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 ›

Notes

DNDSI # 37092

Replaced by

WMINU test DNDS

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 Changes

LOINC Code

Previous:Updated To:
58466-4Not available

LOINC Code

Previous:Updated To:
58466-4Not available

LOINC Code

Previous:Updated To:
58466-4Not available

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) AntibodyNot available
3000511DNA Ab (ds) Crithidia, IFANot availableNo
3000512DNA Ab (ds) Crithidia, TiterNot availableNo

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 ›

Notes

ARUP # 3001576 replaced by ARUP #3006198

$318.00

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

ARUP #3003253

INACTIVATION

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

QSJC # 16506

USE TEST CODES COPCR/CHPCR/GCPCR/TVPCR as Rectal is an acceptable source

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

QSJC # 70051

USE TEST CODES COPCR/CHPCR/GCPCR/TVPCR as Throat is an acceptable source

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

WMMAB # GCPCR

Rejection criteria change

Specimen Information

Rejection Criteria

Previous:Updated To:
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

COPCR – “Chlamydia and Neisseria Testing by PCR”

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

Notes

WMMAB # COPCR

Rejection criteria change

Specimen Information

Rejection Criteria

Previous:Updated To:
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

CVD – “Comprehensive Virus Detection”

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

Notes

WMMPC

Respiratory samples are no longer acceptable

Specimen Information

Specimen Preparation

Previous:Updated To:
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

Previous:Updated To:
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)

GCPCR – “Neisseria gonorrheae Testing by PCR”

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

Notes

WMMAB # GCPCR

Rejection criteria change.

Specimen Information

Rejection Criteria

Previous:Updated To:
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

TVPCR – “Trichomonas vaginalis Testing by PCR”

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

Notes

WMMAB # TVPCR

Rejection criteria change

Specimen Information

Rejection Criteria

Previous:Updated To:
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

CA153 – “CA 15-3”

Effective Date 08/08/2023
Update Type Updated Test
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Notes

QVAL #5819
moving to QSJC #5819

Performing Laboratory

Previous:Updated To:
Quest SJC

FER – “Ferritin”

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

Notes

QVAL #457
moving to Quest SJC # 457

Performing Laboratory

Previous:Updated To:
Quest SJC

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

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

Notes

WMIMR # GLAGE

Change from sendout test to being performed in house. Add to Phadia 1000.

Specimen Information

Collect

Previous:Updated To:
Serum separator tube (SST)

Specimen Preparation

Previous:Updated To:
Centrifuge, separate and send 1.0 mL serum in a screw capped plastic vial.

Alternate Specimen

Previous:Updated To:
Serum: Red top; Plasma: EDTA, heparin

Minimum Volume

Previous:Updated To:
0.5 mL

Transport Temperature

Previous:Updated To:
Refrigerated

Rejection Criteria

Previous:Updated To:
Lipemia

Stability

Previous:Updated To:
Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 14 days

Methodology

Previous:Updated To:
Fluorescent Enzyme Immunoassay

Reference Range

Previous:Updated To:
<0.10 kU/L

Performing Laboratory

Previous:Updated To:
Warde Medical Laboratory

Days Performed

Previous:Updated To:
Monday - Friday

Turnaround Time

Previous:Updated To:
1 - 3 days

ADB – “Dnase-B Antibody”

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

Notes

ARUP #50220

update of stability, performing day, and turnaround time

Specimen Information

Stability

Previous:Updated To:
Room temperature: 2 hours
Refrigerated: 8 days
Frozen: 3 months

Days Performed

Previous:Updated To:
Sunday - Saturday

Turnaround Time

Previous:Updated To:
3 - 6 days

ADIPO – “Adiponectin”

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

Notes

VAL #15606

Updating stability, methodology, reference range.

Specimen Information

Stability

Previous:Updated To:
Room temperature: 4 days
Refrigerated: 14 days
Frozen: 28 days

Methodology

Previous:Updated To:
Immunoturbidometric

Reference Range

Previous:Updated To:
See Report

AH50 – “Alternative Complement Pathway Activity (AH50)”

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

Notes

ARUP # 2005373

NAME CHANGE, COLLECTION INSTRUCTIONS, SPECIMEN PREP, REJECTION CRITERIA, STABILITY, METHODOLOGY, AND PERFORMING DAYS ARE ALL EFFECTED

Specimen Information

Update to test name.

Complement, Alt Pathway (AH50) -> Alternative Complement Pathway Activity (AH50)

Collect

Previous:Updated To:
Serum: Red top

Specimen Preparation

Previous:Updated To:
Allow specimen to clot for an hour at room temperature, then centrifuge and separate serum from cells within 2 hours of collection. Send 1.0 mL serum frozen in a screw capped plastic vial. CRITICAL FROZEN.

