WML Test Directory Update | August Update

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Announcement

Separate specimens must be submitted when multiple tests are ordered for the following CRITICAL FROZEN tests:
F8AR – FACTOR VIII ACTIVITY
WVFAP – VON WILLEBRAND FACTOR ANTIGEN
VWFAR – VON WILLEBRAND FACTOR ACTIVITY (RISTOCETIN COFACTOR)
F10AR – FACTOR X ACTIVITY
F7AR – FACTOR VII ACTIVITY
PAIAR – PLASMINOGEN ACTIVATOR INHIBITOR, ACTIVITY

Update Summary

Effective Date Update Type Name
08/16/2022 Inactivated/Replace Test PLA2A – “Phospholipase A2 Receptor AB, S” replaced by PMND1 – “Primary Membranous Nephropathy Diagnostic Cascade, Serum” Jump to update
08/29/2022 Updated Test KRBC – “Potassium – RBC” Jump to update
08/23/2022 Updated Test GAS – “Gastrin” Jump to update
08/23/2022 Updated Test CLCTN – “Calcitonin” Jump to update
08/22/2022 Updated Test MBPCS – “Myelin Basic Protein” Jump to update
08/15/2022 Updated Test HISID – “Histoplasma Abs (ID)” Jump to update
08/15/2022 Updated Test JK12P – “JAK2 Exon 12 Mutation Analysis by PCR” Jump to update
08/15/2022 Updated Test NARGC – “N-methyl-D-Aspartate Receptor Ab IgG CSF w Reflex to Titer” Jump to update
08/15/2022 Updated Test NMETD – “N-methyl-D-Aspartate Rcptr Ab, IgG, Ser” Jump to update
08/15/2022 Updated Test HPIDA – “Histoplasma Abs (CF/ID)” Jump to update
08/15/2022 Updated Test AFBAS – “AFB Antimicrob Suscep (MYCOB)” Jump to update
08/15/2022 Updated Test FAPIA – “Fungal Antibodies (ID)” Jump to update
08/15/2022 Updated Test ASPCF – “Aspergillus Ab by CF” Jump to update
08/15/2022 Updated Test ASHKE – “Ashkenazi Jewish Mutation” Jump to update
08/09/2022 Updated Test EASRT – “Ehrlichia and Anaplasma Species by Real-Time PCR” Jump to update
08/09/2022 Updated Test LEAD – “Lead” Jump to update
08/09/2022 Updated Test PHNYF – “Phenytoin, Free (Dilantin)” Jump to update
08/09/2022 Updated Test HDBMA – “Hepatitis Delta IgM Ab” Jump to update
08/09/2022 Updated Test MVHIS – “Histoplasma Quantitative Antigen EIA” Jump to update
08/09/2022 Updated Test BLQA – “MyVista� Blastomyces QN Antigen EIA” Jump to update
08/09/2022 Updated Test RABAR – “Rabies Antibody Screen (RFFIT)” Jump to update
08/09/2022 Updated Test DHEA – “DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS” Jump to update
08/08/2022 Updated Test MOPOX – Monkeypox Virus DNA, QL PCR Jump to update
08/04/2022 Updated Test FRUC – “Fructosamine” Jump to update

PLA2A – “Phospholipase A2 Receptor AB, S” replaced by PMND1 – “Primary Membranous Nephropathy Diagnostic Cascade, Serum”

Effective Date 08/16/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

PLA2A

Ordering Code

3800041

CPT-4 Codes(s)

86255 (IFA), 83520 (ELISA)

Replacement Test Details

Mnemonic

PMND1

Ordering Code

3800288

CPT-4 Codes(s)

83520, plus 86255 each additional test performed, at additional charge(s)

Specimen Information

Testing Algorithm
The phospholipase A2 receptor (PLA2R) enzyme-linked immunosorbent assay (ELISA) is initially
performed. [3800289]

If the PLA2R ELISA result [3800289] is less than 20, then the PLA2R immunofluorescence testing
will be performed at an additional charge. [3800290]

If the PLA2R immunofluorescence result [3800290] is Negative, thrombospondin type-1 domaincontaining 7A (THSD7A) antibody testing [3800291] will be performed at an additional charge.

If not performed, [3800290] and [3800291] will be reported as “TNP”.

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, remove serum from cells within 2 hours of collection and send 1.0 mL serum in a
screw capped plastic vial.

