August 2023 WML Test Directory Update

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Update Summary

Effective Date Update Type Name
08/22/2023 Inactivated/Replace Test DNDSI – “DNA (DS) Antibody, Crithidia, IFA w/Refl” replaced by DNDS – “DNA (DS) Antibody, Crithidia, IFA w/Refl” Jump to update
08/22/2023 Inactivated/Replace Test MUSKE – “Muscle-Specific Kinase (MuSK) Antibody, IgG” replaced by MUSKG – “MuSK Ab, IgG by CBA-IFA wReflex to Titer, Serum” Jump to update
08/08/2023 Inactivated Test BBURV – “Borrelia burgdorferi VlsE1/pepC10 Abs, ELISA” Jump to update
08/08/2023 Inactivated Test CNREC – “Chlamydia/Neisseria gonorrhoeae RNA, TMA, Rectal” Jump to update
08/08/2023 Inactivated Test CNTH – “Chlamydia/Neisseria gonorrhoeae RNA, TMA, Throat” Jump to update
08/01/2023 Updated Test CHPCR – “Chlamydia Testing by PCR” Jump to update
08/01/2023 Updated Test COPCR – “Chlamydia and Neisseria Testing by PCR” Jump to update
08/01/2023 Updated Test CVD – “Comprehensive Virus Detection” Jump to update
08/01/2023 Updated Test GCPCR – “Neisseria gonorrheae Testing by PCR” Jump to update
08/01/2023 Updated Test TVPCR – “Trichomonas vaginalis Testing by PCR” Jump to update
08/08/2023 Updated Test CA153 – “CA 15-3” Jump to update
08/08/2023 Updated Test FER – “Ferritin” Jump to update
08/14/2023 Updated Test GLAGE – “Galactose-alpha-1,3-galactose IgE” Jump to update
08/21/2023 Updated Test ADB – “Dnase-B Antibody” Jump to update
08/21/2023 Updated Test ADIPO – “Adiponectin” Jump to update
08/21/2023 Updated Test AH50 – “Alternative Complement Pathway Activity (AH50)” Jump to update
08/21/2023 Updated Test MICAB – “Antimicrobial Susceptibility – MIC, Individual” Jump to update
08/21/2023 Updated Test MLH1 – “MLH1 Promoter Methylation” Jump to update
08/21/2023 Updated Test MMMNG – “Myeloid Malignancies Mutation Panel by Next Gen. Sequencing” Jump to update
08/21/2023 Updated Test NARGC – “N-methyl-D-Aspartate Receptor Ab IgG CSF w Reflex to Titer” Jump to update
08/21/2023 Updated Test NMETD – “N-methyl-D-Asparate Receptor Ab, IgG, Serum with reflex to titer” Jump to update
08/21/2023 Updated Test PRINS – “Proinsulin, Intact” Jump to update
08/21/2023 Updated Test PRMET – “MGMT Promoter Methylation Det by ddPCR” Jump to update
08/21/2023 Updated Test TBFCE – “TRG BF with RFLX to CHYLO” Jump to update
08/21/2023 Updated Test TSHRA – “TRAb (TSH Receptor Antibody)” Jump to update
08/21/2023 Updated Test UTPME – “Tapentadol, Urine, Quantitative” Jump to update
08/22/2023 Updated Test 1433p – “14-3-3 eta Protein” Jump to update
08/22/2023 Updated Test BIACT – “Bile Acids, Total” Jump to update

DNDSI – “DNA (DS) Antibody, Crithidia, IFA w/Refl” replaced by DNDS – “DNA (DS) Antibody, Crithidia, IFA w/Refl”

Effective Date 08/22/2023
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

DNDSI

Ordering Code

3724220

CPT-4 Codes(s)

86255, plus 86256 if reflexed to titer, at additional cost

Replacement Test Details

Mnemonic

DNDS

Ordering Code

3000484

CPT-4 Codes(s)

86255

Turnaround Time
1 - 3 days
Performed
Sunday - Thursday
Legacy Code
DNDS
Example Report Negative
Download
Example Report Positive
Download

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, separate serum from cells and send 1.0 mL serum refrigerated in a screw capped plastic vial.