Alternate Specimen

Previous:Updated To:
no alternate specimens

Minimum Volume

Previous:Updated To:
0.3 mL

Transport Temperature

Previous:Updated To:
CRITICAL FROZEN

Rejection Criteria

Previous:Updated To:
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

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

Methodology

Previous:Updated To:
Semi-quantitative Enzyme-Linked Immunosorbent Assay

Reference Range

Previous:Updated To:
>=31%

Days Performed

Previous:Updated To:
Sunday, Wednesday

MICAB – “Antimicrobial Susceptibility – MIC, Individual”

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

Notes

ARUP # 60201

TURN AROUND TIME EXTENDED

Turnaround Time

Previous:Updated To:
4 - 9 days

MLH1 – “MLH1 Promoter Methylation”

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

Notes

ARUP #3004308

MINIMUM SLIDE COUNT, METHODOLOGY, AND INTERPRETATIVE DATA IS ALL CHANGING

Specimen Information

Minimum Volume

Previous:Updated To:
5 slides (if using)

Rejection Criteria

Previous:Updated To:
Specimens fixed in alcohol or heavy metal fixative, decalcified specimens, less than 25% tumor

Days Performed

Previous:Updated To:
Varies

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

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

Notes

ARUP # 2011117

they will no longer accept tissue for this testing

Specimen Information

Specimen Preparation

Previous:Updated To:
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.

Alternate Specimen

Previous:Updated To:
Bone marrow: lavender EDTA or green sodium heparin
Whole blood: Green sodium heparin

Minimum Volume

Previous:Updated To:
1.0 mL for bone marrow, 1.5 for whole blood

Rejection Criteria

Previous:Updated To:
Serum, plasma, tissue, buccal brush or swab, grossly hemolyzed specimens.

Stability

Previous:Updated To:
Room temperature: 72 hours
Refrigerated: 7 days
Frozen: Unacceptable

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

ARUP # 2005164

NAME CHANGE AND INTERPRETATIVE DATA CHANGE

Days Performed

Previous:Updated To:
Sunday - Saturday

Turnaround Time

Previous:Updated To:
2 - 5 days

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

ARUP # 2004221

Test name change, turnaround time

Turnaround Time

Previous:Updated To:
2 - 5 days

PRINS – “Proinsulin, Intact”

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

Notes

ARUP # 70112

STABILITY AND REFERENCE RANGE UPDATE

Specimen Information

Stability

Previous:Updated To:
Room temperature: Unacceptable
Refrigerated: 24 hours
Frozen: 2 months

Reference Range

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

PRMET – “MGMT Promoter Methylation Det by ddPCR”

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

Notes

ARUP #3005956

minimum slide count and interpretative data changing

Specimen Information

Minimum Volume

Previous:Updated To:
5 slides (if using)

Days Performed

Previous:Updated To:
Varies

TBFCE – “TRG BF with RFLX to CHYLO”

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

Notes

ARUP # 3005996

PERFORMING DAYS

Days Performed

Previous:Updated To:
Varies

TSHRA – “TRAb (TSH Receptor Antibody)”

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

Notes

QSJC #38683

change to processing sample, rejection criteria

Specimen Information

Collect

Previous:Updated To:
Red top

Rejection Criteria

Previous:Updated To:
Gross Hemolysis, Serum separator tube (SST)

UTPME – “Tapentadol, Urine, Quantitative”

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

Notes

ARUP #2003128

NO LONGER INCLUDES METABOLITES IN TESTING

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

Specimen Information

Update to test name.

Tapentadol and Metabolite, Urine, Quantitative -> Tapentadol, Urine, Quantitative

Transport Temperature

Previous:Updated To:
Refrigerated

Reference Range

Previous:Updated To:
50 ng/mL

Turnaround Time

Previous:Updated To:
3 - 10 days

1433p – “14-3-3 eta Protein”

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

Notes

QSJC # 91455

Update to stability

Specimen Information

Stability

Previous:Updated To:
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 1 year

BIACT – “Bile Acids, Total”

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

Notes

QSJC # 13031 Reactivating test

Specimen Information

Collect

Previous:Updated To:
Serum separator tube (SST)

Specimen Preparation

Previous:Updated To:
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.

Alternate Specimen

Previous:Updated To:
Serum: Red top
Plasma: Lavender EDTA or Green lithium heparin

Minimum Volume

Previous:Updated To:
0.5 mL

Transport Temperature

Previous:Updated To:
Refrigerated

Rejection Criteria

Previous:Updated To:
Hemolyzed sample or hemolysis, body fluids.

Stability

Previous:Updated To:
Room temperature: 8 hours
Refrigerated: 14 days
Frozen: 90 days

Methodology

Previous:Updated To:
Quantitative Enzyme Immunoassay

Reference Range

Previous:Updated To:
0 - 10 mcgmol/L

Performing Laboratory

Previous:Updated To:
Quest SJC

Days Performed

Previous:Updated To:
Tuesday, Thursday, Saturday

Turnaround Time

Previous:Updated To:
3 - 6 days
WML Test Directory Update | August 2023 | Warde Medical Laboratory Page
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