Mercy Medical Center North Iowa

Test Updates

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

02-16-16  Updated slide making technique and eliminated the 1 hour limitation for using EDTA blood to make the slides.

01-09-16  Added a link on the Cytomegalovirus (CMV), Molecular Detection PCR for stool testing to go to the Culture Virus Non-Respiratory test.

01-08-16  Updated 24 hour urine Uric Acid to keep refigerated during collection.

01-08-16  Updated 24 hour urine Calcium to remove requirement for adding 10 mL of 6N HCL before collection.

11-03-15  Updated reference ranges for ALT, AST, ASO, CK, Haptoglobin, Lipase, and Total Bilirubin because of new instrumentation.

09-21-15  Updated CPT codes used for the Hypercoagulability Consult for both always and reflex testing

06-15-15  Added refrigerated processing temp for Varicella-Zoster Virus, Molecular Detection, PCR

12-19-14. ESR method and normal range updated.

12-10-14. C-Peptide now performed at Mercy.  Reference range changed to 0.78-5.19 ng/mL.

09-30-14  PTT reference range 24.2-35.4 seconds with reagent Hemosil Synthasil N1237712.

09-18-14  Urine dipstick glucose of 3+ is no longer called as a critical value.

07-22-14  Removed comments from Acute and Chronic Hepatitis Panels about duplication of tests and breaking up panels and ordering individual tests to eliminate test duplication

07-22-14  Removed comment that Mercy Lab, when a Comprehensive Metabolic Panel and Hepatic Function Panel were ordered at the same time, would cancel the Hepatic Function Panel and order test individually to avoid test duplication.

07-08-14  Intrinsic Factor (Mayo IFBA) will be reflex ordered and charged on all specimens with B12 less than 180 pg/mL

06-25-2014  Hemoglobin Post Dialysis:  New test/battery defined HGBXP/HGBXPD.  To be ordered by Dialysis only.

05-02-14  Added information about Lab drawing Vitagel/VitaPrep at request of surgery.

04-15-14  FDP discontinued.  DDIMER is recommended alternative.

04-15-14  CO2 reference range changed to 20-34 mmol/L.

04-14-14  Myoglobin specimen can be either serum or plasma (heparinized).

03-27-14 Cortisol Stimulation Test updated to reflect addition of form and fax to Bed Management 

03-20-14 Glucose Tolerance cutoff changed to 135 mg/dl for the Fasting Glucose.

03-07-14 Frozen specimens are now required for Hepatitis Chronic Unknown, Hepatitis C Antibody, and Hepatitis Acute Profile.  The reason for this change is that Mayo test HCVQU can be reflexed off a positive specimen and Mayo requires a frozen sample.

02-03-14 Levetiracetam CPT code changed to 80177

02-03-14 Lamotrigine CPT code changed to 80175

02-03-14 Gabapentin CPT code changed to 80171

02-03-14 Updated Clostridium difficile test for specimen temperature storage.

01-13-14 Updated Urine Creatinine and Urine Protein stability to 7 days refrigerated. 

12-17-13.  Test name changed to Transferrin Sat from Iron Saturation.

11-29-13. Updated acceptable specimen types for Monoscreen.

11-25-13. Linked Folic Acid RBC testing to Serum Folate, as it is the recommended alternate testing. Folic Acid RBC (Folate, RBC) has become obsolete.

11-20-13.  Added Glucose 24HR UR, Glucose Random Urine, Chloride 24 HR Urine, Chloride Random Urine, Magnesium Random Urine, Urea Nitrogen Random Urine.

11-11-13 Added LTI entry for Amylase Pancreatic, newly interfaced Mayo send out testing.

10-15-13  Removed Critical Limits Table from Inpatient and Regional Introduction and added a seperate link to the Special Helps section.

09-24-13  Test no longer available:  BTS Bleeding Time, URPH Urine pH, EONS Eosinophils, Nasal Smear, APT, Urine Specific Gravity, Urine Fat

09-09-13 Deleted Directed Units for Crossmatch

09-09-13 Deleted Autologous Units for Crossmatch

09-09-13  Updated FFP for Infusion for receiving unit after thawing

08/28/2013  Folate and Vitamin B12 specimen type changed to serum or heparanized plasma

07-10-13  New coagulation instruments IL ACL TOP500 now in use.  Reference range change for PTT, Fibrinogen, Thrombin Time.  Critical value for PTT changed to >140.0 seconds.  DDIMER units changed to ng/mL FEU from mg/L FEU