Alternate Specimen

Serum, Red top

Minimum Volume

0.5 mL

Transport Temperature

Refrigerated

Rejection Criteria

Samples other than serum

Stability

Room temperature: 48 hours
Refrigerated: 7 days
Frozen: Undetermined

Methodology

Indirect Fluorescent Antibody
more

Reference Range

Negative
more

Performing Laboratory

Warde Medical Laboratory
more

Interface Map for DNDS

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
DNA (DS) Antibody, Crithidia, IFA w/Reflex3000484
3000484DNA (DS) Antibody58466-4
3000511DNA Ab (ds) Crithidia, IFA58466-4No
3000512DNA Ab (ds) Crithidia, Titer58466-4No

MUSKE – “Muscle-Specific Kinase (MuSK) Antibody, IgG” replaced by MUSKG – “MuSK Ab, IgG by CBA-IFA wReflex to Titer, Serum”

Effective Date 08/22/2023
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

MUSKE

Ordering Code

3600115

CPT-4 Codes(s)

86255, plus 86256 if reflexed, at an additional fee

Replacement Test Details

Mnemonic

MUSKG

Ordering Code

3600291

CPT-4 Codes(s)

86366, plus 86256 if reflexed to titer, at an additional fee

Turnaround Time
3 - 8 days
Performed
Monday, Wednesday, Friday
Legacy Code
MUSKG
Not Detected Example Report
Download
Detected Example Report
Download

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, separate serum from cells within 2 hours of collection and send 2.0 mL serum in a screw capped plastic vial.

Alternate Specimen

Red top

Minimum Volume

0.5 mL

Transport Temperature

Refrigerated

Rejection Criteria

Grossly lipemic, icteric or hemolyzed specimens

Stability

Room temperature: 48 hours
Refrigerated: 14 days
Frozen: 1 month

Methodology

Semi-quantitative Cell-Based Indirect Fluorescent Antibody
more

Reference Range

<1:10
more

Performing Laboratory

ARUP
more

Interface Map for MUSKG

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
MuSK Ab, IgG by CBA-IFA wReflex to Titer, Serum3600291
3600292MuSK Ab IgG CBA IFA Screen, Serum38362-0No
3600293MuSK Ab IgG CBA IFA Titer, Serum51763-1No

BBURV – “Borrelia burgdorferi VlsE1/pepC10 Abs, ELISA”

Effective Date 08/08/2023
Update Type Inactivated Test
Test Update View Test Update ›

Notes

Suggest Warde test BBRUV

Inactivated Test Details

Mnemonic

BBURV

Ordering Code

3600169

CPT-4 Codes(s)

86618

CNREC – “Chlamydia/Neisseria gonorrhoeae RNA, TMA, Rectal”

Effective Date 08/08/2023
Update Type Inactivated Test
Test Update View Test Update ›

Notes

Suggested replacement Chlamydia and Neisseria Testing by PCR (COPCR)

Inactivated Test Details

Mnemonic

CNREC

Ordering Code

3435330

CPT-4 Codes(s)

87491, 87591

CNTH – “Chlamydia/Neisseria gonorrhoeae RNA, TMA, Throat”

Effective Date 08/08/2023
Update Type Inactivated Test
Test Update View Test Update ›

Notes

Suggested replacement Chlamydia and Neisseria Testing by PCR (COPCR)

Inactivated Test Details

Mnemonic

CNTH

Ordering Code

3435350

CPT-4 Codes(s)

87491, 87591

CHPCR – “Chlamydia Testing by PCR”

Effective Date 08/01/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Specimens submitted with the white cleaning swab or with two swabs. Swabs in any media (e.g., M4, UTM, or Aptima media) other than the Alinity m Multi-Collect Collection Kit. Urine specimens
where the liquid level in the urine transport tube does not fall within the clear fill window of the transport tube label (do not overfill). Urine specimens in sterile containers that have exceeded the 24 hour stability. Specimens collected in liquid cytology containers or media will not be tested.
Male urethral swab 

Test Details

Mnemonic

CHPCR

Ordering Code

3000492

CPT-4 Codes(s)

87491

COPCR – “Chlamydia and Neisseria Testing by PCR”

