summary of changes - paml10/27/2017: delete: this test is being discontinued. use the ordercode...
TRANSCRIPT
11DXCL ........................................................................................................................................................................ 11-DEOXYCORTISOL10/27/2017: New: New Test - Replaces 11DXC
11DXC ...................................................................................................................................................... 11-DEOXYCORTISOL (LCMSMS)10/27/2017: Delete: This test is being discontinued. Use the ordercode 11DXCL to order this test.
ABOOBI .......................................................................................................................................................... ABO GROUP AND RH TYPE10/27/2017: Delete: This test is being discontinued. Use the ordercode MABORH to order this test.
ACETAZ (ACETAZ.LCA)............................................................................................................................................... ACETAZOLAMIDE10/27/2017: New
AACHE (AACHE.LCA)
ACETYLCHOLINESTERASE (ACHE), AMNIOTIC FLUID WITH REFLEX TO FETAL HEMOGLOBIN (HB F)10/27/2017: Test Name,Synonyms,Container Type,Supply Item Number,Preferred Volume,Patient Prep,Collection Procedure,SpecimenProcessing,Required Patient Info,Unacceptable Condition,Reference Laboratory,Reference lab Test Code,Test Schedule,TurnaroundTime,Method,Notes,Reflex Condition,Reflex Test Name,Reflex CPT codes,Reflex Billing Codes,Please Note
ADM13L .................................................................................................................................................................... ADAMTS13 ANTIBODY10/27/2017: New: New Test - Replaces ADM13I
ADM13I ................................................................................................................................................................. ADAMTS13 INHIB ASSAY10/27/2017: Delete: This test is being discontinued. Use the ordercode ADM13L to order this test.
HYAALC ........................................................................................................................................... ADDITIONAL ALLERGENS HYPEXL10/27/2017: New: New Test - Replaces HYPEXT
ICABAP .................................................................................................................................... ALLERGIC BRONCH ASPERGIL PANEL10/27/2017: Delete: This test is being discontinued. Use the ordercode HYENLB and ABPNLC to order this test.
ALAUQ (ALA-U) ................................................................................................................................ AMINOLEVULINIC ACID, UR 24HR10/27/2017: Delete: This test is being discontinued. Use the ordercode DVALC to order this test.
AMHPLC (AMHPLC.LCA)........................................................................................................................................ AMOXICILLIN, HPLC10/27/2017: Store and Transport,Preferred Volume,Specimen Processing,Required Patient Info,Room Temp,UnacceptableCondition,Reference Laboratory,Reference lab Test Code,CPT Codes,Test Schedule,Turnaround Time,Method,Please Note
ANTIGA ................................................................................................................................................................................................ ANTI-GA10/27/2017: Delete: This test is being discontinued. Use the ordercode ANTGAL to order this test.
IGREA ................................................................................................................................................................................................... ANTI-IGE10/27/2017: New: New Test - Replaces IGERAB
IGERAB ................................................................................................................................................. ANTI-IGE RECEPTOR ANTIBODY10/27/2017: Delete: This test is being discontinued. Use the ordercode IGREA to order this test.
MYEGF (MYEGF.LCA)....................................................................................... ANTI-MYELIN ASSOCIATED GLYCOPROTEIN IGG10/27/2017: Test Name,Container Type,Supply Item Number,Store and Transport,Preferred Volume,Emergency MinimumVolume,Specimen Processing,Room Temp,Refrigerated,Frozen -20c,Unacceptable Condition,Alternate Specimens,ReferenceLaboratory,Reference lab Test Code,Method
SPEABL ........................................................................................................................................... ANTI-SPERMATOZOA ANTIBODIES10/27/2017: New: New Test - Replaces SPABAG
ARBOV (ARBOV.LCA).............................................................................................................. ARBOVIRUS IGG/IGM PANEL SERUM10/27/2017: Test Name,Store and Transport,Preferred Volume,Emergency Minimum Volume,Specimen Processing,RoomTemp,Refrigerated,Frozen -20c,Reference Laboratory,Reference lab Test Code,Turnaround Time,Method
ABAPNL ................................................................................................................................... ASPERGILLOSIS ALLER BRONCH PNL10/27/2017: Delete: This test is being discontinued. Use the ordercodes ABPNLC and HYPENL to order this test.
BACLQL .............................................................................................................................................. BACLOFEN, SERUM OR PLASMA10/27/2017: New: New Test - Replaces BACLQT
BACLQT ..................................................................................................................................................... BACLOFEN, SERUM/PLASMA10/27/2017: Delete: This test is being discontinued. Use the ordercode BACLQL to order this test.
HYENLB ....................................................................................................................................................... BASIC PNEUMONITIS PANEL10/27/2017: New: New Test - Replaces ICABAP
BPRION .......................................................................................................................................................... BILL ONLY 1433 CSF PRION10/27/2017: Delete: This bill only is being discontinued.
Test Change Alert #462 October 09, 2017
Summary Of Changes
page: 1
HIVDIC ............................................................................................................................................... BILL ONLY HIV AB DIFF, CADAVER10/27/2017: Delete: This bill only is being discontinued.
BOVAB ..................................................................................................................................................... BILL ONLY OVARIAN AB TITER10/27/2017: Delete: This bill only is being discontinued.
BUPRO (BUPROPION)............................................................................................................................................................. BUPROPION10/27/2017: Delete: This test is being discontinued. Use the ordercode BUPROL to order this test.
BUPROL ............................................................................................................................... BUPROPION AND HYDROXYBUPROPION10/27/2017: New: New Test - Replaces BUPRO
CA125 ....................................................................................................................................................................................................... CA 12510/3/2017: Room Temp,Frozen -20c
CAREPL ............................................................................................. CARBAMAZEPINE AND CARBAMAZEPINE-10, 11 EPOXIDE10/27/2017: New: New Test - Replaces CAREPX
CAREPX .......................................................................................................................................... CARBAMAZEPINE EPOXIDE/TOTAL10/27/2017: Delete: This test is being discontinued. Use the ordercode CAREPL to order this test.
CLAXSN (CLAXSN.LCA) ..................................................................................................... CATHARTIC LAXATIVES PROF, STOOL10/27/2017: New
CHAGML ........................................................................................................................................ CHLAMYDIA AB EXPANDED PANEL10/27/2017: New: New Test - Replaces CHLGAM
CHLGAM ........................................................................................................................................ CHLAMYDIA SPECIES DIFF AB PNL10/27/2017: Delete: This test is being discontinued. Use the ordercode CHAGML to order this test.
C5SP (C5SP.LCA) ............................................................................................................................................................ COMPLEMENT C510/27/2017: Synonyms,Store and Transport,Emergency Minimum Volume,Specimen Processing,Room Temp,Refrigerated,Frozen -20c,Unacceptable Condition,Reference Laboratory,Reference lab Test Code,Test Schedule,Turnaround Time,Method,Notes,Please Note
C7SPL ................................................................................................................................................................... COMPLEMENT C7 LEVEL10/27/2017: New: New Test - Replaces C7SP
C8SP .................................................................................................................................................................................... COMPLEMENT C810/27/2017: Delete: This test is being discontinued. Use the ordercode C8SPL to order this test.
C8SPL ................................................................................................................................................................... COMPLEMENT C8 LEVEL10/27/2017: New: New Test - C8SP
C9CSP ................................................................................................................................................................................ COMPLEMENT C910/27/2017: Delete: This test is being discontinued. Use the ordercode CPCSPL to order this test.
CPCSPL .............................................................................................................................................................. COMPLEMENT C9 LEVEL10/27/2017: New: New Test - Replaces C9CSP
C7SP ....................................................................................................................................................................................... COMPONENT C710/27/2017: Delete: This test is being discontinued. Use the ordercode C7SPL to order this test.
CPRPHL ......................................................................................................................................................... COPROPORPHYRIN, URINE10/27/2017: Please Note
COXAAB ........................................................................................................................................................... COXSACKIE A9 VIRUS AB10/27/2017: Delete: This test is being discontinued. Use the ordercode COXAB8 to order this test.
CRTUQL ............................................................................................................................................................... CREATINE, URINE 24 HR10/27/2017: New: New Test - Replaces CRTUQ
CRTUQ (CREATINE-U) ...................................................................................................................................... CREATINE, URINE 24HR10/27/2017: Delete: This test is being discontinued. Use the ordercode CRTUQL to order this test.
FLEX (FLEX.LCA) ............................................................................................................. CYCLOBENZAPRINE, SERUM OR PLASMA10/27/2017: New
CYSAB (CYSAB.LCA)..................................................................................................................................... CYSTICERCOSIS AB, CSF10/27/2017: Delete: This test is being discontinued. Use the ordercode CYSGCF to order this test.
CY2D6L .................................................................................................................................... CYTOCHROME P450 2D6 GENOTYPING10/27/2017: New: New Test - Replaces CYP2D6
Test Change Alert #462 October 09, 2017
Summary Of Changes
page: 2
CYP2D6 ........................................................................................................................................................ CYTOCHROME P450 CYP2D610/27/2017: Delete: This test is being discontinued. Use the ordercode CY2D6L to order this test.
DVALC .................................................................................................................... DELTA-AMINOLEVULINIC ACID, 24-HOUR URINE10/27/2017: New: New Test - Replaces ALAUQ
DEOXCC (DEOXCC.LCA) ..................................................................................................... DEOXYCORTICOSTERONE, LC/MS/MS10/27/2017: Container Type,Supply Item Number,Store and Transport,Specimen Type,Preferred Volume,SpecimenProcessing,Refrigerated,Frozen -20c,Alternate Specimens,Reference Laboratory,Reference lab Test Code,Test Schedule,TurnaroundTime,Method
DIANO ...................................................................................................................................................... DIAZEPAM AND NORDIAZEPAM10/27/2017: Delete: This test is being discontinued. Use the ordercode DIANOL to order this test.
DIANOL ................................................................................................................................................. DIAZEPAM, SERUM OR PLASMA10/27/2017: New: New Test - Replaces DIANO
ESSUL ............................................................................................................................................................................ ESTRONE SULFATE10/27/2017: New: New Test - Replaces ESTRS
ESTRS ............................................................................................................................................................................ ESTRONE SULFATE10/27/2017: Delete: This test is being discontinued. Use the ordercode ESSUL to order this test.
ICFEMA (ICFEMA.LCA) ................................................................................................................................................ FEATHER MIX IGE10/27/2017: Room Temp,Refrigerated,Frozen -20c,Unacceptable Condition,Reference Laboratory,Reference lab Test Code,CPTCodes,Turnaround Time,Please Note
FCELOS ...................................................................................................................................... FECAL LYTES/OSMOLALITY PROFILE10/27/2017: Delete: This test is being discontinued. Use the ordercode LYTST and FECOSA to order this test.
LUVOX (LUVOX.LCA).......................................................................................................................................................... FLUVOXAMINE10/27/2017: New
FDPNG4 ................................................................................................................................................... FOOD ALLERGEN PANEL IGG410/27/2017: Delete: This test is being discontinued. Use the ordercode FAP19L and ICMCG4 to order this test.
GABAPU (GABAPU.LCA)...................................................................................................................................... GABAPENTIN, URINE10/27/2017: Preferred Volume,Room Temp,Unacceptable Condition,Reference Laboratory,Reference lab Test Code,CPTCodes,Turnaround Time,Method,Reference Ranges,Please Note
GM1COM ...................................................................................................................................................................... GM1 COMBINATION10/27/2017: Delete: This test is being discontinued. Use the ordercode NEUPR3 and AGQ1BG to order this test.
AGQ1BG ........................................................................................................................................................ GQ1B ANTIBODY IGG RFLX10/27/2017: New: New Test - Replaces GM1COM Reflex testing provided at no charge.
HIVRSF ....................................................................................................................................................................... HIV 1 RNA QUAL, CSF10/27/2017: Delete: This test is being discontinued. Use the ordercode HIVSFL to order this test.
HIVSFL ..................................................................................................................... HIV 1 RNA, REAL TIME PCR (NON-GRAPH), CSF10/27/2017: New: New Test - Replaces HIVRSF
CDHV12 ............................................................................... HIV-1 AND HIV-2 ANTIBODIES FOR CADAVERIC SPECIMENS RFLX10/27/2017: New: New Test - Replaces HV1CD and HIVDIC
HV1CD .................................................................................. HIV-1 AND HIV-2 ANTIBODIES FOR CADAVERIC SPECIMENS RFLX10/27/2017: Delete: This test is being discontinued. Use the ordercode CDHV12 to order this test.
HLABGT (HLABGT.LCA).................................................................................................................... HLA B ABACAVIR SENSITIVITY10/6/2017: New
HLADP ........................................................................................................................................................................ HLA DP GENOTYPING10/27/2017: Delete: This test is being discontinued. Use the ordercode HLADPL to order this test.
HLADPL ............................................................................................................................ HLA DPA1 + HLA DPB1 HIGH RESOLUTION10/27/2017: New: New Test - Replaces HLADP
HLADRG .................................................................................................................................................................. HLA DR GENOTYPING 10/27/2017: Delete: This test is being discontinued. Use the ordercode HLADRB to order this test.
Test Change Alert #462 October 09, 2017
Summary Of Changes
page: 3
HLADRB ................................................................................................................................................... HLA DRB1 HIGH RESOLUTION10/27/2017: New: New Test - Replaces HLADRG
HLBGT ............................................................................................................................................................................... HLA-B GENOTYPE10/6/2017: Delete: This test is being discontinued. Use the ordercode HLABG to order this test.
HIVDPC (HIVDPC.LCA).................................................... HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1), QUALITATIVE, RNA10/27/2017: Test Name,Store and Transport,Specimen Type,Specimen Processing,Room Temp,Refrigerated,Frozen -20c,UnacceptableCondition,Alternate Specimens,Reference Laboratory,Reference lab Test Code,Method,Notes
HUNDML ................................................................................................................................ HUNTINGTON DISEASE (HD) MUTATION10/27/2017: New: New Test - Replaces HUNDUW
HUNDUW ................................................................................................................................... HUNTINGTON DISEASE DNA SCREEN10/27/2017: Delete: This test is being discontinued. Use the ordercode HUNDML to order this test.
