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Sparrow Laboratories Online Test Catalog
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Proper labeling and handling of patient specimens is a critical component of

patient safety and quality laboratory results. A minimum of two patient
identifiers (first and last name and either patient history number or date of
birth) must be on the sample before submission to the laboratory. Samples
received in the laboratory with less than this minimum will be returned to the
submitter.
All samples should be submitted in well constructed, appropriately labeled,

leak proof containers. Blood samples wrapped in towels or similar absorbent
and impact resistant materials, may be submitted via the pneumatic tube
system. Bloods and body fluids in cups and bottles should be hand delivered.
For Customer Service call 517-364-7800 or 800-884-2522 4/20/2017 9:45:33 AM Page 1 of 419
Sparrow Laboratories Online Test Catalog A
ABSOLUTE EOSINOPHIL COUNT Order Code: EOST 1506
Synonym Eosinophil Count Epic Code LAB298

CPT 85048
Method Automated Hematology Analyzer
Scheduled Sunday - Saturday COMPONENT 1506 CODE LOINC REFERENCE RANGE
Department HEM Age 1 day to >100 year

EOST Eosinophil Count EOST 0 - 450 /CU MM
Specimen Container Processing Instructions Storage Temp

4 ml whole blood (Min: 1 ml) 1 Lavender top EDTA tube Refrigerate Refrigerate
ABSOLUTE T CELL ANALYSIS Order Code: TCELL 7518
Synonym T CELL Epic Code LAB4271

Test Component Absolute T Cell Analysis and CBC CPT 86359
Method Flow Cytometry
Scheduled COMPONENT 7518 CODE LOINC REFERENCE RANGE
Department IMM Age 1 day to >100 year

TCELL Gated Population GPOP
TCELL CD3 - T Cells CD3
TCELL CD4 - Helper/Inducer T Cells CD4
TCELL CD8-Supressor/Cytotox. T Cell CD8
TCELL CD4/CD8 Ratio RATIO
TCELL WBC WBCT
TCELL Lymphocytes LYM
TCELL Absolute Lymphocytes ABLYM
TCELL Absolute CD3+ T CELLS ABCD3

10 ml ACD whole blood (min: 4 1 yellow top tube, ACD and 1 Room temperature. DO NOT CENTRIFUGE. DO NOT Room
ml) and 4 ml EDTA whole blood lavender top EDTA tube REFRIGERATE. Temperature
Test Information Alternative Specimen: 1 ml green top NA Heparin and 1 ml whole blood EDTA.
Additional Information A CBC must be performed at the same time as the Absolute T Cell analysis to calculate the absolute values.
ABSOLUTE T&B CELL ANALYSIS Order Code: TBCEL 7519
Synonym T CELL, B CELL Epic Code LAB4272

Test Component Absolute T and B Cell Analysis, and CBC CPT 86359
Scheduled
Department IMM

10 ml ACD whole blood (min: 4 1 yellow top ACD tube and 1 Room temperature. DO NOT CENTRIFUGE. DO NOT Room
ml) and 4 ml EDTA whole blood lavender top EDTA tube REFRIGERATE. Temperature
Test Information Alternative Specimen: 1 ml green top NA Heparin and 1 ml whole blood EDTA.
Additional Information A CBC must be performed at the same time as the Absolute T and B Cell analysis to calculate the absolute values.
ACETAMINOPHEN Order Code: ACETM 1303
Synonym Tylenol Epic Code LAB43

CPT 80329
Method Fluorescent Polarization Immunoassay
Department CHM Age 1 day to >100 year

ACETM Acetaminophen ACETM 10.0 - 20.0 mcg/mL

1 ml plasma (Min: 0.2 ml) 1 green top tube, Li heparin Refrigerate Refrigerate
ACETYLCHOLINE RECEPTOR BINDING ANTIBODY Order Code: ACCRA 1692
Synonym Acetylcholine Ab, Muscle ACLR Epic Code LAB836

CPT 83519
Method Radioimmunoassay
Scheduled Monday - Friday, Sunday COMPONENT 1692 CODE LOINC REFERENCE RANGE
at Mayo
Age 1 day to >100 year
Department MREF
ACCRA Ace. Receptor Binding Ab ACCRA 11034-6 0 - 0.02 nmol/L
Ref Code ARBI

2 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Specimens collected in plain red-top container are
acceptable.
ACETYLCHOLINESTERASE, RBC Order Code: ACRBR 6838
Synonym Cholinesterase, RBC, PNH (Paroxysmal Nocturnal Hemoglobinuria) Epic Code LAB966
CPT 82482
Method Spectrophotometric-Thiocholine Reduction
Scheduled Tuesday, Thursday at COMPONENT 6838 CODE LOINC REFERENCE RANGE

Mayo
Department MREF
ACRBR HGB ACRBR 31.2 - 61.3 U/g

5 ml whole blood (Min: 3 ml) 1 Lavender top EDTA tube Refrigerate whole blood Refrigerate
Test Information RBC Acetylcholinesterase most often used to detect past exposure to organophosphate insecticides with resultant inhibition
of the enzyme.
Additional Information Specimens must arrive at Mayo Labs within 72 hours of collection. Avoid collections on Friday and Saturday.
ACID FAST BLOOD CULTURE Order Code: CXBAF 1413
Synonym AFB Blood,TB, TB Culture Epic Code LAB246

Test Component Acid Fast Stain/Smear included with AFB Culture CPT 87206
Method Culture
Scheduled Monday - Friday at MDCH COMPONENT 1413 CODE LOINC REFERENCE RANGE
Department MIC Age 1 day to >100 year

CXBAF Acid Fast Bacilli CXBAF None - Isolated

10 ml whole blood (Min: 6 ml) 1.5 Isolator or pediatric isolator Adult patients - clean collection site with the Chloroprep 1 step, Room
ml in pediatric isolator for children Frepp kit, same as Blood Culture collection procedure. Pediatric Temperature
under 2 years patients, collect using alcohol /Iodine prep.
Test Information Isolation and sensitivity performed when indicated.
ACID FAST CULTURE & SMEAR Order Code: CXAFB 1424
Synonym AFB,TB,TB Culture, Mycobacterium Epic Code LAB877

Test Component Acid Fast Stain/Smear included with AFB Culture CPT 87206
Method DNA probe, culture, fluorescent stain

CXAFB Acid Fast Culture CXAFB

10 ml clinical specimen (Min: 5 ml) Sterile container Tissue, sterile body fluid, Respiratory (sputum, bronchial washing, Room
BAL) urine, or Wound. Document site and source then maintain Temperature
specimen at room temperature
Test Information Isolation and sensitivity performed when indicated.
ACID PHOSPHATASE PROSTATIC Order Code: PAP 1173
Synonym PAP, Acid P'tase Epic Code LAB4466

CPT 84066
Method Enzyme Immunoassay (EIA)
Scheduled Wednesday COMPONENT 1173 CODE LOINC REFERENCE RANGE
Department QST Age 1 day to >100 year

PAP Acid PTASE/PROS PAP 0 - 3.5 ng/mL

2 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Pour serum into plastic vial and freeze.
Patient Information To avoid false elevation, obtain blood sample before or 1 to 2 days after prostate exam and TUR.
ACTH Order Code: ACTH 1001
Synonym Adrenocorticotropic Hormone Epic Code LAB511

CPT 82024
Method Automated Immunochemiluminometric Assay (ICMA)
Scheduled Monday, Wednesday COMPONENT 1001 CODE LOINC REFERENCE RANGE
Department MREF Age 1 day to >100 year

ACTH ACTH ACTH 2141-0 0 - 23 pg/mL
Ref Code ACTH

4 ml plasma (min: 2.5 ml) 2 Lavender top EDTA tubes - Centrifuge immediately. Transfer plasma to plastic vial and freeze. Frozen
prechilled on ice
Test Information Useful for Determining the cause of hypercortisolism and hypocortisolism.
Patient Information Patient must be fasting.
ACTIVATED PROTEIN C RESISTANCE, P Order Code: APCRV 10202
Synonym APCR, Protein C, Epic Code LAB846

Test Component APCR- APCR Ratio, INT55 - APCR Interpretation CPT 85307
Method Light Scattering clot detection
Scheduled Monday - Friday at Mayo COMPONENT 10202 CODE LOINC REFERENCE RANGE
Department MREF Age 6 mo to >100 year

APCRV APC Ratio APCR 13590-5 - 2.3 Ratio
Ref Code APCRV
Age 1 day to 6 month
APCRV APCRV Interpretation INT55 not - established

1.0 mL PLT Poor Plasma 1 Light blue top tube, NaCitrate Spin, remove plasma, and spin plasma again. Freeze immediately Frozen
in plastic vial and send frozen.
Test Information This test is specific for inherited APC resistance but will not detect acquired APC resistance. Useful for evaluating incident
or recurrent venous thromboembolism (VTE), individuals with a family history of VTE or women with recurrent miscarriage
or complications of pregnancy.
Additional Information Double-centrifuged specimen is critical for accurate results as platelet contamination may cause spurious results.
ADENOVIRUS Ag, EIA, F Order Code: FAAST 10173
Synonym Seasonal Virus Epic Code LAB4636

CPT 87301
Method Enzyme immunoassay (EIA)
Scheduled Tuesday, Friday, Forward COMPONENT 10173 CODE LOINC REFERENCE RANGE
by Mayo
Department MREF
FAAST Adenovirus Ag FAAST 5825-5
Ref Code FAAST

5 ml Fresh Stool Sterile container Collect 5 mL fresh unpreserved stool in sterile container. Rectal Frozen
swab also acceptable. Transport specimen refrigerated, and
freeze once it reaches the lab.
Test Information Test performed by Focus Diagnostics, Inc.
Additional Information New Test 2015, Added to Test catalog 12/14/15. Specimen refrigerated good for 72 hours. Send Frozen to Mayo.
ADENOVIRUS, PARAINFLUENZA 1,2,3 PCR Order Code: PCRAP 10116
Synonym Respiratory Virus, Adeno, Para 123 Epic Code LAB4573

Test Component Adenovirus, Parainfluenza 1,2,3 CPT 87798 87798 87798
Method PCR
Scheduled Varies with Seasons COMPONENT 10116 CODE LOINC REFERENCE RANGE
Department MDX Age 1 day to >100 year

PCRAP Specimen Type SPM16 66746-9 NP Swab or see - specimen types
PCRAP Adenovirus, PCR PCRAD 39528-5 Virus Not - Detected
PCRAP Parainfluenza 1 PCRP1 29908-1 Not - Detected

Nasopharyngeal (NP) or throat FLOQ swab (Polyester or Submit swab placed into (M4/M5) viral transport media (VTM). Refrigerate
swab. Respiratory - Nasal wash, rayon swab acceptable) in NP aspirate/saline wash should be cloudy and sent in sealed
BAL, bronchial wash, tracheal VTM. Respiratory washes: 3 plastic vial or VTM vial. Refrigerate at 2-8 C.
aspirate, sputum. CSF and Eye ml in VTM. CSF - 0.5 Ml in
sources, see Other ** sterile container.
Test Information Interpretation: A positive result indicates the presence Adenovirus, Parainfluenza 1,2,and/or 3.
Additional Information CSF specimens - Submit 0.5mL CSF in sterile screw cap container. **Adenovirus and Parainfluenza only for CSF
specimens, **Adenovirus only tested on Eye source swabs. Unacceptable Specimens: Gel swab or wooden
shafted swabs.
ADMITTED ED RESPIRATORY VIRAL PANEL, PCR Order Code: EDFLP 10530
Synonym Stat Flu, ED Flu Virus by PCR, ED Flu and RSV Epic Code LAB4821
CPT 87798 87798 87798
Method PCR
Scheduled Daily, Inpatient Only COMPONENT 10530 CODE LOINC REFERENCE RANGE
Department MIC Age 1 day to >100 years

EDFLP Influenza A Virus, PCR EDFLA Not - Detected
EDFLP Influenza B Virus, PCR EDFLB Not - Detected
EDFLP RSV, PCR EDRSV Not - Detected

NP swab FLOQ Swab Expedite to lab Room Temp
or Refrigerate
Test Information Available for Inpatients ONLY - Influenza A/B and RSV testing for appropriate inpatient triage and isolation determination.
Additional Information ** New Test 11/03/2016;
ALBUMIN Order Code: ALB 1002
Synonym ALB Epic Code LAB45

CPT 82040
Method Spectrophotometry, Dye Binding
Department CHM Age 1 day to 1 month

ALB Albumin ALB 61151-7 2.8 - 4.2 g/dL
Age 1 month to 6 month

Age 6 month to 1 year

Age 1 year to 2 year


Age 4 year to >100 year


1 ml serum (min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
ALCOHOL, BLOOD Order Code: ETOH2 1076
Synonym Ethanol, ETOH Epic Code LAB46

CPT 80320
Method Enzymatic

ETOH2 Ethanol ETOH2 None - Detected %

1 ml whole blood (Min: 0.5 ml) 1 gray top tube, NaFl Refrigerate. DO NOT CENTRIFUGE. DO NOT OPEN TOP. Refrigerate
Patient Information PATIENT PREP: Do not use alcohol to clean the site of venipuncture.
ALDOLASE Order Code: ALDO 1003
Synonym Fructose-Biphosphate Aldolase Epic Code LAB556

CPT 82085
Method Ultraviolet, Kinetic
Scheduled Monday-Friday at Mayo COMPONENT 1003 CODE LOINC REFERENCE RANGE
Department MREF Age 1 day to 3 year

ALDO Aldolase ALDO 1761-6 0 - 16.3 U/L
Ref Code ALS


1 ml serum (Min: 0.2 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate or
centrifuge. Pour serum into a plastic tube and freeze. Frozen
Test Information Specimens collected in gel barrier tubes, or with hemolysis, will be rejected.
Patient Information Patient must be fasting
Additional Information Specimen may be frozen after arrival in laboratory.
ALDOSTERONE, 24 HR URINE Order Code: UALD 1004
Synonym RENIN, 24 hr urine aldosterone Epic Code LAB354

CPT 82088
Method Radioimmunoassay (RIA)
Scheduled Monday, Wednesday, COMPONENT 1004 CODE LOINC REFERENCE RANGE

Thursday at Mayo
Department MREF
UALD Aldosterone, Ur UALDR 1765-7 0.7 - 11.0 ug/24 hr
Ref Code ALDU
Age 11 month to >100 year


UALD Collection Duration COLD1 24 - hours
UALD Urine Volume UVOL1 measure - in mL

24 hour urine collection; Submit 24 hr urine container; Add 25 Keep refrigerated during and after collection. Refrigerate
entire collection or 20 ml aliquot ml of 50% acetic acid Measure the total volume. Then thoroughly mix the 24 urine in the
preservative at the start of container and transfer 20 mL into a plastic aliquot vial.
collection. Label container with full name and date of birth.
24 hour urine collections require the following additional information
with the order:
-type of preservative if added;
-start date and time; end of collection date and time;
-total volume measurement
Test Information Userful for the investigation of primary aldosteronism (eg, adrenal adenoma/carcinoma and adrenal cortical hyperplasia)
and secondary aldosteronism (renovascular disease, salt depletion, potassium loading, cardiac failure with ascites,
pregnancy, Bartter syndrome).
Patient Information Void and discard first morning urine. Place all subsequent urines in container for the next 24 hrs. End collection after
saving first specimen from the following morning.
Additional Information When multiple tests are ordered the following preservatives are acceptable: Boric Acid
ALDOSTERONE, S Order Code: ALDOS 1005
Synonym ALDOS Epic Code LAB557

CPT 82088
Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Department MREF Age 0 to 30 days

ALDOS Aldosterone ALDOS 1763-2 17 - 154 ng/dl
Ref Code ALDS
Age 31 days to 11 months
ALDOS Aldosterone ALDOS 1763-2 6.5 - 86 ng/dl

ALDOS Aldosterone ALDOS 1763-2 Supine 0 - 40 ng/dl
ALDOS Aldosterone ALDOS 1763-2 Upright 0 - 124 ng/dl

ALDOS Aldosterone ALDOS 1763-2 am 0 - 21 ng/dl
peripheral
vein

2.0 ml serum (Min: 1.2 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Pour serum into plastic vial and freeze.
Patient Information Collect specimen at 8 am.
Additional Information Specimens containing EDTA and Heparin anticoagulants are acceptable. Serum or plasma arriving refrigerated will be
accepted. Specimens collected in gel barrier tube will be rejected.
ALK (2p23), LUNG CANCER, FISH, Ts Order Code: LCAF 10276
Synonym Non small cell lung cancer, EGFR, Tumor Epic Code LAB4743
CPT 88271 88274 88291
Method Fluorescence In Situ Hybridization (FISH)
Scheduled Monday - Saturday at Mayo
Department MREF
Ref Code LCAF

Tissue Tissue block preferred, or Submit a formalin-fixed, paraffin-embedded (FFPE) tumor tissue Room
slides block. Slides - Instructions: prepare 4 consecutive, unstained, 5 Temperature
micron-thick sections placed on positively charged slides, and 1
hematoxylin and eosin-stained slide.
Test Information Useful for identifying patients with late-stage, non-small cell lung cancers who may benefit from treatment with the drug
Xalkori.
Additional Information Blocks prepared with alternative fixation methods may be acceptable; provide fixation method used. ** Pathology
report must accompany specimen in order for testing to be performed.
ALK PHOSPHOTASE ISOENZYMES Order Code: SALSO 1006
Synonym Alkaline Phos., ISO, Alk P'Tase fx, Alk Phos Epic Code LAB741
Test Component ALK Phos, Bone Fraction percent, Liver Fraction percent, and Intestinal Fraction CPT 84080 84075
percent
Method Chemical Inhibition and Differential Inactivation
Scheduled Tuesday - Saturday at

Specialty
Department MSPE
C

2 ml serum (Min: 1.0 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Freeze serum in plastic vial. Specimens collected in
plain red-top tubes are acceptable
Additional Information Serum arriving refrigerated will be accepted.
ALKALINE PHOSPHATASE Order Code: ALP 1172
Synonym ALK PHOS Epic Code LAB112

CPT 84075
Method Spectrophotometry
Department CHM Age 1 day to 2 year

ALP ALK Phos ALP M or F 0 - 550 U/L
ALP ALK Phos ALP F 0 - 550 U/L


ALP ALK Phos ALP M 0 - 500 U/L

ALP ALK Phos ALP M 0 - 300 U/L


centrifuge.
ALPHA 1-ANTI-TRYPSIN Order Code: ATRYP 1008
Synonym Alpha 1 AT, AAT, A1AT, A1Trypsin Epic Code LAB810

CPT 82103
Method Turbidimetric
Scheduled Monday - Friday COMPONENT 1008 CODE LOINC REFERENCE RANGE
Department STL Age 1 day to >100 year

ATRYP Alpha 1 anti-Trypsin ATRYP 1825-9 110 - 200 mg/dL

centrifuge.
ALPHA-2 PLASMIN INHIBITOR,P Order Code: APSM 10167
Synonym Functional Antiplasmin Epic Code LAB4630

CPT 85410
Method Hydrolysis of Synthetic Chromogenic Substrate, Colorimetric End point
Scheduled Monday - Friday; Varies at COMPONENT 10167 CODE LOINC REFERENCE RANGE
Mayo
Department MREF
APSM ALPHA-2 Plasmin Inhibitor APSM 27810-1 80 - 140 %
Ref Code APSM

1.0 mL Platelet-poor plasma 1 Light blue top tube, NaCitrate Spin and transfer to a plastic vial, SPIN AGAIN, transfer plasma Frozen
and FREEZE.
ALPHA2-MACROGLOBULIN Order Code: A2GLO 1150
Synonym AMG, Macroglobulin, ALPHA2 Epic Code LAB4534

CPT 83883
Method Nephelometry
Scheduled Monday-Saturday at Mayo COMPONENT 1150 CODE LOINC REFERENCE RANGE

A2GLO ALPHA2-Macroglobulin A2GLO 100 - 280 mg/dL
Ref Code A2M

centrifuge. Transfer serum to plastic container and freeze.
Specimens collected in plain red-top are acceptable
ALPHA-FETOPROTEIN, TUMOR MARKER Order Code: AFP 1755
Synonym AFP-Tumor Marker, AFP Epic Code LAB559

CPT 82105
Method Immunochemiluminescence
Department CHM Age 18 years to >100 year

AFP AFP AFP 0.0 - 8.0 ng/ml

centrifuge.
Test Information Tumor Marker Studies only for males and non-pregnant females.
ALPHA-GLOBIN GENE ANALYSIS Order Code: ATHAL 10316
Synonym a-globulin, alphaglobin, alpha glob Epic Code LAB4773

CPT 81257
Method Dosage Analysis by PCR/Multiplex Ligation-Dependent Probe Amplification (MLPA)/Luminex Technology
Scheduled Wednesday, Friday at

Mayo
Department MREF
Ref Code ATHAL

Varies - whole blood, amniotic 1 Lavender top EDTA tube / 3 mL whole blood, or 20 ml amniotic fluid. Minimum: 1 mL Room
fluid, confluent cultured cells Amniotic fluid vial, sterile blood/Amniotic Fluid: 10 mL - Send specimen in original tube. Temperature
container or flask Amniotic fluid must be refrigerated. Whole blood and cultured cells
keep ambient.
Test Information Useful for diagnosis of alpha-thalassemia. Prenatal diagnosis of deletional alpha-thalassemia. Carrier screening for
individuals from high-risk populations for alpha-thalassemia
Additional Information ** New Test added April 27, 2016 **
ALPRAZOLAM, S Order Code: ALPA 10221
Synonym Niravam, Xanax Epic Code LAB4700

CPT 80346
Method High-Pressure Liquid Chromatography with Ultraviolet Detection (HPLC-UV)

ALPA Alprazolam ALPA 3312-6 Therapeutic 5 - 25 ng/ml
Ref Code FALPX

3.0 ml serum (Min.: 1.0 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful for monitoring patient compliance and helping to achieve desired blood levels and avoid toxicity.
Additional Information Interpretation: Some patients respond well to levels of 25-55 ng/mL. The assessment of treatment with alprazolam
should be based on clinical response. Effectiveness of treatment can be determined by the reduction of symptoms of
anxiety and panic disorders.
ALT (SGPT) Order Code: ALT 1229
Synonym Alanine Aminotransferase Epic Code LAB132

CPT 84460

ALT ALT (SGPT) ALT 2 - 45 U/L

centrifuge.
ALUMINUM Order Code: ALUM 1178
Synonym Al (serum) Epic Code LAB665

CPT 82108
Method Flameless Atomic Absorption Spectrometry

ALUM Aluminum Level ALUM 0 - 6.0 ng/mL
Ref Code AL

2 ml serum (Min: 0.5 ml) Royal blue top PLAIN, trace Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
element tube centrifuge. Transfer serum into a metal-free plastic vial.
AMIKACIN, S Order Code: RAMIK 10258
Synonym Replaces 1379/AMIK, Random Amikacin Level Epic Code LAB145

CPT 80150
Method Kinetic Interaction of Microparticles in Solution (KIMS)
Scheduled Monday - Sunday at Mayo COMPONENT 10258 CODE LOINC REFERENCE RANGE

RAMIK Amikacin level RAMIK Peak 20.0 - 35.0 mcg/mL
Ref Code RAMIK
RAMIK Amikacin level RAMIK Trough < - 8.0 mcg/mL

0.5 mL serum (min. 0.25 mL) 1 gold top SST clot tube Allow blood to clot at room temperature for 30 min., then centrifuge Refrigerate
and transfer to a plastic vial within 2 hours.
Test Information Useful for monitoring adequacy of blood concentration during amikacin therapy. Amikacin is an aminoglycoside used to
treat severe blood infections by susceptible strains of gram-negative bacteria. Aminoglycosides induce bacterial death by
irreversibly binding bacterial ribosomes to inhibit protein synthesis.
Additional Information Serum for a peak level should be drawn 30 to 60 minutes after last dose. Serum for a trough level should be drawn
immediately before next scheduled dose.
AMINO ACID, QN ION EXCHANGE, URINE Order Code: RAMNO 10091
Synonym AA, Amino Acid Quantitative Urine Epic Code LAB355

CPT 82139
Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)|
Department MREF
Ref Code AAPD

2 ml Urine, Random or 24 hour Sterile urine container Random Urine - Transfer to plastic tube and freeze Frozen
Test Information Evaluating patients with possible inborn errors of metabolism
AMINO ACIDS, QUANTITATIVE, PLASMA Order Code: AMINP 10077
Synonym AMINO P, Ion Exchange Epic Code LAB811

CPT 82139
Method Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS)

AMINP Amino Acids AMINO M or F see - report nmol/mL
Ref Code FTAAQP

0.5 mL plasma (Min: 0.3 mL) 1 green top tube, Na Heparin Specimens collected in thrombin-activating tube are not Frozen
acceptable. Centrifuge, remove plasma to a plastic vial, and
freeze. EDTA or Li Heparin accepted.
Patient Information Patient should be fasting
AMINOLEVULINIC ACID, URINE Order Code: UALA 1064
Synonym ALA, 24 hr urine Delta ALA Epic Code LAB356

CPT 82135
Method ION EXCHANGE

Mayo
Department MREF
UALA Aminolevulinic Acid ALA 0.00 - 0.66 mg/24Hr
Ref Code ALAUR
UALA Interpretation ALAIN 1.5 - 7.5

10 mL Random urine collection or Sterile urine container, random Label container "Random Urine" or 24 hour Urine plus the full Refrigerate or
24 hour urine collection; Submit collection; 24 hr urine name and date of birth. Frozen
entire collection or 20 ml aliquot container, no preservative
Required for 24 hour urine collection: ** Protect from light and keep
refrigerated during and after collection.
Measure the total volume. Then thoroughly mix the 24 urine in the
container and transfer 20 mL into a plastic aliquot vial.
Include with the order:

- start date and time; end of collection date and time;
- total volume measurement
Test Information Useful for assistance in the differential diagnosis of the various prophyrias and for indicating lead toxication in children.
Increased ALA concentration is associated with exposure to alcohol, lead, and a variety of other agents. Massive elevation
of ALA occurs in the acute porphyrias and hereditary tyrosinemia.
Patient Information Refrain from alcohol consumption 24 hours prior to starting collection.
Collection instructions: Void and discard first morning urine. Place all subsequent urines in container for the next 24 hrs.
End collection after saving first specimen from the following morning.
Additional Information No preservatives required.

** Specimen preservation with acid or base is discouraged and may cause assay interference. When collecting urine
for additional tests that require acid or base preservation, the ALA aliquot should be removed prior to the addition of the
acid or base.
AMIODARONE Order Code: AMIOR 6824
Synonym Cordarone, Desethlylamiodarone Epic Code LAB567

CPT 82542
Method High Turbulence Liquid Chromatography-Tandem Mass
Spectrometry (HTLC-MS/MS)
Age 1 day to 5 year

Department MREF
AMIOR AMIODARONE AMIOD see - report mcg/mL
Ref Code AMIO
AMIOR Total AMIOD + N-DESETH DESET see - report mcg/mL
AMIOR N-DESETHYL AMIODARONE DESET see - report mcg/mL

3 ml serum (Min: 0.5 ml of serum) 1 Plain red top tube Centrifuge serum. Allow blood to clot upright 30 mins. At room Refrigerate or
temp, then centrifuge. Transfer to a plastic tube and freeze. Frozen
Patient Information Blood draw should occur 12 hours (trough value) after last dose.
Additional Information Specimens may be frozen after arrival in the Laboratory. Gel barrier tubes not acceptable.
AMITRIPTYLINE and NORTRIPTYLINE, S Order Code: AMT 10204
Synonym Elavil, Tryptanol, TCA, Pamelor, NORT, Aventyl Epic Code LAB4674
CPT 80335 80182
Method HPLC
Scheduled Monday - Saturday at Mayo COMPONENT 10204 CODE LOINC REFERENCE RANGE

AMT Amitriptyline & Nortriptyline X2451 Therapeutic 80 - 200 ng/mL
Ref Code AMTRP
AMT Nortriptyline X2450 3872-9 Therapeutic 70 - 170 ng/mL
AMT Amitriptyline X8125 No reference - reported ng/mL

3 ml serum (min. 1.1 ml) 1 Plain red top tube Spin and separate serum from cells within 2 hrs of draw. Send 3 Refrigerate
ml serum refrigerated. Specimens that are obtained from gel tubes
are not acceptable.
Test Information Amitriptyline is a tricyclic antidepressant that is metabolized to nortriptyline, which has similar pharmacologic activity. The
relative blood levels of amitriptyline and nortriptyline are highly variable among patients. Amitriptyline is the drug of choice in
treatment of depression when the side effect of mild sedation is desirable. Nortriptyline is used when its stimulatory side
effect is considered to be of clinical advantage. Amitriptyline displays major cardiac toxicity when the concentration of
amitriptyline and nortriptyline is in excess of 300 ng/mL.
Patient Information Note: Therapeutic ranges are for specimens drawn at trough (ie, immediately before next scheduled dose). Levels may be
elevated in non-trough specimens.
Additional Information Total toxic concentration: > or =300 ng/mL
AMMONIA Order Code: NH3 1011
Synonym NH3,NH4 Epic Code LAB47

CPT 82140
Method Spectrophotometry, Enzymatic

NH3 Ammonia NH3 16362-6 13 - 37 mcmol/L

1 ml plasma (Min: 0.5 ml) 1 Lavender top EDTA tube Centrifuge IMMEDIATELY and transfer plasma to plastic vial. Frozen
Freeze without delay.
AMNIOTIC FLUID BILIRUBIN Order Code: ABILI 1023
Synonym Bilirubin, amniotic fluid, Bili amnio Epic Code LAB4011

CPT 82143
Scheduled Sunday - Saturday
Department MREF
Ref Code AFBIL

3 ml amniotic fluid (Min: 2 ml) 1 sterile tube Protect from light during collection, storage, and shipment. Refrigerate
Refrigerate.
Patient Information Gestational age required.
AMYLASE Order Code: AMY 1013
Synonym AMY Epic Code LAB48

CPT 82150
Method Spectrophotometry, Kinetic

AMY Amylase AMY 1798-8 20 - 100 U/L

centrifuge.
AMYLASE, 24 HOUR URINE Order Code: UAM24 1377
Synonym AMY, 24 hr urine amylase Epic Code LAB360

CPT 82150

UAM24 Amylase urine conc. UAMY1
Ref Code Sparrow
UAM24 Amylase Timed Urine UAMYC 4.0 - 25.0 U/Hr
UAM24 Total Volume UVOL measure - in mL
UAM24 Collection Interval CINTV Time - in Hours

24 hour urine collection; Submit 24 hr urine container, no Keep refrigerated during and after collection. Refrigerate
entire collection or 20 ml aliquot preservative Measure the total volume. Then thoroughly mix the 24 urine in the
Label container with full name and date of birth.
with the order:
Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours.
Terminate collection after saving first specimen of second morning.
Additional Information No preservative
AMYLASE, BODY FLUID Order Code: FLAM 1016
Synonym Body Fluid Epic Code LAB178

CPT 82150
Department CHM Age 1 day to >100 years

FLAM Amylase FLAMY 1795-4
FLAM Body Fluid Type FLTYP

2 ml fluid (Min: 1 ml) Clean container, no Refrigerate Refrigerate
preservative
AMYLASE, RANDOM URINE Order Code: UAMYR 1376
Synonym AMY Epic Code LAB358

CPT 82150

UAMYR Amylase Urine UAMYR 50 - 400 U/L

20 ml single void urine sample Urine container; no Refrigerate Refrigerate
(Min: 5 ml) preservative
ANA BY IFA METHOD Order Code: ANAIF 10130
Synonym ANAIF Epic Code LAB4609

CPT
Method IFA
Department IMM Age 1 day to >100 years

ANAIF ANA titer ANAT2
ANAIF ANA Pattern PAT

Serum 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Additional Information Added to online Catalog 11/17/16
ANCA PANEL, FOR VASCULITIS, S Order Code: ANVAS 10048
Synonym Antineutrophil Cytoplasmic Antibodies Epic Code LAB4369

Test Component PR3, MPO CPT 83516 86255 86256
Method MPO, PR3: Multiplex Flow Immunoassay, ANCA: Indirect Immunofluorescence
Department MREF
Ref Code VASC

centrifuge.
Test Information Useful for evaluating patients suspected of having autoimmune vasculitis, both Wegeners granulomatosis and microscopic
polyangitis
ANDROSTENEDIONE,S Order Code: ANDRO 1014
Synonym delta-4-Androstenedione, 4 Androstenedione, ANST, ANDR Epic Code LAB518

CPT 82157
Method HPLC-MS

ANDRO Androstenedione ANDRO 1854-9 F 0.1 - 0.3 ng/mL
Ref Code ANST
ANDRO Androstenedione ANDRO 1854-9 M 0.1 - 0.2 ng/mL






2 ml serum (Min: 0.4 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Pour serum into a plastic tube and freeze.
Test Information Mayo Code ANST, Specimens collected in plain red-top tubes will be rejected.
Additional Information Specimen may be frozen after arrival in the Laboratory.
ANGIOSARCOMA, MYC (8q24) Amp, FISH, T Order Code: MASF 10281
Synonym Post-Radiation Cutaneous Angiosarcoma, MYC, c-MYC Epic Code LAB4748

CPT 88291
Scheduled Monday - Friday at Mayo
Department MREF
Ref Code MASF

slides block. Blocks prepared with alternative fixation methods may be Temperature
acceptable; provide fixation method used.
Test Information Userful for Identifying MYC amplification to aid in the differentiation of cutaneous angiosarcomas from atypical vascular
lesions after radiotherapy. An aid in the diagnosis of primary cutaneous angiosarcoma
Additional Information ** NEW TEST ADDED 01/22/2016 **
ANGIOTENSIN CONVERTING ENZYME Order Code: ACE 1252
Synonym ACE Epic Code LAB179

CPT 82164

ACE Angiotensin Conv Enzyme ACE 5 - 83 U/L




2 ml serum (Min: 1 ml) 1 gold top SST clot tube Gel barrier or plain red-top tube is acceptable. Allow blood to clot Frozen
upright 30 minutes at room temperature, then centrifuge. Transfer
to plastic vial and freeze.
Patient Information Fasting specimen preferred. The use of ACE-inhibiting antihypertensive drugs will cause decreased angiotensin converting
enzyme values.
ANTI DIURETIC HORMONE Order Code: ANDIH 6617
Synonym ADH, Antidiuretic, AD Hormone Epic Code LAB4465

CPT 84588
Scheduled Tuesday at ARUP COMPONENT 6617 CODE LOINC REFERENCE RANGE

ANDIH ANTIDIURETIC HORMONE ANDIH 0.0 - 6.9 pg/mL

3 ml plasma (Min: 2 ml) 1 Lavender top EDTA tube Centrifuge and transfer plasma to plastic vial and freeze Frozen
immediately.
ANTIBODY ID Order Code: ABID 1642
Synonym AB Epic Code LAB941

Test Component Antibody ID and any additional tests indicated to obtain an ID such as ELUATE, CPT 86870
ADSORPTION, and DAT
Method Hemagglutination
Scheduled DAILY COMPONENT 1642 CODE LOINC REFERENCE RANGE
Department BLB Age 1 day to >100 day

ABID AB NAME AB ID

2 ml whole blood (Min. 0.5 ml) 1 Lavender top EDTA tube Inpatient: bring directly to laboratory, without delay. Do not Refrigerate
centrifuge, Bring directly to blood bank. Specimen must be
labeled with patient first and last name, date of birth, date and time
of collection, and the initials of the person collecting.
If the specimen is a cord blood, it must also be labeled with the

word "CORD".
Patient Information Provide transfusion history (within last 3 months) and diagnosis, as available.
ANTIBODY SCREEN Order Code: MTS 1612
Synonym Indirect Coombs, IAT, ABS Epic Code LAB278

CPT 86850
Department BLB Age 1 day to >100 year

MTS Ab Screen MTS Negative -

Test Information If positive, antibody identification and any additional tests indicated to obtain an identification, such as eluate, adsorption,
and/or DAT, will be performed.
ANTIBODY TITER Order Code: ABTIT 1628
Synonym AB, Antibody ID Epic Code LAB275

CPT 86886
Department BLB

7 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Inpatient: bring directly to laboratory, without delay. Refrigerate
Outpatient: Spin and separate cells from blood (into a plastic 12
x75 tube) as soon as possible after collection, then refrigerate.
Test Information Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and initials of specimen
collector. If specimen may be used for transfusion in the future, the specimen must be drawn by Sparrow personnel.
Patient Information Provide transfusion and pregnancy history, as available.
ANTI-CENTROMERE ANTIBODY Order Code: ACA 1391
Synonym ACA, CREST, Hep-2 Epic Code LAB4576

CPT 86255
Method Indirect Immunofluorescence (IFA)
Scheduled Monday, Thursday
Department IMM

3 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright for 30 minutes, then centrifuge. Refrigerate
Test Information Titer, if positive
ANTI-MULLERIAN HORMONE,S Order Code: AMH 10211
Synonym Mullerian inhibiting factor (MIF), Mullerian Ab Epic Code LAB4681

CPT 83520
Method Enzyme-Linked Immunosorbent Assay (ELISA)
Department MREF Age 13 years to 45 year

AMH Hormone Level AMH F 0.9 - 9.5 ng/mL
Ref Code AMH
Age 45 year to >100 years
AMH Hormone Level AMH F < - 1.0 ng/mL

0.5 ml serum (Min. 0.2 mL) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful for the assessment of menopausal status, ovarian status, including ovarian reserve and ovarian responsiveness, as
part of an evaluation for infertility and assisted reproduction protocols such as IVF or assessing ovarian function in patients
with polycystic ovarian syndrome. Useful for the evaluation of infants with ambiguous genitalia and other intersex
conditions, evaluating testicular function in infants and children and monitoring patients with antimullerian hormone-
secreting ovarian granulosa cell tumors.
ANTI-NUCLEAR AB, DNA IF INDICATED Order Code: DNAIF 2096
Synonym DO DNA IF ANA >=1:320, ANA with Reflex Epic Code LAB4164
CPT
Scheduled
Department IMM

centrifuge.
ANTI-NUCLEAR AB, ENA IF INDICATED Order Code: ENAIF 2097
Synonym Reflex ENA If ANA Positive, Anti-nuclear antibody, Extractable Nuclear Epic Code LAB4512
Antigen CPT
Scheduled ANA: Monday-Friday; ENA

screen: twice per week;
ENA panel: Once per week
Department IMM

1 ml Serum 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information ANA Screen (EIA); ANA (Immunofluorescence) titer if positive screen; ENA if ANA Speckled Pattern
Additional Information Stability: Refrigerated serum good for 2 days; Frozen, up to 21 days
ANTI-NUCLEAR ANTIBODY Order Code: ANAS 1763
Synonym ANA,LE CELL Prep, Anti-Centromere Ab, ACA Epic Code LAB147
Test Component Screen, Titer and Pattern CPT 86038

Friday
Age 1 day to >100 years
Department IMM
ANAS Nuclear Ab Screen ANA Negative -
ANAS Titer ANAT
ANAS Pattern PAT

3 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Pattern and titer, if positive. Includes an Anti-Centromere Ab - previously test 1391
Additional Information Enzyme Immunoassay (EIA) - screen, Immunofluorescent Assay (IFA) - Confirmation of pattern and titer
ANTI-PROLIFERATING CELL NUCLEAR ANTIGEN Order Code: PCNA 1908
Synonym PCNA Epic Code LAB4148

CPT 86235
Method Immunodiffusion
Scheduled 3 times per week
Department MSPE
C

centrifuge. Remove serum and freeze. Specimens collected in
plain red-top are acceptable.
ANTI-SSA Order Code: SSA 10157
Synonym SSA Antibody, anti-Ro, Sjogren's Syndrome Epic Code

CPT 86235
Method EIA
Scheduled Wednesday
Department IMM

2 ml serum (Min: 0.7 ml) 1 gold top SST clot tube Allow specimen to clot for 30 min. Spin and transfer to a plastic vial Frozen
Test Information Useful for evaluating patients with signs and symptoms of a connective tissue disease in whom the ANA test is positive,
especially those with signs and symptoms consistent with Sjogren's syndrome or lupus erythematosus.
ANTI-SSB Order Code: SSB 10158
Synonym SSB Antibody, anti-La, Sjogren's Syndrome Epic Code LAB4620

CPT 86235
Method EIA
Scheduled Wednesday
Department IMM

2 ml serum (Min: 0.7 ml) 1 gold top SST clot tube Allow specimen to clot for 30 min. Spin and transfer to a plastic vial Frozen
Test Information Useful for evaluating patients with signs and symptoms of a connective tissue disease in whom the ANA test is positive,
especially those with signs and symptoms consistent with Sjogren's syndrome or lupus erythematosus.
ANTI-THROMBIN III Order Code: ATIII 1299
Synonym ATIII, AT3 Epic Code LAB311

CPT 85300
Scheduled Tuesday, Thursday COMPONENT 1299 CODE LOINC REFERENCE RANGE
Department SPCO Age 1 day to >100 year

ATIII Anti-Thrombin III ATIII 75 - 125 %

2 ml frozen plasma (Min: 1 ml) 1 Light blue top tube, Centrifuge. Transfer plasma to plastic vial and freeze. Frozen
NaCitrate (3.2%)
Patient Information Indicate if patient and/or family members have history of early age thrombosis (<40 years) and if patient is taking heparin.
APOLIPOPROTEIN A1 Order Code: APA1P 2092
Synonym APOA1, APO, APOA, Apo A, Apo A1 Epic Code LAB4163

CPT 82172
Method Automated turbidimetric Immunoassay
Scheduled Monday-Friday COMPONENT 2092 CODE LOINC REFERENCE RANGE
Department MREF Age 18 year to >100 year

APA1P APO Lipoprotein A1 APA1P 106 - 220 mg/dL
Ref Code APLA1

2 ml EDTA plasma (min: 1 ml) 1 Lavender top EDTA tube Centrifuge. Pour plasma into plastic tube and freeze. Frozen
Test Information Useful for evaluation of risk for atherosclerotic cardiovascular disease and helpful to aid in the detection of Tangier disease.
Patient Information Patient should be fasting for 12 to 14 hrs.
APOLIPOPROTEIN B Order Code: APILO 1313
Synonym APO B Epic Code LAB4448

CPT 82172

APILO Apolipoprotein B APILO 48 - 124 mg/dL
APILO Apolipoprotein B APILO F 44 - 148 mg/dL

1 ml plasma (min: 0.5) 1 Lavender top EDTA tube Spin sample immediately, separate plasma and freeze in plastic Frozen
vial.
Test Information Apolipoprotein B is a major protein component of LDL. Useful for determining risk of developing atherosclerotic disease.
Patient Information Patient must fast for 12 to 14 hours. Patient must not consume any alcohol for 24 hrs before the specimen is drawn.
Additional Information Secondary Target under the Adult Treatment Panel (ATP) III guidelines.
APTT Order Code: APTT 1167
Synonym Activated Partial Thromboplastin Time, PTT Epic Code LAB325

CPT 85730
Method Photo-optical
Department COA Age 1 day to >100 year

APTT APTT APTT 21.0 - 31.0 Seconds

2 ml plasma (Min: 1 ml) 1 Light blue top tube, Refrigerate if sample will be transported to lab within 4 hours of Refrigerate or
NaCitrate (3.2%) acquisition. DO NOT CENTRIFUGE, DO NOT OPEN TOP. If Frozen
longer storage time is anticipated, centrifuge transfer plasma to
plastic vial & freeze.
Additional Information ** New Normal Ranges established April 27, 2016.
APTT (HEPARIN THERAPY) Order Code: HPTT 1180
Synonym Activated Partial Thromboplastin Time Epic Code LAB4042

CPT 85730
Method Photo-Optical

HPTT APTT Hep -Therapy HPTT 47.0 - 67.0 Seconds

0.5 ml plasma 1 Light blue top tube, Centrifuge blue top and freeze plasma in plastic vial. Frozen
NaCitrate (3.2%)
Additional Information Plasma must be frozen within 4 hours of collection. ** New Normal Ranges established April 27, 2016.
ARTERIAL BLOOD GAS W CARBON MONOXIDE Order Code: ABGCO 1093
Synonym ABG & CO Epic Code LAB4022

CPT 82803
Method Ion Selective Electrodes

ABGCO pH, Arterial PHAR 7.35 - 7.45
ABGCO Total CO2, Arterial ATCO2 20.0 - 30.0 mmol/L
ABGCO PO2, Arterial APO2 2703-7 75 - 100 mm Hg
ABGCO FIO2 FIO2 3151-8
ABGCO Bicarbonate AHCO3 1960-4 20.0 - 30.0 mmol/L
ABGCO O2 Saturation, Arterial AOSAT 95 - 98 %
ABGCO Base Excess ABE
ABGCO pCO2, Arterial APCO2 2019-8 34 - 46 mm Hg
ABGCO Allen's Test ALLEN PASS - CM H2O PRE
ABGCO Carboxyhemoglobin HBCO 2032-1 smoker 1.5 - 5.0 %
ABGCO Carboxyhemoglobin HBCO 2032-1 heavy 5.0 - 9.0 %

smoker
ABGCO Carboxyhemoglobin HBCO 2032-1 nonsmoker 0 - 1.5 %

Heparinized whole blood Art Blood gas kit - Li-Hep Place syringe in ice water bath, Li-Hep (Green Top) DO NOT Refrigerate
syringe/Green Top REMOVE STOPPER.
Test Information Blood gases kits are available at every Sparrow Regional Lab Site. Due to sample instability, collections performed
elsewhere must be pre-arranged with the lab.
ARTERIAL BLOOD GASES Order Code: ABG 1293
Synonym ABG Epic Code LAB76

CPT 82803

ABG FIO2 FIO2 21 - 100 %
ABG 02 Saturation O2 SAT 95 - 98 %
ABG P02 PO2 75 - 100 mmHg
ABG C02 PCO2 34 - 46 MMOL/L
ABG PCO2-Arterial PCO2 34 - 46 mm Hg
ABG PH PH 7.35 - 7.45

2 ml whole blood (Min: 0.5 ml) Heparinized ABG syringe Store and transport syringe in ice water. Sample must be analyzed Refrigerate
within 1 hour after drawing.
Test Information Blood gases kits are available at every Sparrow Regional Lab Site. Due to sample instability, collections performed
elsewhere must be pre-arranged with the lab.
ASCORBIC ACID,P Order Code: VITCR 1019
Synonym Vitamin C Epic Code LAB671

CPT 82180
Method High-Pressure Liquid Chromatography (HPLC)

VITCR Ascorbic Acid VITCR 1903-4 0.6 - 2.0 mg/dL
Ref Code FVITC

2 ml plasma (Min: 0.5 ml) 1 green top tube, Li Heparin Centrifuge IMMEDIATELY. Transfer plasma to plastic vial and Frozen
freeze. Protect from light.
Test Information Mayo Code VITC
Patient Information Patient must fast 12 - 14 hours and refrain from any vitamin supplements for 24 hours prior to the draw.
Additional Information Serum and sodium fluoride plasma are acceptable.
ASO TITER Order Code: ASO 1664
Synonym Streptolysin O, Antistreptolysin Titer Epic Code LAB219

Test Component ASO, ADNAB (when indicated) CPT 86060
Department STL Age 1 day to 5 year

ASO ASO Titer ASO 0 - 100 IU/ML



centrifuge.
Test Information This test is used to demonstration of acute or recent streptococcal infection. The anti-DNase test is reflex ordered when
the ASO titer is normal. This is recommended for the following reasons:
Elevated ASO titers are found in the sera of about 85% of individuals with rheumatic fever; ASO titers remain normal in
about 15% of individuals with the disease. Skin infections, in contrast to throat infections, are associated with a poor ASO
response. Patients with acute glomerulonephritis following skin infection (post-impetigo) have an attenuated immune
response to streptolysin O.
Thus, the percentage of false-negatives can be reduced by performing 2 or more antibody tests.
ASPERGILLUS Ag, S Order Code: ASPAG 10106
Synonym Fungal Antigen, Aspergillosis, Galactomannan Epic Code LAB4478

CPT 87305
Scheduled Monday - Friday at COMPONENT 10106 CODE LOINC REFERENCE RANGE

Specialty Lab
Department MSPE
C ASPAG Aspergillus ASPAG 44357-2 Negative - < 0.5 Index
Ref Code ASPAG

2 mL serum 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Send serum frozen.
Test Information Useful as an aid in the diagnosis of invasive aspergillosis and assessing response to therapy.
ASPERGILLUS PRECIPITIN Order Code: ASPPC 1686
Synonym Aspergillus Antibody Epic Code LAB784

CPT 86606
Scheduled Monday-Friday; afternoon

shift
Department MSER

2 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, than Refrigerate
centrifuge.
AST (SGOT) Order Code: AST 1230
Synonym Aspartate Aminotransferase Epic Code LAB131

CPT 84450

AST AST (SGOT) AST 0 - 120 U/L





centrifuge.
AUTOLOGOUS RBC Order Code: AUTO 1558
Synonym SELF Donor Epic Code LAB4099

CPT 86890
Method Red Cross
Department BLB Age to

AUTO Autologous Unit AUTO

Blood Unit Collection No Specimen To order an Autologous unit for pre-surgicals, place this order. Refrigerate
Then call Lansing Red Cross for more information or to schedule
an Autologous collection.
Test Information Handled by Lansing Red Cross
B. PERTUSSIS IGA & IGG WITH REFLEX Order Code: FBPAG 10219
Synonym Whooping Cough, Pertussis Antibody Epic Code LAB4078

CPT 86615 86615
Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay, Qualitative Immunoblot, if appropriate
Scheduled Tuesday at Arup
Department MREF
Ref Code FBPAG

1.0 ml serum (min. 0.3 ml) 1 Plain red top tube Spin down and send 1 mL serum refrigerate in a plastic vial. Refrigerate
Sparrow Laboratories Online Test Catalog B
BACTERIAL ANTIGEN SCREEN Order Code: BAGPL 1435
Synonym CIE, Bacterial Meningitis Screen, H. influenzae, N. meningitidis, S. Epic Code LAB4495
Pneumoniae CPT 87449
Method Agglutination, CIE
Department MIC

1 ml CSF (Min: 0.5 ml) Sterile tube CSF-room temperature. Refrigerate fluid if testing delayed. Refrigerate
Test Information Haemophilus influenzae type b, Neisseria meningitidis groups A, C, Y, W-135, Neisseria meningitidis group B, Strep
Pneumoniae, group B strep.
BACTERIAL ISOLATE IDENTIFICATION Order Code: BACID 1798
Synonym BACT ID, Organism ID, Bacterial Isolate, Reference Lab ID Epic Code LAB4537
CPT 87077
Method May include conventional biochemical analysis, carbon source utilization, commercial ID panels, or MALDI-TOF mass spectrometry
Scheduled Sunday-Saturday COMPONENT 1798 CODE LOINC REFERENCE RANGE

BACID Organism ID BACID 45335-7

Pure culture of organism from Sterile broth/culture Organism must be a pure culture, actively growing; Do not submit Room
source cultured, preferred. media/plate. Anaerobic mixed cultures. Temperature
isolates must be transported in
an anaerobic environment. Label plates with set up date, patient information and label as an
infectious substance.
Tape or rubber band plate to secure lids and keep together.
Submit upright in a stable container.
Test Information Bacterial isolates may be sumitted for aerobic or anaerobic organism identification or to confirm identification. This may
provide helpful information regarding the significance of the organism, its role in the disease process, and its possible origin.
Additional Information Required Information:

Provide specimen source and Isolate description - including: Gram stain reaction, morphology, and tests performed.
Indicate if susceptibility testing is needed.
BARBITURATE PROFILE by HPLC, PLASMA/SERUM Order Code: BRBSC 1020
Synonym Barbs,Phenobarbital,Butalbital,Pentobarbital,Amobarbital,Secobarbital Epic Code LAB4010

CPT 82205
Method High Pressure Liquid Chromatography w/ Ultraviolet Detection (HPLC-UV)
Department TOX Age 1 day to >100 year

BRBSC Phenobarbital PHNBL 15.0 - 40.0 mcg/mL
BRBSC Butalbital BTBTL 10.0 - 20.0 mcg/ml
BRBSC Pentobarbital PNTBL 1.0 - 5.0 mcg/ml
BRBSC Amobarbital AMOBL 1.0 - 8.0 mcg/ml
BRBSC Secobarbital SECBL 1.0 - 5.0 mcg/ml

1 ml plasma (Min: 0.5 ml) 1 green top tube, Li Heparin Refrigerate Refrigerate
Additional Information Grey top and red top are also acceptable specimens. Specimens collected in serum separator tubes will be rejected
BASIC PANEL Order Code: BMP 8178
Synonym BMP, Basic Metabolic Panel, Metabolic Epic Code LAB15

Test Component BUN, CREA, GLUC, NA, K+, CL, CO2, GAP, CAL, GFR CPT 80048

BMP Sodium NA 135 - 145 mEq/L

BMP Potassium K 3.5 - 4.9 mEq/L
BMP Calcium CA 8.0 - 10.5 mg/dL

BMP Chloride CL 96 - 110 mEq/L
BMP C02 CO2 20.0 - 30.0 mmol/L
BMP GAP GAP 2 - 16
BMP Glucose GLU 65 - 99 mg/dL
BMP BUN BUN 6 - 23 mg/dL

BMP Creatinine CREAT 0.60 - 1.40 mg/dL

centrifuge.
B-CELL LYMPHOMA, FISH B/BM Order Code: BLPF 10271
Synonym Burkitt Lymphoma, Follicular Lymphoma, MCL Epic Code LAB4738

CPT 88291

BLPF Result Summary BLPF
Ref Code BLPF

7-10 ml whole blood 1 green top tube, Na Heparin Invert several times to mix blood. Other anticoagulants are not Room
recommended and are harmful to the viability of the cells. Temperature
Test Information Useful for detecting a neoplastic clone associated with the common chromosome abnormalities seen in patients with
various B-cell lymphomas.
BCR/ABL MUTATION, ASPE Order Code: BAKDM 10259
Synonym BCR Gene mutations Epic Code LAB4730

CPT 81170
Method Quantitative Reverse Transcription- PCR
Department MREF
Ref Code BAKDM

3 ml whole blood or Bone marrow 1 Lavender top EDTA tube Gently invert to mix sample. Submit in original tube. Room Refrigerate
(1.0 ml min.) temperature 72 hours, refrigeration 5 days.
Test Information Check the online Mayo Interpretive guide - mayomedicallaboratories.com
BCR/ABL, p190, Quant, Monitor Order Code: BA190 10261
Synonym Philadelphia Epic Code LAB4731

CPT 81207
Department MREF
Ref Code BA190

4 mL Whole blood or 3 mL Bone 1 - 7 ml Lavender top tube, Invert several times. Send specimen in original tube. Label Room
Marrow EDTA or ACD tube acceptable specimen as correct type, whole blood or bone marrow. Temperature
Test Information Useful for monitoring therapy response in patient with known e1/a2 BCR/ABL (p190) fusion forms. This test detects mRNA
coding for the most common p190 fusion form (e1/a2)
Additional Information Other fusion forms such as p210 protein commonly found in CML, not detected by this assay.
BCR/ABL, RNA-QUANT, DIAGNOSTIC Order Code: BADX 10262
Synonym Philadelphia Chromosome Ph1 Epic Code LAB4732

CPT 81206 81207 81208
Department MREF
Ref Code BADX

4 mL Whole blood or 3 ml Bone 1 - 7 ml Lavender top tube, Invert several times. Send specimen in original tube. Label Room
Marrow EDTA or ACD tube acceptable specimen as correct type, whole blood or bone marrow. Temperature
BCR/ABL1 TRANSLOCATION (9;22) FISH Order Code: 922F 10489
Synonym CML, Chronic Myeloid Leukemia, Philadelphia Chromosome, t(9:22) Epic Code LAB4808
CPT 88291 88271 88271
Department MREF
Ref Code 922F

7-10 mL Whole blood; 2 mL Bone 10 ml Green top Na Heparin Gently invert several times to mix blood. Send specimen in original Room
Marrow tube, Bone Marrow in 5 ml tube. Temperature
green top Na Heparin tube
Test Information Detecting a neoplastic clone associated with a BCR/ABL1 rearrangement in patients with chronic myeloid leukemia (CML)
Tracking the percentage of nuclei with BCR/ABL1 rearrangement and response to therapy in patients with CML
It is recommended that conventional chromosome analysis CHRBM / Chromosome Analysis, Hematologic Disorders, Bone
Marrow also be performed at initial diagnosis. FISH alone can be used to monitor the effectiveness of therapy.
Additional Information **New Test Added 8/09/16
BCR-ABL1, p210, QUANT, MONITOR Order Code: BCRAB 10263
Synonym CML, Chronic Myelogenous Leukemia, Philadelphia Chromosome Ph1 Epic Code LAB4733
CPT 81206
Department MREF
Ref Code BCRAB

4 mL Whole blood or 3 ml Bone 1 - 7 ml Lavender top tube, Collection Instructions: Invert several times to mix blood. Send Room
Marrow EDTA or ACD tube acceptable specimen in original tube. Label specimen as blood or bone Temperature
marrow.
BENCE JONES PROTEIN Order Code: UIFE 1289
Synonym IFE Urine, Electrophoresis Urine, Urine Immunofixation Epic Code LAB366
CPT 86335
Method Immunofixation Electrophoresis
Department SPCH Age 1 day to >100 year

M UIFE Protein-Non-24 hr UTPIF 0 - 10 mg/dL
Ref Code Sparrow UIFE Protein-24 hr urine UTPI2 0.0 - 150.0 mg/24Hr
UIFE Total Volume UVOLI measure - in mL
UIFE Interpretation IUIFE

20 ml single void urine sample or Urine container, no Send random urine or 24 hour urine collection - Keep refrigerated Refrigerate
aliquot of a 24-hour collection preservatives during and after collection.
(min. random urine: 5 ml) Measure the total volume. Then thoroughly mix the 24 urine in the
with the order:
Test Information Urine protein and immunofixation electrophoresis
Patient Information For 24 hour urine collections: Void and discard first morning specimen. Place all subsequent samples in collection
container for the next 24 hours. Terminate collection after saving first specimen of second morning.
BENZODIAZEPINE PROFILE by HPLC, PLASMA/SERUM Order Code: BNZSC 1096
Synonym BENZO,Norchlordiazepoxide, Chlordiazepoxide, Nordiazepam, Diazepam Epic Code LAB4415

CPT 80154
Method High Pressure Liquid Chromatography w/ Ultraviolet Detection (HPLC-UV)
Department TOX Age 1 day to >100 years

BNZSC Specimen Type HPS04
BNZSC Norchlordiapoxide NCLDZ 300 - 800 ng/ml
BNZSC Chlordiaz+Norchlordiaz TCLNR 300 - 1800 ng/ml
BNZSC Nordiaz+Diaz TNDDZ 100 - 2000 ng/ml
BNZSC Test Method BNZTM

BNZSC Chlordiazepoxide CLDZ 500 - 1000 ng/ml

BNZSC Nordiazepam NDIZM M or F 100 - 500 ng/ml

BNZSC Diazepam DIZM M or F 100 - 1500 ng/ml

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li Heparin Green top (Na or Li Heparin) preferred. Grey top or red-top tube Refrigerate
acceptable. NO Gel-barrier
Test Information Testing performed for medical and treatment purposes. Specimen analyzed for chlordiazepoxide, norchlordiazepoxide,
diazepam and nordiazepam.
Additional Information Specimens collected in serum separator tubes will be rejected.
BETA 2 GLYCOPROTEIN, AB PANEL Order Code: B2GP 1032
Synonym BETA 2, B2GMG, Beta-2-Glycoprotein Antibody Epic Code LAB1179

Test Component B2GPG; B2GPM CPT 86146 86146

B2GP Beta 2 GP1 Antibody IgG B2GPG Negative < - 0.75
Ref Code B2GMG
B2GP Beta 2 GP1 Antibody IgM B2GPM
B2GP Beta 2 GP1 Antibody IgA B2GPA

1 ml serum (min. 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful for the evaluation of suspected cases of antiphospholipid syndrome.
Additional Information Plain Red top tube acceptable. BETA 2 GP1 AB IGG: 44448-9, BETA 2 GP1 AB IGM: 44449-7
BETA STREP IN THROAT BY PCR Order Code: PCRST 10032
Synonym Group A Strep, Beta Strep by PCR Epic Code LAB1369