Alternate Specimen

Serum: Red top

Minimum Volume

1.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Gross hemolysis, gross lipemia

Stability

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

Methodology

Enzyme-linked Immunosorbent Assay (ELISA)
more

Reference Range

ANTI-PHOSPHOLIPASE A2 RECEPTOR (PLA2R) ENZYME-LINKED IMMUNOSORBENT ASSAY:
<14 RU/mL: Negative
14 to 19 RU/mL: Borderline
> or =20 RU/mL: Positive

PLA2R IMMUNOFLUORESCENCE
Negative

THROMBOSPONDIN TYPE-1 DOMAIN-CONTAINING 7A ANTIBODIES
Negative

more

Performing Laboratory

MAYO
more

Interface Map for PMND1

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Primary Membranous Nephropathy Diagnostic Cascade, Serum 3800288
3800289 Phospholipase A2 Receptor, ELISA, S 73737-9 No
3800290 PLA2R, Immunofluorescence, S 82991-1 No
3800291 THSD7A, Ab, S 93339-0 No

KRBC – “Potassium – RBC”

Effective Date 08/29/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Collect

Previous: Updated To:
Deleted: Added: Green sodium heparin AND Lavender EDTA

Specimen Preparation

Previous: Updated To:
Deleted: Added: Send 4.0 mL whole blood in a screw capped plastic vial or in original collection tube, AND whole blood collected in Lavender EDTA tube. Both samples must be received for testing.

Stability

Previous: Updated To:
Added: Green sodium or lithium heparin
Added: Room temperature: 72 hours
Added: Refrigerated: 72 hours
Added: Frozen: Unacceptable
Deleted: Added: Lavender EDTA
Added: Room temperature: 48 hours
Added: Refrigerated: 48 hours
Added: Frozen: Unacceptable

GAS – “Gastrin”

Effective Date 08/23/2022
Update Type Updated Test
Test Update View Test Update ›

Test Details

Mnemonic

GAS

Ordering Code

1000640

CPT-4 Codes(s)

82941

Specimen Information

Update to example report and always message.

Patient Preparation

Previous: Updated To:
Deleted: Concentrations of biotin greater than 2 ng/mL may interfere with the assay. Added: *Concentrations of biotin greater than 2 ng/mL may interfere with the assay.

Interface Map for GAS

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Gastrin 1000640
1000640 Gastrin 2333-3 No pg/mL

CLCTN – “Calcitonin”

Effective Date 08/23/2022
Update Type Updated Test
Test Update View Test Update ›

Test Details

Mnemonic

CLCTN

Ordering Code

1004035

CPT-4 Codes(s)

82308

Specimen Information

Update to example report and always message.

Patient Preparation

Previous: Updated To:
Deleted: Added: *

Interface Map for CLCTN

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Calcitonin 1004035
1004035 Calcitonin 1992-7 No pg/mL

MBPCS – “Myelin Basic Protein”

Effective Date 08/22/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Rejection Criteria

Previous: Updated To:
Deleted: Added: Hemolysis, Xanthochromia/RBCs in CSF

Reference Range

Previous: Updated To:
Deleted: Added: < or = 4.0 mcg/L

HISID – “Histoplasma Abs (ID)”

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Minimum Volume

Previous: Updated To:
Deleted: Added: 0.15 mL

Rejection Criteria

Previous: Updated To:
Deleted: Added: Contaminated, hemolyzed, or severely lipemic specimens

Reference Range

Previous: Updated To:
Deleted: Added: Not Detected

Days Performed

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

JK12P – “JAK2 Exon 12 Mutation Analysis by PCR”

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Days Performed

Previous: Updated To:
Deleted: Added: DNA Isolation: Sunday - Saturday; Assay: Varies

Turn-around Time

Previous: Updated To:
Deleted: Added: 4 – 11 days

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

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Methodology

Previous: Updated To:
Deleted: Added: Semi-Quantitative Cell-Based Indirect Fluorescent Antibody

NMETD – “N-methyl-D-Aspartate Rcptr Ab, IgG, Ser”

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Methodology

Previous: Updated To:
Deleted: Added: Semi-Quantitative Cell-Based Indirect Fluorescent Antibody

HPIDA – “Histoplasma Abs (CF/ID)”

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Rejection Criteria

Previous: Updated To:
Deleted: Added: Contaminated, hemolyzed or severely lipemic specimens

Methodology

Previous: Updated To:
Deleted: Added: Semi-Quantitative Complement Fixation/Immunodiffusion

Reference Range

Previous: Updated To:
Added: Histoplasma Antibodies by Immunodiffusion: Not Detected
Deleted: Added: Histoplasma Yeast Antibodies by CF: Less than 1:8
Added: Histoplasma Myceliz Antibodies by CF: Less than 1:8

Days Performed

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

AFBAS – “AFB Antimicrob Suscep (MYCOB)”

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Days Performed

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

FAPIA – “Fungal Antibodies (ID)”

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Minimum Volume

Previous: Updated To:
Deleted: Added: 0.4 mL

Rejection Criteria

Previous: Updated To:
Deleted: Added: Contaminated, hemolyzed, or severely lipemic specimens

