 hours of receipt. |
| Method: | Indirect Potentiometry Utilizing a Calcium Ion Selective Electrode in Conjunction with a Soduim Reference Electrode |
| CPT Code: | 82310 |
| TEST NAME |
CALCIUM/CREATININE RATIO |
| Comment: | Order Calcium Random Urine and Creatinine Random Urine. Calcium/Creatinine Ratio = Calcium Random Urine (mg/dl) |
| Specimen: | 5 ml random urine. Refrigerate. |
| Performed: | Within 8 hours of receipt. |
| **NOTE** If the urine calcium/creatinine ratio is greater than 0.18, one source recommends to quantify with 24-hour urine. |
| TEST NAME |
CALCULUS RENAL |
See: Stone Analysis* |
| TEST NAME |
CANCER ANTIGEN 125 |
See: CA125* |
|
TEST NAME |
CAPILLARY BLOOD GASES |
| POWERCHART NAME |
CARBAMAZEPINE (TEGRETOL) LEVEL |
||
| MERCY TEST NAME |
CARBAMAZEPINE |
MERCY LAB CODE |
CAR |
| Specimen: |
0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin plasma is also accepted. Stable 48 hours refrigerated. Collection time is not critical. |
| Cause for rejection: | Specimen must not be hemolyzed, lipemic or icteric. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Therapeutic range: | 4 - 12 mcg/ml |
| Method: | Immunoturbidimetric |
| CPT Code: | 80156 |
| TEST NAME |
CARBATROL |
See: Carbamazepine |
| POWERCHART NAME |
BLOOD GAS CARBONMONOXIDE SATURATION VENOUS |
||
| MERCY TEST NAME |
C O SATURATION |
MERCY TEST CODE |
COSATV |
| Comment: | Testing is performed by the Mercy Cardiovascular & Pulmonary Services (CV&P) department. |
| Specimen: | 1 ml whole blood drawn in the dark green-top tube which contains
lithium heparin WITHOUT the gel. Testing can be done no matter how old the specimen is. There is no time restrictions for this test. This tube may not be used for
other testing. Do not open the tube until analysis. Serum specimens,
SST, and Purple top EDTA tubes are unacceptable. |
| Processing: | In-house patients: If arterial gases are not needed,
the HIS order for COSATVN may be placed and lab staff will collect
the venous specimen. Lab will receive a label as COSATV for the
interfaced order. Upon collection, page the CV&P tech at #791 so they know to expect the specimen and to specify to which tube station lab should send the specimen to. Result the COCVP test
via Function ME and worksheet BEDS with the name of the CV&P tech spoken to, the time the specimen was tubed and to where the specimen was tubed. |
| TEST NAME |
CARCINOEMBROYONIC ANTIGEN |
See: CEA |
| TEST NAME |
CARDIAC/CARDIO CRP-HIGH SENSITIVE CRP/HSCRP |
See: CRP SENS |
| POWERCHART NAME |
CARDIAC ENZYMES (CK, LDH, AST) |
||
| MERCY TEST NAME |
CARDIAC ENZYM |
MERCY LAB CODE |
CENZ |
| Includes: | CK, AST, LD, A CK-MB will be run and charged automatically
on all male patients with a CK >185 IU/L and female patients
with a CK >150 IU/L. |
||
| Cause for rejection: | Hemolyzed specimen unacceptable. | ||
| Specimen: | 1 ml lithium heparin plasma from a PST tube. Refrigerate. | ||
| Performed: | Within 8 hours of receipt. Available stat. | ||
| Reference value: |
|
Male 25 - 235 98 - 192 15 - 41 |
Female 30 - 200 IU/L 98 - 192 IU/L 15 - 41 IU/L |
| Method: | Refer to individual tests | ||
| CPT Code: | 82550 CK |
||
| POWERCHART NAME |
CARDIAC MARKER PANEL (TROPONIN, CK, AST) |
||
| MERCY TEST NAME |
MERCY LAB CODE |
CRDM |
|
| Includes: | AST, CK, Troponin I | ||
| Specimen: | Draw 1 full lithuim Heparin green PST tube. If aliquoted, 0.5 ml plasma needed. Serum is not needed. | ||
| Processing: | Remove plasma from green top tube. | ||
| Performed: | Within 8 hours of receipt. Available stat. | ||
| Normal range: | CK: |
Male 25 - 235 |
Female 30 - 200 IU/L |