CPT 87651
Method Real-Time PCR
Scheduled Monday - Friday
Department MDX

Throat swab Swab collection - Red Top Swab surface of both tonsils and from the posterior pharyngeal Room
(Culturette II Copan swab) wall. Transport to lab within 72 hours after collection. Temperature
Calcium alginate tipped swabs
or transport swabs containing
gel are NOT acceptable.
Test Information Beta Strep by Real-Time PCR detects Group A, C and G strep (GAS). This PCR test will detect 20 - 55% more positive
GAS than available rapid kit tests.
Additional Information Many rapid Group A strep test kits recommend confirmation for negative test results.
BETA-2-MICROGLOBULIN (URINE) Order Code: UB2M 1700
Synonym B2 Microglob, B2M Epic Code LAB4126

CPT 82232
Method Nephelometry
Scheduled Monday - Saturday at Ward COMPONENT 1700 CODE LOINC REFERENCE RANGE

UB2M Beta-2-MicroGlobulin UB2M < - 0.30 mg/L

4 ml urine (min. 1 ml) Sterile Urine Container Adjust the pH immediately (with 1 M NaOH) between 6-8. Refrigerate
Test Information Beta-2-M is unstable in acid urine. Sample will be rejected if pH is not between 6-8.
Patient Information The patient should void, then drink a full glass of water and provide a urine sample within one hour.
BETA-2-MICROGLOBULIN, SERUM Order Code: B2G 1741
Synonym B2 Microglobulin, Beta2, B2 Microglb Epic Code LAB49

CPT 82232
Method Nephelometry

B2G Beta-2-MicroGlobulin B2G 0.0 - 2.70 UG/mL

1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temp, then Refrigerate
centrifuge.
BETA-CATENIN, MUTATION ANALYSIS Order Code: BCAT 10282
Synonym Desmoid-Type Fibromatosis, S45F, S45P, T41A, 61210 Epic Code LAB4749
CPT 81403
Method Polymerase Chain Reaction (PCR) and Pyrosequencing
Scheduled Monday - Friday; Varies at

Mayo
Department MREF
Ref Code BCAT

Varies; Tissue containing tumor Surgical Path Specimens, Formalin-fixed, paraffin-embedded (FFPE) tissue block with a Room
cells FFPE tissue minimum of 40% tumor cell population. Acceptable: Unstained Temperature
slides with a minimum of 40% tumor population; slides may be
stained and/or scraped.
Test Information Useful for distinguishing desmoid-type fibromatosis from other soft tissue tumors, when pathological examination is
insufficient for diagnosis.
BETA-CROSSLAPS (B-CTx), S Order Code: CTX 10295
Synonym B-CTx, Beta-CTx, C-Telopeptide, C-terminal collagen crosslinks, Carboxy Epic Code LAB4759
terminal collagen crosslinks CPT 82523
Method Electrochemiluminescence Immunoassay
Department MREF Age 18 years to 30 years

CTX beta-CTx CTX 41171-0 M 155 - 873 pg/mL
Ref Code CTX
Age 31 years to 50 years

Age 18 years to ~50 years

CTX B-CTx premenopausal CTX 41171-0 F 25 - 573 pg/mL
Age 50 years to >100 years

CTX B-CTx postmenopausal CTX 41171-0 F 104 - 1,008 pg/mL

centrifuge. Gel barriers tubes acceptable. Specimen may be
frozen once it arrives at Sparrow lab (within 72 hours)
Test Information Useful for an aid in monitoring anti-resorptive therapies (eg, bisphosphonates and hormone replacement therapy) in
postmenopausal women treated for osteoporosis and individuals diagnosed with osteopenia. An adjunct in the diagnosis
of medical conditions associated with increased bone turnover. Result Interpretation: Elevated levels of beta-CTx
indicate increased bone resorption. Increased levels are associated with osteoporosis, osteopenia, Paget disease,
hyperthyroidism, and hyperparathyroidism.
Patient Information 12 hours before this blood test, do not take multivitamins or dietary supplements containing biotin or vitamin B7 that are
commonly found in hair, skin and nail supplements and multivitamins.
BILIARY DRAINAGE ANALYSIS Order Code: BILDR 1598
Synonym Biliary Fluid Epic Code LAB4103

CPT 89060
Method Multistix, Ictotest, Microscopic Examination
Department HEM

20 ml biliary drainage (Min: 2 ml) Urine container, no Store and transport in ice water. Refrigerate
preservative
Test Information Color, character, occult blood, bilirubin-qualitative, pH, WBC, RBC, crystals.
DIRECT BILIRUBIN Order Code: BILID 3924
Synonym DIRECT, BILI Epic Code LAB52

CPT 82248

BILID BILI-DIRECT Direct 0.0 - 0.3 mg/dL

0.5 ml plasma (min. 0.2 ml) 1 green top tube, Heparin or Centrifuge green top and protect from light. Refrigerate
SST gel barrier
Test Information If collecting from an infant, take baby off of the bili-light or out of sunlight before collecting.
BILIRUBIN TOTAL & DIRECT Order Code: BILI 1133
Synonym BILI Epic Code LAB4034

Test Component T BILI,D BILI CPT 82247 82248
Method Spectrophotometric
Department CHM Age 1 day to 2 W

BILI BILI-TOTAL total 0.2 - 12.0 mg/dL
BILI BILI-INDIRECT indirect 0 - 11.7 mg/dL
BILI BILI-DIRECT direct 0 - 0.3 mg/dL
Age 2 W to >100 year

BILI BILI-TOTAL total 0.2 - 1.2 mg/dL
BILI BILI-INDIRECT indirect 0 - 0.9 mg/dL

1 ml serum or 1 ml plasma (Min: 1 gel barrier SST clot tube or 1 Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
0.5 ml) green top tube, Li heparin centrifuge.
BILIRUBIN-TOTAL ONLY Order Code: BILIT 1024
Synonym T BILI Epic Code LAB50

CPT 82247
Scheduled Daily COMPONENT 1024 CODE LOINC REFERENCE RANGE
Department CHM Age 1 day to 2 weeks

BILIT BILI-TOTAL ONLY BILIT 0.2 - 12.0 mg/dL
Age 2 weeks to >100 year

BILIT BILI-TOTAL ONLY BILIT 0.2 - 1.2 mg/dL

centrifuge.
BK VIRUS PCR, QUAL, P Order Code: BKPCR 10137
Synonym BKV, BKV DNA, Polyomavirus Epic Code LAB4591

CPT 87798
Method RT-PCR
Scheduled Monday, Wednesday,

Friday; at Mayo
Department MREF
Ref Code LCBKP

2 mL Random Urine, Min 0.5 mL Sterile urine container For optimal results, specimen should arrive at Mayo within 48 Refrigerate
hours of collection.
Test Information Useful for a prospective and diagnostic marker for the development of nephropathy in renal transplant recipients.
Additional Information New test Feb. 2016. Added to Test Catalog 8/20/16
BK VIRUS PCR, QUAL, U Order Code: LCBK 10135
Synonym BK (Polyoma) Virus, BKV DNA, Polyomavirus Epic Code LAB4589

CPT 87798
Method RT-PCR

Friday; at Mayo
Department MREF
Ref Code LCBK

2 mL Random Urine, Min 0.5 mL Sterile urine container Refrigerate Refrigerate
Test Information Useful for rapid detection of BK virus DNA.
BK VIRUS PCR, QUANT, P Order Code: QBK 10136

CPT 87798
Method RT-PCR

Friday; at Mayo
Department MREF
Ref Code QBK

2 mL Plasma, Min. 0.5 mL 1 Lavender top EDTA tube Spin and separate plasma from the cells within 24 hours from Refrigerate
collection. Submit in plastic vial.
Test Information Useful for a prospective and diagnostic marker for the development of nephropathy in renal transplant recipients.
BK VIRUS PCR, QUANT, U Order Code: QBKU 10134

CPT 87798
Method RT-PCR

Friday; at Mayo
Department MREF
Ref Code QBKU

2 mL Plasma, Min. 0.5 mL 1 Lavender top EDTA tube Spin and separate plasma from the cells within 24 hours from Refrigerate
collection. Submit in plastic vial.
Test Information Useful for rapid detection of BK virus DNA.
BLASTOMYCES PRECIPITIN Order Code: BLSPC 1685
Synonym Blastomyces Antibody Epic Code LAB786

CPT 86612

shift
Department MSER

centrifuge.
2ND BLOOD TYPE Order Code: 2TYP 10063
Synonym ABORH Epic Code LAB4376

Test Component ABO, RH CPT 86900

2TYP ABO ABO 882-1 Type A,B,O - or AB
2TYP RH RH Rh Neg - Rh Pos

5 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Do not centrifuge. Refrigerate
Test Information AABB safety standards require 2 determinations of ABO type for recipients of blood.
Patient Information If the patient has no blood type history on file a second sample must be tested to confirm ABO type.
Additional Information Specimen for second/2nd blood type MUST be from a different draw time than the Type and Screen specimen.
BLOOD TYPE - ABO GROUP & RH TYPE Order Code: ABORH 1610
Synonym Group and Type, Blood Type, ABO Type Epic Code LAB895
CPT 86900 86901

ABORH ABO Type ABO Type A, B, O - or AB
ABORH RH Type RH Rh Neg - Rh Pos

7 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube INPATIENT: Bring directly to laboratory, without Room
delay. OUTPATIENT: Keep at room Temperature
temperature or refrigerate
Test Information Specimen must be labeled with patient first and last name, date of birth, date and time of collection, and the initials of the
person collecting. If specimen may be used for transfusion in the future, the specimen must be drawn by Sparrow
personnel.
B-NATRIURETIC PEPTIDE Order Code: BNP 9036
Synonym BNP, B Nat Peptide, B-Nat Epic Code LAB106

CPT 83880
Method Direct Chemiluminescence

BNP B-Natriuretic Peptide BNP 0 - 100 pg/mL
BNP B-Natriuretic Peptide BNPI NYHA I Median - 64 pg/mL
BNP B-Natriuretic Peptide BNPII NYHA II Median - 130 pg/mL
BNP B-Natriuretic Peptide BNPIII NYHA III Median - 355 pg/mL
BNP B-Natriuretic Peptide BNPIV NYHA IV Median - 843 pg/mL

2 ml plasma (min. 1 ml) 1 Lavender top EDTA tube Spin tube and separate plasma within 24 hours of collection. Refrigerate
Refrigerate
Test Information At a decision threshold of 100 pg/ml the specificity is 97% and the sensitivity is 73% for predicting CHF (Method: Bayer
Advia Centaur)
Additional Information Sample must be collected in plastic EDTA tube. Collection in glass will produce false results.
BODY FLUID PH Order Code: BFPH 1590
Synonym BFL pH Epic Code LAB110

CPT 83986
Method Dipstick
Department HEM Age 1 day to >100 years

BFPH Fluid Type FLTYP
BFPH pH BFPHI

Body fluid Sterile container, Plain red top No preservatives, refrigerate sample during transport. Refrigerate
tube
BONE ALKALINE PHOSPHATASE Order Code: BALK 1256
Synonym ALK PHOS-BONE,ALK P'TASE BONE,BAP Epic Code LAB1070

CPT 84080
Method Immuno Enzymatic Assay
Department MREF

0.5 ml serum (Min: 0.25 ml) 1 gold top SST clot tube Allow blood to clot upright for 30 minutes at room temperature. Refrigerate
then centrifuge.
BONE MARROW Order Code: BONEM 1884
Synonym BM Epic Code LAB4147

CPT 38220
Method Wright Giemsa stain, H&E stain, Iron stain (Microscopy)
Scheduled Monday-Friday, 9 a.m.-3

p.m.
Department SPHE
M

2.0 ml. EDTA marrow (min. 1.0 1 Lavender top EDTA tube / 1 Refrigerate specimens Refrigerate
ml), 4.0 ml clotted specimen plain red top / 1 green top
(min. 2.0 ml), 5.0 ml heparinized tube, Na Heparin
marrow (min. 3.0 ml)
Test Information CBC, Bone Marrow Aspirate and Core Biopsy, H&E Stain, Iron Stain
Patient Information For Bone Marrow procedure call Client Services at (517) 364-7800 or (800) 884-2522 to schedule an appointment.
BORDETELLA PERTUSSIS BY PCR Order Code: PCBPG 8099
Synonym Tussis, Whooping Cough, B. Pertussis Epic Code LAB923

CPT 87801
Method PCR
Scheduled Twice per week COMPONENT 8099 CODE LOINC REFERENCE RANGE
Department MDX Age 1 day to >100 years

PCBPG Specimen Type SPMO6 Preferred NP Floq - Swab
PCBPG B. pertussis PCRBR Not - Detected
PCBPG B. parapertussis PCRBP Not - Detected

Nasopharyngeal (NP) swab or NP FLOQ swab or Saline wash in Collect one nasopharynegeal (NP) specimen using a Floq Swab Refrigerate
aspirate/saline wash sterile screw cap vial; and place in VTM. NP aspirate/saline wash should be cloudy and
Preferred sent in sealed plastic vial or VTM
vial. Unacceptable Specimens:
Nose, throat, sputum or BAL specimens are not acceptable sources
Test Information Pertussis, or whooping cough, is caused by Bordetella pertussis, or B. parapertussis. The incidence of pertussis
continues to rise in the U.S. According to CDC. From the onset of symptoms, the disease can take 6-8 weeks to resolve.
Additional Information Unacceptable: Gel swabs, cotton swabs and wooden shafted swabs.
BREAST CARCINOMA ASSOC. AG, CA 27-29 Order Code: C2729 6666
Synonym CA 2729, CA, Cancer Antigen 27.29 Epic Code LAB853

CPT 86300
Method Chemiluminometric Immunoassay
Scheduled Monday - Sunday
Department MREF

1 ml serum (min. 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge, Freeze.
Test Information The FDA has approved CA 27.29 for serial testing in women with prior stage II or III breast cancer who are clinically free of
disease.
Additional Information Measurement of CA 27.29 is not useful to screen women for carcinoma of the breast. Specimen may be frozen after
arrival in the laboratory.
BRUCELLA ANTIBODIES, IGG IGM, S Order Code: BRUCS 8064
Synonym Brucellosis, B. abortus, B. canis, B. melitensis, B. suis Epic Code LAB221

CPT 86622
Method Agglutination
Scheduled Monday-Friday
Department MSPE
C

centrifuge.
BUN Order Code: BUN 1234
Synonym Urea Nitrogen-Blood Epic Code LAB140

CPT 84520

BUN BUN BUN 5 - 15 mg/dL

BUN BUN BUN 6 - 23 mg/dL

centrifuge.
BUPROPION Order Code: FBUP 7749
Synonym Hydroxybupropion, Wellbutrin, FBUHB Epic Code LAB4281

CPT 82542
Method High-Performance Liquid Chromatography with Ultraviolet Detection (HPLC-UV)
Scheduled Monday-Sunday, Mayo COMPONENT 7749 CODE LOINC REFERENCE RANGE

Forward, MedTox
Department MREF
FBUP Bupropion BUPRO 50 - 100 ng/mL
Ref Code FBUHB
FBUP Hydroxybupropion FHPRO 600 - 2000 ng/mL

3 ml Plasma or 3 ml Serum, 1 green top tube, Na Heparin, Spin and transfer to plastic vial. Label with specimen type, plasma Frozen
(Minimum Vol 0.6 mL) Serum - 1 plain red tube or serum, and freeze. Gel barrier tubes NOT acceptable.
Test Information Test performed by Medtox Laboratories, Inc.
C.DIFFICILE by PCR Order Code: CDIFF 1477
Synonym ANTIBIOTIC ASSOCIATED COLITIS, CLOSTRIDIUM DIFFICILE,C.DIFF Epic Code LAB4578

CPT 87493
Method PCR
Department MDX

5 ml feces (Min: 1 ml), must be Clean container with secure Specimen character: Unformed (soft, watery or liquid) Specimens Refrigerate
watery or unformed (soft) lid, no preservative that are formed or hard will be rejected. Label specimen container
and sent to the lab refrigerated. Protect against freezing and heat.
Test Information Interpretation: A positive result indicates the presence of Clostridium difficile toxin B gene. This FDA approved test targets
toxin B gene sequences. Common Presentation: More than 3 watery, loose, or unformed stools within 24 hours; Lab
findings may include leukocytosis and elevated creatinine
Common Sources and Season: Recent antibiotic use, especially broad spectrum agents.
Patient Information Testing is limited to two specimens per patient per week; additional specimens will be rejected. The higher sensitivity of
PCR in comparison to cell cytotoxicity and immunoassay methods supports this policy.
Additional Information Specimens received in preservatives; formalin, SAV, PVA, or Cary Blair will be rejected. Formed stools will be
rejected. Only patients with diarrhea should be tested for Clostridium difficile infection (CDI). Since C. difficile
colonization rather than infection may exist, only unformed stool specimens from patients with signs and symptoms of
CDI should be tested. Testing for cure of Clostridium difficile is inappropriate.
Sparrow Laboratories Online Test Catalog C
C1Q BINDING IMMUNE COMPLEX Order Code: C1QA 1694
Synonym CIQ Binding Assay, IMMUNE Complex Epic Code LAB4124

CPT 86332
Method Enzyme-LinkedImmunosorbent Assay (ELISA)
Scheduled Varies at Mayo COMPONENT 1694 CODE LOINC REFERENCE RANGE

C1QA C1Q Binding Assay C1QA 0 - 3.9 ug Eq/ml

centrifuge. Within 1 hour of collection, transfer serum to plastic
tube and freeze. Ship on dry ice.
C2 COMPLEMENT, FUNCTIONAL REFLEX, S Order Code: C2MYO 10272
Synonym C4, C2Ag, C2 Functional Epic Code LAB4739

Test Component C4, C3 and C2AG Reflexed if C2 <15 U/mL CPT 86161 86160
Method Automated Liposome Lysis Assay
Department MREF Age 1 day to >100 years

C2MYO C2 Complement Ag C2AGR
Ref Code C2
C2MYO Complement C3 MC3RX
C2MYO Complement C4 MC4RX
C2MYO C2 Complement,Functional C2FX 25 - 47 U/mL
C2MYO Interpretation INT53

1 ml serum (Min. 0.5 ml) 1 Plain red top tube Immediately place tube on wet ice. Spin and transfer serum to a Frozen
plastic vial. Freeze specimen.
Test Information Useful for the investigation of a patient with a low (absent) hemolytic complement (CH50).
Patient Information Fasting preferred.
Additional Information Replaces Test 2095/C2AG
C3 COMPLEMENT Order Code: C3 1766
Synonym C3, Complement Epic Code LAB152

CPT 86160
Method Turbidometric

C3 C3 COMPLEMENT C3 77 - 166 mg/dL

centrifuge.
C4 COMPLEMENT Order Code: C4 1767
Synonym C4, Complement Epic Code LAB151

CPT 86160
Method Turbidometric

C4 C4 COMPLEMENT C4 18 - 52 mg/dL

centrifuge.
C5 COMPLEMENT Order Code: C5CMP 1768
Synonym C5, Complement, Antigen Epic Code LAB4516

CPT 86160
Method Nephelometry

C5CMP C5 COMPLEMENT, C5CMP 7.4 - 11.7 mg/dL
ANTIGEN S

CA 125 Order Code: CA125 1498
Synonym Ovarian Cancer Related Antibodies Epic Code LAB155

CPT 86304

CA125 CA-125 CA125 0.0 - 35.0 U/ML

centrifuge.
CA 15-3 Order Code: CA153 8045
Synonym Mucin-Like Carcinoma Associated Antigen, MUC-1 Epic Code LAB776

CPT 86300
Method Enzyme Labelled Sandwich Immunoassay
Scheduled Monday- Saturday at Mayo COMPONENT 8045 CODE LOINC REFERENCE RANGE

CA153 CA 15-3 CA153 0.0 - 30.0 U/mL

centrifuge.
Test Information Useful for predicting early recurrence in women treated for cancer of the breast. FDA approved for serial testing in women
with prior stage II or III breast cancer who are clinically free of disease.
Additional Information Caution: CA 15-3 is not useful as a cancer screening test. Some patients who have been exposed to mouse antigens
may have circulating antimouse antibodies. These antibodies may interfere with this assay and produce unreliable
results.
CA 19-9 Order Code: CA199 8142
Synonym Cancer antigen, Carbohydrate Antigen Epic Code LAB777

CPT 86301

CA199 CA 19-9 CA199 0.0 - 55.0 U/mL
Ref Code CA19

centrifuge.
CADMIUM, 24 HOUR URINE - 1295/MISC TEST Order Code: CDU CDU12
Synonym Cd, 24 hr urine Cadmium, ** ORDER 1295/MISC TEST Epic Code LAB4416
CPT 82300
Method Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)
Scheduled Monday through Friday at

Mayo
Department MREF
Ref Code CDU

entire collection or 20 ml aliquot, preservative Measure the total volume. Then thoroughly mix the 24 urine in the
(10 ml minimum) container and transfer 20 mL into a plastic aliquot vial.
with the order:
Terminate collection after saving first specimen of second morning. Write the collection start and end date a
Additional Information Added to Catalog 8/01/16. Order a 1295/MISC in Soft/Epic or other systems.
Alternative acceptable preservatives: 50% acetic acid
CADMIUM, B Order Code: CADM 6866
Synonym Epic Code LAB4236

CPT 82300
Method Inductively Coupled - Mass Spectometry (ICP-MS)
Department MREF

5 ml whole blood 1 Royal blue top tube-EDTA Submit specimen as whole blood. Do not spin. Refrigerate
CAFFEINE Order Code: CAFF 6812
Synonym CAFF Epic Code LAB706

CPT 80155
Method HPLC-UV

CAFF Caffeine CAFF 5 - 15 mcg/mL

0.5 ml plasma (Min: 0.2 ml) 1 green top tube, Li or Na Refrigerate Refrigerate
heparin
Test Information Grey-top or red-top tube also acceptable. Specimens collected in gel separator tubes will be rejected.
CALCITONIN Order Code: CALCI 1772
Synonym CT, Thyrocalcitonin Epic Code LAB512

CPT 82308
Method Chemiluminescence

CALCI Basal CALCI F 0 - 8 pg/mL
Ref Code CATN
CALCI Basal CALCI M 0 - 16 pg/mL
CALCI CA Infusion (2.4 mg of CA/kg) CALCI F - Peak 0 - 90 pg/mL
CALCI CA Infusion (2.4 mg of CA/kg) CALCI M - Peak 0 - 130 pg/mL

1 ml serum (Min. 0.4 mL) 1 Plain red top tube Specimens collected in gel separator tube will be rejected. Frozen
Immediately place specimen on ice. Allow blood to clot upright 30
minutes in ice bath or refrigerate. Then centrifuge, remove serum,
and freeze.
Test Information Useful for diagnosis and follow-up of medullary thyroid carcinoma. Adjunct to diagnosis of multiple endocrine neoplasia
type II and familial medullary thyroid carcinoma.
CALCIUM Order Code: CA 1030
Synonym CA Epic Code LAB53

CPT 82310

CA Calcium CA 8.0 - 11.0 mg/dL

centrifuge.
CALCIUM, 24 HOUR URINE Order Code: UCA24 1029
Synonym CA, 24 hr Urine, 24 hr urine calcium Epic Code LAB814

Test Component Calcium 24 Hr Urine: 6874-2, Calcium Urine: 17862-4, Urine Volume: 3167-4, CPT 82340
Collection Interval: 13362-9

UCA24 Calcium-24Hr Ur UCAC 100 - 300 mg/24Hr
Ref Code Sparrow
UCA24 Calcium-Non 24Hr UCA1
UCA24 Urine Volume UVOL measure - in mL
UCA24 Collection Time CINTV Time - in hours

entire collection or 20 ml aliquot of preservative Measure the total volume. Then thoroughly mix the 24 urine in the
well-mixed 24-hour collection container and transfer 20 mL into a plastic aliquot vial.
with the order:
Terminate collection after saving first specimen of second morning. Write the collection start and end date and time, on
the 24hr urine label.
CALCIUM, IONIZED Order Code: CAION 1423
Synonym Ionized CA, Free Calcium Epic Code LAB54

CPT 82330
Method Ion Selective Electrode

CAION Ionized Calcium CAION 1.10 - 1.30 mmoL/L

Fill tube. Allow to clot upright 30 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
minutes at room temperature, centrifuge. Refrigerate. DO NOT OPEN TOP.
then centrifuge.
CALCIUM, RANDOM URINE Order Code: UCAR 1368
Synonym CA Epic Code LAB371

CPT 82310
Department CHM

20 ml single void urine sample Urine container; no Refrigerate Refrigerate
CALCIUM/CREATININE RATIO Order Code: UCACR 6828
Synonym CA, CREAT Epic Code LAB4229

CPT 82310 82570

UCACR Ca/Creatinine Ratio UCAC1 F 75 - 115 mg/dL
UCACR CA Random Ur UCAR M 85 - 125 mg/dL

UCACR Creatinine, Random Ur UCRER 0.0 - 0.9 mg/dL

5 ml Random Urine Sterile Urine container Refrigerate Refrigerate
CALCULUS ANALYSIS Order Code: STONE 1033
Synonym Kidney Stone, Calculus Stone Epic Code LAB564

CPT 82365
Department MREF
Ref Code CASA

Calculus Dry container, no water or Room temperature Room
fixative added. Temperature
Test Information Stone Analysis: 40787-4, Source: 31208-2, Weight: 9804-6, 1ST CONSTITUENT: IP, 2ND CONSTITUENT: IP, 3RD
CONSTITUENT: IP, NIDUS MAJOR: IP, NIDUS MINOR: IP, SHELL MAJOR: IP, SHELL MINOR: IP, COMMENT: 48767-8
CALPROTECTIN, F Order Code: CALPR 10501
Synonym Calpro, Fecal Calprotectin, IBD Screen, Inflammatory Bowel Screen Epic Code LAB4810
CPT 83993

CALPR Calprotectin CALPR normal - 50.0 mcg/g
Ref Code CALPR
CALPR Calprotectin CALPR borderline 50.1 - 120.0 mcg/g
CALPR Calprotectin CALPR Abnormal - 120.1 mcg/g

5 g Random Stool (Min. 1 gram), Clean dry container/grey tub, Label container with Patient identifiers and collection date and time. Frozen
No preservatives unpreserved
Refrigerate for transport to Sparrow lab.
Freeze within 18 hours of collection
Test Information Useful for evaluation of patients suspected of having a gastrointestinal inflammatory process.
Distinguishing inflammatory bowel disease (IBD) from irritable bowel syndrome (IBS), when used in conjunction with other
diagnostic modalities, including endoscopy, histology, and imaging.
Additional Information ** New Test 9/20/2016, Replaces test 10156/FCALP
Submit stool sample frozen if greater than 18 hrs; keep separate from samples intended for additional test orders.
CANDIDA Ag DETECTION Order Code: FCAND 10174
Synonym Yeast Epic Code LAB4637

CPT 86403
Method Latex Agglutination (LA)
Department MREF
Ref Code FCAND

1.0 ml serum (Min. 0.3 mL) 1 gel barrier SST tube Draw SST or plain red top. Allow specimen to clot for 30 minutes, Refrigerate
centrifuge and transfer serum to plastic vial.
Additional Information New Test 2015, Added to Test catalog 12/14/15
CANDIDA ANTIBODIES Order Code: CANAB 1687
Synonym Yeast, C. Albicans Epic Code LAB1207

Test Component Candida albicans Antibodies - IgG, IgA and IgM CPT 86628
Scheduled Focus Labs COMPONENT 1687 CODE LOINC REFERENCE RANGE

CANAB Candida IgM Ab C. < - 1.0 EIA Units
Albincans
IgM
CANAB Candida IgA Ab C. < - 1.0 EIA Units
Albincans
IgA
CANAB Candida IgG Ab C. < - 1.0 EIA Units
Albincans
IgG

centrifuge.
CARBAMAZEPINE Order Code: CARB 1220
Synonym Tegretol, CARB Epic Code LAB21

CPT 80156
Method Fluorescence Polarization Immunoassay

CARB Carbamaxepine CARB 4.0 - 12.0 mcg/mL

CARBON DIOXIDE Order Code: CO2 1055
Synonym CO2, BICARB Epic Code LAB55

CPT 82374
Method Enzymatic

CO2 CO2 CO2 20.0 - 30.0 mmol/L

centrifuge. DO NOT REMOVE TOP.
CARBOXYHEMOGLOBIN Order Code: HBCO 1034
Synonym Carbon Monoxide Blood, CO Epic Code LAB56

CPT 82375
Method Oximetry
Department CHM

2 ml whole blood (Min: 0.5 ml) 1 green top tube, Li Heparin Refrigerate. Do not centrifuge. Refrigerate
ANTI- CARDIOLIPIN ANTIBODY Order Code: ACLA 1251
Synonym Phospholipid Antibody, ACL Epic Code LAB464

CPT 86147
Scheduled Twice weekly COMPONENT 1251 CODE LOINC REFERENCE RANGE

ACLA ACLA-IgG ACIGG
ACLA ACLA-IgM ACIGM

centrifuge. Transfer to plastic container and freeze.
CARNITINE Order Code: CARNI 1937
Synonym L-Carnitine, Total and Free Epic Code LAB815

CPT 82379
Method Flow Injection Analysis - Tandem Mass Spectrometry
(FIA-MS/MS)

Department MREF
CARNI Free-Carnitine CARNI see - report nmol/mL
CARNI Total-Carnitine CARNI see - report nmol/mL

1 ml plasma (Min: 0.5 ml) 1 green top tube, Na Heparin Centrifuge to separate plasma. Freeze plasma aliquot in a plastic Frozen
vial.
Test Information Free and Total Carnitine. Specimens collected in gel barrier tubes will be rejected.
CAROTENE Order Code: CARO 1035
Synonym Beta Carotene, B-Carotene, Provitamin A Epic Code LAB702

CPT 82380
Method Colorimetric

CARO Carotene CARO 48 - 200 ug/dl
Ref Code BCARO

4 ml serum (Min: 1.5 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate or
centrifuge. Pour serum into a plastic tube and freeze. Protect from Frozen
light.
Test Information Detection of a nutritional deficiency or excess of carotene.
Patient Information Draw specimen following an overnight (12-14 hour) fast. Patient must not consume any alcohol or vitamin supplements for
24 hours before the specimen is drawn.
Additional Information Red top tube gel-barrier is not acceptable. Specimen may be frozen after arrival in the Laboratory.
CAT SCRATCH FEVER, ANTIBODY PANEL Order Code: CATAB 8077
Synonym Bartonella Antibody Epic Code LAB785

CPT 86611
Scheduled Monday - Friday at Focus

Laboratory
Department MICSO

centrifuge.
CATECHOLAMINE FRACTIONATED, FREE URINE Order Code: UCATF 1037
Synonym Dopamine urine, Epinephrin urine, Norepinephrineurine, Pressor Amines Epic Code LAB373
CPT 82384
Department MREF
Ref Code CATU

24 hour urine collection; Submit 24 hr urine container; Add 25 Keep refrigerated during and after collection. Refrigerate
entire collection or 20 ml aliquot mL of 50% acetic acid prior to Measure the total volume. Then thoroughly mix the 24 urine in the
start of collection. Note: for container and transfer 20 mL into a plastic aliquot vial.
children under 5 yrs, add only Label container with full name and date of birth.
15 mL of acetic acid. 24 hour urine collections require the following additional information
with the order:
Test Information Unconjugated epinephrine, norepinephrine, and dopamine.
Additional Information When multiple tests are requested on the same specimen the following preservatives are acceptable: 6NHCL,
6NHNO3, Boric Acid and Thymol.
CATECHOLAMINE FRACTIONATION, PLASMA, FREE Order Code: CATFR 1038
Synonym CAT FX, Epinephrine, Dopamine Epic Code LAB870

CPT 82384

CATFR Dopamine DOPAM No postural <30 - pg/mL
Ref Code CATP change
CATFR Epinephrine EPINE Supine 111 - pg/mL
CATFR Epinephrine EPINE standing 141 - pg/mL
CATFR Norepinephrine NOREP Supine 70 - 750 pg/mL
CATFR Norepinephrine NOREP standing 200 - 1,700 pg/mL

4 ml plasma (Min: 2 ml) 1 chilled specialty tube, EDTA Place tubes in ice water for 10 minutes, then centrifuge for 10 Frozen
sodium meta bisulfite minutes. Transfer plasma to plastic vial and freeze immediately.
(Na2S205) Please call Client Services at (517) 364-7800 or (800) 884-2522 for
special tubes.
Test Information Evaluation of calcium oxalate and calcium phosphate kidney stone risk, and calculation of urinary supersaturations.
Evaluation of bone diseases, including osteoporosis and osteomalacia.
Patient Information Prior to drawing sample: 1) Discontinue epinephrine and epinephrine-like drugs for at least 1 week, 2) Patient must refrain
from eating, using tobacco, and drinking coffee or tea for at least 4 hours
CEA Order Code: CEA 1732
Synonym Carcinoembryonic Antigen Epic Code LAB57

CPT 82378

CEA CEA CEA 0.0 - 3.0 ng/mL

2 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temp, then Refrigerate
centrifuge.
CELL COUNT, BODY FLUID Order Code: BCELL 1521
Synonym White Count, WBC FLD Epic Code LAB209

CPT 89050
Method Hemacytometer-Bright Field Microscopy

BCELL WBC'S WBC
BCELL RBC'S RBC
BCELL PMN'S PMN
BCELL Mononuclear MONO
BCELL Eosinophils EOS
BCELL Other Cells OTHC

3 ml body fluid-indicate source 1 Lavender top EDTA tube, Gently invert EDTA tube. Submit to lab promptly. Refrigerate
Preferred or sterile container
CELL FREE DNA PRENATAL SCREEN Order Code: NIPS NIPS
Synonym Genetic Prenatal Screen, Trisomy prenatal screen,NIPT, Free DNA Test Epic Code LAB4416
CPT 81420
Method Whole Genome Sequencing of Plasma Cell-Free DNA
Scheduled Monday-Saturday at Mayo COMPONENT NIPS CODE LOINC REFERENCE RANGE

NIPS Reason for Referral 37874 Diagnosis - provided
Ref Code NIPS
NIPS Interpretation 37910 Interpretive report - provided
NIPS Result 37909 Chromosome Normal - low risk
NIPS Result Summary 37873 50397-9 Y Negative - Gender

present/abse
nt

NIPS Gestational age 37878
NIPS Maternal Weight 37877 Wt - pounds pd
NIPS Maternal Height 37876 Ht - inches in
NIPS Specimen 37875 Whole - blood

NIPS Number of Fetuses 37900
NIPS Method determining gest. age 37899 ultrasound - or LMP
NIPS Gestational age 37879

NIPS Released By 37914 Technical - Director
NIPS Disclaimer 37913
NIPS Additional Information 37912 free - text
NIPS Method 37911 Sequencing -

10 mL Whole Blood 2 - 10 mL Streck Tubes Gently invert tubes to mix sample. Room Temp
or Refrigerate
Test Information Note: Specimens received from patients who are considered "low risk" will not be rejected but insurance may not cover
testing.
Patient Information This screen is available for patients starting at 10-weeks gestation.
Additional Information Added to Catalog 12/01/16. Order a 1295/MISC/LAB4416 in Soft/Epic or other systems.
CEREBROSPINAL FLUID CELL COUNT Order Code: CCELL 1530
Synonym Spinal Fluid Cell Count, CSF Epic Code LAB212

CPT 89051
Method Hemacytometer
Department HEM

1 ml CSF 1 sterile tube Transport to lab immediately. DO NOT REFRIGERATE. Refrigerate
Test Information Volume, color, character, cell count, and differential if >10 WBCs.
CERULOPLASMIN Order Code: CERPL 1027
Synonym CER Epic Code LAB703

CPT 82390
Department STL Age 1 year to >100 year

CERPL Ceruloplasmin CERPL 18 - 58 mg/dL

centrifuge.
Patient Information Fasting specimen preferred
CHLAMYDIA SEROLOGY Order Code: CHLMS 1830
Synonym Chlamydia Ab, Chlamydia Antibodies Epic Code LAB790

CPT 86631 86631
Method Immunofluorescence
Department MICSO

centrifuge.
Patient Information Acute and convalescent samples 10-14 days apart preferred.
CHLAMYDIA TRACHOMATIS RNA BY APTIMA Order Code: CTRNG 6971
Synonym CT, APTIMA, C Trach Epic Code LAB4247

CPT 87491
Method Transcription-Mediated Amplification (TMA)

CTRNG Specimen Type SPMO7
CTRNG Chlamydia trachomatis CTRNA Negative -

Cervical, vaginal, urethral, self Aptima collection Vials: Swab, Female vag/cervical specimen step 1 - use the white swab Room
collect vaginal swab or random, self collect Vag swab, Urine provided to wipe away mucus and discard this swab. 2 - collect Temperature
"First Catch" urine collection. vial. Liquid PAP vial - Thin sample with the blue swab.
Prep or SurePath Male urethral collection, use blue swab only. Place swab in vial,
break at score line.
"First catch", initial stream urine collect in sterile urine cup; then
transfer to Aptima urine vial. Fill to fluid level line approx. 2 ml.
Test Information This is a reportable disease; Positives will be sent to the local (county) public health department.
Patient Information For urine specimens, patient should not have urinated for at least 1 hour prior to collection. Self-collect kits (orange
vials/Vag swab) and patient instructions provided by the lab PSC staff.
Additional Information May be combined with other STD test orders - GC, Chlamdydia and Trichomonas. When ordering a PAP screen and
STD testing we recommend sending the liquid vial for PAP plus submit Aptima vial (blue swab) for GC, CT and
TRVG. For medical-legal cases, culture is required. See Chlamydia culture test number 1476.
CHLORDIAZEPOXIDE Order Code: CDIAZ 1140
Synonym LIBRIUM, Limbitrol, Nordiazepam Epic Code LAB4035

CPT 80346 G0480
Method HPLC-UV
Department TOXS Age 1 day to >100 year

O CDIAZ Demoxepam CHLORD 500 - 1000 mcg/mL
CDIAZ Norchlorizaepoxide NORD

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li Heparin Refrigerate Refrigerate
Test Information Grey top or red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected.
CHLORIDE Order Code: CL 1041
Synonym CL Epic Code LAB59

CPT 82435

CL Chloride CL 96 - 110 mEQ/L

centrifuge.
CHLORIDE, 24HR URINE Order Code: UCL24 1392
Synonym CL 24 Hour Urine, 24 hr urine chloride Epic Code LAB4083

CPT 82436
Method Ion Specific Electrode

UCL24 CL 24 HR Urine UCLC 110 - 250 mEQ/24Hr
Ref Code Sparrow
UCL24 CL Non 24 Hr Ur UCL1
UCL24 Urine Volume UVOL measure - in mL
UCL24 Collection Time CINTV Time - in hours

entire collection or 20 ml aliquot preservative Measure the total volume. Then thoroughly mix the 24 urine in the
container and transfer 20 mL into a plastic aliquot vial and FREEZE.
with the order:
Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours. End
collection after saving first specimen of second morning.
Additional Information When multiple tests are ordered the following preservatives are acceptable: Boric Acid or 50% Acetic acid
CHLORIDE, RANDOM URINE Order Code: UCLR 1380
Synonym CL Urine, Urine chloride Epic Code LAB374

CPT 82436
Department CHM

20 ml single void urine sample Urine container, no Refrigerate Refrigerate
CHLORIDE, SWEAT Order Code: SWTCL 1040
Synonym Sweat Chloride Epic Code LAB1726

CPT 89230 82435 89360
Method Iontophoresis

M SWTCL Sweat Chloride Result SWCL2 borderline 40 - 60 mEQ/L
SWTCL Sweat Chloride Result SWCL2 Dx for CF > - 60 mEQ/L
SWTCL Sweat Chloride Result SWCL2 normal 0 - 40 mEQ/L

sweat collection Filter paper By appointment only. The technique requires the application of a Room
tiny (painless) electrical current that medically stimulates maximum Temperature
sweat production.
Test Information Call 517-364-7800 to schedule the test. Test available only at the main Laboratory location at Sparrow Hospital, 1215 E.
Michigan Ave, Lansing
Patient Information Please call Client Services at (517) 364-7800 or (800) 884-2522 to schedule an appointment. Test requires approximately
1.5 hrs.
CHOLESTEROL Order Code: CHOL 1042
Synonym Total Cholesterol, CHOL Epic Code LAB60

CPT 82465

CHOL Cholesterol CHOL M 125 - 200 mg/dL

CHOL Cholesterol CHOL F 110 - 170 mg/dL

centrifuge.
Patient Information Fasting specimen preferred.
CHOLESTEROL / HDL RATIO Order Code: CHDLR 1253
Synonym Cardiac Risk Factor, CHOL, HDL Epic Code LAB4054

Test Component CHOL,HDL CPT 83718 82465

CHDLR HDL HDL M 3.4 - mg/dL
CHDLR High Risk (3X) CHDL F 11.0 - %
CHDLR Cholesterol HDL Ratio CHDL F 11.0 - %
CHDLR Cholesterol CHOL F 3.3 - mg/dL
CHDLR High Risk (3X) CHDL M 23.0 - %
CHDLR Cholesterol HDL Ratio CHDL M 23.0 - %
CHDLR HDL HDL F 7.0 - mg/dL
CHDLR High Risk (3X) CHDL M 9.6 - %
CHDLR Cholesterol HDL Ratio CHDL M 9.6 - %

centrifuge.
Test Information CHOL/HDL RATIO is also a component of LIPID PROFILE.
CHOLESTEROL, FRACTIONATE IF ELEVATED Order Code: CHLFX 1278
Synonym CHOL, Lipoprotein Epic Code LAB4062

CPT 82465
Scheduled
Department CHM

1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright for 30 min. at room temperature, then Refrigerate
centrifuge.
CHROMIUM, S Order Code: CHROM 6841
Synonym Cr, Metals Epic Code LAB967

CPT 82495
Method Graphite Furnace Atomic Absorption Spectrometry

Mayo
Department MREF
CHROM Chromium CHROM 0.0 - 0.3 UG/L
Ref Code CRS

element tube centrifuge. Place serum in a metal free container.
CHROMOGRANIN A Order Code: CGA 2082
Synonym CHRO-A, CGA Epic Code LAB4161

CPT 86316
Method Enzyme Immunoassay

CGA Chromogranin A CGA 0 - 93 ng/mL
Ref Code CGAK

1 ml serum (min 0.5 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperture, then Frozen
centrifuge, separate, transfer to plastic tube and freeze
CHROMOSOMAL MICROARRAY, CONGENITAL, B Order Code: CMACB 10330
Synonym Molecular karyotype, SNP array, Congenital array Epic Code LAB4805
CPT 81229
Method Chromosomal Microarray (CMA) Using Affymetrix Cytoscan HD
Scheduled Monday-Friday at Mayo
Department MREF
Ref Code CMACB

3 mL Whole blood - EDTA and 3 1 Lavender top EDTA tube; 1 Gently invert several times to mix blood. Send both the EDTA and Room
mL Whole blood Na Heparin (min. green top sodium heparin Na Heparin specimens in original tubes. Temperature
2 mL)
Test Information Useful for first-tier, postnatal test for individuals with multiple anomalies that are not specific to well-delineated genetic
syndromes, apparently nonsyndromic developmental delay or intellectual disability, or autism spectrum disorders as
recommended by the American College of Medical Genetics (ACMG).
An appropriate follow-up test for individuals with unexplained developmental delay or intellectual disability, autism spectrum
disorders, or congenital anomalies with a previously normal conventional chromosome study.
CHROMOSOMAL MICROARRAY, PRENATAL Order Code: CMAP 10488
Synonym Molecular karyotype, Prenatal Screen, Whole genome array Epic Code LAB4806
CPT 81229
Method Chromosomal Microarray (CMA) using Affymetrix Cytoscan HD
Department MREF
Ref Code CMAP

20-30 mg Chorionic Villi/CVS 15-mL tube containing 15-mL Collection Instructions for CVS: Refrigerate
(Min. 5 mg); 20- 30 ml Amniotic of transport media for CVS; 1. Collect specimen by the transabdominal or transcervical method.
Fluid (Min. 5 ml) Amniotic fluid vial 2. Transfer chorionic villi to a Petri dish containing transport
medium.
3. Using a stereomicroscope and sterile forceps, assess the quality
and quantity of the villi and remove any blood clots and maternal
decidua.
Collection Instructions Amniotic Fluid:

1. Optimal timing for specimen collection is during 14 to 18 weeks
of gestation, but specimens collected at other weeks of gestation
are also accepted. Provide gestational age at the time of
amniocentesis.
2. Discard the first 2 mL of amniotic fluid.
Additional Information: Bloody specimens are undesirable.
Test Information Useful for prenatal diagnosis of copy number changes (gains or losses) across the entire genome and determining the size,
precise breakpoints, gene content, and any unappreciated complexity of abnormalities detected by other methods such as
conventional chromosome and FISH studies
See Mayo Medical Laboratories for additional information.
CHROMOSOME ANALYSIS, AMNIOTIC FLUID Order Code: CHRAF 10326
Synonym Karyotype, trisomy studies Epic Code LAB4800

CPT 88291 88235
Method Cell Culture followed by Chromosome Analysis
Department MREF
Ref Code CHRAF

20-25 mL Amniotic fluid, (Min. 10 screw capped amniotic fluid Collection Instructions: Refrigerate
mL) vial
1. Optimal timing for specimen collection is during 14 to 18 weeks
of gestation, but specimens collected at other weeks of gestation
are also accepted.
2. Discard the first 2 mL of amniotic fluid.
Test Information Useful for prenatal diagnosis of chromosome abnormalities, including aneuploidy (ie, trisomy or monosomy), structural
abnormalities and balanced rearrangements.
CHROMOSOME ANALYSIS, CHORIONIC VILLUS Order Code: CHRCV 10324
Synonym Chorionic villus sampling, CVS Chromosome analysis Epic Code LAB4798
CPT 88291 88235
Method Cell Culture followed by Chromosome Analysis
Department MREF
Ref Code CHRCV

3 mL Whole blood - EDTA and 3 1 Lavender top EDTA tube; 1 Gently invert several times to mix blood. Send specimens in Room
mL Whole blood Na Heparin (Min. green top sodium heparin original tubes. Temperature
2 mL)
Test Information Useful for prenatal diagnosis of chromosome abnormalities, including aneuploidy (ie, trisomy or monosomy), structural
abnormalities, and balanced rearrangements
CHROMOSOME ANALYSIS, CONGENITAL, B Order Code: CHRCB 10325
Synonym Trisomy studies, Karyotype, PUBS Epic Code LAB4799

CPT 88230 88291
Method Cell Culture with Mitogens followed by Chromosome Analysis
Department MREF
Ref Code CHRCB

5 mL whole blood; Cord blood 1 green top tube, Na Heparin Submit ONE specimen type. Indicate on the order what sample Room
(Min. 2 mL) type. Temperature
Gently invert several times to mix blood. Send specimen in original

tube.
Test Information Useful for diagnosis of congenital chromosome abnormalities, including aneuploidy, structural abnormalities, and balanced
rearrangements.
CITRATE EXCRETION, 24 HR URINE Order Code: CITR 6765
Synonym 24 Hr Urine, Citric Acid Epic Code LAB377

CPT 82507

CITR Cirate Excertion, U CITRT
Ref Code CITR
CITR Collection Duration TM51
CITR Citrate Concentration CITC1

24 hour urine collection; Submit 24 hr urine container; Add 10 Measure the total volume. Then thoroughly mix the 24 urine in the Refrigerate
entire collection or 20 ml aliquot grams Boric acid preservative container and transfer 20 mL into a plastic aliquot vial.
at the start of collection Label container with full name and date of birth. 24 hour urine
collections require the following additional information with the
order: preservative added; start date and time; end of collection
date and time; total volume measurement.
Test Information Useful for diagnosing risk factors for patients with calcium kidney stones.
Monitoring results of therapy in patients with calcium stones or renal tubular acidosis.
saving first specimen from the following morning.
Additional Information May use Toluene, added at the start of the collection for shared Oxalate, U 24 hr urine collections. Boric acid may be
added within 4 hours of completed collection.
CLINITEST FOR REDUCING SUGARS Order Code: CLIN 1596
Synonym Reducing Sugars Epic Code LAB554

CPT 84377
Method Benedict's Copper Reduction Reaction
Department HEM

2 ml single void urine (Min: 1 ml) Urine container, no Refrigerate Refrigerate
preservative
CLOMIPRAMINE, S Order Code: CLOMG 10516
Synonym Anafranil, FCLOM Epic Code LAB4817

CPT 80335

CLOMG Clomipramine 80902
Ref Code CLOM
CLOMG Norclomipramine 7983
CLOMG Clomipramine+Norclomipramin 7984 230 - 450 ng/mL

e

1 mL Serum (Min. 0.25 mL) 1 Plain red top tube Draw specimen immediately before next scheduled dose (minimum Refrigerate
12 hours after last dose).
Allow specimen to clot for 30 min. at room temperature. Centrifuge

and separate serum from cells within 2 hours of draw. Transfer
with pipette to plastic vial.
Test Information Useful for determining whether a poor therapeutic response is attributable to noncompliance and for monitoring serum
concentration of clomipramine and norclomipramine to assist in optimizing the administered dose.
Additional Information ** New Test 9/20/2016, Replaces test 7737/ FCLOM / LAB4817
CLOT TO HOLD Order Code: CLOT 1617
Synonym Specimen Hold Epic Code LAB286

CPT
Department BLB Age 1 to

CLOT Clot to Hold CLOT

5 ml EDTA Whole Blood 1 Lavender top EDTA tube DO NOT USE GEL BARRIER TUBE, Refrigerate Refrigerate
Test Information Hold tube for Blood Bank orders
Patient Information Sample label MUST contain patient's name, date of birth, AND social security number.
Additional Information To schedule transfusion, call Sparrow Hospital Admission Orders at (517) 364-2720
CLOZAPINE Order Code: CLOZ 6805
Synonym CLOZARIL Epic Code LAB4222

CPT 80159
Method Gas Chromatography with Flame Ionization and Nitrogen Phospate Detection (GC-FID/NPD)
Gas Chromtography Mass Spectrophotometry

Department TOX
CLOZ Clozapine CLOZ 100 - 700 ng/mL

2.5 ml serum (Min: 1.25 ml) 1 Plain red top tube Refrigerate - Specimen may be spun down once received in the Refrigerate
main lab.
Additional Information Specimens collected in gel separator tubes will be rejected.
CMV ANTIBODIES IGG/IGM Order Code: CMVGM 1841
Synonym Cytomegalovirus Epic Code LAB4144

Test Component 8092,8091 CPT 86644 86645
Method Latex Agglutination and ELISA
Scheduled Tuesday, Friday
Department IMM

centrifuge.
Test Information IgG and IgM antibodies. The presence of IgM class antibodies or a four-fold or greater rise in the IgG titer of paired sera
generally indicates recent infection. Stable levels of IgG generally indicate past exposure.
CMV ANTIBODY IGG Order Code: CMVIG 8092
Synonym Cytomegalovirus Ab Epic Code LAB467

CPT 86644
Scheduled Tuesday and Friday
Department IMM

centrifuge.
CMV ANTIBODY IGM Order Code: CMVIM 8091

CPT 86645
Method Chemiluminescent Enzyme Immunoassay
Department IMM

centrifuge.
CMV DNA DETECT/QUANT, P Order Code: CMVQU 10237

CPT 87497
Method Polymerase chain reaction (PCR)

CMVQU CMV X61861 Not - Detected IU/mL
Ref Code CMVQU

1.2 mL Plasma, (Min. 0.7 mL) 1 Lavender top EDTA tube Draw lavendar EDTA tube, spin down and remove plasma from Frozen
ove plasma from cells within 6 hrs cells within 6 hours from Draw.
of draw, freeze immediately. Freeze immediately.
Test Information Useful for detection and quantification of cytomegalovirus (CMV) viremia, monitoring CMV disease progression and
response to antiviral therapy.
Additional Information A result of "Detected, but <137 IU/mL (<2.14 log IU/mL)" indicates that CMV DNA is detected in the plasma, but the
assay cannot accurately quantify the CMV DNA present below this level.
COAG FACTOR II ASSAY, P Order Code: COAF2 10161
Synonym FII Activity, Prothrombin Epic Code LAB4624

CPT 85210
Method Prothrombin Clot-Based Assay
Department MREF
Ref Code F_2

1.0 mL Platelet-poor plasma 1 light blue top tube, NaCitrate LT BLUE CITRATE, SPIN, TRANSFER PLASMA, SPIN AGAIN, Frozen
TRANSFER PLASMA AND FREEZE
COAGULOPATHY PROFILE Order Code: COAPR 6655
Synonym Fibrinogen, Homocysteine, Protein S, Protein C, ATIII, Lupus Anticoagulant, Epic Code LAB4481
Anti-Cardiolipin, APTT CPT
Test Component Factor V Leiden, aPTT, Prothrombin G20210 Mutation, Anti-Cardiolipin
Antibody, Lupus Anticoagulant, ATIII, Homocysteine, Fibrinogen, Protein S,
Protein C
Scheduled
Department SPCO

Whole blood, Plasma and Serum 2 lavender top EDTA tubes, 2 See individual Tests for instructions. Room
light blue citrate and 1 red top Temperature
tube
Patient Information Patient must be fasting for Homocysteine levels. (Atleast 4 hours)
COBALT, S Order Code: COS 10164
Synonym CO Epic Code LAB4627

CPT 83789
Department MREF
Ref Code COS

2 mL serum, (min. 0.5 mL) Royal blue top PLAIN, trace Allow the specimen to clot for 30 minutes; then centrifuge the Refrigerate
element tube, Mayo supply specimen to separate serum from the cellular fraction. Remove the
T184 stopper. Carefully pour specimen into a Mayo metal-free,
polypropylene vial, avoiding transfer of the cellular components of
blood. Do not insert a pipet into the serum to accomplish transfer,
and do not ream the specimen with a wooden stick to assist with
serum transfer.
COCCIDIOIDES PRECIPITIN Order Code: COCPC 1689
Synonym Coccidioides Antibody Epic Code LAB791

CPT 86635

shift
Department MSER

centrifuge.
CODEINE Order Code: COD 2531
Synonym Tylenol 3 Epic Code LAB4419

CPT 80361
Method Gas Chromatography / Mass Spectrometry (GC/MS)
Department TOX

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li or Na Refrigerate Refrigerate
heparin
Additional Information Grey top or plain red top tube also acceptable. Specimens collected in gel separator tubes will be rejected.
COENZYME Q10 REDUCED AND TOTAL Order Code: Q10 7092
Synonym COQ, Q10, CO Q10 Epic Code LAB4260

Test Component Reduced CoQ10, Total CoQ10 and % reduced CoQ10 CPT 82542
Method HPLC with Electrochemical Detection

Mayo
Department MREF
Q10 CoQ10 Total Q10 433 - 1532 mcg/L
Q10 CoQ10 Reduced Comment 415 - 1480 mcg/L
Q10 Percent Reduced Comment 92 - 98 %

1.0 ml Plasma (Min 0.5 ml) 1 Green top tube, Na Heparin Immediately place specimen on ice if centrifugation is delayed. Frozen
Spin, separate plasma and freeze in plastic vial.
Test Information CoQ10 is sensitive to specimen handling and transport temperatures. Failure to follow the specimen handling and
transportation recommendations may lead to false-positive results. Hemolyzed samples will be rejected.
Patient Information Patient must be fasting for atleast 8 hours.
Additional Information Primary Coenzyme Q10 deficiency is rare and characterized by exercise intolerance, recurrent myoglobinuria,
developmental delays, ataxia and seizures. CoQ10 has also been implicated in disease processes associated with
aging and in statin induced myalgia
COLD AGGLUTININ TITER, S Order Code: CAGG 10168
Synonym Cold Aggl Epic Code LAB4631

CPT 86156 85157
Method CACNH Screen; CATTH: Titration-Red Cell Agglutination at 4 C
Titer CODE LOINC REFERENCE RANGE

COMPONENT 10168
Department MREF CAGG Cold Agglutinin Screen CACNH Negative -
CAGG Cold Agglutinin Titer CATTH <1:64 - Titer

Ref Code CAGG

4 mL serum, (min. 1.2 mL) 1 Plain red top tube Do not refrigerate before separation of serum from red cells. Refrigerate
Separate serum from red cells immediately. Serum may be
refrigerated after separation.
Ely after blood clots.
Test Information Useful for detection of cold agglutinins in patients with suspected cold agglutinin disease.
COLLAGEN TYPE II AB Order Code: FFTYC 10177
Synonym FTYC Epic Code LAB4640

CPT 83520
Method Enzyme Linked Immunosorbent Assay (ELISA)
Department MREF
Ref Code FFTYC

3 mL serum (min. 1 mL) 1 gel barrier SST tube Draw SST or plain red top. Allow specimen to clot for 30 minutes, Refrigerate
COMPLEMENT, TOTAL Order Code: MCOMP 1913
Synonym CH 100, CH 50, CH100, Complement Activity Epic Code LAB154

CPT 86162
Method Radial Immunodiffusion (RID)
Scheduled Tuesday, Friday COMPONENT 1913 CODE LOINC REFERENCE RANGE

MCOMP TL Complement Activity MCOMP 63 - 145 U

2 ml serum (Min: 1.5 ml) 1 Plain red top tube Allow blood to completely clot (> 30 min.) upright on ice, then Frozen
centrifuge. Pour serum into plastic vial and freeze immediately.
Non-frozen specimens will be rejected.
COMPLETE BLOOD COUNT NO DIFF Order Code: CBCND 1522
Synonym Partial Blood Count, PBC Epic Code LAB294

Test Component WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT CPT 85027
Department HEM Age 16 year to >100 year

CBCND RBC RBC 3.50 - 5.55 M/uL
CBCND MCV MCV 80 - 100 fL
CBCND WBC WBCIR 4.0 - 12.0 K/uL
CBCND Hemoglobin HGB F 12.0 - 15.0 g/dL
CBCND Hemoglobin HGB M 12.6 - 16.5 g/dL
CBCND Hematocrit HCT M 42.0 - 49.5 %
CBCND Hematocrit HCT F 36.0 - 45.0 %
CBCND MCH MCH 27.0 - 33.0 pg
CBCND MCHC MCHC 31 - 37 % (or g/dL)

CBCND Platelet Count PLT 150 - 400 K/uL
Age 5 day to 16 year

CBCND MCV MCV 75 - 95 fL
CBCND MCH MCH 24.0 - 32.0 pg
CBCND MCHC MCHC 32 - 36 % (or g/dL)


CBCND RBC RBC 4.10 - 5.30 M/uL

4 ml whole blood (Min: 0.6 ml) 1 Lavender top EDTA tube Gently invert multiple times to mix the EDTA anticoagulant with the Refrigerate
whole blood sample.
COMPLETE BLOOD COUNT with DIFF Order Code: CBCWD 1503
Synonym CBC, Cell Count Epic Code LAB293

Test Component WBC, RBC, HGB, HCT, MCV,MCH, MCHC, PLT, DIFF CPT 85025

CBCWD Platelet Count PLT 150 - 400 K/uL
CBCWD Monocytes MONO 0 - 11 %
CBCWD Basophils BASO 0 - 3.0 %
Age 7 year to 16 years

CBCWD RBC RBC 4.10 - 5.30 M/uL
CBCWD RBC RBC 3.50 - 5.55 M/uL
CBCWD Hemoglobin HGB M 12.6 - 16.5 g/dL
CBCWD Hemoglobin HGB F 12.0 - 15.0 g/dL
CBCWD Hematocrit HCT M 42.0 - 49.5 %
CBCWD Hematocrit HCT F 36.0 - 45.0 %
CBCWD MCV MCV 80 - 100 fL
CBCWD MCH MCH 27.0 - 33.0 pg
CBCWD MCHC MCHC 31 - 37 % (or g/dL)
CBCWD Neutrophils NEUT 49 - 81 %
CBCWD Lymphocytes LYM 14 - 41 %
CBCWD Eosinophils EOS 0 - 6.0 %

4 ml whole blood (Min 0.5 ml) 1 Lavender top EDTA tube Gently invert multiple times to mix the EDTA anticoagulant with the Refrigerate
whole blood sample.
Additional Information See individual test components for all age specific reference ranges.
COMPREHENSIVE PANEL Order Code: CMP 8177
Synonym CMP, Comprehensive Metabolic Panel, COMP Epic Code LAB17

