Update Summary

Effective Date Update Type Name
12/20/2022 New Test VWFGP – “von Willebrand Factor GPIbM Activity” Jump to update
12/20/2022 New Test INTLX – “Interlukin 10, Serum” Jump to update
12/20/2022 New Test BVTMA – “Bacterial Vaginosis by TMA” Jump to update
12/20/2022 New Test ENCAB – “Encephalitis Antibody Panel, CSF” Jump to update
11/01/2022 New Test FT16C – “Forensic Urine Drug Abuse Scrn 16 w/Conf” Jump to update
11/29/2022 Inactivated/Replace Test MOPOX – “Monkeypox Virus DNA, QL PCR” replaced by MKPXV – “Monkeypox Virus DNA, QL RT PCR” Jump to update
11/28/2022 Inactivated/Replace Test INTBG – “Interferon-Beta IgG, MAID” replaced by IFNBA – “NAbFeron (INFB-1) Neutralizing Antibody Test” Jump to update
11/15/2022 Inactivated/Replace Test CUFUB – “Culture, Fungus, Blood” replaced by CFBLD – “Culture, Fungus, Blood” Jump to update
11/15/2022 Inactivated/Replace Test MYCOP – “Mycoplasma Hominis/Ureaplasma Culture” replaced by MYHUC – “Mycoplasma hominis/Ureaplasma Culture” Jump to update
11/21/2022 Inactivated Test LYMPC – “Lyme Disease (Borrelia spp) RT-DNA, Qual, CSF/Synovial” Jump to update
11/01/2022 Inactivated Test COVM – “SARS-CoV-2 IgM” Jump to update
12/05/2022 Updated Test LEFL – “Leflunomide as Metab (Teriflunomide), S/P” Jump to update
11/28/2022 Updated Test GAUCH – “Gaucher Disease, Mutation Analysis” Jump to update
11/14/2022 Updated Test TGFBP – “Transforming Growth Factor beta1, Serum” Jump to update
11/14/2022 Updated Test MGPMD – “MGMT Promoter Methylation Detection” Jump to update
11/14/2022 Updated Test SERT – ” Sertraline, Serum or Plasma” Jump to update
11/14/2022 Updated Test TGFB – ” Transforming Growth Factor beta1, Serum” Jump to update
11/14/2022 Updated Test IDHMF – “IDH1 and IDH2 Mutation Analysis, Exon 4, Formalin-Fixed, Pa” Jump to update
11/14/2022 Updated Test FNST – “Fungal Stain” Jump to update
11/14/2022 Updated Test BP – “Bullous Pemphigoid Antigens (180 kDa and 230 kDa), IgG” Jump to update
11/14/2022 Updated Test ASHKE – “Ashkenazi Jewish Mutation” Jump to update
11/14/2022 Updated Test A2M – “Alpha-2 Macroglobulin” Jump to update
11/07/2022 Updated Test FLUV – “Fluvoxamine, Serum/Plasma” Jump to update
11/07/2022 Updated Test EGPVF – “Electrolytes & Glucose Panel (Vitreous), Fluid” Jump to update
11/07/2022 Updated Test BUPIV – “Bupivacaine, Serum/Plasma” Jump to update
11/07/2022 Updated Test ACY – “Acyclovir (Zovirax), Serum/Plasma” Jump to update
11/01/2022 Updated Test FELES – “Fecal Leukocyte Stain” Jump to update
11/01/2022 Updated Test TRYP – “Tryptase” Jump to update
11/01/2022 Updated Test SMAB – “Smooth Muscle (F-actin) IgG Ab” Jump to update
11/01/2022 Updated Test OSTEC – “Osteocalcin, N-MID” Jump to update
11/01/2022 Updated Test COEZQ – “Coenzyme Q10” Jump to update
11/01/2022 Updated Test VB5 – “Vitamin B5 (Pantothenic Acid)” Jump to update
11/01/2022 Updated Test VB2 – “Vitamin B2 (Riboflavin), Plasma” Jump to update
11/01/2022 Updated Test HMTB – “Heavy Metals Panel (Venous)” Jump to update
11/01/2022 Updated Test HCVR – “Hepatitis C Antibody, Diagnostic, with reflex to PCR” Jump to update
11/01/2022 Updated Test HCVSR – “Hepatitis C Antibody, Screening, with reflex to PCR” Jump to update
11/01/2022 Updated Test DREN – “Direct Renin” Jump to update
11/01/2022 Updated Test ALDR – “Aldosterone/Direct Renin Ratio” Jump to update
11/01/2022 Updated Test ALDOS – “Aldosterone” Jump to update
11/01/2022 Updated Test VENLA – “Venlafaxine and Metabolite Qnt” Jump to update