| AST: |
15 - 41 | 15 - 41 IU/L | |
| Troponin
I: |
0 - 0.4 | 0 - 0.4 ng/ml | |
| Method: | Refer to individual tests. | ||
| CPT Code: | 82550 CK |
||
| TEST NAME |
CARDIAC SURGERY PANEL |
See: CS Panel |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CARDIOLIPIN ATBY* |
MERCY LAB CODE |
CRLA |
| Specimen: | 0.5 ml serum from a SST or plain red top tube |
| Processing: | Send refridgerated to Mayo. Mayo #82976 |
| Performed: | 1 day. Test set up Monday through Friday, Sunday |
| Method: | Enzyme-Linked Immunosorbent Assay |
| CPT Code: | 86147 x 2 Cardiolipn Atby+* |
| POWERCHART NAME |
CAROTENE LEVEL |
||
| MERCY TEST NAME |
CAROTENE* |
MERCY LAB CODE |
CRTN |
| Comment: | Patient must be fasting (12-14 hours). Patient must not consume any alcohol for 24 hours before drawing the specimen. |
| Specimen: | 5 ml serum from a SST or plain red top tube. Protect specimen from light. |
| Processing: | Send frozen to Mayo. Mayo #8288. |
| Performed: | 1 day. Test set up Monday through Friday. |
| Reference value: | 48 - 200 mcg/dl |
| Method: | Colorimetric. For problematic specimens, a high-pressure liquid chromatography (HPLC) method is available. |
| CPT Code: | 82380 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CATECH FR 24UR* |
MERCY TEST CODE |
CTCH |
| Comment: | A single 24-hour urine collection may be used for CATECHOLAMINE FRACTIONATION, METANEPHRINES [METN24U] and VMA [VMA24UR]. |
||
| Patient preparation: | The drug Mandelamine interferes with the test procedure and should be discontinued 48 hours prior to collection of the specimen. This assay is of most value when the specimen is collected during a hypertensive episode. |
||
| Specimen: | Aliquot 20 ml (two 10 ml specimens) from a 24-hour urine collection. Indicate 24 hour volume. Before start of collection, add 25 ml 50% acetic acid preservative to the container (15 ml 50% acetic acid for children <5 years old). Adjust pH to 2.0-4.0 with 50% acetic acid. Refrigerated during collection. |
||
| Processing: | Aliquot 50 ml and indicate the 24-hour volume. Send to Mayo
refrigerated. |
||
| Performed: | 2 days. Test set up Monday through Friday. | ||
| Reference value: | Epinephrine: Norepinephrine: Dopamine: |
> 16 years |
0-20 mcg/24H 15-80 mcg/24H 65-400 mcg/24 H |
| Reference values for children younger than range above available on request. | |||
| Method: | High-pressure liquid chromatography (HPLC) | ||
| CPT Code: | 82384 | ||
| TEST NAME |
CATHETER TIP CULTURE |
See: Microbiology Section |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CBC |
MERCY LAB CODE |
CBC |
| Includes: | WBC |
RBC MCH MPV |
HGB MCHC Automated Differential (Includes absolute cell counts) |
HCT PLATELETS |
| Manual differential (includes absolute neutrophil count) is done if indicated by test results. | ||||
| Comment: | Cell morphology will be ordered and charged if established criteria/diagnosis are met. | |||
| Specimen: | 1 purple top (EDTA) tube. | |||
| Processing: | Specimen stable 36 hours at either room temperature or refrigerated. | |||
| Performed: | Within 8 hours of receipt. Available stat. | |||
| Reference value: | Included with test results. Complete listing in Special Helps section of Lab Test Index. | |||
| Method: | Automated cell counter. | |||
| CPT Code: | 85025 | |||
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CBC DIFF MANUAL |
MERCY LAB CODE |
CBCD |
| Includes: | WBC MCV RDW |
RBC MCH MPV |
HGB MCHC Manual Differential (Includes absolute neutrophil count) |
HCT PLATELETS |
| Specimen: | Draw 1 purple top (EDTA) tube. | |||
| Comment: | To be ordered only when physician orders are