Effective Date 08/01/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Specimens submitted with the white cleaning swab or with two swabs. Swabs in any media (e.g., M4, UTM, or Aptima media) other than the Alinity m Multi-Collect Collection Kit. Urine specimens
where the liquid level in the urine transport tube does not fall within the clear fill window of the transport tube label (do not overfill). Urine specimens in sterile containers that have exceeded
the 24 hour stability. Specimens collected in liquid cytology containers or media will not be tested.
Male urethral swab 

Test Details

Mnemonic

COPCR

Ordering Code

3000499

CPT-4 Codes(s)

87491, 87591

CVD – “Comprehensive Virus Detection”

Effective Date 08/01/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen preparation and rejection criteria.

Specimen Preparation: Swab specimens in viral transport medium.
CSF and body fluids undiluted in sterile, leak-proof container – 3.0 mL (1.5 mL minimum).
Body fluids undiluted in sterile, leak-proof container – 1.0 mL (1.0 mL minimum).
Biopsy/tissue specimens should be ordered for Tissue Comprehensive Virus Detection (TCVD).
Stool in IATA-approved screw-capped container – 2.0 mL (1.0 mL minimum) liquid stool or marble size solid stool.
Undiluted urine in an IATA-approved screw-capped container – 2.0 mL (1.0 mL minimum).
Blood in EDTA (lavender top) tube – 3.0 mL (2.0 mL minimum).
Bone Marrow in EDTA – 1.0 mL (0.5 mL minimum).
For respiratory specimens order RCVD Respiratory Comprehensive Virus Detection 

Rejection Criteria: Rectal swabs and stool preserved in formalin, SAF, or PVA.
Stool specimens received with diapers, tissue paper, tongue depressors, sticks, and other objects.
Serum will not be tested due to decreased virus concentrations.
Urine in Grey-Top (boric acid) urine vacutainers. Specimens in Amplicor, EIA, Gen-Probe, or ProbeTec transport media.
Specimens in bacterial transport media, Stewart medium (Culturettes) and specimens in bacteriological blood culture media.
Dry swabs, wooden swabs, calcium alginate swabs, and swabs in gel transports.
Specimens received in non-sterile or leaking containers will not be tested.
Respiratory specimens (Order RCVD)

Test Details

Mnemonic

CVD

Ordering Code

3099000

CPT-4 Codes(s)

Depending on specimen source, testing may include: 87798 Adenovirus PCR 87496 CMV PCR 87498 Enterovirus PCR 87529 x 2 HSV1 and HSV2 PCR 87502 Norovirus 1 & 2 87631 Rhinovirus PCR 87634 VZV PCR

GCPCR – “Neisseria gonorrheae Testing by PCR”

Effective Date 08/01/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Specimens submitted with the white cleaning swab or with two swabs. Swabs in any media (e.g., M4, UTM, or Aptima media) other than the Alinity m Multi-Collect Collection Kit. Urine specimens
where the liquid level in the urine transport tube does not fall within the clear fill window of the transport tube label (do not overfill). Urine specimens in sterile containers that have exceeded the 24 hour stability. Specimens collected in liquid cytology containers or media will not be tested.
Male urethral swab 

Test Details

Mnemonic

GCPCR

Ordering Code

3000482

CPT-4 Codes(s)

87591

TVPCR – “Trichomonas vaginalis Testing by PCR”

Effective Date 08/01/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria.

Rejection Criteria: Specimens submitted with the white cleaning swab or with two swabs. Swabs in any media (e.g., M4, UTM, or Aptima media) other than the Alinity m Multi-Collect Collection Kit. Urine specimens where the liquid level in the urine transport tube does not fall within the clear fill window of the transport tube label (do not overfill). Urine specimens in sterile containers that have exceeded the 24 hour stability. Specimens collected in liquid cytology containers or media will not be tested.
Male urethral swab 

Test Details

Mnemonic

TVPCR

Ordering Code

3000471

CPT-4 Codes(s)

87661

CA153 – “CA 15-3”

Effective Date 08/08/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to performing laboratory.