07-12-13 Critical value for Phosphorus changed to

07-02-13 Updated urine cytology collection instructions (change in preservative Cytolyt)

07-02-13 Added Centromere Antibody entry for newly interfaced orderable Mayo test

07-02-13 Updated VCCL procedure.  Changed CRTM to CRTMM

06-13-13 changed dialysis critical Hgb value from

06-06-13 added new test TOPIR

06-05-13 HSVT replaced with in-house test HSVIGG

06-03-13 Mayo test CMVQU replaced Mayo test QCMV

05-28-13 CRTN-Carotene was replaced with BCARO-Beta Carotene per Mayo udpate

04-30-13 added new test MPSUR-Monoclonal Protein Study, Random Urine

04-18-13 G6PD updated information due to Mayo test update

04-17-13.  IGA, IGG, IGM, Immunoglobulins A,M,G now performed at Mercy.  Reference ranges updated.

04-17-13 GAL3 Galectin-3 level added as a newly interfaced mayo send-out test

03/18/13 GABP Gabapentin updated: specimen req., Mayo code, performed info

03-13-13  BNP specimen requirements updated.  Whole blood stable 7 hours. Remove plasma from cells and refrigerate up to 24 hours.  Freeze if >24 hours

03-8-13 CMIS Diagnostic H1N1 updated specimen collection performed method and CPT code information. Updated from MISM to CMIS

01-31-13 SOMC Insulin like growth factor 1 - IGF1I updated mayo code and methodology

01-11-13 CMIS FCTRC Chlamydia Trachomatis culture updated from MISM to CMIS order info

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

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

12-21-12 CD4-updated specimen requirements

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

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

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

10-09-12 REPU-new test added for random urine protein electrophoresis specimens

10-01-12  Oxycodone Screen Urine and Buprenorphine Screen Urine discontinued.  Send to Mayo

09-17-12 TRYPT - Tryptase interfaced test to Mayo no longer ordered as a CMIS

09-13-12 TBCL - T&B Cell QN - updated specimen,processing,performed,and reference value entries

09-11-12 SIRO - Sirolimus interfaced test to Mayo no longer ordered as a CMIS

08-28-12 HMDR- Hemosiderin, urine- Updated to send Refrigerated, from send Frozen to Mayo

08-24-12 Added new tests Metanephrines Fractionated Free, BK Virus Molecular Detection by PCR and Itraconazole Level

07-30-12 CDIFFM- added causes for rejection

07-30-12 STLC- added causes for rejection

07-26-12 SSCR-added causes for rejection

07-18-12 FLUN-Farmers Lung Mayo #8768 is temporarily made non-orderable per Mayo test update, LTI updated with information for recommended alternate tests

06-19-12 CRLA Mayo #82976 has become orderable in Mayo, no longer order FCAGM

06-19-12 Updated Corisol ACTH Response test to contact Bed Management/First Call prior to sending outpatient to Mercy

06-13-12 Added serum as acceptable specimen for Transferrin

06-12-12 Chage to reflect PT with PTT to have plasma removed and frozen if testing would not be performed before 4 hours after collection

05-14-12 Mayo test #82976 Cardiolipin Ab is down temporarily.  Updated LTI to order CMIS for Mayo test FCAGM, which is the replacement test

05-03-12  Mayo #81019 Vitaimin B1 replaced with New England Mayo #85753/TDP.  The Mercy lab code will not change.  The specimen type has been updated

03-26-12 EPO is now run at Mercy

03-23-12  Add Beta-2 Transferrin: Detection of Spinal Fluid in Other Body Fluids

02-02-12 Random specimens no longer acceptable for VELC, must order as a CMIS

11-25-11 Added Amikacin Peak, Random, Trough tests to LTI

11-11-12 Transport temperature for Plasma Cell Labeling Index changed from refrigerated to ambient

11-03-11 Removed Antimicrobial Assay since test hasn't been ordered for over a year

11-02-11 Measles, Mumps and EBV have been updated to reflect the changes needed to send tests to Mayo

09-25-11 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

09-23-11 Hepatitis C Antibody Confirmation (RIBAC) had become orderable again

09-21-11 Updated D-Dimer to reflect plasma needs to be aliquoted prior to freezing.

09-20-11 Updated Chromosom Analys Bld-updated the CPT code to current Mayo listing.

09-16-11 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.

09-16-11 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

09-15-11 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.

09-12-11 Updated BLOOD CULTURE-changed the recommended sets of cultures to be collected within a 24-hour period from three sets to two sets.

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.

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