CBC with Manual diff. |
|||
| Processing: | Specimen stable 36 hours at either room temperature or refrigerated. | |||
| Performed: | Within 8 hours of receipt. Available stat. | |||
| Reference value: | Included with test results. Complete listing in Special Helps section of Lab Test Index. | |||
| Method: | Automated cell counter and microscopic exam of Wright stained smear. | |||
| CPT Code: | 85027 Hemogram Platelet Count |
|||
| TEST NAME |
CBGS |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CD4 ABS, LYMPHOCYTES |
MERCY LAB CODE |
CD4A |
| Includes: | ACD4 - Absolute Cd4 |
| Note: | A UIHC FLOW CYTOMETRY FORM needs to be filled out and sent with specimen. |
| Specimen: | 1 EDTA (pink top) for CBC. Specimens will be accepted Monday –Wednesday anytime and by no later than noon on Thursday. UIHC must receive the specimen within 24 hours of the draw time. A CBC must also be run and results need to be sent with specimen. Specimens with absolute counts of <100mm3 will not be tested. |
| Processing: | Maintain and send specimens at room temperature. |
| Performed: | Monday – Friday. Analytic time 2 days. |
| Reference Value: | CD4: 34 – 62 % |
| Method: | Flow Cytometry |
| CPT Code: | 86361 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CEA* |
MERCY LAB CODE |
CEA |
| Specimen: | 0.5 ml serum from a SST or plain red top tube. |
| Processing: | Send refrigerated to Mayo, #8521 |
| Performed: | 1 day. Test set up at Mayo Monday through Saturday. |
| Reference value: | Reference ranges included with result. |
| Method: | Beckman Coulter Unicel ™ DXI 800. |
| CPT Code: | 82378 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CELL COUNT BF |
MERCY LAB CODE |
BFCC |
| Includes: | WBC Differential
RBC (All fluids except synovial fluids) Description of color and clarity, source |
| Specimen: |
1-2 ml body fluid immediately placed in a purple top tube by nursing personnel after collection. If specimen is placed in a plain top tube with heparin added, please note that on the tube. Invert tube several times. Tubes are available from the Laboratory. Refrigerate. Pleural and peritoneal fluids are stable up to 48 hours refrigerated. Synovial fluid should be examined within 2 hours of collection. If synovial fluid examination will be delayed >2 hours, refrigerate specimen. |
| Comment: | Indicate specimen source in comment field. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Method: | Hemacytometer counting chamber and microscopic exam of Wright stained smear. |
| CPT Code: | 89051 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CELL COUNT CSF |
MERCY LAB CODE |
CCSF |
| Includes: | RBC WBC Differential if indicated |
| Specimen: | 1 ml CSF. Deliver to the Laboratory within 15 minutes of collection. |
| Comment: | Specimen must be transported in a screw top container. |
| Processing: | Must be tested within 1 hour of collection. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Reference value: | WBC:<1 month: 0-30/mcl |
| WBC DIFFERENTIAL
Neutrophil
Lymphocyte
Monocyte 0 - 11 months: 0-8% 5-35% 50-90% 1 year - adult: 0-6% 40-80% 15-45% RBC: 0/mcl |
|
| Method: | Hemacytometer counting chamber. |
| CPT Code: | 89051 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CELL MORPHOLOGY |
MERCY LAB CODE |
CM |
| Comment: |
Order a CBC/DIFF MANUAL if one has not been done within the previous
24 hours. Indicate in comment if previous specimen is to be used.
Lab will order and charge for a cell morphology on any patient meeting
established Laboratory guidelines. |
| Specimen: |
Blood smear prepared in a purple top
tube.