VWFGP – “von Willebrand Factor GPIbM Activity”

Effective Date 12/20/2022
Update Type New Test
Test Update View Test Update ›

Test Details

Mnemonic

VWFGP

Ordering Code

3500041

CPT-4 Codes(s)

85397

Specimen Information

Collect

Citrated plasma (light blue top)

Specimen Preparation

Send 0.5 mL citrated plasma (light blue top) with requisition.

Minimum Volume

0.3 mL

Transport Temperature

Frozen

Stability

Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: Undetermined

Methodology

Enzyme-linked Immunosorbent Assay (ELISA)
more

Reference Range

See report
more

Performing Laboratory

Versiti Wisconsin
more

New York DOH Approval Status

Yes
more

Interface Map for VWFGP

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
von Willebrand Factor GPIbM Activity 3500041
3500041 von Willebrand Factor GPIbM Activity Not available No

INTLX – “Interlukin 10, Serum”

Effective Date 12/20/2022
Update Type New Test
Test Update View Test Update ›

Test Details

Mnemonic

INTLX

Ordering Code

3600301

CPT-4 Codes(s)

83520

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Send 1.0 mL serum in plastic
screw capped plastic vial. CRITICAL FROZEN

Separate specimens must be submitted when multiple tests ordered.

Alternate Specimen

Red top

Minimum Volume

0.4 mL

Transport Temperature

CRITICAL FROZEN

Rejection Criteria

Refrigerated specimens. Contaminated or heat-inactivated specimens.

Stability

Room temperature: 30 minutes
Refrigerated: Unacceptable
Frozen: 1 year

Methodology

Quantitative Multiplex Bead Assay
more

Reference Range

2.8 pg/mL or less
more

Performing Laboratory

ARUP
more

New York DOH Approval Status

Yes
more

Interface Map for INTLX

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Interleukin 10, Serum 3600301
3600301 Interleukin 10, Serum 26848-2 No

BVTMA – “Bacterial Vaginosis by TMA”

Effective Date 12/20/2022
Update Type New Test
Test Update View Test Update ›

Test Details

Mnemonic

BVTMA

Ordering Code

3600300

CPT-4 Codes(s)

81513

Specimen Information

Patient Preparation

Patient must be 14 years of age or older.

Collect

Pink Vaginal specimen swab from Aptima® MultiTest Swab Collection Kit

Specimen Preparation

Collect vaginal specimen using the pink swab from Aptima® MultiTest Swab collection kit. Place
swab in the MultiTest Swab Specimen Transport Tube, break shaft at scoreline then recap tube.

Transport Temperature

Refrigerated

Rejection Criteria

Specimens in any transport media not listed above. Specimen in MultiTest swab transport media
without a swab.

Stability

Room temperature: 30 days
Refrigerated: 30 days
Frozen: 90 days

Methodology

Qualitative Transcription-Mediated Amplification
more

Reference Range

Bacterial Vaginosis by TMA Negative
more

Performing Laboratory

ARUP
more

New York DOH Approval Status

Yes
more

Interface Map for BVTMA

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Bacterial Vaginosis by TMA 3600300
3600300 Bacterial Vaginosis by TMA 92702-0 No

ENCAB – “Encephalitis Antibody Panel, CSF”

Effective Date 12/20/2022
Update Type New Test
Test Update View Test Update ›

Test Details

Mnemonic

ENCAB

Ordering Code

3404981

CPT-4 Codes(s)

86727 x 2, 86765 x 2, 86735 x 2, 86787 x 2, 86788, 86789, 86695 x 2, 86696 x 2

Specimen Information

Collect

Cerebrospinal fluid (CSF)

Specimen Preparation

Send 5.0 mL CSF in a screw capped plastic vial.

