POWERCHART NAME

SALICYLATE LEVEL

MERCY TEST NAME

SALICYLATES         

MERCY LAB CODE

SLY
Specimen: 0.5 ml lithium heparin plasma from a PST tube. Sodium heparin plasma tubes are also accepted. Stable 48 hours refrigerated.
Performed: Within 8 hours of receipt.  Available stat
Reference value: Therapeutic range:  2.0 - 20.0 mg/dl
Therapeutic range for rheumatic fever or arthritis: 15 - 30 mg/dl

Refer to Salicylate Concentration & Interpretation Table in Special Helps section of Lab Test Index.
Method: Enzymatic
CPT Code:  80196

TEST NAME

SAMONELLA/SHIGELLA SCREEN

See: Microbiology Section
Regional Pt Micro


POWERCHART NAME

SED RATE - ERYTHROCYTE

MERCY TEST NAME

SED RATE

MERCY LAB CODE

ESR
Specimen: On Campus; preferred specimen:  1.2 ml whole blood collected in black top Streck tube.
Also collect 1 EDTA tube.  Acceptable:  1 EDTA tube.
Processing: Black top tube stable 24 hours refrigerated.  EDTA tube; 
Refrigerated specimen best if run within 24 hours, but will be accepted up to 36 hours.
Performed:  Within 8 hours of receipt.  Available stat
Reference value: AGE       MALE            FEMALE
0 - 49     0 - 15           0 - 20 MM/HR
> 49      0 - 20            0 - 30 MM/HR
Method:  Automated, Streck ESR-Auto Plus
 CPT Code:  85652

 

TEST NAME

SEMAN ANALYSIS FERTILITY

See: Fertility Test Semen (RL Clients ONLY)


POWERCHART NAME

SEMEN ANALYSIS

MERCY TEST NAME

SEMEN ANALYSIS

MERCY LAB CODE

SMEN
Note: Semen analysis from Reference Lab Clients refer to Fertility Test Semen.
Comment:  

Specimen accepted Monday-Thursday only, not the day before a holiday, until 8 PM nightly.
Mayo courier pick up specimens at Mercy after 8PM.  Specimen should be collected as close to shipping time as possible. If ONLY a sperm count is ordered, see SPERM COUNT.
Includes:  Semen analysis includes description of Appearance, Ph, Volume, Sperm Count, Motility Evaluation and Sperm Morphology.
Specimen:

Semen specimen collected in Semen Collection Kit provided by Mayo. Patient is to deliver the specimen, packed in the collection kit, to the Lab within 1 hour of collection. For accurate results, the patient should have 2-7 days of sexual abstinence prior to specimen collecion. It is critical to keep specimen at room temperature.

Reference Lab Clients: Process specimen and package in collection kit packaging. 
Include patient collection questionnaire, and specimen color, volume, ph, and viscosity.
Processing: Processing must be completed as soon as possible after collection. 
Send Semen Fertility to Mayo Mayo # 9206. 
Performed: 2 Days.  Monday-Thursday
Reference value:

Ph: 7.2 - 8.0
Volume: > 2.0ml
Motility, Count, Morphology: See Mayo report
Method: 

Includes color, volume, viscosity, pH, % motility, concentration, grade of motility, viability, morphology, and presence of cellular elements.    

CPT Code: 

89310   Motility and count
89240   Miscellaneous Pathology
99001   Processing (For specimens processed at Mercy only)

TEST NAME

SEROLOGY

See:  SYPHL

TEST NAME

SEROTONIN

See:  HIAA5 (Serotonin) 24 hour Urine*

TEST NAME

SEX CHROMATIN

See: Cytology Section  Barr Body Smear

TEST NAME

SEXUAL ASSAULT

This is a list of the more commonly ordered tests in a sexual assault case.  ALWAYS check the physician's orders, as they will vary.

Cytology Manual Requisition MH 321.9
ABO Group/Rh Type
Chlamydia Trachomatis Screen: CMIS
GC Screen: GC
Pregnancy Test
RPR (Test for syphilis)

Please refer to the Sexual Assault Procedure and the Test Index for proper collection.