PLAQ (PLAQ.LCA)............................................................................................................................................ HYDROXYCHLOROQUINE10/27/2017: New
HYPEXT ....................................................................................................................................................... HYPER PNEUMO EXT PANEL10/27/2017: Delete: This test is being discontinued. Use the ordercode HYPEXL and HYAALC to order this test.
HYPENL ............................................................................................................................................ HYPERSENSITIVITY PNEUMONITIS10/27/2017: New: New Test - Replaces ABAPNL
HYPEXL ...................................................................................................................................... HYPERSENSITIVITY PNEUMONITIS #610/27/2017: New: New Test - Replaces HYPEXT
ANTGAL ............................................................................................................................................................... IGA DEFICIENCY PANEL10/27/2017: New: New Test - Replaces ANTIGA
ABPNLC .................................................................................................................................................................. IGE+ALLERGEN MOLD10/27/2017: New: New Test - Replaces ABAPNL and ICABAP
IGFP1 (IGFP1.LCA) ............................................................................................................................................. IGF BINDING PROTEIN 110/27/2017: Synonyms,Store and Transport,Preferred Volume,Emergency Minimum Volume,Specimen Processing,Refrigerated,Frozen -20c,Unacceptable Condition,Alternate Specimens,Reference Laboratory,Reference lab Test Code,CPT Codes,Test Schedule,TurnaroundTime,Method,Notes,Please Note
FAP19L ...................................................................................................................................................... IGG4 ALLERGENS (19) FOODS10/27/2017: New: New Test - Replaces FDPNG4 Results for this test are for Investigational Purposes Only by the assay's manufacturer. The performance characteristics of this product havenot been established.
INDIC (INDIC.LCA) ............................................................................................................................................... INDICANS, URINE QUAL10/27/2017: Delete: This test is being discontinued.
INHBP (INHBP.LCA)........................................................................................................................................................................ INHIBIN B10/27/2017: Store and Transport,Preferred Volume,Emergency Minimum Volume,Patient Prep,Room Temp,Refrigerated,Frozen -20c,Unacceptable Condition,Alternate Specimens,Reference Laboratory,Reference lab Test Code,CPT Codes,Method,Notes,Please Note
IFBSTL .......................................................................................................................... INTERFERON BETA NEUTRALIZING AB RFLX10/27/2017: New: New Test - Replaces INFBEG
INFBEG ..................................................................................................................................................... INTERFERON BETA, IGG RFLX10/27/2017: Delete: This test is being discontinued. Use the ordercode IFBSTL to order this test.
ISOHTS ........................................................................................................................................................... ISOHEMAGGLUTININ TITER10/27/2017: Delete: This test is being discontinued. Use the ordercode ISOHMT to order this test.
LAPRAT ................................................................................................................................................. LACTATE TO PYRUVATE RATIO10/27/2017: Delete: This test is being discontinued. Use the ordercode LAPRAL to order this test.
LAPRAL ................................................................................................................................................................ LACTIC/PYRUVIC RATIO10/27/2017: New: New Test - Replaces LAPRAT
LIVCY ................................................................................................................................................. LC-1 (LIVER CYTOSOL PROTEIN-1)10/27/2017: New: New Test - Replaces LIVCYT
LDLPSR ........................................................................................................................................................................ LDL PARTICLE SIZE10/27/2017: Delete: This test is being discontinued. Use the ordercode NMRLP to order this test.
Test Change Alert #462 October 09, 2017
Summary Of Changes
page: 4
LIBNO ........................................................................................................................................................... LIBRIUM AND NORDIAZEPAM10/27/2017: Delete: This test is being discontinued due to low utilization.
LIPAU ........................................................................................................................................................................................ LIPASE, URINE10/27/2017: Delete: This test is being discontinued. Use suggested order code AMYUQ, AMYUR, or LIPA to order this test.
LASA (LASA.LCA)............................................................................................................................... LIPID-ASSOCIATED SIALIC ACID10/27/2017: New
LSTCSF (LSTCSF.LCA)................................................................................................................................................ LISTERIA AB, CFS10/27/2017: Reference Laboratory,Reference lab Test Code,CPT Codes,Please Note
LIVCYT ................................................................................................................................................ LIVER CYTOSOL AUTOABS (LC 1)10/27/2017: Delete: This test is being discontinued. Use the ordercode LIVCY to order this test.
MCC ................................................................................................................................................... MATERNAL CELL CONTAMINATION10/27/2017: New: New Test - Replaces MCCMA
MCCMA ........................................................................................................................................... MATERNAL CELL CONTAMINATION10/27/2017: Delete: This test is being discontinued. Use the ordercode MCC to order this test.
RITA (RITA.LCA).......................................................................................................................................................... METHYLPHENIDATE10/27/2017: New
MTCPCR (MTCPCR.LCA).............................................................................................................. MTB COMPLEX, NON RESP (PCR)9/21/2017: Synonyms,Specimen Type,Preferred Volume,Emergency Minimum Volume,Refrigerated,Frozen -20c,UnacceptableCondition,Alternate Specimens,Test Schedule,Turnaround Time
MYAJO1 ......................................................................................................................................... MYOSITIS ASSESS, JO 1 AUTOABS 10/27/2017: Delete: This test is being discontinued. Use the ordercode MYOPII to order this test.
MYOPII ............................................................................................................................................................................. MYOSITIS PANEL II10/27/2017: New: New Test - Replaces MYAJO1
INFBR ............................................................................................................................................ NABFERON NEUTRALIZING AB TEST10/27/2017: Delete: This bill only test is being discontinued.
NEUIGB .............................................................................................................................................................. NEURONAL NUCLEAR AB10/27/2017: Delete: This test is being discontinued. Use the ordercode PARNP1 to order this test.
NEUPR3 ................................................................................................................................................ NEUROPATHY PROFILE III RFLX10/27/2017: New: New Test - Replaces GM1COM Reflex testing provided at no charge.
OBGA ................................................................................................................................................... OCCULT BLOOD, GASTRIC FLUID10/27/2017: Delete: This test is being discontinued. Use the ordercode OCBDLL to order this test.
OCBDLL ............................................................................................................................................. OCCULT BLOOD, GASTRIC FLUID10/27/2017: New: New Test - Replaces OBGA
OVAB .............................................................................................................................................................. OVARIAN AB SCREEN RFLX10/27/2017: Delete: This test is being discontinued. Use the ordercode OVABL to order this test.
OVABL .......................................................................................................................................................... OVARY ANTIBODY IGG RFLX10/27/2017: New: New Test - Replaces OVAB and BOVAB
PAROX (PAROX.LCA)............................................................................................................................................................ PAROXETINE10/27/2017: New
B19ABP (B19ABP.LCA).......................................................................................................................... PARVOVIRUS B19 AB PANEL10/27/2017: Synonyms,Container Type,Supply Item Number,Store and Transport,Specimen Type,Preferred Volume,Emergency MinimumVolume,Specimen Processing,Room Temp,Refrigerated,Frozen -20c,Unacceptable Condition,Reference Laboratory,Reference lab TestCode,Method,Notes
PAPEB (PEMPEB)..................................................................................................................................................... PEMPHIGOID PANEL10/27/2017: Delete: This test is being discontinued. Use the ordercode GLBMAB and BUPHLC to order this test.
ICPWEI ............................................................................................................................................................................ PEPPER WHITE IGE10/27/2017: Delete: This test is being discontinued. Use the ordercode ICFBP to order this test.
PRION (PRION.LCA)..................................................................................................................... PRION PROTEIN (14,3,3), CSF RFLX10/27/2017: Reference Laboratory,Reference lab Test Code,Reflex Condition,Reflex Test Name,Reflex CPT codes,Reflex Billing
Test Change Alert #462 October 09, 2017
Summary Of Changes
page: 5
Codes,Please Note PROPAF (PROPAFENONE)............................................................................................................................................. PROPAFENONE
10/27/2017: Delete: This test is being discontinued due to low utilization. PYRURI (PYRURI.LCA) ............................................................................................................................................... PYRROLES, URINE
10/27/2017: Container Type,Supply Item Number,Preferred Volume,Patient Prep,Specimen Processing,Frozen -20c,UnacceptableCondition,Reference Laboratory,Reference lab Test Code,CPT Codes,Clinical Significance,Please Note
PYACFA (PYACFA.LCA).......................................................................................................................................... PYRUVIC ACID, CSF10/27/2017: New
SILIS (SILIS.LCA)................................................................................................................................................................................ SILICON10/27/2017: New
SMADS ................................................................................................................................................................... SMA DIAGNOSTIC TEST9/27/2017: Delete: This test is being discontinued. Use the ordercode SMACNA to order this test.
SPABAG ..................................................................................................................................................... SPERM ANTIBODY (IGA, IGG)10/27/2017: Delete: This test is being discontinued. Use the ordercode SPEABL to order this test.
SPAU (SPAU.LCA).................................................................................................................. S-PHENYLMERCAPTURIC ACID, URINE10/27/2017: Reference Laboratory,Reference lab Test Code,Reflex CPT codes,Reflex Billing Codes,Please Note
STREPL (STREPL.LCA)..................................................................................................................... STREPTOMYCIN, LEVEL (HPLC)9/21/2017: CPT Codes,Please Note
THYMA .................................................................................................................................... THYMIDINE DETERMINATION - PLASMA10/27/2017: New: New Test - Replaces THYDET
THYDET .................................................................................................................................................... THYMIDINE PHOSPHORYLASE10/27/2017: Delete: This test is being discontinued. Use the ordercode THYMA to order this test.
TOC (TOC.LCA).................................................................................................................................... TOCAINIDE, SERUM OR PLASMA10/27/2017: New
TOXOC .............................................................................................................................................. TOXOCARA (T. CANIS/T. CATA) AB9/21/2017: Delete: This test is being discontinued. Use the ordercode TOXC to order this test.
TRICAB (TRICH)..................................................................................................................................................... TRICHINELLA AB, IGG11/11/2017: Delete: This test is being discontinued.
TCRTA ............................................................................................................................................... TROFILE CO RECEPTOR TROPISM10/27/2017: Delete: This test is being discontinued. Use the ordercode TROFIL to order this test.
TROFIL ...................................................................................................................................................................................... TROFILE®10/27/2017: New: New Test - Replaces TCRTA
VERAPA (VERAPA.LCA)......................................................................................................................................................... VERAPAMIL10/27/2017: New
ICWISI ................................................................................................................................................................................... WINGSCALE IGE10/27/2017: Delete: This test is being discontinued. Use the ordercode ICWSC to order this test.
Test Change Alert #462 October 09, 2017
Summary Of Changes
page: 6
11-DEOXYCORTISOLTest Code 11DXCL
Billing Code 11DXCLEffective 10/27/2017
Synonyms 11-Desoxycortisol; Compound S for Metyrapone Test
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum
Preferred Volume 0.5 mL
EmergencyMinimum Volume
0.2 mL
Patient Prep No isotopes administered 24 hours prior to venipuncture.
SpecimenProcessing
Separate serum from cells within one hour of collection and transfer to a standard PAML aliquot tube. Freezeimmediately and maintain frozen until tested.
Room Temp 1 day
Refrigerated 1 day
Frozen -20c 2 years
UnacceptableCondition
Recently administered isotopes
ReferenceLaboratory
LabCorp
Reference labTest Code
500550
CPT Codes 82634
Test Schedule Mon, Thu
Turnaround Time 4-7 days
Method High-Pressure Liquid Chromatography/Tandem Mass Spectrometry
Notes
Use: Evaluate hypothalamic-pituitary-adrenal axis and pituitary ACTH reserve.
Additional Informaion: 11-Deoxycortisol is the immediate precursor of cortisol and follows the same catabolicpathways as cortisol. The conversion of 11-deoxycortisol to cortisol is inhibited by metyrapone, which acts on 11-beta-hydroxylase. The metyrapone test (see the online Endocrine Appendix: ACTH Stimulation) serves as a reliableand sensitive indicator of pituitary ACTH secretory reserve. The 11-deoxycortisol levels normally increase to 100times the control value following metyrapone administration. Reduced response occurs in patients withhypoadrenalism or with hypopituitarism and in some patients with diseases of the hypothalamus. Patients withmyxedema, some pregnant patients, and those on oral contraceptives respond poorly.
New New Test - Replaces 11DXC
11-DEOXYCORTISOL (LCMSMS)Test Code 11DXC
Billing Code 11DXCEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode 11DXCL to order this test.
ABO GROUP AND RH TYPETest Code ABOOBI
Billing Code ABOOBIEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode MABORH to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 7
ACETAZOLAMIDETest Code ACETAZ
Billing Code ACETAZ.LCAEffective 10/27/2017
Synonyms Diamox
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.5 mL
Patient Prep Trough levels are most reproducible.
SpecimenProcessing
Separate serum or plasma from cells and transfer to a standard PAML aliquot tube.
Room Temp 3 days
UnacceptableCondition
Gel barrier tubes
AlternateSpecimens
Green top tube (heparin)
ReferenceLaboratory
LabCorp
Reference labTest Code
811984
CPT Codes 80375, HCPCS G0480
Method High-Pressure Liquid Chromatography with Ultraviolet Detection
Notes Use: Therapeutic drug management
New New Test
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 8
ACETYLCHOLINESTERASE (ACHE), AMNIOTIC FLUID WITH REFLEX TO FETAL HEMOGLOBIN (HBF)
Test Code AACHE
Billing Code AACHE.LCAEffective 10/27/2017
Synonyms AChE; Amniotic Fluid With Reflex to Hb F
Container Type Sterile plastic conical tube
Supply ItemNumber
8671
Preferred Volume 3 mL
Patient Prep The patient should have undergone ultrasound studies to verify fetal viability, detect multiple gestation, confirmgestational age, localize placenta, and detect fetal and uterine pathology.
CollectionProcedure
Avoid contamination of amniotic fluid with maternal or fetal blood. As little as one drop of fetal blood can causefalse-positive results during assay of amniotic fluid. Amniotic fluid should be collected by the attending physician.
SpecimenProcessing
Do not centrifuge specimen. If cytogenetics is also ordered, do not split or pour off specimen; send all specimen toCytogenetics. Complete a cytogenetics form.
Required PatientInfo
The patient's gestational age must be at least 13 weeks for accurate AChE detection. Optimal gestational age is 14to 18 weeks. Include the gestational age by ultrasound and/or last menstrual period (LMP) on the request form.