Test Component CA, ALK PHOS, BILI, PROT, ALB, BUN, CREA, GLUC, AST, ALT, Lytes & eGFR CPT 80053
Department CHM Age 3 days to >100 year

CMP Sodium NA 135 - 145 mEq/L
Age 2 week to >100 year

CMP Bilirubin-Total BILI 0.2 - 1.2 mg/dL

CMP BUN BUN 6 - 23 mg/dL

CMP Albumin ALB 3.6 - 5.0 g/dL
CMP Total Protein TP 6.0 - 8.0 g/dL

CMP AST (SGOT) AST 10 - 40 U/L

CMP Creatinine CREAT 0.6 - 1.4 mg/dL

CMP Calcium CA 8.0 - 10.5 mg/dL
CMP Potassium (K+) K 3.5 - 4.9 mEq/L

CMP ALK. Phosphatase ALP M or F 0 - 120 U/L

CMP ALT (SGPT) ALT 2 - 45 U/L
CMP Glucose GLU 65 - 99 mg/dL
CMP Chloride CL 96 - 110 meq/L
CMP CO2 CO2 20.0 - 30.0 mmol/L

centrifuge.
Test Information Find all ages reference ranges under individual tests.
COPPER Order Code: CU 1369
Synonym CU Epic Code LAB817

CPT 82525
Method Inductively Coupled Plasma (ICP) emmission Spectroscopy

CU Copper CU 0.75 - 1.45 mcg/mL
Ref Code CUS

2 ml serum Royal blue top PLAIN, trace Centrifuge royal blue top and place serum in a metal-free pour off Refrigerate
element tube tube.
COPPER, 24HR URINE Order Code: UCU24 1054
Synonym Cu Urine, 24 hour urine Copper Epic Code LAB380

CPT 82525
Method ICP-MS

UCU24 Collection Duration COL19 8 - 24 hours
Ref Code CUU
UCU24 Copper, Ur CUMYO 15 - 60 mcg/L
UCU24 Copper-24HR Urine CU24H not - established mcg/Specimen

24 hour urine collection; Submit 24 hr urine container, no Preservative may be added within 4 hours of collection. Keep Refrigerate
entire collection or 20 ml aliquot preservative refrigerated during and after collection.
with the order:
Test Information Useful for Investigation of Wilson disease and obstructive liver disease.
Additional Information The following alternative preservatives are acceptable if multiple assays are requested: 6N HCL; 50% Acetic Acid
CORD BLOOD EVAL Order Code: CORD 1645
Synonym Neonatal blood bank work up Epic Code LAB892

Test Component Neonatal ABO, Rh, DAT, Immune Study and Antibody screen if indicated. CPT

CORD CORD Studies ABO

Cord Blood or Whole blood (min. 1 Plain red top tube with Cord IInpatient: bring directly to laboratory, without delay. Do not Refrigerate
2.0 ml) Blood sample or 2 Lav EDTA centrifuge, Bring directly to blood bank. Specimen must be
Microtainers labeled with patient first and last name, date of birth, date and time
of collection, and the initials of the person collecting.
If the specimen is a cord blood, it must also be labeled with the

word "CORD".
Patient Information Provide maternal antibody history (within last 3 months) and diagnosis, as available.
CORTISOL Order Code: CORT 1959
Synonym Total Cortisol Epic Code LAB61

CPT 82533

CORT Cortisol CORT AM 4.3 - 19.8 mcg/dL

CORT Cortisol CORT PM 3.1 - 15.0 mcg/dL

centrifuge.
CORTISOL FREE, 24 HR URINE Order Code: UCORT 1966
Synonym Cortisone, COCOU, Free Cortisol Epic Code LAB568

CPT 82530
Scheduled Monday -Saturday at Mayo
Department MREF
Ref Code CORTU

24 hour urine collection; Submit 24 hr urine container Add 10 grams of Boric Acid within 4 hours of completion of the Refrigerate
entire collection or 20 ml aliquot collection. Measure the total volume. Then thoroughly mix the
24 urine in the container and transfer 20 mL into a plastic aliquot
vial.
Label container with full name and date of birth. 24 hour urine
Additional Information Specimens collected in Boric Acid or 50% Acetic Acid are acceptable
CORTROSYN STIMULATION TEST Order Code: CORST 8145
Synonym CORTISOL STIM, CST, CORTICOSTERIODS, ACTH Epic Code LAB711

Test Component Baseline, 30 min. 60 min., and Interpretation CPT
Method Advia Centaur, Direct Chemiluminescence, Competitive
Department CHM

1 ml of serum (min:0.3) - PER 1 gel barrier SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
DRAW PER DRAW centrifuge.
Patient Information OUTPATIENTS* MUST BE *SCHEDULED With Infusion Center. 517-364-5510. Include cortrosyn worksheet.
Appointments are scheduled for 7 am, Monday through Friday.
Cortrosyn worksheet.
Additional Information Draw baseline immediately prior to admin of cortrosyn.
COXSACKIE A ACUTE ANTIBODY PANEL Order Code: CAAAB 8123
Synonym Enterovirus, Hand Foot Mouth Dis Epic Code LAB4315

CPT

Laboratory
Department MICSO

centrifuge.
COXSACKIE A CONVALESCENT Order Code: CAPAB 8124
Synonym Enterovirus, Hand Foot Mouth Dis Epic Code LAB4316

CPT 86658

Laboratory
Department MICSO

centrifuge.
Additional Information Test performed at Focus Laboratories
COXSACKIE B CONV. ANTIBODY PANEL Order Code: COXBC 8098
Synonym COX B1 Ab, COX B2, B3,B4, B5, B6 Ab Epic Code LAB4307
CPT

Laboratory
Department MICSO

centrifuge.
Additional Information Test performed at Focus Laboratories
C-PEPTIDE, S Order Code: CPEP2 10250
Synonym Cpeptide Epic Code LAB4725

CPT 84681
Method Chemiluminescent microparticle immunoassay (CMIA)
Scheduled Wednesday; afternoon shift COMPONENT 10250 CODE LOINC REFERENCE RANGE
Department MSER Age 1 day to >100 year

CPEP2 C-Peptide CPEP2 1986-9 0.8 - 3.9 ng/mL

1.5 ml serum (Min. 0.30 mL) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Transfer serum to plastic vial and refrigerate.
CPK Order Code: CPK 1059
Synonym CK, Creatine Phosphokinase Epic Code LAB62

CPT 82550

CPK CPK CPK M 0 - 400 U/L
CPK CPK CPK F 0 - 400 U/L

CPK CPK CPK M 0 - 200 U/L
CPK CPK CPK F 0 - 155 U/L

centrifuge.
C-REACTIVE PROTEIN Order Code: CRP 1775
Synonym CRP Epic Code LAB149

CPT 86140

CRP CRP CRP 0 - 1.0 mg/dL

1 ml serum or plasma (Min: 0.5 ml) 1 gel barrier SST tube or 1 Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
green top tube, Li heparin centrifuge.
CREATININE Order Code: CREAT 1057
Synonym CREAT Epic Code LAB66

CPT 82565
Method Spectrophotometry, kinetic

CREAT Creatinine CREAT 0.0 - 0.5 mg/dL







CREAT Creatinine EGFR Neg for CKD > - 60 mg/dL
CREAT Creatinine EGFR Moderate 59 - 30 mg/dL

decreased
CREAT Creatinine EGFR Severely 29 - 15 mg/dL
Decreased
CREAT Creatinine EGFR Kidney 14 - 0 mg/dL
Failure

centrifuge.
CREATININE CLEARANCE, 12 HR URINE Order Code: UCRC4 8199
Synonym CREAT, Timed Urine Epic Code LAB4328

Test Component 6637,1057 CPT
Scheduled Sunday - Saturday in CHM
Department CHM
Ref Code Sparrow

Timed Urine - 12 Hr 24 hr urine container Refrigerate urine during collection. Measure the total volume. Refrigerate
Then thoroughly mix the 24 urine in the container and transfer 20
mL into a plastic aliquot vial.
CREATININE CLEARANCE, U Order Code: UCRCL 1056
Synonym CR CL, 24 hr Urine, Creat Clear Epic Code LAB818

Test Component 1057 CPT 82575

UCRCL Collection Interval CINTV Time - in hours
Ref Code Sparrow
UCRCL Total Volume UVOL measure - in mL
UCRCL Patient Height HT required - in Inches
UCRCL Patient Weight WT required - in lbs
UCRCL Body surface area UBSA no-report calc. - m2
UCRCL CREAT NON 24HR UCRE1 0.0 - 1.0 mg/dL
UCRCL Creatinine-24 Hr UCREC F 800 - 1800 mg/24Hr
UCRCL Creatinine-24 Hr UCREC M 1000 - 2000 mg/24Hr
UCRCL Creatinine Clearance UCRCC F 75 - 115 mL/min
UCRCL Creatinine Clearance UCRCC M 85 - 125 mL/min

UCRCL Creatinine, serum CREA1 0.0 - 1.4 mg/dL

24 hour urine collection; Submit 24 hr urine container; no Serum MUST be drawn within 24 hours before or after urine Refrigerate
entire collection or 20 ml aliquot, preservative and 1 gold top collection. Allow blood to clot upright 30 minutes at room
plus 1 mL serum SST clot tube temperature, then centrifuge.
Measure the total volume, then thoroughly mix the 24 urine in the
with the order: preservative added; start date and time; end of
collection date and time; total volume measurement.
**Patient Height and Weight required**
Additional Information No preservatives acceptable.
CREATININE, 24 HOUR URINE Order Code: UCR24 1322
Synonym CREAT, 24 hour urine creatinine Epic Code LAB712

CPT 82570
Department CHM
Ref Code Sparrow

24 hour urine collection; Submit 24 hr urine container, no Refrigerate during collection. Measure the total volume. Then Refrigerate
entire collection or 20 ml aliquot preservative or may be thoroughly mix the 24 urine in the container and transfer 20 mL into
collected with any preservative a plastic aliquot vial.
Additional Information When multiple 24 hr urine tests are ordered, Boric acid, 6N HCL and 50% Acetic acid are acceptable.
CREATININE, URINE, RANDOM Order Code: UCRER 1319
Synonym CREAT Epic Code LAB384

CPT 82570
Department CHM

CRYOGLOBULIN Order Code: CRYOG 1061
Synonym CRYO, Cryofibrinogen Epic Code LAB713

CPT 82595 82585
Method Precipitation

CRYOG Cryoglobulin CRYOG M or F see - report %
Ref Code CRGSP

5 ml serum (clot at 37C) and 3 1 Plain red top tube Allow serum tube to clot for 1 hour at 37 C, then centrifuge at room Room
ml EDTA plasma. PREWARMED and 1 lavender temperature. Place serum and plasma in aliquot tubes. Label as Temperature
top tube, EDTA PREWARMED serum or plasma, and "clotted at 37C".
Test Information Specimen must be drawn at Sparrow Hospital or at other hospital laboratory and must reach lab within 4 hours of draw.
Patient Information Pre-warm collection tubes at 37 degrees C; separate plasma immediately; allow serum to clot at 37 degrees C, then
separate serum immediately after centrifugation.
Additional Information Specimens collected in gel separator tubes are not acceptable
CRYOPRECIPITATE Order Code: CRY 1614
Synonym CRYO Epic Code LAB486

CPT 36430
Department BLB

5 ml whole blood (Min: 2 ml) 1 - 7 ml Lavender top tube, Orders for cryoprecipitate, may not require a specimen collection. Refrigerate
EDTA One blood type required every 12 months prior to a transfusion.
If specimen needed: specimen must be labeled with patient first

and last name, date of birth, date and time of collection, and the
initials of the person collecting. Specimen Must be collected by
Sparrow personnel.
Test Information Indications for Use of Cryoprecipitate: treatment or prevention of bleeding due to significant hypofibrinogenemia.
Additional Information One blood type required every 12 months prior to transfusion. Call blood bank with questions about date of last
ABO/Rh type - 517-364-2020.
CRYPTOCOCCAL ANTIGEN, CSF Order Code: CAGFL 1439
Synonym CRYPTO, CSF, Cerebrospinal fluid, Cryptococcus neoformans Epic Code LAB927
CPT 86403
Method Latex Agglutination (CALAS)
Scheduled Sunday - Saturday, all COMPONENT 1439 CODE LOINC REFERENCE RANGE
shifts
Department MIC
CAGFL Cryptoccocal Ag, CSF CAGFL 5118-5 Negative -

1 ml CSF (Min: 0.5 ml) Sterile tube Outreach Hospital Laboratory Processing: Refrigerate
Centrifuge CSF at 1000g for 15 minutes.

Aspirate supernatant into sterile snap cap tube and label vial as
"Supernatant".
Use remaining cell pellet for inoculation of media if a culture is

ordered; or label separated sample and submit at room
temperature.
Test Information C. neoformans infection begins by inhalation of the fungus into the lungs, usually followed by hematogenous spread to the
brain and meninges. Involvement of the skin, bones, and joints may be seen.
Because none of the presenting signs or symptoms of cryptococcal meningitis are sufficiently characteristic to distinguish it
from other infections, determining cryptococcal antigen titers as well as culturing blood and CSF are useful in making a
diagnosis.
Additional Information The Cryptococcal Antigen Latex Agglutination System is a qualitative and semiquantitative test system for the detection
of capsular polysaccharide antigens of Cryptococcus neoformans in CSF.
CRYPTOCOCCAL ANTIGEN, SERUM Order Code: CAGBL 1438
Synonym CRYPTO, Crypto Ag Blood, Cryptococcus neoformans Epic Code LAB779

CPT 86403
Method Latex Agglutination (CALAS)
Scheduled Sunday - Saturday, all COMPONENT 1438 CODE LOINC REFERENCE RANGE
shifts
Department MIC
CAGBL Cryptoccocal Ag, S CAGBL 5119-3 Negative -

centrifuge.
Plasma or the use of anticoagulated tubes will not be accepted.
Test Information C. neoformans infection begins by inhalation of the fungus into the lungs, usually followed by hematogenous spread to the
brain and meninges. Involvement of the skin, bones, and joints may be seen.
Because none of the presenting signs or symptoms of cryptococcal meningitis are sufficiently characteristic to distinguish it
from other infections, determining cryptococcal antigen titers as well as culturing blood and CSF are useful in making a
diagnosis.
Additional Information The Cryptococcal Antigen Latex Agglutination System is a qualitative and semiquantitative test system for the detection
of capsular polysaccharide antigens of Cryptococcus neoformans in serum.
CRYPTOSPORIDIUM EXAM Order Code: EXCRY 8107
Synonym Cryptosporidiosis, Parasite Epic Code LAB4436

CPT 87207
Method Direct exam

EXCRY Cryptosporidium EXCRY 39534-3

5 ml feces (Min. 1 ml) Formalin and PVA vials (part Fill to line indicator on vial and invert multiple times. Inpatients: Room
of Para-Pak) Clean dry submit to microbiology within 2 hours of collection. Temperature
container/Grey tub for
inpatients only
Test Information Common Presentation: Prolonged watery diarrhea

Common Sources and Season: Contaminated water (recreational and drinking), unpasteurized apple cider.
Additional Information Stool specimens are concentrated to detect the coccidian oocytes. The oocytes stain positive with a modified acid-fast
stain.
CSF IGG INDEX Order Code: SFIN 4525
Synonym CSF, IGG, IGG INDEX Epic Code LAB555

CPT 82040 82042 82784
Method Nephelometry

SFIN CSF IgG Index CFIGG 0.00 - 0.85
Ref Code SFIN
SFIN CSF IgG CSIGG 0.0 - 8.1 mg/dL
SFIN CSF Albumin ALBCF 0.0 - 27.0 mg/dL
SFIN Serum Albumin ALBS 3200 - 4800 mg/dL
SFIN CSF IgG/Albumin IGALF 0.00 - 0.21
SFIN Serum IgG/Albumin IGALS 0.0 - 0.4
SFIN CSF Synthesis Rate SYNRT 0 - 12 mg/24h
Age 18 years to >100 year

SFIN Serum IgG IGGS 767 - 1590 mg/dL

1 ml CSF fluid and 1 ml serum 1 CSF plastic vial and 1 gel Refrigerate cerebrospinal fluid. Allow blood to clot upright 30 Refrigerate
barrier SST clot tube minutes at room temperature, then centrifuge.
Test Information Both cerebrospinal fluid and serum must be submitted
CULTURE, ACTINOMYCES Order Code: CXACT 8106
Synonym Actinomyces israelii, Anaerobe Epic Code LAB4311

CPT 87075
Method Culture
Scheduled Processed Daily
Department MIC

Abcess, wounds, biopsy or sterile Anaerobic swab or anaerobic Anaerobic transport swabs may be held at RT for <= 24hrs. All Room
body fluid container system others, process with in 1 hour. Document site and source with Temperature
collection date and time on container.
CULTURE, AEROBIC Order Code: CXAER 8063
Synonym Bacterial culture, Sensitivity, Wound culture Epic Code LAB897

Test Component Aerobic Culture with gram stain, ID and sensitivity included when indicated CPT 87070
Method Culture
Department MIC

Sterile swab Sterile container, swab Keep at Room temperature. Include site and source on the label Room
with 2 unique identifiers; First and Last name, and DOB or Sparrow Temperature
MRN.
Test Information Aerobic culture only. Indicated for lesions and superficial wounds.
Additional Information Clean area with sterile saline or alcohol swab prior to sampling. Collect from deep leading edge.
CULTURE, AEROBIC & ANAEROBIC Order Code: CXAAN 8044
Synonym Bacterial culture, C&S, Wound, Abcess culture, Aerobic and Anaerobic Epic Code LAB4291
culture CPT 87070
Test Component Aerobic and Anaerobic Cultures with gram stain, ID and sensitivity included when
indicated
Method Culture

CXAAN Anaerobic CXANA No - Growth
CXAAN Aerobic CXAER No - Growth

Varies: Tissue (1 cm), body fluid Sterile container, Swabs: Clean sampling area with sterile saline and or alcohol swab. Room
(1 ml) or swab site require Aerobic culturette (dual Collect from deep leading edge. Temperature
swabs) and Anaerobic Tissue: collect aseptically to submit 1 cm fresh tissue in a sterile
culturette container. Keep sample moist; add a couple drops of non-
bacteriostatic saline.
Expedite specimen to microbiology lab and keep at room
temperature.
Test Information When appropriate, cultures will include antimicrobial susceptibility testing to guide treatment and to determine whether the
strain of bacteria present is likely to respond to specific antibiotics.
Additional Information **Tissue and Fluid preferred over swab. Label container with 2 unique identifiers; First and Last name, and DOB or
Sparrow MRN. Site and Source information required: examples: Right Foot, toe deep abscess; Lower back ulcer.
Other: aspirate, blister, boil, incision, lesion, mass, nodule, pustule, rash, tissue, vesicle, etc.
CULTURE, ANTHRAX SCREEN Order Code: CXANX 2222
Synonym B. anthracis, Bacillus anthracis Epic Code LAB4166

CPT 87081
Method Culture
Department MIC

Sterile swab, or stool specimen Sterile swab, clean container Swabs in transport system may be held at room temperature for up Room
or Cary Blair vial for stools to 24 hours. Temperature
Additional Information Nasal swabs should be collected within 24 hrs of exposure.
CULTURE, BLOOD Order Code: CXBLD 1427
Synonym Septic, Bacteria Sepsis Epic Code LAB462

Test Component Aerobic and Anaerobic Cultures CPT 87040
Method Culture
Department MIC

18 ml whole blood (Min: 8 ml); 1-3 2 Blood Culture Bottles - Use ChloraPrep, 1-step Frepp, skin prep kit for appropriate Room
ml for children Aerobic Plus w ARDs, Grey venipuncture asceptic blood collection technique. Collection site Temperature
top (fill 810 ml) and prep, for adults, locate vein, remove Frepp pinch ampule to
Anaerobic Purple top (8-10 break. Place sponge on arm at site & push down to saturate the
ml). Use 1 Bactec pink sponge / scrub for 30 seconds. Air-dry for 30 seconds. Gently
pediatric bottle for age 12 and invert the bottles several times to mix contents. Keep at Room
under. Temp. for transport
Test Information 2 -SPS (yellow top) tubes may be used by Sparrow Emergency Dept caregivers and/or Sparrow Hospital IV nurse collection
ONLY.
Patient Information For minimum volumes- Adult patients: *12 ml Total: fill 8 ml in aerobic (grey) bottle and 4 ml to anaerobic (purple) bottle.
*10 ml Total: add 7 ml in aerobic and 3 ml in anaerobic bottle. *8 ml Total: add 5 ml to aerobic and 3 ml to anarobic bottle.
Additional Information For butterfly collections use Vacutainer Brand Luer adapters. Clean tops of bottles with 70% Isopropyl alcohol pads.
Label both blood culture vials with First & Last Name and DOB. Indicate the date/time of collection, collectors initials
and the site of collection. Refer to Blood Culture Collection procedure for newborn/infant skin prep procedure.
CULTURE, BLOOD - ANTIBIOTIC Order Code: CXARD 1912
Synonym ARDS, Resin bottle, Blood culture Epic Code LAB4149

CPT 87040
Method Culture
Department MIC

20 ml whole blood (Min: 13 ml); 3 Adult: 1 Purple Bactec and 1 Transport to lab immediately. DO NOT REFRIGERATE. Use Room
ml pediatric (Min: 1 ml) grey Bactec/PLUS bottle. appropriate venipuncture asceptic blood collection technique Temperature
Pediatric (12 and under): Add
3 ml blood directly into pink
BACTEC bottle.
CULTURE, BLOOD FOR FUNGUS Order Code: CXFNB 1428
Synonym Fungal Culture Epic Code LAB242

CPT 87103
Method Culture
Department MIC

10 ml (Min: 6 ml) For children < 2 DuPont Isolator Atube or Room temperature Room
years, 1.5 ml in pediatric isolator. Pediatric Isolator Temperature
Test Information This test is for mold and diphasic fungus. If you suspect yeasts (e.g., Candida), order Blood Cultures.
Additional Information Specimens collected in BACTEC bottles are not acceptable.
CULTURE, BODY FLUID AEROBIC Order Code: CXFAE 7601
Synonym Body Fluid, Fluids, Synovial fluid, Pleural fluid Epic Code LAB4276
Test Component Aerobic Culture with Gram stain; ID and sensitivity included when indicated CPT 87070
Method Culture
Department MIC

2 ml Fluid (Min. 0.5 ml) Sterile screw top container, Document fluid site and source on container and on the order - Room
Sterile syringe or Plain Red example, synovial fluid, right knee. Temperature
top tube
Test Information Body fluid type must be specified and written on the order.
Additional Information Body Fluid Types: Abdominal Fluid, Peritoneal Fluid, Bile, Duodenal Fluid, Chest Fluid, Pericardial, Thoracentesis
Fluid, Pleural Fluid, Dialysate Fluid, Amniotic Fluid, Seroma Fluid, or Synovial Fluid
CULTURE, C. DIPHTHERIAE Order Code: CXDIP 1440
Synonym Diphtheria Culture, Corynebacterium diphtheria Epic Code LAB4088

CPT 87081
Method Culture
Department MIC

Throat swab Culturette II Swab DO NOT REFRIGERATE. TRANSPORT TO LAB PROMPTLY. Room
Temperature
CULTURE, CEREBROSPINAL FLUID Order Code: CXCSF 1437
Synonym Culture, CSF, CSF culture, Meningitis Epic Code LAB268

Test Component GRAM, CXCSF CPT 87070
Method Culture
Department MIC

1 ml CSF (Min: 0.5 ml) Sterile tube Transport to lab immediately. DO NOT REFRIGERATE. Second Room
(2nd) tube should be used for culture. Temperature
Test Information Gram stain slide, Stat, and culture
Additional Information Please indicate upon order if viral PCR testing is requested (HSV, VZV or EV).
CULTURE, CERVICAL/VAGINAL Order Code: CXCV 1448
Synonym Genital Culture Epic Code LAB465

Test Component Culture findings. No Gram Stain reported. CPT 87070
Method Culture
Department MIC

Cervix, vaginal, Endocervical Culturette II Aerobic Swab Room temperature Room
Temperature
Test Information For suspected yeast infections, it is recommended to order a Yeast Culture (1433).
For STD testing - GC, Chlamydia and Trichomonas testing available by PCR - Order 6970/NGRNG, 6971/CTRNG & 10148/
TRIVG collect Aptima swab or urine transport vial.
Additional Information This test should NOT be ordered for urethral, penis or placenta. No Gram stain is reported with the culture.
CULTURE, CHLAMYDIA TRACHOMATIS Order Code: FCTRC 10226
Synonym CT, C. TRACH, CXCT Epic Code LAB244

Test Component Z0725 - c. Trachomatis Culture, Z2085 - Source CPT 87140 87110
Method Cell Culture
Scheduled
Department MICSO
Ref Code FCTRC

Genital, Fluids, Eye, Rectal, Swab in Viral Transport Media Collect specimen into viral-chlamydia transport media (M4, M5). Frozen
Tissue (fresh) (Chlamydia) Freeze immediately. Source required.
Test Information Test Performed by: Focus Diagnostics, Inc.
CULTURE, FLUID AEROBIC AND ANEROBIC Order Code: CXBF 1429
Synonym Body Fluid Culture Epic Code LAB269

Test Component Aerobic and anaerobic cultures, Gram stain; ID and sensitivity included when CPT 87070
indicated
Method Culture
Department MIC

Misc. Body Fluid 2 ml (Min: 0.5 ml) Sterile container, sterile Collect in an anaerobic transport tube. We recommend collecting Room
syringe (needle removed) or 0.5 mL from the aspirated site in an anaerobic transport tube. For Temperature
anaerobic transport tube sample volumes > 20 mL, aseptically inject 10 mL fluid into an
Aerobic (grey top) blood culture bottle and 10 mL fluid into an
Anaerobic (purple top) blood culture bottle.
Document Site and Source on the order.
Test Information Indicate body fluid types on the order.
Additional Information Fluid Types: Abdominal fluid, Peritoneal fluid, Bile, Duodenal Fluid, Chest fluid, Pericardial, Thoracentesis fluid, Pleural
fluid, Dialysate Fluid, Amniotic fluid, Seroma fluid, or Synovial fluid
CULTURE, FUNGAL Order Code: CXFUN 1443
Synonym Mycelia, Fungus, Mycology Culture, Fungal Culture Epic Code LAB240
CPT 87102
Method Culture
Department MIC

Skin scraping, hair, nail; body Culturette II, Sterile container Collect scrapings into the black paper envelope and place in a Room
fluids, biopsy, respiratory or Black paper envelope sterile cup. The black envelope may be used to recover skin, nail Temperature
specimens. or hair samples. The contrast between the sample and dark paper
allow visualization of even small amounts of scrapings. Keep at
room temperature
Test Information Negative cultures held 4 weeks.
Additional Information Diagnosis, site and source very critical.
CULTURE, GC Order Code: CXGON 6737
Synonym Neisseria Gonorrhoeae Epic Code LAB235

CPT 87081
Method Culture
Department MIC

Various sources Call client services for Expedite to microbiology lab at Room temperature. For non genital Room
transport media sources, clearly label specimen with identifiers and site. Temperature
CULTURE, LEGIONELLA Order Code: CXLEG 1451
Synonym Legionnaires, pneumonia Epic Code LAB902

CPT 87081
Method Culture

CXLEG Legionella species CXLEG No - Growth

2 ml respiratory sample or Tissue Sterile container Expedite to microbiology lab. Keep at room temperature Room
(min. 1 ml) Temperature
Test Information The Legionellaceae bacteria are ubiquitous in natural fresh water habitats, allowing them to colonize man-made water
supplies, which may then serve as the source for human infections. Legionella pneumophila and the related species,
Legionella bozemanii, Legionella dumoffii, Legionella gormanii, Legionella micdadei, Legionella longbeachae, and
Legionella jordanis have been isolated from patients with pneumonia (Legionnaires disease). The organism has been
isolated from lung tissue, bronchoalveolar lavage, pleural fluid, transtracheal aspirates, and sputum. The signs, symptoms,
and radiographic findings of Legionnaires disease are generally nonspecific.
Additional Information Lung biopsy or Respiratory specimen types: Bronchial washings, bronchoalveolar lavage, pleural fluid, sputum or
transtracheal aspirates. Negative cultures held 10 days.
CULTURE, OPHTHALMIC Order Code: CXOPH 6759
Synonym Eye, Ocular Culture Epic Code LAB943

CPT 87070
Scheduled
Department MIC

Retina, corneal scrappings, tear Inoculated media, Swab or Expedite specimen to microbiology lab at room temperature. Room
duct sterile container Document exact site submitted. Temperature
CULTURE, RESPIRATORY Order Code: CXRES 7600
Synonym Sputum, Upper Respiratory, Lower Respiratory, Respiratory Culture Epic Code LAB4275
Test Component Culture with Gram stain; ID and sensitivity included when indicated CPT 87070
Method Culture
Department MIC

Sputum, Trach Asp, Bronchial, Sterile container Specimen is stable for 2 hours at room temperature. Specimen Refrigerate
Max. Sinus, Nasopharyngeal must be labeled with patient first and last name, date of birth or
MRN and Source
Test Information Useful for an aid in the diagnosis of lower respiratory bacterial infections including pneumonia.
Patient Information Early morning sample is best. Have patient gargle and rinse mouth with water. Instruct patient to collect sputum from
deep cough directly into sterile container; do not hold in mouth.
Additional Information Samples with >25 epithelial cells indicate contamination with mouth flora and require recollection. No gram stain
reported for Nasal and NP samples.
CULTURE, STOOL - CAMPYLOBACTER Order Code: CXSCM 6645
Synonym Stool Culture, Enteric Pathogen, Campy, Campylobacter jejuni Epic Code LAB1290
CPT 87046
Method Culture
Department MIC

5 ml feces (Min: 1 ml) Cary Blair transport media - Fill stool sample to line indicator on cary blair vial. Keep at Room Room
Yellow top vial Temperature. Temperature
Test Information Common Presentation: Fever, abdominal cramps, and diarrhea within 6-48 hours, fecal leukocytes often present.
Common Sources and Season Poultry, unpasteurized milk and dairy products; Peak season spring, summer
Treatment Recommendations Most patients recover without antimicrobial therapy. Antibiotics have been shown to reduce
symptom duration by 1.3 days and are recommended for severe illness (high fever, bloody, severe, or worsening diarrhea)
or risk factors for complications (elderly, pregnant women, immunocompromised).
Additional Information Must order Salmonella and Shigella Culture (CXSSS/6630) along with this test for outpatient orders.
CULTURE, STOOL - HEMORRHAGIC E.COLI Order Code: CXSEC 8103
Synonym E.Coli O157:H7, Enteric Pathogen, Epic Code LAB4308

CPT 87046
Method Culture
Department MIC

5 ml feces (Min: 1 ml) Cary Blair Media Gently mix specimen in the cary blair vial. Refrigerate Refrigerate
Test Information Common Presentation: Bloody diarrhea with minimal fever within 3-8 days
Common Sources and Season: Unpasteurized milk, fresh produce, ground beef, petting zoos.
CULTURE, STOOL - SALMONELLA & SHIGELLA Order Code: CXSSS 6630
Synonym Stool Culture, Enteric Pathogen, E. Coli 0157, Shiga toxin Epic Code LAB4040
Test Component E. Coli 0157, Shiga Toxin by EIA CPT 87045
Method Culture
Department MIC

Test Information Common Presentation: Fever, abdominal cramps, and diarrhea within 6-48 hours, fecal leukocytes often present
Common Sources and Season: Poultry, eggs, dairy products, produce, reptile contact. Peak season summer, fall
Patient Information Stool submitted in diaper unacceptable
Additional Information ** First required order type for Stool Cultures. Order other enteric pathogens separately. Clean dry container (accepted
for inpatients only); Inpatient specimens without preservative must be received within 2 hours in microbiology lab.
Outpatients, submit in Cary Blair Media.
CULTURE, STOOL - VIBRIO Order Code: CXSVB 8040
Synonym Enteric, V. parahaemolyticus or V. vulnificans, Vibrio cholerae Epic Code LAB1289

CPT 87046
Method Culture
Department MIC

5 ml feces (Min: 1 ml) Clean dry container (inpatient Room temperature Room
only) or Cary-Blair transport Temperature
media
Test Information Common Presentation: Fever, abdominal cramps, and diarrhea within 6-48 hours, fecal leukocytes often present.
Vibrio cholera presents with abdominal cramps and large volume watery diarrhea within 16-72 hours
Common Sources and Season: Shellfish, travel to Haiti or other areas where cholera is endemic
Treatment Recommendations: V. parahaemolyticus or V. vulnificans, Most patients recover without antimicrobial therapy.
Unclear if antibiotics shorten the duration of illness. Consider in severe or prolonged diarrhea.
The Treatment Recommendations for Vibrio cholera require oral rehydration is the key intervention. Antibiotics shorten the
duration of illness and are recommended.
Patient Information Stool submitted in diaper unacceptable.
Additional Information Outpatient orders must also inlcude an order for salmonella/shigella culture (test 6630). Inpatient orders collected
without preservative must be received in microbiology within 2 hours.
CULTURE, STOOL - YERSINIA Order Code: CXSYR 6644
Synonym Stool Culture, Enteric Pathogen, Yersinia enterocolitica Epic Code LAB1288
CPT 87046
Method Culture
Department MIC

5 ml feces (Min: 1 ml) Cary Blair transport media - Fill sample to line indicator on cary blair vial. Keep at Room Room
Test Information Common Presentation: Fever and abdominal cramps within 1-11 days, with or without diarrhea, fecal leukocytes often
present.
Common Sources and Season: Unpasteurized milk, undercooked pork, chitterlings. Peak season winter
Treatment Recommendations: Most patients recover without antimicrobial therapy. Unclear if antibiotics shorten the
duration of illness.
Patient Information Stool submitted in diaper unacceptable
Additional Information Clean dry container (accepted for inpatients only). Outpatient orders must also inlcude an order for salmonella/shigella
culture, CXSSS.
CULTURE, STOOL -AEROMONAS & PLEISIOMONAS Order Code: CXSAP 6631
Synonym Stool culture, Enteric Pathogen, Plesiomonas shigelloides Epic Code LAB4053
CPT 87046
Method Culture
Department MIC

Test Information Common Presentation: Severe abdominal cramps, and diarrhea within 6-48 hours
Common Sources and Season: Fresh water, shellfish, international travel.
Additional Information Clean dry container (accepted for inpatients only), Outpatient orders must also include an order for salmonella/shigella
culture, CXSSS.
CULTURE, STOOL ENTERIC PATHOGENS Order Code: CXSTO 1467
Synonym Salmonella, Shigella, E. Coli, Campy, Yersinia, Inpatient Stool Culture Epic Code LAB223
Test Component Salmonella, Shigella, E.Coli0157, Campylobacter, Yersinia, Vibrio, Aeromonas, CPT 87045
and Shiga Toxin by EIA
Method Culture
Department MIC

5 ml feces (liquid) or walnut-sized Cary Blair Media (Para-pak Unpreserved specimens are accepted only for inpatient if collected Room
formed yellow lid vial) or grey tub for in clean, dry container and received in microbiology within 2 hours. Temperature
inpatient only - submit Specimens preserved in Formalin, SAV, or PVA will be rejected.
promptly to lab
Test Information This test is for Hospital inpatients ONLY. Order individual tests for outpatients. Includes screening for Salmonella,
Shigella, Campylobacter, Yersinia, Vibrio, Aeromonas
CULTURE, THROAT Order Code: CXTHR 1470
Synonym Strep Throat, GAS, Strep pyogenes Epic Code LAB228

CPT 87070
Method Culture
Department MIC

Pharynx, tonsillar fossa Culturette II, Aerobic swab Room temperature Room
Temperature
Test Information Infections with Streptococcus pyogenes (Group A Strep) my cause impetigo, deep or invasive infections, bacteremia,
sepsis, cellulitis and necrotizing fasciitis. Serious sequelae including scarlet fever, rheumatic fever, glomerulonephritis, and
toxic shock syndrome can result from infections with this organism.
Additional Information S. pyogenes remains sensitive to penicillin. Normal Respiratory Flora cultures reported in 2 days.
CULTURE, UREAPLASMA & MYCOPLASMA Order Code: CXMU 1453
Synonym Ureaplasma, Mycoplasma Epic Code LAB944

CPT 87109
Method Culture
Department MIC

Urethral or Urogenital specimens: Sterile container or Culturette Urogenital specimens: sample the desired site vigorously to obtain Refrigerate
Cervix/vaginal or semen; tissue II swab (red top dual swab) as many cells as
biopsy, urine or nasopharyngeal Other acceptable swabs: possible. Dacron or polyester swabs with aluminum or plastic
from infants minitip swab or dacron shafts must be used.
polyester swab is acceptable Do not use lubricants or antiseptics prior to collection.
for Mycoplasma and
Ureaplasma testing. Place specimen in M4RT (Viral Transport, VTM) media.
Urethral swabs from men and vaginal swabs from women are
preferred over urine specimens for
detection of genital mycoplasmas. Urine specimens from women
should be obtained by
catheterization. For men the first flow of a first-void specimen (Non-
clean catch/dirty urine) should be submitted.
Specimen can NOT be shared with urine culture.
Tissues - like placenta, endometrium, fallopian tube or urinary

calculi. Collect in a sterile container, place 0.3 to 1.5 of M4RT
media (VTM) for transport.
Specimens should be sent at RT immediately (in-patient only) or if

transport delayed (any outpatient specimen) should be refrigerated
at 4 degrees C. If transport is >24 hours the specimen should be
frozen at -70 degrees C .
Test Information Mycoplasma hominis, Ureaplasma urealyticum
CULTURE, URINE Order Code: CXURN 1474
Synonym UTI, C&S, Urine Culture Epic Code LAB239

CPT 87086
Method Culture
Department MIC

Clean catch, catheter, Grey top C&S tube (min. 3.0 Urine Grey Top C&S Tube with Sterile Transfer Straw Kit - Start by Room
cystoscopic, suprapubic urines ml). Sterile urine container, if gently swirling the closed specimen cup from the clean catch urine Temperature
(Min: 1 ml) < 3.0 ml sample collection.
Next, open the kit which includes the grey top C&S vacutainer tube
and the sterile transfer straw. Insert the straw end of the transfer
device into the open urine cup and pierce the grey top tube with the
needle adapter. Vacuum from the tube will draw up the urine
specimen.
Test Information Colony count, identification (ID) of significant isolates and sensitivity performed when indicated.
Patient Information Please follow Clean Catch Urine instructions.
Additional Information Grey top Specimen must NOT be shared: Preservatives contained in the C&S tube inhibits contamination and
enhances pathogen growth. These same preservatives interfere with urinalysis testing and/or microscopic sediment
examination.
CULTURE, YEAST Order Code: CXYST 1433
Synonym Candida albicans, Yeast Culture Epic Code LAB241

CPT 87102
Method Culture
Department MIC

Miscellaneous Sterile container, Culturette II Indicate collection site and source on the Vial. Refrigerate Refrigerate
swab, urine culture grey top
C&S tube
Test Information For sensitivity due to treatment failures, add the note: "Perform Sensitivity if Positive" on the order or call Microbiology
direct at 517-364-2543.
Additional Information If you suspect a urinary tract infection caused by Yeast but are not certain, order both the Urine Culture 1474/LAB239
and a Yeast culture. Submit urine in a grey top C&S tube.
CYANIDE Order Code: CYAN 2522

CPT 82600
Method Spectrophotometer
Department TOX

4 ml whole blood (Min: 2.0 ml) 1 gray top tube, NaFl Refrigerate. Do not centrifuge. Refrigerate
CYCLIC CITRULLINATED PEPTIDE AB (ANTI-CCP) Order Code: CCPAB 2072
Synonym CCP, ANTI CCP, CIT, CITRU Epic Code LAB851

CPT 86200
Scheduled 7 days a week; morning COMPONENT 2072 CODE LOINC REFERENCE RANGE
and afternoon shift
Department MSER
CCPAB Cyclic Citrullinated Ab CCPAB Negative 0.0 - 19.9 units
CCPAB Cyclic Citrullinated Ab CCPAB Weak Pos 40.0 - 59.9 units
CCPAB Cyclic Citrullinated Ab CCPAB Positive - 60.0 units
CCPAB Cyclic Citrullinated Ab CCPAB Equivocal 20.0 - 39.9 units

1 ml serum (Min: 0.5ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centifuge.
CYCLOSPORA/ISOSPORA EXAM Order Code: EXCYL 8074
Synonym Parasite, Cyclospora cayetanensis, Sarcocystis, Oocytes exam Epic Code LAB4300
CPT 87207
Method Microscopic exam
Scheduled Monday - Friday, day shift COMPONENT 8074 CODE LOINC REFERENCE RANGE

EXCYL Cyclospora/Isospora EXCYL 10659-1

5 ml feces (Min. 1 ml) Formalin vial preferred; part of Fill to line indicator on vial and invert multiple times. Inpatients: Room
Para-Pak, Clean dry submit to microbiology within 2 hours of collection. Temperature
container/Grey tub for
inpatients only

Common sources: Imported fresh produce or meat.
Cyclospora cayetanensis and Isospora belli have been identified as a causative agents of diarrhea. They can cause serious
disease in immunocompetent persons and clinical Sarcocystis infections can manifest as intestinal disease if infected meat
is ingested.
Additional Information Stool specimens are concentrated to detect the coccidian oocytes. The oocytes stain positive with a modified acid-fast
stain.
CYCLOSPORIN Order Code: CYCLO 1025
Synonym Neoral, Sandimmune, CSA, Gengraf Epic Code LAB874

CPT 80158
Method High Pressure Liquid Chromatography (HPLC)

CYCLO Cyclosporine CYCLO 100 - 400 ng/mL

1 ml whole blood (Min: 0.5 mL) 1 Lavender top EDTA tube DO NOT OPEN TOP. DO NOT CENTRIFUGE. Send whole blood Refrigerate
Test Information Therapeutic range applies to trough specimens.
Additional Information Submitting the minimum specimen volume makes it impossible to repeat the test. A minimum volume may result in a
QNS result, requiring a second specimen to be collected.
CYSTATIN C WITH ESTIMATED GFR, S Order Code: CYSTC 10296
Synonym Cystatin C, eGFR Epic Code LAB4760

CPT 82610
Method Immunoturbidimetric

CYSTC Cystatin C CYSC 33863-2
Ref Code CYSTC
CYSTC eGFR EGFRC 50210-4

centrifuge.
Test Information Cystatin C: Useful for an index of glomerular filtration rate, especially in patients where serum creatinine may be misleading
(eg, very obese, elderly, or malnourished patients) and assessing renal function in patients suspected of having kidney
disease
CYSTIC FIBROSIS MUTATION PANEL Order Code: CFPAN 10206
Synonym CF Screen, CF Carrier Screen, Maternal CF mutation Epic Code LAB4683

Test Component 23 CFTR mutations plus 4 variants recommended by the ACMG and ACOG, plus CPT 81220
16 of the worlds most common and North Americans prevalant mutations.
Method PCR
Scheduled Twice a week COMPONENT 10206 CODE LOINC REFERENCE RANGE

CFPAN Race or Ethnicity provided CFRCE
CFPAN CF Result CFRST
CFPAN CF Mutation Found CFPOS
CFPAN Race or Ethnicity CFRAC
CFPAN Comment CFCMT
CFPAN Additional Information CFINF

10 mL whole blood (Min: 5.0 mL) 2 Lavender top EDTA tubes Whole blood Specimen must NOT be shared with other Room
preferred or ACD tube departments. Do not freeze specimens. Maintain whole blood at Temperature
acceptable room temp (20-25C or 68-77F) at clinic & during transport.
Test Information Genotyping is performed using Multiplex Polymerase Chain Reaction (PCR), Allele Specific Primer Extension (ASPE) and
Tag Sorting using the Luminex 100/200xMAPTM platform. This test is intended for Carrier testing and is performed at
Sparrow Molecular diagnostics.
Patient Information Patient ethnicity (European Caucasian, Ashkenazi Jewish, African American, Hispanic American, Asian American or other
and mixed ethnicity). Indication for performing the test (carrier or diagnostic). Family history (positive or negative for CF).
Additional Information Specimens that are not accompanied with the necessary Required patient information will be tested only after obtaining
the required additional information.
CYSTICERCOSIS ANTIBODY Order Code: CYSAB 8065
Synonym Cystic Ab Epic Code LAB1082

CPT 86682

Friday, Saturday
Department MREF
Ref Code CYSWB

centrifuge.
CYSTINURIA PROFILE, QNT, 24 hr URINE Order Code: CYSTP 6642
Synonym Amino Acid Screen, Cystine Epic Code LAB387

CPT 82136
Method Ion-Exchange Chromatography
Department MREF Age 3 year to >100 years

CYSTP Collection Duration COLD9 Time - in hours
Ref Code CYSQN
CYSTP Total Volume UVOL8 measure - in mL
CYSTP Reviewed by MRVB1

CYSTP Cystine CYSTN 11 - 53 mcmol/24hr
CYSTP Lysine LYSIN 19 - 140 mcmol/24hr
CYSTP Ornithine ORNIT 3 - 16 mcmol/24hr
CYSTP Arginine ARGIN 10 - 25 mcmol/24hr

CYSTP Cystine CYSTN 28 - 115 mcmol/24hr
CYSTP Lysine LYSIN 32 - 290 mcmol/24hr
CYSTP Ornithine ORNIT 5 - 70 mcmol/24hr
CYSTP Arginine ARGIN 13 - 64 mcmol/24hr

24 hour urine collection; Submit 24 Hr Urine container; Add 20 Keep refrigerated during and after collection. Frozen
entire collection or 10 ml aliquot mL of toluene as preservative Measure the total volume. Then thoroughly mix the 24 urine in the
at start of collection or container and transfer 20 mL into a plastic aliquot vial and FREEZE.
refrigerate during collection Label container with full name and date of birth.
with the order:
Test Information Quantitative results are provided for Cystine, Arginine, Lysine and Ornithine
Patient Information Void and discard first morning specimen. Place all subsequent samples in collection container for next 24 hours. Terminate
Additional Information When multiple tests are ordered, only Toluene or refrigeration is acceptable.
CYTOLOGY, NON GYN, FLUIDS Order Code: CYTO 1843
Synonym CYTO, Abdominal cells, Urine cyto, FLD, Effusion Epic Code LAB4001
CPT
Method Microscopy
Scheduled Monday-Saturday
Department CYT

20 ml aliquot plus 20 ml of Clean container large enough Refrigerate Refrigerate
cytology fixative or 50% alcohol. to allow addition of fixative.
Send additional aliquot plus clots Also closed bag or bottle of
unfixed. unfixed portion.
Patient Information Indicate anatomic site and clinical history, especially any previous cancer history.
D-DIMER Order Code: DIMER 1266
Synonym FDP, FSP Epic Code LAB313

CPT 85379
Method Immunoturbidometric
Scheduled Monday-Saturday COMPONENT 1266 CODE LOINC REFERENCE RANGE

DIMER D-Dimer D-DIMER 0 - 1.59 mg/L

1 ml plasma 1 Light blue top tube, Centrifuge blue top and remove plasma. Refrigerate
NaCitrate (3.2%)
Test Information If the specimen cannot be tested within 8 hours of collection, freeze plasma.
Sparrow Laboratories Online Test Catalog D
D-DIMER DVT/PE Order Code: DVT 6854
Synonym FSP,FDP Epic Code LAB1120

CPT 85379
Method Photo-Optical
Department COA

2 ml plasma (min: 1 ml) 1 Light blue top tube, Centrifuge specimen and freeze plasma in plastic tube. Frozen
NaCitrate (3.2%)
DEOXYCORTISOL, SERUM Order Code: DEOXY 1301
Synonym 11-Deoxycorticosteroid, Tetrahydro Epic Code LAB975

CPT 82634
Scheduled
Department MREF

2 ml serum (Min. 0.30 ml) 1 Plain red top tube or gel Centrifuge and send 0.3 mL serum refrigerated. Morning draw is Refrigerate
barrier SST tube preferred.
DESMOGLEIN 1 and 3, S Order Code: DSG13 10165
Synonym DSG1, DSG3 Epic Code LAB4628

CPT 83516 83516
Scheduled Monday; 8 a.m. at Mayo
Department MREF
Ref Code DSG13

1.0 mL serum (min. 0.5 mL) 1 Plain red top tube preferred Gel barrier acceptable. Allow the specimen to clot for 30 minutes; Refrigerate
then centrifuge.
Test Information Useful for preferred screening test for patients suspected to have an autoimmune blistering disorder of the skin or mucous
membranes (pemphigus).
DEXAMETHASONE SUPPRESSION TEST Order Code: DEXSP 1286
Synonym Cortisol stimulation test Epic Code LAB4065

CPT 82533

DEXSP Dexamethasone Suppression DEXSP 0.0 - 5.0 mcg/dL

centrifuge.
Patient Information Instruct patient to ingest 1 mg of dexamethasone at 11:00 p.m. Draw blood sample for cortisol analysis at 8:00 am the
following day.
DHEA Order Code: DHEA 1265
Synonym Dehydroepiandrosterone Epic Code LAB522

CPT 82626
Method Radioimmunoassy (RIA)
Scheduled Mon. Wed, Friday at Mayo COMPONENT 1265 CODE LOINC REFERENCE RANGE
Department CHM Age 19 year to 49 year

DHEA DHEA DHEA M 2.3 - 12.8 ng/dL
DHEA DHEA DHEA F 1.2 - 10.9 ng/dL

DHEA DHEA DHEA M 1.2 - 9.2 ng/dL
DHEA DHEA DHEA F 0.5 - 5.4 ng/dL

2 ml serum (Min: 0.6 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temprerature, then Refrigerate
Additional Information EDTA plasma is an acceptable specimen. Specimen can be frozen after arrival in laboratory.
DHEA SULFATE Order Code: DHEAS 1312
Synonym Dehydroepiandrosterone Sulfate, DHEA-S,DHEAS Epic Code LAB524

CPT 82627

Friday
Department CHM
DHEAS DHEA-Sulfate DHEAS F 35.0 - 430.0 ug/dL
DHEAS DHEA-Sulfate DHEAS M 80.0 - 560.0 ug/dL

centrifuge.
DIAZEPAM and NORDIAZEPAM, S Order Code: MDIA 10224
Synonym Benzodiazepines, Valium, Tranxene Epic Code LAB4703

CPT 80346 G0480
Method High-Performance Liquid Chromatography (HPLC)
Scheduled Thursdays at Mayo COMPONENT 10224 CODE LOINC REFERENCE RANGE

MDIA Nordiazepam X2475 0.2 - 1.0 mcg/mL
Ref Code DIA
MDIA Diazepam X8629 0.2 - 0.8 mcg/mL
MDIA Diazepam & Nordiazepam X2459 16757-7 0.4 - 1.8 mcg/mL

3.0 ml Serum (Min: 1.1 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful for assessing compliance, monitoring for appropriate therapeutic level and assessing toxicity. Toxic Level >= 5.0
mcg/mL
DIC SCREEN Order Code: DIC 1121
Synonym Diseminated intravascular coagulation, Ddimer Epic Code LAB4028

Test Component PT, INR,APTT, FIBRINOGEN, D-DIMER, PLATELET COUNT CPT
Method PT, APTT, FIB: Photo-Optical, D-DIMER: Immunoturbidometric,
Department COA

Plasma and Whole Blood 1 Light blue top tube, INPATIENT - ALL SPECIMENS, BRING DIRECTLY TO Room
NaCitrate (3.2%) / 1 Lavender LABORATORY, WITHOUT DELAY Temperature
top tube, EDTA
Test Information Inpatient testing
Additional Information INR (Internal Normalized Ratio). INR value is useful only for patients on oral anticoagulants such as Coumarin.
DIGOXIN Order Code: DIG 1953
Synonym Lanoxin, Digitek, DIG Epic Code LAB23

CPT 80162

DIG Digoxin DIG 0.8 - 2.0 ng/mL

Test Information Sample must be obtained 6 to 8 hours after last dose.
DIHYDROTESTOSTERONE Order Code: DHTS 1326
Synonym DHT Epic Code LAB977

CPT 80327 G0480
Method RIA after oxidation and extraction
Scheduled Tuesday, Friday at Mayo COMPONENT 1326 CODE LOINC REFERENCE RANGE
Department MREF Age 20 year to 39 year

DHTS DiHydrotestosterone DHTS F 50 - 250 pg/mL
DHTS DiHydrotestosterone DHTS M 150 - 1240 pg/mL

DHTS DiHydrotestosterone DHTS M 150 - 980 pg/mL
DHTS DiHydrotestosterone DHTS F 50 - 137 pg/mL

Serum 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
1-25 DIHYDROXYVITAMIN D Order Code: DHVD 6804
Synonym calcitriol Epic Code LAB536

CPT 82652
Method Cartridge Extraction and Radioimmunoassay (RIA)
Department MREF
Ref Code DHVD

centrifuge.
Test Information Useful as a second-order test in the assessment of vitamin D status, especially in patients with renal disease and
differential diagnosis of hypercalcemia.
Patient Information Draw specimen following a minimum 4 hour fast.
Additional Information While 1,25-dihydroxy vitamin D is the most potent vitamin D metabolite, levels of the 25-OH forms of vitamin D more
accurately reflect the body's vitamin D stores. Consequently, 25-Hydroxyvitamin D2 and D3, Serum is the preferred
initial test for assessing vitamin D status.
DIPHENHYDRAMINE Order Code: DPHM 40006
Synonym Benadryl, Nytol, Unisom, Sominex, Compoz, Genahist, Hydramine Epic Code LAB4408
CPT 80375
Method GC-FID/NPD

DPHM Diphenhydramine DPHMB 100 - 1000 ng/mL

2.5 ml plasma (Min: 1.25 ml) 1 gel barrier SST tube Refrigerate Refrigerate
Test Information Grey top or red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected
DIPHTHERIA TOXOID IgG Ab, S Order Code: DIPGS 10245
Synonym DIP Vaccine Response Epic Code LAB4718

CPT 86317

DIPGS Diptheria Toxoid IgG Ab DIPG Vaccinated Positive - 0.01 IU/mL
Ref Code DIPGS
DIPGS Diptheria Toxoid IgG Ab DIPG Unvaccinated Negative - < 0.01 IU/mL

centrifuge.
Test Information Useful for determining a patients immunological response to diphtheria toxoid vaccination.
Additional Information Interpretation: results > or =0.01 IU/mL suggest a vaccine response. Replaces test 8075/DIPAB
DIRECT COOMBS Order Code: DAT 1611
Synonym Antiglobulin Test, Direct, DAT Epic Code LAB274

CPT 86880
Department BLB Age 1 day to >100 years

DAT Direct coombs DAT Negative -

4 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube INPATIENT: Bring directly to laboratory, without Room
delay. OUTPATIENT: Keep at room Temperature
temperature or refrigerate. Specimen must be labeled with patient
first and last name, date of birth, date and time of collection, and
the initials of the person collecting.
Patient Information Provide transfusion history (within last 3 months), current medications and diagnosis, as available.
DISACCHARIDASE SCREEN AND PH Order Code: SREDX 1571
Synonym Stool pH & Reducing Substance Epic Code LAB109

CPT 83986
Method Clinitest Method

SREDX Clinitest Post-Hydrolysis STPST
SREDX Clinitest Pre-Hydrolysis CTPRE
SREDX Stool pH STPH

2 ml feces (fresh) Stool container, no TRANSPORT TO LAB PROMPTLY. Sample must be received in Refrigerate
preservative. hematology within 2 hours
DISOPYRAMIDE Order Code: DISOP 1190
Synonym Norpace Epic Code LAB1393

CPT 80299
Method Immunoassay
Scheduled Sunday - Saturday at Mayo COMPONENT 1190 CODE LOINC REFERENCE RANGE

DISOP Disopyramide DISOP 2.0 - 4.5 mcg/mL

1 ml serum (Min: 0.5 ml) 1 green top tube, Li heparin Refrigerate Refrigerate
Additional Information Specimens collected in plain red top tubes and specimens collected with common anti-coagulants are acceptable.
ANTI- DNASE B TITER Order Code: DNASE 1846
Synonym D-NASE Antibody Epic Code LAB4460

CPT 86215
Method Enzyme Inhibition
Scheduled Twice weekly COMPONENT 1846 CODE LOINC REFERENCE RANGE
Department QST Age 1 day to 5 year

DNASE Anti-DNASE B DNASE 0 - 85 Titer



centrifuge.
Test Information Anti-Dnase is performed on all normal ASO titers
DONOR DIRECTED Order Code: DIR 1554
Synonym Donor Unit Epic Code LAB4487

CPT
Method Red Cross

DIR Directed Unit DIR

Blood Unit Collection No Specimen To order a Donor Directed transfusion, place this order for number Refrigerate
of units, donor directed. Then Call Lansing Red Cross for more
information or to set up a directed donation.
Test Information Handled by Lansing Red Cross
DOXEPIN AND NORDOXEPIN, S Order Code: DOXP 10203
Synonym Adapin, Sinequan, Nordox Epic Code LAB4669

Test Component Doxepin, Nordoxepin CPT 80335 80166

DOXP Doxepin MDOXP 3582-4
Ref Code DXPIN
DOXP Nordoxepin MNORD
DOXP Doxepin and Nordoxepin MDXNO 50 - 150 ng/mL

1.0 mL serum (min. 0.25 mL) 1 Plain red top tube Draw specimen immediately before next scheduled dose (or at a Refrigerate
minimum 12 hours after last dose). Allow blood to clot upright 30
minutes at room temperature, then centrifuge. Serum must be
separated from cells within 2 hours of draw.
Test Information Useful for monitoring therapy, evaluating potential toxicity, evaluating patient compliance.
DRUG ABUSE PANEL, URINE Order Code: DAPU4 1277
Synonym DAPUA, TCA Epic Code LAB4061

CPT 80301 G0479
Method Enzyme Immunoassay, Spot Tests

DAPU4 Drug Panel DAPU4 All drugs - Neg

Test Information Amphetamines, Barbiturates, Benzodazepines, Cocaine metabolites, Opiates, Phencyclidine, Phenothiazines,
Propoxyphenes, Salicylates.
Additional Information Presumptive positive tests will have confirmatory testing in Toxicology
DRUG SCREEN, COMPREHENSIVE Order Code: CDS 2510
Synonym Base line Comprehensive drug screen, Medication monitoring screen Epic Code LAB4447
Test Component Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Methadone, Opiates, CPT 80301 G0479
PCP, THC, Tricyclic Antidepressants, Hypnotics, Sedatives, Stimulants, Volatiles
Method Immunoassay, GC/MS and LC/MS/MS

Spectrum
Department SO
CDS Drug Screen, Comprehensive CDS Negative -

Urine, random; Minimum - 25 mL Urine container, no CDS whole blood collections Preferred, 6 gray top, tubes; Room Temp
preservative Minimum volume 4 gray top tubes or Refrigerate
Whole blood
6 mL gray top tube, Oxalate Do not centrifuge.
and Sodium Fluoride
Test Information Screening and confirmatory testing (if necessary) will be performed on urine specimen. Qualitative testing on whole blood
can be added if appropriate.
Additional Information **Specimen type changes March 2017.
DRUGS OF ABUSE PANEL Order Code: DAPU5 10205
Synonym Medical Drug Screen, Compliance monitoring drug screen Epic Code LAB4675
Test Component Amphetamines, Barbiturates, Benzodazepines, Cocaine metabolites, Opiates, CPT 80307 G0479
Phencyclidine (PCP)
Method Enzyme Immunoassay, Spot Test

DAPU5 Specific Gravity Val. Check U4SPG
DAPU5 pH Validity Check U4PHV
DAPU5 THC UTHC3
DAPU5 PCP PCPU3
DAPU5 Oxycodone UOXC4
DAPU5 Opiates OPIU3
DAPU5 Methadone UM3TH
DAPU5 Ecstasy UXTC4
DAPU5 Amphetamines D3AMP M or F Negative -
DAPU5 Barbs BRBU3
DAPU5 Benzodiazepines BNZU3
DAPU5 Cocaine BEUM3