Performing Laboratory: Quest SJC

Test Details

Mnemonic

CA153

Ordering Code

1010020

CPT-4 Codes(s)

86300

FER – “Ferritin”

Effective Date 08/08/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to performing laboratory.

Performing Laboratory: Quest SJC

Test Details

Mnemonic

FER

Ordering Code

1000630

CPT-4 Codes(s)

82728

GLAGE – “Galactose-alpha-1,3-galactose IgE”

Effective Date 08/14/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Test brought in-house.

Collect: Serum separator tube (SST)

Specimen Preparation: Centrifuge, separate and send 1.0 mL serum in a screw capped plastic vial.

Transport Temperature: Refrigerated

Minimum Volume: 0.5 mL

Alternate Specimen: Serum: Red top; Plasma: EDTA, heparin

Rejection Criteria: Lipemia

Stability: Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 14 days

Methodology: Fluorescent Enzyme Immunoassay

Reference Range: <0.10 kU/L

Performed Days: Monday – Friday

Turnaround Time: 1 – 3 days

Performing Laboratory: Warde Medical Laboratory

Test Details

Mnemonic

GLAGE

Ordering Code

3350220

CPT-4 Codes(s)

86008

ADB – “Dnase-B Antibody”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to stability, performing days, and turnaround time.

Stability: Room temperature: 2 hours
               Refrigerated: 8 days
               Frozen: 3 months 

Performed Days: Sunday – Saturday

Turnaround Time: 3 – 6 days

Test Details

Mnemonic

ADB

Ordering Code

3683090

CPT-4 Codes(s)

86215

ADIPO – “Adiponectin”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to stability, methodology, and reference range.

Stability: Room temperature: 4 days
                Refrigerated: 14 days
                Frozen: 28 days

Methodology: Immunoturbidometric

Reference Range:  See Report

Test Details

Mnemonic

ADIPO

Ordering Code

3400285

CPT-4 Codes(s)

83520 RUO

AH50 – “Alternative Complement Pathway Activity (AH50)”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to test name, collection instructions, rejection criteria, stability, methodology, reference range, and performed days.

Test Name: Alternative Complement Pathway Activity (AH50)

Collect: Serum: Red top 

Rejection Criteria: Serum separator tube (SST)
Refrigerated or room temperature specimens.
Specimens other than serum.
Samples clotted at refrigerated temperature.
Specimens repeatedly frozen and thawed.
Grossly hemolyzed or lipemic.
Icteric specimens 

Stability:

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

Methodology: Semi-quantitative Enzyme-Linked Immunosorbent Assay

Reference Range: >=31%

Performed Days:  Sunday, Wednesday 

Test Details

Mnemonic

AH50

Ordering Code

3618060

CPT-4 Codes(s)

86161 RUO

MICAB – “Antimicrobial Susceptibility – MIC, Individual”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to turnaround time.

Turnaround Time: 4 – 9 days

Test Details

Mnemonic

MICAB

Ordering Code

3505010

CPT-4 Codes(s)

Price & CPTs vary depending on method

MLH1 – “MLH1 Promoter Methylation”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to minimum volume, rejection criteria, and performed days.

Minimum Volume: 5 slides (if using) 

Rejection Criteria: Specimens fixed in alcohol or heavy metal fixative, decalcified specimens, less than 25% tumor 

Performed Days: Varies 

Test Details

Mnemonic

MLH1

Ordering Code

3624180

CPT-4 Codes(s)

81288

MMMNG – “Myeloid Malignancies Mutation Panel by Next Gen. Sequencing”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen preparation, minimum volume, alternate specimen, rejection criteria, and stability.

Specimen Preparation: Send 3.0 mL whole blood in the original collection tube or a screw capped plastic vial. Separate specimens must be submitted when multiple tests are ordered.

Minimum Volume: 1.0 mL for bone marrow, 1.5 for whole blood

Alternate Specimen: Bone marrow: lavender EDTA or green sodium heparin
Whole blood: Green sodium heparin

Rejection Criteria: Serum, plasma, tissue, buccal brush or swab, grossly hemolyzed specimens.