UnacceptableCondition
Do not use urine containers or tubes with rubber stoppers; rubber is toxic to amniocytes. Specimen found not tobe amniotic fluid; gross contamination of amniotic fluid with maternal or fetal blood; quantity not sufficient foranalysis
ReferenceLaboratory
LabCorp
Reference labTest Code
510354
Test Schedule Set up and reported 2x/week or 3x/week
Turnaround Time 7 days
Method Acrylamide Gel Electrophoresis; Isoelectric Focusing (IEF)
NotesUse: Analysis of midtrimester amniotic fluid for detection of open neural tube defects and ventral wall defectsDetection of AChE. The reflex to fetal hemoglobin (Hb F) will be performed, if necessary, to ascertain falseelevations of amniotic fluid AFP.
Reflex Testing
Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes
Acetylcholinesterase, Amnio ispositive
Fetal Hemoglobin 83020 FHGB
Please Note Reflex testing performed at no charge.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 9
ADAMTS13 ANTIBODYTest Code ADM13L
Billing Code ADM13LEffective 10/27/2017
Container Type Blue top tube (buffered sodium citrate)
Supply ItemNumber
1072
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Plasma
Preferred Volume 0.5 mL
EmergencyMinimum Volume
0.3 mL
CollectionProcedure
Blood should be collected in a blue-top tube containing 3.2% buffered sodium citrate. Evacuated collection tubesmust be filled to completion to ensure a proper blood-to-anticoagulant ratio. The sample should be mixedimmediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood.
SpecimenProcessing
Centrifuge and carefully remove the plasma using a plastic transfer pipette, being careful not to disturb the cells.Transfer plasma into a standard PAML aliquot tube and freeze immediately. Maintain frozen until tested.
UnacceptableCondition
Nonfrozen sample received; noncitrate plasma received; sample left on cells
LimitationsResults for this test are for research purposes only by the assay's manufacturer. The performance characteristicsof this product have not been established. Results should not be used as a diagnostic procedure withoutconfirmation of the diagnosis by another medically established diagnostic product or procedure.
ReferenceLaboratory
LabCorp
Reference labTest Code
117915
CPT Codes 83520
Method Enzyme-Linked Immunosorbent Assay
ReferenceRanges
Title Ranges Units
ADAMTS13 Antibody < 12 u/mL
Notes Use: Differentiating congenital from autoimmune ADAMTS13 deficiency
New New Test - Replaces ADM13I
Please Note Critical frozen
ADAMTS13 INHIB ASSAYTest Code ADM13I
Billing Code ADM13IEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode ADM13L to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 10
ADDITIONAL ALLERGENS HYPEXLTest Code HYAALC
Billing Code HYAALCEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1.8 mL
EmergencyMinimum Volume
1.8 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
605853
CPT Codes 86003 x 3
Method Thermo Fisher ImmunoCAP®
New New Test - Replaces HYPEXT
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
ALLERGIC BRONCH ASPERGIL PANELTest Code ICABAP
Billing Code ICABAPEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode HYENLB and ABPNLC to order this test.
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
AMINOLEVULINIC ACID, UR 24HRTest Code ALAUQ
Billing Code ALA-UEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode DVALC to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 11
AMOXICILLIN, HPLCTest Code AMHPLC
Billing Code AMHPLC.LCAEffective 10/27/2017
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Preferred Volume 2 mL
SpecimenProcessing
Separate serum from cells within two hours of collection and transfer to a standard PAML aliquot tube and freeze.
Required PatientInfo
Drug dose and frequency, including time of last dose should be indicated on request form.
Room Temp 1 day
UnacceptableCondition
Severe hemolysis; thawed samples for greater than 24 hours
ReferenceLaboratory
LabCorp
Reference labTest Code
816458
CPT Codes 80375
Test Schedule Mon-Fri
Turnaround Time Within 7-8 days
Method Liquid Chromatography/Mass Spectrometry
Please Note Previous CPT Code: 80299
ANTI-GATest Code ANTIGA
Billing Code ANTIGAEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode ANTGAL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 12
ANTI-IGETest Code IGREA
Billing Code IGREAEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Ambient (room temperature)
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.1 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 2 weeks
ReferenceLaboratory
LabCorp
Reference labTest Code
805243
CPT Codes 83516
Turnaround Time 7-9 days from receipt of specimen
Method ELISA
ComplianceRemarks
This test was developed and its performance characteristics determined by Viracor-IBT Laboratories. It has notbeen cleared or approved by the FDA.
New New Test - Replaces IGERAB
ANTI-IGE RECEPTOR ANTIBODYTest Code IGERAB
Billing Code IGERABEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode IGREA to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 13
ANTI-MYELIN ASSOCIATED GLYCOPROTEIN IGGTest Code MYEGF
Billing Code MYEGF.LCAEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Preferred Volume 1 mL
EmergencyMinimum Volume
0.5 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 2 days
Refrigerated 5 days
Frozen -20c 1 year
UnacceptableCondition
Grossly hemolyzed, lipemic, or icteric specimens
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
806387
Method Indirect Immunofluorescence Substrate: primate nerve
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 14
ANTI-SPERMATOZOA ANTIBODIESTest Code SPEABL
Billing Code SPEABLEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum
Preferred Volume 5 mL
EmergencyMinimum Volume
2 mL
SpecimenProcessing
Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube and freeze.
Refrigerated 5 days
Frozen -20c 1 year
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
808813
CPT Codes 89325
Test Schedule Weekly x 1
Turnaround Time Within one week from the time of specimen receipt
Method Enzyme-linked immunosorbent assay
New New Test - Replaces SPABAG
ARBOVIRUS IGG/IGM PANEL SERUMTest Code ARBOV
Billing Code ARBOV.LCAEffective 10/27/2017
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Preferred Volume 5 mL
EmergencyMinimum Volume
2 mL
SpecimenProcessing
Serum must be separated from cells within 45 minutes of venipuncture. Transfer to a standard PAML aliquot tubeand freeze.
Room Temp 2 days
Refrigerated 1 month
Frozen -20c 1 month; Freeze/thaw cycle: Stable x 3
ReferenceLaboratory
LabCorp
Reference labTest Code
820466
Turnaround Time 7 business days from receipt of sample
Method IFA
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 15
ASPERGILLOSIS ALLER BRONCH PNLTest Code ABAPNL
Billing Code ABAPNLEffective 10/27/2017
Delete This test is being discontinued. Use the ordercodes ABPNLC and HYPENL to order this test.
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
BACLOFEN, SERUM OR PLASMATest Code BACLQL
Billing Code BACLQLEffective 10/27/2017
Synonyms Gablofen®; Kemstro®; Lioresal®
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 2 mL
EmergencyMinimum Volume
0.5 mL
Patient Prep Trough levels are most reproducible.
SpecimenProcessing
Separate serum from cells within two hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 3 days
Refrigerated 1 week
Frozen -20c 1 year
UnacceptableCondition
Gel-barrier tubes
AlternateSpecimens
Green top tube (heparin)
ReferenceLaboratory
LabCorp
Reference labTest Code
808300
CPT Codes 80369
Method Liquid Chromatography/Tandem Mass Spectrometry
ComplianceRemarks
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared orapproved by the Food and Drug Administration.
Notes Use: Therapeutic drug management.
New New Test - Replaces BACLQT
BACLOFEN, SERUM/PLASMATest Code BACLQT
Billing Code BACLQTEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode BACLQL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 16
BASIC PNEUMONITIS PANELTest Code HYENLB
Billing Code HYENLBEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1.5 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 1 week
Refrigerated 2 weeks
Frozen -20c 2 weeks; Freeze/thaw cycles: Stable x 2
UnacceptableCondition
Excessive hemolysis
AlternateSpecimens
Red top tube (plain)
Limitations A positive test does not establish the diagnosis of hypersensitivity pneumonitis, nor does the absence ofprecipitins eliminate the diagnosis.
ReferenceLaboratory
LabCorp
Reference labTest Code
605852
CPT Codes 86606 x 2
Test Schedule Mon-Fri
Turnaround Time 5-7 days
Method Double diffusion (Ouchterlony)
New New Test - Replaces ICABAP
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
BILL ONLY 1433 CSF PRIONTest Code BPRION
Billing Code BPRIONEffective 10/27/2017
Delete This bill only is being discontinued.
BILL ONLY HIV AB DIFF, CADAVERTest Code HIVDIC
Billing Code HIVDICEffective 10/27/2017
Delete This bill only is being discontinued.
BILL ONLY OVARIAN AB TITERTest Code BOVAB
Billing Code BOVABEffective 10/27/2017
Delete This bill only is being discontinued.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 17
BUPROPIONTest Code BUPRO
Billing Code BUPROPIONEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode BUPROL to order this test.
BUPROPION AND HYDROXYBUPROPIONTest Code BUPROL
Billing Code BUPROLEffective 10/27/2017
Synonyms Bupropion and Hydroxybupropion, Serum or Plasma; Wellbutrin®; Zyban®
Container Type Red top tube (plain)
Supply ItemNumber
1372 & 4459
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum
Preferred Volume 3 mL
EmergencyMinimum Volume
0.6 mL
Patient Prep Trough levels are most reproducible.
SpecimenProcessing
Centrifuge within 30 minutes of collection. Transfer separated serum or plasma to the "Transfer for BupropionAnalysis" tube containing sodium citrate monobasic (white powder). Mix well. Freeze immediately.
Room Temp 1 day
Refrigerated 2 weeks
Frozen -20c 2 weeks
UnacceptableCondition
Gel-barrier tubes; specimen received not frozen; sample not received in "Transfer for Bupropion Analysis" tube.
AlternateSpecimens
Green top tube: Heparin
ReferenceLaboratory
LabCorp
Reference labTest Code
811083
CPT Codes 80338
Method Liquid Chromatography with Tandem Mass Spectrometry
ComplianceRemarks
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared orapproved by the Food and Drug Administration.
Notes
Note: Stability applies to the buffered sample
Use: Therapeutic drug management
New New Test - Replaces BUPRO
CA 125Test Code CA125
Billing Code CA125Effective 10/3/2017
Room Temp 8 hours
Frozen -20c 6 months
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 18
CARBAMAZEPINE AND CARBAMAZEPINE-10, 11 EPOXIDETest Code CAREPL
Billing Code CAREPLEffective 10/27/2017
Synonyms Carbamazepine and Carbamazepine-10,11 Epoxide, Serum or Plasma; Carbatrol; Epitol; Tegretol; CBZ; Epoxide
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type 2 mL
Preferred Volume 0.5 mL
Patient Prep Trough levels are most reproducible.
SpecimenProcessing
Separate serum or plasma from cells within two hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 3 days
UnacceptableCondition
Gel barrier tubes
AlternateSpecimens
Green top tube (heparin)
ReferenceLaboratory
LabCorp
Reference labTest Code
803189
CPT Codes 80339
Method High-Pressure Liquid Chromatography with Ultraviolet Detection
ComplianceRemarks
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared orapproved by the Food and Drug Administration.
Notes Use: Therapeutic drug management
New New Test - Replaces CAREPX
CARBAMAZEPINE EPOXIDE/TOTALTest Code CAREPX
Billing Code CAREPXEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode CAREPL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 19
CATHARTIC LAXATIVES PROF, STOOLTest Code CLAXSN
Billing Code CLAXSN.LCAEffective 10/27/2017
Synonyms Clysodrast®; Dulcolax®; Phenolax®
Container Type Plastic container (acid washed or trace metal-free)
Supply ItemNumber
3132
Store andTransport
Refrigerated
Specimen Type Stool fluid or stool solid
Preferred Volume 20 mL stool fluid or 20 grams stool solid
EmergencyMinimum Volume
10 grams
Room Temp 1 month
Refrigerated 1 month
Frozen -20c 1 month
ReferenceLaboratory
LabCorp
Reference labTest Code
810200
CPT Codes 83735, 84100
Test Schedule Mon-Fri
Turnaround Time Up to 14 days after set up
Method Inductively Coupled Plasma/Optical Emission Spectrometry
New New Test
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 20
CHLAMYDIA AB EXPANDED PANELTest Code CHAGML
Billing Code CHAGMLEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.15 mL
SpecimenProcessing
Separate serum from cells within 45 minutes of collection and transfer to a standard PAML aliquot tube and freeze.
Refrigerated 1 month
Frozen -20c 1 month; Freeze/thaw cycles: Stable x 4
UnacceptableCondition
Hyperlipemic serum; hemolyzed serum; contaminated sera. Greater than four FREEZE thaw cycles; sample isoutside the listed stability range.
ReferenceLaboratory
LabCorp
Reference labTest Code
821218
CPT Codes 86631 x 6, 86632 x 3
Turnaround Time 5-7 days
Method Indirect Fluorescent Antibody
New New Test - Replaces CHLGAM
CHLAMYDIA SPECIES DIFF AB PNLTest Code CHLGAM
Billing Code CHLGAMEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode CHAGML to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 21
COMPLEMENT C5Test Code C5SP
Billing Code C5SP.LCAEffective 10/27/2017
Synonyms C5; C5 Antigen; C5 Level; Fifth component of complement
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
EmergencyMinimum Volume
0.3 mL
SpecimenProcessing
Allow specimen to clot for one hour at room temperature. Separate serum from cells ASAP or within two hours ofcollection. Transfer serum to a standard PAML aliquot tube and freeze immediately. CRITICAL FROZEN.
Room Temp 2 hours
Refrigerated Unacceptable
Frozen -20c 2 weeks
UnacceptableCondition
Non-frozen specimens; specimens exposed to repeated freeze/thaw cycles; specimens left to clot at refrigeratedtemperature.
ReferenceLaboratory
LabCorp
Reference labTest Code
803029
Test Schedule Tue, Fri
Turnaround Time 4-9 days
Method Quantitative Radial Immunodiffusion
Notes Use: Follow-up test for complement activity screening when CH50 and AH50 are low or absent and high suspicionremains for complement deficiency.
Please Note Critical frozen
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 22
COMPLEMENT C7 LEVELTest Code C7SPL
Billing Code C7SPLEffective 10/27/2017
Synonyms Complement (C7 level); Radial Immuno Assay (C7 level)
Container Type Lavender top tube (EDTA)
Supply ItemNumber
1222
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Plasma
Preferred Volume 1 mL
EmergencyMinimum Volume
250 µL (Pediatric)
CollectionProcedure
After collection gently rotate sample mixing well.