10 ml Random urine sample Sterile urine container Label with patient first and last name, date of birth or Sparrow Room Temp
MRN. Tightly close lid and transport in specimen bag with order or Refrigerate
form.
Test Information Medical Drug Screen Test reported Presumptive Positive for Screen with Confirmation to Follow
Additional Information Replaces DSU10
Sparrow Laboratories Online Test Catalog d
dsDNA ANTIBODY Order Code: DSDNA 1762
Synonym AB To Native DNA (n-DNA), Double -Stranded Epic Code LAB648

CPT 86225

Friday
Department IMM
DSDNA dsDNA Antibody DSDNR Negative -
DSDNA dsDNA Antibody TITER < - 1:10

centrifuge.
Test Information Titer, if positive.
EBV EARLY ANTIGEN Order Code: EBVE 1934
Synonym EBV-EA, Early Antigen Epic Code LAB654

CPT 86663
Method Indirect Immunoflorescencse (IFA)
Department IMM

centrifuge.
Sparrow Laboratories Online Test Catalog E
EBV PANEL Order Code: EBV 1930
Synonym ANTI-EBV, VCA IGG, VCA IGM, EBNA, EPSTEIN-BARR Epic Code LAB863
CPT 86664
Scheduled Monday, Thursday COMPONENT 1930 CODE LOINC REFERENCE RANGE
Department IMM Age 6 year to >100 year

EBV VCA IgG VIGG Negative - Titer
EBV VCA IgM VIGM Negative - Titer
EBV EBNA (Nuclear) EBNA Negative - Titer

centrifuge.
EBV VCA IgG Order Code: VIGGT 5901
Synonym EPSTEIN-BARR Epic Code LAB1730

CPT 86663
Department IMM

centrifuge.
ECHINOCOCCUS ANTIBODY Order Code: ECHIG 8066
Synonym Hydatid Disease Epic Code LAB1234

CPT 86682

Friday, Saturday
Department MREF

centrifuge.
EFFEXOR Order Code: EFFEX 6852
Synonym Venlafaxine Epic Code LAB4234

CPT 80338
Method High Performance Liquid Chromatography with Ultraviolet Detection (HPLC-UV)
Scheduled
Department TOX

3.0 ml plasma 1 green top tube, Na Heparin Centrifuge green top tube and pour plasma into a plastic tube. Refrigerate
Test Information Red top - gel barrier tubes and green top tubes lithium heparin are not acceptable. Specimen collected in plain red top or
lavender top EDTA tubes are acceptable
ELECTROLYTES Order Code: LYTES 1249
Synonym Serum Electrolytes, NA, K+, CO2, CL Epic Code LAB16

Test Component NA,K+,CO2,CL,GAP CPT 80051
Department CHM Age 17 year to >100 year

LYTES Potassium (K+) K 3.5 - 4.9 meq/L

LYTES GAP AGAP 2 - 16
LYTES Chloride CL 96 - 110 meq/L
LYTES CO2 CO2 20.0 - 30.0 mmol/L
LYTES Sodium NA 135 - 145 meq/L

centrifuge.
Test Information Sodium, Potassium, Chloride, Carbon Dioxide, Anion Gap
ELECTROLYTES, URINE, RANDOM Order Code: ULYTE 1205
Synonym LYTES, ELEC Epic Code LAB565

CPT 84300 84133 82436
Department CHM Age to

ULYTE NA-NON-24 Hr-Ur ULYTNA
ULYTE CL-Non 24 Hr Ur ULYTCL
ULYTE K-NON-24 Hr Ur ULYTK

Test Information Sodium, Potassium, Chloride
EMERGING ARBORVIRUS PANEL Order Code: EABVR 10529
Synonym Zika Virus, Chikungunya Virus, Dengue Virus Epic Code LAB4785
CPT 84999 87798
Method PCR and ELISA
Scheduled Performed at MDCH and COMPONENT 10529 CODE LOINC REFERENCE RANGE
CDC
Department MDCH
EABVR Specimen Source MSRCE
EABVR Zika Virus RNA ZIKVR 79190-5
EABVR Chikungunya Virus RNA CHKVR
EABVR Dengue Virus RNA DNGVR
EABVR Emerging Arbovirus Comment MEMRG

Serum, Urine, CSF, Amniotic Fluid 1 - gold top SST tube, Sterile Serum: Allow specimen to clot at room temperature for 30 Refrigerate
container(s) minutes; centrifuge and transfer to plastic vial.
Serum is tested for for Zika viral nucleic acid (CDC, Trioplex RT-
PCR assay), for Zika antibodies (CDC, IgM capture MAC-ELISA
assay), and for dengue and chikungunya IgM antibodies (capture
ELISA).
Urine, cerebral spinal fluid (CSF) and amniotic fluid specimens will
be accepted for Zika PCR testing ONLY if they are accompanied
by serum specimens.
Test Information Call your local health department or MDHHS epidemiologists at 517-335-8165 for approval. Accurate dates for symptom
onset and travel to Zika-endemic areas, as well as information about unprotected sex with someone (male or female) who
has traveled to Zika-endemic areas are required.
All specimens must be accompanied by a MDHHS supplemental questionnaire -
http://www.michigan.gov/documents/mdhhs/MichiganZikaSupplementalQuestionnaire_5-5-2016_003_524044_7.pdf
If the questionnaire is submitted directly to MDHHS, include the case number on the order
Patient Information Patients should bring the questionnaire with the order requisition to a Sparrow Laboratory service center for serum and
urine collections.
Additional Information ** New Test 11/03/2016 - For assistance in ordering or submitting specimens to the laboratory contact Loretta Beebe,
Sparrow Hospital Microbiology Section Chief at (517) 364-2047 or Loretta.Beebe@Sparrow.org
Please order a separate Emerging Arbovirus test for each specimen type to be sent.
ENDOMYSIAL ANTIBODIES IGA, SERUM Order Code: AEA 8029
Synonym Antimesothelial Antibody, Celiac Disease Epic Code LAB774

CPT 86255
Method Indirect Immunofluorescence Assay
Scheduled Tuesday and Friday, COMPONENT 8029 CODE LOINC REFERENCE RANGE
Dayshift
Department IMM
AEA Endomysial IgA EIGA Negative -
AEA Endomysial IgA Titer EIGAT <1:10 -

1.5 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate or
centrifuge. Specimen stable 7 days refrigerated or frozen 21 days. Frozen
ENTAMOEBA HISTOLYTICA ANTIBODY Order Code: EHIST 1670
Synonym E.Histolytica, Amebic Antibody, Parasite Epic Code LAB4113

CPT 86753
Scheduled Mon. Wed, Friday at Mayo
Department MREF
Ref Code SAM

centrifuge.
ENTEROVIRUS BY PCR Order Code: PCEVG 8134
Synonym COXSACKIEVIRUS, Echovirus, Hand Foot Mouth Disease, Enterovirus D68 Epic Code LAB1333
CPT 87498
Method PCR
Scheduled Monday - Friday, varies
Department MDX

1 ml CSF Min. 0.5 ml), 1 gm CSF in Sterile container, CSF, centrifuge to remove blood before freezing. Swabs: transport Refrigerate or
Stool, Rectal, NP, throat, genital, EDTA tube, culturette swab for at RT. Throat swabs, NP Floq Swabs and Stool placed in VTM, Frozen
lesion or eye swabs, Plasma, throat specimens or Floq swab keep at 2-8C. Freeze stool if not placed into VTM immediately
Respiratory samples (BAL, for NP samples, viral transport upon receipt. Plasma: centrifuge within 2 hrs of
tracheal aspirate, NP and nasal media (VTM)
washing)
Non- respiratory tissue samples
(Aortic Valves)
Test Information Interpretation: A positive result indicates the presence of Enterovirus in the specimen. Enterovirus D68 is included and can
be detected with this test.
Additional Information Enterovirus D68 testing requires an nasopharyngeal (NP) Floq swab source.
ENTEROVIRUS BY PCR, Blood Order Code: BLEV 10243
Synonym EV Blood Test, EV virus Epic Code LAB4714

CPT 87498
Method PCR
Scheduled Monday - Saturday in DNA COMPONENT 10243 CODE LOINC REFERENCE RANGE
Lab
Department MDX
BLEV Enterovirus BLEV Not - Detected

2 ml plasma (Min. 0.5 mL) 1 - 7 ml Lavender top tube, Centrifuge EDTA tube and separate plasma within 4 hours. Refrigerate
EDTA
Test Information The detection of enterovirus is based upon transcription of specific enterovirus RNA sequences followed by PCR
amplification and detection. A positive PCR result should be considered in conjunction with clinical presentation and
additional established diagnostic tests. A negative PCR result indicates only the absence of enterovirus RNA in the sample
tested and does not exclude the diagnosis of disease.
Equivocal results are those that fall between the lowest limit of detection and the background level.
Additional Information ** New Test available at Sparrow Molecular Lab 6/09/15. This test or one or more of its components was developed
and its performance characteristics determined by Sparrow Laboratories. It has not been cleared or approved by the
U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This
test is used for clinical purposes. It should not be regarded as investigational or for research. Sparrow Laboratories is
certified under CLIA-88 as qualified to perform high complexity clinical laboratory testing.
EOSINOPHILS, NASAL Order Code: NEOS 1507
Synonym Nasal Eosinophils Epic Code LAB328

CPT 89190
Method Wright Stain, Microscopy
Department HEM

Have patient vigorously blow nose Clean container, swab Refrigerate Refrigerate
into plastic wrap, then fold and
place wrap in clean urine
container. A swab of the nose
(Nasopharyngeal Calgi-Swab
Type I) may be used.
EOSINOPHILS, PUSTULE Order Code: POES 1532

CPT 87205
Department HEM

Glass slides prepared from pustule slide Room temperature, unfixed. Room
Temperature
EOSINOPHILS, SPUTUM Order Code: SEOS 1539

CPT 87205
Department HEM

0.5 ml sputum or air dried slide Sputum Cup Refrigerate Refrigerate
EOSINOPHILS, URINE Order Code: UEOS 1597
Synonym Urine EOS Epic Code LAB4102

CPT 89051
Department HEM

preservative
ERYTHROPOIETIN Order Code: EPO 1070
Synonym Epogen, EPO, Hematopoietin, Hemopoietin, Polycythemia Epic Code LAB873

CPT 82668
Method Automated Immunochemiluminometric Assay (ICMA)

EPO Erythropoietin EPO 2.6 - 18.5 mIU/mL
Ref Code EPO

2 ml serum (Min: 1 ml) 1 gel barrier SST tube, Allow blood to clot upright 30 minutes at room temperature, then Refrigerate or
(Heparin plasma specimens centrifuge. Freeze serum in plastic tube. Specimens may be Frozen
are acceptable) frozen after arrival in Central Processing.
Test Information An aid in distinguishing between primary and secondary polycythemia. Differentiating between appropriate secondary
polycythemia (eg, high-altitude living, pulmonary disease, tobacco use) and inappropriate secondary polycythemia (eg,
tumors)
Identifying candidates for erythropoietin (EPO) replacement therapy (eg, chronic renal failure).
ESSENTIAL FATTY ACID Order Code: ESSFA 1071
Synonym C12-C22, Fatty Acid Profile Essential Epic Code LAB987

CPT 82542
Method Gas Chromatography-Mass Sprectromety (GC-MS)
Scheduled Monday - Friday at MAYO
Department MREF
Ref Code FAPEP

4 ml serum (Min: 1.5 ml) 1 gold top SST clot tube Transfer serum to plastic vial and freeze. (Specimens collected in Frozen
heparin and EDTA are acceptable.)
C1 ESTERASE INHIBITOR AG, S Order Code: C1ESR 6842
Synonym Esterase Epic Code LAB4232

CPT 83520
Method Nephelometry
Scheduled Monday-Saturday at Mayo
Department MREF

1 ml serum. (min. 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Freeze serum in plastic tube.
Test Information Specimen may be frozen after arrival in Laboratory.
ESTRADIOL, SERUM Order Code: EST 1072
Synonym E2, Hormone Epic Code LAB523

CPT 82670
Department CHM Age 1 day to 12 years

EST Estradiol EST F 0 - 59 pg/mL

EST Estradiol EST F 0 - 433 pg/mL

EST Estradiol EST M 0 - 47 pg/mL

centrifuge. Refrigerate.
ESTRIOL Order Code: ESTRL 1260
Synonym E3, UE3 - Unconjugated Estriol Epic Code LAB4057

CPT 82677
Method Fluoroimmunometric
Department MREF

centrifuge.
Test Information This test is intended to monitor the course of pregnancy. Normal values are limited based on gestational age.
ESTROGEN TOTAL Order Code: TOTES 1291
Synonym EST, ESTRONE, E1 Epic Code LAB981

CPT 82672
Scheduled
Department MREF

2 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Room
Temperature
ESTRONE Order Code: ESTRR 9037
Synonym E1 Epic Code LAB982

CPT 82679
Department MREF
Ref Code E1

centrifuge.
ETHOSUXIMIDE (Zarontin) Order Code: ETHSX 1188
Synonym Zarontin Epic Code LAB683

CPT 80168
Method Immunoassay

ETHSX Ethosuximide ETHSX 40 - 75 ug/mL
Ref Code ETHSX
ETHSX Toxic Concentration ETHSX 40 - 75 ug/mL
ETHSX Ethosuximide ETHSX - 100 ug/mL
ETHSX Toxic Concentration ETHSX - 100 ug/mL

1.0 ml plasma (min. 0.5 ml) 1 green top tube, Li Heparin Centrifuge, transfer plasma to a plastic tube. Refrigerate
Additional Information Specimens collected in plain red tops and EDTA plasma are acceptable.
ETHYLENE GLYCOL Order Code: EG 1015
Synonym Antifreeze Epic Code LAB714

CPT 82693
Method Gas Chromatography with Flame Ionization Detection (GC-FID)
Department TOXS Age 1 day to >100 year

O EG Ethylene Glycol ETGLY 5646-5 Negative - mg/dL
EG Propylene Glycol PRGLY 12552-6 None - Detected

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li Heparin Refrigerate Refrigerate
Test Information Grey top and red top are also acceptable specimens. Specimens collected in serum separator tubes will be rejected
EVEROLIMUS, B Order Code: EVROL 10169
Synonym Afinitor, Evero, Zortress Epic Code LAB4632

CPT 80169
Scheduled Monday -Sunday at Mayo COMPONENT 10169 CODE LOINC REFERENCE RANGE

EVROL Everolimus, B EVROL 50544-6 3 - 8 ng/mL
Ref Code EVROL

3.0 ml whole blood (Min. 1 mL) 1 Lavender top EDTA tube Do Not centrifuge. Send in Original tube Refrigerate
Test Information Useful for management of everolimus immunosuppression in solid organ transplants.
Patient Information Draw sample immediately before next scheduled dose.
Additional Information Send specimen in original tube.
EWING SARCOMA, RT-PCR Order Code: EWS 10287
Synonym Translocation 11;22, Translocation 21;22 Epic Code LAB4756

CPT 81401 81401
Method Reverse Transcriptase Polymerase Chain Reaction

Mayo
Department MREF
Ref Code EWS

Tissue containing tumor cells Varies; Surgical Path Process all specimens into Formalin-fixed, paraffin-embedded Room
Specimens, FFPE tissue with (FFPE) blocks prior to submission. Slides: If submitting slides, a Temperature
a minimum of 5% tumor cell minimum of ten, 4- to 5-micron thick, unstained slides are required.
population
Test Information Useful for supporting a diagnosis of Ewing sarcoma and primitive neuroectodermal tumors. See Special Instructions/
Information Sheet at mayomedicallaboratories.com
Additional Information ** NEW TEST ADDED 01/22/2016 ** A quality specimen is essential for evaluation. Submit only tissue containing
tumor cells; minimal tissue is required for evaluation.
EXTRACTABLE NUCLEAR ANTIGEN SCREEN Order Code: ENA 1742
Synonym ENA, RNP, Smith, Anti-RO, Anti-LA, Sjogrens, Autoantibodies, Epic Code LAB852
Scleroderma, CTD CPT 86235

Friday
Department IMM
ENA ENA Screen Result SCRLT Negative -

2 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temp. Spin then Frozen
transfer serum to plastic vial and freeze.
Test Information Useful screen for determining possible autoimmune connective tissue diseases.
Additional Information Positive ENA screens will be tested for the following auto-antibodies: SS-A (Ro), SS-B (La), SM, RNP, SM/RNP, Jo-1,
SCL-70. (Reflex order 10006/ENAAG; Components: SSA, SSB, SM, RNP, SM/RNP, JO, SCL70)
Stability: Refrigerated up to 2 days; Frozen up to 21 days.
EXTRACTABLE NUCLEAR ANTIGENS-REFLEX ONLY Order Code: ENAAG 10006
Synonym ENA Ag, ENA Antigen Group, ENA Reflex, SS-A (Ro), SS-B (La), SM, RNP, Epic Code LAB4357
SM/RNP, Jo-1, SCL-70 CPT 86235
Scheduled Once a week; Wednesday COMPONENT 10006 CODE LOINC REFERENCE RANGE

ENAAG Anti-ssA SSA
ENAAG Anti-ssB SSB
ENAAG Anti-Sm SM
ENAAG Anti-RNP RNP
ENAAG Anti-SmRNP SMRNP
ENAAG Anti-Jo1 JO
ENAAG Anti-SCL70 SCL70

2 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temp. Spin then Frozen
transfer serum to plastic vial and freeze.
Test Information Useful for determining possible autoimmune connective tissue diseases such as Sjogren Syndrome, Lupus, Sceroderma or
Polymyositis.
Additional Information This ENA Antigen Group is automatically ordered and performed when 1742/ENA screen is positive.
Stability: Refrigerated up to 2 days; Frozen up to 21 days.
Sparrow Laboratories Online Test Catalog F
FACTOR IX ASSAY Order Code: FAC9 1081
Synonym FIX, Coag, F9 Epic Code LAB308

CPT 85250

FAC9 Factor Assay IX FAC9 70 - 150 % of Normal

NaCitrate (3.2%)
Patient Information Provide patient diagnosis and medication history, as available.
FACTOR V ASSAY Order Code: FAC5 1078
Synonym FV, Coag, F5 Epic Code LAB304

CPT 85220
Method Photo-optical Clot Detection

FAC5 Factor Assay V FAC5 70 - 150 % of Normal

NaCitrate (3.2%)
FACTOR V LEIDEN Order Code: FAC5L 6784
Synonym R506Q MUTATION, FV, FAC5L Epic Code LAB346

CPT 81241
Method Real-time PCR
Scheduled Twice weekly
Department MDX

5 ml EDTA whole blood 1 Lavender top EDTA tube Do not centrifuge lavender top - EDTA Refrigerate
Additional Information Acceptable specimens: Whole blood (lavender EDTA, lt blue citrate or yellow ACD)
FACTOR VII ASSAY Order Code: FAC7 1079
Synonym FVII, Coag, F7, Prothrombin, Factor VII Activity Epic Code LAB305
CPT 85230

FAC7 Factor Assay VII FAC7 70 - 150 % of Normal

NaCitrate (3.2%)
Test Information Useful for investigation of a prolonged prothrombin time. Diagnosing congenital deficiency of coagulation factor VII and
evaluating acquired deficiencies associated with liver disease, oral anticoagulant therapy, and vitamin K deficiency.
FACTOR VIII ASSAY Order Code: FAC8 1080
Synonym AHF, Antihemophilic Factor, FVIII Epic Code LAB306

CPT 85240

FAC8 Factor Assay VIII FAC8 70 - 150 % of Normal

NaCitrate (3.2%)
FACTOR VIII INHIBITOR EVALUATION Order Code: F8INH 10278
Synonym F8, Factor 8 Inhibitor Profile Epic Code LAB4746

CPT 85240
Method Clot-Based Assay
Scheduled Monday - Friday; Varies at COMPONENT 10278 CODE LOINC REFERENCE RANGE
Mayo
Department MREF
F8INH Coag F8 activity F8A 3209-4 55 - 200 %
Ref Code F8INH

3 ml Platelet-poor plasma (Min. 2 1 Light blue top tube, NaCitrate Spin tubes down, transfer plasma to a plastic vial, and spin plasma Frozen
ml) again. Freeze specimens immediately at < or =-40 degrees C, if
possible.
Test Information Useful for detecting the presence and titer of a specific factor inhibitor directed against coagulation factor VIII.
Additional Information ** NEW TEST 01/21/2016 ** Replaces test 1086/FAC8I
FACTOR X ASSAY Order Code: FAC10 1082
Synonym FX, Coag, F10 Epic Code LAB758

CPT 85260

FAC10 Factor Assay X FAC10 70 - 150 % of Normal

NaCitrate (3.2%)
FACTOR XI ASSAY Order Code: FAC11 1083
Synonym FXI, Coag, F11, Factor 11 Activity Epic Code LAB309

CPT 85270

FAC11 Factor Assay XI FAC11 60 - 135 % of Normal
Ref Code F_11

NaCitrate (3.2%)
FACTOR XII ASSAY Order Code: FAC12 1084
Synonym FXII, Coag, F12, Factor 12 Activity Epic Code LAB310

CPT 85280

FAC12 Factor Assay XII FAC12 60 - 160 % of Normal
Ref Code F_12

NaCitrate (3.2%)
FACTOR XIII ASSAY Order Code: FAC13 1373
Synonym FXIII, F13, Factor 13 Epic Code LAB1113

CPT 85290
Method Solubility
Scheduled Sunday - Saturday at Mayo
Department MSPE
C

3.0 ml plasma (min: 1 ml) 1 Light blue top tube, Centrifuge blue top tube, recentrifuge plasma, then freeze double Frozen
NaCitrate (3.2%) spun plasma in plastic tube.
Test Information Always collect a pilot tube (7 - 10 ml red top) before collection of blue top. Discard pilot tube.
Additional Information Specimen should be centrifuged twice to ensure removal of platelets.
FANCONIS ANEMIA Order Code: FANAN 3057
Synonym FANCC, Carrier screening Fanconis Epic Code LAB4174

CPT 88248
Method Polymerase Chain Reaction (PCR) analysis
Scheduled Tuesday am at Mayo
Department MREF
Ref Code FANCP

2.6 mL whole blood (min. 0.5 mL), 1 Yellow top ACD tube or Gently invert multiple times, maintain at room temperature and Room
20 mL Amniotic fluid (min. 10 mL) lavender top EDTA, sterile send in original tube or vial. Store chorionic villi refrigerated. Temperature
or 5 mg Chorionic Villi fluid container
Test Information Useful for Carrier screening for Fanconi anemia in individuals of Ashkenazi Jewish ancestry and prenatal diagnosis of
Fanconi anemia in at-risk pregnancies
Used for confirmation of suspected clinical diagnosis of Fanconi anemia in individuals of Ashkenazi Jewish ancestry.
Additional Information Due to the complexity of prenatal testing, consultation with the laboratory is required for all prenatal testing. Prenatal
specimens can be sent Monday through Thursday and must be received by 5 p.m. CST on Friday in order to be
processed appropriately. All prenatal specimens must be accompanied by a maternal blood specimen. Order MATCC /
Maternal Cell Contamination, Molecular Analysis on the maternal specimen.
FAT, FECES Order Code: FCLFT 1085
Synonym Fecal Fat, Lipids-Stool Epic Code LAB392

CPT 82710
Method Nuclear Magnetic Resonance Spectoscopy
Scheduled Monday - Friday at MAYO COMPONENT 1085 CODE LOINC REFERENCE RANGE

FCLFT Collection Duration COLD3 Preferred: 48 - 72 hours
Ref Code FATF
FCLFT Total Weight WGT1 minimum - 5 Grams
FCLFT Percent Fat PCFAT < - 20 % fat
FCLFT Total Fat TFAT 2.0 - 7.0 g/24 hr

Stool specimen (48 hr or 72 hour) Stool Container - Lrg Mayo Refrigerate during collection. Send to Mayo, Frozen (Specimen Refrigerate
or Random may be frozen after arrival in laboratory). Please call Client
Services at (517) 364-7800 for required collection container and
instructions.
Patient Information 1) Note length of collection period; 2) Barium interferes with test procedure.
FAT, URINE Order Code: URFAT 1593
Synonym SUDAN Epic Code LAB391

CPT 89125
Method Sudan IV Stain
Department HEM

preservative
FENTANYL, S Order Code: FENTS 2011
Synonym Sublimaze, Duragesic, Actiq, Fentora Epic Code LAB4155

CPT 80354
Method Gas Chromatography / Mass Spectrometry

FENTS Fentanyl FENTS M or F 1 - 3 ng/mL

2.5 ml serum (Min: 1.25 ml) 1 Plain red top tube Allow blood to clot, Spin down within 2 hours of draw. ** No Refrigerate
Gel barrier tubes.
Test Information Grey top and red top are also acceptable specimens. Specimens collected in serum separator tubes will be rejected
FERRITIN Order Code: FER 1955
Synonym FER Epic Code LAB68

CPT 82728

FER Ferritin FER F 7 - 292 ng/mL
FER Ferritin FER M 14 - 224 ng/mL

centrifuge.
FETAL FIBRONECTIN Order Code: FFN 8215
Synonym FFN Epic Code LAB287

CPT 82731
Method Immunochromographic
Scheduled Sunday, Saturday
Department COA

Special swab in buffer Fetal Fibronectin swab Refrigerate specimen Refrigerate
Test Information Specimen should arrive at laboratory within 12 hours of collection.
FFP Order Code: FFP 1618
Synonym Fresh Frozen Plasma Epic Code LAB487

CPT 36430
Method Transfusion
Department BLB

7 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Do not centrifuge Refrigerate
Additional Information One blood type required every 12 months prior to transfusion.
FIBRINOGEN Order Code: FIB 1088
Synonym FIB, Coag Epic Code LAB314

CPT 85384
Method Clot detection
Department COA Age 1 day to 30 days

FIB Fibrinogen FIB 200 - 300 mg/dL
Age 1 Mon to 1 year






2 ml plasma (Min: 1 ml) 1 Light blue top tube, Refrigerate if sample will be transported to SRL within 8 hours of Refrigerate
NaCitrate (3.2%) acquisition. DO NOT CENTRIFUGE DO NOT OPEN TOP If
longer storage time is anticipated, transfer plasma to plastic vial
and freeze.
Flow Cytometry, Peripheral Blood Order Code: FLOW 2160
Synonym FLOW, Leukemia, Lymphoma Epic Code LAB4165

CPT
Scheduled Monday - Saturday
Department IMM

Whole Blood 1 yellow top ACD tube and 1 Do not spin. Keep specimens at room temperature Room
lavendar top EDTA tube Temperature
Test Information Specimens submitted in green-top (sodium heparin) are acceptable. CBC results obtained within the previous 24 hours can
be substituted for the lavendar-top specimen. A diagnosis must be provided to ensure the correct test battery is performed.
Additional Information For flow cytometry analysis of alternative specimen types, see test 1931.
FLUORIDE, P Order Code: FL 10171
Synonym FL Epic Code LAB4633

CPT 82735
Method Ion-Selective Electrode (ISE)
Scheduled Tuesdays at 8 am
Department MREF
Ref Code FL

3.0 mL plasma, (min. 1.2 mL) 1 green top tube, Na heparin Draw green top sodium heparin tube Refrigerate
Test Information Useful for assessing accidental fluoride ingestion and monitoring patients receiving sodium fluoride for bone disease or
patients receiving voriconazole therapy.
FLUOXETINE, S Order Code: FLUOX 6806
Synonym PROZAC, NORFLUOXETINE Epic Code LAB4223

CPT 80299
Method High Performance Liquid Chromatography (HPLC) with Ultraviolet Detection

FLUOX Fluoxetine FLUOX 200 - 1100 ng/mL

5 ml serum (min: 2.5 ml) 2 Plain red top tubes Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Additional Information Red top tubes required - gel-barrier tubes are not acceptable.
FOLIC ACID Order Code: FOLAT 1960
Synonym Folate Epic Code LAB69

CPT 82746

FOLAT Folate FOLAT 5.38 - 9999.00 ng/mL

centrifuge. Protect from light by foil wrap or pour off in amber tube.
FOLLICLE STIMULATING HORMONE Order Code: FSH 1095
Synonym FSH, Gonadotropins Epic Code LAB86

CPT 83001
Department CHM Age 1 year to 80 year

FSH FSH FSH M 1.4 - 18.1 mIU/mL

FSH FSH FSH F 0.0 - 33.4 mIU/mL

FSH FSH FSH F 23.0 - 116.3 mIU/mL

centrifuge.
FORMIC ACID, U Order Code: FFRM 10185
Synonym Formaldehyde Epic Code LAB4650

CPT 83921 82750
Method Colorimetry (C)/Gas Chromatography (GC)
Scheduled Monday-Saturday at NMS

Labs
Department MREF
Ref Code FFRM

3 ml Urine, Random Sterile urine container Send random urine collection in a plastic urine container. Refrigerate
FRAGILE X SYNDOME, MOLECULAR ANALYSIS Order Code: FXS 10327
Synonym FXTAS, Martin-Bell Syndrome, POF, Premature ovarian failure Epic Code LAB4801
CPT 81243
Method Polymerase Chain Reaction (PCR)-Based Assay Utilizing Agena Mass Array Platform
Department MREF
Ref Code FXS

Varies; 3 mL Whole blood, 20 mL 1 Lavender top EDTA tube for Submit one specimen type, Monday-Thursday ONLY. Room Temp
Amniotic fluid, 20 mg Chorionic villi whole blood; Amnio vial; or Refrigerate
Transport media vial for CV
Test Information Useful for determination of carrier status for individuals with a family history of fragile X syndrome or X-linked mental
retardation or confirmation of a diagnosis of fragile X syndrome, fragile X tremor/ataxia syndrome, or premature ovarian
failure caused by expansions in the FMR1 gene
Also useful for Prenatal diagnosis of fragile X syndrome when there is a documented FMR1 expansion in the family.
FRANCISELLA ANTIBODY Order Code: FRANC 8073
Synonym Q Fever, Tularemia Epic Code LAB1216

CPT 86000
Scheduled Monday, Wednesday at

Mayo
Department MREF

centrifuge.
FREE CARBAMAZEPINE Order Code: CARFT 6731
Synonym Tegretol Free, Carbamazepine Epic Code LAB4213

CPT 80157
Method Membrane Separation / Immunoassay

CARFT Free Carbamazepine CARFT 0.5 - 4.0 ug/mL

3 ml serum (Min: 2 ml) 1 Plain red top tube, EDTA Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
plasma specimens are centrifuge.
acceptable
FREE FATTY ACIDS Order Code: FFA 1091
Synonym Non Esterified Fatty Acids, NEFA Epic Code LAB986

CPT 82725
Method Enzymatic Colorimetric

FFA Total Free Fatty Acids FFA 0.00 - 0.72 mmol/L
Ref Code FFA

1 ml Serum (min. 0.5 ml) 1 Plain red top tube or gel Spin down within 45 minutes of draw. Transfer to plastic vial and Frozen
barrier SST tube Immediately freeze specimen.
Test Information Interpretation of abnormally high levels of free fatty acids are associated with uncontrolled diabetes mellitus and with
conditions that involve excessive release of a lipoactive hormone such as epinephrine, norepinephrine, glucagon,
thyrotropin, and adrenocorticotropin.
Patient Information Patient should fast for 12 to 14 hours; however, in prolonged fasting or starvation, free fatty acid levels rise as much as 3-
fold. Patient should abstain from alcohol for at least 24 hours.
Additional Information In order to eliminate the generation of free fatty acids from triglycerides by serum lipases (causing erroneous
elevations), serum should be frozen soon after it is drawn and shipped frozen.
FREE PHENYTOIN Order Code: PHETF 6730
Synonym Dilantin Free and Total Epic Code LAB176

CPT 80186
Method Membrane Separation / Fluorscence Polarization Immunoassay (FPIA)

PHETF Free Phenytoin PHETF 1.0 - 2.0 mcg/mL

4 ml plasma (Min: 1.5 ml) 1 Lavender top EDTA tube Centrifuge lavender tube, transfer plasma to plastic vial and Refrigerate
freeze. Specimen can be frozen after arrival in Laboratory. Plasma
collected with anti-coagulants other than EDTA are acceptable.
FRUCTOSAMINE Order Code: FRUCT 1154
Synonym Glycated Protein Epic Code LAB1013

CPT 82985
Method Colorimetric Rate Reaction

FRUCT Fructosamine FRUCT 200 - 285 umol/L
Ref Code FRUCT

1.0 mL Serum (Min. 0.25 mL) 1 gel barrier SST tube, or plain Serum gel tubes centrifuge within 2 hours of collection. Red-top Refrigerate
red top acceptable plain tubes, centrifuge and aliquote witin 2 hours of collection.
Send serum in plastic vial and refrigerate during transport.
Test Information Useful for assessing intermediate-term glycemic control.
Additional Information Test update 12/14/15 to add result code.
FUNGAL ANTIBODIES (COMP.FIXATION) Order Code: FUNAB 1682
Synonym COMP FIX, Complement Fixation Epic Code LAB4116

CPT 86331
Method Complement fixation
Department MDCH

centrifuge.
Test Information Histoplasma, Blastomyces, Coccidioides; Michigan Department of Public Health
FUNGAL ISOLATE IDENTIFICATION Order Code: FUNID 6851
Synonym Fungal ID Epic Code LAB1296

CPT 87106
Method Varies by isolate
Department MIC

1 plate or slant 1 plate or 1 slant Room temperature Room
Temperature
FUNGAL PRECIPITINS Order Code: FUNPC 1684
Synonym Fungal Antibody, Fungus antibodies Epic Code LAB4118

Test Component Histoplasma, blastomyces, coccidioides CPT 86606 86612 86635

shift
Department MDCH

centrifuge.
Test Information Sendout to Michigan Department of Public Health (MDCH)
Additional Information Sent to MDCH starting Feb. 6, 2017
FUNGAL STAIN Order Code: STFUN 1420
Synonym Fungal Gram Stain Epic Code LAB905

CPT 87205
Method Light Microscopy
Department MIC

Skin scrapings, hair, body fluids Sterile container or sterile swab Room Temperature Room
biopsy or respiratory specimens Temperature
FUNGITELL, S Order Code: FUNGS 10229
Synonym Beta-D glucan Epic Code LAB4498

CPT 87449
Method Limulus Amebocyte Lysate (LAL) Pathway
Scheduled Monday-Saturaday at COMPONENT 10229 CODE LOINC REFERENCE RANGE

Viracor-IBT Lab
Department MREF
FUNGS Fungitell Glucan 42176-8 Indeterminate 60 - 79 pg/mL
Ref Code FUNGS
FUNGS Fungitell Glucan 42176-8 Negative 0 - 60 pg/mL
FUNGS Fungitell Glucan 42176-8 Positive - 80 pg/mL

Serum (Min: 0.3 ml) 1 gold top SST clot tube Collect 3-5 mL blood in serum gel tube (SST). Centrifuge Frozen
specimen within 2 hours. Ship serum gel tube frozen. Note: DO
NOT ALIQUOT SPECIMEN
Test Information The Fungitell assay does not detect certain fungal species such as the genus Cryptococcus or Zygomycetes (Absidia,
Mucor and Rhizopus), which produce very low levels of (1-3)-Beta-D-Glucan. In addition, the yeast phase of Blastomyces
dermatitidis produces little (1-3)-Beta-D-Glucan and may not be detected by the assay.
Additional Information Glucan values of greater than or equal to 80 pg/mL are interpreted as positive.
GABAPENTIN Order Code: NEURO 8053
Synonym Neurontin Epic Code LAB470

CPT 80171

NEURO Neurontin NEURO 2.0 - 20.0 mcg/mL
Ref Code GABA

1 ml serum (Min: 0.2 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Therapeutic ranges are based on specimens drawn at trough (ie, immediately before the next dose).
Sparrow Laboratories Online Test Catalog G
GAMMA GLUTAMYL TRANSPEPTIDASE Order Code: GGT 1098
Synonym GGT Epic Code LAB85

CPT 82977

GGT Gamma GT GGT F 0 - 35 U/L

GGT Gamma GT GGT M 0 - 60 U/L

centrifuge.
GASTRIN, SERUM Order Code: GAST 1099

CPT 82941

GAST Gastrin GAST 0 - 200 pg/mL
Ref Code GAST

Additional Information EDTA plasma is acceptable.
GENTAMICIN Order Code: GENT 1976
Synonym Garamycin, Gent Epic Code LAB27

CPT 80170

GENT Gentamicin GENT Peak 4.0 - 10.0 mcg/mL
GENT Gentamicin GENT Trough 0.0 - 2.0 mcg/mL

1 ml plasma 1 green top tube, Li heparin Refrigerate Refrigerate
Patient Information DRAW TIMES: PEAK: 30 minutes to one hour after the end of a 30-minute infusion; or one hour after IM dose, TROUGH:
immediately prior to the next dose.
GHB SCREEN WITH CONFIRMATION, B Order Code: FGHSP 10225
Synonym Gamma-Hydroxybutyric Acid, Date Rape Epic Code LAB4705

CPT 80304
Method Liquid Chromatography with Tandem Mass Spectrometry (LC/MS/MS)

FGHSP GHB Screen, Serum or GHB cutoff - 5.0 ug/mL
Plasma Serum or
Plasma

5 ml serum (Min. 2.0 ml) or 1 Plain red top tube or 1 green Allow blood to clot upright 30 minutes, then centrifuge. Specimens Refrigerate
plasma top tube, Na Heparin collected in gel barrier tubes NOT acceptable.
Test Information Performed by Medtox Laboratories, Inc.
GHB SCREEN WITH CONFIRMATION, UR Order Code: FGHSU 10227
Synonym Gamma-Hydroxybutyric Acid, Date Rape Drug Epic Code LAB4706

CPT 80304

FGHSU GHB Screen, Urine GHB Cutoff - 5.0 mcg/mL
URINE

10 ml Random urine Sterile urine container Collect 10 mL random urine without preservatives. Ship refrigerated Refrigerate
in a plastic container.
Test Information Performed by Medtox Laboratories, Inc.
GI DISTRESS PANEL Order Code: GIDP 10188
Synonym Celiac Disease, TTG, Gliadin Epic Code LAB4653

Test Component TTSGA,TSTTG,AGLIG,AGLIA,FOOD CPT
Method ImmunoCAP; FEIA
Department IMM

centrifuge.
Test Information TTSGA - Tissue Transglutaminase Ab, IgA, TSTTG - Tissue Transglutaminase Ab, IgG, AGLIG - Anti-Gliadin IgG, AGLIA -
Anti-Gliadin IgA, FOOD Allergy Panel
GIARDIA ANTIGEN Order Code: GAGST 1409
Synonym Parasite, Giardia lamblia Epic Code LAB252

CPT 87329
Method ELISA
Scheduled Tuesday, Friday
Department MIC

5 ml feces (Min. 1.0 ml) 10% Formalin (Para-pak pink Refrigerate immediately, freeze unpreserved specimen if not tested Refrigerate
lid) within 24 hours. Specimens preserved in SAV, Cary Blair, or PVA
will be rejected.

Common Sources and Season: Contaminated recreational water, daycare, international travelers.
GIARDIA LAMBLIA Ab, IFA Order Code: GRAB 10196
Synonym Giardia Antibody Epic Code LAB4662

Test Component Z0586 CPT 86674
Method Immunofluorescence Assay (IFA
Scheduled Monday - Saturday at

Focus
Department MREF
Ref Code GRAB

1.0 mL serum, (min. 0.075 mL) 1 Plain red top tube Draw blood in a plain, red-top tube(s). Spin down and send 1 mL of Refrigerate
serum refrigerated.
Additional Information Note: Serum gel tube is acceptable, but must pour off into a plastic vial.
GLIADIN ANTIBODIES Order Code: AGLID 8028
Synonym Anti-Gliadin; Celiac, Deamidated Gliadin Ab Epic Code LAB725

CPT 83516 82516
Method FEIA

AGLID Gliadin IgG AGLIG 0 - 10 U/mL
AGLID Gliadin IgA AGLIA 0 - 10 U/mL

centrifuge.
Test Information Useful for evaluating patients suspected of having celiac disease; this includes patients with symptoms compatible with
celiac disease, patients with atypical symptoms, and individuals at increased risk of celiac disease.
Useful for evaluating the response to treatment with a gluten-free diet.
ANTI- GLOMERULAR BASEMENT MEMBRANE AB Order Code: AGBMA 1735
Synonym ANTI-GBM Epic Code LAB727

CPT 83520
Method Enzyme-Linked Immunoabssorbent Assay (ELISA)'''
Scheduled Monday Friday at Mayo COMPONENT 1735 CODE LOINC REFERENCE RANGE

AGBMA ANTI-GBM AGBMA Negative 0 - 20.9 U
AGBMA ANTI-GBM AGBMA Weak Pos 21.0 - 30.0 U
AGBMA ANTI-GBM AGBMA Positive > - 30.1 U

centrifuge.
GLUCAGON Order Code: GLUCA 1302
Synonym Hypoglycemia, GLP Epic Code LAB1005

CPT 82943
Method Radioimmunodassay (RIA)
Scheduled Monday, Thursday at Mayo COMPONENT 1302 CODE LOINC REFERENCE RANGE

GLUCA Glucagon GLUCA 0 - 60 pg/mL
Ref Code GLP

3 ml plasma Min. 0.50 ml) 1 Lavender top EDTA tube - Pre-chill 1 Lavender (EDTA); place specimen in ice bath, Frozen
prechilled centrifuge, and freeze plasma immediately.
GLUCOSE BODY FLUID Order Code: BFLGL 1366
Synonym Body Fluid, Glucose Epic Code LAB186

CPT 82945
Department CHM

1 ml body fluid Sterile container or 1 green top Refrigerate Refrigerate
tube, Li heparin
GLUCOSE CSF Order Code: CFGLU 1370
Synonym Cerebrospinal Fluid Glucose, CSF Epic Code LAB185

CPT 82945
Department CHM

1 ml CSF (Min: 0.5 ml) 1 sterile tube Refrigerate Refrigerate
GLUCOSE 6 PHOSPHATE DEHYDROGENASE Order Code: G6PD 1273
Synonym G-6-PD Quantitative, G6PD Epic Code LAB4058

CPT 82955
Method Spectrophotometric Kinetic

G6PD G-6-PD G6PD 8.6 - 18.6 U/G OF Hgb
Ref Code G6PD

4 ml whole blood (Min: 1 ml) 1 yellow top ACD tube Refrigerate. DO NOT CENTRIFUGE. Refrigerate
(Solution B)
3 HR GLUCOSE TOLERANCE, GESTATIONAL Order Code: 3GTT 6834
Synonym GLU, Gest Tolerance, 3 Hour Tolerance, 3GT Epic Code LAB164
CPT 82952 82952 82952

3GTT Fasting Glucose, Urine UGL01 Negative -
3GTT Fasting Glucose GLFST 65 - 95 mg/dL
3GTT 1 hr Glucose GL1H 0 - 172 mg/dL
3GTT 3 hr Tolerance Interpretation 3GTI1 Not - Present

1 ml plasma (Min: 0.5 ml) Urine container and Multiple Fasting Urine, Fasting blood draw, then draw sample each hour. Refrigerate
gray top tubes
GLUCOSE TOLERANCE-2HR Order Code: 2GTT 6788
Synonym 2 Hour GTT Epic Code LAB169

Test Component Urine glucose, fasting glucose specimen, 2 hour blood glucose and interpretation CPT 82951
results
Method spectrophotometry
Department CHM

2 ml plasma and 1 random Urine 2 grey top NaFl tubes, Fasting If urine is Negative for Glucose, draw fasting specimen and give Refrigerate
specimen and 2 hour (Urine container) patient 75 grams of glucola. Next, in 2 hours, draw second
specimen.
Test Information Used to screen for, diagnose, and monitor hyperglycemia, hypoglycemia, diabetes, and pre-diabetes
Patient Information Patient should maintain a high carbohydrate diet for 3 days prior to testing. Patient should be fasting 8 hours or more the
day of the test. Non-pregnant adults receive 75 grams of glucose, pregnant females receive 100 grams of glucose.
GLUCOSE, 1 HR POST PRANDIAL Order Code: GL1PP 8011
Synonym GLU Epic Code LAB879

CPT 82947
Department CHM

Fasting urine and 3 ml serum Sterile urine container and 1 Allow blood to clot upright 30 mimutes at room temperature, then Refrigerate
(min: 1ml) gold top SST clot tube centrifuge
Patient Information Patient should maintain a high carbohydrate diet for 3 days prior to test. Patient must be fasting for 8 hours or more. Non-
pregnant adults receive 75 grams glucose, pregnant females receive 100 grams glucose.
GLUCOSE, 2 HOUR POST PRANDIAL Order Code: GL2PP 1107
Synonym 2 HR PP Glucose Epic Code LAB4025

CPT 82947

GL2PP Glucose-2 Hour PP GL2PP 65 - 139 mg/dL

centrifuge immediately.
Patient Information Obtain sample 2 hours after high carbohydrate meal.
GLUCOSE, 24 HOUR URINE Order Code: UGL24 1372
Synonym GLU, 24 hr urine glucose Epic Code LAB396

CPT 82945
Department CHM
Ref Code Sparrow

24 hour urine collection; Submit 24 hr urine container; Add Refrigerate during collection. Measure the total volume. Then Refrigerate
entire collection or 20 ml aliquot benzoic and boric acid tablets thoroughly mix the 24 urine in the container and transfer 20 mL into
as a preservative at the start of a plastic aliquot vial.
collection. Label container with full name and date of birth. 24 hour urine
Additional Information When multiple 24 hr urine tests are ordered, Boric acid and 50% Acetic acid are acceptable.
GLUCOSE, 2-HOUR POST-GLUCOLA Order Code: GL2GL 1210
Synonym GLU Epic Code LAB4046

CPT 82950
Department CHM

Patient Information Obtain sample 2 hours after ingestion of 75 gm Glucola test meal.
GLUCOSE, FASTING Order Code: GLU 1105
Synonym FBS, GLU Epic Code LAB81

CPT 82947
Department CHM Age 1 month to >100 year

GLU Glucose Fasting GLU 65 - 99 mg/dL

Patient Information Patient must be fasting for at least 8 hours.
GLUCOSE, GESTATIONAL DIABETES SCREEN Order Code: 1HGST 1102
Synonym Glucose 1 Hr/Glucola, GDS, 1 hour Gest Epic Code LAB4023

CPT 82950

1HGST Glucose 1HGST 65 - 134 mg/dL

1 ml plasma or serum (Min: 0.5 ml) 1 gray top tube, NaFl or 1 gold For serum gel barrier, allow blood to clot upright 30 minutes at Refrigerate
top SST clot tube room temperature, then centrifuge.
Test Information Screening for gestational diabetes test.
Patient Information Fasting not required. Drink should be consumed within 5 minutes. Obtain blood 1 hour after 50 gm glucola.
Additional Information Plasma from a Gray top potassium oxalate/Sodium fluoride tube is acceptable. ** New ACOG References Ranges
updated March 2016.
GLUCOSE, RANDOM Order Code: GLRND 1371
Synonym RBS Epic Code LAB82

CPT 82947
Department CHM

GLUCOSE, URINE, RANDOM Order Code: UGLUR 1348
Synonym GLU, urine glucose Epic Code LAB4535

CPT 82945
Department CHM

20 ml single void sample (Min: 5 Urine container, no Refrigerate Refrigerate
ml) preservative.
GRAM STAIN Order Code: GRAM 1445
Synonym GS, Smear Epic Code LAB250

CPT 87205
Method Stain, microscopic
Department MIC

Any site or fluid Specimen in sterile container, Room temperature Room
labeled slide Temperature
Test Information Include anatomic site and source.
Additional Information Slides submitted must be fixed with methanol.
ANTI- GRANULOCYTIC ANTIBODY Order Code: AGAB 1757
Synonym Anti-Leukocyte Antibodies, Leukocyte, Granulocyte Ab Epic Code LAB1176

CPT 86021
Method Indirect Immunofluorescence
Department MREF

centrifuge.
Patient Information Only pre-transfusion reaction samples are acceptable.
GROUP B STREP SCREEN Order Code: PCBSB 1412
Synonym STREP SCREEN, GYN, BETA, GROUP B, GROUP B BY PCR Epic Code LAB922
CPT 87653
Method PCR
Scheduled Variable, Monday -Friday COMPONENT 1412 CODE LOINC REFERENCE RANGE

PCBSB Group B Strep PCBSB Not - Detected

Vaginal/ rectal swab Culturette II Aerobic swab Submit both swabs in original transport sheath. Room temperature Room
(NOT accepted: Calcium or refrigerated up to 5 days, Once received in laboratory, must be Temperature
alginate and wooden shafted incubated in LIM broth for minimum of 8 hours prior to extraction.
swabs) Amniotic Fluid- 2-8C or frozen.
Test Information Group B Strep (GBS), bacterium Streptococcus agalactiae, is the leading cause of neonatal sepsis, morbidity and
mortality. CDC guidelines for prevention of GBS disease in newborns recommend prenatal screening for GBS colonization
in all pregnant women at 35-37 weeks gestation as well as intrapartum antibiotic prophylaxis for patients identified as GBS
positive.
Patient Information Collect specimen between 35 to 37 weeks gestation. Please indicate patient allergy to penicillin upon order.
Additional Information Susceptibility testing of isolates from PCN allergic patients will be performed on request from samples submitted for
PCR.
GROWTH HORMONE Order Code: GRWTH 1111
Synonym hGH (Human Growth Hormone), Somatotrophic Hormone Epic Code LAB525
CPT 83003
Method Two-Site Immunoenzymatic (Sandwich) Assay

GRWTH Growth Hormone GRWTH F 0.0 - 10.0 ng/mL
Ref Code HGH
GRWTH Growth Hormone GRWTH M 0.0 - 5.0 ng/mL

centrifuge.
Additional Information EDTA and heparin plasma specimens are acceptable.
H. PYLORI BREATH TEST Order Code: HPYBR 10084
Synonym Helicobacter, Ulcer test, Urea breath test Epic Code LAB572
CPT 83013
Method Infared spectrophotometry
Department MREF
Ref Code UBT

Breath UBT Breath Test Kit Patient must be Fasting (1 hour), prior to breath test. Kit bag must Room
be Full. Temperature
Test Information Diagnostic testing for Helicobacter pylori infection in patients suspected to have active Helicobacter pylori infection or for
monitoring response to therapy.
Patient Information Patient should not have taken most antacids for two weeks prior to testing. This includes both prescription and over the
counter drugs.
Additional Information Do not order for pediatric patients. Alternative test for the diagnosis of active Helicobacter pylori infection in patients
younger than 18 years of age is6843/HPYAG H. pylori antigen, Feces.
Sparrow Laboratories Online Test Catalog H
H. PYLORI STOOL ANTIGEN Order Code: HPYAG 6843
Synonym Helicobacter pylori Epic Code LAB397

CPT 87338
Method Microwell based enzyme immunoassay
Department MIC

5 grams ( gram min.) stool or Clean, dry container Refrigerate immediately. Freeze if testing will be delayed beyond Refrigerate
fecal material 72 hours.
Test Information Preserved specimens in 10% formalin, SAV, PVA, Cary Blair, transport media, or swabs will be rejected.
HALOPERIDOL Order Code: HALD 8143
Synonym HALDOL Epic Code LAB191

CPT 80173
Scheduled Mnday - Friday at Mayo
Department MREF
Ref Code HALO

2 ml serum (Min: 1.0 ml) 1 Plain red top tube Refrigerate Refrigerate
Additional Information Test includes Haloperidol and reduced Haloperidol. Red top tube-gel barrier are not acceptable.
HAPTOGLOBIN Order Code: HAPT 1113
Synonym Hemoglobin-Binding Protein; HAPT; HAPTO Epic Code LAB89

CPT 83010
Method Nephelometry
Scheduled Monday- Friday (Evenings) COMPONENT 1113 CODE LOINC REFERENCE RANGE

HAPT Haptoglobin HAPT 15 - 185 mg/dL

centrifuge.
BETA- HCG QUANTITATIVE, SERUM Order Code: BHCG 1325
Synonym Human Chorionic Gonadotropin Epic Code LAB143

CPT 84702
Department CHM Age 0.2 week to 1 week

BHCG Gestational Quant BhCG BHCG F 5 - 50 mIU/mL
Age 1 week to 2 week

BHCG Gestational Quant BhCG BHCG 50 - 500 mIU/mL







BHCG Gestational Quant BhCG BHCG M < - 5 mIU/mL

centrifuge.
HCV FIBROSURE Order Code: LCHFS 10313
Synonym Actitest, Fibrosure, Fibrotest, Hepatitis C Virus Fibrosure Epic Code LAB4503
CPT 82172 82247 82977
Scheduled
Department SOO

3.5 mL serum 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Transfer to plastic vial and Freeze.
Test Information Replaces test 7088/FHCVF HCV FibroSURE
Additional Information ** New Test added June 21, 2016
HCV GENOTYPING Order Code: LCHCG 10308
Synonym Reflex HCV Genotype Epic Code

CPT 87902
Scheduled
Department SOO
Ref Code 550475

2 mL EDTA plasma 1 - 7 ml Lavender top tube, Test ordered by MDX caregivers. Frozen
EDTA Only submit samples that contain a HCV viral load >1000 IU/Ml
Test Information Order Test Quantitative Viral Load/Genotype: HCVQG/ LAB915.

If indicated, the genotype is ordered.
Additional Information Hepatitis C Viral Load >1,000 IU/mL, performed at Sparrow MDX Lab will be sent for Genotype.
HDL CHOLESTEROL Order Code: HDL 1281
Synonym HDL, High Density Lipoprotein Epic Code LAB101

CPT 83718

HDL HDL HDL F 35 - 75 mg/dL
HDL HDL HDL M 30 - 60 mg/dL

centrifuge.
Test Information An HDL result of < 40 mg/dl is a risk factor for CHD. HDL is also a component of a lipid profile
HE4 HUMAN EPIDIDYMIS PROTEIN Order Code: HE4EP 10249
Synonym Ovarian, HE4 Protein Epic Code LAB4726

CPT 86305
Method Chemiluminescent Microparticle (CMIA)
Scheduled Wednesday; afternoon shift COMPONENT 10249 CODE LOINC REFERENCE RANGE
Department MSER Age 1 day to >100 year

HE4EP HE4 Protein HE4EP 55180-4 M or F 0 - 141 pmol/L

1.5 mL serum 1 gel barrier SST tube Only serum collected in serum separator accepted. Centrifuge and Refrigerate
refrigerate within 24 hrs or freeze to -20 C.
Test Information The HE4 assay is a biomarker for ovarian cancer. A positive change in HE4 is defined as an increase in the value that was
at least 20% greater than the previous value of the test. Values obtained with different assay methods or kits may be
different and cannot be used interchangeably. Test result cannot be interpreted as absolute evidence for the presence of
malignant disease.
Additional Information Samples with lipemia, hemolysis, or particulate matter will be rejected.
HEAVY METAL SCREEN, U Order Code: UHMSR 5637
Synonym Lead, Arsenic, Cadmium, Mercury, Urine Heavy Metal Screen Epic Code LAB4180
CPT 89889 60152 60248
Method Inductively Coupled Plasma - Mass Spectrometry (ICP-MS)

UHMSR Lead UPBRD
Ref Code HMSRU
UHMSR Cadmium UCADR
UHMSR Arsenic UARSR
UHMSR Mercury UHGRD

10 ml random urine Sterile urine container Submit random urine collection in plastic vial. Refrigerate
Test Information Random Urine Heavy metal screen for Arsenic, Lead, Cadmium and mercury
Additional Information Added to online catalog 3/14/17
HEAVY METAL SCREEN, URINE Order Code: UHMET 1114
Synonym Cadmium, Lead, Arsenic, Mercury Epic Code LAB398

CPT 82175 82300 83655

UHMET Arsenic UARSN
Ref Code HMSU
UHMET Arsenic Concentration UARSC 0 - 35 mcg/Specim
UHMET Lead ULEAD
UHMET Lead Concentration UPBCN 0 - 4 mcg/Specim
UHMET Collection Duration COLD4 up to - 24 hours
UHMET Volume UVOL3 measure - in mL

UHMET Mercury UMERC
UHMET Mercury Concentration UHGCN 0 - 9 mcg/Specim
UHMET Cadmium UCAD
UHMET Cadmium Concentration UCDCN 0.0 - 1.3 mcg/Specim

24 hour urine collection; Submit 24 hr urine container, no Measure the total volume. Then thoroughly mix the 24 urine in the Refrigerate
entire collection or 20 ml aliquot preservative container and transfer 20 mL into a plastic aliquot vial.
Test Information Useful screening test for detection of arsenic, Mercury, cadmium, lead or exposure.
Patient Information No seafood 48 prior to collection start or during collection.