Minimum Volume

1.7 mL

Transport Temperature

Refrigerated

Rejection Criteria

Gross hemolysis, Grossly lipemic, Grossly icteric, Turbid samples, Contaminated samples,
Hyperlipemic, Heat-activated

Stability

Room temperature: 4 days
Refrigerated: 7 days
Frozen: 30 days

Methodology

Enzyme Immunoassay (EIA)
Anti-Complement Immunofluorescence (ACIF)
Immunofluorescence Assay (IFA)
more

Reference Range

See report
more

Performing Laboratory

Quest SJC
more

New York DOH Approval Status

No
more

Interface Map for ENCAB

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Encephalitis Antibody Panel, CSF 3404981
3404982 LCM IgG 9766-7 No
3404983 LCM IgM 9768-3 No
3404984 Interpretation 49067-2 No
3404985 Measels (Rubeola) IgG, IFA 21500-4 No
3404986 Measels (Rubeola) IgM, IFA 21502-0 No
3404987 Interpretation 44011-5 No
3404988 Mumps Ab IgG, IFA 21402-5 No
3404989 Mumps Ab IgM, IFA 21402-3 No
3404990 Interpretation Not available No
3404991 VZV Ab ACIF, CSF 26723-7 No
3404992 VZV Ab (IgM), IFA 21596-2 No
3404993 Interpretation 93786-2 No
3404994 West Nile Ab IgG, CSF 39572-3 No
3404995 West Nile Ab IgM, CSF 39573-1 No
3404996 HSV 1 IgG Index 58786-5 No
3404997 HSV 2 IgG Index 58785-7 No
3404997 HSV 1 IgM Screen 88457-7 No
3404999 HSV 2 IgM Screen 42606-4 No

FT16C – “Forensic Urine Drug Abuse Scrn 16 w/Conf”

Effective Date 11/01/2022
Update Type New Test
Test Update View Test Update ›

Test Details

Mnemonic

FT16C

CPT-4 Codes(s)

80307 plus other CPTs if positives confirmed, at additional cost

Specimen Information

Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of Custody requisition. Positive screens reflex to LC/MS/MS or GC/MS confirmation. Positive samples stored for one year.

Interfacing for forensic testing is not available at this time.

Analytes Tested:

  • Amphetamines
  • Barbiturates
  • Benzodiazepines
  • Cocaine (as Benzoylecgonine)
  • Methadone
  • Opiates (including oxycodone and oxymorphone)
  • Oxycodone
  • Phencyclidine
  • Propoxyphene

Collect

Random urine

Specimen Preparation

Send 50.0 mL urine in a screw capped plastic urine container.
Newborn minimum requires 1.0 mL urine and 0.5-5.0 mL for positive confirmations.

Minimum Volume

30.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Urine catheter cup (with needle)

Stability

Room temperature: 48 hours
Refrigerated: 14 days
Frozen: 30 days

Methodology

Enzyme Immunoassay, Gas Chromatography/Mass Spectrometry, Liquid Chromatography/Tandem Mass Spectrometry
more

Reference Range

See report
more

Performing Laboratory

Warde Medical Laboratory
more

New York DOH Approval Status

No
more

MOPOX – “Monkeypox Virus DNA, QL PCR” replaced by MKPXV – “Monkeypox Virus DNA, QL RT PCR”

Effective Date 11/29/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

MOPOX

Ordering Code

3400644

CPT-4 Codes(s)

87593 x 2

Replacement Test Details

Mnemonic

MKPXV

Ordering Code

3400701

CPT-4 Codes(s)

87593 x 2

Specimen Information

Collect

Lesion swab

Specimen Preparation

Swab the pustule/lesion vigorously and place the swab in viral transport medium (VTM) tube.
Each individual specimen submitted for Monkeypox virus testing should be accompanied by its own separate requisition and transported in its own sealed bag. Multiple specimens collected on a single patient should be submitted separately.

Alternate Specimen

Viral culture media (VCM), Universal transport media (UTM)

Minimum Volume

0.5 mL

Transport Temperature

Frozen

Rejection Criteria

Calcium alginate swabs; cotton swabs; wooden shaft swabs, dry swabs, samples not submitted
in VCM or equivalent

Stability

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 30 days

Methodology

Real-Time Polymerase Chain Reaction (PCR)
more

Reference Range

Orthopoxvirus DNA, QL PCR Not detected
Monkeypox Virus DNA, QL PCR Not detected
more

Performing Laboratory

Quest SJC
more

Interface Map for MKPXV

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Monkeypox Virus DNA, QL RT PCR 3400701
3400702 Patient Race: 32624-9 Yes
3400703 Ethnicity: 32624-9 Yes
3400704 Specimen Type 31208-2 Yes
3400705 Anatomic Location 39111-0 Yes
3400706 Orthopoxyvirus DNA, QL PCR 100434-0 No
3400707 Monkeypox Virus DNA, QL PCR 100888-7 No

