August 2022 WML Test Directory Update

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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
08/04/2022 Updated Test FRUC – “Fructosamine” Jump to update
08/08/2022 Updated Test MOPOX – Monkeypox Virus DNA, QL PCR Jump to update
08/09/2022 Updated Test BLQA – “MyVista® Blastomyces QN Antigen EIA” Jump to update
08/09/2022 Updated Test DHEA – “DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS” 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 HDBMA – “Hepatitis Delta IgM Ab” Jump to update
08/09/2022 Updated Test LEAD – “Lead” Jump to update
08/09/2022 Updated Test MVHIS – “Histoplasma Quantitative Antigen EIA” Jump to update
08/09/2022 Updated Test PHNYF – “Phenytoin, Free (Dilantin)” Jump to update
08/09/2022 Updated Test RABAR – “Rabies Antibody Screen (RFFIT)” Jump to update
08/15/2022 Updated Test AFBAS – “AFB Antimicrob Suscep (MYCOB)” Jump to update
08/15/2022 Updated Test ASHKE – “Ashkenazi Jewish Mutation” Jump to update
08/15/2022 Updated Test ASPCF – “Aspergillus Ab by CF” Jump to update
08/15/2022 Updated Test FAPIA – “Fungal Antibodies (ID)” Jump to update
08/15/2022 Updated Test HISID – “Histoplasma Abs (ID)” Jump to update
08/15/2022 Updated Test HPIDA – “Histoplasma Abs (CF/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
08/22/2022 Updated Test MBPCS – “Myelin Basic Protein” Jump to update
08/23/2022 Updated Test CLCTN – “Calcitonin” Jump to update
08/23/2022 Updated Test GAS – “Gastrin” Jump to update
08/29/2022 Updated Test KRBC – “Potassium – RBC” 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)

Turnaround Time
4 - 8 days
Performed
Monday, Wednesday, Friday
Legacy Code
PMND1
Positive Example Report
Download
Example Report with reflexing
Download
Testing Algorithm
Download

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, Serum3800288
3800289Phospholipase A2 Receptor, ELISA, S73737-9No
3800290PLA2R, Immunofluorescence, S82991-1No
3800291THSD7A, Ab, S93339-0No

FRUC – “Fructosamine”

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

Notes

Update to specimen preparation, alternate specimen, and stability.

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

Alternate Specimen: Serum: Red top

Stability:

Room temperature: Unacceptable
Refrigerated: 14 days
Frozen: 30 days

Test Details

Mnemonic

FRUC

Ordering Code

1004500

CPT-4 Codes(s)

82985

MOPOX – Monkeypox Virus DNA, QL PCR

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

Notes

Update to CPT code, NY testing, rejection criteria, and LOINC.

CPT Code(s): 87593 x 2

New York DOH Approval Status: Yes

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

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3400645 Patient Race: Not available Yes
3400656 Ethnicity: Not available Yes
3400647 Orthopoxvirus DNA, QL PCR 100434-0 No
3400648 Monkeypox Virus DNA, QL PCR 100888-7 No

Test Details

Mnemonic

MOPOX

Ordering Code

3400644

CPT-4 Codes(s)

87593 x 2

BLQA – “MyVista® Blastomyces QN Antigen EIA”

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

Notes

Update to turnaround time.

Turnaround Time: 6 – 8 days

Test Details

Mnemonic

BLQA

Ordering Code

3700035

CPT-4 Codes(s)

87449

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

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

Notes

Update to alternate specimens and stability

Alternate Specimen: Plasma (Frozen): Lavender or Dark blue EDTA, Sodium heparin or Green lithium heparin

Stability:

Serum
Room temperature: 6 hours
Refrigerated: 72 hours
Frozen: 90 days

Plasma
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 90 days

Test Details

Mnemonic

DHEA

Ordering Code

3700510

CPT-4 Codes(s)

82626

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

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

Notes

Update to CPT code.

CPT Code(s): 87798 x 4

Test Details

Mnemonic

EASRT

Ordering Code

3600090

CPT-4 Codes(s)

87468; 87484; 87798 x 2

HDBMA – “Hepatitis Delta IgM Ab”

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

Notes

Update to CPT code.

CPT Code(s): 86692

Test Details

Mnemonic

HDBMA

Ordering Code

3511400

CPT-4 Codes(s)

86692

LEAD – “Lead”

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

Notes

Updates to minimum volume, rejection criteria, and stability.

Minimum Volume: 0.5 mL 

Rejection Criteria: Clotted or frozen samples

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

Test Details

Mnemonic

LEAD

Ordering Code

1000370

CPT-4 Codes(s)

83655

MVHIS – “Histoplasma Quantitative Antigen EIA”

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

Notes

Update to turnaround time.

Turnaround Time: 6 – 8 days

Test Details

Mnemonic

MVHIS

Ordering Code

3432600

CPT-4 Codes(s)

87385

PHNYF – “Phenytoin, Free (Dilantin)”

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

Notes

Update to alternate specimen and stability.

Alternate Specimen: Plasma: EDTA, sodium or lithium heparin, oxalate, citrate

Stability:

Room temperature: Unacceptable
Refrigerated: 30 days
Frozen: 3 months 

Test Details

Mnemonic

PHNYF

Ordering Code

1750052

CPT-4 Codes(s)

80186

RABAR – “Rabies Antibody Screen (RFFIT)”

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

Notes

Update to minimum volume.