ASPCF – “Aspergillus Ab by CF”

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Rejection Criteria

Previous: Updated To:
Deleted: Added: Contaminated, hemolyzed, or severely lipemic specimens

ASHKE – “Ashkenazi Jewish Mutation”

Effective Date 08/15/2022
Update Type Updated Test
Test Update View Test Update ›

Test Details

CPT-4 Codes(s)

81401, 81209, 81200, 81260, 81242, 81251, 81250, 81479, 81205, 81290, 81400, 81330, 81255

CPT-4 Codes

Previous: Updated To:
Deleted: Added: 81401, 81209, 81200, 81260, 81242, 81251, 81250, 81479, 81205, 81290, 81400, 81330, 81255

EASRT – “Ehrlichia and Anaplasma Species by Real-Time PCR”

Effective Date 08/09/2022
Update Type Updated Test
Test Update View Test Update ›

Test Details

CPT-4 Codes(s)

87798 x 4

CPT-4 Codes

Previous: Updated To:
Deleted: Added: 87798 x 4

LEAD – “Lead”

Effective Date 08/09/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Minimum Volume

Previous: Updated To:
Deleted: Added: 0.5 mL

Rejection Criteria

Previous: Updated To:
Deleted: Added: Clotted or frozen samples

Stability

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

PHNYF – “Phenytoin, Free (Dilantin)”

Effective Date 08/09/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Alternate Specimen

Previous: Updated To:
Deleted: Added: Plasma: EDTA, sodium or lithium heparin, oxalate, citrate

Stability

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

HDBMA – “Hepatitis Delta IgM Ab”

Effective Date 08/09/2022
Update Type Updated Test
Test Update View Test Update ›

Test Details

CPT-4 Codes(s)

86692

CPT-4 Codes

Previous: Updated To:
Deleted: Added: 86692

MVHIS – “Histoplasma Quantitative Antigen EIA”

Effective Date 08/09/2022
Update Type Updated Test
Test Update View Test Update ›

Turn-around Time

Previous: Updated To:
Deleted: Added: 6 - 8 days

BLQA – “MyVista� Blastomyces QN Antigen EIA”

Effective Date 08/09/2022
Update Type Updated Test
Test Update View Test Update ›

Turn-around Time

Previous: Updated To:
Deleted: Added: 6 - 8 days

RABAR – “Rabies Antibody Screen (RFFIT)”

Effective Date 08/09/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Minimum Volume

Previous: Updated To:
Deleted: Added: 1.0 mL

DHEA – “DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS”

Effective Date 08/09/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Alternate Specimen

Previous: Updated To:
Deleted: Added: Plasma (Frozen): Lavender or Dark blue EDTA, Sodium heparin or Green lithium heparin

Stability

Previous: Updated To:
Deleted: Added: Serum
Added: Room temperature: 6 hours
Added: Refrigerated: 72 hours
Added: Frozen: 90 days
Added: Plasma
Added: Room temperature: Unacceptable
Added: Refrigerated: Unacceptable
Added: Frozen: 90 days

MOPOX – Monkeypox Virus DNA, QL PCR

Effective Date 08/08/2022
Update Type Updated Test
Test Update View Test Update ›

Test Details

Mnemonic

MOPOX

Ordering Code

3400644

CPT-4 Codes(s)

*87593 x 2

Specimen Information

Additional collection information:

https://www.cdc.gov/poxvirus/monkeypox/clinicians/prep-collection-specimens.html

Rejection Criteria

Previous: Updated To:
Deleted: Calcium alginate swabs; cotton swabs; wooden shaft swabs, dry swabs, samples not submitted Added: *Calcium alginate swabs; cotton swabs; wooden shaft swabs, dry swabs, samples not submitted
Unchanged: in VCM or equivalentUnchanged: in VCM or equivalent

New York DOH Approval Status

Previous: Updated To:
Deleted: Yes Added: *Yes

CPT-4 Codes

Previous: Updated To:
Deleted: 87593 x 2 Added: *87593 x 2

Interface Map for MOPOX

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Monkeypox Virus DNA, QL PCR 3400644
3400645 Patient Race: Not available Yes
3400646 Ethnicity: Not available Yes
3400647 Orthopoxvirus DNA, QL PCR 100434-0 No
3400648 Monkeypox Virus DNA, QL PCR 100888-7 No

FRUC – “Fructosamine”

Effective Date 08/04/2022
Update Type Updated Test
Test Update View Test Update ›

Specimen Information

Specimen Preparation

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

Alternate Specimen

Previous: Updated To:
Deleted: Added: Serum: Red top

Stability

Previous: Updated To:
Added: Room temperature: Unacceptable
Added: Refrigerated: 14 days
Deleted: Added: Frozen: 30 days
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