Aerobic Wound Culture and Stain

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Aerobic Wound Culture and Stain Order Name: C WOUN RTS Test Number: 6000153 Revision Date: 03/27/2014 Aerobic Wound Culture and Stain Culture Preferred 1 ml Tissue Sterile Screwtop Container Room

1 Aerobic Wound Culture and Stain Order Name: C WOUN RTS Test Number: Revision Date: 03/27/2014 Aerobic Wound Culture and Stain Culture Preferred 1 ml Tissue Sterile Screwtop Container Room Temperature Alternate 1 1 ml Fluid Sterile Screwtop Container Room Temperature Alternate 2 Swab Swab Anaerobic Gel Swab (Blue Cap) Room Temperature Instructions Place swab in sterile transport (Culturette or Port-a-Cul). Send fluids or tissues in sterile container. Notes Daily 3 Days Aerobic culture for determining bacterial pathogens from wound, tissue and sterile fluid sites. Sensitivities done on isolates considered pathogens. CPT Code(s) 87070, 87205

2 Anti-Thrombin 3 (ATIII) Antigen Order Name: THROMB3 AG Test Number: Revision Date: 03/31/2014 LOINC Code: Anti-Thrombin 3 (ATIII) Antigen Nephelometry Preferred 2 ml (0.5) Plasma Sodium Citrate 3.2% (Blue Top) Frozen Instructions Patient should abstain from anabolic steroids, gemfibrozil, warfarin (coumadin), heparin therapy, asparaginase, estrogens, gestodene, and oral contraceptives optimally for 3 days prior to specimen collection. Overnight fasting is preferred. Send citrated plasma aliquots. They must be double spun then aliquot 1.5 ml plasma from each tube into individual plastic aliquot tubes and freeze. Do not pool aliquots together! Do not thaw. Tue, Thr 3-5 Days CPT Code(s) 85301

3 Celiac Disease Panel - Pediatric Tissue Transglutaminase IgA (IgA anti-ttg) Gliadin Deamidated Antibody, IgA Immunoglobulin, IgA Quantitative Order Name: PED CELIAC Test Number: Revision Date: 03/24/2014 Enzyme Immunoassay Enzyme Immunoassay Nephelometry Preferred 2mL (1) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Notes Mon, Wed 5-7 Days Evaluation of Celiac Disease in pediatric patients less than 3 years of age. In toddlers, IgG anti-ttg is not reliable, and referral for a small bowel biopsy is recommended for those with serum IgA deficiency. Recent literature has reported that Celiac disease (CD) is a more common disorder in the United States than previously recognized. CPT Code(s) 83516x2; 82784

4 Cryptococcus Antigen Screen - CSF Cryptococcus Antigen Screen - CSF Order Name: CSF CRYPTO Test Number: Revision Date: 03/24/2014 Enzyme Immunoassay Preferred 3 ml (1) CSF (Cerebrospinal Fluid) Sterile Screwtop Container Refrigerated Daily 1 Day Detects presence of Cryptococcus neoformans in CSF Notes July 5th 2012, Changed CPT from Latex agglutination to EIA method CPT Code(s) 87899

5 Cryptococcus Antigen Screen - Serum Cryptococcus Antigen Screen - Serum Order Name: CRYPTO AG Test Number: Revision Date: 03/24/2014 Enzyme Immunoassay Preferred 4 ml (1) Serum Clot Activator (Red Top, No-Gel) Refrigerated Instructions Cleanse venipuncture site Daily 1 Day Detects presence of Cryptococcus antigen in peripheral blood Notes July 5th 2012, Changed CPT from Latex agglutination to EIA method CPT Code(s) 87899

6 Endomysial IgA Antibody Screen Reflex to Titer Order Name: ENDOMYS AB Test Number: Revision Date: 03/10/2014 Endomysial IgA Antibody Screen Endomysial IgA Antibody Titer Indirect Fluorescent Antibody Indirect Fluorescent Antibody Preferred 1 ml (0.3 ml) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Alternate 1 1 ml (0.3 ml) Serum Clot Activator (Red Top, No-Gel) Refrigerated Tue - Sat 2-4 Days The presence of anti-endomysial (EMA) IgA antibodies has been shown to correlate with gluten-sensitive enteropathy such as celiac disease (CD) and dermatitis herpetiformis (DH). EMA is detected primarily by IFA, using monkey esophagus as a substrate and observing fluorescence of the endomysial lining. Patients with CD and DH can also demonstrate antibodies to reticulin and gliadin, though EMA-IgA seems to be the most specific marker (specifically %). CPT Code(s) If Endomysial Antibody Screen (IgA) is abnormal, Endomysial Antibody Titer will be performed at an additional charge. CPT code: Lab Section Reference Lab