SpecimenProcessing
Centrifuge at room temp within one half hour of collection; preferably immediately after venipuncture. Transfer thecell-free plasma to a standard PAML aliquot tube and freeze immediately on dry ice or at -70°C. CRITICAL FROZEN
Frozen -70c 1 year
UnacceptableCondition
Thawed specimen
ReferenceLaboratory
LabCorp
Reference labTest Code
224427
CPT Codes 86160
Test Schedule Varies
Turnaround Time Up to 4 weeks
Method Radial Immunodiffusion
New New Test - Replaces C7SP
Please Note Critical frozen
COMPLEMENT C8Test Code C8SP
Billing Code C8SPEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode C8SPL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 23
COMPLEMENT C8 LEVELTest Code C8SPL
Billing Code C8SPLEffective 10/27/2017
Synonyms Complement (C8 Level); Radial Immuno Assay (C8 Level)
Container Type Lavender top tube (EDTA)
Supply ItemNumber
1222
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Plasma
Preferred Volume 1 mL
EmergencyMinimum Volume
0.5 mL
CollectionProcedure
After collection gently rotate sample mixing well.
SpecimenProcessing
Centrifuge at room temp within one half hour of collection; preferably immediately after venipuncture. Transfer thecell-free plasma to a standard PAML aliquot tube and freeze immediately on dry ice or at -70°C. CRITICAL FROZEN
Frozen -70c 1 year
UnacceptableCondition
Thawed specimen
ReferenceLaboratory
LabCorp
Reference labTest Code
840769
CPT Codes 86160
Test Schedule Varies
Turnaround Time Up to 4 weeks
Method Radial Immunodiffusion
New New Test - C8SP
Please Note Critical frozen
COMPLEMENT C9Test Code C9CSP
Billing Code C9CSPEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode CPCSPL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 24
COMPLEMENT C9 LEVELTest Code CPCSPL
Billing Code CPCSPLEffective 10/27/2017
Synonyms Complement (C9 Level); Radial Immuno Assay (C9 Level)
Container Type Lavender top tube (EDTA)
Supply ItemNumber
1222
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Plasma
Preferred Volume 1 mL
EmergencyMinimum Volume
250 uL (Pediatric)
CollectionProcedure
After collection gently rotate sample mixing well.
SpecimenProcessing
Centrifuge at room temp within one half hour of collection; preferably immediately after venipuncture. Transfer thecell-free plasma to a standard PAML aliquot tube and freeze immediately on dry ice or at -70C. CRITICAL FROZEN
Frozen -70c 1 year
UnacceptableCondition
Thawed specimen
ReferenceLaboratory
LabCorp
Reference labTest Code
279053
CPT Codes 86160
Test Schedule Varies
Turnaround Time Up to 4 weeks
Method Radial Immunodiffusion
New New Test - Replaces C9CSP
Please Note Critical frozen
COMPONENT C7Test Code C7SP
Billing Code C7SPEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode C7SPL to order this test.
COPROPORPHYRIN, URINETest Code CPRPHL
Billing Code CPRPHLEffective 10/27/2017
Please Note Please refer to the IMB for important interface updates. New AOE has been added to the test.
COXSACKIE A9 VIRUS ABTest Code COXAAB
Billing Code COXAABEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode COXAB8 to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 25
CREATINE, URINE 24 HRTest Code CRTUQL
Billing Code CRTUQLEffective 10/27/2017
Synonyms CreatU+Crti24
Container Type 24 hour dark plastic urine container, no preservative
Supply ItemNumber
1108
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Urine, 24 hour
Preferred Volume 3 mL aliquot
EmergencyMinimum Volume
2 mL aliquot
CollectionProcedure
The collection of the 24-hour urine starts with the patient voiding (completely emptying bladder) and discardingthe first urine passed (ie, 8 AM or 8 PM). Then collect all urine including the final specimen voided at the end of the24-hour collection period (ie, 8 AM or 8 PM the following day). Specimen must be kept refrigerated duringcollection.
SpecimenProcessing
Aliquot 3 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container and freeze. Recordtotal volume and collection period. The specimen should be frozen immediately and maintained frozen until tested.
Required PatientInfo
Patient's sex, 24-hour total volume and collection period on the request form.
Frozen -20c 2 weeks
UnacceptableCondition
Thawed specimen; 6N HCl, boric acid, or alkali added to collection (Acid or alkali preservative will convert creatineto creatinine, falsely lowering creatine values.)
ReferenceLaboratory
LabCorp
Reference labTest Code
204672
CPT Codes 82540, 82570
Test Schedule Tue, Thu
Turnaround Time 3-5 days
Method Enzymatic (creatinase)/Spectrophotometry
Notes
Use: Determine creatinuria; increased urine creatine values may be obtained from diseases that reduce musclemass, including fasting, muscular dystrophy, poliomyelitis, atrophy, inflammatory destructive muscle disease aspolymyositis, hyperthyroidism, as well as corticosteroid induced myopathy.
Additional Information: Creatine is endogenously synthesized in the kidney, liver, and pancreas. It is transported inblood to other organs such as muscle and brain, where it is phosphorylated to phosphocreatine. Interconversionof phosphocreatine and creatine is a unique feature of the metabolic processes of muscle contraction; some of thefree creatine in muscle spontaneously converts to creatinine, its anhydride. Between 1% and 2% of musclecreatine is converted to creatinine daily.
New New Test - Replaces CRTUQ
CREATINE, URINE 24HRTest Code CRTUQ
Billing Code CREATINE-UEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode CRTUQL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 26
CYCLOBENZAPRINE, SERUM OR PLASMATest Code FLEX
Billing Code FLEX.LCAEffective 10/27/2017
Synonyms Flexeril; Amrix; Fexmid
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 2 mL
EmergencyMinimum Volume
0.5 mL
Patient Prep Trough levels are most reproducible.
SpecimenProcessing
Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 3 days
UnacceptableCondition
Gel barrier tubes
AlternateSpecimens
Green top tube (heparin)
ReferenceLaboratory
LabCorp
Reference labTest Code
811075
CPT Codes 80369
Method Liquid Chromatography/Tandem Mass Spectrometry
ReferenceRanges
Title Ranges Units
Cyclobenzaprine 10-30 ng/mL
Notes Use: Therapeutic drug management
New New Test
CYSTICERCOSIS AB, CSFTest Code CYSAB
Billing Code CYSAB.LCAEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode CYSGCF to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 27
CYTOCHROME P450 2D6 GENOTYPINGTest Code CY2D6L
Billing Code CY2D6LEffective 10/27/2017
Synonyms DME Genotyping
Container Type Lavender-top tube (EDTA), or yellow-top tube (ACD), or LabCorp buccal swab kit
Supply ItemNumber
1222 or 1055 or 6039 or 1701K
Store andTransport
Maintain specimen at room temperature or refrigerate at 4°C.
Specimen Type Whole blood or LabCorp buccal swab kit (Buccal swab collection kit contains instructions for use of a buccalswab)
Preferred Volume 7 mL whole blood or LabCorp buccal swab kit
EmergencyMinimum Volume
3 mL whole blood or two buccal swabs
UnacceptableCondition
Frozen or hemolyzed specimen; quantity not sufficient for analysis; one buccal swab; improper container; wetbuccal swab
Limitations
This assay does not detect other variants in the CYP2D6 gene that may affect metabolic activity. The metabolismof drugs is also influenced by race, ethnicity, diet, and medications. All factors should be considered prior toinitiating new therapy. This testing does not rule out the possibility of variant alleles in other drug metabolismpathways.
ReferenceLaboratory
LabCorp
Reference labTest Code
511230
CPT Codes 81226
Test Schedule Weekly x 2
Turnaround Time 6-8 days
Method DNA Analysis/Multiplex Polymerase Chain Reaction
Notes
Use: This testing can assist with customizing drug therapy by providing metabolic activity information that mayexplain patient drug responses relevant to CYP2D6 genetic variability. The cytochrome P450 (CYP450) enzymesmetabolize many drugs. Individual genetic differences of cytochrome P450 activity can result in the total absenceof metabolism to ultrafast metabolism of certain drugs.Additional Information: This can lead to adverse drug reactions or a lack of therapeutic effect under standardtherapy conditions. CYP2D6 metabolizes 25% to 30% of all prescribed drugs.Common drugs metabolized by 2D6 include, but are not limited to:Opioids: Codeine, dihydrocodeine, hydrocodone, oxycodone, tramadolBeta-blockers: Carvedilol, S-metoprolol, propafenone, propranolol, timololCardioreactive drugs: Encainide, flecainide, lidocaine, mexiletine, perhexilineAntidepressants: Amitriptyline, clomipramine, desipramine, doxepin (E-isomers), fluoxetine, fluvoxamine,imipramine, maprotiline, nortriptyline, paroxetine, sertraline, venlafaxineAntipsychotics: Aripiprazole, haloperidol, perphenazine, risperidone, thioridazine, zuclopenthixolOthers: Tamoxifen, ondansetron, phenformin
New New Test - Replaces CYP2D6
CYTOCHROME P450 CYP2D6Test Code CYP2D6
Billing Code CYP2D6Effective 10/27/2017
Delete This test is being discontinued. Use the ordercode CY2D6L to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 28
DELTA-AMINOLEVULINIC ACID, 24-HOUR URINETest Code DVALC
Billing Code DVALCEffective 10/27/2017
Synonyms ALA, Delta, 24-Hour Urine
Container Type Urine, 24 hour dark plastic urine container with 30 mL of 30% glacial acetic acid
Supply ItemNumber
4474 and 3131
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Urine (24-hour), PROTECTED FROM LIGHT
Preferred Volume 3 mL aliquot
EmergencyMinimum Volume
1 mL aliquot
CollectionProcedure
The collection of the 24-hour urine starts with the patient voiding (completely emptying bladder) and discardingthe first urine passed (ie, 8 AM or 8 PM). Then collect all urine including the final specimen voided at the end of the24-hour collection period (ie, 8 AM or 8 PM the following day). Specimen must be kept refrigerated duringcollection.
SpecimenProcessing
Mix well, pH must be < 6. Aliquot 3 mL of a well-mixed 24 hour urine collection into a leakproof amber plastic urinecontainer and freeze. Record total volume and collection period. (Must be portected from light. If amber tubes areunavailable, cover plastic tube completely, top and bottom, with aluminum foil. Identify specimen with patient'sname directly on the container AND on the outside of the aluminum foil. Secure with tape.) The specimen should befrozen immediately and maintained frozen until tested.
Required PatientInfo
Total volume and collection period.
Refrigerated 3 days
Frozen -20c 1 month
UnacceptableCondition
Specimen not protected from light; use of preservative other than 30% glacial acetic acid; use of sodium carbonatepreservative (Urine is not stable preserved with sodium carbonate)
LimitationsALA may be normal during latent period of acute intermittent porphyria, hereditary coproporphyria, porphyriavariegata. For the diagnosis of lead poisoning, measurement of blood and urine lead, and free erythrocyteprotoporphyrin are other available options.
ReferenceLaboratory
LabCorp
Reference labTest Code
096354
CPT Codes 82135
Test Schedule Mon, Wed, Fri
Turnaround Time 3-5 days
Method Column Chromatography; Ehrlich Reagent - Spectrophotometry
ReferenceRanges
Title Ranges Units
Delta ALA Undefined mg/L
Delta ALA 0.5-5.1 mg/24 hr
ComplianceRemarks
This test was developed, and its performance characteristics determined, by LabCorp. It has not been cleared orapproved by the Food and Drug Administration.
Notes
Use: Diagnose porphyrias: Delta-ALA may be increased in attacks of acute intermittent porphyria, hereditarycoproporphyria, and porphyria variegata; evaluation of certain neurological problems with abdominal pain;diagnosis of lead or mercury poisoning. Urinary Delta-ALA is not a sensitive indicator of lead poisoning in childrenbecause it does not increase until blood lead concentration is 40 mcg/dL, well above the recommended level <15mcg/dL. ALA is increased also in tyrosinemia. Porphobilinogen and delta-aminolevulinic acid are the tests ofchoice for acute intermittent porphyria. Recently the molecular lesions have been identified in a severely affectedhomozygote with delta-aminolevulinate dehydratase deficient porphyria.
Additional Information: Conversion of ALA to porphobilinogen is inhibited by lead and mercury; thus, leadpoisoning causes increased urinary Delta-ALA, as well as increases of coproporphyrin and of free erythrocyteprotoporphyrin.
New New Test - Replaces ALAUQ
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 29
DEOXYCORTICOSTERONE, LC/MS/MSTest Code DEOXCC
Billing Code DEOXCC.LCAEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum (preferred)
Preferred Volume 3 mL
SpecimenProcessing
Separate serum or plasma from cells within one hour of collection. Transfer to a standard PAML aliquot tube andfreeze.
Refrigerated 3 days
Frozen -20c 2 years
AlternateSpecimens
Lavender top tube (EDTA) or green top tube (heparin) or red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
500138
Test Schedule Mon, Wed
Turnaround Time 5-9 days
Method High-Pressure Liquid Chromatography/Tandem Mass Spectrometry
DIAZEPAM AND NORDIAZEPAMTest Code DIANO
Billing Code DIANOEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode DIANOL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 30
DIAZEPAM, SERUM OR PLASMATest Code DIANOL
Billing Code DIANOLEffective 10/27/2017
Synonyms Diastat®; Diastat® AcuDial™; Diazepam Intensol™; Valium®
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.4 mL
CollectionProcedure
Oral: peak: one hour after dose; IV: peak: 15 minutes after dose.
SpecimenProcessing
Separate serum or plasma from cells and transfer to a standard PAML aliquot tube.
Room Temp 1 day
Refrigerated 2 weeks
Frozen -20c 2 weeks
UnacceptableCondition
Gel-barrier tube
AlternateSpecimens
Lavender-top tube (EDTA), or green-top tube (heparin)
LimitationsDo not use a gel-barrier tube. The use of gel-barrier tubes is not recommended due to slow absorption of the drug bythe gel. Depending on the specimen volume and storage time, the decrease in drug level due to absorption may beclinically significant.
