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 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
Anti-Thrombin 3 (ATIII) Antigen Order Name: THROMB3 AG Test Number: 1500600 Revision Date: 03/31/2014 LOINC Code: 3175-7 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
Celiac Disease Panel - Pediatric Tissue Transglutaminase IgA (IgA anti-ttg) Gliadin Deamidated Antibody, IgA Immunoglobulin, IgA Quantitative Order Name: PED CELIAC Test Number: 5537675 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
Cryptococcus Antigen Screen - CSF Cryptococcus Antigen Screen - CSF Order Name: CSF CRYPTO Test Number: 6002150 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 86403 to EIA method 87327. CPT Code(s) 87899
Cryptococcus Antigen Screen - Serum Cryptococcus Antigen Screen - Serum Order Name: CRYPTO AG Test Number: 6002175 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 86403 to EIA method 87327. CPT Code(s) 87899
Endomysial IgA Antibody Screen Reflex to Titer Order Name: ENDOMYS AB Test Number: 5558567 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 94-100%). CPT Code(s) 86255 If Endomysial Antibody Screen (IgA) is abnormal, Endomysial Antibody Titer will be performed at an additional charge. CPT code: 86256 Lab Section Reference Lab
Hepatitis A Total Antibody Hepatitis A Total Antibody Index Order Name: HEP A T AB Test Number: 3803603 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
Hepatitis B Core Total Antibody Hepatitis B Core Total Antibody Index Order Name: HEP BCOR T Test Number: 3603253 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
Hepatitis Be Antigen Hepatitis Be Antigen Index Order Name: HEP BE AG Test Number: 3602923 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
Omega 3 and 6 Fatty Acids, Plasma Order Name: OMEGA 3/6 Test Number: 2005877 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) 81599 Lab Section Reference Lab
Platelet Function Studies Platelet Function, ADP Platelet Function, Epinephrine Order Name: PLT FUN Test Number: 1506325 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. 85576x2
Poliovirus Antibodies Poliovirus Type 1 Antibodies Poliovirus Type 2 Antibodies Poliovirus Type 3 Antibodies Order Name: POLIO ABS Test Number: 5520015 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
Ristocetin Cofactor Ristocetin Cofactor Order Name: RISTOC COF Test Number: 1502200 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) 85245 Lab Section Reference Lab