Reference Range: Age/sex dependent; appropriate normals provided with result Analytical Time: 4 hours Day(s) Test Set Up: Daily CPT Code: 84100

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1 Parathyroid Hormone See PTH PARIETAL CELL ANTIBODY APCAB; PARIETAL; PCA Specimen Required: 2.5 ml blood, gel tube Analytical Time: 3-5 days CPT Code: PCP SCREEN URINE PCPQU Specimen Required: 50 ml urine Special Instructions: Sent to reference lab Analytical Time: 3 days CPT Code: PHENOBARBITAL PHNO;PHENO; PHENOBARB Special Instructions: Draw just before next dose after 18 days of therapy for steady state to be achieved Reference Range: ug/ml Analytical Time: 8 hours CPT Code: PHENYLPTHALEIN STOOL PHENYL STL;PHENYLSSTOOL Specimen Required: 10 ml stool Analytical Time: 1-4 days CPT Code: PHOSPHORUS PHOS Reference Range: Age/sex dependent; appropriate normals provided with result CPT Code: Page 1 1/18/2013

2 PHOSPHORUS - URINE RANDOM PHOSU Specimen Required: 10 ml urine Reference Range: Undefined CPT Code: PHOSPHORUS - URINE 24 HR PHOS24 Specimen Required: Total collection, 24 hour urine Special Instructions: Refrigerate; provide starting date and time, completion date and time. Reference Range: mg/24 hr CPT Code: PINWORM PIN Specimen Required: Collect using a pinworm paddle or transparent tape by pressing without smearing onto the folds of the parianal area. Collect first thing in the morning. Adhere transparent tape to to a slide. Place slide or paddle in a plastic screw-top vial. Negative 1 day Reference Range: Analytical Time: CPT code: PLATELET COUNT PLT Specimen Required: 5 ml blood (1.0 ml minimum), lavender top tube Reference Range: k/cumm Analytical Time: 2 hours CPT Code: PLATELET FUNCTION TEST (SCREEN) PLTFUNSC PFT Specimen Required: 10 ml blood (5 ml minimum), 2 blue top tubes Special Instructions: Do Not Spin Reference Range: <180 sec for Epi and < 103 sec for ADP CPT Code: 85576, Page 2 1/18/2013

3 PLATELET FUNCTION P2Y12 (PLAVIX) PLTFUNPL Specimen Required: 2ml Greiner (obtained from Hematology) Special Instructions: Hand deliver to lab-no tube system-do not spin Reference Range: Baseline (pre-treatment) PRU normal reference range is PRU. In this population, results less than 194 were indicative of P2Y12 receptor blockade by clopidogrel.. Analytical Time: 30 minutes CPT Code: X 2 PORPHYRIN SCREEN - URINE 24 HR PORF Specimen Required: Total collection, 24 hour urine Special Instructions: Keep in dark Analytical Time: 2-3 days Day(s) Test Set Up: Monday- Friday CPT Code: POTASSIUM K Special Instructions: Hemolysis may interfere Reference Range: mmol/l CPT Code: POTASSIUM - STOOL KS Specimen Required: 10 ml stool Special Instructions: Can only be performed on a liquid specimen Reference Range: meq/l Analytical Time: 2 days CPT Code: POTASSIUM - URINE RANDOM KU Specimen Required: 10 ml urine Reference Range: 1-75 mmol/l CPT Code: Page 3 1/18/2013

4 POTASSIUM - URINE 24HR K24 Specimen Required: Total collection, 24 hour urine Special Instructions: Refrigerate, provide starting date and time, completion date and time Reference Range: mmol/24hr CPT Code: PREALBUMIN PREA Reference Range: mg/dl CPT Code: PREGNANCY TEST - BLOOD, QUALITATIVE PREGB Specimen Required: 2.5 ml blood ( 1.0 ml Serum minimum), Gold or red gel tube =<10 IU/mL CPT Code: PREGNANCY TEST - BLOOD, QUANTITATIVE HCG PREGQ Special Instructions: Sensitive to as low as 0.5 miu/ml Reference Range: miu/ml CPT Code: PREGNANCY TEST URINE PREGU;UCG PREG Specimen Required: 5 ml urine Special Instructions: First morning specimen preferred, sensitive as low as 20 IU/mL = <20 IU/mL Analytical Time: 2 hours CPT Code: PRENATAL PROFILE Page 4 1/18/2013