INTBG – “Interferon-Beta IgG, MAID” replaced by IFNBA – “NAbFeron (INFB-1) Neutralizing Antibody Test”

Effective Date 11/28/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

INTBG

Ordering Code

3512660

CPT-4 Codes(s)

83516 If Interferon - beta is positive, Nab Feron® Neutralizing Antibody Test will be added at an additional charge (86382)

Replacement Test Details

Mnemonic

IFNBA

Ordering Code

3400713

CPT-4 Codes(s)

86382

Specimen Information

Patient Preparation

Sample needs to be collected either before treatment with interferon or more than 24 hours
following the most recent does. Patient should not be on steroid therapy for at least two weeks
prior to testing.

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, separate serum from cells and send 2.0 mL serum in screw capped plastic vial.
Please label each specimen tube with two forms of patient identification. These forms of
identification must also appear on the test requisition form.

Alternate Specimen

No alternate specimens.

Minimum Volume

0.5 mL

Transport Temperature

Refrigerated

Stability

Room temperature: 72 hours
Refrigerated: 28 days
Frozen: 6 months

Methodology

Viral Cytopathic Effect Assay
more

Reference Range

Not elevated: <1:20
Mild/Moderate Elevated: 1:20 - 1:100
Highly Elevated: >1:100
more

Performing Laboratory

Quest SJC performed at Athena Diagnostics, Inc.
more

Interface Map for IFNBA

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
NAbFeron® (INFB-1) Neutralizing Antibody Test 3400713
3400714 Interpretation 50398-7 No
3400715 Methods 49549-9 No
3400716 Comments 8251-1 No
3400717 References 8265-1 No
3400718 Technical Results 19146-0 No

CUFUB – “Culture, Fungus, Blood” replaced by CFBLD – “Culture, Fungus, Blood”

Effective Date 11/15/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

CUFUB

Ordering Code

3700505

CPT-4 Codes(s)

87103, plus others if reflexed, at additional cost

Replacement Test Details

Mnemonic

CFBLD

Ordering Code

3400724

CPT-4 Codes(s)

87103, plus others if reflexed to ID, at additional cost

Specimen Information

Collect

Whole Blood in BACTECâ„¢ Myco F/Lytic aerobic blood bottle

Specimen Preparation

5.0 mL whole blood collected in a BACTECâ„¢ Myco F/Lytic aerobic blood bottle.

Alternate Specimen

FDA cleared (non-Bactec) blood culture bottle SPS (yellow top), Bone marrow in BACTECâ„¢ Myco F/Lytic aerobic blood bottle

Minimum Volume

1.0 mL

Transport Temperature

Room temperature

Rejection Criteria

Specimens in lavender EDTA tube, specimens in heparin green top tube, specimens in citrate, ACD, FDA cleared non-Fungus Blood Culture Bottle, Received frozen

Stability

Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable

Methodology

Continuous Monitoring Blood Culture System
more

Reference Range

See report
more

Performing Laboratory

Quest SJC
more

Interface Map for CFBLD

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Culture, Fungus, Blood 3400724
3400725 Fungus Culture, Blood 601-5 No
3400726 Status Not available No

MYCOP – “Mycoplasma Hominis/Ureaplasma Culture” replaced by MYHUC – “Mycoplasma hominis/Ureaplasma Culture”

Effective Date 11/15/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

MYCOP

Ordering Code

3700445

CPT-4 Codes(s)

87109

Replacement Test Details

Mnemonic

MYHUC

Ordering Code

3400719

CPT-4 Codes(s)

87109

Specimen Information

Collect

Urogenital swab collected in V-C-M tube or equivalent (UTM) container

Specimen Preparation

Specimen source required. Send urogenital specimen (vaginal, cervical, urethral swabs or
secretions) in V-C-M medium (green cap) tube or equivalent Universal Transport Media (UTM).

Alternate Specimen

Submit 1:1 volume of sterile body fluids, tissue, wound swabs, respiratory samples (sputum,
bronchial washings, tracheobronchial secretions, bronchial alveolar lavage) in VCM or equivalent.
Respiratory specimens only acceptable on children <1 yr old.
Urine - Centrifuge urine at 3000 rpm for 15 minutes. Suspend sediment in VCM or equivalent
transport media. If the specimen is not centrifuged, submit a 1:1 volume of urine in VCM or
equivalent transport media.

