WML Test Directory Update | January 2024 - Warde Medical Laboratory

Update Summary

Effective Date	Update Type	Name
01/30/2024	New Test	FCAPE – “Fecal Calprotectin and Pancreatic Elastase Panel”	Jump to update
01/15/2024	Inactivated/Replace Test	CEA – “CEA (Carcinoembryonic Antigen)” replaced by CEANT – “Carcioembryonic Antigen (CEA)”	Jump to update
01/15/2024	Inactivated/Replace Test	PROG – “Progesterone” replaced by PROGE – “Progesterone”	Jump to update
01/15/2024	Inactivated/Replace Test	VITD – “25-hydroxy Vitamin D” replaced by VD25H – “Vitamin D, 25-Hydroxy”	Jump to update
01/30/2024	Inactivated/Replace Test	PE1 – “Pancreatic Elastase 1” replaced by PEL1 – “Pancreatic Elastase 1”	Jump to update
01/30/2024	Inactivated/Replace Test	TORM – “TORCH IgM Panel” replaced by TORC – “TORC Panel”	Jump to update
01/22/2024	Inactivated Test	F17G – “Hazel Nut (Food) IgG”	Jump to update
01/22/2024	Inactivated Test	F202G – “Allergen – Cashew Nut IgG”	Jump to update
01/22/2024	Inactivated Test	F23G – “Crab IgG”	Jump to update
01/22/2024	Inactivated Test	F280G – “Black Pepper (f280) IgG”	Jump to update
01/22/2024	Inactivated Test	F41G – “Salmon IgG”	Jump to update
01/22/2024	Inactivated Test	F80G – “Allergen – Lobster IgG”	Jump to update
01/22/2024	Inactivated Test	F81G – “Allergen – Cheese, Cheddar Type IgG”	Jump to update
01/22/2024	Inactivated Test	F87G – “Allergen – Melon IgG”	Jump to update
01/22/2024	Inactivated Test	I204E – “Allergen – Horsefly (I204) IgE”	Jump to update
01/22/2024	Inactivated Test	RF266 – “Mace, IgE”	Jump to update
01/22/2024	Inactivated Test	RUIGE – “Rabbit Urine (e211) IgE”	Jump to update
01/30/2024	Inactivated Test	HERPM – “Herpes Simplex I and/or II IgM”	Jump to update
01/30/2024	Inactivated Test	HSVGM – “Herpes Simplex Virus IgG/IgM”	Jump to update
01/16/2024	Updated Test	AHPR – “Acute Hepatitis Panel”	Jump to update
01/16/2024	Updated Test	HCVQL – “Hepatitis C Virus (HCV) RNA, Qualitative”	Jump to update
01/16/2024	Updated Test	HCVQN – “Hepatitis C Virus (HCV) RNA, Quantitative”	Jump to update
01/16/2024	Updated Test	HCVR – “Hepatitis C Antibody, Diagnostic, with reflex to PCR”	Jump to update
01/16/2024	Updated Test	HCVSR – “Hepatitis C Antibody, Screening, with reflex to PCR”	Jump to update
01/22/2024	Updated Test	KRBC – “Potassium – RBC”	Jump to update
01/29/2024	Updated Test	BORDN – “Borrelia species DNA, QUAL Real-Time PCR, Tick”	Jump to update
01/29/2024	Updated Test	BSDQL – “Borrelia Species DNA, Qual Real-Time PCR”	Jump to update
01/29/2024	Updated Test	TICKI – “Tick ID with Reflex to Borrelia species DNA, RT-PCR, Tick”	Jump to update
01/30/2024	Updated Test	CALPT – “Calprotectin”	Jump to update

FCAPE – “Fecal Calprotectin and Pancreatic Elastase Panel”

Effective Date 01/30/2024

Update Type New Test

Test Update View Test Update ›

Notes

WMIMM #FCAPE

New Test Activation
New test to include Calprotectin and Pancreatic Elastase 1

Test Details

Mnemonic

FCAPE

Ordering Code

3000884

CPT-4 Codes(s)

83993, 82653

Turnaround Time

1 - 4 days

Performed

Monday - Friday

Legacy Code

FCAPE

Example Report

Download

Specimen Information

Collect

Random stool

Specimen Preparation

Send 1.5 g unpreserved stool refrigerated in a screw capped plastic stool container.