|
| Performed: | 2 days |
| Results: | Descriptive report is sent. |
| Method: | Pathologist evaluation of Wright stained smears. |
| CPT Code: | 85007 |
| TEST NAME |
CELONTIN |
See: Methsuximide* |
| TEST NAME |
See: Cytology Section Cerebrospinal Fluid |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CERULOPLASMIN* |
MERCY LAB CODE |
CRLPSM |
| Specimen: | 1 ml serum from a SST tube. |
| Performed: | 1 day. Test Performed by Mayo Monday through Saturday continuously. |
| Processing: | Send to Mayo frozen. Mayo #8364 |
| Method: | immunoturbimetric |
| CPT code: | 82390 |
| TEST NAME |
CERVICAL SMEAR |
See: Cytology Section Pap Smear |
| TEST NAME |
CH’50 COMPLEMENT |
See: Complement Total |
| TEST NAME |
CHARCOT-MARIE TOOTH TYPE 1A (CHARCO) |
||
| MERCY TEST NAME |
MISC GENERAL LAB |
MERCY LAB CODE |
CMIS |
| Specimen: | Draw 3-8 ml blood in ACD solution A tubes (NO SUBSTITUTES). |
| Cause for rejection: | Not drawn in ACD solution A tubes |
| Processing: | Do not spin. Send to Mayo at room temperature. Order as WILD 30. |
| Performed: | 4-6 weeks. |
| CPT code: | 83890, 83892, 83894 , 83912, 83896. |
| TEST NAME |
CHEST FLUID CYTLOGY |
See: Cytology Section Pleural Fluid |
| TEST NAME |
CHEMICAL SCREEN ONLY URINALYSIS |
See: Urine Dipstick |
| TEST NAME |
CHICKEN POX |
See: Herpes Zoster Culture Microbiology
Section |
| TEST NAME |
CHLAMYDIA DNA PROBE |
See: Microbiology Section |
| TEST NAME |
CHLAMYDIA PNEUMONIAE by PCR |
See: Microbiology Section |
| TEST NAME |
CHLORAMPHENICOL |
See: Antimicrobial Assay* |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CHLORIDE |
MERCY LAB CODE |
CLR |
| Specimen: | 0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin plasma is also accepted. Stable 48 hours refrigerated. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Reference value: | 97-109 mmol/L |
| Method: | ISE Indirect Potentiometry |
| CPT Code: | 82435 |
| TEST NAME |
CHLORIDE SWEAT |
See: Sweat |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CHOLESTEROL |
MERCY LAB CODE |
CHOL |
| Specimen: | 0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin plasma is also accepted. Stable 48 hours refrigerated. Fasting not necessary. |
| Performed: | Within 8 hours of receipt. |
| Reference value: | 130-200 mg/dl The National Cholesterol Education Program of the National Heart, Lung and Blood Institute has announced the following guidelines:
|
| Method: | Cholesterol Oxidase, Esterase |
| CPT Code: | 82465 |
| TEST NAME |
| TEST NAME |
CHORIONIC GONADOTROPINS |
See: HCG
Quant Serum |
| POWERCHART NAME |
CHROMOSOME-8537-HEMATOL B |
||
| MERCY TEST NAME |
CHRM ANLYS BLD* |
MERCY LAB CODE |
CHRB |
| Comment: | Bone marrow is the recommended specimen for most neoplastic hematologic disorders, because only about 60% of blood specimens produce adequate metaphases for interpretation. Studies on blood are informative mainly in advanced myeloproliferative disorders. |
| Specimen: |
5-8 ml whole blood collected in SODIUM HEPARIN tubes. (2.0 ml acceptable for infants.) Also draw a purple top tube if no CBC is ordered. (needed for WBC) |
| Processing: | Send WHOLE BLOOD. DO NOT CENTRIFUGE.
|
| Performed: | 4-10 days. Test set up Monday through Saturday. |
| Reference value: | 46,XX or 46,XY. No apparent chromosome abnormality. Photograph of the representative karyotype. |
| Method: | Includes 2-banded karyotypes, analysis of 20 or more metaphases whenever possible, nd other banding techniques when required. |
| CPT Code: | 88230 Chrm Anal Clt+* (Blood culture for chromosome analysis) |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CHRM CONGENITAL BLOOD* |
MERCY LAB CODE |
CHRC |
| Specimen: | 5-8 ml whole blood collected in SODIUM HEPARIN tubes. (2.0 ml acceptable for infants.) Other anticoagulants may be harmful to the viability of the cells. |
| Processing: |
Send WHOLE BLOOD. DO NOT CENTRIFUGE. Put Genetics Request information
under internal notes on the Mayo system. Send refrigerated
to Mayo. |
| Performed: | 2-10 days. Test set up Monday through Saturday. |
| Reference values: | 46,XX or 46,XY. No apparent chromosome abnormality. Photograph of the representative karyotype. |
| Method: | Includes 2-banded karyotypes, analysis of 20 or more metaphases,
and other techniques when required. |
| CPT Code: | 88230 Chrm Anal Tis Clt+* (tissue culture for chromosome analysis) |
| POWERCHART NAME |
CHROMOSOME STUDY BONE MARROW |
||
| MERCY TEST NAME |
CHRM ANLYS BM* |
MERCY LAB CODE |
BMC |
| Specimen: | 1-2 ml of bone marrow placed in special tube from Mayo labs. |
| Comment: | Complete the Hematopathology portion of Mayo Connect Additional Test Information form. Send a copy of CBC and/or bone marrow report. |
| Processing: | See Mayo book for complete instructions. Send ambient to Mayo.