Void and discard first morning specimen. Place all subsequent samples in collection container for the next 24 hours.
Additional Information The following preservatives are acceptable if multiple assays are requested: 50% Acetic Acid, 6N HCI
HEAVY METALS SCRN WITH DEMOGRAPHICS Order Code: HMDB 10515
Synonym Arsenic, Cadmium, Mercury, Hg, Lead, PB Epic Code LAB4816

CPT 83825 82175 82300

HMDB Arsenic ARSNB 0 - 12 ng/mL
Ref Code HMDB
HMDB Lead LEADB 0.0 - 4.9 mcg/dL
HMDB Cadmium CADMB 0.0 - 4.9 ng/mL
HMDB Mercury HMSHG 0 - 9 ng/mL
HMDB Venous or Capillary VENCP
HMDB Street Address PTADD
HMDB City PCITY
HMDB State PSTTE
HMDB Zip code PZIP
HMDB County PCTY
HMDB Guardian First Name GRFNM
HMDB Guradian Last Name GRLNM
HMDB Race PRACE
HMDB Patient Employer PTEM6
HMDB Patient Ethnicity PTET6
HMDB Patient Occupation PTOC6
HMDB Health Care Provider Name MDOR6

Whole blood (Min. 0.3 mL) 1 Dark blue top EDTA (Heavy Send specimen in original tube Refrigerate
Metals only)
Additional Information ** New Test 9/20/2016, Replaces test 8165/ HVMTB / LAB4816
HELICOBACTER PYLORI IGG Order Code: PYLOR 6641
Synonym H. Pylori Antibody Epic Code LAB158

CPT 86677
Scheduled Monday, Wednesday and COMPONENT 6641 CODE LOINC REFERENCE RANGE
Friday
Department IMM
PYLOR H Pylori PYLOR 0.0 - 0.8 U/mL

centrifuge.
HELICOBACTER UREA SCREEN Order Code: HELIC 1791
Synonym HP-Fast, CLO Test Epic Code LAB4479

CPT 87081
Method Urease Production
Department MIC

2 - 3 mm biopsy tissue Clo-Test media Room Temperature Room
Temperature
Test Information Clo-Test media can be obtained from laboratory (517-364-7800) OR (1-800-884-2522)
HEMATOCRIT Order Code: HCT 7821
Synonym HCT,CRIT Epic Code LAB289

CPT 85014
Department HEM Age 1 day to 3 month

HCT Hematocrit HCT 33 - 53 %





HCT Hematocrit HCT M 38 - 49.5 %
HCT Hematocrit HCT F 36 - 45 %

4 ml whole blood (Min: 0.5 ml) 1 Lavender top EDTA tube Refrigerate Refrigerate
HEMO MONTHLY PRE PANEL Order Code: HMTHP 6690

Test Component 1503,RBC,WBC,HGB,HCT,MCV,MCH,MCHC,PLT,1172,1002,1055,1234,1030,104 CPT
1,1057,1136,1179,1174,1185,1230
Method Varies
Scheduled Daily
Department PAN

serum and whole blood 1 gel barrier SST tube, 1 Clot tube: Allow blood to clot upright 30 minutes at room Refrigerate
lavender top tube, EDTA temperature, then centrifuge. CBC: gently invert multiple times to
mix EDTA with whole blood.
HEMOCHROMATOSIS HFE GENE ANALYSIS, B Order Code: HFE 10328
Synonym Hereditary hemochromatosis, HLA-H Gene, HFE Gene, H63D, C282Y Epic Code LAB4802
CPT 81256
Method Polymerase Chain Reaction (PCR)-Based Assay Utilizing Agena Mass Array Platform
Department MREF
Ref Code HFE

2.5 mL whole blood (Min. 0.5 mL) 1 Lavender top EDTA tube or Gently invert several times to mix blood. Send specimens in Room
1 yellow top ACD tube original tubes. Temperature
Test Information Useful for establishing or confirming the clinical diagnosis of hereditary hemochromatosis (HH) in adults or predictive
testing with appropriate genetic counseling for family history of HH.
Useful for testing of individuals with increased transferrin-iron saturation in serum and serum ferritin.
HFE genetic testing is NOT recommended for population screening.
HEMOGLOBIN Order Code: HGB 7832
Synonym HGB Epic Code LAB291

CPT 85018
Department HEM Age 16 year to >100 year

HGB Hemoglobin HGB M 12.6 - 16.5 g/dL
HGB Hemoglobin HGB F 12.0 - 15.0 g/dL
HGB Hemoglobin HGB 13.5 - 19.5 g/dL





Additional Information Limited Access Test, Must Be Collected at SPB/Sparrow Professional Building. Specimen must be tested within 4
hours of collection.
HEMOGLOBIN A1C Order Code: HA1C 1298
Synonym HBA1C,GLYCO HGB,Glycohemoglobin Epic Code LAB90

CPT 83036
Method HPLC
Scheduled Monday - Saturday COMPONENT 1298 CODE LOINC REFERENCE RANGE

HA1C Glycohgb-HGA1C HA1C 4.0 - 6.0 %

2 ml whole blood (Min: 0.5 ml) 1 **Pink top tube - K3EDTA - Gently invert the tube multiple times. Refrigerate Refrigerate
New tube type, effective 4-08-
15
Additional Information Green top (lithium heparin) tubes no longer accepted.
HEMOGLOBIN FRACTIONATION Order Code: FXHGB 1116
Synonym Hgb Electrophoresis, HGB fx Epic Code LAB4026

CPT 83020
Method Electrophoresis
Department SPCH
M

2 ml whole blood (Min: 0.5 ml) 1 Lavender top EDTA tube Refrigerate. DO NOT CENTRIFUGE. Refrigerate
HEMOGLOBIN, PLASMA Order Code: PHGB 1115
Synonym Free Hemoglobin Epic Code LAB92

CPT 83051

PHGB Hemoglobin-Plasma PHGB 0.0 - 15.0 mg/dL
Ref Code PLHBB

2 ml plasma (Min: 0.5 ml) 1 Lavender top EDTA tube Centrifuge immediately. Remove plasma and refrigerate. Refrigerate
(Heparinized plasma is acceptable.)
Test Information Useful for determining whether hemolysis is occurring from a transfusion reaction, mechanical fragmentation of RBCs or
relative comparison to baseline levels in ECMO and cVAD patients to assess pump disruption.
HEMOSIDERIN, URINE Order Code: HMSDU 1574
Synonym Iron stain, Prussian blue Epic Code LAB399

CPT 83070
Method Iron Stain
Department HEM

10 ml first morning void urine Urine container, no Refrigerate Refrigerate
preservative
HEPARIN ANTI-Xa ASSAY, P Order Code: HEPN 10198
Synonym Anti-10a, Lovenox, Enoxaparin, Low-Molecular Weight Heparin Epic Code LAB4664
CPT 85520
Method Chromogenic Method on STA-R Evolution
Scheduled Monday - Sunday at Mayo
Department MREF
Ref Code HEPN

1.0 mL PLT Poor Plasma 1 Light blue top tube, NaCitrate Spin, remove plasma, and spin plasma again. Freeze immediately Frozen
in plastic vial and send frozen.
Test Information Useful for measuring heparin concentration: -In patients treated with low molecular weight heparin preparations
-In presence of prolonged baseline APTT, (eg, lupus anticoagulant, "contact factor" deficiency, etc.)
-When unfractionated heparin dose needed to achieve desired APTT prolongation is unexpectedly higher (>50%) than
expected.
Additional Information Plasma specimen must be depleted of platelets by repeat centrifugation before freezing.
HEPARIN-PF4 ANTIBODY, S Order Code: HITAB 7755
Synonym HEP Induced Platelet Antibody, HIT Epic Code LAB766

CPT 86022
Department MREF

1 ml Serum, (Min. 0.5 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes, then centrifuge. Next Frozen
transfer to plastic vial and Freeze. Get barrier tubes NOT accepted.
HEPATIC LIVER PROFILE Order Code: LFP 1334
Synonym Liver Battery, LFP, Liver Profile Epic Code LAB4068

Test Component ALT,AST,LDH,ALK PHOS CPT 80076

LFP LDH LDH 100 - 1000 U/L

LFP AST(SGOT) AST 0 - 120 U/L
LFP ALK Phosphatase ALP M or F 0 - 380 U/L

Age 1 day to 2 year





LFP ALK Phosphatase ALP F 0 - 350 U/L
LFP ALK Phosphatase ALP M 0 - 500 U/L

LFP ALT(SGPT) ALT 2 - 45 U/L

LFP ALK Phosphatase ALP F 0 - 200 U/L
LFP ALK Phosphatase ALP M 0 - 300 U/L



centrifuge.
HEPATITIS A, IgG AND IgM PANEL Order Code: HEGAP 10215
Synonym HEP A, HEP Antibody, HPA, HAV, Hepatitis A Antibodies Epic Code LAB797
CPT 86708 86709
Method EIA
Scheduled Monday, Wednesday; COMPONENT 10215 CODE LOINC REFERENCE RANGE

afternoon shift
Department MSER
HEGAP HAV IgM HEPAM Non - reactive
HEGAP HAV IgG HEPAG Non - reactive

1.0 mL serum 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information A nonreactive IgM HAV result may indicate delayed Hepatitis A IgM antibody response or absence of acute or recent
infection.
Levels of IgM anti-HAV may be below the cut-off in early infection.
Detected IgG anti-HAV antibodies mean that the patient has had a hepatitis A viral infection. About 8 to 12 weeks after the
initial infection with hepatitis A virus, IgG anti-HAV antibodies appear and remain in the blood for lifelong protection
(immunity) against HAV. This test is also used fordetermination of immune status in patients with previous HAV infection or
HAV vaccination.
HEPATITIS A, IgG ANTIBODY Order Code: HEPAG 10213
Synonym HEP A, HAV, Hepatitis A Antibody Epic Code LAB4684

CPT 86708
Method EIA

Friday: afternoon shift
Department MSER
HEPAG Hepatitis A IgG HEPAG Non - reactive

1.5 mL serum 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Detected IgG anti-HAV antibodies mean that the patient has had a hepatitis A viral infection. About 8 to 12 weeks after the
initial infection with hepatitis A virus, IgG anti-HAV antibodies appear and remain in the blood for lifelong protection
(immunity) against HAV. This test is also used for determination of immune status in patients with previous HAV infection or
HAV vaccination.
HEPATITIS A, IgM ANTIBODY Order Code: HEPAM 1972
Synonym Anti-HAV IgM, Hepatitis A Antibody Epic Code LAB798

CPT 86709
and afternoon shift
Department MSER
HEPAM Hepatitis A IgM HEPAM Non - reactive

centrifuge.
Test Information A nonreactive IgM HAV result may indicate delayed Hepatitis A IgM antibody response or absence of acute or recent
infection.
HEPATITIS B CORE ANTIBODY Order Code: HEPBC 1971
Synonym Anti-HBc, Hepatitis Epic Code LAB1242

CPT 86704
Scheduled 7 days a week; morning

and afternoon shift
Department MSER

centrifuge.
Test Information Hepatitis B Core IgM, if positive.
HEPATITIS B CORE IGM ANTIBODY Order Code: HPBCM 5709
Synonym IGM, HBCab, HEP B Epic Code LAB549

CPT 86705
Method Microparticle Enzyme Immunoassay (MEIA)
and afternoon shift
Department MSER
HPBCM Hepatitis B Core IgM Ab HPBCM 0-8

centrifuge. Refrigerate.
HEPATITIS B SURFACE ANTIBODY Order Code: HBSAB 1968
Synonym ANTI-HBs, HBs Ab, Hepatitis, HBV Epic Code LAB472

CPT 86706

and afternoon shift
Department MSER

centrifuge.
HEPATITIS B SURFACE ANTIGEN Order Code: HBSA 1951
Synonym HBs Ag, Australian Ag, HEP, HEP B, HBSAG, HBV Epic Code LAB471
CPT 87340
and afternoon shift
Department MSER
HBSA HBS AG HBSA Non - reactive

centrifuge.
HEPATITIS B VIRAL LOAD PCR Order Code: HBDVL 2242
Synonym Quant Hep B, HB PCR, PCR, HEP B Viral Load, HBV Epic Code LAB951
Test Component Hepatitis B DNA Viral Load and Log 10 CPT 87517
Method Taqman PCR
Scheduled Weekly COMPONENT 2242 CODE LOINC REFERENCE RANGE

HBDVL Ultraquant HBDVR
HBDVL HBV Log HLG10

5 ml EDTA Plasma (Min: 2 ml) 2 Lavender top EDTA tubes Centrifuge. Transfer plasma from cells within 4 hours. Split plasma Refrigerate
into 2 screw capped vials.
Test Information EPIC Order -Code LAB951
HEPATITIS Be ANTIGEN & ANTIBODY Order Code: HEPBE 8067
Synonym HEP Be, Hep Be Antibody Epic Code LAB4296

CPT 86707
Scheduled Sunday - Friday at Mayo COMPONENT 8067 CODE LOINC REFERENCE RANGE
Department QST Age 1 day to >100 years

HEPBE Hepatitis Be Antibody HEPBB 13954-3 Non - reactive
Ref Code Z2462
HEPBE Hepatitis Be Antigen HEPBG 5196-1 Non - reactive

centrifuge.
Test Information Used in the differential diagnosis, staging, and prognosis of hepatitis B infection. HBeAg indicates active HBV replication.
Infectivity is evaluated based on HBeAg and HBsAg. When HBeAg persists longer than 10 weeks, the patient is likely to
develop chronic hepatitis and be a carrier. HBeAb appears in the early convalescence of HBV infection. With carrier state
and chronic hepatitis, HBeAb may not develop.
Additional Information Test performed at Specialty Labs
HEPATITIS C ANTIBODY Order Code: HEPC 1400
Synonym ANTI-HCV, HEP C, HCV Ab Epic Code LAB868

CPT 86803

and afternoon shift
Department MSER

centrifuge.
HEPATITIS C QNT VIRAL LOAD/GENOTYPE Order Code: HCVQG 6860
Synonym HEP C, HCV, Hepatitis C Viral Load, HCV Genotype Epic Code LAB915
Test Component Possible reported classifications include: 1,1b, 1&2, 1&3, 1&3h, 1&4,1&6, 2, 2&3, CPT 87522
2&3h, 2&4, 2&5, 2&6, 3, 3h, 3&5, 3&6, 4, 4&5, 6, 6a, as well as novel types.
Method PCR
Scheduled Monday - Saturday at

Specialty
Department MDX

10 ml frozen plasma (min: 3 ml) 3 Lavender top tubes, EDTA Within 4 hours of collection, centrifuge lavender tubes, equally Frozen
divide plasma into 2 separate plastic tubes and freeze.
If collected in an EDTA gel barrier tube (Pearl or PPT) separate

plasma ASAP and label PPT.
Test Information Clinical outcomes are genotype-dependent and differ with regard to disease severtiy and responses to (PEG) interferon and
Ribiviran Comination Therapy. Studies also have suggested that in chronic infections associated with genotype 1 and 4,
high viral
Additional Information Hepatitis C Virus is genetically quite diverse, comprising more than 6 distinct genotypes over 11 common subtypes. In
the US, genotype 1 is the most common genotype, followed by genotypes 2b and 3a.
HEPATITIS C VIRUS QUALITATIVE Order Code: HPCLG 8062
Synonym HEP C, HCV, Hepatitis C Qual Epic Code LAB4295

CPT 87521
Method PCR
Scheduled Tuesday - Friday
Department MDX

5 ml EDTA plasma 2 Lavender top EDTA tubes Within 2 hours of collection, centrifuge tubes, separate and freeze Frozen
in separate plastic vials.
HEPATITIS C VIRUS RNA QUANT VIRAL LOAD Order Code: HCVQN 8218
Synonym HEP C, PCR, HCV, Hep C Virus, Hepatitis C Viral Load Epic Code LAB887
CPT 87522
Method PCR

HCVQN HCV Result (DNA) HCVQV
HCVQN HCV RNA HCVQR Not - Detected

5 ml EDTA plasma 2 Lavender top EDTA tubes Within 2 hours of collection, centrifuge tubes, separate plasma and Frozen
freeze in separate plastic vials.
Test Information Hepatitis C Virus (HCV) Viral Load (Quantitative) is used to confirm chronic HCV infection, monitor chronic HCV disease
progression and response to therapy. This assay is performed using an FDA-cleared assay with a quantitative reportable
range of 15 - 100,000,000 IU/mL HCV RNA. Positive Hepatitis C viral load less than 15 IU/mL are not quantified and are
reported as "Detected".
Additional Information Sparrow Laboratory is certified under CLIA-88 as qualified to perform high complexity clinical laboratory testing.
HEPATITIS DELTA ANTIBODY Order Code: HEPDA 8068
Synonym HEP D, HDVAB, HDV Epic Code LAB1240

CPT 86692
Scheduled Wednesday at Specialty
Department MSPE
C

centrifuge.
HEPATITIS PANEL Order Code: HEPAN 6660
Synonym HBsAg, HBc-IgM, HAV-IgM, HCV, Viral Hepatitis Markers Epic Code LAB4476
Test Component 1951,5709,1972,1400 CPT 80074
and afternoon shift
Department MSER
HEPAN Hepatitis B Surface Ag HBSA
HEPAN Hepatitis B Core IgM Ab HPBCM
HEPAN Hepatitis A IgM Ab HEPAM
HEPAN Hepatitis C Ab HEPC

centrifuge.
Test Information HBsAg, HBc-IgM, HAV-IgM, HCV
HERPES I & II IGG/IGM ANTIBODY Order Code: HSVGM 1842
Synonym Herpes Serology, HSV Antibodies, Herpes antibody Epic Code LAB4145
Test Component HSVG1,HSVG2,HSVMA CPT 86695
Scheduled Tuesday
Department MSER

centrifuge.
Test Information Group test which includes IgG and IgM antibodies to HSV type I and type II
HERPES I & II, IGM ANTIBODY Order Code: HSVMA 8093
Synonym Herpes Select, HSV Epic Code LAB4305

CPT 86694
Scheduled Tuesday
Department MSER

centrifuge.
Test Information Total HSV IgM antibody reported. Does not differentiate between type I and type II.
HERPES TYPE I/II by PCR, Blood Order Code: BLHSV 10241
Synonym HSV on Blood, Herpes Simplex Virus Epic Code LAB4712

Test Component BLHS1; BLHS2; BLHSD CPT 87529
Method PCR
Lab
Department MDX
BLHSV Sample Type BLHS1 Blood
BLHSV HSV Type II BLHS2 Not - Detected
BLHSV HSV BLHSD

2 ml plasma (min. 0.5 mL) 1 - 7 ml Lavender top tube, Centrifuge and separate plasma from cells within 4 hours of Refrigerate
EDTA collection.
Test Information The detection of Herpes Simplex Virus Type I (HSV I) and Herpes Simplex Virus Type II (HSV II) is based on real-time
amplification and detection of specific HSV DNA sequences by PCR from total DNA extracted from the specimen. Probes
specific for HSV I and HSV II are used to identify and differentiate the products of the PCR amplification. The diagnosis of
HSV I or HSV II should not rely solely upon the result of a PCR assay. A positive PCR result should be considered in
conjunction with clinical presentation and additional established diagnostic tests. A negative PCR result indicates only the
absence of HSV I or HSV II DNA in a sample tested and does not exclude the diagnosis of disease. Equivocal results
cannot be determined to be positive or negative.
Additional Information ** New Test available 6/09/15. This test or one or more of its components was developed and its performance
characteristics determined by Sparrow Laboratories. It has not been cleared or approved by the U.S. Food and Drug
Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical
purposes. It should not be regarded as investigational or for research. Sparrow Laboratories is certified under CLIA-88
as qualified to perform high complexity clinical laboratory testing.
HERPES TYPES I AND II BY PCR Order Code: PCHSV 8069
Synonym HSV, CSF, Herpes Simplex Virus Epic Code LAB4297

CPT 87529
Method PCR

Friday
Department MDX
PCHSV Specimen Type SPMO4 Type - Varies
PCHSV HSV I PCRHV Not - Detected
PCHSV HSV II PCRH2
PCHSV HSV DNA PCRHD Not - Detected

1 ml CSF/Body fluid, 1.5 ml Sterile screw capped sterile Maintain sterility and forward promptly. For CSF-Freeze 1 ml Refrigerate or
Respiratory washings or aspirate, vial, culture transport swab for Frozen
Throat, Dermal or Genital lesions lesions
Test Information HSV causes clinical manifestations in both normal and immuno-compromised hosts. Infected anatomical sites include lips,
oral cavity, eyes, genital tract, skin and CNS. Disseminated HSV may occur in immunocompromised patients and is usually
fatal.
Additional Information Specimen source MUST be specified on request form for processing. Specimens grossly contaminated with blood
may inhibit the PCR and produce false negative results. Calcium alginate tipped swab or transport swab containing gel
is not acceptable for PCR
HERPES VIRUS 6 IGG & IGM Ab TO EARLY AG Order Code: HRP6A 8082
Synonym HHV6, Human Herpesvirus Epic Code LAB4303

CPT 86790

Friday at Specialty
Department MSPE
C

centrifuge.
HEXOSAMINIDASE A AND TOTAL Order Code: HEXOA 1117
Synonym Acetylglucosaminedase A and B,Beta-N-Acetylglucosaminidase, GM2 Epic Code LAB4027

Gangliosidosis Disease, Tay Sachs Disease,Sandhoff Disease CPT 83080
Method Heat Inactivation, Fluorometric, Automated
Scheduled
Department MREF
Ref Code NAGW

centrifuge. Freeze serum in a plastic tube. (Specimens may be
frozen after arrival in Central Processing.)
Additional Information Serum assay results are often ambiguous on pregnant females and will not be run.
HIGH SENSITIVITY CRP Order Code: HSCRP 6717
Synonym HSCRP, Cardiac Risk Epic Code LAB150

CPT 86141

Friday
Department IMM
HSCRP High Sensitivity CRP HSCRP 0.000 - 0.300 mg/dL

centrifuge.
HISTAMINE, P Order Code: FHSPL 10178
Synonym HIST Epic Code LAB4641

CPT 83088
Scheduled Mon. Tues. Thursday, COMPONENT 10178 CODE LOINC REFERENCE RANGE
Mayo Forward
Department MREF
FHSPL Histamine FHSPL < 1.0 - ng/mL
Ref Code FHSPL

3.0 mL plasma EDTA (min. 1.0 1 Lavender top EDTA tube Cool immediately on ice and centrifuge within 20 minutes of the Frozen
mL) collection. (Centrifuge: 1500 rpm for 10 minutes at 4 degrees
C.) Carefully remove 1 mL of EDTA plasma from the upper part
of the tube. Freeze plasma and send frozen in a plastic vial.
Test Information Test Performed by: Viracor-IBT Laboratories, Lee's Summit, MO 64086
HISTONE ANTIBODY Order Code: AHAR 6624
Synonym Histone Ab Epic Code LAB4032

CPT 83516
Scheduled Tuesday - Saturday
Department MREF
Ref Code HIS

2 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature; then Refrigerate
centrifuge.
HISTOPLASMA AG, U Order Code: UHIST 5152
Synonym H. capsulatum Ag, H. Polysaccharide Antigen Epic Code LAB400

CPT 87385

UHIST Histoplasma Ag Result CRES Negative -
Ref Code UHIST
UHIST Histoplasma Ag Value PRES 0.00 - 0.10 ng/mL
UHIST Mvista Histoplasma Ag Result MVHUR Confirmatory None - Detected ng/mL
UHIST Mvista Histoplasma Ag MVHUI Confirmatory Negative -

Interpretation

3.0 ml Urine (min. 2.5 ml) Sterile urine container Collect a random urine and submit unpreserved. Refrigerate
Test Information Useful for aid in the diagnosis of Histoplasma capsulatum infection. Indeterminate results will be sent to MiraVista
Diagnostics for confirmation testing.
Histoplasma Ag Value Reference Table:
|-----------------------------------------------------|
|0.00 - 0.10 = Negative|
|0.11 - 0.49 = Indeterminate|
|>=0.50 = Positive|
Additional Information Updated component codes December 23, 2016.
HISTOPLASMA PRECIPITIN Order Code: HSTPC 1683
Synonym Histoplasma Antibody Epic Code LAB795

CPT 86698
Scheduled Monday-Friday; afternoon COMPONENT 1683 CODE LOINC REFERENCE RANGE

shift
Department MSER
HSTPC Histoplasma precipitins H- HSTPH
band
HSTPC Histoplasma precipitins M- HSTPM
band

centrifuge.
HIV 1 DNA QUALITATIVE - INFANT ONLY Order Code: HIVD1 10299
Synonym Proviral DNA, Newborn HIV test Epic Code LAB4763

CPT 87535
Method PCR
Scheduled Tuesday, Thursday at

Specialty
Department QST

4 ml whole blood (min. 2 mL) 2 Lavender top EDTA tubes Gently invert to mix whole blood with EDTA. Do not spin, Refrigerate
Refrigerate
Test Information Used to test newborns from HIV positive mothers ONLY. This test is NOT a Viral Load.
Patient Information If patient is older than 18 months, order test 8001/HIVLD/LAB919, HIV Viral load by PCR
Additional Information ** NEW TEST CODE ADDED 02/22/2016 ** Specimen Collection information change - ** EDTA WHOLE BLOOD
REFRIGERATED **
HIV 1 RNA QUANT SENSITIVE VIRAL LOAD Order Code: HIVLD 8001
Synonym HIV-QUANT, Viral-Load Epic Code LAB919

CPT 87536
Method PCR

HIVLD HIV-1 RNA log 10 HIVLG 0 - 1.2
HIVLD HIV-1 RNA Ultrasens. Viral HIVUS 0 - 19 copies/ml

load

5 ml EDTA plasma (Min: 3 ml) 2 Lavender top EDTA tubes Within 2 hours of collection, centrifuge tubes, separate plasma and Frozen
freeze in separate plastice vials.
Test Information Sparrow Laboratory
HIV AG AND AB COMBO TEST Order Code: HIVCB 10144
Synonym HIVCB, Human Immunodeficiency Virus, AIDS, HIV Combo Epic Code LAB4606
CPT 87389
Method Chemiluminescent microparticle immunoassay
and afternoon shift
Department MSER
HIVCB HIV Antigen - Ab I and II HIVCB 56888-1 Non - reactive

centrifuge. Submit to microbiology lab in original container. Do not
aliquot.
Test Information Detection of human immunodeficiency virus (HIV) p24 antigen and antibodies to HIV type 1 (HIV-1 group M and group O)
and/or type 2 (HIV-2) in human serum.
Additional Information This Test replaces test 1414, HIV Ab screen. Reactive (Positive) samples will be confirmed with the HIV Antibody I
and II Differentiation test 10214.
HIV-1 GENOTYPIC PR-RT RESISTANCE, P Order Code: HIVGP 10246
Synonym HIV Drug Resistance, AIDS, Human Immunodeficiency Virus Epic Code LAB4719
CPT 87901
Method Reverse Transcription-PCR (RT-PCR), and DNA Sequencing
Scheduled Twice a week at Mayo
Department MREF
Ref Code HIVPR

2.2 mL plasma (Min 1.2 mL) 1 Lavender top EDTA tube Spin down and remove plasma from cells within 6 hours of draw. Frozen
Freeze plasma specimen immediately.
Test Information This test is intended to be used to monitor known HIV-positive infections. It is not intended for primary detection of HIV
infections. Specimens submitted for HIV-1 genotyping should contain > or =500 copies/mL of HIV-1 RNA.
HLA A,B,C (CLASS I) TYPING Order Code: HLA 1722
Synonym Class I Histocompatibility Typing, Tissue Typing Epic Code LAB4131

Test Component HLA-A, HLA-B, HLA-Bw, HLA-Cw and the Interpretation CPT 81372
Method Lymphocyte Cytotoxicity
Scheduled Monday - Friday at MSU

Laboratory
Department MSU

20 ml whole blood 1 yellow top ACD tube Room temperature. DO NOT CENTRIFUGE. DO NOT Room
REFRIGERATE. Specimen must be received by central laboratory Temperature
within 24 hours of collection.
Test Information HLA-A, B, and C Loci, Class I
HLA-B27 ANTIGEN Order Code: HLB27 1731
Synonym Alkylosing Spondylytis Epic Code LAB869

CPT 86812
Method Flow cytometry

HLB27 HLA-B27 antigen HLB27 Negative -
Ref Code HLA-B27

6 ml whole blood (Min. 1.5 ml) 1 yellow top ACD tube, Room temperature. DO NOT CENTRIFUGE. DO NOT Room
preferred; 7 ml lavender top REFRIGERATE. Specimen must be received within 72 hours of Temperature
EDTA tube acceptable collection.
Test Information HLA-B27 antigen is positive in over 90% of Caucasians with ankylosing spondylitis (AS), but only 50% of Blacks with AS.
Only 1% of HLA-B27 positive Caucasians will develop AS, but radiologic sacroileitis will be found in approximately 10%.
Patient's with Reiter's Disease appear to have a more severe disease course when they are HLA-B27 positive.
HLA-B5701 GENOTYPE, ABACAVIR, B Order Code: HLA57 10314
Synonym HLA B5701, B 5701, HLA Genotype Epic Code LAB4770

CPT 81381
Method Qualitative Allele-Specific Real-Time PCR
Scheduled Tuesday and Friday at COMPONENT 10314 CODE LOINC REFERENCE RANGE
Mayo
Department MREF
HLA57 HLA-B 5701 Result 89346 42358-2
Ref Code HLA57
HLA57 HLA-B 5701 Interpretation 29315 69047-9
HLA57 HLA-B 5701 Reviewed by 29316 None

3 mL whole blood EDTA 1 Lavender top EDTA tube Submit specimen in original tube Room
Temperature
Test Information Identifying individuals with an increased risk of hypersensitivity reactions to abacavir, based on the presence of the human
leukocyte antigen HLA-B*57:01 allele
HOMOCYSTEINE, PLASMA Order Code: HCY 8031
Synonym HCY Epic Code LAB93

CPT 83090

HCY Homocysteine(Plasma) HCY 3.7 - 13.9 umol/L

1 ml plasma (Min: 0.5 ml) 1 Lavender top EDTA tube Centrifuge within 30 minutes. Transfer plasma to plastic vial and Refrigerate or
refrigerate immediately. Frozen
Patient Information Patient must be fasting for atleast 4 hours. Normal values refer to fasting specimens only.
Additional Information Specimen Stability: Refrigerated Plasma 48 hours, Frozen plasma 13 weeks.
HOMOVANILLIC ACID (HVA), U Order Code: HVAGR 6683
Synonym HVA, 24 hr urine homovanillic acid Epic Code LAB401

CPT 83150
Method Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Stable Isotope Dilution Analysis

HVAGR HVA Child HVACH 0.0 - 35.0 mg/g Cr
Ref Code HVA


Age 10 day to 14 years


HVAGR HVA Adult HVADT 0.0 - 8.0 mg/24 hour

HVAGR Collection Duration COL22 Time - in hours
HVAGR Total Volume UVLM2 measure - in mL

24 hour urine collection; Submit 24 hr urine container; Add 25 Refrigerate during collection. Measure the total volume. Then Refrigerate
entire collection or 20 ml aliquot ml of 50% acetic acid as thoroughly mix the 24 urine in the container and transfer 20 mL into
preservative a plastic aliquot vial.
Patient Information Void and discard first morning urine specimen. Place all subsequent samples in collection container for the next 24 hours.
Additional Information NO OTHER alternative preservatives accepted.
HPVHR GENOTYPE 16 and 18/45 Order Code: HPVRX 10183
Synonym HPV, High Risk, Reflex Epic Code LAB4649

CPT 87624 87625
Method NAAT

HPVRX Source SRC2
HPVRX HPV Result HRSK2 Negative -
HPVRX Reflex 16, 18, 45 HPTYP Not - Indicated
HPVRX Genotype 16, 18, 45 H1618

Cervical, Endocervical or Vaginal Thin Prep vial or SurePath vial Collect a sufficient amount of cells for both Pap smear and HPV Room
collection analysis Temperature
Test Information Reflex Positive HPV to perform Genotyping for 16 and 18
HSV 1/HSV 2 IGG ANTIBODY Order Code: HSVGG 8021
Synonym herpes Select, HSV Select, Herpes IgG Epic Code LAB4284
CPT 86696
Scheduled Tuesday; afternoon shift
Department MSER

centrifuge.
HSV1 IGG Order Code: HSVG1 10132
Synonym Herpes, HSV, Select Epic Code LAB?

CPT 86696
Method ELISA
Department MSER

1 mL serum (min. 0.5 mL) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Separate serum from cells and transport refrigerated.
HSV2 IGG Order Code: HSVG2 10131
Synonym Herpes Select, HSV Epic Code LAB4602

CPT 86696
Method ELISA
Department MSER

1 mL serum (min. 0.5 mL) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Separate serum from cells and transport refrigerated.
HTLV I/II ANTIBODY Order Code: HTLVS 1287
Synonym Human T-Cell Lymphotropic Virus Types I and II Epic Code LAB4066
CPT 86687
Department MREF

centrifuge.
HUMAN PAPILLOMA VIRUS (HPV) Order Code: HPV 7025
Synonym HPV, High Risk Epic Code LAB4257

CPT 87624
Method Hybrid capture / Nucleic Acid Hybrid individual signal amplification

HPV HIGH Risk Types HPV High Negative -
Risk

Cervical, endocervical or vaginal Thin Prep vial or SurePath vial Store at room temperature Room
collection Temperature
Test Information Only High Risk types are detected. A positive result indicates the presence of Human Papilloma Virus high risk types 16,
18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and/or 68.
Patient Information Different Medical Societies, including ACOG and USPSTF,
recommend HPV and Cytology Co-testing as the preferred
cervical cancer screening method for women 30-65 years of
age.
Additional Information Positive High Risk HPV may have reflex testing for HPV 16/18 GENOTYPING - Order codes HPVRX, #10183, Epic
LAB4649
HYDROCODONE Order Code: HYDRC 1244
Synonym Hycodan, Vicodin, Anexsia, Dolorex Forte, Hycet, Liquicet, Lorcet, Lortab, Epic Code LAB4049
Maxidone, Norco, Polygesic, Stagesic, Xodol, Zydone CPT 80361
Method Gas Chromatography with Flame Ionization and Nitrogen Phosphate Detection (GC-FID/NPD)

HYDRC Hydrocodone HYDRC 10 - 40 ng/mL

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Na Heparin Centrifuge tube and refrigerate plasma. Refrigerate
Test Information Grey top or red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected.
HYDROMORPHONE, plasma Order Code: HYDRM 2533
Synonym Dilaudid Epic Code LAB4421

CPT 80361

HYDRM Hydromorphonee HYDRM

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li or Na Grey-top or red-top Tube acceptable. Reject if collected in gel Refrigerate
heparin barrier tube.
5- HYDROXYINDOLEACETIC ACID, U Order Code: 5HISR 1196
Synonym Serotonin Urine, 5-Hydroxyindoleacetic Acid, 24 hr urine 5HIAA, 5-HIAA Epic Code LAB352
CPT 83497

5HISR 5-HIAA-Serotonin 5HISR - 8 mg/24Hr
Ref Code HIAA

24 hour urine collection; Submit 24 hr urine container; Add 25 Measure the total volume, then thoroughly mix the 24 urine in the Refrigerate
entire collection or 20 ml aliquot ml of 50% acetic acid container and transfer 20 mL into a plastic aliquot vial.
preservative. Note: for Label container with full name and date of birth.
children under 5 yrs, add 15 24 hour urine collections require the following additional information
mL of acetic acid. with the order: preservative added; start date and time; end of
collection date and time; total volume measurement.
Test Information Userful for biochemical diagnosis and monitoring of intestinal carcinoid syndrome.
Caution, Intake of food with a high content of serotonin and or numerous medications taken within 48 hours of the urine
collection and during could result in falsely elevated 5-HIAA excretion.
Patient Information NOTE: Patient diet restrictions: Patient should limit the following foods to 1 serving per day (48 hours prior and during
collection):
Limit the following to 1 serving per day:
- Fruits [including bananas, cantaloupe, grapefruit, kiwifruit, melons, pineapple, plantains, plums]
- Vegetables [avocados, dates, eggplant, tomatoes and tomato products]
- Nuts [including hickory nuts, butternuts, pecans, walnuts]
- Caffeinated beverages
Additional Information The following alternative preservatives are acceptable if multiple assays are requested: Boric acid, 6N HCL
17- HYDROXYPREGNENOLONE Order Code: 17HPG 8007
Synonym 17OH-Pregenolone Epic Code LAB530

CPT 84143 84143
Method Radioimmunoassay (RIA) After Column Chromatography
Scheduled Mon. Wed. and Friday at

Mayo
Department MREF
Ref Code 17OHP

2 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate or
centrifuge. Pour serum into a plastic tube and freeze. Frozen
Test Information Specimen can be frozen after arrival in laboratory
17- HYDROXYPROGESTERONE, S Order Code: 17HYP 8144
Synonym Progesterone, 17-Hydroxy, 17 Alphahydroxy progesterone Epic Code LAB720

CPT 83498 83498
Scheduled Tuesday, Thursday,

Saturday at Mayo
Department MREF
Ref Code OHPG

centrifuge.
HYPERSENSITIVITY PNEUMONITIS Order Code: HSPNA 1675
Synonym Allergic Alveolitis, Farmers Lung Epic Code LAB1202

CPT 87106
Department SOO

centrifuge.
Test Information Micropolyspora faeni, Thermoactinomyces vulgaris, pigeon serum, Aureobasidium pullulans, and Aspergillus fumigatus.
Additional Information Sendout to Labcorp Feb. 6, 2017
IFE, SERUM Order Code: IFE 1122
Synonym Immunoelectrophoresis, Immunofixation, IEP Epic Code LAB174

CPT 86334
Method Immunofixation Electrophoresis
Department SPCH Age 1 day to >100 years

M IFE IFE Interpretation IFTRP
IFE Total Protein TPIFE

centrifuge.
Test Information Total Protein, Immunofixation Electrophoresis
Additional Information The lab will perform this test automatically if serum protein electrophoresis indicates monoclonal protein
Sparrow Laboratories Online Test Catalog I
IgE RESPIRATORY DISEASE PROFILE Order Code: RSPDX 6966
Synonym Respiratory Allergy, Asthma Allergens Epic Code LAB4245

Test Component Oak, Elm, Maple tree/box elder, Common silver birch, Cocksfoot Grass, Redtop CPT 86003
bentgrass, Rough marsh elder, Common ragweed, House dust mite, House dust
mite, Mold Aspergillus, Mold Penicillium, Mold Alternaria, Mold Cladosporium, Cat
and Dog
Method ImmunoCAP Specific IgE
Department ALL

centrifuge.
Test Information A Total IgE test 1773, should also be ordered with this profile
Patient Information Patient does NOT need to discontinue allergy medications.
IGE, (F1) EGG WHITE Order Code: F1 5673
Synonym Egg White Allergen,F1 Epic Code

Test Component F1 CPT 86003
Department ALL

0.5 ml serum (Min: 0.2 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
IGE, (F2) MILK Order Code: F2 5674
Synonym Milk Allergen,F2 Epic Code

Department ALL

centrifuge.
IGE, (F20) ALMOND Order Code: F20 7234
Synonym Almond Allergen, Allergen, RAST Epic Code

Department ALL

centrifuge.
IGE, (F4) WHEAT Order Code: F4 5675
Synonym Wheat Allergen,F4 Epic Code

Department ALL

centrifuge.
IGE, (F75) EGG YOLK Order Code: F75 5751
Synonym Egg Yolk Allergen Epic Code

Department ALL

centrifuge.
IGE, (F79) GLUTEN Order Code: F79 7238
Synonym Gluten Allergen, RAST Epic Code

Department ALL

centrifuge.
IGE, (FP1) NUT SCREEN Order Code: FP1 8147
Synonym Nut Screen Allergen Epic Code LAB4320

Test Component FP1 CPT 86003
Department ALL

0.5 ml serum (Min: 0.2 ml) 1 gold top SST clot tube Allow blood to clot upritht 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Peanut, Hazelnut, Brazil Nut, Almond, Coconut
IGE, (M1) PENICILLIUM NOTATUM Order Code: M1 5731
Synonym Penicullium Notatum Allergen Epic Code

Test Component M1 CPT 86003
Department ALL

centrifuge.
IgE, CHILDHOOD ALLERGY PANEL Order Code: CHILD 6722
Synonym Pediatric Panel Allergy Epic Code LAB4212

Test Component E1,E5,F1,F2,F3,F4,F13,F14,F24,F256,D1,D2,I6,M2,M6 CPT 86003
Department ALL Age 1 day to >100 years

CHILD Total IgE IGE Allergen Class - Concentration kU/L
CHILD E1 Cat Epithelium and Dander E1 Absent 0 - 0 kU/L
CHILD I6 Cockroach I6 Low 0 - 0.34 kU/L
CHILD E5 Dog Dander E5 moderate 0.35 - 0.70 kU/L
CHILD F1 Egg white F1 high 0.71 - 3.50 kU/L
CHILD F3 Fish, Cod F3 very high 3.51 - 17.50 kU/L
CHILD D1 Derm. Pteronyssinus D1 4 17.51 - 50.0 kU/L
CHILD D2 Derm. Farinae D2 5 50.10 - 100 kU/L
CHILD F2 Milk F2 6 100.1 - and up kU/L
CHILD M2 Clad. Herbarum M2
CHILD M6 Alt. Alternata (Tenuis) M6
CHILD F13 Peanut F13
CHILD F14 Soybean F14
CHILD F4 Wheat F4
CHILD F24 Shrimp F24
CHILD F256 Walnut F256

centrifuge.
Test Information Cat Epithelium and Dander, Dog Dander, Cockroach, Egg White, Milk, Wheat, Peanut, Soybean, Cod fish, Shrimp, Walnut,
Alternaria Alternata (Tenuis), Clad. Herbarum, Dermatophagoides Farinae, and D. pteronyssinus
Additional Information A Total IgE test 1773, should also be ordered with this profile
IGE, FOOD ALLERGY PANEL Order Code: FOOD 6695
Synonym Food Panel Allergy Epic Code LAB4202

CPT 86003
Department ALL Age 6 wks to >100 year

FOOD IgE Egg White F1 Absent 0 - 0.34 KU/L
FOOD IgE Sesame Seed F10 Low 0.35 - 0.70 KU/L
FOOD IgE, Peanut F13 moderate 0.71 - 3.50 KU/L
FOOD IgE Soybean F14 high 3.51 - 17.50 KU/L
FOOD IgE Milk F2 Very high 17.51 - 50.0 KU/L
FOOD IgE, Clam F207 Very high 50.10 - 100.0 KU/L
FOOD IgE Shrimp F24 Very high 100.1 - and up KU/L
FOOD IgE Walnut F256
FOOD IgE Fish, Cod F3
FOOD IgE Scallops F338
FOOD IgE Wheat F4
FOOD IgE, Maize, Corn F8

centrifuge.
Test Information Egg white, Milk, Peanut, Soybean, Wheat, Maize- corn, Fish- cod, clam, Shrimp, Walnut, Scallop
Additional Information A Total IgE test 1773 is included with this profile.
IGE, INSECT VENOM PANEL Order Code: VENOM 6687
Synonym Insect Panel, Venom Allergy Epic Code LAB4200

Test Component I1,I2,I3,I4,I5,I6 CPT 86003 86003 86003
Department ALL

centrifuge.
Test Information Honeybee, White-faced Hornet, Common Wasp, Yellow Jacket, Paper Wasp, Yellow Hornet, Cockroach
Patient Information I1,I2,I3,I4,I5,I6
IGE, SEAFOOD PANEL Order Code: SEA 6685
Synonym Seafood Panel, Allergy Epic Code LAB596

Test Component F3,F23,F24,F40,F41,F37,F80 CPT 86003 86003 86003
Department ALL Age 1 day to >100 years

SEA F3 Fish, COD F3
SEA F23 CRAB F23
SEA F24 SHRIMP F24
SEA F37 BLUE MUSSEL F37
SEA F40 TUNA F40
SEA F41 SALMON F41
SEA F80 LOBSTER F80

centrifuge.
Test Information Fish-Cod, Crab, Shrimp, Tuna, Salmon, Blue Mussel, Lobster
IGE,(F202) CASHEW Order Code: F202 7735
Synonym Cashew Allergy, Allergen, Nut Epic Code

Scheduled Monday and Thursday COMPONENT 7735 CODE LOINC REFERENCE RANGE
Department ALL Age 1 day to >100 year

F202 Level F202 6 > - 100
F202 High F202 2 0.71 - 3.50 kU/L
F202 Level F202 3 3.51 - 17.50
F202 High F202 3 3.51 - 17.50 kU/L
F202 Level F202 4 17.51 - 50.00
F202 High F202 4 17.51 - 50.00 kU/L
F202 Level F202 2 0.71 - 3.50
F202 High F202 5 50.10 - 100.00 kU/L
F202 High F202 1 0.35 - 0.70 kU/L
F202 High F202 6 > - 100 kU/L
F202 Level F202 0 0.0 - 0.34
F202 High F202 0 0.0 - 0.34 kU/L
F202 Level F202 1 0.35 - 0.70
F202 Level F202 5 50.10 - 100.00
F202 Level F202 Class Concentration -
F202 High F202 Class Concentration - kU/L

centrifuge.
IGF-1, LC/MS, S Order Code: IGFMS 10304
Synonym IGF1 Insulin Like Growth Factor I, Somatomedin-C Epic Code LAB4775
CPT 84305
Method Liquid Chromatography-Mass Spectrometry (LC/MS)
Scheduled Sunday through Friday; at COMPONENT 10304 CODE LOINC REFERENCE RANGE
Mayo
Department MREF
IGFMS IGF-1 62750 2484-4 Available Mayo - website ng/mL
Ref Code IGFMS
IGFMS Z-score 35781 73561-3 Available Mayo - website ng/mL

1 mL serum ( min. 0.3 mL) 1 Plain red top tube Gel Barrier Acceptable. Allow blood to clot upright 30 minutes at Refrigerate
room temperature, then centrifuge. Lab sendouts submit Frozen.
Test Information Useful for evaluation of growth disorders. Evaluation of growth hormone deficiency or excess in children and adults.
Monitoring of recombinant human growth hormone treatment. Follow-up of individuals with acromegaly and gigantism.
Additional Information ** New Test added April 27, 2016 ** Replaces test number 6792/IGFI
IGG SUBCLASSES 1, 2, 3, 4 Order Code: IGSUB 1549
Synonym Immunoglobin G SUBCLASSES Epic Code LAB1001

CPT 82787
Method Nephelometry
Department MREF
Ref Code IGGS

centrifuge and freeze serum.
Test Information Specimen may be frozen after arrival in Laboratory
IMMUNE PANEL Order Code: IMMUN 1760
Synonym IMMUNE Complex Epic Code LAB4141

Test Component ANAS, AMA, ASMA, ATG, ATA, C3, C4, MCOMP, IGG, IGA, IGM CPT
Scheduled
Department IMM

2 ml Serum See individual tests Room
Temperature
IMMUNOGLOBIN A Order Code: IGA 1329
Synonym IGA Epic Code LAB73

CPT 82784
Department STL Age 1 day to 5 month

IGA IgA IGA 5 - 64 mg/dL










centrifuge.
IMMUNOGLOBIN G Order Code: IGG 1333
Synonym IGG Epic Code LAB71

CPT 82784

IGG IgG IGG 602 - 1630 mg/dL











centrifuge.
IMMUNOGLOBIN M Order Code: IGM 1331
Synonym IGM Epic Code LAB72

CPT 82784

IGM IgM IGM 0 - 29 mg/dL











centrifuge.
IMMUNOGLOBULIN D Order Code: IGD 8146
Synonym IGD, Ig-D Epic Code LAB4319

CPT 82784
Method Nephelometry

IGD IgD IGD 0 - 10.0 mg/dL
Ref Code IGD

centrifuge.
IMMUNOGLOBULIN, FREE LIGHT CHAINS Order Code: IMFLC 7756
Synonym Kappa, Lambda, IgG Kappa/Lambda, IG Kappa, IG Lambda, FLC Kappa Epic Code LAB4282
CPT 83883
Method Nephelometry

IMFLC Kappa/Lambda FLC Ratio KLRAT 0.26 - 1.65 mg/dL
Ref Code FLCP
IMFLC IG Lambda Free Chain LFLC 0.57 - 2.63 mg/dL

1.0 ml serum ( Min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful for monitoring patients with monoclonal light chain diseases but no M-spike on protein electrophoresis.
Additional Information An elevated kappa and lambda FLC may occur due to polyclonal hypergammaglobulinemia or impaired renal
clearance. A specific increase in FLC (eg, FLC K/L ratio) must be demonstrated for diagnostic purposes.
IMMUNOGLOBULINS, QUANTITATIVE Order Code: QIA 1191
Synonym QIA, IGG, IGM, IGA Epic Code LAB4043

Test Component IGG,IGA,IGM CPT 82784 82784 82784
Department STL

centrifuge.
INFECTIOUS MONO SCREEN Order Code: EBMON 2045
Synonym Ebstein Bar Virus, EBV if MONO Negative Epic Code LAB482
CPT 86308 86664
Method Rapid Chromatographic Immunoassay
Department IMM

1 mL serum, plasma or whole 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Room
blood acceptable centrifuge. Temperature
Test Information Automatically orders a reflex EBV panel if Mono screen is Negative.
INFLAMMATORY BOWEL DISEASE PANEL Order Code: INBDP 6963
Synonym IBD 1ST STEP, ASCA (Saccharamyces cerevisiae Ab), Crohn's Disease, Epic Code LAB1230
IBD, p-ANCA, Ulcerative Colitis CPT 83520 83520 86255
Method Specfic Antibody detection

INBDP Saccharomyces cerevisiae SCIGA - 20 U
Ref Code IBDP Ab, IgA
INBDP Saccharomyces cerevisiae SCIGG - 20 U
Ab, IgG
INBDP Neutrophil Specific Antibodies NSAB Negative -

5 ml serum (min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful as an adjunct in the diagnosis of ulcerative colitis and Crohns disease in patients suspected of having inflammatory
bowel disease.
INFLIXIMAB QN WITH REFLEX TO AB, S Order Code: LCIFX 10300
Synonym Remicade, Anti-TNF inhibitor Epic Code LAB4778

CPT 80299 82397
Scheduled
Department SOO
Ref Code INFXR

Serum 1 gold top SST clot tube Allow specimen to clot for 30 minutes, then centrifuge. Frozen
Additional Information ** New test - live June 2016
INFLUENZA A AND B DIRECT ANTIGEN Order Code: INFAB 1978
Synonym FLU, H FLU, FLU A, FLU B Epic Code LAB272

CPT 87804
Department MIC

NP Floq Swab, 2 ml nasal washing Viral Transport Media (VTM), Collect in saline - Sterile screw capped tube or Floq swab in viral Refrigerate
Sterile tube transport media. The Nasal-pharyngeal wash should be cloudy in
1 - 2 ml of saline. Submit outpatient specimens in Viral Transport
Media.
Test Information Rapid Influenza A/B tests lack the desired sensitivity and specificity. Confirmation of negative and positive rapid tests by
PCR methodology is recommended if clinically indicated. Call Sparrow Microbiology Department (517)364-2543 to request
confirmation by PCR.
Additional Information For optimal recovery and to maximize sensitivity and specificity, the specimen of choice is a NP Wash or NP Floq
swab. Throat swabs or nasal swabs do not contain adequate numbers of epithelial cells, essential for detection of
virus using rapid detection methods. Sensitivity of rapid EIA methodology for 2009 H1N1 Influenza A virus is 10-70%
per CDC. Sensitivity of rapid EIA methodology for H3N2v Influenza A virus is 0%.
INFLUENZA AB, by PCR Order Code: PCRIP 10021
Synonym FLU A, FLU B, FLU AB, Influenza A and B Epic Code LAB4361
Test Component Includes FLU A, FLU B, Influenza Virus CPT 87798
Method PCR
Scheduled Daily (During season)
Department MDX

Nasopharyngeal (NP), Respiratory FLOQ swab or Saline wash in Submit swab placed into M4/M5 viral transport media (VTM). NP Refrigerate
specimens (Nasal saline washing, sterile screw cap vial; Preferred aspirate/saline wash should be cloudy and sent in sealed plastic
BAL, bronchial washing, tracheal vial or VTM vial.
aspirate, sputum). Cerebrospinal
Fluid
Additional Information CSF specimens - Submit 0.5mL CSF in sterile screw cap container. Unacceptable Specimens: Gel swab or wooden
shafted swabs.
INFLUENZA VIRUS A ANTIBODIES Order Code: INFGM 8070
Synonym FLU Epic Code LAB4298

CPT 86710
Department MREF

centrifuge.
INHIBIN B, S Order Code: INHB 10252
Synonym INHIB Epic Code LAB4728

CPT 83520

Mayo
Department MREF
Ref Code INHB

0.5 mL Serum (Min. 0.2 mL) 1 gold top SST clot tube Allow tube to clot at Room temperature then spin. Refrigerate
Test Information Useful for as an aid in the diagnosis of granulosa cell tumors and mucinous epithelial ovarian tumors.
Monitoring of patients with granulosa cell tumors and epithelial mucinous-type tumors of the ovary known to overexpress
inhibin B.
As an adjunct to follicle-stimulating hormone testing during infertility evaluation.
Additional Information *** New Test Active 8/11/15 ***
INSULIN (Fasting) Order Code: INSF 1962
Synonym INS Epic Code LAB828

CPT 83525
Scheduled Monday
Department IMM

centrifuge.
INSULIN ANTIBODY Order Code: INSAB 1123
Synonym Anti-Insulin Epic Code LAB649

CPT 86337

INSAB % BINDING BEEF BINBF 0 - 3.0 % Binding
Ref Code INAB
INSAB % BINDING HUMAN BINHN 0 - 3.0 % Binding

1 ml serum (Min: 0.3 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate or
centrifuge. Transfer plasma into a plastic tube. Frozen
Additional Information Specimens may be frozen after arrival in the laboratory. EDTA and heparin plasmas are acceptable specimens.
INSULIN, FREE AND TOTAL, S Order Code: INSFT 10264
Synonym 10179/FINS, Free Insulin Epic Code LAB4734

CPT 83525 83525
Department MREF
Ref Code INSFT

Serum Volume: 1 mL (Min. 0.5 1 Plain red top tube preferred, Centrifuge within 2 hours and transfer serum to plastic vial then Frozen
mL) Acceptable: gel barrier SST Freeze. Sample may be sent refrigerated then frozen once it
tube reaches Sparrow Lab.
Test Information Useful for assessing free (bioactive) insulin concentrations in patients with known or suspected insulin antibodies. Patients
treated with exogenous insulin preparations might develop autoantibodies against insulin. If significant differences between
the total and free insulin concentrations are detected, the presence of insulin antibodies is suspected.
Patient Information Patient must be Fasting (8 hours)
INSULIN-LIKE GROWTH FACTOR BP3, S Order Code: IGFB3 10253
Synonym IGFBP-3, Binding Protein 3, Somatomedin C Binding Protein Epic Code LAB4729
CPT 83520
Method Enzyme-Labeled Chemiluminescent Immunometric Assay
Department MREF
Ref Code IGFB3

1.0 mL serum (min. 0.3 mL) 1 Plain red top tube or gel Allow blood to clot at room temperature for 30 min., then centrifuge Frozen
barrier SST tube and transfer to a plastic vial.
Test Information Useful for Diagnosing growth disorders,

Diagnosing adult growth hormone deficiency
and monitoring of recombinant human growth hormone treatment.
Useful as a possible adjunct to insulin-like growth factor 1 and growth hormone in the diagnosis and follow-up of
acromegaly and gigantism.
Additional Information *** New Test 8/19/15 ***
INTRINSIC FACTOR BLOCKING AB Order Code: INFBA 6785
Synonym IF Blocking,Type 1 Intrinsic Factor Antibody Epic Code LAB857

CPT 86340
Department MREF
Ref Code IFBA

centrifuge. Pour serum into plastic vial and freeze. Specimen may
be frozen after arrival in Laboratory.
IODINE, 24 Hour Urine Order Code: UIODN 2043
Synonym 24 hr urine Iodine Epic Code LAB4157

CPT 83789
Method ICP-MS

Friday at Mayo
Department MREF
UIODN Iodine, 24 hour urine UIODN 93 - 1,125 mcg/specimen
Ref Code UIOD

24 hour urine collection; Submit 24 hr urine container; No For aliquots, Measure the total volume. Then thoroughly mix the Refrigerate
entire collection or 20 ml aliquot preservative required 24 urine in the container and transfer 20 mL into a plastic aliquot
vial.
Refrigerated preferred, can be at room temperature. Specimen

MUST be refrigerated within 4 hours after collection.
Test Information Interpretation: Daily urinary output <90 mcg/specimen suggests dietary deficiency.
Values >1,000 mcg/specimen may indicate dietary excess, but more frequently suggest recent drug or contrast media
exposure.
Caution: Administration of iodine-based contrast media and drugs, like amiodarone, will yield elevated results.
Additional Information When multiple tests are ordered, specimens collected with 50% acetic acid is acceptable.
IODINE, S Order Code: IOD 10197

CPT 83018
Scheduled Mon, Tues, Wed, Friday; 5

p.m.
Department MREF
Ref Code IOD

1.0 mL Serum (Min. 0.3 mL) Royal blue top PLAIN, trace Draw dark blue Monoject trace element tube and send serum in Refrigerate
element tube metal free vial, refrigerated.
Test Information Useful for determination of iodine overload

Monitoring iodine levels in individuals taking iodine-containing drugs.
TOTAL IRON Order Code: IRON 3102
Synonym FE Epic Code LAB94

CPT 83540

IRON Iron IRON F 50 - 150 mcg/mL
IRON Iron IRON M 65 - 150 mcg/mL

centrifuge.
IRON ABSORPTION STUDY Order Code: IRAB 1126
Synonym FE, Iron Studies Epic Code LAB4030

CPT
Department CHM

1.5 ml serum (Min: 1 ml) PER 1 gel barrier SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
DRAW PER DRAW centrifuge.
Test Information Fasting iron; fasting iron binding cap; 15-minute, 30-minute, 60-minute, 90-minute, 120-minute iron.
Patient Information Please call Client Services at (517) 364-7800 or (800) 884-2522 to schedule the test. Patient needs Rx from Physician for
650 mg ferrous sulfate or 960 mg ferrous gluconate. Rx must be filled before coming to lab. Patient must be fasting (8
hour fast).
Additional Information Patient will have 6 blood draws and remain at lab for approximately 2.5 hours, ingest 940 mg ferrous gluconate( 4/240
mg tablets)or 650 mg ferrous sulfate( 2/325mg tablets).
IRON PROFILE Order Code: IRONP 1124
Synonym Fe, Profile, TIBC Epic Code LAB829

Test Component IRON,TIBC,% Saturation CPT 83550 83540

IRONP Total Iron IRON F 50 - 150 mcg/dL
IRONP Iron Binding Capacity TIBC 270 - 440 mcg/dL
IRONP Iron Saturation SAT 20 - 50 %

centrifuge.
Test Information Report contains Total Iron, Total Iron Binding concentration and % Saturation
ISLET ANTIGEN 2 ANTIBODY, S Order Code: IA2 10251
Synonym IA2AB, IA2, Islet Cell Epic Code LAB4727

CPT 86341
Method Radioimmunoassay RIA

Mayo
Department MREF
IA2 IA2 IA2 < or - =0.02 nmol/L
Ref Code IA2

1 mL Serum, Min. 0.75 mL 1 Plain red top tube or gel Allow specimen to clot at room temperature then spin. Refrigerate
barrier SST tube
Test Information Useful for Clinical distinction of type 1 from type 2 diabetes mellitus.
Identification of individuals at risk of type 1 diabetes (including high-risk relatives of patients with diabetes)
Prediction of future need for insulin treatment in adult-onset diabetic patients.
Additional Information *** New Test Active 8/11/15 ***
ANTI- ISLET CELL ANTIBODY Order Code: GAD65 6619
Synonym GAD Antibodies, Anti-Glutamic Acid Decarboxylase, Stiffman Syndrome Epic Code LAB4463
CPT 86341
Method Indirect Immunoperoxidase Stain

GAD65 Glutamic Acid Decarboxylase GAD65 0.00 - 0.02 nmol/L
Ref Code GD65S

3 ml serum (Min: 1 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
ISLET CELL CYTOPLASMIC Ab, IgG Order Code: FISLC 10181
Synonym Cytoplasmic Islet Cell Antibody Epic Code LAB4643

CPT 86341
Method Semi-Quantitative Indirect Fluorescent Antibody
Friday at Arup
Department MREF
FISLC Islet Cell IgG Ab Z2641 < - 1:4 titer
Ref Code FISLC

1.0 mL serum (Min. 0.3 mL 1 gold top SST clot tube Draw SST or plain red top. Allow specimen to clot for 30 minutes, Refrigerate
Test Information Islet cell antibodies (ICAs) are associated with type 1 diabetes (TID), an autoimmune endocrine disorder. ICAs may be
present years before the onset of clinical symptoms. To calculate Juvenile Diabetes Foundation (JDF) units: multiply the
titer x 5 (1:8 8 x 5 = 40 JDF Units). Test Performed by: ARUP Laboratories
Additional Information Test added to Online Test Catalog Feb. 2016
ISOHEMAGLUTININ TITER Order Code: ISOA 1606
Synonym ABO TITER Epic Code LAB4105

CPT 86940
Department BLB

Patient Information Provide transfusion history (last 3 months), as available. Indicate if patient is immunosuppressed. Test not performed if
patient is less than 6 months old.
ITRACONAZOL, S Order Code: ITCON 10199
Synonym Sporanox, Hydroxyitraconazole Epic Code LAB4665

Test Component Itraconazole and Hydroxyitraconazole CPT 80299
Department MREF
Ref Code ITCON

1 ml serum (Min; 0.30 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful for verifying systemic absorption of orally administered itraconazole.
JAK2 V617F MUTATION DETECTION, B Order Code: JAK2B 10329
Synonym Tyrosine Kinase mutation, Janus kinase 2 gene Epic Code LAB4804
CPT 81270
Method Point Mutation Detection in DNA Using Quantitative Polymerase Chain Reaction (PCR)
Department MREF
Ref Code JAK2B

4.0 mL whole blood (Min. 1.5 mL) 1 Lavender top EDTA tube or Gently invert several times to mix blood. Send specimen in original Room
1 yellow top ACD tube tube. Temperature
Test Information Useful for aiding in the distinction between a reactive blood cytosis and a chronic myeloproliferative disorder.
Sparrow Laboratories Online Test Catalog J
JAK2 V617F MUTATION DETECTION, BM Order Code: JAK2M 10487
Synonym JAK2 Bone Marrow, Tyrosine Kinase mutation, Janus kinase 2 gene Epic Code LAB4803
CPT 81270
Method Point Mutation Detection in DNA Using Quantitative Polymerase Chain Reaction (PCR)
Department MREF
Ref Code JAK2M

2 mL Bone Marrow (Min. 1 mL) 1 Lavender top EDTA tube or Gently invert several times to mix blood. Send specimen in original Room
yellow top ACD accepted tube. Temperature
Test Information Useful for aiding in the distinction between a reactive blood cytosis and a chronic myeloproliferative disorder
ANTI- JO-1 Order Code: JO 8013
Synonym Histidyl-T RNA Synthetase Ab, Polymyostis Antibody Epic Code LAB4485
CPT 86235
Scheduled Sunday - Friday at Mayo
Department IMM

centrifuge.
Sparrow Laboratories Online Test Catalog K
KAPPA-LAMBDA LIGHT CHAINS, 24 HOUR URINE Order Code: SIMLC 10005
Synonym 24 Hr Urine Light Chains, Immuno Light Chains Epic Code LAB734
CPT 83883 83883
Method Nephelometry
Scheduled Monday-Saturday at COMPONENT 10005 CODE LOINC REFERENCE RANGE

Specialty Lab
Department MSPE
C SIMLC Total Urine Volume SVOL2
Ref Code Z1741U SIMLC Kappa Light Chain Urine SIMMK
SIMLC Kappa Chain 24 hr SKC24
SIMLC Lambda Light Chain Urine SLALC
SIMLC Lambda Chain 24hr SLA24

24 hour urine collection; Submit 24 hr urine container, no Measure the total volume. Then thoroughly mix the 24 urine in the Refrigerate
Test Information Polyclonal immunoglobulin light chains (kappa and lambda) normally occur in a ratio of 2:1, whereas monoclonal
immunoglobulin light chains exhibit only one type of light chain, either kappa or lambda. A kappa:lambda ratio outside of 2:1
is an indication of a monoclonal gammopathy.
saving first specimen from the following mornin
Additional Information NO PRESERVATIVES Acceptable.