Minimum Volume

0.3 g

Transport Temperature

Refrigerated

Rejection Criteria

Stool in media or preservative.
Swabs

Stability

Room temperature: 6 hours
Refrigerated: 72 hours
Frozen: 16 weeks

Methodology

Chemiluminescence Immunoassay

Reference Range

See report

Performing Laboratory

Warde Medical Laboratory

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt
Fecal Calprotectin and Pancreatic Elastase Panel	3000884
		3000883	Pancreatic Elastase 1	25907-7	No
		3000050	Calprotectin	82874-9	No

CEA – “CEA (Carcinoembryonic Antigen)” replaced by CEANT – “Carcioembryonic Antigen (CEA)”

Effective Date 01/15/2024

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Notes

QVAL # 978 replaced by ARUP # 80080

Discontinued CEA wit Quest. Replacing with CEANT from ARUP.

Inactivated Test Details

Mnemonic

CEA

Ordering Code

1000612

CPT-4 Codes(s)

82378

Replacement Test Details

Mnemonic

CEANT

Ordering Code

3600337

CPT-4 Codes(s)

82378

Turnaround Time

3 - 4 days

Performed

Sunday - Saturday

Legacy Code

CEANT

Example Report

Download

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Allow specimen to clot completely at room temperature. Centrifuge, separate serum from cells and send 1.0 mL serum refrigerated in a screw capped plastic vial.

Alternate Specimen

Plasma: Green lithium heparin

Minimum Volume

0.6 mL

Transport Temperature

Refrigerated

Rejection Criteria

Body fluid

Stability

Room temperature: 7 days
Refrigerated: 14 days
Frozen: 6 months

Methodology

Quantitative Electrochemiluminescent Immunoassay

Reference Range

Age:
0 -20 years: No ranges
20 - 69 years: 0.0 - 3.8 ng/mL
69 - 150 years: No ranges

Performing Laboratory

ARUP

New York DOH Approval Status

Yes

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Carcioembryonic Antigen (CEA)	3600337
		3600337	Carcinoembryonic Antigen	2039-6	No

PROG – “Progesterone” replaced by PROGE – “Progesterone”

Effective Date 01/15/2024

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Notes

QVAL #745 replaced by QSJC #17183

Discontinued PROG with QVAL. Replacing with PROGE from QSJC.

Inactivated Test Details

Mnemonic

PROG

Ordering Code

1010200

CPT-4 Codes(s)

84144

Replacement Test Details

Mnemonic

PROGE

Ordering Code

3400811

CPT-4 Codes(s)

84144

Turnaround Time

4 - 7 days

Performed

Sunday - Friday

Legacy Code

PROGE

Example Report

Download

Specimen Information

Collect

Red top

Specimen Preparation

Allow blood to clot (10 - 15 minutes) at room temperature. Centrifuge, separate serum from cells immediately. Send 1.0 mL serum in a screw capped plastic vial.

Alternate Specimen

Plasma: EDTA, sodium heparin, lithium heparin

Minimum Volume

0.25 mL

Transport Temperature

Refrigerated

Rejection Criteria

Serum separator tube (SST), Gross hemolysis

Stability

Room temperature: 72 hours
Refrigerated: 14 days
Frozen: 2 years

Methodology

Chromatography/Mass Spectrometry

Reference Range

Pediatric Males
<30 days Not established
1 month – 11 years ≤0.5 ng/mL
12 years ≤7.8 ng/mL
13 years ≤10.7 ng/mL
14 years ≤12.5 ng/mL
15 years ≤12.1 ng/mL
16 – 17 years ≤11.7 ng/mL

