SPECIMEN REQUIREMENTS. Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment

Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632 Calprotectin, Fecal Order Name: CALPRO FEC Test Number: 3501045 Revision...
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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Calprotectin, Fecal

Order Name:

CALPRO FEC

Test Number:

3501045

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

38445-3

METHODOLOGY Quantitative Enzyme Immunoassay

Calprotectin, Fecal

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

5g (1g)

Stool, Raw

Sterile Screwtop Container

Frozen

Instructions

5g (1g) Stool unpreserved collected in a Sterile leak-proof container. Do not add fixative or preservative. Specimen Stability: Room temperature: 11 days, Refrigerated: 11 days, Frozen: 1 year

GENERAL INFORMATION Testing Schedule

Mon-Sat

Expected TAT

2-4 Days

Clinical Use

Diagnose inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis. Differentiate IBD from irritable bowel syndrome (IBS).

CPT Code(s)

83993

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Dehydroepiandrosterone Unconjugated (DHEA)

Order Name:

DHEA UNC

Test Number:

4001875

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

2193-1

METHODOLOGY Quantitative HPLC/Tandem Mass Spectrometry

Dehydroepiandrosterone Unconjugated (DHEA)

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

1 mL (0.3 mL)

Serum

Clot Activator (Red Top, No-Gel) Refrigerated

Alternate 1

1 mL (0.3 mL)

Plasma

EDTA (Lavender Top)

Refrigerated

Alternate 2

1 mL (0.3 mL)

Plasma

Lithium Heparin PST (Light

Refrigerated

Green Top) Instructions

Collect between 6-10 a.m. Separate serum or plasma from cells ASAP or within 2 hours of collection. Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 6 months

GENERAL INFORMATION Testing Schedule

Sun-Sat

Expected TAT

2-5 days

CPT Code(s)

82626

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Ethosuximide (Zarontin)

Order Name:

ETHOSUXIM

Test Number:

4002550

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

3616-0

METHODOLOGY Quantitative Enzyme Immunoassay

Ethosuximide (Zarontin)

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

1 mL (0.5)

Serum

Clot Activator (Red Top, No-Gel) Refrigerated

Alternate 1

1 mL (0.5)

Plasma

EDTA (Lavender Top)

Instructions

Timing of specimen collection: Pre-dose (trough) draw - At steady state concentration.

Refrigerated

Separate serum or plasma from cells ASAP or within 2 hours of collection. Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Stability: After separation from cells: Ambient: 5 days; Refrigerated: 2 weeks; Frozen: 2 months.

GENERAL INFORMATION Testing Schedule

Tue, Wed, Sat

Expected TAT

2-6 Days

Clinical Use

Ethosuximide is an anticonvulsant used to treat patients with petit mal, myoclonic, and akinetic seizures. Therapeutic drug monitoring is useful to optimize dose and avoid toxicity.

CPT Code(s)

80168

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

HE4, Ovarian Cancer Monitoring

Order Name:

HE4

Test Number:

2024067

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

55180-4

METHODOLOGY Quantitative Enzyme Immunoassay

HE4, Ovarian Cancer Monitoring

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

0.5mL (0.3mL)

Serum

Clot Activator (Red Top, No-Gel) Frozen

Alternate 1

0.5mL (0.3mL)

Serum

Clot Activator SST (Red/Gray or

Frozen

Tiger Top) Instructions

Allow specimen to clot completely at room temperature. Unacceptable Conditions: Hemolyzed or lipemic specimens. Stability: Ambient: 4 hours; Refrigerated: 72 hours; Frozen: 60 days

GENERAL INFORMATION Testing Schedule

Thr, Sun

Expected TAT

2-9 Days

Clinical Use

HE4 is a biomarker for ovarian cancer.

