Basic Metabolic Panel

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1 Basic Metabolic Panel Order Name: CHEM 8 Test Number: REV DATE:2/5/2008 Glucose Urea Nitrogen, Blood (BUN) Creatinine Sodium Potassium Serum/Plasma Chloride Bicarbonate Calcium Anion Gap Calculated Hexokinase Urease/GLDH KAP(Jaffe) Enzymatic Arsenazo Calculation Preferred 1 ml (0.5) Plasma Lithium Heparin PST (Light Green Top) Refrigerated Special Specimen stability: Ambient 2 hours. Refrigerated 7 days. Instructions: Testing Schedule: Daily Expected TAT: 1-2 days Clinical Use: See detail tests. Cpt Code(s): 80048

2 Bordetella pertussis IgG & IgA Antibodies (MAID) Order Name: BOR PER AB Test Number: REV DATE:2/20/2008 IgG pertussis toxin (PT) IgA pertussis toxin (PT) IgG filamentous hemagglutinin antigen (FHA) IgA filamentous hemagglutinin antigen (FHA) MAID MAID MAID MAID Preferred 1mL (0.5) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Testing Schedule: Mon. Thr. Expected TAT: 3-6 Days Clinical Use: Testing for the presence of IgG and IgA antibodies to Bordetella pertussis by the the MAID assay has proven to be a highly sensitive and specific method for detecting IgG and IgA antibodies to pertussis toxin (PT) and filamentous hemagglutinin antigen (FHA). Cpt Code(s): (x4)

3 Comprehensive Metabolic Panel Order Name: CHEM 14 Test Number: REV DATE:2/5/2008 Glucose Urea Nitrogen, Blood (BUN) Creatinine Sodium Potassium Serum/Plasma Chloride Bicarbonate Anion Gap Calculated Calcium Aspartate Transaminase (AST) Alanine Transaminase (ALT) Alkaline Phosphatase Bilirubin Total Albumin Protein Total Hexokinase Urease/GLDH KAP(Jaffe) Enzymatic Calculation Arsenazo Enzymatic Enzymatic Enzymatic Jendrassik-Grof BCG Biuret Preferred 1 ml (0.5) Plasma Lithium Heparin PST (Light Green Top) Refrigerated Alternate 1 ml (0.5) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Special Specimen stability: Ambient 2 hours. Refrigerated 7 days. Instructions: Testing Schedule: Daily Expected TAT: 1-2 days Clinical Use: See detail tests. Cpt Code(s): 80053

4 Creatinine Order Name: CREATININE Test Number: REV DATE:2/5/2008 Creatinine KAP(Jaffe) Preferred 1 ml (0.5) Plasma Lithium Heparin PST (Light Green Top) Refrigerated Alternate 1 ml (0.5) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Special Specimen stability: Ambient 8 hours. Refrigerated 7 days. Instructions: Testing Schedule: Daily Expected TAT: 1-2 days Clinical Use: Useful for sensitive and quantitative measurement of renal function. Cpt Code(s): 82565

5 Creatinine, Urine Random Order Name: CREAT R U Test Number: REV DATE:2/5/2008 Creatinine, Urine Random KAP(Jaffe) Preferred 1 ml (0.5) Urine, Random Sterile Urine container Refrigerated Special Random urine collection. No preservative. Keep refrigerated. Specimen stability: Ambient 8 hours. Refrigerated 7 Instructions: days. Testing Schedule: Daily Expected TAT: 1-2 days Clinical Use: Useful in monitoring renal function, to follow possible progression of renal disease, adjust dosages of medications in which renal excretion is pivotal. Cpt Code(s): 82570

6 EBV (Epstein Barr Virus) Early Antigen (EA) Antibody Order Name: EB EARL AG Test Number: REV DATE:2/15/2008 EBV (Epstein Barr Virus) Early Antigen (EA) Antibody IFA Preferred 1 ml Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Testing Schedule: Mon, Wed, Fri Expected TAT: 2-5 Days Clinical Use: Anti-EBC EA will be elevated in patients who have acute, chronic or reactivated EBV infection. The anti-ebv EA is only detected during an active EBV infection. Cpt Code(s): 86663

7 Hypercoagulation Analyzer Order Name: HYPRCOAGAN Test Number: REV DATE:2/13/2008 Hypercoagulation Analyzer Preferred 65 ml Whole Blood See Instructions See Instructions Special Please list the patient's anticoagulant. Instructions: Please Collect the following tubes: Fifteen (2. 7mL) 3. 2% Sodium Citrate (Blue Top) tubes, Two (4. 7mL) EDTA (Lavender Top) tubes, One (7mL) lithium heparin (green top) tube and One (10mL) Clot Activator SST (Red/Gray Top) tube. Tubes must be filled to the proper level, no hemolysis. Improperly filled tubes can give erroneous results. Whole blood must be transported to lab immediately. If submitting only Citrated plasma, plasma must be double spun and frozen in 1. 5 ml aliquots. Do not pool plasma from multiple tubes! Testing Schedule: Mon - Fri Expected TAT: Testing dependent Clinical Use: A comprehensive algorithm used to assess the cause of hypercoagulability. Notes: Algorithm begins with an Activated Protein C Resistance, Homocysteine, Lupus sensitive PTT, Prothrombin time (PT), Prothrombin Gene Mutation, and a Partical Thromboplastin Time (PTT). Further testing is generated based on the results of these tests. A pathology interpretation is included with all orders. For more information on this Analyzer, access our "Specialized Tests" section of this guide for a complete listing of tests and CPT codes. Cpt Code(s): See the Test Notes Section of this test.