Adult Males
18 – 29 years ≤0.3 ng/mL
30 – 39 years ≤0.2 ng/mL
40 – 49 years ≤0.2 ng/mL
50 – 59 years ≤0.2 ng/mL

Adult Females
Pre-Menopausal Mid Follicular ≤0.3 ng/mL
Pre-Menopausal Surge 0.1 – 1.5 ng/mL
Pre-Menopausal Mid Luteal 6.7 – 22.2 ng/mL
Postmenopausal Phase ≤0.2 ng/mL

Clinical Significance
This test (1) establishes the presence of a functioning corpus luteum or luteal cell function,
(2) confirms basal body temperature measurement of the occurrence of ovulation
(3) affords an indication of the day of ovulation,
(4) assesses placental function during pregnancy.

Performing Laboratory

Quest SJC

New York DOH Approval Status

Yes

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Progesterone	3400811
		3400811	Progesterone, LC/MS	2839-9	No

VITD – “25-hydroxy Vitamin D” replaced by VD25H – “Vitamin D, 25-Hydroxy”

Effective Date 01/15/2024

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Notes

QVAL #17306 moving to Arup # 80379

Discontinued VITD with Quest. Replacing with VD25H from ARUP.

Inactivated Test Details

Mnemonic

VITD

Ordering Code

1007180

CPT-4 Codes(s)

82306

Replacement Test Details

Mnemonic

VD25H

Ordering Code

3600336

CPT-4 Codes(s)

82306

Turnaround Time

3 - 4 days

Performed

Sunday - Saturday

Legacy Code

VD25H

Example Report

Download

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

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

Alternate Specimen

Serum: Red top

Minimum Volume

0.3 mL

Transport Temperature

Refrigerated

Rejection Criteria

EDTA plasma, tissue or urine. Grossly hemolyzed, lipemic.

Stability

Room temperature: 72 hours
Refrigerated: 7 days
Frozen: 6 months

Methodology

Quantitative Chemiluminescent Immunoassay

Reference Range

0 - 17 years
Deficiency: <20 ng/mL
Optimum Level: >=to 20 ng/mL*
*(Wagner CL et al. Pediatrics 2008; 122: 1142-52.)
18 years and older
Deficiency: <20 ng/mL
Insufficiency: 20 - 29 ng/mL
Optimum Level: 30 - 80 ng/mL
Possible Toxicity: >150 ng/mL

Performing Laboratory

ARUP

New York DOH Approval Status

Yes

LOINC Code

Previous:	Updated To:
~~62292-8~~	1989-3

Interface Map for VD25H

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Vitamin D, 25-Hydroxy	3600336
		3600336	Vitamin D, 25-Hydroxy	1989-3	No

PE1 – “Pancreatic Elastase 1” replaced by PEL1 – “Pancreatic Elastase 1”

Effective Date 01/30/2024

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Notes

QSJC #14693

moving to WMIMM

Inactivated Test Details

Mnemonic

PE1

Ordering Code

3711720

CPT-4 Codes(s)

82653

Replacement Test Details

Mnemonic

PEL1

Ordering Code

3000883

CPT-4 Codes(s)

82653

Turnaround Time

1 - 4 days

Performed

Monday - Friday

Legacy Code

PEL1

Example Report

Download

Specimen Information

Collect

Stool

Specimen Preparation

Send 1.0 g stool in a screw capped plastic container. Do not add fixative or preservative.