Mayo # 8506. |
| Cause for Rejection: | Specimen sent frozen. |
| Performed: | 2-10 days. Test set up Monday through Sunday. |
| Reference value: | Interpretation included with test results. |
| Method: | Includes 2 or more banded karyotypes, analysis of 20 or more metaphases whenever possible, and other techniques when required. |
| CPT Code: | 88237 Chrm Anal Tis Clt BM+* (tissue culture for bone marrow) |
| TEST NAME |
CHROMOSOME ANALYSIS FRAGILE X |
See: Fragile X Syndrome: Molecular
Analysis* |
| POWERCHART NAME |
CHROMOSOME STUDY AUTOPSY |
||
| MERCY TEST NAME |
CHROMOSOME, AUTOPSY* |
MERCY LAB CODE |
CHRACS |
| Comment: |
|
| Specimen: | Transport fresh specimen immediately to Mercy Histology Lab. |
| Cause for rejection: | SPECIMEN CANNOT BE FROZEN. |
| Processing: |
Put Cytogenetics Request Form information under internal notes in the Mayo computer. (To include fetal age, and notation of any previous miscarriages.) Send refrigerated to Mayo. Mayo # 8887. |
| Performed: | 7-21 days. Test set up Monday through Sunday. |
| Reference value: | An interpretation will be provided by Mercy pathologist and Mayo
Medical Laboratories. |
| Method: | Includes 2-banded karyotypes, analysis of 20 or more metaphases, and other techniques when required. |
| CPT Code: | 88233 Chrm Anal Tiss +* (tissue culture for chromosome analysis) |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CITRATE EXCRT 24UR* |
MERCY LAB CODE |
CITRAT |
| Specimen: | 24-hour urine collection. Add 25ml 50% acetic acid prior to start of collection. Keep refrigerated during collection. |
| Comment: | Any drug that causes alkalemia or acidemia may be expected to alter citrate excretion and should be avoided if possible. |
| Processing: | Mix 24-hour specimen well before aliquoting. Aliquot 2 (two) 10ml
specimens. Send 1 aliquot to Mayo refrigerated. |
| Performed: | Monday through Saturday. |
| Reference Values: | Included on report. |
| Method: | Enzymatic |
| CPT Code: | 82507 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CK |
MERCY LAB CODE |
CPK |
| Specimen: | 0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin and EDTA plasma tubes are also acceptable. Stable 12 hours refrigerated. |
| Cause for rejection: | Hemolyzed specimens unacceptable. |
| Comment: | A CK MB will be run and charged on all male patients with a CK >235 UI/L and female patients with CK >200 IU/L. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Reference value: | Male: 25 - 235 IU/L |
| Method: | Rosalki, Other Modified |
| CPT Code: | 82550 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
MERCY LAB CODE |
CKMB |
|
| Includes: | Total CKMB |
| Specimen: | 0.5 ml lithium heparin plasma from a PST tube. |
| Cause for rejection: | Hemolyzed specimens unacceptable. |
| Note: |
|
| Processing: | Stable 8 hours at room temperature. Stable 48 hours refrigerated.
