Test Updates and Revisions made to MMC-North Iowa Lab's Test Index

08/05/11 - Updated the Gestational Glucose and the 2 and 3 hour Glucose Tolerance Test to ask for the dose of glucose given and the time given to the patient to be placed on the order.

08/23/11 -  Updated DRUG SCREEN URINE PRESCRIPTON - OTC, for new CPT code.  CPT code changed from G0430 to G0431 per changes in Medicare billing. 

9/12/11 - Updated BLOOD CULTURE-changed the recommended sets of cultures to be collected within a 24-hour period from three sets to two sets.

9/15/11-Updated Chromosome Autopsy-updated the CPT codes to current Mayo listing.
               Updated Chromosome Congenital Blood- updated the CPT codes to current Mayo listing.
               Updated Chromosome Analysis Bone Marrow-upated the CPS codes to current Mayo listing.

9/16/11-Added comments-HIV 1 HIV 2 Antibody-comments added to explain possible additional tests that could be ordered and listed the CPT codes for the additional tests

 9/16/11,  Preferred sample changed from plasma to serum for the following tests:  TSH, T4 Free, T3 Free, T3 Total, Thyroperoxidase Antibodies, Ferritin, HCG Quantitative, Luteinizing Hormone, Follicle Stimulating Hormone, Prolactin, Estradiol, CA125, Parathyroid Hormone, Cortisol.  Plasma will be accepted, but serum is preferred specimen.

 9/20/11-Updated Chromosom Analys Bld-updated the CPT code to current Mayo listing.

 9/21/11-Updated D-Dimer to reflect plasma needs to be aliquoted prior to freezing.

339/23/11-Hepatitis C Antibody Confirmation (RIBAC) had become orderable again

9/25/11 Removed this comment 'Preservative can be added at the end of the collection, but must occur within 4 hours after collection completion.' from CTCH, VVMA, and MTPH.

11/2/11 Measles, Mumps and EBV have been updated to reflect the changes needed to send tests to Mayo.

11/3/11 Removed Antimicrobial Assay since test hasn't been ordered for over a year.

11/25/11 Added Amikacin Peak, Random, Trough tests to LTI.

1/11/12 Transport temperature for Plasma Cell Labeling Index changed from refrigerated to ambie

nt.

6/19/12 Updated Corisol ACTH Response test to contact Bed Management/First Call prior to sending outpatient to Mercy .

6/12/12 Chage to reflect PT with PTT to have plasma removed and frozen if testing would not be performed before 4 hours after collection.

 2/2/12 Random specimens no longer acceptable for VELC, must order as a CMIS.

3/23/12  Add Beta-2 Transferrin: Detection of Spinal Fluid in Other Body Fluids.

3-26-2012 EPO is now run at Mercy.

5/3/12  Mayo #81019 Vitaimin B1 replaced with New England Mayo #85753/TDP.  The Mercy lab code will not change.  The specimen type has been updated.

5/14/12 Mayo test #82976 Cardiolipin Ab is down temporarily.  Updated LTI to order CMIS for Mayo test FCAGM, which is the replacement test.

6/13/12 Added serum as acceptable specimen for Transferrin.

6/19/12 CRLA Mayo #82976 has become orderable in Mayo, no longer order FCAGM

7/18/12 FLUN-Farmers Lung Mayo #8768 is temporarily made non-orderable per Mayo test update, LTI updated with information for recommended alternate tests.

7/26/12 SSCR-added causes for rejection

7/30/12 CDIFFM- added causes for rejection

7/30/12 STLC- added causes for rejection

8/24/12 Added new tests Metanephrines Fractionated Free, BK Virus Molecular Detection by PCR and Itraconazole Level

8/28/12 HMDR- Hemosiderin, urine- Updated to send Refrigerated, from send Frozen to Mayo

9/11/12 SIRO - Sirolimus interfaced test to Mayo no longer ordered as a CMIS

9/13/12 TBCL - T&B Cell QN - updated specimen,processing,performed,and reference value entries

9/17/12 TRYPT - Tryptase interfaced test to Mayo no longer ordered as a CMIS

10-1-12  Oxycodone Screen Urine and Buprenorphine Screen Urine discontinued.  Send to Mayo.

10-9-12 REPU-new test added for random urine protein electrophoresis specimens

10-23-12 Updated testing methods for the following tests because of new instrumentation.  Acetominophen, Albumin, Alcohol (Ethanol) serum and urine, ALT/SGPT, AST/SGOT, Direct Bilirubin, Total Bilirubin, BUN, Calcium, Urine Calcium, Carbamazepine, Carbon dioxide, CK, CRP, Digoxin, Direct LDL, GGT, Gentamicin, Glucose blood, body fluid and CSF, HDL Cholesterol, Iron and Iron Binding, Magnesium, Microalbumin Quantitative Random Urine, Phenobarbital, Phenytoin, Phosphorus, Phosphourus Urine, Protein, Urine Protein, Salicyclates, Theophylline, Tobramycin, Urea Urine, Valproic Acid, Vancomycin.

10-23-12  Updated specimen requirements and/or stability for the following tests because of new instrumentation.  Alcohol, ALT/SGPT, Ammonia, AST/GOT, Direct Bilirubin, Total Bilirubin, BUN, Carbon dioxide, CK, CRP, hsCRP, Direct LDL, GGT, HDL Cholesterol, Lactic Acid, Phosphorus, Salicyclates, Tobramycin, Uric Acid, Valproic Acid, Vancomycin.

10-23-12  Updated reference values for the folowing test because of new instrumentation.  Ammonia, Amylase, AST/SGOT, Total Bilirubin, Calcium, Carbon dioxide, Creatinine, Electrolyte Panel, GGT, Haptoglobin, Iron and Iron Binding Capacity, LDH, Lipase, Prealbumin, Sodium, Uric Acid,   

11-02-12 Updated Semen Analysis and Fertility Test Semen to define better which test should be ordered for regional sites receiving the specimens and the need for the preservative and that the preservative is to be stored in the refrigerator until the specimen is added. 

12-21-12 CD4-updated specimen requirements.

12-27-12 GLUG - GLucose tolerance gestational; a NOTE was removed for fasting glucose collection information as a fasting glucose is not drawn with a one hour glucose tolerance test.

12-31-12 QUADM, FACTV, and FXMA CPT Code updates

1-11-13 CMIS FCTRC Chlamydia Trachomatis culture updated from MISM to CMIS order info

1-31-13 SOMC Insulin like growth factor 1 - IGF1I updated mayo code and methodology

3-8-13 CMIS Diagnostic H1N1 updated specimen collection performed method and CPT code information. Updated from MISM to CMIS.

3-13-13  BNP specimen requirements updated.  Whole blood stable 7 hours. Remove plasma from cells and refrigerate up to 24 hours.  Freeze if >24 hours.

3/18/13 GABP Gabapentin updated: specimen req., Mayo code, performed info. 

 4-17-13.  IGA, IGG, IGM, Immunoglobulins A,M,G now performed at Mercy.  Reference ranges updated.

4-17-13 GAL3 Galectin-3 level added as a newly interfaced mayo send-out test

4-18-13 G6PD updated information due to Mayo test update

4-30-13 added new test MPSUR-Monoclonal Protein Study, Random Urine