CPT Code(s)

86305

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

IGF Binding Protein-3 (IGFBP-3)

Order Name:

IGF-3

Test Number:

3602480

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

2483-6

METHODOLOGY Quantitative Chemiluminescent Immunoassay

IGF Binding Protein-3 (IGFBP-3)

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

0.5 mL (0.3 mL)

Serum

Clot Activator SST (Red/Gray or

Frozen

Tiger Top) Alternate 1

0.5 mL (0.3 mL)

Plasma

Sodium Heparin (Green Top,

Frozen

No-Gel) Instructions

Collect: Serum separator tube. Also acceptable: Green (sodium heparin). Unacceptable Conditions: Tissue or urine. Grossly hemolyzed or lipemic specimens. Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 1 year

GENERAL INFORMATION Testing Schedule

Sun-Sat

Expected TAT

2-3 Days

CPT Code(s)

82397

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Lipoprotein (a)

Order Name:

LIPOPROT A

Test Number:

2020875

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

10835-7

METHODOLOGY Quantitative Immunoturbidimetric

Lipoprotein (a)

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

1 mL (0.5)

Serum

Clot Activator SST (Red/Gray or

Refrigerated

Tiger Top) Alternate 1

1 mL (0.5)

Plasma

EDTA (Lavender Top)

Refrigerated

Alternate 2

1 mL (0.5)

Plasma

Lithium Heparin PST (Light

Refrigerated

Green Top) Instructions

Serum separator tube or plasma separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA). Allow serum to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Unacceptable Conditions: Body Fluids.

GENERAL INFORMATION Testing Schedule

Sun-Sat

Expected TAT

2-3 Days

Clinical Use

Elevated concentrations of Lp(a) are associated with increased risk of coronary artery disease.

CPT Code(s)

83695

Lab Section

Reference Lab

Service provided by Regional Medical Laboratory - Visit us Online at: www.rmlonline.com All Rights Reserved. © 2013 - 2015

Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Magnesium, RBC

Order Name:

MAG RBC

Test Number:

3803525

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

2597-3

METHODOLOGY Quantitative Inductively Coupled Plasma-Mass

Magnesium, RBC

Spectrometry

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

2 mL (0.6 mL)

Whole Blood

EDTA (Royal Blue Top/Trace

Room Temperature

Element Free) Instructions

Collect: Royal blue (EDTA). Centrifuge whole blood and separate RBCs from plasma within 2 hours of collection. Transfer 2 mL RBCs to a Trace Element-Free Transport Tube. Unacceptable Conditions: Frozen. Clotted or grossly hemolyzed specimens. Stability: After separation from plasma: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: Unacceptable

GENERAL INFORMATION Testing Schedule

Mon, Wed-Sat

Expected TAT

2-4 Days

CPT Code(s)

83735

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Pancreatic Elastase, Fecal

Order Name:

STOOL ELAS

Test Number:

3502350

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

25907-7

METHODOLOGY Enzyme-Linked Immunosorbent Assay

Pancreatic Elastase, Fecal

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

5g (1g)

Stool, Random

Sterile Screwtop Container

Frozen

Instructions

Interruption of enzyme substitution therapy recommended in order to avoid the possibility of cross-reaction with porcine enzymes. Transfer 5 g stool to an unpreserved stool transport vial. Unacceptable Conditions: Stool in media or preservative. Swabs. Stability: Ambient: 5 days; Refrigerated: 1 week; Frozen: 1 year.

GENERAL INFORMATION Testing Schedule

Sun, Tue-Fri

Expected TAT

2-5 days

Clinical Use

The Elastase-1 is a quantitative enzyme linked immunosorbent assay for measuring concentrations of elastase-1 in feces as an aid in diagnosis of the exocrine pancreatic function.

CPT Code(s)

83520

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Primidone (Mysoline) Level

Order Name:

PRIMID REF

Test Number:

4008230

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

3978-4

METHODOLOGY Immunoassay

Primidone (Mysoline) Level

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

1mL (0.8 mL)

Serum

Clot Activator (Red Top, No-Gel) Refrigerated

Alternate 1

1mL (0.8 mL)

Plasma

Sodium Heparin (Green Top /

Refrigerated

No-Gel) Instructions

Collect just prior to next dose. Collect: Plain red. Also acceptable: Green (sodium heparin). Allow serum to clot completely at room temperature. Separate serum from cells within 2 hours of collection. Unacceptable Conditions: Separator tubes. Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 1 month.