Minimum Volume

1.0 mL or 1 swab

Transport Temperature

Frozen (-70° C) on dry ice

Rejection Criteria

Specimens collected on wooden shaft swabs, or cotton swabs, specimen received in expired
transport medium, tissue specimen in formalin, urine containing any preservatives, specimens
received in M4RT transport medium, raw specimens, specimen collected in molecular transport
medium

Stability

Room temperature: Unacceptable
Refrigerated: 48 hours
Frozen (-20° C): Unacceptable
Frozen (-70° C): 30 days

Methodology

Culture
more

Reference Range

Not isolated
more

Performing Laboratory

Quest SJC
more

Interface Map for MYHUC

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Mycoplasma hominis/Ureaplasma Culture 3400719
3400720 Source 31208-2 Yes
3400721 Status Not available No
3400722 Mycoplasma hominis 15388-2 No
3400723 Ureaplasma Species 32368-3 No

LYMPC – “Lyme Disease (Borrelia spp) RT-DNA, Qual, CSF/Synovial”

Effective Date 11/21/2022
Update Type Inactivated Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

LYMPC

Ordering Code

3435310

CPT-4 Codes(s)

87801

COVM – “SARS-CoV-2 IgM”

Effective Date 11/01/2022
Update Type Inactivated Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

COVM

Ordering Code

3300271

CPT-4 Codes(s)

86769

LEFL – “Leflunomide as Metab (Teriflunomide), S/P”

Effective Date 12/05/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Specimen Preparation

Previous: Updated To:
Deleted: Added: Centrifuge and separate serum from cells and send 1.0 mL serum in a preservative free screw capped plastic vial.

Days Performed

Previous: Updated To:
Deleted: Added: Sunday - Saturday

GAUCH – “Gaucher Disease, Mutation Analysis”

Effective Date 11/28/2022
Update Type Updated Test
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Specimen Information

Alternate Specimen

Previous: Updated To:
Added: Whole Blood: ACD yellow top tube, royal blue top, sodium or lithium heparin green tube.
Deleted: Added: Bone marrow:
Added: Collect and send 10.0 mL (10.0 mL minimum) bone marrow in Lavender EDTA tube.

Rejection Criteria

Previous: Updated To:
Deleted: Added: Do not reject.

Stability

Previous: Updated To:
Added: Whole blood or bone marrow:
Added: Room temperature: 8 days
Deleted: Added: Refrigerated: 8 days
Added: Frozen: Unacceptable

TGFBP – “Transforming Growth Factor beta1, Serum”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Update to test name.

Transforming Growth Factor beta1, Plasma -> Transforming Growth Factor beta1, Serum 

Collect

Previous: Updated To:
Deleted: Added: Lavender

Specimen Preparation

Previous: Updated To:
Added: Centrifuge anticoagulated whole blood within 2 hours of collection at 1500 g for 10 minutes. Collect plasma and transfer to fresh tube. Immediately centrifuge plasma at 3000 g for 10 minutes. Collect plasma from upper 2/3 of tube without disturbing lower 1/3 of tube and transfer to fresh tube for storage or transport. Separate plasma from cells ASAP or within 2 hours of collection. Send 1.0 mL plasma in a screw capped plastic vial. CRITICAL FROZEN
Deleted: Added:
Added: Separate specimens must be submitted when multiple tests are ordered.

Rejection Criteria

Previous: Updated To:
Deleted: Added: Contaminated, severely hemolyzed, heat-inactivated or grossly lipemic specimens

Stability

Previous: Updated To:
Added: After separation from cells:
Added: Room temperature: 30 minutes
Added: Refrigerated: Unacceptable
Deleted: Added: Frozen: 60 days

Methodology

Previous: Updated To:
Deleted: Added: Quantitative Enzyme-Linked Immunosorbent Assay

Reference Range

Previous: Updated To:
Deleted: Added: 1654 - 19951 pg/mL

New York DOH Approval Status

Previous: Updated To:
Deleted: Added: Pending

Days Performed

Previous: Updated To:
Deleted: Added: Monday

MGPMD – “MGMT Promoter Methylation Detection”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Test Details

CPT-4 Codes(s)

81287

CPT-4 Codes

Previous: Updated To:
Deleted: Added: 81287

SERT – ” Sertraline, Serum or Plasma”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Update to test name.

Sertraline -> Sertraline, Serum or Plasma

Patient Preparation

Previous: Updated To:
Deleted: Added: Pre-dose (trough) draw at steady state concentration.