** Test added to online catalog 8/01/16.
KEPPRA Order Code: LVKEP 1247
Synonym Levetiracetam Epic Code LAB477

CPT 80177
Method High-Performance Liquid Chromatograhy (HPLC)

LVKEP Keppra (Levetiracetam) LVKEP 3.0 - 63.0 Ug/mL

2 ml serum (Min. 1 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
KETONES Order Code: ACET 1000
Synonym ACET Epic Code LAB44

CPT 82010

ACET Acetone ACET 38493-3 Negative -

2 ml serum (Min: 1.0 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Room
centrifuge. Temperature
Test Information No hemolyzed specimens. Can not use blood in lab if cap has been removed.
KETONES, URINE QUALITATIVE Order Code: URKET 1576
Synonym Acetone Epic Code LAB403

CPT 81003
Method Dipstick
Department HEM

1 ml urine Sterile urine container Collect an early AM specimen preferred. Refrigerate
KIT EXON 11, MUTATION ANALYSIS Order Code: KIT11 10283
Synonym Melanoma, GIST, Gastrointestinal Stromal Tumor, GST11 Epic Code LAB4750
CPT 81404
Method Polymerase Chain Reaction (PCR) and Sequencing

Mayo
Department MREF
Ref Code KIT11

Varies; Surgical Path Specimens, Surgical Path Specimens, Formalin-fixed, paraffin-embedded (FFPE) tissue block with a Room
FFPE tissue FFPE tissue minimum of 60% tumor cell population. Acceptable: Unstained Temperature
Test Information Useful for the diagnosis and management of patients with gastrointestinal stromal tumors or melanomas and the
identification of a mutation in exon 11 of the KIT gene. Additional testing algorithms and special instructions available at
mayomedicallaboratories.com, KIT11 -Gastrointestinal Stromal Tumor (GIST) Testing & KIT Mutation for Melanoma Testing
Additional Information ** NEW TEST ADDED 01/22/2016 ** A pathology/diagnostic report including a brief history is required. If available,
include KIT Immunostain results.
CPT 81404

Mayo
Department MREF
Ref Code KIT13

mayomedicallaboratories.com, KIT13 - Gastrointestinal Stromal Tumor (GIST) Testing & KIT Mutation for Melanoma
Testing
CPT 81404

Mayo
Department MREF
Ref Code KIT17

mayomedicallaboratories.com, KIT17 - Gastrointestinal Stromal Tumor (GIST) Testing & KIT Mutation for Melanoma
Testing
KLEIHAUER-BETKE Order Code: KLEI 1615
Synonym Acid Elution Stain, Fetal Hemoglobin, Fetal Maternal Bleed Epic Code LAB762
CPT 85460
Method Stain
Department BLB Age 10 yr to >100 year

KLEI Fetal Cells KLEI Negative -

Test Information Hold tube for Blood Bank orders
Additional Information Label tube with first name, last name, date of birth and initials of person who identified and collected the specimen, with
date and time of collection.
KOH PREP Order Code: KOH 1450
Synonym Fungus Smear, KOH, Potassium Hydroxide Epic Code LAB251

CPT 87210 87220
Method Microscopic
Department MIC

Tissue, sputum, skin scrapings, Sterile specimen container Room temperature Room
corneal scrapings, hair, nail Temperature
clippings.
LACTATE Order Code: LACID 1130
Synonym Lactic Acid Epic Code LAB95

CPT 83605
Method Enzymatic

LACID Lactate LACID 0.2 - 1.8 mmol/L

1 ml plasma (Min: 0.5 ml) 1 green top tube, Li Heparin Outpatients: Immediately place tube in ice slurry. Centrifuge Frozen
within 30 min., transfer plasma to plastic vial and freeze
Test Information Special handling requirements for inpatients and outpatient specimen collection.
Additional Information Inpatients - Draw 1mL whole blood (green-top tube or heparinized syringe). Immediately place in ice slurry, deliver to
lab, test within 30 min. of collection.
Sparrow Laboratories Online Test Catalog L
LACTATE CSF Order Code: CLAC 1311
Synonym CSF Epic Code LAB187

CPT 83605
Method Ion - selective electrode

CLAC Lactate-CSF CLAC 0.0 - 2.8 MMOL/L

0.4 ml CSF (Min: 0.2 ml) 1 CSF tube Centrifuge, freeze supernatent Frozen
LACTATE DEHYDROGENASE Order Code: LDH 1136
Synonym LDH Epic Code LAB96

CPT 83615

LDH LDH LDH 100 - 1000 U/L




centrifuge.
LACTATE DEHYDROGENASE ISOENZYMES Order Code: LDHIS 1134
Synonym LDH Electrophoresis, LDH IsoenzymeE Epic Code LAB97

CPT 83625
Method Electrophoresis densitometry and Photometric Rate
Department MREF
Ref Code LD_I

2 ml serum (Min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes. Plain, red-top tube or a Room
serum gel tubes accepted. Spin down, send 2.0 mL of serum at Temperature
ambient temperature. Frozen will be rejected.
Test Information Total LDH and Isoenzyme fractions
Patient Information Patients's age required on processing form.
Additional Information This test is no longer recommended as a cardiac marker. It has been replaced by Troponin-I. If total LDH is <225 U/L,
LDH isoenzyme assay is not indicated.
LACTOFERRIN DETECTION, F Order Code: FLACT 10191
Synonym FLACF Epic Code LAB4656

CPT 83630
Method Qualitative Enzyme-Linked Immunosorbent Assay
Department MREF
Ref Code FLACF

5 gr stool unpreserved, or stool Gray tub or Cary Blair vial Freeze or refrigerate Refrigerate or
preserved in Cary-Blair media.. Frozen
(Min. 1 gr.)
Test Information Test Performed by: ARUP Laboratories, Salt Lake City, UT
LACTOSE TOLERANCE Order Code: LTT 1131

CPT
Department CHM

1 ml serum (Min: 0.5 ml) PER 1 gel barrier SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
DRAW PER DRAW centrifuge immediately.
Test Information Fasting, 30 minutes, one (1) hour, 1.5 hour, two (2) hour glucose measurements.
Patient Information Patient must fast 6 to 8 hours. Adults will receive a 50 gram dose of lactose; children will receive 2 grams per kg body
weight.
Additional Information This test needs to be scheduled to ensure the proper test meal preparation and consumption.
LAMELLAR BODY COUNT, AMNIOTIC FLUID Order Code: LBC 10138
Synonym LB Count, Fetal Lung Maturity Epic Code LAB4599

CPT 83664
Method Sysmex XE5000, Platelet Count by Impedance Method
Scheduled Stat Test COMPONENT 10138 CODE LOINC REFERENCE RANGE

LBC Lamellar Bodies Counted LBC mature lung 24 - 1,000,000 K/uL
LBC Lamellar Bodies Counted LBC Intermediate 21 - 24 K/uL
LBC Lamellar Bodies Counted LBC Immaturity 0 - 21 K/uL

Amniotic Fluid Sterile amniotic fluid vial Do not spin. Refrigerate
Test will not be performed if fluid contains blood, meconium, or
mucus. Do not centrifuge attempting to remove these
contaminants.
Test Information Result | Interpretation

------------------------------------------------------------------------------------------------------------------------------------------------------------------
>24 K/uL Predictive of fetal lung maturity
<21 K/uL Suggestive of fetal lung immaturity and increased risk of neonatal respiratory distress syndrome (RDS)
------------------------------------------------------------------------------------------------------------------------------------------------------------------
The main value of fetal lung maturity testing is predicting the absence of RDS. An immature test result for fetal lung
maturity is less reliable in predicting the presence of RDS.
------------------------------------------------------------------------------------------------------------------------------------------------------------------
The choice of 21 or 25 as a threshold should be based upon the necessary level of certainty for predicting fetal lung
maturity indicated by the clinical setting.
Additional Information Added to online catalog November 21, 2016
LAMOTRIGINE, SERUM Order Code: LAMO 6708
Synonym Lamictal Epic Code LAB475

CPT 80175
Method High Turbulence Liquid Chromatography - Tandem Mass Spectrometry (HTLC - MS/MS)

LAMO Lamotrigine LAMO 2.5 - 15.0 mcg/Ml
Ref Code LAMO

1 ml serum (Min: 0.2 ml) 1 gold top SST clot tube Allow to clot upright, then centrifuge, transfer serum to plastic tube. Refrigerate
Test Information Useful for monitoring serum concentration of lamotrigine and assessing compliance.
Additional Information Serum separator tube acceptable but serum should be removed from gel within 24 hours.
LDH BODY FLUID Order Code: FLDH 1143
Synonym Body Fluid Epic Code LAB4036

CPT 83615
Department CHM

10 ml fluid (Min: 1 ml) Clean container Refrigerate Refrigerate
LDL, DIRECT MEASURE Order Code: LDLDG 6862
Synonym Low Density Lipoprotein Epic Code LAB102

CPT 83721
Method Ultracentrifugation / Selective Precipitation / Enzymatic
Scheduled Monday - Thursday at

Mayo
Department MREF

3.0 ml serum (Min: 3.0 ml). 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
Draw a separate tube if additional centrifuge.
tests are requested
LEAD, BLOOD Order Code: LEAD 1138
Synonym Pb Epic Code LAB98

CPT 83655
Method Atomic Absorption (AA)

LEAD LEAD LEAD 0 - 9.9 mcg/dL

2.0 ml whole blood (Min: 0.3 ml) 1 Lavender top EDTA tube DO NOT CENTRIFUGE. Send whole blood Refrigerate
Test Information Interpretive guideline for children: Less than 5 mcg/dL is considered normal per CDC.
LEAD, URINE Order Code: ULEAD 1139
Synonym PB (Lead), Urine, Random or 24 hour Lead Epic Code LAB404

CPT 83655 83655

ULEAD Lead ULEAD 0 - 80
Ref Code PBU

24 hour urine collection; Submit 24 hr urine container; no Refrigerate - Measure the total volume. Then thoroughly mix the Refrigerate
entire collection or 20 ml aliquot preservative 24 urine in the container and transfer 20 mL into a plastic aliquot
vial.
Additional Information Specimens collected for other than a 24-hour time period are reported in unit of ug/L, for which reference values are
not established. The following preservatives are acceptable if multiple assays are requested: 50% Acetic Acid
LEGIONELLA ANTIBODY Order Code: LEGAB 1666
Synonym Legionella Serology, LDA, Legionnaires Disease Epic Code LAB476

CPT 86713
Scheduled Monday-Friday at MDCH COMPONENT 1666 CODE LOINC REFERENCE RANGE
Department MDCH Age 1 day to >100 years

LEGAB MDCH Number MDCHN
LEGAB Legionella Antibody LEGLL Negative - Titer <1:64
LEGAB Tested by MDTB

centrifuge.
Patient Information Acute and convalescent samples 10-14 days apart preferred.
LEGIONELLA ANTIGEN, URINE Order Code: LEGAU 2241
Synonym Leg Ag, Legionnaires' Disease Epic Code LAB886

CPT 87449
Method Rapid Immunochromatographic Membrane Assay

LEGAU Legionella Ag LEGAU Negative -

2 ml random urine Sterile urine container, no Random urine, specimen is stable for 24 hrs at room temperature. Refrigerate
preservative necessary but Refrigerated sample stable up to 14 days
boric acid is acceptable
LEGIONELLA, DIRECT EXAM Order Code: STLEG 1452
Synonym DFA, Legionnaires Disease, pneumonia Epic Code LAB4452

CPT 87278
Method Direct Fluorescence, DFA

STLEG Legionella species STLEG 588-4 Negative -

2 ml respiratory sample or Tissue Sterile container Expedite to microbiology lab. Keep at room temperature Room
(min. 1 ml) Temperature
Additional Information Lung biopsy or Respiratory specimen types: Bronchial washings, bronchoalveolar lavage, pleural fluid, sputum or
transtracheal aspirates
LEPTOSPIRA CULTURE Order Code: SLPCX 8104
Synonym LEPCULT Epic Code LAB4309

CPT 87070
Method Culture
Scheduled Result available in 28 to

30 days
Department QST

10 ml heparinized plasma, 4 ml 1 green top tube, heparin for CSF or Heparinized Whole Blood or Neutralized Urine - add a weak Room
CSF (min. 1.0 ml), or 10 ml Urine whole blood. Sterile container acid or base solution (pH 7.0) ONLY! Temperature
for urine, CSF tube for Spinal Keep specimen at Ambient Temp.
fluid.
Test Information During week one, detection in blood or CSF most successful. After that time, and for several months, Leptospires may be
intermittently shed in urine.
Additional Information Test performed for Sparrow by Focus Technologies
LEPTOSPIRA IGM Order Code: FLEPM 10517
Synonym LEPTO Epic Code LAB4818

CPT 86720
Method Qualitative Immunoblot
Scheduled Monday and Thursday at COMPONENT 10517 CODE LOINC REFERENCE RANGE
ARUP
Department MREF
FLEPM Leptospira IgM FLEPM Negative -
Ref Code FLEPM

1 mL serum (Min. 0.5 mL) 1 gold top SST clot tube Allow blood to clot at room temperature for 30 min. Then centrifuge Refrigerate
and send 1 mL of serum refrigerated in plastic vial.
Additional Information ** New Test 9/20/2016, Replaces test 8081/ LEPTO / LAB4818
LEUKEMIA/LYMPHOMA PANEL Order Code: IMPHE 1931
Synonym Flow Cytometry Epic Code LAB1729

CPT

IMPHE Case Number CASE
IMPHE Case Number CASE

Bone marrow, tissue, joint fluid, Bone marrow, tissue, joint Maintain specimens at room temperataure. Room
CSF fluid, CSF Temperature
Test Information Interpretation included in histopathology report
LIDOCAINE Order Code: LIDO 1028
Synonym Xylocaine, Xylocard, Lanacane Epic Code LAB685

CPT 80176

LIDO Specimen Type GCS13
LIDO Lidocaine LIDOC 1.5 - 5.0 mcg/mL

2.5 ml serum (Min: 1.25 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
LIPASE Order Code: LIPAS 1141
Synonym Pancreatic Enzyme Epic Code LAB99

CPT 83690

LIPAS Lipase LIPAS 7 - 60 U/L

centrifuge.
LIPID PROFILE Order Code: LIPID 1321
Synonym Cororonary Risk Panel Epic Code LAB18

Test Component CHOL,TRIG,HDL, Calc. LDL CPT 80061
Method Enzymatic

LIPID Cholesterol CHOL 110 - 170 mg/dL

LIPID Triglycerides TRIG 10 - 140 mg/dL

LIPID HDL HDL F 35 - 75 mg/dL

LIPID VLDL VLDL 10 - 150 mg/dL

LIPID LDL- Calc LDL 10 - 190 mg/dL

centrifuge.
Test Information Includes CHOL, TRIG, HDL, Calculated LDL, CHOL/HDL ratio
Patient Information Patient must fast 12 -14 hours
Additional Information A Direct Measure LDL is recommended when the patient's triglyceride levels are over 400 mg/dl.
LIPOPROTEIN a Order Code: LIPA 9028
Synonym Lp(a) apoprotein, APO a Epic Code LAB563

CPT 83695
Method Automated Turbidimetric Immunoassay

LIPA Lipoprotein a LIPA 0 - 30 mg/dL
Ref Code LIPA

1 ml (Min:0.5 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Freeze in plastic tube.
Test Information Useful for Cardiovascular disease (CVD) risk refinement in patients with moderate or high risk based on conventional risk
factors.
Patient Information Patient must be fasting 12-14 hours.
LITHIUM Order Code: LITH 1145
Synonym LI Epic Code LAB29

CPT 80178

LITH Lithium LITH 0.5 - 1.2 mmol/L

centrifuge.
LIVER PANEL Order Code: LIVER 8187
Synonym Hepatic Panel, Liver Function, LFP Epic Code LAB20

Test Component ALP, Total BILI, Direct and Indirect BILI, ALB, AST, ALT and Total Protein CPT 80076
Department CHM Age 2 W to >100 year

LIVER Bilirubin-Indirect BILII 0.0 - 0.9 mg/dL
LIVER Bilirubin-Total BILIT 0.2 - 1.2 mg/dL

LIVER Total Protein TP 6.0 - 8.0 g/dL
LIVER Albumin ALB 3.6 - 5.0 g/dL

LIVER AST (SGOT) AST 10 - 40 U/L

LIVER ALK Phosphatase ALP M or F 0 - 120 U/L

LIVER ALT (SGPT) ALT 2 - 45 U/L
LIVER Bilirubin-Direct BILID 0.0 - 0.3 mg/dL

centrifuge.
LIVER/KIDNEY MICROSOME TYPE 1 ANTIBODY Order Code: LKMAB 2005
Synonym LKM ANTIBODIES Epic Code LAB4154

CPT 86376
Method Enzyme-Linked Immunosorbant Assay (ELISA)
Department MREF

centrifuge.
LORAZEPAM Order Code: LOR 8034
Synonym ATIVAN Epic Code LAB4287

CPT 80299
Department TOX

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li or Na Grey-top and plain red-top also acceptable. Reject if collected in Refrigerate
Heparin gel
separator tube.
Test Information Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected
LUNG CANCER - ROS1 (6q22), FISH, Ts Order Code: ROS1F 10277
Synonym Lung Carcinoma, Non-small cell lung cancer, NSCLC Epic Code LAB4745
CPT 88291

ROS1F Interpretive Report ROS1F
Ref Code ROS1F

Tissue Tissue block preferred, Tissue Submit a formalin-fixed, paraffin-embedded (FFPE) tumor tissue Room
or slides block. Blocks prepared with alternative fixation methods may be Temperature
acceptable; provide fixation method used.
Slides - Instructions: prepare four consecutive, unstained, 5 micron-

thick sections placed on positively charged slides, and 1
Test Information Useful for identifying ROS1 gene rearrangements in patients with late-stage, lung adenocarcinomas that are negative for
EGFR mutations and ALK rearrangements.
Patient Information Specimen must be drawn from patient prior to Factor Replacement Therapy.
Additional Information ** NEW TEST 01/21/2016 ** This test does not include a pathology consult. For more information, go to
mayomedicallaboratories.com.
LUNG CANCER, EGFR With ALK REFLEX Order Code: EGFRR 10275
Synonym Non-small cell lung cancer, Tumor Epic Code LAB4744

CPT 81235
Method Polymerase Chain Reaction (PCR) and Fluorescence In Situ Hybridization (FISH)
(PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.)
Department MREF
Ref Code EGFRR

Tissue Tissue block preferred, or Formalin-fixed, paraffin-embedded tissue block (preferred) or 2 Room
slides slides stained with hematoxylin-and-eosin and 10 unstained, non- Temperature
baked slides with 5-microns thick sections of the tumor tissue.
Test Information Useful for identifying non-small cell lung cancers that may benefit from treatment with epidermal growth factor receptor-
tyrosine kinase or anaplastic lymphoma kinase inhibitors
Additional Information ** Pathology report must accompany specimen in order for testing to be performed.
LUPUS ANTICOAGULANT Order Code: LUPUS 1109
Synonym Russell Vipor Venom Epic Code LAB478

CPT 85730
Method Clot detection

LUPUS APTT LPTT 27 - 37 Sec
LUPUS LAC Screen LA1 0 - 0 Sec
LUPUS LAC Confirm LA2
LUPUS Mixing Study LAMIX
LUPUS Lupus Anticoagulant LA
LUPUS Ortho APTT LRVBY

4 ml frozen plasma (two 2 ml 2 Light blue top tubes, Centrifuge. Transfer citrate plasma to plastic vial and freeze. Frozen
aliquots) and 3 ml serum NaCitrate (3.2%) and 1 plain Refrigerate clot tube.
red top tube
Test Information Lupus sensitive APTT, Hexagonal Lipid Assay, Anti-Cardiolipin (platelet neutralization, mixing studies, and plasma agarose,
if indicated).
Additional Information Red Top Tube transported at refrigerator temperature.
LUTEINIZING HORMONE Order Code: LH 1148
Synonym LH Epic Code LAB87

CPT 83002
Department CHM

centrifuge.
LYME ANTIBODIES Order Code: LYMAB 1844
Synonym Borrelia Burgdorferi antibody Epic Code LAB4146

CPT 86618
Method ELISA
Scheduled Monday; afternoon shift COMPONENT 1844 CODE LOINC REFERENCE RANGE
Department MSER Age 1 day to >100 years

LYMAB IgG and IgM Antibodies LYMAB 20449-5 Negative -

centrifuge.
Test Information Detects both IgG and IgM antibodies. This is a reportable disease; Positives will be sent to the local (county) public health
department.
Additional Information Positive reflex to Western blot, LYMWB
Sparrow Laboratories Online Test Catalog M
MAGNESIUM Order Code: MG 1151
Synonym MG Epic Code LAB103

CPT 83735

MG Magnesium MG 1.3 - 2.1 meq/L

centrifuge.
MAGNESIUM, RBC Order Code: MGRBC 10128
Synonym Mg RBC Epic Code LAB104

CPT 83735
Method ICP/MS
Scheduled Monday, Thursday; COMPONENT 10128 CODE LOINC REFERENCE RANGE

Specialty Lab
Department MSPE
C MGRBC RBC Magnesium MGRBC 4 - 6.4 mg/dL
Ref Code 623

2.5 mL Whole blood 1 Dark blue top EDTA (Whole Submit Whole Blood in original tube, refrigerated. Refrigerate
blood - Plasma)
Test Information Magnesium deficiency can lead to irritability, neuromuscular abnormalities, cardiac and renal damage.
Excessive amounts of magnesium may cause CNS depression, loss of muscle tone, respiratory and cardiac arrest.
Patient Information Patient should refrain from taking vitamins, or mineral herbal supplements for at least one week prior to sample collection.
Additional Information Added to online catalog November 21, 2016
MAGNESIUM, URINE Order Code: UMG24 1118
Synonym Mg-Urine, 24 hr urine Epic Code LAB406

CPT 83735

UMG24 Mg 24HR URINE UMGC 6.0 - 10.0 mEq/24Hr
Ref Code Sparrow
UMG24 Mg Non 24HR UR UMG1
UMG24 Measured Volume UVOL measure - in mL
UMG24 Collection Time CINTV Time - in hours

24 hour urine collection; Submit 24 hour urine container, no Measure the total volume. Then thoroughly mix the 24 urine in the Refrigerate
Additional Information Must acidify before testing; add 6N HCL
MALARIA SMEAR Order Code: MALAR 1519
Synonym Babesia, Plasmodium Epic Code LAB883

CPT 87207
Method Wright Giemsa Stain, Microscopy
Department HEM

Patient Information Collect sample during period of fever or chill
MANGANESE Order Code: MANGN 1152
Synonym Mn (Serum) Epic Code LAB1050

CPT 83785
Method Graphite Furnace Atomic Absorption Spectometry

Mayo
Department MREF
MANGN Manganese MANGN 0.40 - 0.85 ng/mL
Ref Code MNS

2 ml serum (Min: 2 ml) Royal blue top PLAIN, trace Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
element tube centrifuge. Transfer into a metal-free plastic vial.
Additional Information Specimen delayed by 48 hours should be frozen.
MDS, FISH Order Code: MDSF 10269
Synonym Myelodysplastic Syndrome, Isodicentric 20q - idic(20), Myeloproliferative Epic Code LAB4737
neoplasms CPT 88291
Department MREF
Ref Code MDSF

7-10 mL Whole blood, minimum 2 1 green top tube, Na Heparin Invert several times to mix blood or bone marrow. Other Room
mL/1-2 mL Bone marrow, anticoagulants are not recommended and are harmful to the Temperature
minimum: 1 mL viability of the cells.
Test Information Useful for detecting a neoplastic clone associated with the common chromosome abnormalities seen in patients with
myelodysplastic syndromes or other myeloid malignancies.
MEASLES IgG ANTIBODY Order Code: MEASL 1411
Synonym Rubeola Epic Code LAB657

CPT 86765
Scheduled Monday; afternoon shift
Department MSER

centrifuge.
MECONIUM DRUG SCREEN 7 Order Code: MCSCR 10182
Synonym Drug Screen, Newborn drugs of abuse screen Epic Code LAB4644
CPT
Method Liquid Chromatography Mass Spectrometry/Mass Spectrometry
Scheduled Monday-Saturday at COMPONENT 10182 CODE LOINC REFERENCE RANGE

Warde Lab
Department SO
MCSCR Drug Components MCSCR Negative -
Ref Code MECO7

5.0 grams Meconium (1.0 g Sterile screw cap container Collect all meconium (blackish material) excreted until milk/formula Refrigerate
Minimum) based stool (yellow-green) appears. Send specimen or multiple
sample collections from the same patient should be combined in
one container.
Test Information Useful for identifying illicit drug use during pregnancy by detecting drugs or metabolites in meconium specimens.
Additional Information Stability: Room Temperature: 72 hours; Refrigerated: 14 days; Frozen: 1 year
MEPERIDINE and NORMPERIDINE, P/S Order Code: MEP 2534
Synonym Demerol Epic Code LAB4422

CPT 80362
Department TOXS
O

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li or Na Refrigerate
heparin
MERCURY, BLOOD Order Code: MERCB 9039
Synonym Hg, metal Epic Code LAB831

CPT 83825

MERCB Mercury MERCB 0 - 9.0 ng/mL

5 ml whole blood (Min: 2 ml) 1 Royal blue top tube-EDTA Do not centrifuge. Refrigerate
METANEPHRINES, P Order Code: PMETA 1285
Synonym Metanephrines Fractionated Free Epic Code LAB4064

Test Component Metanephrine, Normetanephrine CPT 83835
Department MREF
Ref Code PMET

2 ml plasma (Min: 1.0 ml) 1 Lavender top EDTA tube Centrifuge and transfer plasma to a plastic vial. Freeze plasma. Refrigerate or
Frozen
Test Information Useful for screening test for presumptive diagnosis of catecholamine-secreting pheochromocytomas or paragangliomas.
Additional Information Specimen may be frozen after arrival in the laboratory.
METANEPHRINES, U Order Code: UMETA 1275
Synonym Metanephrines Fractionated, 24 hour Metanephrine Epic Code LAB409

CPT 83835

UMETA Metanephrines UMETA 0.0 - 1.3 mg/24Hr
Ref Code METAF

24 hour urine collection; Submit 24 hr urine container; Add 10 Refrigerate - Measure the total volume. Then thoroughly mix the Refrigerate
entire collection or 20 ml aliquot grams Boric acid preservative 24 urine in the container and transfer 20 mL into a plastic aliquot
prior to collection. For vial.
pediatric patients, add 3 grams Label container with full name and date of birth. 24 hour urine
boric acid. collections require the following additional information with the
Additional Information When multiple 24 hr urine tests are ordered, Boric acid, 6N HCL, 50% Acetic acid and Na2CO3 are acceptable.
METAPNEUMOVIRUS BY PCR Order Code: PCRMG 10038
Synonym Respiratory Virus, Human Metapneumovirus Epic Code LAB4364

CPT 87798
Method PCR

Friday
Department MDX
PCRMG Specimen Type SPM13
PCRMG Virus PCRMO 40978-9 Not - Detected

Nasopharyngeal (NP) or throat FLOQ swab or Saline wash in Submitted swabs are placed into M4/M5 viral transport media. NP Refrigerate
swab, Respiratory specimens sterile screw cap vial; aspirate/saline wash should be cloudy and sent in sealed plastic
(Nasal washing, BAL, bronchial Preferred. Respiratory vial or VTM vial.
washing, tracheal aspirate, specimens: into 3ml saline in
sputum) sterile container or 3ml viral
Adeno/Para only: CSF Adeno transport media.
only: Eye
Additional Information Culturette II swab/ polyester, rayon or nylon tipped swab acceptable. Unacceptable Specimens: Gel swab or
wooden shafted swabs.
METHADONE Order Code: METHO 7751
Synonym DOLOPHINE Epic Code LAB1054

CPT 80358

METHO Methadone METHO M or F 50 - 100 ng/mL

2.5 ml serum (Min: 1.25 ml) 1 Plain red top tube, 10 mL Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
METHEMOGLOBIN Order Code: METHB 1157

CPT 83050
Method Oximetry

METHB Methemoglobin METHB 0.0 - 1.5 %

2 ml whole blood (Min: 0.5 ml) 1 green top tube, Li heparin Refrigerate. DO NOT CENTRIFUGE. Refrigerate
METHEMOGLOBIN and SULFHEMOGLOBIN, Blood Order Code: MSHGB 1216
Synonym Methemgb, Sulfhgb Epic Code LAB4047

CPT 83050 83060

MSHGB SULF-HBG MSHGB 0.0 - 1.0 %
Ref Code MET

2 ml whole blood (Min: 1ml) 1 Lavender top EDTA tube Refrigerate Refrigerate
Test Information Includes methemoglobin and sulfhemoglobin
Patient Information Patient age required
METHOTREXATE Order Code: METRX 1355

CPT 80299
Department CHM

METHYLMALONIC ACID Order Code: MMAS 8189
Synonym MMA, Cobalamin Deficiency, B12 Deficiency Epic Code LAB835

CPT 83921
Method Liquid Chromatography-Tandem Mass Spectometry (LC-MS/MS) Stable Isotope Dilution Analysis

MMAS Methymalonic Acid MMAS 0.00 - 0.40 nmol/mL
Ref Code MMAS

3 ml serum (Min: 1.5 ml) 1 Plain red top tube preferred Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Separate serum into plastic vial. Serum red top tube-
gel barrier acceptable.
Test Information Interpretation: In pediatric patients, markedly elevated methylmalonic acid values indicate a probable diagnosis of
methylmalonic acidemia. Additional confirmatory testing must be performed.
In adults, moderately elevated values indicate a likely cobalamin (vitamin B12) deficiency.
Additional Information Specimen must be frozen within 24 hours of collection.
MEXILETINE Order Code: MEXIL 6807
Synonym MEXITIL Epic Code LAB4224

CPT 80299
Method High Pressure Liquid Chromatogrphy (HPLC)

MEXIL Mexiletine MEXIL 0.75 - 2.00 mcg/mL

5 ml plasma (Min: 5 ml) 2 Lavender top EDTA tubes Centrifuge and transfer plasma to a plastic tube. Refrigerate
Test Information Specimens collected in plain red top tubes are acceptable. Red top gel-barrier tubes are not acceptable.
Patient Information Patient must be on medication 3 days prior to collection. Collect specimen just before administration of the next dose.
MHPG, 24 HOUR URINE Order Code: LCMHP 10320
Synonym 3-Methoxy-4-Hydroxyphenylglycol, 24 hr Urine MHPG Epic Code LAB4787

CPT 82542
Method High Pressure Liquid Chromatography
Scheduled Monday - Saturday at COMPONENT 10320 CODE LOINC REFERENCE RANGE

Reference lab
Department SOO
LCMHP Total volume L0240
Ref Code 803193
LCMHP MHPG L0241
LCMHP MHPG, 24 Hr Urine L0242
LCMHP Measured Volume LCTV1

24 hour urine collection; Submit 24 hr urine container, no Refrigerate during collection. Measure the total volume. Then Refrigerate
entire collection or 20 ml aliquot preservative thoroughly mix the 24 urine in the container and transfer 20 mL into
a plastic aliquot vial.
Test Information Use to monitor levels of urinary 3-methoxy-4-hydroxyphenylglycol (MHPG), a metabolite of norepinephrine. Patients with
either high or low levels of MHPG have demonstrated marked sleep disturbance, which may be related to unipolar
depression.
Additional Information ** New Test added June 21, 2016 ** Replaces test number 1066/MHPG
When multiple 24 hr urine tests are ordered, 50% Acetic acid is acceptable.
MICROALBUMIN, TIMED URINE Order Code: UMALG 6808
Synonym ALB, 24 hr urine microalbumin Epic Code LAB4225

CPT 82043
Method Spectrometry
Department CHM
Ref Code Sparrow

24 hour urine collection; Submit 24 hr urine container, no Keep refrigerated. Measure the total volume. Then thoroughly mix Refrigerate
entire collection or 20 ml aliquot preservative the 24 urine in the container and transfer 20 mL into a plastic
aliquot vial.
Test Information Collections that contain acid additives are not acceptable. Label container with name, date, time collection started and
when finished.
MICROALBUMIN, U Order Code: UMAR 6738
Synonym ALB, Random Urine Microalb Epic Code LAB4443

CPT 82043

UMAR Microalbumin-Random UMAR 0.0 - 19.9 mcg/mL
UMAR Microalbumin-Random UMAR 0.0 - 19.9 mg/dL

(Min: 5 ml) preservatives
MICROALBUMIN/CREATININE RATIO Order Code: MACRE 8138
Synonym MA/CREAT, Random or 24 hr urine microalbumin creat ratio Epic Code LAB689
CPT 82043 82570
Method Sprectrophotometry

MACRE Microalbumin-Random UMAR 0.00 - 19.9 mcg/mL
Ref Code Sparrow
MACRE MicroAlb/Creat. Ratio MCRAT 0.0 - 20 mg/g

5 ml urine (Min: 1 ml ) Sterile urine container Refrigerate random urine Refrigerate
ANTI- MITOCHONDRIAL ANTIBODY Order Code: AMA 1737
Synonym AMA, Mitochondrial Ab Epic Code LAB513

CPT 85316 86256
Department IMM Age to

AMA Antibody Result AMAR
AMA Titer AMAT

3 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temp, then Refrigerate
centrifuge.
MIXING STUDY Order Code: MIX 1051
Synonym APTT/PT Mixing Studies, APTT/PT Correction Studies Epic Code LAB4013
CPT 85732
Method Photo-optical clot detection
Department COA

NaCitrate (3.2%)
MONO TEST Order Code: MONO 1776
Synonym Monospot, Infectious Mono, Heterophile Epic Code LAB4506

CPT 86308
Method Latex Agglutination
Department HEM

centrifuge.
MORPHINE, BLOOD Order Code: MOR 2532
Synonym Astramorph, Duramorph, Infumorph, Kadian, Morphine Sulfate, MS Contin, Epic Code LAB4420
MSIR, Oramorph, RMS, Roxanol CPT G0480
Department TOXS
O

heparin
MRSA SCREENING Order Code: PCMSG 9195
Synonym Methicillin Resistant Staph Aureus, Staph Epic Code LAB1747

Test Component SPM14; PCRMR CPT 87641
Method PCR

Friday
Department MDX

Nasal specimen- Anterior Nares Swab collection - Red-Top Insert one swab into each nostril, roll 5 times, place swab in it's Refrigerate
(nose) Copan swab in stuart's media container
Test Information This test is useful for preoperative and surveillance screening for MRSA (Methicillin- resistant Staphylococcus aureus).
Additional Information If the MRSA Screen is ordered with a respiratory culture, collect a separate swab for the respiratory culture. Calcium-
alginate swab or transport gel is not acceptable for PCR
MSSA/MRSA SCREEN - S. AUREUS , PCR Order Code: PCRSG 10244
Synonym Resistant Staph. Surveillance, SA Epic Code LAB4717

Test Component SPM18; PCRSA CPT 87640 87641
Method PCR
Scheduled Daily in DNA Lab
Department MDX

Nasal only Swab, culturette II, aerobic Label swab with Patient first and last name, date of birth and Refrigerate
swab source, Nasal. Refrigerate.
Test Information This test is useful for preoperative screening for MRSA (Methicillin- resistant Staphylococcus aureus) and MSSA
(methicillin sensitive Staphylococcus aureus).
Additional Information ** New Sparrow Molecular Lab Test available June 9, 2015.
MTHFR 677/1298 MUTATION, Blood Order Code: MTFRX 10500
Synonym Methyloentetrahydrofolate Reductase Epic Code LAB4809

CPT 81291
Method Real-Time PCR
Scheduled Once a week COMPONENT 10500 CODE LOINC REFERENCE RANGE

MTFRX C677T Gene C677T Absent - mutation
MTFRX A1298C Gene A1298 Absent - mutation
MTFRX Reviewed By: MTRVB

5 ml whole blood (Min: 2 ml) 1 - 7 ml Lavender top tube, Invert several times to mix blood. Room Temp
EDTA or 1 yellow top ACD tube or Refrigerate
Send specimen in original tube.
Test Information Hyperhomocysteinemia, high blood levels of homocysteine, especially in individuals with insufficient folate is a risk factor for
cerebrovascular disease, cerebral vein thrombosis, coronary artery disease, myocardial infarction, and venous thrombosis.
The levels of homocysteine in the serum are influenced by both genetic and environmental factors. One mutation, C677T,
results in the MTHFR enzyme being 20% less efficient in metabolizing homocysteine, thus increasing serum levels,
especially when plasma folate levels are at the lower end of normal. Five percent of Caucasians and 1.4% of African-
Americans are C677T homozygotes, and are likely to have Hyperhomocysteinemia. A second mutation, A1298C, is also
relatively common. Data suggests that combined heterozygosity for the two mutations may result in features similar to
those of C677T homozygotes. Neither heterozygosity
nor homozygosity for A1298C has been shown to be a risk factor for hyperhomocysteinemia. In patients with
hyperhomocysteinemia, follow-up testing for the MTHFR mutation might be warranted to rule it out as a causative.
Hyperhomocysteinemia has been found in women who have experienced two or more early pregnancy losses, placental
infarction, and fetal growth retardation, but MTHFR mutation as a cause for early pregnancy loss is still controversial.
Homozygosity for C677T has been shown to have a two- to threefold increased risk for neural tube defects (NTDs), such as
anencephaly and spina bifida, and compound heterozygosity for C677T and A1298C may also be a risk factor for NTDs.
Dietary folic acid supplementation before the fourth week of gestation is well documented in reducing the recurrence risk for
open neural tube defects by approximately 75%. It may act by normalizing homocysteine levels. Genetic counseling is
recommended.
Additional Information ** New MTHFR test performed at Sparrow, Molecular Diagnostics Lab, added 8/31/16. Replaces sendout test code
6961 /MMTFG /LAB4244
This test is a direct mutation analysis using PCR amplification, signal generation and release cleavage of sequence
alleles (Invader Plus Chemistry, Hologic, Madison, WI)
MUMPS SEROLOGY Order Code: MUMP2 1410
Synonym Mumps Antibodies Epic Code LAB4085

CPT 86735
Department MREF

centrifuge.
MYASTHENIA GRAVIS (MG) EVALUATION, ADULT Order Code: MGA1 10512
Synonym Myasthenia Gravis, Adult Epic Code LAB4814

CPT 83519 83520
Method ARBI, ARMO, GANG, GD65S, VGKC: Radioimmunoassay (RIA)
STR: Enzyme Immunoassay (EIA) CODE LOINC REFERENCE RANGE

COMPONENT 10512
Department MREF MGA1 Ach Receptor (Muscle) ARBI

Binding Ab
Ref Code MGA1 MGA1 Ach Receptor (Muscle) ACMAB
Modulating Ab
MGA1 AChR Ganglionic Neuronal Ab GANG
MGA1 CRMP-5-IgG Western blot CRMWS
MGA1 GAD65 Ab GD65S
MGA1 MG Adult Interpretation MGEAI
MGA1 Neuronal (V-G) K+ Channel Ab VGKC
MGA1 Striational (striated muscle) Ab STR

3 mL serum (Min. 2 mL) 1 gold top SST clot tube Allow blood to clot upright for 30 min. at room temperature, then Refrigerate
centrifuge.
Test Information Useful for Initial evaluation of patients aged 20 or older with symptoms and signs of acquired myasthenia gravis (MG).
Evaluating bone marrow transplant recipients with suspected graft-versus-host disease, particularly if weakness has
appeared.
Additional Information ** New Test 9/20/2016, Replaces test 8057/ MGRAV/ LAB4814
MYCOPHENOLIC ACID Order Code: MPA 6979
Synonym CELLCEPT, MYCO, MOFERTIL, MPA Epic Code LAB4248

CPT 80180
Method Tandem Mass Spectrophotometry

MPA MPA Glucuronide MPA 35 - 100 ug/ml
MPA Mycophenolic Acid (MPA) MPA 35 - 100 ug/ml
MPA MPA Glucuronide MPA 1.0 - 3.5 ug/ml
MPA Mycophenolic Acid (MPA) MPA 1.0 - 3.5 ug/ml

1.0 ml serum (Min: 0.1 ml) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Monitoring therapy with CellCept is useful to ensure adequate blood levels and avoid overimmunosuppression. A trough
level, drawn just prior to the next dose, is required. If drawn at other times, the reference ranges given do not apply.
Additional Information Red black gel-barrier tube is NOT acceptable.
MYCOPLASMA PNEUMONIAE BY PCR Order Code: PCMPG 1022
Synonym M. pneumoniae, Walking pneumonia Epic Code LAB261

CPT 87581
Method PCR
Scheduled Monday-Friday, varies COMPONENT 1022 CODE LOINC REFERENCE RANGE

PCMPG Specimen Type SPM13
PCMPG Mycoplasma pneumonia PCRMP Not - Detected

Throat swab - *Preferred; Nasal Culturette swab in sheath; Throat, culturette swab, is the preferred specimen. Room Temp
pharyngeal (NP) or Nasal Floq swab, submit in viral NP Floq swab submit in viral transport media vial. or Refrigerate
pharyngeal wash; Lower transport media (VTM); Lower NP wash (should be cloudy), submit in viral transport media vial.
Respiratory specimens: 1 ml Respiratory samples, submit in Lower Respiratory Fluids: submit in tightly sealed sterile container.
Sputum, BAL, Bronch wash, a Sterile container Store and transport sample, refrigerated or at room temperature.
Trach Aspirate
Test Information Mycoplasma pneumoniae molecular testing significantly enhances your diagnostic options for the detection of Mycoplasma
pneumoniae from multiple sample types. Mycoplasma pneumoniae is associated with up to 40% of community-acquired
pneumonias as an estimated 2 million cases of mycoplasma pneumoniae infection occur annually.
Additional Information ** New Molecular Test test performed at Sparrow Laboratories November 2016 **
MYCOPLASMA PNEUMONIAE IGG Order Code: MYCPG 6001
Synonym Walking Pneumonia, Cold Agglutinin Epic Code LAB656

CPT 86738
Department MSER

1 ml serum 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
MYCOPLASMA PNEUMONIAE IGG/IGM Order Code: MYCGM 6000
Synonym Walking Pneumonia, Cold Agglutinin Epic Code LAB4189

Test Component MYCPG,MYCPM CPT 86738
Department MSER

centrifuge.
Test Information Specific IgM antibodies to M. pneumoniae are usually detected in patients with a recent primary and reactivated infections.
IgM antibodies to M.pneumoniae have been shown to persist for long periods, 2-12 months in some patients. Specimens
obtained too early may not contain detectable levels of IgM Ab. If a M.pneumoniae infection is suspected, a 2nd specimen
should be collected in 7-14 days and tested. Positive test results may not be valid in patients who have received recent
blood product transfusions.
MYCOPLASMA PNEUMONIAE IGM Order Code: MYCPM 1679
Synonym Cold Agglutinin Titer Epic Code LAB799

CPT 86738

shift
Department MSER

centrifuge.
Test Information Specific IgM antibodies to Mycoplasma pneumoniae are usually detected in patients with a recent primary and reactivated
infections. IgM antibodies to M.pneumoniae have
been shown to persist for extended periods (2-12 months) in some patients. Specimens obtained too early during infection
may not contain detectable levels of IgM antibody. If a M.pnumoniae infection is suspected, a second specimen should
be collected in 7-14 days and tested.
Patient Information Positive test results may not be valid in patients who have received blood transfusions within the past few months. These
test results should be used in conjunction with information from the clinical evaluation and other available diagnostic
procedures.
ANTI- MYELIN ANTIBODY Order Code: AMYAB 1696
Synonym Myelin IgG Antibody Epic Code LAB4125

CPT 88347
Method IFA
Department MREF

centrifuge.
MYELIN BASIC PROTEIN Order Code: MBPR 1698
Synonym CSF, Myelin BP Epic Code LAB190

CPT 83873

MBPR Myelin Basic Protein MBPR 0 - 15 ng/mL

2 ml CSF (Min: 0.25 ml) 1 CSF tube Frozen (Specimen may be frozen after arrival in Laboratory) Refrigerate
MYELOPEROXIDASE ANTIBODIES Order Code: MYPXR 9032
Synonym ANCA, ACPA, MPO Epic Code LAB4342

CPT 83516
Department MREF
Ref Code MPO

centrifuge.
MYOCARDIAL ANTIBODY, S Order Code: MCA 10200
Synonym Anti-Cardiac Muscle Antibodies Epic Code LAB4666

Cardiac Muscle Antibodies CPT 86255 86256
CMA (Cardiac Muscle Antibodies)
Heart Antibodies
Method Indirect Immunofluorescence
Scheduled
Department MREF
Ref Code MCA

0.5 mL serum (Min. 0.2 mL) 1 Plain red top tube Serum gel acceptable. Refrigerate
Spin and send serum refrigerated."
Test Information Will titer if indicated.
MYOGLOBIN Order Code: SMYO 8004
Synonym cardiac, myo Epic Code LAB105

CPT 83874
Method Immunoassay

SMYO Myoglobin SMYO F 14 - 66 ng/mL
SMYO Myoglobin SMYO M 17 - 106 ng/mL

3 ml plasma or serum (Min: 1 ml) 1 green top tube, Li Heparin / Centrifuge, separate plasma and refrigerate. For clot tubes, allow Refrigerate
1 gel barrier SST clot tube blood to clot upright 30 minutes at room temperature, then
centrifuge.
Test Information Red/black gel barrier tube is acceptable.
Additional Information Specimen stable for 8 hrs at room temperature and up to 48 hrs if refrigerated.
MYOGLOBIN, URINE Order Code: UMYO 1582
Synonym Urine Myoglobin Epic Code LAB412

CPT 83874
Method Ultrafilration, Dipstick Detection
Department HEM

preservative
MYOSITIS AB 2 PANEL Order Code: FMYOP 10190
Synonym Anti-Jo, MyoMarker Panel 2 Epic Code LAB4655

CPT 83516 86235 83516x
Method RIPA and Enzyme Immunoassay (EIA)
Scheduled Batched weekly, Mayo COMPONENT 10190 CODE LOINC REFERENCE RANGE
Forward
Department MREF
FMYOP JO-1 JO-1
Ref Code FMYOP
FMYOP PM/SCL PM/SCL

3 ml serum (Min. 1.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful to evaluate Anti-Jo 1 Abs found in subset of myositis patients characterized by interstitial lung disease, systemic
polyarthritis, Raynauds Phenomena,fever and Mechanics Hand (anti-synthetase syndrome). Useful for Anti-Jo 1 as a
marker for interstitial lung disease in polymyositis.
Additional Information Forwarded to RDL Reference Laboratory, Inc.
Sparrow Laboratories Online Test Catalog N
NEISSERIA GONORRHOEAE RNA BY APTIMA Order Code: NGRNG 6970
Synonym GC, APTIMA, N GONOR Epic Code LAB4246

CPT 87591

NGRNG Specimen Type SPM15
NGRNG N. gonorrhoeae NGRNA Negative -

Cervical, vaginal, urethral, self Aptima collection Vials: Swab, Female vag/cervical specimen step 1 - use the white swab Room
collect vaginal swab or random, self collect Vag swab, Urine provided to wipe away mucus and discard this swab. 2 - collect Temperature
"First Catch" urine collection. vial. Liquid PAP vial - Thin sample with the blue swab.
Prep or SurePath Male urethral collection, use blue swab only. Place swab in vial,
break at score line. "First catch", initial stream urine collect in
sterile urine cup; then transfer to Aptima urine vial. Fill to fluid level
line approx. 2 ml.
Test Information This is a reportable disease; Positives will be sent to the local (county) public health department.
Patient Information For urine collections, patient should not have urinated for at least 1 hour prior to specimen collection. Self-collect kits
(orange vials/Vag swab) and patient instructions provided by the lab PSC staff.
Additional Information May be combined with other STD test orders - GC, Chlamdydia and Trichomonas. When ordering a PAP screen and
STD testing we recommend sending the liquid vial for PAP plus submit Aptima vial (blue swab) for GC, CT and TRVG.
NEONATAL BLOOD BANK EVALUATION Order Code: CORDS 10270
Synonym Cord Blood Eval, Cord Workup Epic Code LAB892

CPT
Department BLB

Cord Blood 1 Plain red top tube Take to Blood Bank Room
Temperature
Test Information Cord ABO, RH and DAT, Immune Study, Maternal Antibody Screen
ANTI- NEUTROPHIL CYTOPLASMIC ANTIBODY Order Code: CYNAB 6827
Synonym ANCA, ACPA, Cytoplasmic Neutrophilic Antibody, Wegener's Disease Epic Code LAB458
CPT 86255
Method Indirect immunofluorescent technique
Scheduled Sunday - Friday at Mayo
Department MREF
Ref Code ANCA

centrifuge.
Additional Information This test should not be mistaken for granulocyte antibodies.
NIACIN (NICOTINIC ACID) Order Code: FNIAC 10298
Synonym Vitamin B3 Epic Code LAB4762

CPT 84591
Method High Performance Liquid Chromatography (HPLC)
Scheduled Varies at Cambridge COMPONENT 10298 CODE LOINC REFERENCE RANGE

Biomedical Inc.
Department MREF
FNIAC Niacin FNIAC 0.50 - 8.45 ug/mL
Ref Code FNIAC

4 mL plasma (min. 1 mL) 1 Lavender top EDTA tube Spin down and transfer to a plastic Amber vial (T192) to protect Frozen
from light within 30 minutes of collection. Freeze and send EDTA
plasma frozen on dry ice.
Test Information Test Performed By: Cambridge Biomedical Inc.
NICOTINE AND COTININE, QUANTITATIVE Order Code: UNICT 6657
Synonym Tobacco, Cotinine Epic Code LAB414

CPT 80323 G6055
Scheduled Monday - Friday at Mayo. COMPONENT 6657 CODE LOINC REFERENCE RANGE

UNICT Nornicotine NORNI 0.0 - 2.0 ng/mL
Ref Code NICOU
UNICT Cotinine COTI 0.0 - 5.0 ng/mL
UNICT Anabasine ANABA 0.0 - 2.0 ug/mL
UNICT Nicotine NICO 0.0 - 2.0 ng/mL

3 ML. Urine (min. 2 ml) Sterile urine container, random Refrigerate random urine. Refrigerate
sample
Test Information Used to monitor tobacco use and to monitor replacement therapy to verify that it is adequate. Reference ranges pertain to
a Non-tobacco user with no passive exposure.
Patient Information Specimen must be collected at draw station (do not have patient collect at home). May be poured off after patient drops off
urine cup. Indicate whether patient is on patch therapy
NICOTINE AND COTININE, SERUM Order Code: NICOT 10119
Synonym Tobacco, Cotinine Epic Code LAB4577

Test Component COTIN, NICOR CPT 80323 G0480
Method LC MS/MS

NICOT Nicotine NICOR M or F < - 3.0 ng/ml
Ref Code NICOS
NICOT Cotinine COTIN M or F < - 3.0 ng/ml

2 ml serum (Min. 2 ml) 1 Plain red top tube, NO Gel Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
barrier centrifuge.
Test Information Knowledge of time elapsed between last dose and specimen collection is important for result interpretation.
N-TELOPEPTIDE, 24 HR URINE Order Code: NTXGP 6865
Synonym NTX, 24 hr urine NTX Epic Code LAB816

CPT 82523
Method Vitros E Ci Competitive Assay
Department MREF
Ref Code NTXPR

24 hour urine collection; Submit 24 hr urine container; no Keep refrigerated during and after collection. Refrigerate
entire collection or 20 ml aliquot; preservative Measure the total volume. Then thoroughly mix the 24 urine in the
5 ml urine (min: 1 ml) for Random container and transfer 20 mL into a plastic aliquot vial.
urine Label container with full name and date of birth.
with the order:
Test Information 24 hour urine collection is preferred. Random urines are accepted; the specimen of choice is the second random void of
the day.
Patient Information Void and discard first morning urine specimen. Place all subsequent samples in collection container for the next 24 hours.
NT-PRO BNP, S Order Code: PBNP 10297
Synonym N-Terminal, B-Type Natriuretic Peptide, NT Pro BNP, ProBNP Epic Code LAB4761
CPT 83880

PBNP ProBNP PBNP
Ref Code PBNP

centrifuge. Transfer to plastic vial within 2 hours of collection.
Test Information Useful aid in the diagnosis of congestive heart failure.
SERUM - NTX Order Code: SNTX 9031
Synonym N-Telopeptide, Cross-Linked, NTX Epic Code LAB4341

CPT 82523
Scheduled Wednesday at Specialty COMPONENT 9031 CODE LOINC REFERENCE RANGE
Department QST Age 1 day to 18 years

SNTX Serum-NTX SNTX M or F Call - nmol BCE/L

SNTX Serum-NTX SNTX M 5.4 - 24.2 nmol BCE/L

SNTX Serum-NTX SNTX F 6.2 - 19.0 nmol BCE/L

1 ml serum (Min:0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Freeze in plastic tube.
ANTI- NUCLEAR AB, ENA OR DNA IF INDICATED Order Code: EDNAI 6745
Synonym Reflex ENA/DNA, ANA with Reflex Epic Code LAB4214

CPT

EDNAI ANA DNA if indicated DNAIF
EDNAI ANA ENA if indicated ENAIF

centrifuge.
ANTI- NUCLEAR ANTIBODY WITH ENA Order Code: ENFRG 340
Synonym ANA, ENA Reflex Epic Code LAB4007

CPT

ENFRG Anti-Nuclear Ab ANAS
ENFRG ENA Reflex Indicated ENRFX
ENFRG ENA Order ENRNI

centrifuge.
5' NUCLEOTIDASE Order Code: 5NUDS 1160
Synonym Nucleotidase Epic Code LAB4038

CPT 83915
Method Enzyme Kinetic

5NUDS 5'NUCLEOTIDASE 5NUDS 4.0 - 11.5 U/L

1 ml serum (Min: 0.2 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate or
centrifuge. Freeze serum in plastic tube. Frozen
Additional Information Specimen may be frozen after arrival in laboratory.
Sparrow Laboratories Online Test Catalog O
O2 SATURATION, ARTERIAL Order Code: AOSTM 1164
Synonym Oxygen, SAT Epic Code LAB718

CPT 82810
Method Oximetry
Department CHM

2 ml whole blood (Min: 0.5 ml) ABG syringe Store and transport in ice water. Sample must be analyzed within 1 Refrigerate
hour of drawing.
Additional Information Specimens collected in green top tubes(lithium heparin) are acceptable.
OB PANEL ** Component Update Order Code: OBPN2 6661
Synonym Obstetrical Panel (Medicare Approved), Prenatal Panel Epic Code LAB4521
Test Component CBC, HEP B Surface Ag, RUBELLA Ab, SYPAB (Replaces RPR), ABO RH and Ab CPT 80055
Screen
Method Varies
Department PAN

10 ml whole blood (Min: 5 ml) and 2 Lavender top EDTA tubes Varies; see individual test panel processing requirements. Refrigerate
4 ml serum (Min: 2 ml) and 1 gold top SST clot tube
Test Information Obstretic patient screening test panel approved by Medicare.
Additional Information ** Test Panel Change to add test SYPAB/ 10428/ LAB4521, replacing RPR, March 20, 2017
OCCULT BLOOD (Diagnostic) Order Code: OCBLD 1459
Synonym Blood Feces, Stool Occult Blood, Fecal Blood, GUIAC Epic Code LAB694
CPT 82272
Method Colorimetric
Department MIC

Clean dry container Clean dry container or Occult Room temperature Room
Blood card Temperature
OCCULT BLOOD GASTRIC Order Code: OCCGA 1595
Synonym Gastric Epic Code LAB696

CPT 82271
Method Colorimetric
Department HEM

Gastric aspirate Sterile container Refrigerate Refrigerate
OCCULT BLOOD SCREENING Order Code: OCBSC 8135
Synonym GUIAC, STOOL, FECAL Epic Code LAB695

CPT 82270 82270
Method Hemoccult
Department PSC

Feces, occult blood card Occult blood card Submit 3 separate specimens. Label with date and time collected. Room
Temperature
OFFICE ORDERED DIAGNOSTIC PAP Order Code: ODPAP 10114
Synonym Pap Smear, Cytology Epic Code

CPT
Method Papanicolaou stained slides, Cytology review
Department PATH

Cervical, Endocervical, Vaginal ThinPrep, liquid vial or ThinPrep, liquid vial Room
SurePath, liquid vial Swish device 10 times in the liquid then discard and securely Temperature
fasten the screw cap.
SurePath, liquid vial

Leave collection device in the liquid vial; then securely fasten the
screw cap.
OFFICE ORDERED SCREENING PAP Order Code: OSPAP 10113
Synonym Pap Smear, Cervical Cancer Screen, Cytology Epic Code

CPT 88124
Method Papanicolaou stained slides, Cytology review
Department PATH

Cervical, Endocervical, Vaginal ThinPrep, liquid vial or ThinPrep, liquid vial Room
SurePath, liquid vial Swish device 10 times in the liquid then discard and securely Temperature
fasten the screw cap.
SurePath, liquid vial

Leave collection device in the liquid vial; then securely fasten the
screw cap.
OLANZAPINE Order Code: OLNZA 6861
Synonym ZYPREXA Epic Code LAB4547

CPT 82542
Method Liquid Chromatography / Tandem Mass Spectrometty (LC/MS/MS)
Scheduled Varies at Mayo
Department TOX

2.0 ml plasma (min: 1 ml) 1 green top tube, Na Heparin Centrifuge tube and pour plasma into a plastic tube. Refrigerate
Test Information Green top -lithium heparin or red top - gel barrier tubes, are not acceptable. Red top - plain or lavender-EDTA tubes are
acceptable
OLIGOCLONAL BAND BY IEF WITH IGG Order Code: OLIGG 1092
Synonym CSF, Isoelectric Focusing, MS Panel Epic Code LAB4021

CPT 83916
Method High-Resolution Electrophoresis
Department CHM

2.5 ml CSF (Min: 2 ml) and 2 ml 1 sterile tube for CSF and 1 Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
serum (Min: 1 ml) gold top SST clot tube centrifuge. Refrigerate serum and CSF.
ONCOLOGY ONLY ANC Order Code: ONANC 10209
Synonym Absolute Neutrophil Count Epic Code LAB4679

CPT
Department HEM

2 mL whole blood (Min: 0.5 mL) 1 Lavender top EDTA tube Gently invert multiple times to mix whole blood with anticoagulant. Refrigerate
Test Information Preliminary result. Please see final differential result for finalized Absolute Neutrophil Count.
OPEN HEART PREOP BLOOD BANK Order Code: HEART 9958
Synonym OPEN, HEART, XM Epic Code LAB4437

Test Component ABO, RH, Cold Screen, Antibody Screen, 4 unit crossmatch CPT
Method Crossmatch
Department BLB

5 ml whole blood (Min. 2 ml) 1 Lavender top EDTA tube Specimen must be labeled with patient first and last name, date of Room
birth, date and time of collection, and the initials of the person Temperature
collecting.
Additional Information If cold screen is positive a thermal range study will be completed.
ORGANIC ACID, U Order Code: UORGA 1282
Synonym Alkaptonuria, Fumaric Acid, Malonic Acid, Ethylmalonic Acid, EMA Epic Code LAB418
CPT 83919
Method Gas-Chromatography-Mass Spectrometry (GC-MS)
Department MREF Age 1 day to 6 month

UORGA Total Volume SVOL1 measure - in mL
Ref Code OAU
UORGA Organic Acid UORGA 0 - 40

20 ml single void urine sample Urine container, no Frozen Frozen
Test Information Useful for diagnosis of inborn errors of metabolism.
Patient Information Please provide family history, clinical condition (asymptomatic or acute episode), diet, and drug therapy information as
available.
Additional Information Urine specimen should be frozen as soon as possible.
OSMOLALITY URINE Order Code: UOSMO 1367
Synonym OSMOL Epic Code LAB420

CPT 83935
Method Freezing point depression.