Minimum Volume

0.3 g

Transport Temperature

Refrigerated

Rejection Criteria

Stool in media or preservative. Swabs

Stability

Room temperature: 8 hours
Refrigerated: 7 days
Frozen: 12 months

Methodology

Chemiluminescence Immunoassay

Reference Range

<100 ug/g severe exocrine pancreatic insufficiency
100 - <200 ug/g mild to moderate
>200 ug/g normal

Performing Laboratory

Warde Medical Laboratory

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Pancreatic Elastase 1	3000883
		3000883	Pancreatic Elastase 1	25907-7	No

TORM – “TORCH IgM Panel” replaced by TORC – “TORC Panel”

Effective Date 01/30/2024

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Notes

WMIMM
Inactivating TORM replacing with TORC
TORCH Panel being rebuilt to remove discontinued Herpes IgM testing

Inactivated Test Details

Mnemonic

TORM

Ordering Code

3007010

CPT-4 Codes(s)

86645 CMV IgM Ab; 86694 HSV 1/2 IgM Ab; 86762 Rubella IgM Ab; 86778 Toxoplasma IgM Ab

Replacement Test Details

Mnemonic

TORC

Ordering Code

3000882

CPT-4 Codes(s)

86645 CMV IgM Ab; 86762 Rubella IgM Ab; 86778 Toxoplasma IgM Ab

Turnaround Time

1 - 3 days

Performed

See individual test listings.

Legacy Code

TORC

Example Report

Download

Specimen Information

Collect

Serum separator tube (SST)

Alternate Specimen

Serum: Red top

Rejection Criteria

Grossly hemolyzed, lipemic or icteric specimens; plasma.

Stability

See individual test listings.

Methodology

Enzyme Linked Immunoassay Chemiluminescent Immunoassay

Reference Range

See individual test listings

Performing Laboratory

Warde Medical Laboratory

LOINC Code

Previous:	Updated To:
~~24119-0~~	22249-7

Previous:	Updated To:
~~24116-6~~	5335-5

Previous:	Updated To:
~~40678-5~~	8040-8

Interface Map for TORC

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt
TORC PANEL	3000882
		3007000	Cytomegalovirus (CMV) IgM Antibody	22249-7	No
		3000285	Rubella IgM Antibody	5335-5	No
		3000329	Toxoplasma IgM Antibody	8040-8	No

AHPR – “Acute Hepatitis Panel”

Effective Date 01/16/2024

Update Type Updated Test

Test Update View Test Update ›

Notes

WMIC1 # AHPR

Hepatitis Panel, Acute
Alternative specimen for AHP: red top, lavender EDTA (follow plasma collection guide for PCR)
Rejection criteria for AHP: gross hemolysis, gross lipemia, heparin plasma
Stability for AHP: Refrigerated 5 days

Specimen Information

Alternate Specimen

Previous:	Updated To:
	Red top, lavender EDTA (follow plasma collection guide for PCR)

Rejection Criteria

Previous:	Updated To:
	Gross hemolysis, gross lipemia, heparin plasma

Stability

Previous:	Updated To:
	Room temperature: Unacceptable
	Refrigerated: 5 days
	Frozen (-20°C): Undetermined

HCVQL – “Hepatitis C Virus (HCV) RNA, Qualitative”

Effective Date 01/16/2024

Update Type Updated Test

Test Update View Test Update ›

Notes

Immunochemistry #HCVQL

Alternate Specimen section should read: Serum: red top. *PCR and antibody testing cannot be done on shared specimens. Separate tubes must be clearly labeled for antibody and PCR specimens. Rejection Criteria section should read: HCV PCR: gross hemolysis, gross lipemia, heparin plasma, gel-based plasma separation tubes, specimens subjected to repeat freeze thaw cycles, shared specimens.

Specimen Information

Alternate Specimen

Previous:	Updated To:
	Serum: red top. *PCR and antibody testing cannot be done on shared specimens. Separate tubes must be clearly labeled for antibody and PCR specimens.

Rejection Criteria

Previous:	Updated To:
	HCV PCR: gross hemolysis, gross lipemia, heparin plasma, gel-based plasma separation tubes, specimens subjected to repeat freeze thaw cycles, shared specimens.