Stability

Previous: Updated To:
Added: Room temperature: 24 hours
Added: Refrigerated: 14 days
Deleted: Added: Frozen: 4 months

Methodology

Previous: Updated To:
Deleted: Added: Liquid Chromatography - Tandem Mass Spectrometry

Reference Range

Previous: Updated To:
Added: Therapeutic Range: 30 - 200 ng/mL
Deleted: Added: Toxic: > 300 ng/mL

TGFB – ” Transforming Growth Factor beta1, Serum”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Update to test name.

Transforming Growth Factor beta, Serum -> Transforming Growth Factor beta1, Serum

Specimen Preparation

Previous: Updated To:
Added: Centrifuge, remove serum from cells ASAP or within two hours of collection and send 1.0 mL serum in screw capped plastic vial. CRITICAL FROZEN
Deleted: Added:
Added: Separate specimens must be submitted when multiple tests ordered.

Rejection Criteria

Previous: Updated To:
Deleted: Added: Contaminated, severely hemolyzed, heat-inactivated or grossly lipemic specimens

Stability

Previous: Updated To:
Added: Room temperature: 30 minutes
Added: Refrigerated: Unacceptable
Deleted: Added: Frozen: 60 days

Methodology

Previous: Updated To:
Deleted: Added: Quantitative Enzyme-Linked Immunosorbent Assay

Reference Range

Previous: Updated To:
Deleted: Added: 16542 - 50426 pg/mL

New York DOH Approval Status

Previous: Updated To:
Deleted: Added: Pending

Days Performed

Previous: Updated To:
Deleted: Added: Monday

IDHMF – “IDH1 and IDH2 Mutation Analysis, Exon 4, Formalin-Fixed, Pa”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Test Details

CPT-4 Codes(s)

81120, 81121

CPT-4 Codes

Previous: Updated To:
Deleted: Added: 81120, 81121

FNST – “Fungal Stain”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Rejection Criteria

Previous: Updated To:
Deleted: Added: Smears fixed with cytology fixative, excessively bloody samples, DNA probe transport device, viral transport medium, stool, broken slides, corneal rim, bone, catheter tips, smears to thick to read, slides previously stained by cytology and cover slipped.

BP – “Bullous Pemphigoid Antigens (180 kDa and 230 kDa), IgG”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Rejection Criteria

Previous: Updated To:
Deleted: Added: Hemolyzed or lipemic specimens, plasma

ASHKE – “Ashkenazi Jewish Mutation”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Specimen Preparation

Previous: Updated To:
Deleted: Added: Whole Blood or Maternal cell contamination specimen:
Added: Send 3.0 mL whole blood refrigerated in a screw capped plastic vial.

Alternate Specimen

Previous: Updated To:
Deleted: Added: Whole blood or Maternal cell contamination specimens: Yellow ACD solution A or B

Rejection Criteria

Previous: Updated To:
Deleted: Added: Plasma or serum. Specimens collected in sodium heparin or lithium heparin tubes. Frozen specimens in glass collection tubes.

Stability

Previous: Updated To:
Added: Whole blood or Maternal cell contamination specimen:
Added: Room temperature: 72 hours
Added: Refrigerated: 7 days
Deleted: Added: Frozen: 30 days

Days Performed

Previous: Updated To:
Deleted: Added: Varies

A2M – “Alpha-2 Macroglobulin”

Effective Date 11/14/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Stability

Previous: Updated To:
Added: Room temperature: Unacceptable
Deleted: Added: Refrigerated: 7 days
Added: Frozen: 3 months (if frozen within 24 hours)

Days Performed

Previous: Updated To:
Deleted: Added: Sunday - Saturday

FLUV – “Fluvoxamine, Serum/Plasma”

Effective Date 11/07/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Specimen Preparation

Previous: Updated To:
Deleted: Added: Centrifuge, separate serum from cells and send 1.0 mL serum refrigerated in a screw capped plastic vial.

Rejection Criteria

Previous: Updated To:
Deleted: Added: Serum separator tube (SST) or Plasma separator tube (PST), samples received at room temperature

Stability

Previous: Updated To:
Added: Room temperature: Unacceptable
Added: Refrigerated: 30 days
Deleted: Added: Frozen: 3 months

Methodology

Previous: Updated To:
Deleted: Added: LC-MS/MS

EGPVF – “Electrolytes & Glucose Panel (Vitreous), Fluid”

Effective Date 11/07/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Specimen Preparation

Previous: Updated To:
Deleted: Added: Send 1.0 mL vitreous fluid refrigerated in a preservative free screw capped plastic vial.