UOSMO Osmolality-Urine UOSMO 250 - 1200 MOSM/KG

OSMOLALITY, SERUM Order Code: OSMO 1161
Synonym OSMOL Epic Code LAB107

CPT 83930
Method Freezing point depression.

OSMO Osmolality-Serum OSMO 280 - 295 MOSM/KG

centrifuge.
OSMOTIC FRAGILITY Order Code: OSFRG 1544
Synonym RBC Osmotic Fragility Studies, RBC Fragility Epic Code LAB1134
CPT 85557
Method Osmotic Lysis

OSFRG Control Vial SCTRL Normal -
OSFRG Interpretive Comment OSFCM with - report
OSFRG 0.75 g/dL NaCl (Incubated) OSF75 1 - 11 % hemol

5 ml fresh EDTA whole blood 1 - 7 ml Lavender top tube, Refrigerate. Include a specimen collected from a normal patient. Refrigerate
(Min: 3 ml) EDTA
Test Information Test is helpful in confirming or detecting mild spherocytosis. Useful for - Suspected hereditary spherocytic hemolytic
anemia.
Additional Information Must send a control specimen drawn from non-related individual.
OSTEOCALCIN Order Code: OSTEO 8035
Synonym OSCAL Epic Code LAB1060

CPT 83937
Method Immunoradiometric Assay
Scheduled Wednesday, Friday at

Mayo
Department MREF
Ref Code OSCAL

2 ml serum (min: 1 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature then Refrigerate
centrifuge and freeze serum.
Test Information Specimen may be frozen after arrival in laboratory.
OUTPATIENT RHOGAM Order Code: OPRHO 9957
Synonym Antenatal Rhogam Injection Epic Code LAB4473

Test Component ABO, RH, Antibody Screen, and 1 vial RhIG injection CPT
Scheduled
Department BLB

5 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Specimen must be labeled with patient first and last name, date of Refrigerate
birth, date and time of collection, and the initials of the person
collecting.
OVA AND PARASITE Order Code: OVAP 1460
Synonym Amoeba, Stool, O&P Epic Code LAB955

CPT 87177
Method Microscopy
Department MIC

Stool / feces Para-pak stool preservatives, PVA and Formalin Required. Fill each vial to the line indicator level Refrigerate
3 containers PVA, Formalin on the container. Secure the screw cap and invert the vial multiple
and Cary Blair times to mix with preservative. Label sample with First and Last
name, date and time of collection.
Test Information Unpreserved specimens greater than 2 hours old will be rejected
OXALATE, 24 HR URINE Order Code: OXU 1162
Synonym 24 hr urine ox Epic Code LAB421

CPT 83945
Method Enzymatic

OXU Oxalate OXU 0.11 - 0.46 mmol/24Hr
Ref Code OXU

24 hour urine collection; Submit 24 hour urine container; Add If Toluene is not added at the start of the collection, keep container Refrigerate
entire collection or 20 ml aliquot Toluene at the start of refrigerated throughout the collection time.
collection or refrigerate during
collection Measure the total volume. Then thoroughly mix the 24 urine in the
with the order:
Patient Information Avoid taking large doses (>2 g orally/24 hours) Vitamin C during collection.
Additional Information Lab Processing information: Specimen must be at a pH between 4.5 and 8.
The following alternative preservatives are acceptable if multiple assays are requested: Thymol
OXAZEPAM, S Order Code: FOXAZ 10218
Synonym Serax Epic Code LAB4698

CPT 80346 G0480
Scheduled
Department TOX
Ref Code FOXAZ

serum 1 Plain red top tube Refrigerate
OXCARBAZEPINE METABOLITE (MHC), S Order Code: TRILP 1283
Synonym Trileptel, MHC, MHD Epic Code LAB484

CPT 80183
Method High-Turbulence Liquid Chromatography Mass Spectrometry (HTLC-MS/MS)
Scheduled Tuesday - Saturday at

Mayo
Department MREF
Ref Code OMHC

1 mL serum (min. 0.2 mL) 1 Plain red top tube or 1 sst Collection Instructions: Refrigerate
clot tube
1. Draw specimen immediately before next scheduled dose.
2. Spin down within 2 hours of draw.
Test Information Useful for monitoring serum concentration during oxcarbazepine therapy. Also used for assessing compliance or assessing
potential toxicity.
OXYCODONE Order Code: OXBCO 6853
Synonym Percodan, Oxycontin, Endocet, Percocet, Roxicet, Tylox, Endodan, Epic Code LAB4432
Percodan, Roxiprin, Combunox CPT 80365

OXBCO Oxycodone OXBCO 10 - 100 ng/mL

2.5 mL plasma (Min: 1.25 mL) 1 green top tube, Li or Na Refrigerate
Heparin
Sparrow Laboratories Online Test Catalog P
PANCREATIC POLYPEPTIDE Order Code: PAPOL 2080
Synonym HPP, Human Pancreatic Polypeptide, PP Epic Code LAB4159

CPT 83519
Method RIA
Scheduled Monday, Wednesday at COMPONENT 2080 CODE LOINC REFERENCE RANGE

Mayo
Department MREF
PAPOL Pancreatic Polypeptide PAPOL 0 - 227 pg/mL
Ref Code HPP





EDTA plasma (min 0.4 ml) 1 Lavender top EDTA tube Draw lavender top tube and place on ice. Spin tube and freeze Frozen
plasma.
Patient Information Patient must be fasting
PARANEOPLASTIC AutoAntibody EVAL, S Order Code: PARAN 6640
Synonym Nuclear Antibody, Channel Antibody Epic Code LAB4195

Test Component Neuronal Nuclear Ab Type 1,2 & 3, Glial Nuclear Ab Type 1, Purkinje Cell Cyto. Ab CPT 83519 83520 86256
Type 1, 2 & Tr, Amphiphysin Ab, CRMP-5-IgG, Striated Muscle Ab, P/Q-Type & N-
Type Ca Channel Ab, Acetylcholine Recpt Ab, AChR Ganglionic Neuronal Ab
Method Indirect Immunofluorescence,Enzyme Immunoassay,Radioimmunoprecipitation Assay
Department MREF
Ref Code PAVAL

4 mL serum (Min: 2.0mL) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Transfer serum to plastic vial and refrigerate.
Test Information Test also includes - Neuronal (V-G) K Channel Ab
Additional Information Hemolyzed specimens are unacceptable. Western blot testing and/or GAD65 and/or Ach Receptor Blocking antibodies
will be performed, at extra charge, if indicated by results of initial testing.
PARASITE ID Order Code: PARID 8182
Synonym Vector, Tick, Worm, Fly, Scabies Epic Code LAB247

CPT
Method Microscopy, or other
Department MIC

Parasite, location varies Sterile container, Glass slides Label specimen with suspected parasite type (arthropod, worm, Room
or Preservative vial scabies etc.,) and document body collection site. Submit whole Temperature
worms, worm segments or other objects in 70% alcohol or 10%
formalin vial.
B. Submit arthropods in a clean, dry container.
Test Information Indicate history and suspected parasite information on order.
Additional Information For suspected Scabies, using 2 slides, labeled with patient name and DOB, place skin scraping onto on slide in single
layer (do not place large diameter tissue).
Place second slide over the top of the first slide to seal the tissue. Tape the slides tightly together so that they do not
move.
Place slides in slide holder or place in sterile cup to prevent breakage. Label container with test name: Parasite ID,
suspect: scabies, Source: skin scraping and site (right arm, left leg etc.)
PARATHYROID HORMONE (PTH) Order Code: PTHI 1743
Synonym PTH, Intact Epic Code LAB108

CPT 83970
Method Advia Centaur, Direct Chemiluminescence, Sandwich-two site

PTHI PTH-Intact PTHI 14.0 - 55.7 pg/mL
PTHI Phosphorous PTHI 14.0 - 55.7 mg/dL
PTHI Calcium PTHI 14.0 - 55.7 mg/dL
PTHI PTH-Intact PTHI 14.0 - 55.7 pg/mL

2 ml plasma (Min: 0.5 ml), 1 - 7 ml Lavender top tube, Centrifuge, transfer plasma to plastic vial and refrigerate within 1 Refrigerate or
preferred, or serum EDTA / 1 gel barrier SST clot HOUR. Alternate specimen, 1.0 ml Serum transfer into plastic vial Frozen
tube is acceptable and freeze within 2 hours
Additional Information Serum may also be used but must be frozen immediately. Plasma specimens are good for 8 hrs room temp., 72 hrs
refrigerated, indefinitly if frozen.
PARATHYROID RELATED PEPTIDE Order Code: PTHRP 2090
Synonym PTH, PARATHYROID HORMONE, PTH RELATED PRO Epic Code LAB704
CPT 82397
Method Immunochemiluminometric Assay
Scheduled Monday and Thursday at COMPONENT 2090 CODE LOINC REFERENCE RANGE
Mayo
Department MREF
PTHRP PTH Related Peptide PTHRP 0 - 19 PMOL/L

2 ml EDTA Plasma (min: 0.3 ml) 1 Lavender top EDTA tube - Centrifuge. Transfer plasma into plastic tube and freeze. Frozen
prechilled
ANTI- PARIETAL CELL ANTIBODY Order Code: PCA 1721
Synonym PCA, Patrietal Cell Antibody, Parietal Ab Epic Code LAB514

Test Component Antibody and Titer CPT 86255
Department IMM

centrifuge.
PAROXETINE Order Code: PAROX 6709
Synonym PAXIL Epic Code LAB4207

CPT 80299
Method High Performance Liquid Chromatography with Fluorescence Detection (HPLC-FL)
Department TOX

3 ml serum (Min: 0.6 ml) 1 Plain red top tube Sodium Heparin and EDTA plasma are acceptable specimens. Refrigerate
Red top - gel barrier tubes are not acceptable.
PARVOVIRUS B19 IGG AND IGM ANTIBODIES Order Code: PAR19 6626
Synonym B-19 Antibody, Fifth Disease Epic Code LAB800

CPT 86747 86747 86747
Method Enzyme Immunoassay (EIA) - IgG, Western Blot- IgM
Department MICSO

centrifuge.
PARVOVIRUS B19 PCR, P Order Code: PARVP 10208
Synonym Fifth Disease, 5th Epic Code LAB4678

CPT 87798
Method PCR
Department MREF
Ref Code PARVP

0.5 ml plasma (0.2 mL) 1 Lavender top EDTA tube Spin and separate plasma. Refrigerate
Test Information Useful for diagnosing erythrovirus B19 (parvovirus) infection.
PENTOBARBITAL Order Code: PENTB 1386
Synonym Nembutal Epic Code LAB4081

CPT 80345
Method High Pressure Liquid Chromatography with Ultraviolet Detection (HPLC-UV)

PENTB Pentobarbital PENTB 1 - 5 mcg/mL

1 mL plasma (Min: 0.5mL) 1 green top tube, Li heparin Deliver to toxicology immediately Refrigerate
Ph URINE Order Code: URPH 1583

CPT 83986
Method pH Meter
Department HEM

preservative
Patient Information Early AM sample preferred
PH, VENOUS Order Code: PH 1165
Synonym Blood gas pH Epic Code LAB75

CPT 82800
Method Ion selective electrode
Department CHM

2 ml whole blood (Min: 0.5 ml) ABG syringe or lithium heparin Store and transport in ice water. Sample must be analyzed within 1 Refrigerate
hour of drawing.
Additional Information Specimens collected in green top tubes(lithium heparin) are acceptable.
PHENOBARBITAL Order Code: PHENB 1387
Synonym PHENO Epic Code LAB30

CPT 80184

PHENB Phenobarbital PHENB 15.0 - 40.0 mcg/mL

PHENYTOIN Order Code: PHENY 1067
Synonym Dilantin Epic Code LAB31

CPT 80185

PHENY Phenytoin PHENY 10.0 - 20.0 mcg/mL

1 ml plasma or serum (Min: 0.5 ml) 1 green top tube, Li heparin or Inpatient: collect in Green top, Lithium heparin. Outpatients: Refrigerate
1 gel barrier clot tube Serum specimens - allow blood to clot upright 30 minutes at room
temperature, then centrifuge.
PHERESIS PLATELETS Order Code: PP 1633
Synonym PLTS, Platelets product Epic Code LAB1720

CPT 36430
Department BLB

5 ml whole blood (Min. 2 ml) 1 Lavender top EDTA tube Do not centrifuge. Take directly to blood bank. Refrigerate
Anti PHOSPHATIDYLCHOLINE PANEL Order Code: FCLNE 10159
Synonym Phosphatidycholine Antibodies Epic Code LAB4622

CPT 83520 83520 83520
Scheduled Wednesday at Cambridge COMPONENT 10159 CODE LOINC REFERENCE RANGE

Biomedical Inc.
Department MREF
FCLNE Phosphatidylcholine IgA Z0141 14010-3 < - 12.0 U/mL
Ref Code FCLNE
FCLNE Phosphatidylcholine IgM Z0149 13078-1 < - 12.0 U/mL
FCLNE Phosphatidylcholine IgG Z0140 14009-5 < - 12.0 U/mL

3 ml serum (Min. 0.5 ml) 1 Plain red top tube Spin down and send 3 mL of serum frozen in a plastic vial. Serum Frozen
gel tube is acceptable.
ANTI PHOSPHATIDYLETHANOLAMINE PANEL Order Code: FPHET 10187

CPT 83520 83520 83520
Scheduled Wednesday, Mayo Forward
Department MREF
Ref Code FPHET

3 ml serum (min: 1.0 ml) 1 Plain red top tube Draw blood in a plain red-top tube(s), serum gel tube is acceptable. Frozen
Spin down and send serum frozen in a plastic vial.
PHOSPHORUS Order Code: PHOS 1174
Synonym Phosphate, PO4, Inorganic Phosphorus, Phos Epic Code LAB113

CPT 84100

PHOS Phosphorous PHOS 4.0 - 9.0 mg/dL




centrifuge.
PHOSPHORUS, 24 HOUR URINE Order Code: UPO24 1340
Synonym PO4 Urine, Phos 24 hr urine, 24 hr urine phos Epic Code LAB4069
CPT 84105

UPO24 PHOS 24 hour urine UPHOC 0.4 - 1.3 g/24Hr
Ref Code Sparrow
UPO24 PHOS Non- 24 Hr urine UPHO1
UPO24 Collection Time CINTV Time - in hours
UPO24 Measured Volume UVOL measure - in mL

24 hour urine collection; Submit 24 hr urine container; Refrigerate during collection. Refrigerate
entire collection or 20 ml aliquot Preservative added after Measure the total volume, then thoroughly mix the 24 urine in the
collection. container and transfer 20 mL into a plastic aliquot vial.
with the order:
Additional Information Preservative is added after collection: add 30 ml of 6 N HCl prior to assaying.
When multiple tests are ordered the following preservatives are acceptable: Boric Acid; 50% Acetic Acid
PHOSPHORUS, URINE, RANDOM Order Code: UPHOR 1320
Synonym PO4 Epic Code LAB427

CPT 84105
Department CHM

PINWORM SMEAR Order Code: EXPIN 1463
Synonym Scotch tape test, Enterobius vermicularis Epic Code LAB248

CPT 87172 Q0113
Method Microscopic exam
Scheduled Monday-Friday, days shift
Department MIC

Perianal "scotch tape" prep Pinworm paddle collection kit Specimens should be collected early in the morning before use of Room
the toilet and bathing. Temperature
An applicator with a sticky surface is necessary to remove the eggs

from the perianal region.
The pinworm paddle is pressed firmly against the skin of the right
and left perianal folds, placed in the protective tube, and delivered
to the laboratory.
Test Information Specific diagnosis for Enterobius vermicularis /pinworm rests upon the recovery of the eggs or adult females on the skin in
the perianal region. Collections on multiple days may be required to diagnose infection.
Additional Information Order pinworm paddles online through the lab portal for courier delivery.
PLASMA CELL PROLIFERATIVE DISORDER, FISH Order Code: PCPDF 10274
Synonym Monoclonal Gammopathy of Unknown Significance (MGUS), Multiple Epic Code LAB4742
Myeloma, MYC (8q24.1) rearrangement, Plasma Cell Leukemia CPT 88291 88291
Method Cytoplasmic Immunoglobulin (cIg) Staining Followed by Fluorescence In Situ Hybridization (FISH)
Department MREF
Ref Code PCPDF

1 to 3 mL bone marrow specimen 1 green top tube, Na Heparin Invert tube several times to mix bone marrow/specimen. Blood is Room
acceptable (only if there are circulating plasma cells documented Temperature
by Hematopathologic evaluation).
PLASMINOGEN, Activity-Plasma Order Code: PLSMN 1125
Synonym Plasminogen Functional -plasma Epic Code LAB847

CPT 85420
Method Amidolysis of Chromoginic Substrate

PLSMN Plasminogen PLSMN 80 - 140 % of Normal
Ref Code PSGN

2 ml plasma (Min: 0.5 ml plasma) 1 Light blue top tube, Centrifuge twice. Transfer plasma to plastice vial and freeze. Frozen
NaCitrate (3.2%)
Additional Information Spin down blue top, remove plasma, spin plasma again and place second plasma in a plastic tube. Freeze
immediately. Double-centrifuged specimens are critical for accurate reaults, as platelet contamination may cause
spurious results.
PLATELET ANTIBODY SCREEN, S Order Code: PLABN 10511
Synonym PLT Ab, Platelet Antibody Epic Code LAB4813

CPT 86022
Method Solid Phase Enzyme-Linked Immunosorbent Assay (ELISA)

PLABN Platelet Allo-Antibodies PLABN Not - Applicable
Ref Code PLABN

1.5 mL serum (Min. 0.5 mL) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge.
Test Information Useful for detecting allo-antibodies to epitopes on platelet glycoproteins IIb/IIIa, Ib/Ix, Ia/IIa, IV and HLA Class I antigens to
evaluate cases of immune mediated refractoriness to platelet transfusions, post-transfusion purpura -, or neonatal allo-
immune thrombocytopenia
Patient Information Appropriate Dx for this Test:
PTR, Refractory to Platelet Transfusion
NAIT, Neonatal alloimmune thrombocytopenia (NAIT)
PTP, Post-transfusion purpura (PTP) which are usually associated with platelet-specific antibodies
Additional Information ** New Test 9/20/2016, Replaces test 10248/ PLAB/ LAB4813
Do not collect within 72 hours of a platelet transfusion. Transfused platelets will interfere with this assay.
PLATELET ANTIBODY, WB Order Code: PLTAB 1724
Synonym Anti-Platelet Ab, Autoantibody, PLT Ab, ITP Antibody Epic Code LAB4132
CPT 86022
Method Antibody detection
Scheduled Monday - Friday at MSU COMPONENT 1724 CODE LOINC REFERENCE RANGE
laboratory
Department MREF
PLTAB Patient's Platelets PTPLT
PLTAB Platelet's Plasma PTPLA
PLTAB Platelet Associated IgG PTIGG 0 - 500 Mol. IgG/Plt
PLTAB Tested by MTB

10 ml whole blood 2 Light blue top tubes, Specimen must remain at Room temperature. Do not centrifuge. Room
NaCitrate (3.2%) Temperature
Test Information Recommended for the diagnosis of immune thrombocytopenia (ITP) or autoimmune thrombocytopenia. Tests that are
optimized to detect antibodies bound to the platelets will be useful in these situations.
Additional Information Includes circulating and bound Auto-antibodies. This test is not intended for Allo-antibody serum testing. Order
10511/PLABN for suspected PTR, PTP, and NIAT.
PLATELET COUNT Order Code: PLT 1523
Synonym PLT Epic Code LAB301

CPT 85049

PLT Platelet Count PLT 150 - 400 K/uL

PLATELET FUNCTION ANALYSIS Order Code: PFA 7823
Synonym PFA, PLT Function Epic Code LAB318

CPT 85576
Method Dade PFA-100
Department SPHE Age 1 day to 10 year

M PFA Collagen/Epinephrine CEPI 97 - 202 SEC
PFA Collagen/ADP CADP 66 - 124 SEC

PFA Collagen/Epinephrine CEPI 72 - 172 SEC
PFA Collagen/ADP CADP 58 - 122 SEC

PFA Hemoglobin HGBN F 12.0 - 15.0
PFA Hemoglobin HGBN M 12.6 - 16.5

PFA Platelet Count PLTN 150 - 400 K/uL
PFA Interpretation INTPF

5 ml EDTA whole blood (min. 2 1 Light blue top tube, DO NOT SPIN. Expedite to main lab in original tubes at Room Room
ml) and 5 ml sodium citrate whole NaCitrate (3.2%) and 1 Temperature. Do not refrigerate. Temperature
blood (min. 2 ml) Lavender top tube, EDTA
Test Information Test must be collected at Sparrow Professional Building (SPB) location, first floor, open 6 am - 10 pm.
PMH, PI-LINKED AG,B Order Code: PLINK 10194
Synonym Acid Hemolysin, CD55, CD59, FLAER, GPI-Linked Antigen, Ham-Crosby Epic Code LAB4098
Sugar-Water Test, Blood, Hemolytic Anemia, Paroxysmal Nocturnal CPT 84597 88185
Hemoglobinuria (PNH)
Method Immunophenotyping
Department MREF
Ref Code PLINK

3.2 mL Whole blood (Min. 1.0 mL) Yellow top ACD tube Do not transfer blood to other containers. **Must arrive at Mayo Room
within 72 hrs of draw. Temperature
Test Information Useful for screening for and confirming the diagnosis of paroxysmal nocturnal hemoglobinuria (PNH)
Monitoring patients with PNH.
PORPHOBILINOGEN DEAMINASE (PBGD), WB Order Code: PBGDG 10510
Synonym PBG Deaminase Epic Code LAB4812

CPT 82657
Method Enzymatic End point/Spectrofluorometric

Friday at Mayo
Department MREF
PBGDG PBG Deaminase PBGDW - 7.0 nmol/L/sec
Ref Code PBGD
PBGDG PBG Deaminase PBGDW Indeterminate 6.0 - 6.9 nmol/L/sec
PBGDG PBG Deaminase PBGDW dimished < - 6.0 nmol/L/sec
PBGDG PBGD Interpretation PBGDI

Whole blood (Min. 3 mL) 1 green top tube, Na Heparin Tube must be Full. Gently invert to mix anticoagulant with whole Refrigerate
blood and place on wet ice. Acceptable: Lavender top (EDTA) or
green top (lithium heparin)
Test Information Useful for confirmation of a diagnosis of acute intermittent porphyria (AIP).
Patient Information Patient should abstain from alcohol for 24 hours.
Additional Information ** New Test 9/20/2016, Replaces test 10083/ PBGD/ LAB4812
PORPHYRINS, URINE Order Code: UPORQ 1177
Synonym Porphyrins Fractionation Urine, 24 hr urine porphyrins Epic Code LAB433

CPT 84120 84110
Method High Pressure Liquid Chromatography (HPLC)

UPORQ Collection Duration COLD5 24 - Hr Hours
Ref Code PQNU
UPORQ Urine Volume UVOL4 measure - in mL
UPORQ Uroporphyrins UROPO 0 - 30 nmol/24Hr
UPORQ Heptacarboxylporphyrin HEPTA 0 - 9 nmol/24Hr
UPORQ Hexacarboxylporphyrin HEXAC 0 - 8 nmol/24Hr
UPORQ Pentacarboxylporphyrin PENTA 0 - 10 nmol/24Hr
UPORQ Coproporphyrins COPRO F 0 - 168 nmol/24Hr
UPORQ Coproporphyrins COPRO M 0 - 230 nmol/24Hr
UPORQ Porphobilinogen PORPB 0 - 2.2 mcmol/24Hr
UPORQ Porphyrins, QN Interpretation PORQN 0.0 - 1.5

24 hour urine collection; Submit 24 hr urine container; Add 5 g Add 5 grams of Na2CO3 (sodium carbonate-T272) as Refrigerate
entire collection; protect from light Na2CO3 preservative prior to preservative. This preservative is intended to achieve a pH of >
collection, Submit aliquot in 7. Keep refrigerated during and after collection.
amber urine bottle Measure the total volume. Then thoroughly mix the 24 urine in the
container and transfer into special Amber colored 60 mL plastic
aliquot vial.
with the order:
Test Information Useful for preferred screening test during symptomatic periods for acute intermittent porphyria, hereditary coproporphyria,
and variegate porphyria.
Patient Information Patient should abstain from alcohol for at least 24 hours prior to collection, as well as during collection.
Additional Information Protect specimen from light during and after collection.
NO OTHER Preservatives accepted; Na2CO3 ONLY may be used if multiple assays are requested.
POSTVASECTOMY, SPERM CHECK Order Code: PVSCK 1520
Synonym Semen Analysis, Vasectomy Epic Code LAB891

CPT 89321

PVSCK Sperm count PVSCK 0 - 0 Million\mL

Total ejaculate Dry sterile, plastic vial Room temperature Room
Temperature
Patient Information Sample must arrive within 24 hours of collection. Submit specimen Monday through Friday only.
POTASSIUM Order Code: K 1179
Synonym K+, electrolytes Epic Code LAB114

CPT 84132

K Potassium K 4.0 - 6.4 MEQ/L




POTASSIUM, 24 HOUR URINE Order Code: UK24 1339
Synonym K Urine 24 Hour, K+ Urine, 24 Hr K, 24 hour urine potassium Epic Code LAB436
CPT 84133
Department CHM
Ref Code Sparrow

24 hour urine collection; Submit 24 hr urine container; no Refrigerate during collection. Measure the total volume, then Refrigerate
entire collection or 20 ml aliquot preservative thoroughly mix the 24 urine in the container and transfer 20 mL into
a plastic aliquot vial.
POTASSIUM, URINE, RANDOM Order Code: UKR 1338
Synonym K Urine, K+ Urine Epic Code LAB434

CPT 84133
Department CHM

PREALBUMIN Order Code: PALB 8153
Synonym ALB Epic Code LAB115

CPT 84134

PALB PreAlbumin PALB 18 - 45 mg/dL

centrifuge.
PREGABALIN Order Code: FPRGA 10087
Synonym LYRICA Epic Code LAB4390

Test Component FPRGA CPT 80299
Method Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
Scheduled Varies
Department MREF
Ref Code FPRGA

1 mL of Serum or 1 mL Plasma 1 Plain red top tube or 1 green Allow blood to clot, spin down and send refrigerated in a plastic vial. Refrigerate
(Min. 0.25 mL) top tube, Na heparin
Test Information Test Performed by Medtox Laboratories, Inc.
PREGNANCY TEST SERUM Order Code: PREGS 1970
Synonym Beta-HCG Qualitative serum, HCG, BHCG Epic Code LAB144

CPT 84703
Method Immunoconcentration
Department CHM

centrifuge.
PREGNANCY TEST URINE Order Code: URHCG 1586
Synonym Chorionicgonadotropin Qualitative, HCG,UCG Epic Code LAB437

CPT 84703
Method Immunoconcentration
Department HEM

early AM sample preferred preservative
PRIMIDONE Order Code: PRIMG 1158
Synonym Mysoline Epic Code LAB485

CPT 80188
Method Immunoassay
Scheduled Monday - Friday at

Specialty
Department CHM

1 ml serum (Min: 0.5 mL) 1 Plain red top tube Refrigerate Refrigerate
Test Information Plain red-top only. Specimens collected in gel separator tube will be rejected.
PROCAINAMIDE Order Code: PROC 1184
Synonym Promestyl, NAPA Epic Code LAB33

CPT 80192

PROC NAPA NAPA 4.0 - 10.0 mcg/mL

PROCALCITONIN,S Order Code: PCT 10142
Synonym PROCT Epic Code LAB4601

Test Component PCT-Procalcitonin CPT 84145
Method Homogeneous Automated Immunofluorescent Assay
Department MREF Age 0 day to 72 hours

PCT PROCT PCT 33959-8 <2.0 ng/mL; - 20.0 ng/mL
Ref Code PCT birth

PCT PROCT PCT 33959-8 > 72 hrs old - 0.15 ng/mL

0.7 mL Serum (Min. 0.25 mL) 1 Plain red top tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Send Refrigerated
Test Information Diagnosis of bacteremia and septicemia in adults and children (including neonates).
Additional Information Gel barrier tube not accepted.
PROGESTERONE Order Code: PROG 1182
Synonym PRG Epic Code LAB529

CPT 84144

PROG Progesterone PROG F 0.15 - 28.03 ng/mL



PROG Progesterone PROG M 0.28 - 1.22 ng/mL

centrifuge.
PROLACTIN Order Code: PROLA 1183

CPT 84146

PROLA Prolactin PROLA F 2.8 - 29.2 ng/mL
Age 60 years to >100 year

PROLA Prolactin PROLA F 1.8 - 20.3 ng/mL

PROLA Prolactin PROLA M 2.1 - 17.7 ng/mL

centrifuge.
PROMETHEUS THIOPURINE METABOLITE Order Code: FPMET 10236
Synonym Pro-Predict, 6-TGN, 6-MMPN, Imuran Epic Code LAB4340

CPT 82542 82542
Method High Performance Liquid Chromatograph (HPLC)

Prometheus
Department MREF
FPMET 6-TGN Z1501 230 - 400 pmole/8x10(8)RBC
Ref Code FPMET
FPMET 6-TGN Assessment Z1502
FPMET 6-MMPN Z1503 < - 5700 pmole/8x10(8)rbc
FPMET 6-MMPN Assessment Z1504

5 ml whole blood 1 Lavender top EDTA tube Send whole blood, do not spin. Refrigerate
PROTEIN RANDOM URINE Order Code: UTPR 1323
Synonym Protein Urine Random Epic Code LAB439

CPT 84156

UTPR Protein-Non 24HR Urine UTPR 0.0 - 14.0 mg/dL

PROTEIN C ANTIGEN, P Order Code: PCAG 10280
Synonym Protein C Ag, Protein C immunologic, Epic Code LAB4747

CPT 85302
Method Enzyme-Linked Immunosorbent Assay (ELISA
Department MREF Age 18 years to >100 years

PCAG Protein C Ag PCAG 70 - 150 %
Ref Code PCAG

3 ml Platelet-poor plasma (Min. 2 1 Light blue top tube, NaCitrate Spin tubes down, transfer plasma to a plastic vial, and spin plasma Frozen
ml) again. Freeze specimens immediately at < or =-40 degrees C, if
possible.
Test Information Userful for differentiating congenital Type I protein C deficiency from Type II deficiency. Assay of protein C functional
activity (PROTC/1127/LAB489 - Protein C Activity at Sparrow Lab) is recommended for initial laboratory evaluation of
patients suspected of having congenital protein C deficiency (personal or family history of thrombotic diathesis).
Patient Information If the patient is being treated with Coumadin, this should be noted. Coumadin will lower protein C.
Additional Information ** NEW TEST ADDED 01/22/2016 ** Each coagulation assay requested should have its own vial.
PROTEIN C, ACTIVITY Order Code: PROTC 1127
Synonym Functional, Protein C Functional, Protein C Activity Epic Code LAB489

CPT 85303
Method Chromogenic
Department SPCO Age 1 day to 1 month

PROTC Protein C PROTC 24 - 40 %






NaCitrate (3.2%)
Patient Information Patient should not be taking coumarin. Indicate if patient or family members have a history of thrombosis at an early age
(<40 years).
PROTEIN ELECTROPHORESIS, SERUM Order Code: SPE 1069
Synonym Protein Fractionation, SPEP Epic Code LAB119

CPT 84165

M SPE Total Protein TPSP 6.0 - 8.0 g/dL
SPE Albumin ALBSP 3.20 - 4.50 gm/dL
SPE Albumin ALBPC 48.5 - 62.7 %
SPE Beta globulin BETSP 0.80 - 1.30 gm/dL
SPE Beta globulin BETPC 12.2 - 17.4 %
SPE Alpha-1-Globulin AL1SP 0.20 - 0.40 gm/dL
SPE Alpha-1-Globulin AL1PC 2.7 - 5.2 %
SPE Gamma Globulin GAMSP 0.50 - 1.50 gm/dL
SPE Gamma Globulin GAMPC 8.3 - 19.6 %
SPE Alpha-2-Globulin AL2SP 0.60 - 1.00 gm/dL

centrifuge.
Test Information If a monoclonal protein is detected, an Immuno Fixation Electrophoresis is done.
PROTEIN FRACTIONATION, URINE Order Code: UPE 1288
Synonym Urine Protein Electrophoresis, IFE, Protein Electo Epic Code LAB438
CPT 84166

M UPE Protein, Urine UTPPE 0 - 10 mg/dL
Ref Code Sparrow UPE Protein 24 hr Urine UTPE2 0.0 - 150.0 mg/24hr
UPE Measured Volume UVOLU measure - in mL
UPE Interpretation UPEIN

20 ml single void urine sample Urine container, no Refrigerate - Measure the total volume. Then thoroughly mix the Refrigerate
(min: 10 ml), First morning preservative 24 urine in the container and transfer 20 mL into a plastic aliquot
specimen preferred. 24 hour vial.
urine collection; Submit entire Label container with full name and date of birth. 24 hour urine
collection or 20 ml aliquot collections require the following additional information with the
Test Information Urine protein and urine protein electrophoresis
Patient Information For 24 hour urine collections: Void and discard first morning specimen. Place all subsequent samples in collection
container for the next 24 hours. Terminate collection after saving first specimen of second morning.
PROTEIN S Order Code: PROTS 6694
Synonym Clotting Factor Epic Code LAB491

CPT 85305
Department SPCO Age 1 day to 1 month

PROTS Protein S Activity PROTS 27 - 47 % Activity






2 ml plasma (Min: 1 ml) 1 Light blue top tube, Centrifuge, transfer plasma to plastic vial and freeze immediately. Frozen
NaCitrate (3.2%)
Test Information Decreased Protein S activity can be the result of acquired states (e.g. Vitamin K deficiency, liver disease, oral anti-
coagulant therapy with coumarin) or an inherited deficiency. Patients who are APCR positive, or those having recent
thrombotic events, may also have low Protein S. Suggest further clinical evaluation.
PROTEIN S ANTIGEN, P Order Code: PRSAG 6846
Synonym FREE and Total Protein S Epic Code LAB760

CPT 85306
Method Automated Latex Aggulination
Department MREF
Ref Code PSTF

2 ml plasma in two separate vials 1 Light blue top tube, Centrifuge blue top, remove plasma and place equal amounts in Frozen
NaCitrate (3.2%) two plastic vials and freeze
Test Information Free Protein S is performed on all specimens. Total Protein S is not indicated when the Free Protein S exceeds 65% in
males and 55% in females
PROTEIN, CEREBROSPINAL FLUID Order Code: CFTP 1186
Synonym CSF Protein, CSF Epic Code LAB195

CPT 84157

CFTP Protein-CSF CFTP 20 - 80 mg/dL

CFTP Protein-CSF CFTP 15 - 45 mg/dL

1 ml CSF (Min: 0.5 ml) 1 CSF tube Refrigerate Refrigerate
PROTEIN, TOTAL Order Code: TP 1185
Synonym TP Epic Code LAB118

CPT 84155
Method Spectrophotometry, Biuret

TP Total Protein TP 3.9 - 7.9 g/dL






centrifuge.
PROTEIN, TOTAL 24 HR URINE Order Code: UTP24 1202
Synonym 24 Hr Urine Protein Epic Code LAB441

CPT 84156

UTP24 Protein-24Hr Ur UTP1 0 - 150 mg/24Hr
Ref Code Sparrow
UTP24 Protein-NON 24Hr UTPC 0.0 - 14.0 mg/dL
UTP24 Collection Time CINTV Time - in hours

entire collection or 20 ml aliquot preservative
with the order:
Additional Information The following alternative preservatives are acceptable if multiple assays are requested: Boric acid
PROTEIN/CREATININE RATIO, U Order Code: PRCRR 6367
Synonym CREAT, PROT, TP/Creat Ratio Epic Code LAB743

CPT

PRCRR Protein/Creat Ratio PROCR
PRCRR Protein Random Urine UTPR 0.0 - 14.0 mg/dL
PRCRR CREAT Random Urine UCRER

10 ml urine (Min: 0.5 ml) Sterile urine container Requires a random urine collection. Store urine refrigerated. Refrigerate
PROTEINASE 3 AB (PR3), S Order Code: PR3AB 10073
Synonym ACPA, Antineutrophil Cytoplasmic Antibodies, ANCA, Anticytoplasmic Epic Code LAB4382
Autoantibodies CPT 83516
Method Multiplex Flow Immunoassay

PR3AB Proteinase 3 Ab PR3AB 6968-2 Negative 0 - < 0.4 U
Ref Code PR3
PR3AB Proteinase 3 Ab PR3AB 6968-2 Equivocal 0.4 - 0.9 U
PR3AB Proteinase 3 Ab PR3AB 6968-2 positive - 1.0 U

0.5 mL serum (min. 0.35 mL) 1 gold top SST clot tube Allow blood to clot upright, then centrifuge. Send serum Refrigerate
refrigerated.
Test Information Useful for evaluating patients suspected of having Wegener granulomatosis (WG).
PROTHROMBIN G20210 MUTATION Order Code: PGMUT 6656
Synonym PGMUT, Mutation, Factor II Epic Code LAB834

CPT 81240
Method Real time PCR
Scheduled Twice Weekly
Department MDX

5 ml. EDTA whole blood (min. 3 1 Lavender top EDTA tube / Refrigerate Refrigerate
ml) light blue citrate or yellow ACD
accepted
Additional Information ACD,Sodium Citrate, or Sodium Heparin whole blood specimens are acceptable,
PROTHROMBIN TIME Order Code: PT 1187
Synonym PT, Protime, INR Epic Code LAB320

CPT 85610
Department COA Age 16 year to >100 year

PT PT PTI 9.0 - 11.5 Seconds
PT INR INR 2.0 - 3.0

2 ml plasma (Min: 1 ml); strict 1 Light blue top tube, ***NEW PROCESSING INSTRUCTIONS DECEMBER 18, 2014*** Room
adherence to a 1:10 anti- NaCitrate (3.2%) Transport to lab at Room Temperature within 24 hours of Temperature
coagulant to blood ratio (i.e., 1 collection. DO NOT CENTRIFUGE. DO NOT OPEN TOP.
part sodium citrate + 9 parts If longer storage time is anticipated, centrifuge, transfer plasma to
blood) required. plastic vial and freeze.
Test Information INR (Internal Normalized Ratio). INR value is useful only for patients on oral anticoagulants such as Coumarin.
PROTOPORPHYRINS, ZINC Order Code: ZPP 10086
Synonym NEZPP Epic Code LAB1085

CPT 84202
Method Hematofluorometry

Warde
Department SO
ZPP Zinc Complexed ZPP 2893-6 0 - 69 umol ZPP/mol heme
Ref Code NEZPP

1 ml whole blood (Min: 0.5 ml) 1 Royal blue top tube-EDTA Protect from light by wrapping tube in foil then Refrigerate. Refrigerate
Alternative specimen, Lavendar top EDTA.
FREE PSA Order Code: PSATF 6864
Synonym PSA-Free, Prostatic Specific Antigen Epic Code LAB171

CPT 84154
Method Dual Monoclonial Chemiluminescent Immunoassay
Department MREF

1 ml frozen serum 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Frozen
centrifuge. Pour off serum and freeze.
PSA (DIAGNOSTIC) Order Code: PSADX 7820
Synonym Prostate Specific Antigen (Diagnostic) Epic Code LAB4456

CPT 84153

PSADX PSA PSADX 0 - 4.00 ng/mL

centrifuge.
PSA (SCREENING) Order Code: PSA 1935
Synonym Prostate Specific Antigen (Screening) Epic Code LAB116

CPT G0103 84153
Method Chemiluminscent Immunoassay

PSA PSA PSA 0.0 - 4.0 ng/mL

centrifuge.
Patient Information Not payable by most insurance carriers when ordered as a screening test.
PSEUDOCHOLINESTERASE Order Code: PCHOL 1341
Synonym Cholinesterase (Pseudo), Total, Serum Cholinesterase (Pseudochol) Epic Code LAB965
CPT 82480
Method Photometric, Acetylthiocholine Substrate

PCHOL Pseudocholinesterase PCHOL M 3100 - 6500 U/L
Ref Code PCHES
PCHOL Pseudocholinesterase PCHOL M 11 - 25 U/L
PCHOL Pseudocholinesterase PCHOL F 7 - 20 U/L





1 ml serum (Min. 0.25 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge. Must centrifuge and separate serum within 2 hours of
collection.
Test Information Useful for monitoring exposure to organophosphorus insecticides and monitoring patients with liver disease, particularly
those undergoing liver transplantation.
Additional Information Reference values have not been established for patients that are <18 years of age.
PYRUVATE (PYRUVIC ACID) Order Code: PYRU 6809

CPT 84210
Method Enzymatic

Friday at Specialty
Department MREF
PYRU Pyruvate (Pyruvic Acid) PYRU 0.3 - 1.5 mg/dL

Perchloric Acid treated plasma 1 Lavender top EDTA tube - Within 1 minute of collection, add 4ml pre-chilled 7% or 8% Refrigerate
prechilled Perchloric Acid to 4ml whole blood. Let stand 10 min., then
centrifuge and remove supernatant. Provide volumes of whole
blood and percholic acid with specimen.
Test Information Collect in lavender-top tube, place on ice immediately, and deliver immediately to laboratory for processing
Additional Information Perchloric acid can be obtained from the laboratory. Call 517.364.7800 or 1-800-844-2522. It is recommended that this
test be collected at the Sparrow Hospital drawsite to ensure proper processing of specimen.
PYRUVATE KINASE Order Code: PRYKN 6674
Synonym PK Epic Code LAB1087

CPT 84220

PRYKN Pyruvate Kinase PRYKN 9.0 - 22.0 U/G OF HGB

1 ml whole blood Syringe Collect 1 ml of whole blood in a syringe. Immediately transfer Refrigerate
exactly 1 ml of whole blood into special tube containing 2.5 ml of
6% Perchloric Acid. Shake vigorously and then refrigerate.
Test Information Tubes containig 2.5 ml of 6% Perchloric Acid can be obtained by calling the laboratory at 517-364-7800 OR 1-800-844-2522
Sparrow Laboratories Online Test Catalog Q
QUANTIFERON TB GOLD Order Code: QTFTB 2023
Synonym TB, GOLD, QFT-G, QFT Epic Code LAB1196

CPT 86480
Method ELISA
Scheduled Tuesday - Friday COMPONENT 2023 CODE LOINC REFERENCE RANGE

QTFTB Quantiferon TB Qualitative QNTTB
QTFTB Quantiferon Nil QFNIL
QTFTB Quantiferon TB - Nil QTBAG
QTFTB Quantiferon Mitogen minus Nil QFMIT
QTFTB M. tuberculosis infection NOT Negative Nil 8.0 TB Ag- Nil <0.35 - Mit - Nil 0.5
likely IU/mL
QTFTB M. tuberculosis infection NOT Negative Nil 8.0 TB Ag - Nil - 0.35 & < 25% of Nil
likely value IU/mL
QTFTB Mitogen - Nil - 0.5
QTFTB M. tuberculosis infection is POSITIVE Nil 8.0 TB Ag - Nil 0.35 - & 25% of Nil
Likely value IU/ml
QTFTB Mitogen - Nil - Any
QTFTB Possible Impaired Cellular Indetermin Nil 8.0 TB - Nil <0.35 or 0.35 - Mit. - Nil
Immune Response ate 0.5 IU/mL
QTFTB High Nil background Indetermin Nil > 8.0 TB Ag - Nil - Any IU/mL
ate
QTFTB Result Mitogen - Nil - Any
Invalid

1 ml whole blood each tube 3 tubes - NIL, TB Antigen and Shake tubes 10 times just firmly enough to ensure the enire inner Room
Mitogen surface of the tube is coated with blood to dissolve antigens on the Temperature
walls. DO NOT centrifuge and maintain specimen at room
temperature.
Test Information The test is approved as an aid for diagnosing both active TB disease and latent TB infection (LTBI).
Patient Information Special processing and tube requirements, Only trained personnel may collect specimens.
Additional Information Sample must be no more than 12 hours old when they arrive in the lab.
old when they arrive at the laboratory
Sparrow Laboratories Online Test Catalog Q
QUINIDINE Order Code: QUIN 1192
Synonym Quinidex Epic Code LAB192

CPT 80194

QUIN Quinidine QUIN 2.0 - 5.0 mcg/mL
Ref Code QUIND

RABIES ANTIBODY, VACCINE RESPONSE Order Code: RABAB 8076
Synonym Rabies Titer Epic Code LAB854

CPT 86317
Scheduled Michigan Department of

Health
Department MDCH

centrifuge.
Sparrow Laboratories Online Test Catalog R
RAS/RAF TARGETED GENE PANEL BY NGS Order Code: RAFSP 10240
Synonym Tumor PANEL, KRAS Epic Code LAB4716

CPT 81275 81210
Method PCR-Based Next Generation Sequencing
Scheduled Weekly, varies at Mayo
Department MREF
Ref Code RASFP

Tissue or Cytology Varies Formalin-fixed, paraffin-embedded (FFPE) tissue block (preferred) Room
or 1 slide stained with hematoxylin and eosin and 10 unstained, Temperature
non-baked slides with 5-microns thick sections of the tumor tissue
with at least 6 mm area of tissue and 20% tumor nuclei, 1 stained
and coverslipped cytology slide with at least 5000 total nucleated
cells and at least 20% tumor cells.
Test Information Useful for identifying tumors that may respond to targeted therapies by assessing multiple gene targets simultaneously.
For more information, visit Mayomedicallaboratories.com
Additional Information Pathology report must accompany specimen in order for testing to be performed.
RBCS Order Code: PRB 1652
Synonym PACKED RED CELLS Epic Code LAB282

CPT 36430
Method XM
Department BLB

collecting.
Additional Information If type and screen has not been completed within the past 3 days one will be completed.
RENAL PANEL Order Code: RENAL 9118
Synonym KIDNEY Epic Code LAB19

Test Component CAL,PHOS,ALB,BUN,CREA,GLUC,NA,K+,CO2,CL,GAP,GFR CPT 80069

RENAL BUN BUN 6 - 23 mg/dL

RENAL Creatinine CREAT 0.6 - 1.4 mg/dL
RENAL Albumin ALB 3.6 - 5.0 g/dL

RENAL Potassium (K+) K 3.5 - 4.9 meq/L
RENAL Phosphorous PHOS 2.5 - 4.5 mg/dL
RENAL Calcium CA 8.0 - 10.5 mg/dL

RENAL Chloride CL 96 - 110 meq/L
RENAL CO2, Total CO2 20.0 - 30.0 mmol/L
RENAL Sodium Na 135 - 145 meq/L
RENAL Glucose GLU 65 - 100 mg/dL

centrifuge.
RENIN ACTIVITY, PLASMA Order Code: RENIN 1194

CPT 84244
Department MREF

3 ml plasma (Min: 1.5 ml) 2 Lavender top EDTA tubes - Place tubes in ice water for 10 minutes, then centrifuge 10 minutes. Frozen
chilled Transfer plasma to a plastic vial and freeze immediately.
Patient Information Please call Client Services at (517) 364-7800 or (800) 884-2522 for low sodium diet.
RESPIRATORY VIRAL PANEL BY PCR Order Code: PCRRP 10031
Synonym Resp, RSV, FLU A, FLU B, INFLUENZA Epic Code LAB4363

Test Component INFLUENZA A/B and RSV CPT 87798 87502
Method PCR
Scheduled Daily (During season) COMPONENT 10031 CODE LOINC REFERENCE RANGE

PCRRP Influenza A/B or RSV PCRIA Not - Detected

Nasopharyngeal (NP) or throat FLOQ swab or Saline wash in Submit swab placed into M4/M5 viral transport media (VTM). Other Refrigerate
swab, Respiratory: Nasal sterile screw cap vial; Preferred respiratory specimens: submit in 3ml saline in sterile container or
washing, BAL, bronchial washing, VTM vial. Refrigerated 2-8C.
tracheal aspirate, sputum.
Cerebrospinal Fluid (CSF)
Test Information Includes RSV, FLU A, FLU B, INFLUENZA virus
Additional Information CSF specimens - Submit 0.5mL CSF in sterile screw cap container. Culturette II swab/ polyester, rayon or nylon
tipped swab acceptable. Unacceptable Specimens: Gel swab or wooden shafted swabs.
RETICULOCYTE COUNT Order Code: RETIC 1526
Synonym RETIC Epic Code LAB296

CPT 85045
Department HEM

4 ml whole blood (Min: 1 ml) 1 Lavender top EDTA tube Gently invert the tube multiple times to mix anticoagulated with Refrigerate
whole blood.
Stability: 24 hrs at room temp; 48 hrs refrigerated
RHEUMATOID FACTOR Order Code: RF 1778
Synonym RA, RF, RHF, RA Latex Epic Code LAB206

CPT 86430

RF Rheumatoid Factor RF 0 - 14 IU/mL

centrifuge.
POST-PARTUM RHOGAM WORKUP Order Code: PPRHO 1621
Synonym RHOGAM, RHIG Epic Code LAB4111

CPT 86901 86900 86850
Department BLB

Patient Information Rho Gam injections are availiable only at the hospital laboratory Monday - Friday, 7 A.M. - 7P.M. and Saturday, Sunday
and holidays 7 A.M. - 1 P.M..
RIBOFLAVIN (VITAMIN B2), P Order Code: VITB2 10210
Synonym VITB2 Epic Code LAB4680

CPT 84252

Mayo
Department MREF
Ref Code VITB2

1 ml plasma (Min: 0.5 ml) 1 green top tube, Li Heparin Centrifuge and transfer plasma into an amber tube to protect from Refrigerate or
light. Frozen
Patient Information Patient must fast for 12 - 14 hours.
RISPERIDONE Order Code: RISPD 6863
Synonym 9-Hydroxyrisperidone Epic Code LAB4235

CPT 82542
Method Liquid-Chromtography / Tandem Mass Spectometry (LC/MS/MS)
Scheduled Monday - Sunday at Mayo
Department TOX

3.0 ml plasma (min: 1 ml) 1 green top tube, Na Heparin Centrifuge green top and pour plasma into plastic tube. Refrigerate
RITALIN Order Code: RTLIN 6811
Synonym Methylphenidate, MTB Epic Code LAB4227

CPT 80360 80360
Method Gas Chromatographty / Nitrogen Phosphorus Detection (GC-NPD)

RTLIN RITALIN RTLIN 5.0 - 20.0 ng/mL
Ref Code RIT

3 ml plasma (min: 1 ml) 1 green top tube, Na Heparin Centrifuge green top and freeze 3 ml of plasma Frozen
Test Information Test Performed By: Medtox Laboratories, Inc.
RNICU FFP ALQ Order Code: AQF 1644
Synonym Fresh Frozen Plasma Epic Code LAB1740

Test Component Fresh frozen plasma CPT
Scheduled
Department BLB

whole blood Cord blood or microtainers Take directly to blood bank. Do not centrifuge Refrigerate
RNICU PLT ALQ Order Code: AQP 1663
Synonym PLATELETS Epic Code LAB1724

CPT
Scheduled
Department BLB

whole blood Cord blood or microtainers Take directly to blood bank. Do not centrifuge Refrigerate
Additional Information One blood type required prior to transfusion.
RNICU RBC ALQ Order Code: AQR 1643
Synonym PRBC, Syringe Epic Code LAB1724

Test Component Pretransfusion testing includes a cord blood workup as well as an antibody screen. CPT
Scheduled
Department BLB

Cord blood or microtainers Take directly to blood bank. Do not centrifuge Refrigerate
Additional Information Neonates less than 4 months of age do not require a crossmatch unless maternal antibodies are present. If maternal
antibodies are present, a full crossmatch will be required with each unit selected to the patient.
ROCKY MOUNTAIN SPOTTED FEVER IGG ANTIBODY Order Code: ROCAB 8071
Synonym Febrile Antigen, Rickettsia Epic Code LAB4299

CPT 86757 86757
Department MREF

centrifuge.
ROTAVIRUS Order Code: ROTAV 1481
Synonym GI Virus Epic Code LAB443

CPT 87425
Department MIC

5 ml fresh stool (Min: 1 ml) - Gray tub, or clean, dry Refrigerate immediately. Freeze if testing will be delayed beyond Refrigerate
unpreserved container 72 hours.
Test Information Common Presentation: Vomiting and non-bloody diarrhea within 10-51 hours
Common Sources and Season: Infants; Peak season winter
Additional Information Specimens preserved in formalin, SAV, PVA, or Cary Blair will be rejected. Non-preservative container such as grey
tub, only.
RSV BY PCR Order Code: PCRRS 10022
Synonym Respiratory Syncytial Virus Epic Code LAB4362

CPT 87798
Method PCR
Department MDX

Nasopharyngeal (NP), Respiratory FLOQ swab or Saline wash in Submitted swabs are placed into M4/M5 viral transport media. NP Refrigerate
specimens (Nasal washing, BAL, sterile screw cap vial; Preferred aspirate/saline wash should be cloudy and sent in sealed plastic
bronchial washing, tracheal vial or VTM vial.
aspirate, sputum). Cerebrospinal
Fluid (CSF)
Additional Information CSF specimens - Submit 0.5mL CSF in sterile screw cap container. Culturette II swab/ polyester, rayon or nylon
tipped swab acceptable. Unacceptable Specimens: Gel swab or wooden shafted swabs.
RSV, DIRECT ANTIGEN Order Code: RSVDA 1482
Synonym Respiratory Syncytial Virus Antigen Epic Code LAB4092

CPT 87420
Department MIC

3 ml nasal washing in viral antigen Viral transport media vial (VTM) Refrigerate Refrigerate
tube (Min: 2 ml)
RUBELLA ANTIBODY SCREEN Order Code: RUBEL 1674
Synonym TORCH, German Measles, 3 Day Measles Epic Code LAB496

CPT 86762
Method Latex Agglutination
Friday
Department IMM
RUBEL Rubella IgG RUBEL Non-Immune < 5.0 - IU/ml
RUBEL Rubella IgG RUBEL Indeterminate 5.0 - 9.9 IU/ml
RUBEL Rubella IgG RUBEL Immune - 10.0 IU/ml

centrifuge.
RUBELLA ANTIBODY-IgM Order Code: RUBAM 1990
Synonym German Measles Epic Code LAB865

CPT 86762
Scheduled Twice a week at Specialty COMPONENT 1990 CODE LOINC REFERENCE RANGE
Labs
Department MICSO
RUBAM Rubella IgM RUBAM < - 0.9 EIA Units

1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature; then Refrigerate
centrifuge.
SACCHAROMYCES CEREVISIAE Ab, IgA, S Order Code: SCIGA 10089
Synonym ASCA,Sacc, Anti saccharomyces, Celiac Disease, Crohn's Disease, IBD Epic Code LAB4391
CPT 86671
Method ELISA

SCIGA IGA SCIGA 47320-7 Negative 0 - 20.0 Units
Ref Code AASCA
SCIGA IGA SCIGA 47320-7 Equivocal 20.1 - 24.9 Units
SCIGA IGA SCIGA 47320-7 Weak Pos 25.0 - 34.9 Units
SCIGA IGA SCIGA 47320-7 Positive - 35.0 Units

0.5 ml serum (Min: 0.45ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Helping clinicians distinguish between ulcerative colitis and Crohn's disease in patients suspected of having inflammatory
bowel disease
Sparrow Laboratories Online Test Catalog S
SACCHAROMYCES CEREVISIAE Ab, IgG, S Order Code: SCIGG 10090
Synonym ASCA, Sacc, Celiac Disease, Crohn's Disease, IBD Epic Code LAB4446
CPT 86671
Method ELISA

SCIGG IGG SCIGG 47321-5 Negative 0.0 - 20.0 Units
Ref Code GASCA
SCIGG IGG SCIGG 47321-5 Equivocal 20.1 - 24.9 Units
SCIGG IGG SCIGG 47321-5 Weak Pos 25.0 - 34.9 Units
SCIGG IGG SCIGG 47321-5 positive - 35.0 Units

0.5 ml serum (Min: 0.45ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Helping clinicians distinguish between ulcerative colitis and Crohn's disease in patients suspected of having inflammatory
bowel disease
SALICYLATE Order Code: SALIC 1199
Synonym ASA, Aspirin Epic Code LAB34

CPT 80329

SALIC Salicylate SALIC 15.0 - 30.0 mg/dL

SALIVARY IGA Order Code: SIGAR 1344
Synonym IGA Salivary Epic Code LAB4070

CPT 82784
Method Radial Immunodiffusion (RID)
Scheduled Monday - Thursday at COMPONENT 1344 CODE LOINC REFERENCE RANGE

Mayo
Department MREF
SIGAR Salivary IgA SIGAR 6.2 - 14.5 mg/dL
Ref Code FSAGA

3 ml of Saliva Sterile container Refrigerate Refrigerate
SALMONELLA Ab, EIA, S Order Code: FSMLA 10193
Synonym Sal Antibody Epic Code LAB4658

Test Component Z0566-Salmonella H, Type a, Z0567-Salmonella H, Type b, Z0568-Salmonella H, CPT 86768 86768 86768
Type d, Z0569-Salmonella O, Type Vi, Z0570-Salmonella O, Type D

FSMLA Salmonella Ab Z0566
Ref Code FSMLA

1 mL of serum, (min. 0.2 mL) 1 Plain red top tube or gel Allow specimen to clot, spin and send refrigerated. (Serum gel Refrigerate
barrier SST tube tube is acceptable)
Test Information Test Performed by: Focus Diagnostics, Inc. Antibodies to Salmonella flagellar (H) and somatic (O) antigens typically peak
3-5 weeks after infection. A positive result in this assay is equivalent to a titer of >=1:160 by tube agglutination (Widal).
Results should not be considered as diagnostic unless confirmed by culture.
ANTI- SCL 70 Order Code: SCL70 6623
Synonym DNA Topoisomerase 1 Antibodies, SCL, Sclerodermal Antibody, Sjogren Epic Code LAB771
CPT 86235
Method EIA
Scheduled Monday, Wednesday
Department IMM

centrifuge.
SECOBARBITAL Order Code: SECOB 6716
Synonym Seconal, Tuinal Epic Code LAB4211

CPT 80299
Method High Performance Liquid Chromoatography with Ultraviolet Detection (HPLC-UV)

SECOB Secobarbital Secobarbit M or F 1 - 5 mcg/mL
al

1 ml plasma (min: 0.5 ml) 1 green top tube, Li or Na Refrigerate
heparin
SEDIMENTATION RATE Order Code: ESR 1528
Synonym Sed Rate, ESR, Wintrobe, Westergren Epic Code LAB322

CPT 85652
Method Westergren/Seditainer

ESR Sed Rate ESR F 0 - 20 mm/Hr
ESR Sed Rate ESR M 0 - 15 mm/Hr

4 ml whole blood (min: 0.6 ml) 1 Streck seditainer tube or 1 Do not spin. Refrigerate after collection. Lavendar tubes are Refrigerate
lavender top-EDTA stable for 12 hrs if refrigerated, 2 hrs at room trmperature. Streck
seditainer tubes are stable for 72 hrs if refrigerated, 6 hrs at room
temperature.
SEMEN ANALYSIS Order Code: SEMEN 10101
Synonym Fertility, Sperm Count Epic Code LAB216

CPT 89322
Method **Sparrow Hospital Only
Scheduled By Appointment; Monday-

Friday, 8 am - Noon
Department FER

Semen, complete ejaculate. Dry, sterile, plastic vial Room temperature. Specimen must arrive in laboratory within 1 Room
hour of collection Temperature
Test Information Fertility assessment
Patient Information ** Available by appointment only. To schedule, call 517.3647800, (times available from 8 am -11 am M-F.) Collection kits
with instructions are available at any of our PSC Lab locations.
Additional Information Check in at Sparrow Main Hospital Lobby Information Desk - They will call Lab x42526 and a lab caregiver will come to
greet the patient at the front desk.
SEROTONIN, BLOOD Order Code: SEROB 1197
Synonym 5-Hydroxytryptamine, 5-HT, 5HT Epic Code LAB121

CPT 84260

SEROB Serotonin SEROB - 330 ng/mL
Ref Code SERWB

3 ml whole blood (Min. 1.5 ml) 1 Lavender top EDTA tube Do not spin. Mix well then transfer 2.5 ml whole blood to special Frozen
serotonin tube containing ascorbic acid (Mayo supply T259), and
freeze immediately.
Patient Information Monoamine oxidase (MAO) inhibitor drugs should be discontinued one week prior to specimen collection.
SERTRALINE Order Code: SERT 8052
Synonym Zoloft Epic Code LAB4553