Stability: Room temperature: 72 hours
Refrigerated: 7 days
Frozen: Unacceptable

Test Details

Mnemonic

MMMNG

Ordering Code

3618421

CPT-4 Codes(s)

81455

NARGC – “N-methyl-D-Aspartate Receptor Ab IgG CSF w Reflex to Titer”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to test name, performed days, and turnaround time.

Test Name: N-methyl-D-Aspartate Receptor Ab IgG CSF w Reflex to Titer

Performed Days: Sunday – Saturday

Turnaround Time: 2 – 5 days

Test Details

Mnemonic

NARGC

Ordering Code

3516180

CPT-4 Codes(s)

86255, plus 86256 If reflexed to titer, at additional cost

NMETD – “N-methyl-D-Asparate Receptor Ab, IgG, Serum with reflex to titer”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to test name and turnaround time.

Test Name: N-methyl-D-Asparate Receptor Ab, IgG, Serum with reflex to titer

Turnaround Time: 2 – 5 days

Test Details

Mnemonic

NMETD

Ordering Code

3600159

CPT-4 Codes(s)

86255, plus 86256 if reflexed to titer, at an additional fee

PRINS – “Proinsulin, Intact”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to stability and reference range.

Stability: Room temperature: Unacceptable
Refrigerated: 24 hours
Frozen: 2 months

Reference Range:

0-17 years: Not Established
18 years and older: <= 7.2

 

Test Details

Mnemonic

PRINS

Ordering Code

3681100

CPT-4 Codes(s)

84206

PRMET – “MGMT Promoter Methylation Det by ddPCR”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to minimum volume and performed days.

Minimum Volume: 5 slides (if using) 

Performed Days:  Varies

Test Details

Mnemonic

PRMET

Ordering Code

3600217

CPT-4 Codes(s)

81287

TBFCE – “TRG BF with RFLX to CHYLO”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to performed days.

Performed Days: Varies

Test Details

Mnemonic

TBFCE

Ordering Code

3600254

CPT-4 Codes(s)

84478; if reflexed, add 82664

TSHRA – “TRAb (TSH Receptor Antibody)”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen required and rejection criteria.

Collect: Red top

Rejection Criteria:  Gross Hemolysis, Serum separator tube (SST) 

Test Details

Mnemonic

TSHRA

Ordering Code

3400198

CPT-4 Codes(s)

83520

UTPME – “Tapentadol, Urine, Quantitative”

Effective Date 08/21/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to test name, transport temperature, reference range, and turnaround time.

Test Name: Tapentadol, Urine, Quantitative

Transport Temperature: Refrigerated

Reference Range: 50 ng/mL

Turnaround Time: 3 – 10 days

Test Details

Mnemonic

UTPME

Ordering Code

3622300

CPT-4 Codes(s)

80372 (G0480)

1433p – “14-3-3 eta Protein”

Effective Date 08/22/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to stability.

Stability:

Room temperature: 7 day
Refrigerated: 7 days
Frozen: 1 year

Test Details

Mnemonic

1433P

Ordering Code

3427700

CPT-4 Codes(s)

83520

BIACT – “Bile Acids, Total”

Effective Date 08/22/2023
Update Type Updated Test
Test Update View Test Update ›

Notes

Reactivating test.

Collect: Serum separator tube (SST)

Specimen Preparation: Allow sample to clot completely at room temperature before centrifugation. Centrifuge and separate serum from cells within 1 hour of collection. Send 1.0 mL serum refrigerated in a screw capped plastic vial.

Minimum Volume: 0.5 mL

Transport Temperature: Refrigerated

Alternate Specimen: Serum: Red top
Plasma: Lavender EDTA or Green lithium heparin

Rejection Criteria: Hemolyzed sample or hemolysis, body fluids.

Stability: Room temperature: 8 hours
Refrigerated: 14 days
Frozen: 90 days

Methodology: Quantitative Enzyme Immunoassay

Reference Range: 0 – 10 mcgmol/L

Performed Days: Tuesday, Thursday, Saturday

Turnaround Time: 3 – 6 days

Performing Location: Quest SJC

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3717900 Bile Acids, Total 14628-2 No

Test Details

Mnemonic

BIACT

Ordering Code

3717900

CPT-4 Codes(s)

82239

WML Test Directory Update | August 2023 | Warde Medical Laboratory Page
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