8 Inflammatory Bowel Disease Panel (Crohn's disease) Order Name: IBD PANEL Test Number: REV DATE:2/13/2008 Anti-Neutrophil Cytoplasmic Antibody (ANCA) Saccharomyces cerevisiae Antibodies (ASCA) (IgA, IgG) IFA ELISA Preferred 3 ml (1) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Testing Schedule: Assay Dependant Expected TAT: 5-7 Days Clinical Use: The Inflammatory Bowel Disease Differentiation Panel is useful in diagnosing patients with Crohn's disease. The Panel includes Antibodies against Saccharomyces cerevisiae (Baker's yeast) that are detected in approximately half of patients with Crohn's disease. Cpt Code(s): 86671x2, 86021

9 Motor-Sensory Neuropathy 1 Order Name: MOTR/SENS1 Test Number: REV DATE:2/7/2008 Motor-Sensory Neuropathy 1 EIA Preferred 5 ml (3) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Special Keep Refrigerated Instructions: Testing Schedule: Assay Dependant Expected TAT: 4-5 Days Notes: CONTAINS: GM1 Ab IgG/M; Asialo-GM1 Ab IgG/M; GD1b IgG/M; MAG IgM and MAG-SGPG IgM AND HU ANTIBODY. Cpt Code(s): 83520x8, 86255

10 Motor-Sensory Neuropathy 2 Order Name: MOTR/SENS2 Test Number: REV DATE:2/7/2008 Motor-Sensory Neuropathy 2 EIA Preferred 5 ml (3) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Special Keep Refrigerated Instructions: Testing Schedule: Assay Dependant Expected TAT: 4-5 Days Notes: CONTAINS: GM1 Ab IgG/M; Asialo-GM1 Ab IgG/M; GD1b IgG/M; MAG IgM and MAG-SGPG IgM AND HU, RI AND YO ANTIBODY. Cpt Code(s): 83520x8, 86255x3

11 Nicotine and Metabolite, Quantitative, Random Urine Order Name: NICOTINE U Test Number: REV DATE:2/11/2008 Nicotine Quantitative, Urine Cotinine Quantitative, metabolite, Urine GC/MS GC/MS Preferred 5 ml (2.5) Urine, Random Sterile Urine container Frozen Alternate 5 ml (2.5) Urine, Random Sterile Screwtop Container Frozen Special Specimen Stability: Room Temperature= 72Hrs; Refrigerated= 2Wks; Frozen= 1Mo. Instructions: Testing Schedule: Mon, Wed, Fri Expected TAT: 5-8 Days Cpt Code(s): 83887

12 Renal Profile Order Name: RENAL PR Test Number: REV DATE:2/5/2008 Albumin Bicarbonate Calcium Chloride Creatinine Glucose Phosphorus Potassium Serum/Plasma Sodium Urea Nitrogen, Blood (BUN) BCG Enzymatic Arsenazo KAP(Jaffe) Hexokinase Phosphomolybdate Complex Urease/GLDH Preferred 1 ml (0.5) Plasma Lithium Heparin PST (Light Green Top) Refrigerated Alternate 1 ml (0.5) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Special Stability: Ambient 8 hours. Refrigerated 7 days. Instructions: Testing Schedule: Daily Expected TAT: 1-2 days Clinical Use: See detail test Cpt Code(s): 80069

13 Saccharomyces cerevisiae Antibodies (ASCA) (IgA) Order Name: ASCA IGA Test Number: REV DATE:2/13/2008 Saccharomyces cerevisiae Antibodies (ASCA) (IgA) ELISA Preferred 1 (0.3) ml Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Testing Schedule: Sets up 3 day a week Expected TAT: 3-5 Days Clinical Use: Antibodies to Saccharormyces cerevisiae are found in approximately 75% of patients with Crohn's disease, 15% of patients with ulcerative colitis, and 5% of the healthy population. High titers of antibody increase the likelihood of disease, and specifically Crohn's disease, and are associated with more aggressive disease. Cpt Code(s): 86671

14 Saccharomyces cerevisiae Antibodies (ASCA) (IgA, Order Name: ASCA G/A IgG) Test Number: REV DATE:2/13/2008 Saccharomyces cerevisiae Antibodies (ASCA) (IgA) Saccharomyces cerevisiae Antibodies (ASCA) (IgG) ELISA ELISA Preferred 2 ml (0.6) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Testing Schedule: Sets up 3 days a week. Expected TAT: 3-5 Days Cpt Code(s): 86671x2

15 Saccharomyces cerevisiae Antibodies (ASCA) (IgG) Order Name: ASCA IGG Test Number: REV DATE:2/13/2008 Saccharomyces cerevisiae Antibodies (ASCA) (IgG) ELISA Preferred 1 (0.3) ml Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Testing Schedule: Sets up 3 day a week. Expected TAT: 3-5 Days Clinical Use: Antibodies to Saccharormyces cerevisiae are found in approximately 75% of patients with Crohn's disease, 15% of patients with ulcerative colitis, and 5% of the healthy population. High titers of antibody increase the likelihood of disease, and specifically Crohn's disease, and are associated with more aggressive disease. Cpt Code(s): 86671

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