Freeze if testing is not completed within 48 hours of collection. |
| Performed: | Within 8 hours of receipt Monday through Friday. Sunday 1200 Cutoff. |
| Reference value: | Total CKMB: 0.6 - 6.3 ng/ml |
| Method: | Sandwich Immunoassay Chemiluminescence |
| CPT Code: | 82553 |
| TEST NAME |
CKMB/ISOENZYMES |
See: CKMB |
| TEST NAME |
CL |
See: Chloride |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CLOMIPRAMINE* |
MERCY LAB CODE |
CLMP |
| Specimen: | 2 ml serum from a plain red top tube. |
| Cause for Rejection: | A SST tube is unacceptable. |
| Processing: | Send refrigerated to Mayo. Mayo# 80902. |
| Performed: | 1 day. Test set up Monday through Friday. |
| Reference value: |
Therapeutic value: Clomipramine & Norclomipramine: 150
- 450 ng/ml |
| Method: | High-performance liquid chromatography (HPLC) |
| CPT Code: | 82491 |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CLONAZEPAM* |
MERCY LAB CODE |
CLZP |
| Specimen: | 2 ml serum from a SST or plain red top tube. |
| Processing: | Send refrigerated to Mayo. Mayo #8385. |
| Performed: | 1 day. Test set up Monday through Friday. |
| Reference value: | Therapeutic concentration: 10- 50 ng/ml |
| Method: | Gas-liquid chromatography (GLC) |
| CPT Code: | 80154 |
| TEST NAME |
CLONOPIN |
See: Clonazepam* |
| TEST NAME |
CLOSTRIDUM DIFFICILE TOXIN A |
See: Microbiology
Section |
| TEST NAME |
CLOT PANEL |
See: FDP, D-Dimer Test, Fibrinogen. |
| POWERCHART NAME |
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| MERCY TEST NAME |
CLOT TIME ACT |
MERCY LAB CODE |
ACT |
| Specimen: | 0.5 ml whole blood in non-siliconized syringe. Test must be performed at bedside immediately after blood specimen is collected. |
| Performed: | Within 8 hours of order receipt. Available stat |
| Reference value: | 81 - 152 seconds |
| Method: | Hemochron instrument, whole blood clotting time |
| CPT Code: | 85347 |
| TEST NAME |
| POWERCHART NAME |
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| MERCY TEST NAME |
CO2 |
MERCY LAB CODE |
CO |
| Specimen: | 0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin and EDTA plasma tubes are also acceptable. Stable 48 hours refrigerated. |
| Processing: | Keep tube capped until analysis, with a minimum of dead air space. Refrigerate. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Reference value: | 20 - 34 mmol/L |
| Method: | ISE Indirect, pH Rate of Change Utilizing a Glass Carbon Dioxide Electrode in Conjuction with a Glass pH Reference Electrode |
| CPT Code: | 82374 |
TEST NAME |
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| MERCY TEST NAME | MISC GENERAL LAB | MERCY LAB CODE | CMIS |
| Comment: | Mayo Coagulation Consultateion Panels: #550 Thrombosis/Hypercoaguability, Blood and Plasma #551 Bleeding Diathesis, Plasma #552 Lupus-Like Anticoagulation (LA), Plasma #553 Prolonged Clotting Time, Plasma #554 Von Willebrand Disease, Plasma |
| Specimen: | See Mayo test catalog for specific patient, specimen, and processing requirements for each coagulation consultation panel. Careful specimen handling will most often ensure acceptable specimens and valid results. Send a Coagulation Request Form with the specimen, which is party of the Mayo additional test information form. |
| TEST NAME |
COAGULATION FACTORS |
See: Factor
VIII Assay |
| TEST NAME |
COCAINE |
See: Drug
Abuse Random Urine |
| POWERCHART NAME |
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| MERCY TEST NAME |
COLD AGGLUT |
MERCY LAB CODE |
COLD |
| Specimen: |
1 ml plasma from pink top tube. Draw a separate tube if ordered with Type & Screen or Crossmatch. Red top tube is also acceptable. |
| Cause for rejection: | SST is unacceptable. Hemolyzed specimens are unacceptable. |
| Processing: | Incubate pink EDTA tube in a 37 degree waterbath for 10-15 minutes. |
| Performed: | Daily with 2000 cutoff. Available stat |
| Reference value: | 0 - 15 |
| Method: | Hemagglutination at 4°C. |
| CPT Code: | 86157 |
| POWERCHARTNAME |
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| MERCY TEST NAME |
COLLECT CHG CBG |
MERCY LAB CODE |
CCBG |
| Specimen: | The patient’s heel or finger must be warmed prior to specimen collection. Refer to Phlebotomy Procedure Manual for complete specimen collection instructions. |
| Comment: | Available stat. To be ordered by Nursing Service at the same time an order is placed to CV&P for capillary blood gases. Use a green no gel tube if they want venous. |
| Method: | Heel stick, Fingerstick, Venous. |
| CPT Code: | 36416 |