ReferenceLaboratory
LabCorp
Reference labTest Code
007989
CPT Codes 80346
Test Schedule Mon-Fri
Turnaround Time 3-5 days
Method Liquid Chromatography/Tandem Mass Spectrometry
Notes
Use: Diazepam is effective in the management of generalized anxiety disorder and panic disorder in appropriatelyselected patients. Its use prior to endoscopy or cardioversion relieves anxiety and diminishes the patient's recallof the procedure. Preoperative use relieves anxiety and tension and may provide anterograde amnesia. Additionaluses include the treatment of skeletal muscle spasms due to inflammation or trauma, spasticity (eg, multiplesclerosis, cerebral palsy, paraplegia, stiff-man syndrome), seizure disorders (eg, status epilepticus, febrileseizures), and alleviation of abstinence symptoms during alcohol withdrawal.
Additional Information: Diazepam is a muscle relaxant and antianxiety drug. Peak blood levels are achieved withinan hour after oral dose. Half-life in adults is 21 to 37 hours. The major metabolite (nordiazepam) has a half-life inadults of 50 to 99 hours. It is the major metabolite also of clorazepate and prazepam. Minor active metabolites ofdiazepam are temazepam (3-hydroxydiazepam) and oxazepam (3-hydroxy-N-diazepam). Diazepam may exhibitsynergism with barbiturates, tricyclic antidepressants, and amine oxidase inhibitors. Toxicity may be additive withother central nervous system depressants, and ethanol enhances the absorption of diazepam itself. Many cases ofoverdose are seen but few fatalities result from use of this drug alone. A frequent finding is a combination of thisdrug and ethanol.
New New Test - Replaces DIANO
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 31
ESTRONE SULFATETest Code ESSUL
Billing Code ESSULEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.3 mL
SpecimenProcessing
Serum must be separated from cells within 45 minutes of collection. Transfer to a standard PAML aliquot tube andfreeze.
Room Temp 2 days
Refrigerated 2 days
Frozen -20c 2 years
UnacceptableCondition
Urine; whole blood; CSF; specimen beyond stability
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
501049
CPT Codes 82679
Test Schedule Mon
Turnaround Time 5-9 days
Method High-Pressure Liquid Chromatography/Tandem Mass Spectrometry
New New Test - Replaces ESTRS
ESTRONE SULFATETest Code ESTRS
Billing Code ESTRSEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode ESSUL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 32
FEATHER MIX IGETest Code ICFEMA
Billing Code ICFEMA.LCAEffective 10/27/2017
Room Temp 1 month
Refrigerated 1 month
Frozen -20c 1 month
UnacceptableCondition
Lipemic samples may lead to rejection
ReferenceLaboratory
LabCorp
Reference labTest Code
823551
CPT Codes 86003
Turnaround Time 4-5 days
Please Note Previous CPT Code: 86005
FECAL LYTES/OSMOLALITY PROFILETest Code FCELOS
Billing Code FCELOSEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode LYTST and FECOSA to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 33
FLUVOXAMINETest Code LUVOX
Billing Code LUVOX.LCAEffective 10/27/2017
Synonyms Fluvoxamine, Serum or Plasma; Luvox
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 3 mL
EmergencyMinimum Volume
0.6 mL
Patient Prep Trough levels are most reproducible.
SpecimenProcessing
Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 3 days
UnacceptableCondition
Gel barrier tubes
AlternateSpecimens
Green top tube (heparin)
ReferenceLaboratory
LabCorp
Reference labTest Code
810762
CPT Codes 80332
Method High-Pressure Liquid Chromatography with Ultraviolet Detection
ComplianceRemarks
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared orapproved by the Food and Drug Administration.
Notes Use: Therapeutic drug management
New New Test
FOOD ALLERGEN PANEL IGG4Test Code FDPNG4
Billing Code FDPNG4Effective 10/27/2017
Delete This test is being discontinued. Use the ordercode FAP19L and ICMCG4 to order this test.
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 34
GABAPENTIN, URINETest Code GABAPU
Billing Code GABAPU.LCAEffective 10/27/2017
Preferred Volume 10 mL
Room Temp 3 days
UnacceptableCondition
Urine from preservative tube
ReferenceLaboratory
LabCorp
Reference labTest Code
790394
CPT Codes 80307
Turnaround Time 5-6 days
Method Immunoassay
ReferenceRanges
Title Ranges Units
Gabapentin, Urine Reporting Limit: 10.0 ug/mL
Please Note Previous CPT Code: 80355
GM1 COMBINATIONTest Code GM1COM
Billing Code GM1COMEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode NEUPR3 and AGQ1BG to order this test.
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 35
GQ1B ANTIBODY IGG RFLXTest Code AGQ1BG
Billing Code AGQ1BGEffective 10/27/2017
Synonyms Gangliosides (ASIALO-GM1, GM1, GM2, GD1a, GD1b, GQ1b & sulphatides) Antibodies
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.25 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 5 days
Refrigerated 5 days
Frozen -20c 1 year
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
808602
CPT Codes 83520
Test Schedule Weekly x 1
Turnaround Time Within two weeks from the time of specimen receipt
Method Enzyme-linked immunosorbent assay
ClinicalSignificance
Antibodies against glycolipids (GM1, GD1a, GD1b, GQ1b, Asialo GM1 and sulphatides) are present Guillain-Barrésyndrome (GBS), IgM paraproteinemic neuropathy, and chronic demyelinating polyneuropathy. Antibodies to oneor more glycolipids are present in 60-70% of patients with GBS. The titers of antiglycolipid antibodies are higher inacute phase and decrease with clinical improvement. Antibodies to GM1 and/or GD1b are frequently found in acutephase GBS. The two antibodies together occur in 20% of these cases, anti-GM1 without anti-GD1b antibodies inabout 10% and anti-GD1b without anit-GM1 antibodies in about 10% of GBS patients.Antibodies to GQ1b or IgGisotype are present in 95% of patients with Miller Fisher Syndrome (MFS). The titers of these antibodies fluctuatewith disease activity. IgM paraproteinemia is often associated with peripheral neuropathies. These antibodies arepresent in one half of patients with specificity for SGPG, GD1b and other gangliosides. Anti-GM1 IgM are usuallyassociated with motor dominant or sensorimotor neuropathies. These antibodies are also elevated in multifocalneuropathies such as GBS, CIPD and other immunological diseases
Notes Disease: Neuropathies
Reflex TestingReflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes
If GQ1b Ab IgG > = 1:100 Anti GQ1b IgG Titer No Reflex CPT Code AGQ1BT
NewNew Test - Replaces GM1COM
Reflex testing provided at no charge.
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
HIV 1 RNA QUAL, CSFTest Code HIVRSF
Billing Code HIVRSFEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode HIVSFL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 36
HIV 1 RNA, REAL TIME PCR (NON-GRAPH), CSFTest Code HIVSFL
Billing Code HIVSFLEffective 10/27/2017
Container Type CSF sterile plastic tube
Supply ItemNumber
7211
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Cerebrospinal fluid (CSF)
Preferred Volume 3.5 mL
EmergencyMinimum Volume
1.1 mL
CollectionProcedure
Collect in a sterile screw-capped container.
UnacceptableCondition
Specimen received in "pop-top" or "snap-cap" tube; quantity not sufficient for analysis
ReferenceLaboratory
LabCorp
Reference labTest Code
550410
CPT Codes 87536
Test Schedule Mon-Fri
Turnaround Time 5-6 days
Method COBAS® AmpliPrep/COBAS® TaqMan® HIV-1 Test
Notes
Use: Detect and quantitate HIV-1 in cerebrospinal fluid (CSF)
Assay range: 20-10,000,000 copies/mL Results of this test are for research purposes only by the assay'smanufacturer. The performance characteristics of this product have not been established. Results should not beused as a diagnostic procedure without confirmation of the diagnosis by another medically established diagnosticproduct or procedure.
New New Test - Replaces HIVRSF
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 37
HIV-1 AND HIV-2 ANTIBODIES FOR CADAVERIC SPECIMENS RFLXTest Code CDHV12
Billing Code CDHV12Effective 10/27/2017
Synonyms Donor Panel 139544
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum or cadaveric serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.1 mL
Refrigerated 1 week
UnacceptableCondition
Plasma specimen
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
139544
CPT Codes 86703
Method Enzyme immunoassay
NotesSpecial Instructions: **This test is intended for ViroMed CADAVERIC DONOR** clients only. DONOR testingperformed at ViroMed Laboratories using Genetic Systems HIV-1/HIV-2 plus O kit. If reflex test is performed,additional charges/CPT code(s) may apply.
Reflex Testing
Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes
If HIV-1/-2 antibody EIA isreactive
HIV Western Blot Cadaver 86689 CDHVWB
New New Test - Replaces HV1CD and HIVDIC
Please Note This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if thereflex test is necessary.
HIV-1 AND HIV-2 ANTIBODIES FOR CADAVERIC SPECIMENS RFLXTest Code HV1CD
Billing Code HV1CDEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode CDHV12 to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 38
HLA B ABACAVIR SENSITIVITYTest Code HLABGT
Billing Code HLABGT.LCAEffective 10/6/2017
Synonyms HLA-B*57:01 for Abacavir Sensitivity; Abacavir Hypersensitivity Genotyping; Abacavir Sensitivity; HLA-B 5701Genotype, Abacavir Hypersensitivity, Saliva
Container Type Lavender top tube (EDTA)
Supply ItemNumber
1222
Store andTransport
Refrigerated
Specimen Type Whole blood
Preferred Volume 7 mL
EmergencyMinimum Volume
3 mL
Required PatientInfo
Counseling and informed consent are recommended for genetic testing.
Room Temp 3 days
Refrigerated 2 weeks
Frozen -20c 1 month
UnacceptableCondition
Plasma or serum; heparinized specimens
AlternateSpecimens
Pink (K2EDTA) or yellow (ACD solution A or B)
ReferenceLaboratory
LabCorp
Reference labTest Code
006926
CPT Codes 81381
Method Polymerase Chain Reaction/Fluorescence Monitoring
Notes
Ordering Recommendation:
Standard of care prior to abacavir therapy per FDA. Screening test to determine susceptibility to abacavirhypersensitivity syndrome.
New New Test
HLA DP GENOTYPINGTest Code HLADP
Billing Code HLADPEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode HLADPL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 39
HLA DPA1 + HLA DPB1 HIGH RESOLUTIONTest Code HLADPL
Billing Code HLADPLEffective 10/27/2017
Synonyms HLA DPA1 (HR)+HLA DPB1 (HR)
Container Type Lavender top tube (EDTA)
Supply ItemNumber
1867
Store andTransport
Ambient (room temperature)
Specimen Type Whole blood
Preferred Volume 8.0 mL
EmergencyMinimum Volume
3 mL
SpecimenProcessing
Maintain specimen at room temperature; protect from extreme heat or cold. Do not freeze.
UnacceptableCondition
Hemolyzed specimen; clotted specimen; wrong specimen container
ReferenceLaboratory
LabCorp
Reference labTest Code
236951
CPT Codes 86160 x 2, 86038, 86431, 86200
Method Sequence-Based Typing (SBT), SequenceSpecific Oligonucleotide Probes (SSOP), and/or Sequence-SpecificPrimers (SSP)
ComplianceRemarks
This test was developed, and its performance characteristics determined, by LabCorp. It has not been cleared orapproved by the US Food and Drug Administration (FDA).
NotesUse: DPA1/DPB1 antigens may be correlated with certain disease states or other clinical conditions. Also used forscreening of transplant candidates and potential donors, transfusion of specifically compatible blood products,among others. This test is for single locus typing at high resolution.
New New Test - Replaces HLADP
HLA DR GENOTYPINGTest Code HLADRG
Billing Code HLADRGEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode HLADRB to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 40
HLA DRB1 HIGH RESOLUTIONTest Code HLADRB
Billing Code HLADRBEffective 10/27/2017
Container Type Lavender top tube (EDTA)
Supply ItemNumber
1867
Store andTransport
Ambient (room temperature)
Specimen Type Whole blood
Preferred Volume 7 mL
EmergencyMinimum Volume
3 mL
SpecimenProcessing
Maintain specimen at room temperature; protect from extreme heat or cold. Do not freeze.
UnacceptableCondition
Hemolyzed specimen; clotted specimen; wrong specimen container.
ReferenceLaboratory
LabCorp
Reference labTest Code
167167
CPT Codes 81382
Method Sequence-Based Typing, Sequence-Specific Oligonucleotide Probes, and/or Sequence-Specific Primers
ComplianceRemarks
This test was developed, and its performance characteristics determined, by LabCorp. It has not been cleared orapproved by the US Food and Drug Administration (FDA).
Notes
Use: High resolution HLA typing is preferred for matching of bone marrow transplant donors and recipients. Otherclinical indications may require high resolution typing to rule out alternative allele combinations.
High resolution typing for DRB1 will meet the following criteria: All ambiguities within exon 2, which defines theantigen recognition site, will be resolved. Those ambiguities that remain will be reported as an allele code. Thistest is for single locus typing at high resolution.
New New Test - Replaces HLADRG
HLA-B GENOTYPETest Code HLBGT
Billing Code HLBGTEffective 10/6/2017
Delete This test is being discontinued. Use the ordercode HLABG to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 41
HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1), QUALITATIVE, RNATest Code HIVDPC
Billing Code HIVDPC.LCAEffective 10/27/2017
Store andTransport
Refrigerated
Specimen Type Plasma
SpecimenProcessing
Separate plasma from cells and transfer to a standard PAML aliquot tube.