GENERAL INFORMATION Testing Schedule

Sun-Sat

Expected TAT

2-3 Days

CPT Code(s)

80188

Lab Section

Reference Lab

Service provided by Regional Medical Laboratory - Visit us Online at: www.rmlonline.com All Rights Reserved. © 2013 - 2015

Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Procalcitonin

Order Name:

PROCALCITN

Test Number:

5700157

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

33959-8

METHODOLOGY Immunofluorescent Assay

Procalcitonin

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

2 mL (0.5 mL)

Serum

Clot Activator SST (Red/Gray or

Frozen

Tiger Top) Alternate 1

2 mL (0.5 mL)

Plasma

EDTA (Lavender Top)

Frozen

Alternate 2

2 mL (0.5 mL)

Plasma

Lithium Heparin PST (Light

Frozen

Green Top) Instructions

The same specimen type (serum, plasma) should be used throughout the patient's clinical course. Collect: Plasma separator tube or serum separator tube. Allow serum to sit for 15-20 minutes for proper clot formation and to ensure the absence of fibrin in the serum which can interfere with this assay. Separate serum or plasma from cells within 2 hours of collection. Unacceptable Conditions: Specimens collected in citrate anticoagulant. Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 1 month.

GENERAL INFORMATION Testing Schedule

Sun-Sat

Expected TAT

2-3 Days

Clinical Use

Used in the diagnosis of bacteremia and septicemia in adults and children (including neonates), renal involvement in urinary tract infection in children, bacterial infection in neutropenic patients, and in the diagnosis, risk stratification, and monitoring of septic shock, systemic secondary infection post-surgery, as well as in severe trauma, burns, and multiorgan failure. Differential diagnosis of bacterial versus viral meningitis. Differential diagnosis of community-acquired bacterial versus viral pneumonia. Monitoring of therapeutic response to antibacterial therapy.

CPT Code(s)

84145

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Thyroxine Binding Globulin (TBG)

Order Name:

TBG

Test Number:

3602755

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

3021-3

METHODOLOGY Quantitative Chemiluminescent Immunoassay

Thyroxine Binding Globulin (TBG)

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

0.5 mL (0.4 mL)

Serum

Clot Activator SST (Red/Gray or

Frozen

Tiger Top) Instructions

Unacceptable Conditions: Plasma, tissue or urine. Grossly hemolyzed or lipemic specimens. Stability: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 1 month.

GENERAL INFORMATION Testing Schedule

Mon, Wed, Fri

Expected TAT

2-5 Days

CPT Code(s)

84442

Lab Section

Reference Lab

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Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Trypsin (Trypsinogen)

Order Name:

TRYPSIN

Test Number:

3658575

Revision Date: 04/20/2015 LOINC Code:

TEST NAME

3066-8

METHODOLOGY Radioimmunoassay

Trypsin (Trypsinogen)

SPECIMEN REQUIREMENTS Specimen

Specimen Volume (min)

Specimen Type

Specimen Container

Transport Environment

Preferred

1 mL (0.3)

Serum

Clot Activator SST (Red/Gray or

Frozen

Tiger Top) Instructions

Allow serum tube to sit for 15-20 minutes at room temperature for proper clot formation. Centrifuge and separate serum or plasma from cells ASAP or within 2 hours of collection Unacceptable Conditions: Heparinized specimens. Hemolyzed or lipemic specimens. Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 3 months.

GENERAL INFORMATION Testing Schedule

Tues, Fri

Expected TAT

2-6 Days

Clinical Use

Trypsin (or trypsinogen) is considered a specific indicator of pancreatic damage. Increased values over the determined normal range may indicate inflammatory pancreatic condition.

CPT Code(s)

83519

Lab Section

Reference Lab

Service provided by Regional Medical Laboratory - Visit us Online at: www.rmlonline.com All Rights Reserved. © 2013 - 2015

Regional Medical Laboratory 4142 South Mingo Road Tulsa, OK. 74146-3632

Service provided by Regional Medical Laboratory - Visit us Online at: www.rmlonline.com All Rights Reserved. © 2013 - 2015