| POWERCHARTNAME |
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| MERCY TEST NAME |
COLLECT CHG DONOR |
MERCY LAB CODE |
MDONOR |
| Specimen: |
Collect tubes are in kit. |
| Comment: | Patient is registered in the Health Quest system by outpatient registration staff and instructed to go to the laboratory on the second floor. Client services order MDONOR. Service is done at no charge to the patient. No additional processing charges or collection charge is added. |
| Processing | Collection kits are received in advance and kept in processing until patient arrives |
| TEST NAME |
COMPATIBILITY TEST |
See: Crossmatch |
| POWERCHART NAME |
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| MERCY TEST NAME |
COMPLEMENT TTL* |
MERCY LAB CODE |
CMPT |
| Specimen: | 1 ml serum from a SST or plain red top tube. |
| Processing: | Separate from clot and freeze immediately. Send frozen to Mayo. Mayo # 8167. |
| Performed: | 1 day. Test set up Monday through Saturday. |
| Reference value: | 30 - 75 U/ml |
| Method: | CH50 Automated Liposome Lysis Assay |
| CPT Code: | 662 |
| POWERCHART NAME |
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| MERCY TEST NAME |
COMP METABOLIC PNL |
MERCY LAB CODE |
CMPL |
| Includes: | Albumin ALT AST Creatinine |
Alkaline
Phosphatase Glucose | Anion Gap BUN Chloride Potassium |
Total Protein CO2 Sodium A/G Ratio |
| Specimen: | 1 ml lithium heparin plasma from a PST tube. Refrigerate. | |||
| Cause for rejection: | Grossly hemolyzed specimens not acceptable. | |||
| Panel run: | Within 8 hours of receipt. | |||
| Reference value: | See individual test entry. | |||
| Method: | See individual test entry. | |||
| CPT Code: | 80053 | |||
| POWERCHART NAME |
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| MERCY TEST NAME |
COOMBS DIRECT |
MERCY LAB CODE |
CMBS |
| Comment: | For newborns: Order a Cord Blood Routine whenever a Direct Coombs is needed if the cord blood is available and this is the initial Direct Coombs order. |
| Specimen: | One 6 ml pink top tube or purple top tube. Refrigerate. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Reference value: | Negative |
| Method: | Serological |
| CPT Code: | 86880 |
| TEST NAME |
COOMBS INDIRECT |
See: Antibody Screen |
| POWERCHART NAME |
COPPER LEVEL |
||
| MERCY TEST NAME |
COPPER* |
MERCY LAB CODE |
COPP |
| Specimen: |
2 ml serum from navy blue top no additive trace metal tube. 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 specially prepared polypropylene syringe. |
| Cause for rejection: | The use of other tubes is unacceptable. |
| Processing: | Allow to clot well. After centrifugation, pour (DO NOT use
transfer pipette or wooden sticks) serum into blue-labeled 5ml Mayo
metal-free, screw-capped polypropylene vial. Send to Mayo refrigerated.
If specimen will be stored more than 48 hours, send frozen. |
| Performed: | 1 day. Test set up Monday through Saturday. |
| Reference value: | 0.75-1.45 mcg/ml |
| Method: | Inductively Coupled Plasme (ICP) Emission Spectroscopy |
| CPT Code: | 82525 |
| TEST NAME |
CORPROPORPHYRINS |
See: Porphyrin
Quantitative 24-Hour Urine* |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CORD BLD ROUTINE |
MERCY LAB CODE |
CRDB |
| Specimen: | 5-10 ml whole blood collected from the umbilical cord.
Blood is to be placed in a red top tube and purple top tube.
Refrigerate. |
| Comment: |
Enter mother's FULL name in comment field. Includes ABO Group/RH Type and Direct Coombs (DAT). If the Direct Coombs is positive, Lab will order and charge for a CBC, Cell Morphology, Bilirubin from the cord blood and Antibody ID from the eluate. |
| Performed: | Within 8 hours of receipt. Available stat. |
| Reference value: | Direct Coombs: NEGATIVE |
| Method: | Serological |
| CPT Code: | 86900 ABO |
| TEST NAME |
CORTICOID |
See: Cortisol* |
| TEST NAME |
CORTICOSTEROID |
See: Cortisol* |
| POWERCHART NAME |
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| MERCY TEST NAME |
CORTISOL* |
MERCY LAB CODE |
CORTSL |
| Specimen: | 0.5 ml serum from a plain red top tube. |
| Processing: | Send refrigerated to Mayo. Mayo #8545. |
| Performed: | 1 day. Monday through Saturday. |
| Reference value: | Included with results. |
| Method: | Automated Chemiluminescent Immunoenzymatic Assay. |
| CPT Code: | 82533 |
| POWERCHART NAME |
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| MERCY TEST NAME |
CORTIS ACTH RES |
MERCY LAB CODE |
CORTSL |
| Specimen: |
0.5 ml serum from a plain red top tube.