5 PRENATII Specimen Required: Two 10 ml blood, plain red top tube and 2.5 ml blood, lavender tube Reference Range: See individual tests Analytical Time: 1-4 days CPT Code: Test Includes: ABO group, Rh type, Indirect Coombs, RPR,CBC,Hepatitis B Surface Ag,and Rubella Pro-BNP Reference Range: pg/ml CPT Code: PROCAINAMIDE, TOTAL PROC Specimen Required: 3 ml blood, gel tube Reference Range: 4-10 ug/ml CPT Code: Test Includes: Total procainamide, procainamide fraction, NAPA function PROGESTERONE PROG Specimen Required: 5 ml blood, gel tube Reference Range: Interpretive report provided with results Analytical Time: 8 hours CPT Code: PROLACTIN PROL Specimen Required: 5 ml blood, gel tube Reference Range: Interpretive report provided with results Analytical Time: 8 hours CPT Code: PROSTATE SPECIFIC ANTIGEN PSA Page 5 1/18/2013

6 Reference Range: ng/ml CPT Code: PROTEIN PROT Reference Range: gm/dl PROTEIN C ACTIVITY PROTC Specimen Required: 5 ml blood, blue top tube Special Instructions: Draw as last tube in order of draw or draw a waste tube prior to if this is the only specimen collected. Separate plasma and freeze Reference Range: % of normal Analytical Time: 2-4 days CPT Code: PROTEIN CSF PROTCSF;CSF PROT;CSF TP Specimen Required: 1 ml CSF Special Instructions: Must be delivered to Lab immediately. Call for stat courier pickup. Reference Range: mg/dl PROTEIN ELECTROPHORESIS - CSF Specimen Required: 6 ml CSF Reference Range: Interpretive report provided with result Analytical Time: 1-4 days CPT Code: 84165;84155 Test Includes: CSF protein, Prealbumin, Albumin, Alpha-1, Alpha-2, Beta, Gamma, Gamma Fractions PROTEIN ELECTROPHORESIS - URINE Page 6 1/18/2013

7 UPE Specimen Required: Total collection, random or 24 hour urine container Special Instructions: Refrigerate; no preservative Reference Range: Interpretive report provided with results Analytical Time: 1-4 days CPT Code: Test Includes: Total protein, Albumin, Alpha - 1, Alpha - 2, Beta, Gamma, Fractions PROTEIN S ACTIVITY PROTSN Specimen Required: 5 ml blood, blue top tube Special Instructions: Draw as last tube in order of draw or draw a waste tube prior to if this is the only specimen collected. Separate plasma and freeze Reference Range: % of normal Analytical Time: 2-4 days CPT Code: PROTEIN - URINE PROTUR Specimen Required: 20 ml urine Special Instructions: Refrigerate PROTEIN - URINE QUANTITATIVE, RANDOM PROTUQT;PROTUR;UPPR Specimen Required: 10 ml urine Reference Range: < 6 mg/dl PROTEIN - URINE 24 HOUR PROT24 Specimen Required: Total collection, 24 hour urine Special Instructions: Refrigerate, no preservative, provide start date and time, completion date and time Reference Range: mg/24hr Page 7 1/18/2013

8 PSEUDOCHOLINESTERASE CHOLIN;PSEUDOCHOLIN Specimen Required: 2 ml blood; gel tube Reference Range: 7-19 U/mL Analytical Time: 4 days Day(s) Test Set Up: Monday-Friday CPT Code: 82480;82638 PROTIME PT Specimen Required: Blue top tube (5.0 or 3.0 ml) must be filled to completion (underfilled or overfilled tubes are unacceptable) Special Instructions: Do not collect blue top tube first in a series. If it is the only tube required, collect a "waste tube" first. Centrifuge for 5 minutes at 5000G separate plasma from cells and freeze plasma Reference Range: Seconds CPT Code: Test Includes: PT with INR Use For: Monitoring patients on Coumadin therapy PTH -Parathyroid Hormone -Intact PTH Specimen Required: 2.5 ml blood (0.6 ml minimum), gold gel tube or 1full microtainer. Special Instructions: Spin tube, remove serum and freeze. Reference Range: pg/ml CPT Code: Test Includes: PTH, Calcium PARTIAL THROMBOPLASTIN TIME PTT Specimen Required: Blue top tube (5.0 or 3.0 ml) must be filled to completion (underfilled or overfilled tubes are unacceptable) Special Instructions: Do not collect blue top tube first in a series. If it is the only tube required, collect a "waste tube" first. Centrifuge for 5 minutes, separate plasma from cells and freeze plasma. Reference Range: Seconds CPT Code: Used For: Monitoring patients on heparin therapy (unfractionated) _ Page 8 1/18/2013

9 QUINIDINE QUIN Specimen Required: 1 ml blood, red, no gel, tube Special Instructions: Valley: Draw just before next dose Peak: Quinidine Sulfate: 1 hour after oral dose Quinidine Gluconate: 5 hours after dose Reference Range: 2-5 ug/ml Analytical Time: 2 days CPT Code: _ Page 9 1/18/2013

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