TEST NAME

SGOT

See:  AST

TEST NAME

SGPT

See:  ALT

TEST NAME

SHAKE TEST

See: Lamellar Body Count
Phosphatidylglycerol Screen Amniotic Fluid

TEST NAME

SICKLE CELL

See:  Hemoglobin S Screen*

TEST NAME

SINEQUAN

See:  Doxepin*

TEST NAME

SMEAR BLOOD

See:  Differential Manual  (for Technical staff review of smear)
         Cell Morphology  (For Pathologist review of smear)

TEST NAME

SMOOTH MUSCLE ANTIBODY*

See: Anti Smooth Muscle AB

POWERCHART NAME

SODIUM LEVEL

MERCY TEST NAME

SODIUM

MERCY LAB CODE

NA
Specimen:  0.5 ml lithium heparin plasma from a PST tube.Refrigerate.
Performed:  Within 8 hours of receipt.  Available stat. 
Reference value: 

0 - 2 days: 134 - 146 mmol/L
3 days - 11 months: 139 - 146 mmol/L
1 - 12 years: 138 - 145 mmol/L
>  12 years: 133 - 146 mmol/L
Method:  ISE Indirect, Potentiometry
CPT Code:    84295

 

POWERCHART NAME

SODIUM 24 HOUR URINE

MERCY TEST NAME

SODIUM 24 HOUR URINE

MERCY LAB CODE

VNA
Specimen:  24 hour urine. No preservative
Performed:   
Reference value: 

40-220 mmol/24 hours

Method:  ISE Indirect, Potentiometry
CPT Code:    84300


TEST NAME

SODIUM URINE

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


POWERCHART NAME

SODIUM AND POTASSIUM LEVELS

MERCY TEST NAME

SOD POT

MERCY LAB CODE

NAK
Specimen: 0.5 ml lithium heparin plasma from a PST tube.  Refrigerate.
Cause for rejection: Hemolysis
Performed:  Within 8 hours of receipt.  Available stat. 
Reference value:

Sodium

0 - 2 days: 134 - 146 mmol/L

3 days - 11 months: 139 - 146 mmol/L
1 - 12 years: 138 - 145 mmol/L

> 12 years: 133 - 146 mmol/L

Potassium
0 - 2 days: 3.7 - 5.9 mmol/L
3 days - 11 mths: 4.1 - 5.3 mmol/L
1 - 12 years: 3.4 - 4.7 mmol/L
> 12 years: 3.5 - 5.5 mmol/L
Method:  ISE Indirect, Potentiometry
CPT Code:   

84295  Sodium
84132  Potassium

TEST NAME

SODIUM/POTASSIUM SPOT CHECK

See:  Sodium/Potassium Random Urine


POWERCHART NAME

SODIUM AND POTASSIUM 24 HOUR URINE

MERCY TEST NAME

SOD POT 24UR

MERCY LAB CODE

VLYT
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:

Sodium: 40 - 220 mmol/24 HR
Potassium: 25 - 125 mmol/24 HR
Method:  ISE Indirect, Potentiometry
CPT Code: 

84300 Sod Urine +
84133 Pot Urine +

POWERCHART NAME

SODIUM AND POTASSIUM BODY FLUID

MERCY TEST NAME

SOD POT BF

MERCY LAB CODE

FLYT
Specimen: 5 ml random fluid.  Refrigerate.
Comment: Indicate specimen source in comment.
  Performed:     Within 8 hours of receipt.  Available stat.
Method: ISE Indirect, Potentiometry
CPT Code: 84295  Sodium
84132  Potassium

POWERCHART NAME

SODIUM  AND POTASSIUM RANDOM URINE

MERCY TEST NAME

SOD POT R UR

MERCY LAB CODE

ULYT
Specimen:  5 ml random urine.  Refrigerate.
Performed: Within 8 hours of receipt.  Available stat
Reference value: No normal range available. Random urine sodium values average 60 mmol/L and random urine potassium values average 40 mmol/L. These values are diet dependent.  Longer 12 or 24 hour urine collections are preferred.
Method: ISE  Indirect, Potentiometry
CPT Code:  

84300 Sod Urine+
84133 Pot Urine+

TEST NAME

SOMATOMEDIN-C PLASMA*

See: Insulin-Like Growth Factor I*

TEST NAME

SOTALOL  (BETAPACE)

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS
Specimen:  1.0 ml sodium heparin plasma (green top), serum from a plain red top tube, or 4ml random urine.
Processing: 

Send refrigerated to Mayo.  Mayo # 91123.  Indicate if specimen is serum, plasma or urine.
Indicate test name in comment field.