Room Temp 3 days
Refrigerated 2 weeks
Frozen -20c 6 months; Freeze/thaw cycles: Stable x 5
UnacceptableCondition
Specimen grossly hemolyzed; received outside of specimen and/or storage requirements
AlternateSpecimens
Yellow-top (ACD) tube, red-top tube, or gel-barrier tube
ReferenceLaboratory
LabCorp
Reference labTest Code
139350
Method Transcription-mediated amplification (TMA)
Notes
This test is intended for use as an aid in the diagnosis of HIV-1 infection, including acute or primary infection.Presence of HIV-1 RNA in the plasma of patients without antibodies to HIV-1 is indicative of acute or primary HIV-1infection. This assay may also be used as an additional test, when it is reactive, to confirm HIV-1 infection in anindividual whose specimen is repeatedly reactive for HIV-1 antibodies. This assay is not intended for use in donortesting.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 42
HUNTINGTON DISEASE (HD) MUTATIONTest Code HUNDML
Billing Code HUNDMLEffective 10/27/2017
Synonyms Huntington's Chorea; HD Genetic Testing; HTT Genetic Testing
Container Type Lavender top tube (EDTA)
Supply ItemNumber
1222
Store andTransport
Refrigerated
Specimen Type Whole blood
Preferred Volume 5 mL
EmergencyMinimum Volume
3 mL
Required PatientInfo
REQUIRED - Huntington Disease Consent Form
Room Temp 3 days
Refrigerated 1 week
Frozen -20c 1 month
AlternateSpecimens
Yellow top tube (ACD Solution A or B) or pink top tube (K2 EDTA)
Limitations
A completed HD specific consent form, signed by the patient (or legal guardian) and physician, is required for allspecimens. Testing for patients under the age of 18 years or fetal specimens is not offered. Presymptomaticpatients are strongly encouraged to be tested through a counseling program approved by the Huntington DiseaseSociety of America at (800) 345-4372. Clients must call ARUP's genetics counselor at 800-242-2787, extension 2141before submitting specimens.A DNA isolation Fee will be charged if this procedure is canceled at the clientsrequest after receipt of the sample by ARUP.
ReferenceLaboratory
LabCorp
Reference labTest Code
829044
CPT Codes 81401
Test Schedule Varies
Turnaround Time 8-12 days after receipt of fully completed HD consent form
Method Polymerase Chain Reaction/Fragment Analysis
ComplianceRemarks
The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and DrugAdministration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently notrequired for clinical use of this test. The results are not intended to be used as the sole means for clinicaldiagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory ImprovementAmendments (CLIA) and by all states to perform high-complexity testing. Counseling and informed consent arerecommended for genetic testing. Consent forms are available online.
Notes Use: Diagnostic confirmation for Huntington disease (HD) in a symptomatic individual. Presymptomatic testing foradults with a family history of HD.
New New Test - Replaces HUNDUW
Please Note REQUIRED - Huntington Disease Consent Form
HUNTINGTON DISEASE DNA SCREENTest Code HUNDUW
Billing Code HUNDUWEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode HUNDML to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 43
HYDROXYCHLOROQUINETest Code PLAQ
Billing Code PLAQ.LCAEffective 10/27/2017
Synonyms Oxychloroquine; Plaquenil®
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.4 mL
SpecimenProcessing
Separate serum or plasm from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 1 month
Refrigerated 1 month
Frozen -20c 1 month
UnacceptableCondition
Polymer gel separation tube (sst or PST)
AlternateSpecimens
Lavender top tube (EDTA)
ReferenceLaboratory
LabCorp
Reference labTest Code
802576
CPT Codes 80375
Test Schedule Thu
Turnaround Time 4-8 days
Method High Performance Liquid Chromatography/Tandem Mass Spectrometry
New New Test
HYPER PNEUMO EXT PANELTest Code HYPEXT
Billing Code HYPEXTEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode HYPEXL and HYAALC to order this test.
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 44
HYPERSENSITIVITY PNEUMONITISTest Code HYPENL
Billing Code HYPENLEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1.5 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 1 week
Refrigerated 2 weeks
Frozen -20c 2 weeks; Freeze/thaw cycles: Stable x 2
UnacceptableCondition
Excessive hemolysis
AlternateSpecimens
Red top tube (plain)
Limitations A positive test does not establish the diagnosis of hypersensitivity pneumonitis, nor does the absence ofprecipitins eliminate the diagnosis.
ReferenceLaboratory
LabCorp
Reference labTest Code
605856
CPT Codes 86606 x 8
Test Schedule Mon-Fri
Turnaround Time 5-7 days
Method Double diffusion (Ouchterlony)
New New Test - Replaces ABAPNL
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 45
HYPERSENSITIVITY PNEUMONITIS #6Test Code HYPEXL
Billing Code HYPEXLEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1.0 mL
EmergencyMinimum Volume
1.0 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 1 week
Refrigerated 2 weeks
Frozen -20c 2 weeks; Freeze/thaw cycles: Stable x 2
UnacceptableCondition
Excessive hemolysis
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
660663
CPT Codes 86671 x 12
Test Schedule Mon-Fri
Turnaround Time 4-7 days
Method Double diffusion (Ouchterlony)
Notes
Clinical Limitation: A positive test does not establish the diagnosis of hypersensitivity pneumonitis, nor does theabsence of precipitins eliminate the diagnosis.
Use/Additional Details: Confirm the presence of precipitating antibodies associated with hypersensitivitypneumonitis Hypersensitivity pneumonitis (HP), also referred to as extrinsic allergic alveolitis (EAA), is aninflammatory lung disease resulting from the inhalation and subsequent sensitization to a wide variety of inhaledorganic dusts. HP is not mediated by IgE. HP is associated with progressive pulmonary disability, irreversible lungdamage and mortality in some occupation settings. Patients often present with intermittent chills, fever, cough,and shortness of breath that begin 4 to 8 hours after exposure to the offending dust. No single laboratory test isdiagnostic for HP. Diagnosis is based on a complete environmental history supported by result of chest x-ray,spirometry and in vitro immunologic tests. Identification of the causative agent is important to allow avoidance ofexposure. Double diffusion (Ouchterlony) assays are typically used to determine antigen specific IgG antibodies.The appearance of precipitin arcs confirms the presence of precipitating antibodies to specific antigens. Theseantibodies may also be present in individuals not afflicted with HP. The presence of antibodies to the offendingdust or antigen confirms exposure but is not diagnostic of HP. However, upon repeated or prolonged exposures,high levels of precipitating IgG antibodies are typically observed.
New New Test - Replaces HYPEXT
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 46
IGA DEFICIENCY PANELTest Code ANTGAL
Billing Code ANTGALEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 2 mL
EmergencyMinimum Volume
2 mL
SpecimenProcessing
Separate serum from cells within two hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 2 days
Refrigerated 1 week
Frozen -20c 2 weeks
UnacceptableCondition
Lipemic specimens
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
818624
CPT Codes 82784, 83520
Turnaround Time 8-10 days
Method Enzyme-Linked Immunosorbent Assay/ Radial Immunodiffusion
ClinicalSignificance
For the evaluation of patients with recurrent infection for the possibility of IgA deficiency (IgAD). Patients with IgAdeficiency may develop antibodies against IgA that make them susceptible to adverse reactions to blood productsincluding intravenous immunoglobulin. IgAD has also been reported to progress to Common VariableImmunodeficiency (CVID).
ComplianceRemarks
This test was developed and its performance characteristics determined by Viracor-IBT Laboratories. It has notbeen cleared or approved by the U.S. Food and Drug Administration.
New New Test - Replaces ANTIGA
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 47
IGE+ALLERGEN MOLDTest Code ABPNLC
Billing Code ABPNLCEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 2.2 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 2 weeks
Refrigerated 2 weeks
Frozen -20c 3 months; Freeze/thaw cycles: Stable x 3
UnacceptableCondition
Gross hemolysis
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
605851
CPT Codes 86003
Method Electrochemiluminescence Immunoassay; Thermo Fisher ImmunoCAP®
New New Test - Replaces ABAPNL and ICABAP
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 48
IGF BINDING PROTEIN 1Test Code IGFP1
Billing Code IGFP1.LCAEffective 10/27/2017
Synonyms Insulin-Like Growth Factor-Binding Protein 1 (IGFBP-1)
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Preferred Volume 0.5 mL
EmergencyMinimum Volume
0.1 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube and freeze immediately. Maintain frozenuntil tested.
Refrigerated 2 days
Frozen -20c 16 months
UnacceptableCondition
Plasma specimens
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
140822
CPT Codes 83520
Test Schedule Mon, Thu
Turnaround Time 4-8 days
Method Immunochemiluminometric Assay
Notes
Use: Identify women who are at high risk for developing preëclampsia.
Additional Information: Insulin-like growth factor-binding protein 1 is a member of the family of structurallyhomologous proteins that specifically binds and modulates the activities of IGF-1 and IGF-2. IGFBP-1 is a 25kilodalton protein that is produced predominantly by hepatocytes and decidualized ovarian endometrium. Serumlevels of IGFBP-1 exhibit considerable diurnal variation with levels highest early in the morning and lowest in theevening. Serum IGFBP-1 levels are controlled by insulin with the postprandial increase in insulin levels producinga four- to fivefold decrease in IGFBP-1 levels relative to fasting levels.1 IGFBP-1 levels have been shown to beelevated in type 1 diabetics and in patients with insulin resistance syndromes. Type 2 diabetics tend to have lowserum IGFBP-1 levels. Patients with growth hormone deficiency tend to have elevated IGFBP-1 levels. Low levelsare observed in acromegaly, Cushing disease, and polycystic ovary syndrome. IGFBP-1 is the predominant IGF-binding protein in amniotic fluid and in fetal and maternal circulation. The levels are high in the fetus and newborn,but decline steadily until puberty. In a recent study of women in the second trimester of pregnancy, IGFBP-1 levelswere higher in women who subsequently developed preëclampsia than in matched controls who did not developthe syndrome.
Please Note Previous CPT Code: 83519
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 49
IGG4 ALLERGENS (19) FOODSTest Code FAP19L
Billing Code FAP19LEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1.5 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
605828
CPT Codes 86001 x 19
Method Thermo Fisher ImmunoCAP®
NotesResults for this test are for Investigational Purposes Only by the assay's manufacturer. The performancecharacteristicsof this product have not been established. Results should not be used as a diagnostic procedurewithout confirmation of the diagnosis by another medically established diagnosticproduct or procedure.
New
New Test - Replaces FDPNG4
Results for this test are for Investigational Purposes Only by the assay's manufacturer. The performancecharacteristics of this product have not been established.
Fees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for feeinformation.
INDICANS, URINE QUALTest Code INDIC
Billing Code INDIC.LCAEffective 10/27/2017
Delete This test is being discontinued.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 50
INHIBIN BTest Code INHBP
Billing Code INHBP.LCAEffective 10/27/2017
Store andTransport
Refrigerated
Preferred Volume 0.6 mL
EmergencyMinimum Volume
0.3 mL
Patient Prep
Special Instructions: This test may exhibit interference when sample is collected from a person who is consuming asupplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). It isrecommended to ask all patients who may be indicated for this test about biotin supplementation. Patients shouldbe cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.
Room Temp 1 week
Refrigerated 3 weeks
Frozen -20c 3 weeks; Freeze/thaw cycles: Stable x 3
UnacceptableCondition
Nonserum sample received
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
146795
CPT Codes 83520
Method Enzyme immunoassay
Notes Use: Assess the function of the antral follicles of the ovaries in women or the Sertoli cells of the testes in men.
Please Note
Previous CPT Code: 82397
This procedure may be considered by Medicare and other carriers as investigational and, therefore, may not bepayable as a covered benefit for patients.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 51
INTERFERON BETA NEUTRALIZING AB RFLXTest Code IFBSTL
Billing Code IFBSTLEffective 10/27/2017
Synonyms INF-Beta Neutralizing Ab Rflx
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.3 mL
Patient PrepCollect specimens before Interferon beta treatment, or more than 48 hours following the most recent dose. Patientshould not be on steroid therapy in excess of 10 mg prednisolone (or equivalent) daily. High endogenous levels ofInterferon beta, alpha, or gamma may interfere with this assay.
SpecimenProcessing
Separate serum from cells within 45 minutes of collection and transfer to a standard PAML aliquot tube.
Room Temp 2 days
Refrigerated 2 weeks
Frozen -20c 1 year (avoid repeated freeze/thaw cycles)
UnacceptableCondition
Contaminated, hemolyzed, icteric, or lipemic specimen.
ReferenceLaboratory
LabCorp
Reference labTest Code
819067
CPT Codes 82397
Test Schedule Mon
Turnaround Time 3-16 days
Method Cell Culture/Chemiluminescent Immunoassay
Notes Use: Aids in management of individuals treated with interferon beta.
Reflex Testing
Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes
If Interferon Beta NeutralizingAB Screen result is positive
Interferon Beta Neutralizing ABTiter
82397 IFBRFL
New New Test - Replaces INFBEG
Please Note This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if thereflex test is necessary.
INTERFERON BETA, IGG RFLXTest Code INFBEG
Billing Code INFBEGEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode IFBSTL to order this test.
ISOHEMAGGLUTININ TITERTest Code ISOHTS
Billing Code ISOHTSEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode ISOHMT to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 52
LACTATE TO PYRUVATE RATIOTest Code LAPRAT
Billing Code LAPRATEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode LAPRAL to order this test.
LACTIC/PYRUVIC RATIOTest Code LAPRAL
Billing Code LAPRALEffective 10/27/2017
Container Type Gray top tube (potassium oxalate/sodium fluoride)
Supply ItemNumber
7357
Store andTransport
Refrigerated
Specimen Type Plasma
Preferred Volume 1 mL
EmergencyMinimum Volume
0.5 mL
Patient Prep Patient should not be on any intravenous infusion that would affect the acid-base balance. Patient should be in afasting and resting state (should not exercise).
CollectionProcedure
Keep gray-top tube on ice. Draw blood in gray-top tube. Mix well by gentle inversion at least six times. Return toice bath to cool. Avoid hand-clenching and, if possible, avoid use of a tourniquet. A tourniquet with patientclenching and unclenching hand will lead to high potassium and lactic acid buildup from the hand muscles, andpH will decrease. It is best to avoid a tourniquet for electrolytes and lactic acid or to release it after blood begins toflow into the tube. If the tourniquet is released before blood is drawn, wait about a minute before drawing.
SpecimenProcessing
Within 15 minutes of draw, separate the plasma from blood by centrifugation for 10 minutes. Immediately transferthe plasma portion of the sample to a labeled plastic transport tube. Avoid excessive forces that contribute tohemolysis.
Room Temp 2 weeks after separation
Refrigerated 2 weeks after separation
Frozen -20c 2 weeks after separation; Freeze/thaw cycles: Stable x 3
UnacceptableCondition
Specimen not separated from cells within 15 minutes of draw; marked hemolysis; slight or moderate turbidity;perchloric acid supernatant; serum specimen
LimitationsGross hemolysis elevates plasma results. Intravenous injections, or infusions which modify acid-base balance,may cause alterations in lactate levels. Epinephrine and exercise elevate lactate, as may IV sodium bicarbonate,glucose, or hyperventilation. False-low values may be found with a high LD (LDH) value.