7 Hepatitis A Total Antibody Hepatitis A Total Antibody Index Order Name: HEP A T AB Test Number: Revision Date: 03/03/2014 Chemiluminescence Assays Hepatitis A Total Antibody Interpretation Preferred 2 ml (0.5 ml) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Reference Range Mon - Fri 1-2 Days CPT Code(s) 86708

8 Hepatitis B Core Total Antibody Hepatitis B Core Total Antibody Index Order Name: HEP BCOR T Test Number: Revision Date: 03/03/2014 Chemiluminescence Assays Hepatitis B Core Total Antibody Interpretation Preferred 2 ml (0.5 ml) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Mon-Fri 1-2 Days CPT Code(s) 86704

9 Hepatitis Be Antigen Hepatitis Be Antigen Index Order Name: HEP BE AG Test Number: Revision Date: 03/03/2014 Chemiluminescence Assays Hepatitis Be Antigen Interpretation Preferred 2 ml (0.5 ml) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Mon - Fri 1-2 Days CPT Code(s) 87350

10 Omega 3 and 6 Fatty Acids, Plasma Order Name: OMEGA 3/6 Test Number: Revision Date: 03/03/2014 Omega-3 (EPA+DHA) Index Omega-6/Omega-3 Ratio Arachidonic Acid/EPA Ratio Arachidonic Acid EPA DHA Cardiovascular Disease Risk Calculation Calculation Calculation Liquid Chromatography/Tandem Mass Spectrometry Liquid Chromatography/Tandem Mass Spectrometry Liquid Chromatography/Tandem Mass Spectrometry INTERP Preferred 2 ml (0.4 ml) Plasma EDTA (Lavender Top) Refrigerated Instructions OVERNIGHT FASTING IS REQUIRED. Unacceptable specimen: Gross Hemolysis; Gross Lipemia; Gross Icteria. STABILITY: Room temperature: 7 Days, Refrigerated: 7 Days, Frozen: 28 Days. Sun-Sat 4-6 Days Omega-3 fatty acids are anti-inflammatory and antithrombotic, while omega-6 fatty acids are the opposite (proinflammatory and prothrombotic). Balance between the 2 is important for cardiovascular health. The omega-3 index is an indicator of cardiovascular disease risk. CPT Code(s) Lab Section Reference Lab

11 Platelet Function Studies Platelet Function, ADP Platelet Function, Epinephrine Order Name: PLT FUN Test Number: Revision Date: 03/19/2014 Platelet Function Testing Platelet Function Testing Preferred 6 ml Whole Blood Sodium Citrate 3.2% (Blue Top) Room Temperature Instructions NOTE: If collected at a location other than the laboratory at St. John Medical Center 1923 South Utica Ave. Tulsa, Then please send by STAT courier the the laboratory at St. John Medical Center for testing. Specimen must be tested within 4 hours of collection. Do not refrigerate! Please write on request if patient is receiving aspirin. Two 2.7 ml blue top. DO NOT Spin, Filter or Freeze specimens! Patient should have PLT >150,000 and HCT >35% for accuracy. CPT Code(s) Daily 1 Day Platelet function studies are done to evaluate platelet function. This is a specialized test and would normally be performed in patients with some indicator of a qualitative platelet disorder x2

12 Poliovirus Antibodies Poliovirus Type 1 Antibodies Poliovirus Type 2 Antibodies Poliovirus Type 3 Antibodies Order Name: POLIO ABS Test Number: Revision Date: 03/19/2014 Indirect Fluorescent Antibody Indirect Fluorescent Antibody Indirect Fluorescent Antibody Preferred 1 ml (0.5) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated CPT Code(s) Lab Section Wed, Fri 3-7 Days 86658x3 Reference Lab

13 Ristocetin Cofactor Ristocetin Cofactor Order Name: RISTOC COF Test Number: Revision Date: 03/31/2014 PLATELET AGGREGATION Preferred 2 ml (1) Plasma Sodium Citrate 3.2% (Blue Top) Frozen Instructions Frozen Citrated plasma, plasma must be double spun and frozen in 1.5 ml aliquots. Do not pool plasma from multiple tubes! Do not thaw. Hemolyzed specimens are not acceptable. See Specimen Collection Section, Coagulation Testing. Fasting for at least 8 hours is preferred. Mon, Wed, Fri 2-5 Days CPT Code(s) Lab Section Reference Lab

Activated Partial Thromboplastin Time (aptt)

Activated Partial Thromboplastin Time (aptt) Order Name: PTT Test Number: 1500050 REV DATE:12/26/2008 Activated Partial Thromboplastin Time (aptt) CLOT Preferred 2.7 ml Whole Blood Sodium Citrate 3.2%