Performed: 5 days.  Testing sent to Medtox Laboratories by Mayo Laboratory. Monday through Sunday.
Reference value:

Serum Sotalol concentrations producing beta-blockade: 500 - 4000 ng/ml
Toxic range has not been established.
Method: High-Performance Liquid Chromatography with Flourescence Detection (HPLC-FL)
CPT Code: 82491

TEST NAME

SPECIFIC GRAVITY

See:  Specific Gravity Body Fluid
        Specific Gravity Random Urine


POWERCHART NAME

SPECIFIC GRAVITY BODY FLUID

MERCY TEST NAME

SPEC GRAV BF

MERCY LAB CODE

SPBF
Specimen:  1 ml fluid.  Refrigerate.
Comment:  Indicate specimen source in comment.
Performed:  Within 8 hours of receipt.  Available stat.
Reference value:  Dependent on specimen source
Method:  Refractometry
CPT Code: 84315

POWERCHART NAME

SPECIFIC GRAVITY URINE

MERCY TEST NAME

SPEC GRAV UR

MERCY LAB CODE

USG
Specimen: 1 ml random urine.  Refrigerate.
Performed: Within 8 hours of receipt.  Available stat.
Reference value: 1.001 - 1.035

Method:		 Refractometry
CPT Code: 81003

POWERCHART NAME

SPERM ANTIBODY

MERCY TEST NAME

SPERM ATBDY*

MERCY LAB CODE

SPMA
Specimen:

FEMALE: 2 ml serum from a SST or plain red top tube.

MALE:   Preferred testing fluid is semen.  Semen specimen must be collected using special kit from Mayo Laboratories. Explicit collection instructions will come with the kit. Serum may also be used in male testing.  2 ml serum from plain red top tube.
Processing: Send frozen to Mayo.  Mayo # 9502.
Performed:  1 day.  Test set up Monday, Wednesday, Friday.
Reference value: Included with test results
Method: Immunobead Technique
CPT Code:  89325

TEST NAME

SPERM CHECK AFTER VASOVASOSTOMY

See: Sperm Count Under comment: enter Vasovasostomy and source.  Obtain specimen on a slide and place in the surgery pass through.  Notify the Lab that a specimen is there.

POWERCHART NAME

SPERM COUNT

MERCY TEST NAME

SPERM COUNT

MERCY LAB CODE

SPC
Comment: This is also the test to be ordered when checking for sperm after a vasovasostomy procedure- slides will come from surgery. Under comment: enter Vasovasostomy and source. Obtain specimen on a slide and place in the surgery pass through.  Notify the Lab that a specimen is there.
Specimen:

Semen specimen collected in a clean plastic container.  Deliver to the Lab within 12 hours of collection. The specimen should not be collected or delivered in a condom. For accurate results, the male should not ejaculate semen for a minimum of two days prior to specimen collection.
Processing: Test within 12 hours of collection
Performed:  Monday - Friday 0600 - 2000.  Saturday and Sunday 0600 – 1500.
Reference value: None seen.
Method: Microscopy
CPT Code:  89321

TEST NAME

SPERM MORPHOLOGY

Included in Semen Analysis

TEST NAME

SPINAL FLUID CYTOLOGY

See: Cytology Section Cerebrospinal Fluid

TEST NAME

SPLIT PRODUCTS

See: D-Dimer Test
FDP Serum
FDP Urine

TEST NAME

SPOT CHECK URINE

See:  Amylase Random Urine
Creatinine Random Urine
Microalbumin Random Urine
Sodium/Potassium Random Urine


TEST NAME

SPUTUM CULTURE

See: Microbiology Section
In Pt Micro / Regional Pt Micro

TEST NAME

SPUTUM CYTOLOGY

See: Cytology Section Sputum

TEST NAME

STEROID ABUSE SCREEN

See: Anabolic Steroid Screen

POWERCHART NAME

STONE ANALYSIS (MAYO)