Rejection Criteria

Previous: Updated To:
Deleted: Added: Grey top tube (sodium fluoride or potassium oxalate)

BUPIV – “Bupivacaine, Serum/Plasma”

Effective Date 11/07/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Stability

Previous: Updated To:
Added: Room temperature: 30 days
Added: Refrigerated: 30 days
Deleted: Added: Frozen: 3 months

Methodology

Previous: Updated To:
Deleted: Added: LC-MS/MS

ACY – “Acyclovir (Zovirax), Serum/Plasma”

Effective Date 11/07/2022
Update Type Updated Test
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Specimen Information

Stability

Previous: Updated To:
Added: Room temperature: 30 days
Added: Refrigerated: 30 days
Deleted: Added: Frozen: 4 months

FELES – “Fecal Leukocyte Stain”

Effective Date 11/01/2022
Update Type Updated Test
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Specimen Information

Specimen Preparation

Previous: Updated To:
Deleted: Added: Place 10.0 g or 10.0 mL stool in a Total-Fix® transport vial. Stool must be collected in a clean dry container and must not be contaminated with urine or water. Add stool to bring the liquid to the "fill to here" line and mix contents until homogeneous.

Rejection Criteria

Previous: Updated To:
Deleted: Added: Stool in Cary-Blair transport medium, frozen stool, specimens containing barium or received in other than Zn-PVA or Total-Fix®, unpreserved stool

Reference Range

Previous: Updated To:
Deleted: Added: Fecal Leukocyte Not Detected

Performing Laboratory

Previous: Updated To:
Deleted: Added: Quest SJC

TRYP – “Tryptase”

Effective Date 11/01/2022
Update Type Updated Test
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Reference Range

Previous: Updated To:
Deleted: Added: <11 ug/L

SMAB – “Smooth Muscle (F-actin) IgG Ab”

Effective Date 11/01/2022
Update Type Updated Test
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Specimen Information

Transport Temperature

Previous: Updated To:
Deleted: Added: Refrigerated

OSTEC – “Osteocalcin, N-MID”

Effective Date 11/01/2022
Update Type Updated Test
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Specimen Information

Update to test name.

Osteocalcin, N Mid -> Osteocalcin, N-MID

Patient Preparation

Previous: Updated To:
Deleted: Added: Dietary supplements containing biotin may interfere in assays and may skew results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation.

Rejection Criteria

Previous: Updated To:
Deleted: Added: Hemolysis, heat inactivated samples, serum separator tube (SST), specimens stabilized with azide, patient administered with biotin within 8 hours

Methodology

Previous: Updated To:
Deleted: Added: Electrochemiluminescence immunoassay (ECLIA)

Performing Laboratory

Previous: Updated To:
Deleted: Added: Quest SJC

Days Performed

Previous: Updated To:
Deleted: Added: Monday - Saturday

COEZQ – “Coenzyme Q10”

Effective Date 11/01/2022
Update Type Updated Test
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Specimen Information

Specimen Preparation

Previous: Updated To:
Deleted: Added: Send 1.0 mL serum collected in a serum separator tube. PROTECT FROM LIGHT.

Alternate Specimen

Previous: Updated To:
Deleted: Added: No alternate specimen accepted.

Rejection Criteria

Previous: Updated To:
Deleted: Added: Samples that are not shipped the same day of collection; samples without protection from light exposure; red top tube (no gel).

Performing Laboratory

Previous: Updated To:
Deleted: Added: Quest SJC performed at Cleveland HeartLab, Inc.

VB5 – “Vitamin B5 (Pantothenic Acid)”

Effective Date 11/01/2022
Update Type Updated Test
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Specimen Information

Stability

Previous: Updated To:
Added: Room temperature: Unacceptable
Added: Refrigerated: Unacceptable
Deleted: Added: Frozen: 30 days

VB2 – “Vitamin B2 (Riboflavin), Plasma”

Effective Date 11/01/2022
Update Type Updated Test
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Specimen Information

Stability

Previous: Updated To:
Added: Room temperature: Unacceptable
Added: Refrigerated: Unacceptable
Deleted: Added: Frozen: 30 days

HMTB – “Heavy Metals Panel (Venous)”

Effective Date 11/01/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Rejection Criteria

Previous: Updated To:
Deleted: Added: Clotted specimen, lavender EDTA tube

HCVR – “Hepatitis C Antibody, Diagnostic, with reflex to PCR”

Effective Date 11/01/2022
Update Type Updated Test
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Specimen Information

Collect

Previous: Updated To:
Added: HCV Antibody Screen: Serum Separator Tube (SST)
Deleted: Added: HCV PCR: Lavender EDTA
Added: *Both specimens required.