Refrigerate. |
| Suggested Collection: | 3 separate specimens,requiring 3 separate CORTSL orders, one prior to and two following injection of 0.25 mg Cortrosyn, given IV bolus, at times specified by Nursing Service:
Nursing service will obtain Cortrosyn from Pharmacy. |
| Processing: | Send refrigerated to Mayo. Mayo #8545. |
| Performed: | 1 day. Monday through Saturday. |
| Reference value: | Expected values during ACTH stimulation: over twice (usually 2-3 times) reference a.m. level. |
| Method: | Automated Chemiluminescent Immunoenzymatic Assay. |
| CPT Code: | 82533 x 3. |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
MERCY LAB CODE |
CRTF |
|
| Specimen: |
50 ml from a 24-hour urine specimen. At start of collection, add 25 ml of 50% acetic acid preservative 15 ml 50% acetic acid for children <5 years old). |
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| Processing: | Aliquot 10 ml (pediatric volume: 5 ml)and indicate total volume.
Adjust pH to 2.0-4.0 with 50% acetic acid. Send refrigerated
in 13 ml urine tube to Mayo. |
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| Performed: | 2 days. Test set up Monday through Saturday. | ||||||||||||||||||
| Reference value: |
|
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| Method: | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) | ||||||||||||||||||
| CPT Code: | 83789 |
| TEST NAME |
CORTROSYN ACTH STIMULATION |
| TEST NAME |
COXSACKIE VIRUS* |
See: Virus Serology |
| POWERCHART NAME |
C-PEPTIDE |
||
| MERCY TEST NAME |
C-PEPTIDE* |
MERCY LAB CODE |
CPEPT |
| Patient preparation: | Fasting patient. |
| Specimen: | 1 ml serum from a SST or plain red top tube. |
| Processing: | Send refrigerated to Mayo. Mayo #8804. |
| Performed: | 1 day. Test set up Tuesday, Thursday, Saturday. |
| Reference value: | 0.9 - 4.3 ng/ml |
| Method: | Chemiluminometric Immunoassay |
| CPT Code: | 84681 |
| TEST NAME |
CPK |
See: CK |
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CREAT |
MERCY LAB CODE |
CREA |
| Specimen: | 0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin plasma is also accepted. Stable 48 hours refrigerated. |
| Performed: | Within 8 hours of receipt. Available stat |
| Reference value: | Male: 0.7 - 1.4 mg/dl |
| Method: | Alkaline Picrate-Kinetic |
| CPT Code: | 82565 |
POWERCHART NAME |
Creatinine 24 HOUR URINE. Not available Powerchart orders |
||
MERCY TEST NAME |
CREAT 24UR |
MERCY LAB CODE |
VCRT |
| Includes: | Volume (ml/24 hours) |
|||
| Specimen: | 10 ml urine from a 24-hour urine specimen. Refrigerate urine during collection, no preservative required. |
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| Comment: | A single 24-hour urine collection may be used for CREATININE 24 HOUR URINE and TOTAL PROTEIN [PROT24U]. | |||
| Processing: | Aliquot 10 ml urine and indicate total 24 hour volume. Refrigerate. | |||
| Performed: | Within 8 hours of receipt. | |||
| Reference value: | Creatinine |
Male 0.8 - 2.8 g/24hrs |
Female 0.8 - 2.8 g/24hrs |
|
| Method: | Alkaline Picrate-Kinetic | |||
| CPT Code: | 82575 | |||
| POWERCHART NAME |
|||
| MERCY TEST NAME |
CREAT CL 24UR |
MERCY LAB CODE |
VCCL |
| Includes: | Volume (ml/24 hours) Raw Creatinine | |||