Minimum Volume: 1.0 mL

Test Details

Mnemonic

RABAR

Ordering Code

3600025

CPT-4 Codes(s)

86382

AFBAS – “AFB Antimicrob Suscep (MYCOB)”

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

Notes

Update to performed days.

Performed Days: Sunday – Saturday 

Test Details

Mnemonic

AFBAS

Ordering Code

3514220

CPT-4 Codes(s)

CPT and price variable, based upon methodology Charges will vary based on organism identified. An additional handling fee will be billed for all organisms submitted that are not in pure culture as indicated in the specimen requirements. If species identification is not provided, identification will be performed at ARUP. Additional charges apply. An additional charge will be added for drug requests that are not tested at ARUP and require sendout.

ASHKE – “Ashkenazi Jewish Mutation”

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

Notes

Update to CPT codes.

CPT Code(s): 81401, 81209, 81200, 81260, 81242, 81251, 81250, 81479, 81205, 81290, 81400, 81330, 81255

Test Details

Mnemonic

ASHKE

Ordering Code

3515020

CPT-4 Codes(s)

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

ASPCF – “Aspergillus Ab by CF”

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

Notes

Update to rejection criteria.

Rejection Criteria: Contaminated, hemolyzed, or severely lipemic specimens

Test Details

Mnemonic

ASPCF

Ordering Code

3680160

CPT-4 Codes(s)

86606

FAPIA – “Fungal Antibodies (ID)”

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

Notes

Update to minimum volume requirements and rejection criteria.

Minimum Volume: 0.4 mL 

Rejection Criteria: Contaminated, hemolyzed, or severely lipemic specimens 

Test Details

Mnemonic

FAPIA

Ordering Code

3682945

CPT-4 Codes(s)

86606, 86612, 86635, 86698

HISID – “Histoplasma Abs (ID)”

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

Notes

Updates to performed days, rejection criteria, minimum volume, and reference range.

Minimum Volume: 0.15 mL

Rejection Criteria: Contaminated, hemolyzed, or severely lipemic specimens

Reference Range: Not Detected 

Performed Days:  Sunday – Saturday

Test Details

Mnemonic

HISID

Ordering Code

3680860

CPT-4 Codes(s)

86698

HPIDA – “Histoplasma Abs (CF/ID)”

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

Notes

Updates to rejection criteria, methodology, reference range, and performed days.

Rejection Criteria: Contaminated, hemolyzed or severely lipemic specimens

Methodology: Semi-Quantitative Complement Fixation/Immunodiffusion 

Reference Range:

Histoplasma Antibodies by Immunodiffusion: Not Detected
Histoplasma Yeast Antibodies by CF: Less than 1:8
Histoplasma Myceliz Antibodies by CF: Less than 1:8

Performed Days: Sunday – Saturday 

Test Details

Mnemonic

HPIDA

Ordering Code

3683110

CPT-4 Codes(s)

86698 x 3

JK12P – “JAK2 Exon 12 Mutation Analysis by PCR”

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

Notes

Update to performed days and turnaround time.

Performed Days: DNA Isolation: Sunday – Saturday; Assay: Varies 

Turnaround Time: 4 – 11 days 

Test Details

Mnemonic

JK12P

Ordering Code

3623000

CPT-4 Codes(s)

81279

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 ›

Notes

Update to methodology.

Methodology: Semi-Quantitative Cell-Based Indirect Fluorescent Antibody

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-Aspartate Rcptr Ab, IgG, Ser”

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

Notes

Update to methodology.

Methodology: Semi-Quantitative Cell-Based Indirect Fluorescent Antibody

Test Details

Mnemonic

NMETD

Ordering Code

3600159

CPT-4 Codes(s)

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

MBPCS – “Myelin Basic Protein”

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

Notes

Updates to rejection criteria and reference range.

Rejection Criteria: Hemolysis, Xanthochromia/RBCs in CSF

Reference Range:  < or = 4.0 mcg/L

Test Details

Mnemonic

MBPCS

Ordering Code

3701310

CPT-4 Codes(s)

83873

CLCTN – “Calcitonin”

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

Notes

Update to example report and always message

The Siemens DPC Immulite 2000 chemiluminescent immunoassay
is used. Results obtained with different assay methods or
kits cannot be used interchangeably. Results cannot be
interpreted as absolute evidence of the presence or absence
of malignant disease.

Test Details

Mnemonic

CLCTN

Ordering Code

1004035

CPT-4 Codes(s)

82308

GAS – “Gastrin”

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

Notes

Update to example report and always message.

The Siemens DPC Immulite 2000 chemiluminescent immunoassay
is used. Results obtained with different assay methods or
kits cannot be used interchangeably. Results cannot be
interpreted as absolute evidence of the presence or absence
of malignant disease.

Test Details

Mnemonic

GAS

Ordering Code

1000640

CPT-4 Codes(s)

82941

KRBC – “Potassium – RBC”

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

Notes

Update to specimen requirements and stability.

Collect: Green sodium heparin AND Lavender EDTA 

Specimen Preparation: 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:

Green sodium or lithium heparin
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Lavender EDTA
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Unacceptable

Test Details

Mnemonic

KRBC

Ordering Code

3718600

CPT-4 Codes(s)

84132

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