HCVQN – “Hepatitis C Virus (HCV) RNA, Quantitative”

Effective Date 01/16/2024

Update Type Updated Test

Test Update View Test Update ›

Notes

Immunochemistry HCVQN

Alternate Specimen section should read: HCV PCR: Serum: red top. *PCR and antibody testing cannot be done on shared specimens. Separate tubes must be clearly labeled for antibody and PCR specimens. Rejection Criteria section should read: HCV PCR: gross hemolysis, gross lipemia, heparin plasma, gel-based plasma separation tubes, specimens subjected to repeat freeze thaw cycles, shared specimens.

Specimen Information

Alternate Specimen

Previous:	Updated To:
	HCV PCR: Serum: red top. *PCR and antibody testing cannot be done on shared specimens. Separate tubes must be clearly labeled for antibody and PCR specimens.

Rejection Criteria

Previous:	Updated To:
	HCV PCR: gross hemolysis, gross lipemia, heparin plasma, gel-based plasma separation tubes, specimens subjected to repeat freeze thaw cycles, shared specimens.

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

Effective Date 01/16/2024

Update Type Updated Test

Test Update View Test Update ›

Notes

Immunochemistry #HCVR

Alternate Specimen section should read: HCV Antibody: red top, lavender EDTA (follow Plasma collection guide for PCR), lithium heparin, sodium heparin. HCV PCR: Serum: red top. *PCR for antibody testing cannot be done on shared specimens. Separate tubes must be clearly labeled for antibody and PCR specimens

Specimen Information

Alternate Specimen

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

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

Effective Date 01/16/2024

Update Type Updated Test

Test Update View Test Update ›

Notes

WMMAB Hepatitis C Antibody, Screen with Reflex to PCR Update to Alternate specimen

Specimen Information

Alternate Specimen

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

Updated To:

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

KRBC – “Potassium – RBC”

Effective Date 01/22/2024

Update Type Updated Test

Test Update View Test Update ›

Notes

QSJC # 3382

Room temperature and refrigerated stability changing to 48 hours. Instructions changed that “Both samples must only be collected Mon-Thurs and must be recieved together for testing.

Specimen Information

Specimen Preparation

Previous:	Updated To:
	Send 4.0 mL whole blood collected in a green sodium heparin tube AND 4.0 mL whole blood collected in Lavender EDTA tube. Both samples must only be collected Mon-Thurs and must be received together for testing.

Moving to WMIMM
Calprotectin

Specimen Information

LOINC Calprotectin 82874-9

Previous:	Updated To:
	Normal: <50 mcg/g
	Borderline: 50 - 120 mcg/g
	Elevated: >120 mcg/g

Previous:	Updated To:
	Room temperature: 6 hours
	Refrigerated: 72 hours
	Frozen: 16 weeks

January 2024 WML Test Directory Update

Update Summary

FCAPE – “Fecal Calprotectin and Pancreatic Elastase Panel”

Notes

Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Specimen Information

Collect

Specimen Preparation

Minimum Volume

Transport Temperature

Rejection Criteria

Stability

Methodology

Reference Range

Performing Laboratory

Interface Map for FCAPE

CEA – “CEA (Carcinoembryonic Antigen)” replaced by CEANT – “Carcioembryonic Antigen (CEA)”

Notes

Inactivated Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Replacement Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Specimen Information

Collect

Specimen Preparation

Alternate Specimen

Minimum Volume

Transport Temperature

Rejection Criteria

Stability

Methodology

Reference Range

Performing Laboratory

New York DOH Approval Status

Interface Map for CEANT

PROG – “Progesterone” replaced by PROGE – “Progesterone”

Notes

Inactivated Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Replacement Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Specimen Information

Collect

Specimen Preparation

Alternate Specimen

Minimum Volume

Transport Temperature

Rejection Criteria

Stability

Methodology

Reference Range

Performing Laboratory

New York DOH Approval Status

Interface Map for PROGE

VITD – “25-hydroxy Vitamin D” replaced by VD25H – “Vitamin D, 25-Hydroxy”

Notes

Inactivated Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Replacement Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Specimen Information

Collect

Specimen Preparation

Alternate Specimen

Minimum Volume