ReferenceLaboratory
LabCorp
Reference labTest Code
120543
CPT Codes 83605, 84210
Test Schedule Mon-Fri
Turnaround Time 3-5 days
Method Lactate-pyruvate; Spectrophotometry
New New Test - Replaces LAPRAT
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 53
LC-1 (LIVER CYTOSOL PROTEIN-1)Test Code LIVCY
Billing Code LIVCYEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.5 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube and freeze.
Room Temp 2 days
Refrigerated 5 days
Frozen -20c 1 year
UnacceptableCondition
Grossly hemolyzed, lipemic, or icteric specimens
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
806396
CPT Codes 86376
Test Schedule Weekly x 1
Turnaround Time Within one week of specimen receipt
Method Indirect Immunofluorescence
New New Test - Replaces LIVCYT
LDL PARTICLE SIZETest Code LDLPSR
Billing Code LDLPSREffective 10/27/2017
Delete This test is being discontinued. Use the ordercode NMRLP to order this test.
LIBRIUM AND NORDIAZEPAMTest Code LIBNO
Billing Code LIBNOEffective 10/27/2017
Delete This test is being discontinued due to low utilization.
LIPASE, URINETest Code LIPAU
Billing Code LIPAUEffective 10/27/2017
Delete This test is being discontinued. Use suggested order code AMYUQ, AMYUR, or LIPA to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 54
LIPID-ASSOCIATED SIALIC ACIDTest Code LASA
Billing Code LASA.LCAEffective 10/27/2017
Synonyms Lipid-bound Sialic Acid
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Ambient (room temperature)
Specimen Type Serum
Preferred Volume 2 mL
EmergencyMinimum Volume
0.1 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 2 weeks
Refrigerated 2 weeks
Frozen -20c 2 weeks; Freeze/thaw cycles: Stable x 3
AlternateSpecimens
Red-top tube or lavender-top (EDTA) tube
ReferenceLaboratory
LabCorp
Reference labTest Code
100313
CPT Codes 84275
Test Schedule Tue, Thu
Turnaround Time 3-8 days
Method Spectrophotometry
ComplianceRemarks
Results for this test are for investigational purposes only by the assay's manufacturer. The performancecharacteristics of this product have not been established. Results should not be used as a diagnostic procedurewithout confirmation of the diagnosis by another medically established diagnostic product or procedure.
Notes LASA is a useful adjunct in the management of a variety of malignancies. It is generally used in conjunction withother tumor markers.
New New Test
LISTERIA AB, CFSTest Code LSTCSF
Billing Code LSTCSF.LCAEffective 10/27/2017
ReferenceLaboratory
LabCorp
Reference labTest Code
272685
CPT Codes 86723
Please Note Previous CPT Code: 86609
LIVER CYTOSOL AUTOABS (LC 1)Test Code LIVCYT
Billing Code LIVCYTEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode LIVCY to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 55
MATERNAL CELL CONTAMINATIONTest Code MCC
Billing Code MCCEffective 10/27/2017
Container Type 1222 or 1701K; 1055 or 6039
Store andTransport
Ambient (room temperature)
Specimen Type Whole blood or buccal swab kit, amniotic fluid, OR chorionic villus sample (CVS) (Submission of maternal blood isrequired for fetal testing.)
Preferred Volume 7 mL whole blood or buccal swab kit, 10 mL amniotic fluid OR 20 mg CVS
EmergencyMinimum Volume
3 mL whole blood or two buccal swabs, 5 mL amniotic fluid OR 10 mg CVS
SpecimenProcessing
If a prenatal specimen (CVS or amniotic fluid) has not already been submitted to LabCorp for other testing, it mustnow be provided to complete maternal cell contamination (MCC) analysis.
UnacceptableCondition
Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container
AlternateSpecimens
Yellow top tube (ACD) or buccal swab kit, sterile plastic conical tube, or two confluent T-25 flasks for fetal testing
ReferenceLaboratory
LabCorp
Reference labTest Code
511402
CPT Codes 81265
Method See Notes
ComplianceRemarks
Results of this test are for investigational purposes only. The performance characteristics of this assay have beendetermined by LabCorp. The result should not be used as a diagnostic procedure without confirmation of thediagnosis by another medically established diagnostic product or procedure.
Notes
Method - Analysis of short tandem repeat markers by polymerase chain reaction (PCR) and capillaryelectrophoresis.
Use - Quality assurance for interpretation of prenatal molecular genetic test results. This test is not applicable innonmaternity contexts.
New New Test - Replaces MCCMA
MATERNAL CELL CONTAMINATIONTest Code MCCMA
Billing Code MCCMAEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode MCC to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 56
METHYLPHENIDATETest Code RITA
Billing Code RITA.LCAEffective 10/27/2017
Synonyms Methylphenidate, Serum or Plasma; Ritalin
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum
Preferred Volume 2 mL
EmergencyMinimum Volume
1.1 mL
CollectionProcedure
Collect specimen as a peak level one to two hours after dosing.
SpecimenProcessing
Separate serum or plasma from cells and transfer to a standard PAML aliquot tube and freeze.
Room Temp Unacceptable
Refrigerated Unacceptable
Frozen -20c 6 months
UnacceptableCondition
Gel barrier tube; thawed specimen
AlternateSpecimens
Green top tube (heparin) or gray top tube (sodium fluoride)
ReferenceLaboratory
LabCorp
Reference labTest Code
715300
CPT Codes 80360
Test Schedule Tue, Thu, Fri
Turnaround Time 3-4 days
Method Liquid Chromatography/Tandem Mass Spectrometry
Notes
Additional Information: Methylphenidate is an oral central nervous system stimulant used to treat attention deficithyperactivity disorders (ADHD) in children and ADD in adults. Methylphenidate is a derivative of phenethylamine,and its CNS actions are similar to the amphetamines. The exact mechanism of action is not fully understood. Thedrug is rapidly and well absorbed from the GI tract, achieving peak blood levels in 60 to 120 minutes. Somepreparations of methylphenidate will exhibit a bimodal plasma concentration-time profile with half-lives varyingfrom 2.5 to 8.4 hours and about 80% of a dose is excreted in the urine in 24 hours. The major metabolite, ritalinicacid (pharmacologically inactive), is formed by hydrolysis of the methyl ester linkage. This takes placeenzymatically and nonenzymatically in alkaline conditions during storage of serum or plasma. The use of EDTA asan anticoagulant reduces hydrolytic loss. After a 0.3 mg/kg oral dose of methylphenidate, peak plasmaconcentrations typically do not go much above 20 ng/mL, but they can reach as high as 70 ng/mL on a higher doseof 0.6 mg/kg. The common side effects of methylphenidate are due mainly to its adrenergic activity, includinginsomnia, anorexia, headache, and tachycardia.
New New Test
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 57
MTB COMPLEX, NON RESP (PCR)Test Code MTCPCR
Billing Code MTCPCR.LCAEffective 9/21/2017
Synonyms MTB Complex PCR Non-Respirator; M. tuberculosis Complex PCR, Non Respiratory; Mycobacterium TuberculosisComplex PCR, Non-Respiratory; MTB; TB
Specimen Type CSF or Urine are preferred: (Urine: first void clean catch or urine with no preservative)
Preferred Volume 3 mL CSF or 10 mL urine collected in a sterile, leak-proof container
EmergencyMinimum Volume
1 mL CSF or 5 mL urine
Refrigerated 5 days
Frozen -20c 1 month
UnacceptableCondition
Un-neutralized gastric lavage
AlternateSpecimens
Gastric lavage: Collect 10 mL (5 mL minimum) of an early morning specimen, before food or water intake, in asterile container without preservative. Adjust to normal pH with 100 mg of sodium bicarbonate, within 4 hours ofcollection, and mix thoroughly.Non-neutralized specimens are not acceptable. Separate specimens collected on 3 consecutive days arerecommended.
Pericardial fluid, peritoneal fluid, pleural fluid: 5 mL (2 mL minimum) collected in a sterile leak-proof container.
Fresh (unfixed) tissue: 2 grams collected in a sterile leak-proof container. Specimen must be kept moist with saline.Specimens should not be frozen if sample is to be shared with AFB culture.
Whole blood: 3 mL (1 mL minimum) collected in an EDTA (lavender-top tube) or ACD (yellow-top tube).
Test Schedule Daily
Turnaround Time 3-4 days
MYOSITIS ASSESS, JO 1 AUTOABSTest Code MYAJO1
Billing Code MYAJO1Effective 10/27/2017
Delete This test is being discontinued. Use the ordercode MYOPII to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 58
MYOSITIS PANEL IITest Code MYOPII
Billing Code MYOPIIEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 4 mL
EmergencyMinimum Volume
0.5 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Refrigerated 5 days
Frozen -20c 1 year
UnacceptableCondition
Specimens other than serum. Grossly hemolyzed, lipemic, or icteric samples.
ReferenceLaboratory
LabCorp
Reference labTest Code
840020
CPT Codes 86235 x 8
Method Western Blot/Line Blot
New New Test - Replaces MYAJO1
NABFERON NEUTRALIZING AB TESTTest Code INFBR
Billing Code INFBREffective 10/27/2017
Delete This bill only test is being discontinued.
NEURONAL NUCLEAR ABTest Code NEUIGB
Billing Code NEUIGBEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode PARNP1 to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 59
NEUROPATHY PROFILE III RFLXTest Code NEUPR3
Billing Code NEUPR3Effective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 3 mL
EmergencyMinimum Volume
1 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp 5 days
Refrigerated 5 days
Frozen -20c 1 year
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
808977
CPT Codes 83520 x 8, 86255
Test Schedule Weekly x 1
Turnaround Time Within two weeks from the time of specimen receipt
Method Enzyme-linked immunosorbent assay
ClinicalSignificance
Antibodies against glycolipids (GM1, GD1a, GD1b, GQ1b, Asialo GM1 and sulphatides) are present Guillain-Barrésyndrome (GBS), IgM paraproteinemic neuropathy, and chronic demyelinating polyneuropathy. Antibodies to oneor more glycolipids are present in 60-70% of patients with GBS. The titers of antiglycolipid antibodies are higher inacute phase and decrease with clinical improvement. Antibodies to GM1 and/or GD1b are frequently found in acutephase GBS. The two antibodies together occur in 20% of these cases, anti-GM1 without anti-GD1b antibodies inabout 10% and anti-GD1b without anit-GM1 antibodies in about 10% of GBS patients.Antibodies to GQ1b or IgGisotype are present in 95% of patients with Miller Fisher Syndrome (MFS). The titers of these antibodies fluctuatewith disease activity. IgM paraproteinemia is often associated with peripheral neuropathies. These antibodies arepresent in one half of patients with specificity for SGPG, GD1b and other gangliosides. Anti-GM1 IgM are usuallyassociated with motor dominant or sensorimotor neuropathies. These antibodies are also elevated in multifocalneuropathies such as GBS, CIPD and other immunological diseases.
Reflex Testing
Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes
If Anti GM1 (IgM) is > = 1:100 Anti GM1 IgM Titer No Reflex CPT Code AGM1IM
If Anti GM1 (IgG) is > = 1:100 Anti GM1 IgG Titer No Reflex CPT Code AGM1GT
If Anti GD1a (IgM) is > = 1:100 Anti GD1a IgM Titer No Reflex CPT Code AGDAMT
If Anti GD1a (IgG) is > = 1:100 Anti GD1a IgG Titer No Reflex CPT Code AGDAGT
Reflex Testingcontinued
If Anti GD1b (IgM) is > = 1:100 Anti GD1b IgM Titer No Reflex CPT Code AGDBMT
If Anti GD1b (IgG) is > = 1:100 Anti GD1b IgG Titer No Reflex CPT Code AGDBGT
If Asialo GM1 Antibody, IgM is> = 1:100
Anti Asialo GM1 IgM Titer No Reflex CPT Code AAG1MT
If Asialo GM1 Antibody, IgG is> = 1:100
Anti Asialo GM1 IgG Titer No Reflex CPT Code AAG1GT
If Anti Myelin Glyco IgM Rflx is> = 1:100
Anti MAG Abs (Western Blot) No Reflex CPT Code AMAGWB
NewNew Test - Replaces GM1COM
Reflex testing provided at no charge.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 60
NEUROPATHY PROFILE III RFLXFees Fees for this test are being adjusted. Please contact your Sales Representative or Client Services for fee
information.
OCCULT BLOOD, GASTRIC FLUIDTest Code OBGA
Billing Code OBGAEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode OCBDLL to order this test.
OCCULT BLOOD, GASTRIC FLUIDTest Code OCBDLL
Billing Code OCBDLLEffective 10/27/2017
Container Type Sterile leakproof container with screw-cap
Supply ItemNumber
1387
Store andTransport
Ambient (room temperature)
Specimen Type Gastric fluid
Preferred Volume 5 mL
Patient Prep
Patient should not receive vitamin C(ascorbic acid) for 3 days prior to occult blood testing by guaiac. Vitamin Cdoesnot affect the HemoQuant test. Antacids may cause false-neg-ative guaiac test. A high bulk, red meat free dietwith res-triction of peroxidase-rich vegetables(turnips, horseradish,artichokes, mushrooms, radishes, broccoli,bean sprouts, cauliflower, apples, oranges, bananas, cantaloupes, grapes),has been recommended for 72 hoursprior to guaiac testing, and during testing, to decrease the incidence of false- positives. Therapeutic iron causesfalse-positives with guaica with guaiac tests in over half of healthy subjects. Alcohol and aspirin, especiallytogether,and other gastric irritants steroids, rauwolfia derivatives, all nonsteroidal anti-inflammatory drugs,colchicine) should also be avoided.
ReferenceLaboratory
LabCorp
Reference labTest Code
182196
CPT Codes 82271
Test Schedule Mon-Fri
Turnaround Time 3-5 days
Method Guaiac
New New Test - Replaces OBGA
OVARIAN AB SCREEN RFLXTest Code OVAB
Billing Code OVABEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode OVABL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 61
OVARY ANTIBODY IGG RFLXTest Code OVABL
Billing Code OVABLEffective 10/27/2017
Container Type Serum separator tube (gold, brick, SST, or corvac)
Supply ItemNumber
1467
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.25 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube and freeze.