CPT 80299
Department TOX

2.5 mL serum (Min: 1.25 mL) 1 Plain red top tube, 10 mL Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
SEX HORMONE BINDING GLOBULIN Order Code: SHBG 1280
Synonym Testosterone binding globulin, sex steroid binding protein,SBP Epic Code LAB4063
CPT 84270
Method Chemiluminescent

SHGB Sex Hormone-Binding SHGB 13967-5 F non-preg 18 - 144 nmol/L
Ref Code SHBG
SHGB Sex Hormone-Binding SHGB 13967-5 M 10 - 57 nmol/L

Test Information See Mayo online catalog SHBG
Additional Information Specimen may be frozen after arrival in laboratory
SICKLE CELL SCREEN Order Code: SSCR 1529
Synonym Hemoglobin S Solubility, SS Epic Code LAB339

CPT 85660
Method Solubility
Department HEM

SIROLIMUS, BLOOD Order Code: SIRLG 9038
Synonym Rapamycin, Rapamune Epic Code LAB875

CPT 80195

SIRLG Sirolimus, Blood SIRLG 4.0 - 20.0 ng/mL

1 ml whole blood (Min: 0.5 ml) 1 Lavender top EDTA tube Do not centrifuge Refrigerate
SLA AUTOANTIBODY Order Code: FSLAA 10192
Synonym Soluble Liver Antigen Autoantibody Epic Code LAB4657

CPT 83520
Method Enzyme Linked Immunosorbent Immunoassay (ELISA)
Scheduled Wednesday, Mayo Forward COMPONENT 10192 CODE LOINC REFERENCE RANGE

FSLAA SLA AutoAntibody FSLAA 32219-8
Ref Code FSLAA

1 ml Serum, (min. 0.3 mL) 1 Plain red top tube or gel Spin down and send 1 mL of serum refrigerated in a plastic vial. Refrigerate
barrier SST tube
Test Information Test Performed by: Quest Diagnostics Nichols Institute
SMEAR TO PATHOLOGIST Order Code: SMEAR 1538
Synonym PATH Review, Peripheral Smear Review Epic Code LAB4450

CPT 85060
Department PATH Age 1 day to >100 years

SMEAR Reviewed by PATH
SMEAR RBC Comment RBCEC
SMEAR MISC Comment MSCEC
SMEAR Rec. Comment RECEC

EDTA Whole Blood 1 Lavender top EDTA tube Refrigerate Refrigerate
ANTI- SMOOTH MUSCLE ANTIBODY Order Code: ASMA 1736
Synonym ASMA, Smooth Muscle Ab Epic Code LAB512

CPT 86255
Scheduled Tuesday and Friday COMPONENT 1736 CODE LOINC REFERENCE RANGE

ASMA Antibody Result ASMAR
ASMA Titer ASMAT

centrifuge.
SODIUM Order Code: NA 1209
Synonym Na, Electrolyte Epic Code LAB122

CPT 84295
Department CHM Age 1 day to 3 day

NA Sodium NA 136 - 144 mEq/L

NA Sodium NA 135 - 145 mEq/L

centrifuge.
SODIUM, 24 HOUR URINE Order Code: UNA24 1343
Synonym NA Urine 24 Hour, 24 hr urine Na Epic Code LAB446

CPT 84300

UNA24 Sodium-24HR Ur UNAC 40 - 200 mEQ/24Hr
Ref Code Sparrow
UNA24 NA Non 24 HR Ur UNA1
UNA24 Collection Time CINTV Time - in hours
UNA24 Measured Volume UVOL measure - in mL

entire collection or 20 ml aliquot preservative required
with the order:
Additional Information The following alternative preservatives are acceptable if multiple assays are requested: Boric acid; 50% Acetic Acid
SODIUM, URINE, RANDOM Order Code: UNAR 1342
Synonym NA Urine Epic Code LAB444

CPT 84300
Department CHM

SPECIFIC GRAVITY Order Code: SGREF 1592
Synonym SG Epic Code LAB199

CPT 81003
Method Refractometer
Department HEM

10 ml fluid (Min: 1 ml) Urine container, no Refrigerate Refrigerate
preservative
SPOROTHRIX ANTIBODY Order Code: SPORA 1809

CPT 86671
Department MREF

centrifuge.
STOOL WBC Order Code: STWBC 1469
Synonym Fecal Leukocytes Epic Code LAB4445

CPT 87205
Method Direct Microscopic Exam
Department MIC

5 ml feces (Min: 1 ml) Cary Blair Media (Para-pak Transfer stool specimen to Carey Blair vial. Fill to volume Room
yellow lid vial) or fresh grey indication line and invert multiple time to mix sample with Temperature
tub - inpatient only, submit preservative fluid.
promptly
Test Information Preserved specimens in 10% Formalin, SAV, or PVA, or unpreserved specimens greater than 2 hours rejected
STREP GROUP A, RAPID Order Code: BSRPD 1447
Synonym Strep Screen, Beta Strep, Rapid Strep, Strep A Epic Code LAB885
CPT 87430
Method EIA, Negative reflex to PCR
Department MIC

Throat swab Culturette II aerobic swab Use a swab to sample the tonsillar area and posterior pharynx with Refrigerate
the swab(s).
Use a tongue depressor to prevent mouth closing on swab to avoid

touching the tongue and other oral structures.
Inpatient: submit at room temperature
Outpatient: submit refrigerated
Test Information A negative result obtained from this kit should be confirmed by culture or by PCR testing. A negative result may be obtained
if the concentration of the Group A Strep antigen present in the throat swab is not adequate or is below the detectable level
of the test.
Additional Information This test is a qualitative test for the detection of Group A Streptococcal antigen in throat samples only. For alternatives
sources, order an Aerobic Culture, 8063/CXAER.
STREP GROUP A, RAPID, REFLEX IF NEG Order Code: DNAAN 6844
Synonym Reflex PCR, Strep screen, Beta Strep, Group A Strep Epic Code LAB4431
CPT 87650
Method EIA
Department MIC

Throat swab Culturette II aerobic swab Use a swab to sample the tonsillar area and posterior pharynx with Refrigerate
the swab(s).
Use a tongue depressor to prevent mouth closing on swab to avoid

touching the tongue and other oral structures.
Additional Information Two (2) swabs required for Strep group A, reflex to PCR.
STREP PNEUMONIAE AG, URINE Order Code: SPAGU 1436
Synonym S. Pneumoniae, Pneumococcal Pneumonia Epic Code LAB4087

CPT 87450
Department MIC

2 ml Urine Sterile urine container Collect random clean void urine and Refrigerate Refrigerate
Test Information Single bacterial Ag, Strep Pneumonia
ANTI- STRIATIONAL ANTIBODY Order Code: STMAB 1693
Synonym STRIATED MUSCLE Antibody, MYOID Epic Code LAB728

CPT 83520
Scheduled Mon, Wed, Thursday at

Mayo
Department MREF

1 ml serum (Min: 0.5 ml) 1 Plain red top tube Refrigerate Refrigerate
SULFATE, 24 HR URINE Order Code: SULFU 10088
Synonym SU, 24 hr urine sulfate Epic Code LAB1096

Test Component USULF, COL23, MUV13, SULFC CPT 84392
Department MREF
Ref Code SULFU

24 hour urine collection; Submit 24 hr urine container, no Keep refrigerated during and after collection. Specimen pH should Refrigerate
entire collection or 20 ml aliquot preservative be between 4.5 and 8 and will stay in this range if kept refrigerated.
with the order:
Test Information Urinary sulfate can be used to assess the nutrition intake of animal protein. It also can be a reflection of protein intake and
can be assessed in patients with stone disease as related to stone supersaturation and prevention of stone disease.
Additional Information Acceptable preservative types for shared testing collections: Boric Acid and Na2CO3
SYNOVIAL FLUID CRYSTALS Order Code: CCRYS 1535
Synonym Joint Fluid, Gout Epic Code LAB213

CPT 89060
Method Polarized/Compensated Redlight Microscopy

CCRYS Crystalloid Material SYNCR
CCRYS Site SYTE

2 ml synovial fluid (Min: 1 ml) 1 Lavender top EDTA tube Refrigerate Refrigerate
SYNOVIAL FLUID VISCOSITY Order Code: SYNVI 1274
Synonym Joint Fluid Epic Code LAB4059

CPT 85810
Department SPHE
M

Synovial fluid 1 Plain red top tube, 1 Refrigerate
Lavender top tube, EDTA
SYNOVIAL SARCOMA, 18q11.2, FISH, Ts Order Code: SS18F 10286
Synonym t(X;18), SS18, SYT Epic Code LAB4753

CPT 88291
Department MREF
Ref Code SS18F

slides block. Slide Instructions: Four consecutive, unstained, 5 Temperature
micron-thick sections placed on positively charged slides, and 1
Test Information Userful for supporting the diagnosis of synovial sarcoma when used in conjunction with an anatomic pathology consultation.
Additional Information ** NEW TEST ADDED 01/22/2016 ** A pathology report must be provided with each specimen. Blocks prepared
with alternative fixation methods may be acceptable; provide fixation method used.
SYPHILIS AB W/ REFLEX, S ** NEW TEST Order Code: SYPAB 10428
Synonym T. pallidum, Treponemal pallidum Epic Code LAB4831

CPT 86780
Method Chemiluminescent Microparticle Immunoassay
Scheduled Monday-Friday; afternoon COMPONENT 10428 CODE LOINC REFERENCE RANGE

shift
Department MSER
SYPAB Syphilis Antibody SYPAB 24110-9 Non - reactive

2 ml serum (Min: 1 ml) 1 -7 ml serum SST tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information New reverse algorithm syphilis screening test for treponemal antibodies is more sensitive and specific for detecting cases
of secondary, latent and late syphilis.
Additional Information **New Test Live March 20, 2017. Replaces test 1676/RPR LAB494 as a first line treponemal screening test. Reactive
tests will reflex to RPR titer.
Sparrow Laboratories Online Test Catalog T
T3 FREE Order Code: FT3 8026
Synonym FREE T3, Free Triiodothyrenine Epic Code LAB137

CPT 84481

FT3 Free T3 FT3 2.5 - 3.9 pg/mL

centrifuge.
T3 TOTAL Order Code: T3 1964
Synonym Total T3, Triiodothyronine Total, T3 RIA Epic Code LAB136

CPT 84480

T3 Total T3 T3 87 - 178 ng/dL

2 ml serum (Min: 1ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
T4 FREE Order Code: FT4 1039
Synonym Free T4, Free Thyroxine Epic Code LAB127

CPT 84439

FT4 FREE T4 FT4 0.61 - 1.37 ng/dL

centrifuge.
T4 TOTAL Order Code: T4 1948
Synonym T4, Total Thyroxine, Thyroxine Epic Code LAB126

CPT 84436
Department CHM Age 1 day to 7 day

T4 Total T4 T4 11.00 - 21.50 mcg/dL

T4 Total T4 T4 8.20 - 17.10 mcg/dL

T4 Total T4 T4 5.90 - 16.30 mcg/dL

T4 Total T4 T4 7.30 - 15.00 mcg/dL

T4 Total T4 T4 6.40 - 13.30 mcg/dL

T4 Total T4 T4 5.50 - 11.70 mcg/dL

T4 Total T4 T4 4.30 - 12.50 mcg/dL

centrifuge.
TACROLIMUS, BLOOD Order Code: TACRL 8054
Synonym PROGRA-F, FK506, TACRO Epic Code LAB876

CPT 80197
Method Liquid-Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

TACRL Tacrolimus TACRL 5.0 - 15.0 ng/mL

3 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Do not centrifuge. Refrigerate Refrigerate
FREE & TOTAL TESTOSTERONE, BIOAVAILABLE Order Code: TSTBF 7026
Synonym TEST, BIO, Free, Total Epic Code LAB4258

CPT 84402 84403
Method Equilibrium dialysis, liquid chromatrography-tandem mass spectrometry, differential precipitation
Department MREF

3.5 ml serum (Min: 2.6 ml) 1 Plain red top tube (no gel Specimens collected in gel separator tubes will be rejected. Allow Refrigerate
barrier) blood to clot upright 30 minutes at room temperature, then
centrifuge.
Test Information Early Morning levels from young men are 50% higher than p.m. levels. Reference ranges are based on a.m. samples.
Levels may flucturate widely between different days. Assessment of androgen status should be based on more than a
single measurement.
Additional Information This test is useful for evaluation as a second or third order test, for example, when abnormalities of SHBG are present.
TESTOSTERONE, TOTAL ** NEW TEST Order Code: TESTS 10554
Synonym Male Hormone, Total testosterone Epic Code LAB124

CPT 84403

TESTS Testosterone -total TESTS 2986-8
Ref Code TTST

2 ml serum (Min. 1.0 ml) 1 Plain red top tube or 1 gold Allow blood to clot for 30 minutes at room temperature, then Refrigerate
top SST clot tube centrifuge.
Test Information Useful for the evaluation of men with symptoms or signs of possible hypogonadism, such as loss of libido, erectile
dysfunction, gynecomastia, osteoporosis, or infertility.
Also useful for evaluation of boys with delayed or precocious puberty; Monitoring testosterone replacement therapy;
Evaluation of women with hirsutism, virilization, and oligoamenorrhea or with symptoms or signs of possible testosterone
deficiency. Evaluation of infants with ambiguous genitalia or virilization; Diagnosis of androgen-secreting tumors.
Additional Information ** New Test April 03, 2017. Replaces 1219/TESTO Testosterone, Total.
TESTOSTERONE, TOTAL AND BIOAVAILABLE Order Code: TESBT 5593
Synonym TESTOSTERONE, BIOAVAILABLE, TESTO Epic Code LAB4177

CPT 84402 84403
Method Competitive Chemiluminescent immunoassay
Department MREF

4.0 ml serum (Min: 2.6 ml) 1 Plain red top tube (no gel Specimens collected in gel barrier tubes will be rejected. Allow Refrigerate
barrier) blood to clot upright 30 minutes at room temperature, then
centrifuge.
Test Information May be useful as a second or third order test for evaluating testosterone status, particularly if abnormalities in sex hormone-
binding globulin function or levels are present.
TESTOSTERONE, TOTAL AND FREE Order Code: TESFT 1284
Synonym Free Testosterone Epic Code LAB173

Test Component Free and Total Testosterone CPT 84402 84403
Method Equilibrium Dialysis, Liquid Chromatography-Tandem Mass Spectrometry
Scheduled Monday-Friday, Weekend COMPONENT 1284 CODE LOINC REFERENCE RANGE

varies, Mayo
Department MREF
TESFT Testosterone -free TESFS 2991-8
Ref Code TGRP
TESFT Testosterone -total TESTS 2986-8

3 ml serum (Min: 2.0 ml) 1 Plain red top tube or 1 SST Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
clot tube centrifuge.
Test Information This assay is the alternative, second-level test for suspected increases or decreases in physiologically active testosterone.
Patient Information Patient age and sex required.
Additional Information ** ACTIVE April 3, 2017 ** Replaces 10292/QTSTF Free Testosterone.
TETANUS TOXOID IgG, S Order Code: TTIGS 10247
Synonym C. tetani, Replaces TETNG/1826 Epic Code LAB658

CPT 86317
Scheduled Monday - Friday; 9 am at COMPONENT 10247 CODE LOINC REFERENCE RANGE

Mayo
Department MREF
TTIGS Tetanus IgG Abs TETG Positive - 0.01 IU/mL
Ref Code TTIGS
TTIGS Tetanus IgG Value DEXTG Vaccinated Positive - IU/mL

0.8 mL serum (min. 0.4 mL) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful for assessment of an antibody response to the tetanus toxoid vaccine.
THC, QUANTITATIVE Order Code: THCQU 2521
Synonym THC, MARJAUNA, CANNABINOIDS Epic Code LAB4464

CPT 82542
Method Immunoassay
Scheduled Contact Toxicology dept.

517-364-7400
Department TOX

Urine, random; Minimum - 15 mL Sterile urine cup Submit in original container Refrigerate
THEOPHYLLINE Order Code: THEO 1221
Synonym Aminophylline, THEO Epic Code LAB35

CPT 80198

THEO Theophylline THEO 10.0 - 20.0 mcg/mL

THIOCYANATE Order Code: THIO 1222
Synonym THIO Epic Code LAB1099

CPT 84430
Method Spectrophotometer

THIO Thiocyanate THIO 4 - 20 mcg/mL

4 ml whole blood (min vol 2 ml 1 green top tube, Li or Na Refrigerate whole blood, Toxicology Lab will centrifuge & process Refrigerate
plasma) heparin
THIOPURINE METHYLTRANSFERASE, RBC Order Code: FATPM 10514
Synonym TMPT, Myelosuppression, Imuran Toxicity, Myelotoxicity Epic Code LAB4682

CPT 82657
Method Enzymatic/Quantitative Liquid Chromatography-Tandem Mass Spectrometry

Friday at ARUP
Department MREF
FATPM TPMT FATPM normal 24.0 - 44.0 U/mL
Ref Code FATPM activity

5 mL Whole blood (Min. 3.0 mL) 1 - 7 ml Lavender top tube, Gently invert multiple times to mix anticoagulant. Submit specimen Refrigerate
EDTA in original tube.
Na or Li Heparin acceptable
Additional Information ** New Test 9/20/2016, Replaces test 10212/ TPMT / LAB4682
THYROGLOBULIN Order Code: TG 8009
Synonym TG Epic Code LAB533

CPT 84432

TG Thyroglobin TG 1.6 - 59.9 ng/mL

ANTI- THYROGLOBULIN ANTIBODY Order Code: ATG 1765
Synonym ATG, Thyroglobulin, Thyroid Ab Epic Code LAB515

CPT 86800

Friday
Department IMM
ATG ANTI-THYROGLOBULIN AB ATG 0 - 40 IU/mL

centrifuge.
THYROID MICROSOMAL ANTIBODY (ATMA) Order Code: ATA 1738
Synonym ATA, Microsomal Ab, TPO, Thyroperoxidase Ab, Hashimoto Disease Epic Code LAB516
CPT 86376

Friday
Department IMM
ATA Microsomal Ab ATA 0 - 35 IU/mL

centrifuge.
THYROID STIMULATING IMMUNOGLOBULIN Order Code: TSI 1146
Synonym Graves Disease, LATS (Long-Acting Thyroid Stimulator) Epic Code LAB746
CPT 84445
Method Recombinant Bioassay
Scheduled Monday through Friday at COMPONENT 1146 CODE LOINC REFERENCE RANGE
Mayo
Department MREF
TSI Thyroid Stim Immunoglobulin TSI 0 - 13 Index
Ref Code TSI

1 mL serum, Min. 0.30 mL 1 plain red top tube or 1 sst Allow sample to clot at room temperature for 30 minutes. Refrigerate
clot tube
THYROTROPIN RECEPTOR AB, S Order Code: TRECP 7741
Synonym TRAB, TBII, Thyrotropin receptor antibody Epic Code LAB574

CPT 83519
Department MREF
Ref Code THYRO

1 mL serum (Minimum Vol 0.5 1 Plain red top tube preferred, Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
mL) Acceptable: gel barrier SST centrifuge. Transfer serum to a plastic vial.
tube
Test Information Useful For first-line test for detection of thyrotropin receptor (TSHR) antibodies, and used in the following situations: -
Differential diagnosis of etiology of thyrotoxicosis in patients with ambiguous clinical findings and/or contraindicated (eg,
pregnant) and diagnosis of clinically suspected Graves disease (eg, extrathyroidal manifestation of Graves disease include
endocrine exophthalmos, pretibial myxedema, thyroid acropachy) in patients with normal thyroid function tests. -
Determining the risk of neonatal thyrotoxicosis in a fetus of a pregnant female with history Graves disease.
THYROXINE BINDING GLOBULIN Order Code: TBGRS 1225
Synonym TGB,TBG Epic Code LAB128

CPT 84442
Method Solid-Phase Chemiluminescent Assay

TBGRS TBG/Thyroxine Bind TBGRS F 11.0 - 27.0 UG/ML
TBGRS TBG/Thyroxine Bind TBGRS M 12.0 - 26.0 UG/ML

centrifuge. Pour specimen into a plastic tube and freeze.
Additional Information Specimen may be frozen after arrival in Central Processing.
TISSUE TRANSGLUTAMINASE Ab, IgA Order Code: TTSGA 9034
Synonym TTG, TTSGA, Celiac Disease Epic Code LAB723

CPT 83516
Method Enzyme-Linked ImmunoAssay (ELISA)

TTSGA TTG IgA TTSGA Negative 0.1 - 7.0 U/mL
TTSGA TTG IgA TTSGA Equivocal >7.0 - 10.0 U/mL
TTSGA TTG IgA TTSGA Positive >10.0 - 600.0 U/mL

1.5 ml serum (Min: 0.5 ml) 1 Plain red top tube or gel Allow blood to clot upright 30 minutes at room temperature, then Frozen
barrier SST tube centrifuge.
Transfer serum into a plastic tube and freeze immediately.
Test Information Used for Celiac Disease and Dermatitis Herpetiformis Testing. Antibody levels decline following institution of a gluten-free
diet in patients with celiac disease.
Additional Information ** New Processing Requirements: Store and submit specimen FROZEN
TISSUE TRANSGLUTAMINASE AB, IGA AND IGG Order Code: TSTGP 7091
Synonym Celiac Disease, TTG, Transglutaminase, TSTGP Epic Code LAB4259

CPT 83516 83516
Method Enzyme-Linked ImmunoAssay (ELISA)

TSTGP TTG IgG TSTTG 0.6 - 7.0 U/mL
TSTGP TTG IgA TTSGA 0.6 - 7.0 U/mL

2 ml serum (Min: 0.5 ml) 1 Plain red top tube or gel Allow blood to clot upright 30 minutes at room temperature, then Frozen
barrier SST tube centrifuge. Transfer serum to a plastic vial and Freeze.
Test Information Used for Celiac Disease and Dermatitis Herpetiformis Testing. Antibody levels decline following institution of a gluten-free
diet in patients with celiac disease.
Additional Information ** New Processing Requirements - Store and submit specimen FROZEN
TOBRAMYCIN Order Code: TOBRR 1973
Synonym TOBRA Epic Code LAB37

CPT 80200

TOBRR Tobramycin TOBRR Peak 5.0 - 10.0 mcg/mL
TOBRR Tobramycin TOBRR Trough 1.0 - 2.0 mcg/mL

2 ml plasma (Min: 1 ml) 1 green top tube, Li heparin Refrigerate Refrigerate
Patient Information Draw times: PEAK: 30 minutes, after 30-minutes infusion immediately, after 60-minutes infusion one hour after IM dose,
TROUGH: immediately prior to the next dose.
TOPIRAMATE, S Order Code: TOPIR 7753
Synonym Topamax Epic Code LAB498

CPT 80201
Method Fluorescence Polarization Immunoassay (FPIA)
Department MREF
Ref Code TOPI

centrifuge. NO GEL. Spin and transfer serum to plastic vial within
2 hours of collection.
Test Information Red top gel-barrier tubes are not acceptable.
TOTAL IGE Order Code: IGE 1773
Synonym IgE Quantitative Epic Code LAB74

CPT 82785
Scheduled Monday, Friday COMPONENT 1773 CODE LOINC REFERENCE RANGE
Department ALL Age 1 day to 4 month

IGE IgE-Quantitative IGE 0.3 - 1.0 U IgE/mL













centrifuge.
TOTAL PROTEIN, 12HR URINE Order Code: UPR12 6836
Synonym Protein Epic Code LAB4231

CPT 84156

UPR12 Protein-Non 12HR UPR12 0.0 - 14.0 mg/dL
UPR12 Protein-12HR UR UPR12 0.0 - 14.0 mg/12Hr

Entire collection or 50 ml aliquot 24 hr urine container, no Must include total volume measurement. Refigerate Refrigerate
of well-mixed 12-hour collection preservative
Terminate collection after saving specimen collected at 12 hour termination of test.
TOXOPLASMA ANTIBODY IGG Order Code: TOXAG 8055
Synonym Toxoplasma Gondii, Tox Ab, Tox IgG Epic Code LAB501
CPT 86777
Scheduled Monday
Department MSER

centrifuge.
TOXOPLASMA GONDII ANTIBODY, IGM, S Order Code: TXM 10513
Synonym Tox IgM, Tox Ab, TOXMP Epic Code LAB4815

CPT 86778

TXM T. gondii Antibody TXM 40678-5 Negative -
Ref Code TXM

1 ml serum, (Min. 0.8 mL) 1 - gold top SST tube Allow blood to clot upright for 30 min. at room temperature, then Refrigerate
centrifuge.
Test Information Useful for detection of recent infection with Toxoplasma gondii.
Additional Information ** New Test 9/20/2016, Replaces test 1511/ TOXMP / LAB4815
TPMT GENOTYPE, B Order Code: GTPMT 10307
Synonym Thiopurine methyltransferase Epic Code LAB4774

CPT 81401
Method PCR - 5'-Nuclease End-Point Allelic Discrimination Analysis
Scheduled Monday through Friday at COMPONENT 10307 CODE LOINC REFERENCE RANGE
Mayo
Department MREF
GTPMT TPMT Genotype Result 36016 63454-3 TPMT*1/*1 - genotype
Ref Code GTPMT
GTPMT TPMT Interpretation 36017 69047-9 Normal TPMT - activity
GTPMT TPMT Reviewed by 36018 Name

3 mL whole blood EDTA 1 Lavender top EDTA tube Submit specimen in original tube Room
Temperature
Test Information Useful for predicting potential for toxicity to thiopurine drugs (6-mercaptopurine, 6-thioguanine, and
azathioprine). An interpretive report with the genotype and interpretive comment is provided based on the
genotype.
TRAMADOL, Plasma/Serum Order Code: TRAM 40000
Synonym Ultram, Ultracet Epic Code LAB4404

CPT 80373
Department TOX

2.5 ml plasma (Min: 1.25 ml) 1 green top tube, Li or Na Red top plain tube for serum sample acceptable. No Gel barrier Refrigerate
heparin tubes may be used.
Additional Information Plain red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected
TRANSFERRIN Order Code: TRSF 1228
Synonym Iron Binding Protein Epic Code LAB133

CPT 84466

TRSF Transferrin TRSF 200 - 400 mg/dL

centrifuge.
Patient Information Fasting specimen preferred
TRAZODONE Order Code: TRZ 8041
Synonym DESYREL Epic Code LAB4695

CPT 80299

TRZ Desyrel (Trazodone) TRZ 500 - 1100 ng/mL

3.0 ml serum (Min: 1.25 ml) 1 Plain red top tube Draw plain red-top tube, spin and send 3 mL serum frozen in Frozen
plastic vial. Collect blood 12 hrs after last dose following min of 5
days on traz
odone.
Test Information Grey top and red top tubes also acceptable. Specimens collected in gel separator tubes will be rejected.
TRICHOMONAS VAGINALIS BY APTIMA Order Code: TRIVG 10148
Synonym TRICH, T VAG, STD, T. Vaginalis Epic Code LAB4614

Test Component SPM17; TRIVR CPT 87661
Department MDX

Cervical, urethral, self collect Aptima collection Vials: Swab, Female vag/cervical specimen step 1 - use the white swab Room
vaginal swab or random, "First self collect Vag swab, Urine provided to wipe away mucus and discard this swab. 2 - collect Temperature
Catch" urine collection vial. Liquid PAP vial - Thin sample with the blue swab. "First catch", initial stream urine collect
Prep or SurePath in sterile urine cup; then transfer to Aptima urine vial. Fill to fluid
level line - approx. 2 ml.
Male urethral collection, use blue swab only. Place swab in vial,
break at score line.
Test Information The APTIMA T. vaginalis assay utilizes target capture, TMA. The superior performance of this method (100% sensitivity -
99.6 % specificity) compared to wet-prep microscopic examination improves the screening, diagnosing and treatment of
trichomonas vaginalis infection.
T. vaginalis has been linked to several serious health outcomes including female infertility, PID and premature births.
Patient Information Patient should not have urinated for at least 1 hour prior to specimen collection. Self-collect kits and patient instructions
provided by the lab staff at our service center locations.
Additional Information May be combined with other STD tests - GC and Chlamdydia. When ordering a PAP screen and STD testing we
recommend sending the liquid vial for PAP plus submit Aptima vial (blue swab) for GC, CT and TRVG. Trichomonas
testing when ordered with Wet Prep test may be submitted in saline or Diamond media. However, you must order a
Wet prep test and the T. Vaginalis Aptima test: Codes WP + TRIVG.
(Saline and Diamond media are NOT acceptable specimens for GC and Chlamydia orders)
TRIGLYCERIDES Order Code: TRIG 1231
Synonym TRIG Epic Code LAB134

CPT 84478

TRIG Triglycerides TRIG 10 - 140 mg/dL




centrifuge.
Patient Information Patient should fast overnight (12 -14 hours).
TROPONIN-I Order Code: TROP2 6845
Synonym TROP Epic Code LAB747

CPT 84484
Method Chemiluminometic Immunoassay

TROP2 Troponin-I TROP2 0.0 - 0.3 ng/mL

3 ml plasma 1 green top tube, Li Heparin Centrifuge specimen, remove plasma and refrigerate. Refrigerate
Test Information Serum specimens are accepted, but may be rejected during testing process.
TRXN-4 HOUR POST Order Code: TIP4H 4511
Synonym 4 HOUR POST TRANSFUSION REACTION STUDIES Epic Code LAB4425

Test Component Hemolysis Check & DAT CPT
Department BLB

collecting.
Test Information 4 hour post transfusion reaction studies. Additional Studies may be completed by direction of the SOP, pathologist, and/or
physician.
TRXN-POST TUBE Order Code: TIP1 4510
Synonym TRANSFUSION REACTION Epic Code LAB4424

Test Component Hemolysis Check & DAT CPT
Department BLB

collecting.
Test Information Immediate Transfusion reaction studies. Additional Studies may be completed by direction of the SOP, pathologist, and/or
physician.
TRYPTASE Order Code: TRYRS 1255
Synonym Mast Cell Tryptase Epic Code LAB827

CPT 83520

Mayo
Department MREF
TRYRS Tryptase TRYRS 0.0 - 11.50 ng/mL

1 ml serum (Min: 0.5 ml) 1 gold top SST clot tube Allow blood to clot upright for 30 minutes at room temperature. Refrigerate
Centrifuge, and freeze serum.
Additional Information Specimen may be frozen after arrival in main lab.
TSH Order Code: TSH 1939
Synonym Thyroid Stimulating Hormone Epic Code LAB129

CPT 84443

TSH TSH TSH 0.50 - 11.60 uIU/mL

TSH TSH TSH 0.35 - 4.01 uIU/mL

centrifuge.
TUMOR NECROSIS FACTOR Order Code: FFTUM 10160
Synonym TNF, Cachectin Epic Code LAB4623

CPT 83520
Method Immunoassay
Scheduled Mondays at Quest
Department MREF
Ref Code FFTUM

1.0 ml serum (Min. 0.5 ml) 1 Plain red top tube Allow specimen to clot, 10-15 minutes then centrifuge and transfer Frozen
serum to plastic vial and freeze.
Test Information Test performed by Quest
TYPE AND SCREEN Order Code: TSWBA 1650
Synonym ABORH, AB, Pre-Surg, AB Screen Epic Code LAB276

CPT
Department BLB Age 1 year to >100 year

TSWBA ABO Type ABO Type A, B, O - or AB
TSWBA Rh Type RH Type Pos. - or Neg
TSWBA Ab Screen MTS Negative -
TSWBA Blood Available BAOH see - comment

collecting. Do not centrifuge. Take directly to blood bank.
Test Information This test is used for patients who have been scheduled for surgery at Sparrow Hospital.
Sparrow Laboratories Online Test Catalog U
UREA NITROGEN, 24 HOUR URINE Order Code: UUN24 1208
Synonym UUN, 24 hr urine urea Epic Code LAB748

CPT 84540
Method Enzymatic

UUN24 Urea Nitrogen 24 hr UUN24 7000 - 16000 mg/24Hr
Ref Code Sparrow
UUN24 Urea Nitrogen Ur UUN24 7000 - 16000 mg/dL

entire collection or 20 ml aliquot preservative required
with the order:
Additional Information The following alternative preservatives are acceptable if multiple assays are requested: Boric acid; 50% Acetic Acid
URIC ACID Order Code: URIC 1235

CPT 84550

URIC Uric Acid URIC F 2.5 - 7.0 mg/dL
URIC Uric Acid URIC M 2.5 - 7.0 mg/dL

URIC Uric Acid URIC F 2.5 - 7.0 mg/dL
URIC Uric Acid URIC M 3.5 - 8.0 mg/dL

centrifuge.
URIC ACID, 24 HOUR URINE Order Code: UUA24 1347
Synonym 24 hour urine Uric acid Epic Code LAB841

CPT 84560
Department CHM
Ref Code Sparrow

24 hour urine collection; Submit 24 hr urine container, no Refrigerate during collection. Refrigerate
entire collection or 20 ml aliquot preservative required Measure the total volume. Then thoroughly mix the 24 urine in the
with the order:
URIC ACID, URINE, RANDOM Order Code: UUAR 1010
Synonym UR, Random Uric acid Epic Code LAB4009

CPT 84560
Department CHM

URINALYSIS Order Code: UA 1569
Synonym UA, URINE Epic Code LAB347

CPT 81003
Department HEM

15 ml single void urine (Min: 1 ml) 1 urine container, no Tightly seal the screw cap lid to prevent leaks. Refrigerate Refrigerate
preservative
Test Information Microscopic urinalysis reflexed when Leukocyte esterase, blood, protein or nitrite is positive on the urinalysis.
Patient Information Follow clean catch mid-stream instructions for collecting urine specimens.
Additional Information Microscopic urinalysis performed on all children under 10 years of age.
URINE CULTURE IF INDICATED Order Code: CSII 9988
Synonym Reflex Culture Epic Code LAB4355

Test Component UA CPT 87086
Method Clinitek (chemical analysis), microscopy, culture
Department UA

Clean catch, catheter, Sterile urine container Refrigerate Refrigerate
cystoscopic, suprapubic urines
(Min: 5 ml)
Test Information Reflex orders the urine culture if indicated.
Patient Information Colony count and organism identification performed if any one of the following conditions are met: positive leukocyte
esterase, positive nitrate, greater than 5 WBCs/hpf, presence of bacteria.
Additional Information Added to Catalog 2/29/16
Sparrow Laboratories Online Test Catalog V
VALPROIC ACID Order Code: VALP 1365
Synonym Depakene, Depakote Epic Code LAB24

CPT 80164

VALP Valproic Acid VALP 50.0 - 125.0 mcg/mL

VANCOMYCIN Order Code: VANCO 1316
Synonym VANCO Epic Code LAB40

CPT 80202

VANCO Vancomycin VANCO Peak 20.0 - 40.0 mcg/mL
VANCO Vancomycin VANCO Trough 5.0 - 20.0 mcg/mL

Patient Information Draw Times: Peak: 30 minutes after 1 hour infusion Trough: Immediately prior to next dose
VANILLYLMANELIC ACID, U Order Code: VMAU 1195
Synonym VMA, 24 Urine VMA Epic Code LAB452

CPT 84585
Method Liquid Chromatography / Tandem Mass Spectrometry

VMAU Collection Duration COL20 24 - hours
Ref Code VMA
VMAU Total Volume MUV11 measure - in mL
Age 1 day to 1 year

VMAU VMA, Child VMAUC < - 25.0 mg/g creatinine





VMAU VMA, Adult UVMA < - 8.0 mg/24hrs

24 hour urine collection; Submit 24 hr urine container; Add 25 Refrigerate during collection. Refrigerate
entire collection or 20 ml aliquot mL of 50% acetic acid prior to Measure the total volume. Then thoroughly mix the 24 urine in the
start of collection. Note: container and transfer 20 mL into a plastic aliquot vial.
children < 5 yrs, add 15 mL of Label container with full name and date of birth.
acetic acid. 24 hour urine collections require the following additional information
with the order:
Test Information Useful for screening children for catecholamine-secreting tumors with a 24 hour urine collection when requesting
vanillylmandelic acid only.
Supporting a diagnosis of neuroblastoma or monitoring patients with a treated neuroblastoma.
Please note: LevoDopa and Bactrim may interfere with detection of the analyte. Discontinue use 24 hours prior to
collection and during collection.
Additional Information Refrigerate at start of collection.
When multiple tests are requested on the same specimen the following preservatives are acceptable:
6N HCL; 6N HNO3; Boric Acid
VARICELLA (HERPES) ZOSTER IGG Order Code: VZVG 1835
Synonym Chicken Pox, Shingles, VZV Epic Code LAB162

CPT 86787
Scheduled Monday
Department MSER

centrifuge.
VARICELLA (HERPES) ZOSTER IGM/IGG Order Code: MYOVZ 6653
Synonym Chicken Pox Antibody Epic Code LAB4196

CPT 86787 86787 86787
Method Indirect Immunofluorescence (IFA)-IgM; ELISA-IgG
Scheduled Tuesday, Thursday,

Sunday at Mayo
Department MREF
Ref Code VZGM

centrifuge.
VARICELLA BY PCR Order Code: PCRVG 10034
Synonym VZV, Zoster, Shingles, Chickenpox Epic Code LAB4439

Test Component SPM10,PCRVZ CPT 87798
Method PCR
Scheduled Three days a week, COMPONENT 10034 CODE LOINC REFERENCE RANGE
Sparrow MDX
Department MDX
PCRVG Specimen Type SPM10
PCRVG Varicella Virus PCRVZ Not - Detected

0.5 ml CSF or other body fluid. Swab type: red top culturette Indicate site and source on the sample vial and on the order. 1.5 ml Refrigerate
Additional sources: oral, genital, in liquid Amies sheath or in respiratory specimens submitted in sterile container. Tissue
rectal, wound/lesion, eye, viral transport media(VTM). samples (non-respiratory) must be placed in viral transport medium.
respiratory or tissue. Sterile container with screw
cap for body fluids or CSF.
Test Information Varicella-zoster virus is the cause of both chickenpox and shingles, herpes zoster. VZV produces a generalized vesicular
rash on the dermis (chickenpox) in normal children, usually before 10 years of age. After primary infection with VZV, the
virus persists in latent form and may emerge later in life, clinically to cause a unilateral vesicular eruption, generally in a
dermatomal distribution (shingles).
Additional Information Culturette II swab/ polyester, rayon or nylon tipped swab acceptable. Unacceptable Specimens: Gel swabs, calcium
alginate and wooden shafted swabs.
VARICELLA ZOSTER BY PCR, Blood Order Code: BLVZV 10242
Synonym VZV Blood Test, Herpes Zoster Epic Code LAB4713

CPT 87798
Method PCR
Lab
Department MDX
BLVZV Varicella Virus BLVZV Not - Detected

2 ml plasma, (Min. 0.5 mL) 1 - 7 ml Lavender top tube, Centrifuge EDTA and separate plasma within 4 hours of collection. Refrigerate
EDTA Refrigerate immediately.
Test Information The detection of Varicella Zoster Virus is based upon PCR amplification and detection. A positive PCR result should be
considered in conjunction with clinical presentation and additional established diagnostic tests. A negative PCR result
indicates only the absence of VZV DNA in the sample
tested and does not exclude the diagnosis of disease.
Equivocal results are those that fall between the lowest limit of detection and the background level.
Additional Information ** New Test available 6/09/15. This test or one or more of its components was developed and its performance
characteristics determined by Sparrow Laboratories. It has not been cleared or approved by the U.S. Food and Drug
Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical
purposes. It should not be regarded as investigational or for research. Sparrow Laboratories is certified under CLIA-88
as qualified to perform high complexity clinical laboratory testing.
VASOACTIVE INTESTINAL POLYPEPTIDE Order Code: VIP 1296
Synonym VIP Epic Code LAB1107

CPT 84586

Mayo
Department MREF
VIP Vasoactive Int Ply VIP 0 - 75 pg/mL

3 ml plasma 1 Lavender top EDTA tube - Spin lavender tube and freeze plasma immediately Frozen
prechilled
VDRL (CSF) Order Code: VDRLC 1677
Synonym Cerebrospinal Fluid, VDRL, CSF, Syphilis, RPR Epic Code LAB207
CPT 86592
Scheduled Sunday-Friday at Warde
Department SO

1 ml CSF (Min: 0.5 ml) 1 CSF tube Refrigerate (unless additional cultures requested) Refrigerate
VENOUS BLOOD GASES Order Code: VBG 1240
Synonym VBG Epic Code LAB79

CPT 82803

VBG FIO2 VFIO2 21 - 100 %
VBG PCO2-Venous PC02 42 - 55 mmHg

VENOUS
VBG PH PH 7.35 - 7.45
VBG O2 SAT Venous O2 SAT 60.0 - 85.0 %
VBG CO2 CO2 20.0 - 30.0 MMOL/L

Heparinized syringe on ice. 1 green top tube, Li heparin Store and transport tube in ice water. Sample must be analyzed Refrigerate
within 1 hour of drawing.
Test Information pH, pCO2, pO2, CO2, O2 Sat.
Verapamil, plasma/serum Order Code: VERP 40012
Synonym Calan, Covera-HS, Isoptin SR, Verelan Epic Code LAB4411

CPT 80299
Method Gas Chromatography with Flame Ionization and Nitrogen Phospate Detection (GC-FID/NPD)

VERP Verapamil Verapamil M or F 100 - 1000 ng/mL

heparin
VITAMIN A Order Code: VITA 1241
Synonym Retinols Epic Code LAB580

CPT 84590
Method Liquid Chromatography - Tandem Mass Spectromtetry (LC-MS/MS)

VITA Vitamin A VITA see - report ug/L

0.5 ml serum (Min: 0.25 ml) 1 Plain red top tube, gel-barrier Centrifuge to separate serum, place serum in amber colored vial. Refrigerate or
tubes are not acceptable. Protect frozen specimen from light. May be frozen after arrival at Frozen
Central Processing.
Patient Information Draw specimen following a 12 to14 hour fast. No alcohol or vitamins for 24 hours prior to the test. Infants, draw prior to
next feeding..
Additional Information Specimens may be frozen after arrival in Central Processing.
VITAMIN B1, THIAMIN, WB Order Code: TDP 9035
Synonym VITB1, Thiamine, B1 Epic Code LAB745

CPT 84425
Method High Performance Liquid Chromatography (HPLC)

TDP Vitamin B1 TDP 32554-8 70 - 180 nmol/L
Ref Code TDP

4 ml whole blood (Min: 2 ml) 1 Lavender top EDTA tube Gently invert tube 8-10 times. Frozen
Transfer whole blood into a plastic tube, **keep protected from

Light and freeze immediately.
Patient Information Patient should fast 12 hours before sample is drawn. Patient must not take any vitamin supplements for 12 hours prior to
specimen draw.
Additional Information ** Activated November 28, 2016. Replaced 10518/FVBWB (temporary vitamin B1)
Follow processing requirement update from 09/06/2016: Transfer whole blood into a plastic vial, **Protect from Light,
and freeze immediately.
VITAMIN B12 Order Code: B12 1967
Synonym B12 Epic Code LAB67

CPT 82607

B12 VITAMIN B12 B12 211 - 911 pg/mL

centrifuge.
VITAMIN B6 Order Code: VTB6G 1307
Synonym B6, PALP (Pyridoxal 5-Phosphate), Pyridoxal 5-Phosphate (PALP), Epic Code LAB120
Pyridoxal Phosphate CPT 84207
Department MREF
Ref Code PLP

2 ml plasma (Min: 0.5 ml) 1 green top tube, Li or Na Separate plasma in refrigerated centrifuge, protect from light, and Refrigerate or
heparin refrigerate or freeze Frozen
Patient Information Patient should be fasting 12-24 hours prior to draw (infants draw prior to next feeding). Patient must not ingest viatmin
supplemtents for 24 hours prior to specimen collection.
Additional Information Gel tubes are not acceptable.
VITAMIN D2 and D3, 25-HYDROXYVITAMIN D Order Code: 25HYT 1246
Synonym VIT D, 25-Hydroxy, 25-OH Vitamin D, Fractionated Vitamin D Epic Code LAB4051
CPT 82306

25HYT 25-Hydroxyvitamin D2 25HD2 49054-0
25HYT 25-Hydroxyvitamin D3 25HD3 1983-3 Total D2+D3 25 - 80
25HYT 25-Hydroxy D Total 25HYD 62292-8

1 ml serum (Min: 0.25 ml) 1 gold top SST clot tube Allow blood to clot upright for 30 minutes at room temperature. Refrigerate
then centrifuge.
Test Information Grey top and red top tubes also acceptable
Additional Information Specimen may be frozen and protected from light after arrival in laboratory.
VITAMIN E Order Code: VITE 1193
Synonym Alpha Tocopherol Epic Code LAB130

CPT 84446

VITE Vitamin E VITE see - report mg/L

0.5 ml serum (Min: 0.25 ml) 1 Plain red top tube Gel-barrier (SST) tubes are not acceptable. Allow blood to clot Refrigerate or
upright 30 minutes at room temperature, then centrifuge. Pour Frozen
specimen into plastic tube and protect from light
Patient Information Patient must fast for 12-14 hour prior to the test.
Additional Information Specimen can be frozen and protected from light after arrival in Central Processing.
VITAMIN K1,S Order Code: VITK1 10195
Synonym VIT K, VITK1 Epic Code LAB4661

Test Component 62167-Vitamin K1 CPT 84597
Department MREF
Ref Code VITK1

2 ml Serum (min. 0.75 mL) 1 Plain red top tube Spin then separate serum to send in an amber vial to protect from Refrigerate
light.
Test Information Useful for assessment of circulating vitamin K1 concentration.
Patient Information Fast overnight, 12-14 hours. For infants, draw prior to next feeding.
VMA AND HVA, U Order Code: VH 10273
Synonym Neuroblastoma, Homovanillic Acid, Vanillylmandelic Acid, 3-Methoxy-4- Epic Code LAB4740
Hydroxymandelic Acid CPT 84585 84585
Department MREF
Ref Code VH

5 ml urine (Min. 2 ml) Sterile urine container Collect a random urine and submit in a 10 ml plastic urine vial. Refrigerate
Adjust urine pH to 1 to 5 with 50% acetic or HCl acid.
Test Information Useful for supporting a diagnosis of neuroblastoma and for monitoring patients with a treated neuroblastoma. First
preferred test for screening for catecholamine-secreting tumors in a random urine specimen when requesting both
homovanillic acid and vanillylmandelic acid.
VOLATILE SCREEN Order Code: VOLSC 7722
Synonym Methanol, Isopropanol, Acetone, Ethanol, Toxic alcohol screen Epic Code LAB4504
Test Component Methanol,Ethanol,Acetone,Isopropanol. CPT 84600

VOLSC Volatile Screen Volatile M or F see - report mg/dL
Screen

0.5 mL plasma (Min: 0.2 mL) or 1 green top tube, Li or Na Do not centrifuge. Do not open tube. Refrigerate whole blood. Refrigerate
1.5 mL Urine Heparin
Test Information Grey-top or red-top tube also acceptable. Specimens collected in gel separator tubes will be rejected. Do not use alchohol
swab during collection. Do not open tube.
VON WILLEBRAND WORKUP Order Code: VWDP 1309
Synonym VWB, F8, Factor 8 activity, VWP, von Willebrand Panel Epic Code LAB1112
Test Component 1049,6818,1080,6840 CPT 85240 85244 85247
Method Photo-optical clot detection, rocket immuno electrophoresis, agregometry.
Scheduled Every other week COMPONENT 1309 CODE LOINC REFERENCE RANGE

VWDP FVIII-Related Ag F8AG 50 - 150 % Normal

VWDP Factor Assay VIII FAC8 53.0 - 131.0 % Normal
VWDP Ristocetin Co-Factor RISTO 46 - 153 % Activity

VWDP Ristocetin Co-Factor RISTO 45 - 200 % Activity
VWDP Factor Assay VIII FAC8 70.0 - 149.0 % Normal

4 ml frozen plasma (two 2 ml 2 Light blue top tubes, Centrifuge. Transfer plasma to plastic vials and freeze. Frozen
aliquots) NaCitrate (3.2%)
Test Information Factor VIII related antigen, Ristocetin Cofactor, Factor VIII assay, Pathologist interpretation.
VORICONAZOLE, S Order Code: VORI 10228
Synonym VFEND, VORI Epic Code LAB4704

Test Component 88698-Voriconazole CPT 80299
Department MREF
Ref Code VORI

2 ml Serum (Min. 0.6 mL) 1 Plain red top tube Spin down within 2 hours of draw. Transfer to plastic vial. Refrigerate or
Frozen
Test Information Voriconazole (Vfend) is an antifungal agent approved for treatment of invasive aspergillosis and candidemia/candidiasis, as
well as for salvage therapy for infections in patients refractory to or intolerant of other antifungal therapy. The drug inhibits
the fungal enzyme 14a-sterol demethylase, a critical step in ergosterol biosynthesis.
VRE CULTURE SCREEN Order Code: CXVRE 8183
Synonym Vancomycin Resistant Enterococcus Epic Code LAB238

CPT 87081
Method Culture
Department MIC

stool, rectal swab Sterile container or transport Submit fresh specimen to microbiology lab. Refrigerate
swabs
Sparrow Laboratories Online Test Catalog W
WBC Order Code: WBC 7840
Synonym White Cell Count Epic Code LAB299

CPT 85048
Department HEM Age 1 day to 3 month

WBC WBC 5.0 - 20.0 K/CU MM







WEST NILE VIRUS AB, IGG AND IGM, S Order Code: WNS 10288
Synonym WNV, Arbovirus, Flavivirus, Viral encephalitis, Mosquito borne encephalitis Epic Code LAB4755
CPT 86789 86788
Scheduled Monday-Friday/Summer; COMPONENT 10288 CODE LOINC REFERENCE RANGE

Mon. Wed. Friday/Winter
at Mayo Age 1 day to >100 years
Department MREF WNS IgG Ab WNGS Negative -
Ref Code WNS WNS IgM Ab WNMS Negative -
WNS Interpretation WNVSI 48767-8 Included - with report

0.5 ml serum (Min. 0.4 ml) 1 gold top SST clot tube Allow blood to clot upright 30 minutes at room temperature, then Refrigerate
centrifuge.
Test Information Useful for laboratory diagnosis of infection with West Nile virus.
WET PREP, MICROSCOPIC Order Code: WP 1441
Synonym Wet Mount, WP on saline, BV, Yeast Epic Code LAB4455

CPT 87210
Department MIC

Vaginal secretions Dacron Swab (Polyester Fiber- Send swab in clear plastic blue top conical tube with saline. Room
tipped) or Culturette II Swab - Outpatients: Saline testing includes microscopy for WBC, Clue Temperature
submit in 0.5 - 1.0 ml saline cells and Yeast, only. Order TRIVG (#10148) for Trichomonas by
PCR.
Test Information Microscopic Exam on Saline includes check for Clue Cells (BV), WBC and Yeast. Order Test 10148/TRIVG for
Trichomonas (Aptima) by PCR.
Additional Information Must submit swab in Diamond Media vial for microscopic wet prep test to include Trichomonas observation, along with
Clue Cells, WBC, and Yeast.
WET PREP, MOLECULAR Order Code: AFFRM 10305
Synonym WP, Wet prep, Hanging Drop, molecular wet prep, BD Affirm VPIII Epic Code LAB4769
CPT 87797 87480 87660
Method DNA Hybridization
Scheduled Monday-Friday, twice a day COMPONENT 10305 CODE LOINC REFERENCE RANGE

AFFRM Candida Species BDCAN negative -
AFFRM Gardnerella vaginalis BDGRD negative -
AFFRM Trichomonas vaginalis BDTRI negative -

Vaginal Fluid - obtained with a BD Affirm Kit: Contains a 1) prepare the tube by breaking the ampule in the dropper to add Room
swab swab, dropper, transport tube liquid to the tube. Temperature
and cap 2) remove swab from sheath and collect sample.
3) place swab in tube, break shaft at the score line and secure cap.
4) label tube with patient first and last name, date of birth or MRN.
Test Information Wet prep test, DNA probe method, to determine the presense of Yeast (candida sp.), Garderella and Trichomonas.
Additional Information ** New Test added April 27, 2016 ** Order BD Affirm Kits for specimen collection online in lab-portal, Lifepoint.
**Special collection kit REQUIRED: saline, diamond media and Aptima tubes not acceptable for this method.
WET PREP, TRICH/YEAST EXAM Order Code: YTSCR 1591
Synonym Hanging Drop, Wet Mount, Diamond Epic Code LAB4457

Test Component Wet prep and culture for yeast and trichomonas. CPT 87210
Department MIC

Vaginal secretions, urine sample Swab in Diamond media, Transfer 1 ml urine sediment to diamonds media within 1 hour, Room
Dacron (Polyester Fiver-tipped) Room temperature. DO NOT REFRIGERATE. Temperature
Test Information Diamond media collection submitted at room temperature includes Clue Cells (BV), WBC, Yeast and Trichomonas.
Additional Information Trichomonas Aptima recommended for Outpatient testing for improved sensitivity and specificity - Order 10148/ TRIVG
Sparrow Laboratories Online Test Catalog X
D- XYLOSE ABSORPTION SERUM Order Code: FXATC 1324
Synonym XYLOSE Epic Code LAB454

CPT 84620
Scheduled Tuesdays and Thursdays
Department MREF

1 ml serum and 3 ml urine 1 gel barrier SST clot tube and Draw a fasting and 1 hour post dosage specimen. Allow sample to Frozen
urine container clot then centrifuge. Remove serum from the cells ASAP and
placed in a plastic vial.
Test Information Several drugs can interfere with test results: Aspirin, Atropine, Cochicine, Digitalis, Indomethacin, MAO inhibitors, Nalidixic
acid, Neomycin, Opium alkaloids, Phenelzine
Patient Information Patient must arrive fasting Adults: 8 hours, Children: 6 hours (Min. 4 hours). A fasting specimen will be drawn. Then the
patient will receive a xylose loading dose.
Additional Information Please call Client Services at (517) 364-7800 or (800) 884-2522 to schedule an appointment for this test.
ZINC, SERUM Order Code: ZINCG 1217
Synonym Zn (Serum) Epic Code LAB581

CPT 84630
Method Inductively Coupled Plasma Emission Spectroscopy
Scheduled Sunday - Monday at Mayo COMPONENT 1217 CODE LOINC REFERENCE RANGE

ZINCG Zinc ZINC 0.60 - 1.20 mcg/mL

element tube centrifuge. Transfer serum within 4 hours of specimen collection.
Avoid hemolysis. Steps: remove stopper, carefully pour specimen
into a Mayo metal-free, polypropylene vial, avoiding transfer of the
cellular components. Do NOT insert a pipet into the serum and do
NOT ream the specimen with a wooden stick to assist with serum
transfer.
Pour serum into a metal-free plastic tube.
Test Information Detecting zinc deficiency. Zinc is an essential element; it is a critical cofactor for carbonic anhydrase, alkaline
phosphatase, RNA and DNA polymerases, alcohol dehydrogenase, and many other physiologically important proteins.
Zinc is a key element required for active wound healing.
Additional Information If specimen will be delayed for more than 48 hours, freeze. Hemolyzed specimens will cause false elevation of serum
zinc levels
Sparrow Laboratories Online Test Catalog Z
ZONISAMIDE, S Order Code: ZONIS 7759
Synonym Zonegran Epic Code LAB504

CPT 80203
Method HPLC
Scheduled Monday through Thursday

at Mayo
Department MREF
Ref Code ZONI

2 mL serum (Min: 0.6 mL) 1 Plain red top tube NO GEL TUBES; Allow blood to clot upright 30 minutes, then Refrigerate
centrifuge. Separate serum from cells within 2 hours of draw.
zzCULTURE, VIRUS ** INACTIVED APRIL 2017 Order Code: CXVIR 1484
Synonym Order 1295/MISC for CMV by PCR; Viral Culture Epic Code LAB254
CPT 87252
Method Tissue Culture
Department MREF

Miscellaneous - Possible sample Viral transport media (VTM) Include site and source on the order and on the container. Refrigerate
types: Urine, body fluids, tissues Other: sterile container
or stool. Swab area and submit in viral transport media.
Orders for CMV Viral Culture will be reordered and sent out for
CMV by PCR testing.
Test Information For Herpes Virus (HSV) Type I/II order 8069/LAB4297/PCHSV or for Varicella (VZV) order 10034/LAB4439/PCRVG; Look
up by name Enterovirus or the specific Respiratory Virus for ordering and collection information.
Additional Information ** Test Inactivated April 19, 2017; Order a Miscellaneous Test 1295/MISC/LAB4416 and include Virus name by PCR
on order.

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Sparrow Laboratories Online Test Catalog

To find a specific test, follow these tips to

Proper labeling and handling of patient specimens is a critical component of

All samples should be submitted in well constructed, appropriately labeled,

Synonym Eosinophil Count Epic Code LAB298

Scheduled Sunday - Saturday COMPONENT 1506 CODE LOINC REFERENCE RANGE

Department HEM Age 1 day to >100 year

Specimen Container Processing Instructions Storage Temp

ABSOLUTE T CELL ANALYSIS Order Code: TCELL 7518

Synonym T CELL Epic Code LAB4271

Scheduled COMPONENT 7518 CODE LOINC REFERENCE RANGE

Department IMM Age 1 day to >100 year

TCELL CD3 - T Cells CD3

TCELL CD4 - Helper/Inducer T Cells CD4

TCELL CD8-Supressor/Cytotox. T Cell CD8

TCELL CD4/CD8 Ratio RATIO

TCELL WBC WBCT

TCELL Lymphocytes LYM

TCELL Absolute Lymphocytes ABLYM

TCELL Absolute CD3+ T CELLS ABCD3

TCELL Absolute CD4+ T CELLS ABCD4

TCELL Absolute CD8+ T CELLS ABCD8

Specimen Container Processing Instructions Storage Temp

Synonym T CELL, B CELL Epic Code LAB4272

Specimen Container Processing Instructions Storage Temp

ACETAMINOPHEN Order Code: ACETM 1303

Synonym Tylenol Epic Code LAB43

Scheduled Sunday - Saturday COMPONENT 1303 CODE LOINC REFERENCE RANGE

Department CHM Age 1 day to >100 year

Specimen Container Processing Instructions Storage Temp

Synonym Acetylcholine Ab, Muscle ACLR Epic Code LAB836

Specimen Container Processing Instructions Storage Temp

ACETYLCHOLINESTERASE, RBC Order Code: ACRBR 6838

Scheduled Tuesday, Thursday at COMPONENT 6838 CODE LOINC REFERENCE RANGE

Specimen Container Processing Instructions Storage Temp

Synonym AFB Blood,TB, TB Culture Epic Code LAB246

Department MIC Age 1 day to >100 year

Specimen Container Processing Instructions Storage Temp

Test Information Isolation and sensitivity performed when indicated.

ACID FAST CULTURE & SMEAR Order Code: CXAFB 1424

Synonym AFB,TB,TB Culture, Mycobacterium Epic Code LAB877

Scheduled Sunday - Saturday COMPONENT 1424 CODE LOINC REFERENCE RANGE

Department MIC Age 1 day to >100 year

Specimen Container Processing Instructions Storage Temp

Test Information Isolation and sensitivity performed when indicated.

Synonym PAP, Acid P'tase Epic Code LAB4466

Scheduled Wednesday COMPONENT 1173 CODE LOINC REFERENCE RANGE

Department QST Age 1 day to >100 year

Specimen Container Processing Instructions Storage Temp

ACTH Order Code: ACTH 1001

Synonym Adrenocorticotropic Hormone Epic Code LAB511

Scheduled Monday, Wednesday COMPONENT 1001 CODE LOINC REFERENCE RANGE

Department MREF Age 1 day to >100 year

Specimen Container Processing Instructions Storage Temp

Patient Information Patient must be fasting.

Synonym APCR, Protein C, Epic Code LAB846

Department MREF Age 6 mo to >100 year

Specimen Container Processing Instructions Storage Temp

ADENOVIRUS Ag, EIA, F Order Code: FAAST 10173

Synonym Seasonal Virus Epic Code LAB4636

Specimen Container Processing Instructions Storage Temp

Test Information Test performed by Focus Diagnostics, Inc.

Synonym Respiratory Virus, Adeno, Para 123 Epic Code LAB4573