MERCY TEST NAME

STONE ANALYSIS*

MERCY LAB CODE

STN
Comment: Mercy patients: Order on PowerChart.  Indicate specimen source in comment.
Specimen:  Submit entire dried urine calculi specimen.  Alternate specimen is the filter from straining a urine specimen. The filter should be clean and dry when sent.
Cause for rejection: The stone is unacceptable if taped to the container.  Tape and adhesives interfere with the procedure.  Stone sent in formalin is also a cause for rejection.
Processing: Send to Mayo for chemical analysis.   Include source when ordering on the LIS.  Mayo # 8596
Performed: 1 day.  Test set up Monday through Saturday.
Reference value: Quantitative report will be sent.
Method: Infrared Spectrum Analysis
CPT Code: 82365

TEST NAME

STOOL CULTURE

See: Microbiology Section
Pt Micro / Regional Pt Micro

TEST NAME

STREP SCREEN GROUP A THROAT

See: Microbiology Section
In Pt Micro / Regional Pt Micro

TEST NAME

STREPTOZYME

  ASO

POWERCHART NAME

STRIATIONAL ANTIBODIES

MERCY TEST NAME

STRIAT ATBDY*

MERCY LAB CODE

STMAB
Specimen: 0.5 ml serum from a SST tube.  (0.25 ml minimum)
Comment: Included in Myasthenia Gravis Eval Adult.
Processing:  Send refrigerated to Mayo .  Mayo # 8746.
Performed: 3 days.  Test set up Monday, Wednesday, Thursday.
Reference value: Titer: < 1:60
Method:  Enzyme Immunoassay (EIA)
CPT Code:  83520

TEST NAME

SUDAN STAIN, FECES

See:  Fat Feces, Qual

TEST NAME

SUGAR CLINITEST, FECES

See:  Reducing Substances Feces

TEST NAME

SURFACTANT ALBUMIN RATIO AMNIOTIC FLUID

See: Fetal Lung Profile AF*

TEST NAME

SURGICAL SPECIMEN

See:  Tissue Exam Gross & Microscopic

TEST NAME

SURVEILLANCE CULTURES

See: Microbiology Section
In Pt Micro / Regional Pt Micro

TEST NAME

SUSCEPTIBILITY TESTING

See: Microbiology Section
In Pt Micro / Regional Pt Micro

TEST NAME

SWEAT CHLORIDE

See:  Sweat

POWERCHART NAME

SWEAT CONDUCTIVITY

TEST NAME

SWEAT

MERCY LAB CODE

SWEAT
Comment:  Test is done at patient's bedside.  The patient should not be chilled or exposed to a draft.
Delay the test if patient is dehydrated, acutely ill, water balance is upset, or who have inflammation or rash affecting potential stimulation sites.
Performed:

INPATIENTS:       Monday-Friday 0700-1400 only
OUTPATIENTS:    Monday-Friday 0900-1500 

                         Saturday 1300 - 1500
TEST PERFORMED IN MAIN LAB ONLY Saturday 1300-1500

Reference value: 0 – 75 mmol/l Normal
76 – 89 mmol/l Borderline
90 or greater mmol/l abnormal
Method: Conductivity Method
CPT Code: 89230   Sweat Collection+
82438   Chloride+
                                                                                              

TEST NAME

SYNOVIAL FLUID CYTOLOGY

See: Cytology Section Synovial Fluid

POWERCHART NAME

SYPHILIS IgG ANTIBODY

MERCY TEST NAME

SYPHILIS IgG ANTIBODY

MERCY LAB CODE

SYPHL
Specimen:  1 ml serum from a SST tube.
Processing:  Freeze > 48 hours..
Comment: Included in prenatal profiles
Performed:  Tuesday and Friday  0800 cutoff.
Reference value:

Negative
Any positive IgG result will be referred to Mayo for repeat testing.  If Syphilis IgG is positive, a RPR (Rapid Plasmin Reagin) test will be performed and charged.

Method: EIA
CPT Code: 

86592 (Syphilis)

86592 (RPR) if appropriate