Room Temp 5 days
Refrigerated 5 days
Frozen -20c 1 year
AlternateSpecimens
Red top tube (plain)
ReferenceLaboratory
LabCorp
Reference labTest Code
808616
CPT Codes 86255
Test Schedule Weekly x 1
Turnaround Time Within 1 week of specimen receipt
Method Indirect Immunofluorescence
Reflex Testing
Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes
If ovary antibody IGG ispositive
Anti Ovary Ab Pattern No Reflex CPT Code OVABLT
New New Test - Replaces OVAB and BOVAB
Please Note Reflex testing provided at no charge.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 62
PAROXETINETest Code PAROX
Billing Code PAROX.LCAEffective 10/27/2017
Synonyms Paroxetine, Serum or Plasma; Paxil; Pexeva
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.5 mL
Patient Prep Trough levels are most reproducible.
SpecimenProcessing
Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 3 days
UnacceptableCondition
Gel barrier tubes
AlternateSpecimens
Green top tube (heparin)
ReferenceLaboratory
LabCorp
Reference labTest Code
811133
CPT Codes 80332
Method Liquid Chromatography/Tandem Mass Spectrometry
ComplianceRemarks
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared orapproved by the Food and Drug Administration.
Notes Use: Therapeutic drug management
New New Test
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 63
PARVOVIRUS B19 AB PANELTest Code B19ABP
Billing Code B19ABP.LCAEffective 10/27/2017
Synonyms Human Parvovirus B19, IgG, IgM; Fifth Disease; Parvo; B19
Container Type Serum separator tube (gold, brick, SST, or corvac) and lavender top tube (EDTA)
Supply ItemNumber
1467 and 1222
Store andTransport
Refrigerated
Specimen Type Serum and whole blood
Preferred Volume Serum: 1.0 mL; whole blood: 1.0 mL
EmergencyMinimum Volume
Serum: 0.5 mL; whole blood: 0.5 mL
SpecimenProcessing
Separate serum from cells and transfer to a standard PAML aliquot tube.
Room Temp Serum: 2 weeks; whole blood: 1 week
Refrigerated Serum: 2 weeks; whole blood: 1 week
Frozen -20c Serum: 2 weeks; freeze/thaw cycles: Stable x 3; whole blood: unacceptable
UnacceptableCondition
Hemolysis; lipemia; gross bacterial contamination; frozen whole blood
ReferenceLaboratory
LabCorp
Reference labTest Code
236956
Method Enzyme Immunoassay/Real-Time Polymerase Chain Reaction
Notes
Use: Differential diagnosis of acute or recent infection from past infection with human parvovirus associated witherythema infectiosum (fifth disease), aplastic crisis, and fetal infection.
Additional Information: IgM antibodies are detectable two weeks after exposure. IgG antibody production usuallyoccurs 18 to 24 days after exposure. The presence of IgM antibodies to parvovirus B19 provide definite evidence ofrecent infection.
PEMPHIGOID PANELTest Code PAPEB
Billing Code PEMPEBEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode GLBMAB and BUPHLC to order this test.
PEPPER WHITE IGETest Code ICPWEI
Billing Code ICPWEIEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode ICFBP to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 64
PRION PROTEIN (14,3,3), CSF RFLXTest Code PRION
Billing Code PRION.LCAEffective 10/27/2017
ReferenceLaboratory
LabCorp
Reference labTest Code
081695
Reflex Testing
Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes
CSF samples with tau levels >= 500 pg/ml
RT QulC (CSF) 87798 PRIORL
Please Note This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if thereflex test is necessary.
PROPAFENONETest Code PROPAF
Billing Code PROPAFENONEEffective 10/27/2017
Delete This test is being discontinued due to low utilization.
PYRROLES, URINETest Code PYRURI
Billing Code PYRURI.LCAEffective 10/27/2017
Container Type Leakproof plastic urine container and amber plastic transport tube
Supply ItemNumber
1387 and 3415
Preferred Volume 10 mL
Patient PrepIf first time testing for pyrroles, discontinue taking any B6 or Zinc one week prior to collecting specimen. If undertreatment for pyrroluria, continue taking vitamin B6 and Zinc. Female patients: DO NOT collect specimen duringmenstrual cycle.
SpecimenProcessing
Add approximately 8 mL of urine to an amber plastic tube containing 500 mg of ascorbic acid. Mix and freeze. Mustbe protected from light. (Wrap tube in foil for light protection if amber tube is not available). Tubes are available throughPAML Supply #3415.
Frozen -20c 1 month (kept fozen)
UnacceptableCondition
Ascorbic acid not used to maintain specimen stability; received not frozen; not protected from light
ReferenceLaboratory
LabCorp
Reference labTest Code
823054
CPT Codes 84999
ClinicalSignificance
A urine test for diagnosis and monitoring severe physiological or psychological stress. Pyrroles appear in theurine of patients undergoing severe physiological or psychological stress. The presence of urinary pyrroles(mauve factor) was first reported in patients with LSD psychosis. Later, high levels of pyrroles were found in theurine of schizophrenic patients. The chemical structure is a 2,4 dimethyl-3-ethylpyrrole. It is also calledkryptopyrrole. Kryptos comes from the Greek word "hidden."
Please Note Previous CPT Code: 84311
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 65
PYRUVIC ACID, CSFTest Code PYACFA
Billing Code PYACFA.LCAEffective 10/27/2017
Container Type Sterile CSF plastic tube
Supply ItemNumber
4448
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type CSF
Preferred Volume 1 mL
EmergencyMinimum Volume
1 mL
Patient Prep Patient should be at complete rest.
SpecimenProcessing
1. Immediately after CSF is drawn, add exactly 1 mL CSF to a chilled pyruvate collection tube containing 2 mL 8percent (w/v) perchloric acid
2. Mix well for 30 seconds then place in an ice bath for 10 minutes.
3. Centrifuge for 10 minutes at 1500 x g.
4. Decant 2 mL supernatant to a PAML Standard Transport Tube and freeze.
Room Temp Unacceptable
Refrigerated 2 days
Frozen -20c 1 month
UnacceptableCondition
If less than 1 mL of CSF is added to collection tube, pH of the supernatant will be too low for testing.
ReferenceLaboratory
LabCorp
Reference labTest Code
216834
CPT Codes 84210
Test Schedule Daily
Turnaround Time 2-4 days
Method Enzymatic
ReferenceRanges
Title Ranges Units
Pyruvic Acid, CSF 0.060-0.190 mmol/L
Notes Useful for investigating possible disorders of mitochondrial metabolism, particularly when used in conjunctionwith CSF lactate.
New New Test
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 66
SILICONTest Code SILIS
Billing Code SILIS.LCAEffective 10/27/2017
Synonyms Silicon, Serum/Plasma
Container Type Royal Blue top tube (Trace metal-free; EDTA)
Supply ItemNumber
9734
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 2 mL
EmergencyMinimum Volume
0.7 mL
SpecimenProcessing
Separate plasma or serum from cells within 45 minutes of collection and transfer into an acid washed plastic screwcapped vial.
Room Temp 2 weeks
Refrigerated 3 weeks
Frozen -20c 2 weeks
UnacceptableCondition
Glass container. Polymer gel separation tube (SST or PST).
AlternateSpecimens
Royal Blue top tube (Trace metal-free; No additive)
ReferenceLaboratory
LabCorp
Reference labTest Code
823579
CPT Codes 83018
Test Schedule Mon
Turnaround Time 8-10 days
Method Inductively Coupled Plasma/Optical Emission Spectrometry
Notes
Exposure Monitoring/Investigation; This test assesses the presence of Silicon and does NOT measure Silica orSilicone. Silica is silicon dioxide (SiO2), which is found in quartz and sand. Silicones are inert syntheticorganosilicon compounds used in adhesives, sealants, lubricants, medical applications, insulation and cookingutensils.
New New Test
SMA DIAGNOSTIC TESTTest Code SMADS
Billing Code SMADSEffective 9/27/2017
Delete This test is being discontinued. Use the ordercode SMACNA to order this test.
SPERM ANTIBODY (IGA, IGG)Test Code SPABAG
Billing Code SPABAGEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode SPEABL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 67
S-PHENYLMERCAPTURIC ACID, URINETest Code SPAU
Billing Code SPAU.LCAEffective 10/27/2017
ReferenceLaboratory
LabCorp
Reference labTest Code
823562
Reflex Testing
Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes
Creatinine is > = 5000 or < = 200 Specific Gravity Confirmation,Urine
No Reflex CPT Code SGSPAU
Please Note Reflex testing performed at no charge.
STREPTOMYCIN, LEVEL (HPLC)Test Code STREPL
Billing Code STREPL.LCAEffective 9/21/2017
CPT Codes 80299
Please Note Previous CPT Code: 82492
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 68
THYMIDINE DETERMINATION - PLASMATest Code THYMA
Billing Code THYMAEffective 10/27/2017
Synonyms Thymidine phosphorylase
Container Type Green top tube (sodium heparin)
Supply ItemNumber
1398
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Plasma
Preferred Volume 2 mL
EmergencyMinimum Volume
1 mL
SpecimenProcessing
Promptly separate plasma from cells and transfer to a standard PAML aliquot tube and freeze.
Room Temp Unacceptable
Refrigerated Unacceptable
Frozen -20c 1 week
ReferenceLaboratory
LabCorp
Reference labTest Code
823567
CPT Codes 83789
Turnaround Time 15-21 days
Method Tandem Mass Spectroscopy
ComplianceRemarks
This test was developed and its performance charactistics determined by Baylor Miraca Genetics LaboratoriesDBA Baylor Genetics It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA asqualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded asinvestigational or for research.
NotesThis test provides quantitative analysis of Thymidine in Plasma. This test is useful for evaluation of patientssuspected of MNGIE Disease. Results from this test are not useful for Carrier Testing. Please note, carriers mayhave Thymidine levels in the normal range.
New New Test - Replaces THYDET
THYMIDINE PHOSPHORYLASETest Code THYDET
Billing Code THYDETEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode THYMA to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 69
TOCAINIDE, SERUM OR PLASMATest Code TOC
Billing Code TOC.LCAEffective 10/27/2017
Synonyms Tonocard®
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 1 mL
EmergencyMinimum Volume
0.5 mL
SpecimenProcessing
Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 3 days - beyond three days, specimen should be refrigerated or frozen.
UnacceptableCondition
Gel-barrier tubes
AlternateSpecimens
Green-top (heparin) tube
ReferenceLaboratory
LabCorp
Reference labTest Code
811372
CPT Codes 80299
Method Liquid chromatography/tandem mass spectrometry (LC/MS-MS)
ComplianceRemarks
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared orapproved by the Food and Drug Administration.
New New Test
TOXOCARA (T. CANIS/T. CATA) ABTest Code TOXOC
Billing Code TOXOCEffective 9/21/2017
Delete This test is being discontinued. Use the ordercode TOXC to order this test.
TRICHINELLA AB, IGGTest Code TRICAB
Billing Code TRICHEffective 11/11/2017
Delete This test is being discontinued.
TROFILE CO RECEPTOR TROPISMTest Code TCRTA
Billing Code TCRTAEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode TROFIL to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 70
TROFILE®Test Code TROFIL
Billing Code TROFILEffective 10/27/2017
Synonyms HIV; Tropism, Co-Receptor Tropism (phenotypic); Monogram Biosciences; CCR5; CXCR4; Chemokine co-receptortropism Trofile®; Human Immunodeficiency Virus (HIV) co-receptor tropism phenotype
Container Type Two lavender top tubes (EDTA)
Supply ItemNumber
1222
Store andTransport
Frozen - Separate samples must be submitted when multiple tests are ordered.
Specimen Type Plasma
Preferred Volume 3 mL
EmergencyMinimum Volume
3 mL
CollectionProcedure
Collect specimen in 2 lavender-top (EDTA) tubes or 2 PPT(TM) tubes. Do NOT use green-top (heparin) tubes.
SpecimenProcessing
Separate plasma from cells within 6 hours of collection. Transfer plasma to a standard PAML aliquot tube andfreeze immediately. CRITICAL FROZEN
Room Temp Unacceptable
Refrigerated Unacceptable
UnacceptableCondition
PPT not centrifuged; insufficient volume; heparinized plasma; non frozen specimens
AlternateSpecimens
Two plasma preparation tubes (PPT)
Limitations Provide patient's most recent viral load and viral load collection date. Procedure should be used for patients withdocumented HIV-1 infection and viral loads greater than 1000 copies/mL.
ReferenceLaboratory
LabCorp
Reference labTest Code
550220
CPT Codes 87999
Test Schedule Varies
Turnaround Time 3-4 weeks
Method Polymerase Chain Reaction Amplification and Viral Culture
Notes
Use/Additonal Details: Detect HIV-1 co-receptor tropism, determine eligibility for CCR5 antagonist therapy such asSelzentry(TM) (maraviroc).
Trofile® is a trademark of Monogram Biosciences®.
New New Test - Replaces TCRTA
Please Note Critical frozen
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 71
PAML Web Test Directory Link
VERAPAMILTest Code VERAPA
Billing Code VERAPA.LCAEffective 10/27/2017
Synonyms Calan; Isoptin; Verelan
Container Type Red top tube (plain)
Supply ItemNumber
1372
Store andTransport
Refrigerated
Specimen Type Serum
Preferred Volume 3 mL
EmergencyMinimum Volume
1.2 mL
SpecimenProcessing
Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.
Room Temp 2 weeks
Refrigerated 1 month
Frozen -20c 18 months
UnacceptableCondition
Polymer gel separation tube (SST or PST)
AlternateSpecimens
Lavender top tube (EDTA)
ReferenceLaboratory
LabCorp
Reference labTest Code
829873
CPT Codes 80375
Test Schedule Mon-Fri
Turnaround Time 4-5 days
Method Gas Chromatography
New New Test
WINGSCALE IGETest Code ICWISI
Billing Code ICWISIEffective 10/27/2017
Delete This test is being discontinued. Use the ordercode ICWSC to order this test.
Test Change Alert #462 October 09, 2017
The following tables reflect revisions only; other existing data remain unchanged.
page: 72