Specimen Preparation

Previous: Updated To:
Added: HCV Antibody Screen (Label: HCAB) -
Added: Centrifuge, separate serum from cells and send 1.0 mL serum in a screw capped plastic vial.
Deleted: Added:
Added: HCV PCR Plasma (Label: HCVFR):
Added: Centrifuge, separate plasma from cells within 6 hours of collection. Send 3.0 mL plasma in screw
Added: capped plastic vial.
Added:
Added: *PCR and antibody testing cannot be done on shared specimens. Separate tubes must be clearly
Added: labeled for antibody and PCR specimens.

Alternate Specimen

Previous: Updated To:
Added: HCV Antibody: red top, lavender EDTA (follow Plasma collection guide for PCR )
Added: HCV PCR: Serum: red top
Deleted: Added:
Added: *PCR and antibody testing cannot be done on shared specimens. Separate tubes must be clearly
Added: labeled for antibody and PCR specimens.

Stability

Previous: Updated To:
Added: HCV Antibody:
Added: Room temperature: Undetermined
Added: Refrigerated: 7 days
Added: Frozen: Undetermined
Deleted: Added: HCV PCR:
Added: Room temperature: Unacceptable
Added: Refrigerated: 3 days
Added: Frozen: 60 days

HCVSR – “Hepatitis C Antibody, Screening, with reflex to PCR”

Effective Date 11/01/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Collect

Previous: Updated To:
Added: HCV Antibody Screen: Serum Separator Tube (SST)
Deleted: Added: HCV PCR: Lavender EDTA
Added: *Both specimens required.

Specimen Preparation

Previous: Updated To:
Added: HCV Antibody Screen (Label: HCAB) -
Added: Centrifuge, separate serum from cells and send 1.0 mL serum in a screw capped plastic vial.
Deleted: Added:
Added: HCV PCR Plasma (Label: HCVFR):
Added: Centrifuge, separate plasma from cells within 6 hours of collection. Send 3.0 mL plasma in screw
Added: capped plastic vial.
Added:
Added: *PCR and antibody testing cannot be done on shared specimens. Separate tubes must be clearly
Added: labeled for antibody and PCR specimens.

Alternate Specimen

Previous: Updated To:
Added: HCV Antibody: red top, lavender EDTA (follow Plasma collection guide for PCR )
Added: HCV PCR: Serum: red top
Deleted: Added:
Added: *PCR and antibody testing cannot be done on shared specimens. Separate tubes must be clearly
Added: labeled for antibody and PCR specimens.

Stability

Previous: Updated To:
Added: HCV Antibody:
Added: Room temperature: Undetermined
Added: Refrigerated: 7 days
Added: Frozen: Undetermined
Deleted: Added: HCV PCR:
Added: Room temperature: Unacceptable
Added: Refrigerated: 3 days
Added: Frozen: 60 days

DREN – “Direct Renin”

Effective Date 11/01/2022
Update Type Updated Test
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Days Performed

Previous: Updated To:
Deleted: Added: Monday - Friday

Turn-around Time

Previous: Updated To:
Deleted: Added: 1 - 3 days

ALDR – “Aldosterone/Direct Renin Ratio”

Effective Date 11/01/2022
Update Type Updated Test
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Days Performed

Previous: Updated To:
Deleted: Added: Monday - Friday

Turn-around Time

Previous: Updated To:
Deleted: Added: 1 - 3 days

ALDOS – “Aldosterone”

Effective Date 11/01/2022
Update Type Updated Test
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Days Performed

Previous: Updated To:
Deleted: Added: Monday - Friday

Turn-around Time

Previous: Updated To:
Deleted: Added: 1 - 3 days

VENLA – “Venlafaxine and Metabolite Qnt”

Effective Date 11/01/2022
Update Type Updated Test
Test Update View Test Update ›

Reference Range

Previous: Updated To:
Deleted: Added: Venlafaxine + O-desmethylvenlafaxine: 100 - 400 ng/mL
WML Test Directory Update | November 2022 | Warde Medical Laboratory Page