June 2022 WML Test Directory Update

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Announcement

Due to nationwide shortage of some Dark blue EDTA phlebotomy tubes specified for trace element testing, Warde Laboratory is currently accepting Lavender EDTA tubes.

 

Due to reagent shortage, Quest SJC will temporarily direct all HPVRA [3400161] – HPV RNA, Low and High Risk, ISH to Mayo Clinics. Currently there will be no change to the test code build. The expected delivery of reagent is September 2022.

 

Update Summary

Effective Date Update Type Name
06/01/2022 Inactivated Test GLAMB – “Giardia lamblia IgG Ab” Jump to update
06/01/2022 Updated Test LEAD – “Lead” Jump to update
06/01/2022 Updated Test MVHIS – “Histoplasma Quantitative Antigen EIA” Jump to update
06/01/2022 Updated Test ZPPI – “Lead-ZPP Industrial” Jump to update
06/27/2022 Updated Test A1AGQ – “Alpha-1-Antitrypsin Genotype” Jump to update
06/27/2022 Updated Test AGDEL – “Alpha-globin Gene Del or Dup” Jump to update
06/28/2022 Updated Test 11DCR – “11-Deoxycortisol” Jump to update
06/28/2022 Updated Test 17OPC – “17-Hydroxyprogesterone, Child” Jump to update
06/28/2022 Updated Test 21HYD – “21-Hydroxylase Ab, Serum” Jump to update
06/28/2022 Updated Test ADACT – “Adalimumab Activity and Neutralizing Antibody” Jump to update
06/28/2022 Updated Test ADDPF – “Adenosine Deaminase, Pericardial Fluid” Jump to update
06/28/2022 Updated Test CARFT – “Carnitine Free and Total” Jump to update
06/28/2022 Updated Test COXBA – “Coxsackie B Virus Abs” Jump to update
06/28/2022 Updated Test HTL12 – “HTLV-1 and 2 (EIA) with Reflex” Jump to update
06/28/2022 Updated Test INSAB – “Insulin Antibody” Jump to update
06/28/2022 Updated Test PETHB – “Phosphatidylethanol (Peth), Whole Blood” Jump to update
06/28/2022 Updated Test PSE – “Pseudocholinesterase” Jump to update
06/28/2022 Updated Test THY – “Thyroglobulin and Anti-Thyroglobulin Antibody Panel” Jump to update
06/28/2022 Updated Test UCRET – “Creatine, Urine, 24 Hour” Jump to update
06/28/2022 Updated Test VITD – “25-hydroxy Vitamin D” Jump to update

GLAMB – “Giardia lamblia IgG Ab”

Effective Date 06/01/2022
Update Type Inactivated Test
Test Update View Test Update ›

Notes

QSJC – 46052 inactivate with suggested replacement: GLAG (QSJC 8625)

Inactivated Test Details

Mnemonic

GLAMB

Ordering Code

3503010

CPT-4 Codes(s)

86674

LEAD – “Lead”

Effective Date 06/01/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Changes to reference range and canned message will need example report

Reference Range

Previous:Updated To:
COMPONENT                             REFERENCE INTERVAL 
Lead, Whole Blood                      < 6 years: <3.5 µg/dL 
 
 
In 2021, CDC revised the blood lead reference level for children ages 1-5 years to less than 3.5 ug/dL. Children with levels at or above this value represent those at the top 2.5% of blood levels.
 
 
CDC recommendations for clinical follow up and lead level monitoring may vary depending on initial measured lead level and the child's age. Local and state health departments also may have different recommendations for monitoring and clinical follow up. Please consult your local or state health department, or the CDC's website regarding monitoring of lead levels in
children:
 
 
https://www.cdc.gov/nceh/lead/acclpp/actions_blls.html
 
 
COMPONENT                                    REFERENCE INTERVAL 
Lead, Whole Blood                            >= 6 years: < 5.0 µg/dL
 
 
CDC recommendations for clinical follow up and lead level monitoring may vary depending on initial measured lead level and the patient's age. Local and state health departments also may have different recommendations for monitoring and clinical follow up. Please consult your local or state
health department, or the CDC's website regarding monitoring of lead levels in adults:
 
 
https://www.cdc.gov/niosh/topics/ables/pdfs/
 
 

MVHIS – “Histoplasma Quantitative Antigen EIA”

Effective Date 06/01/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

QSJC – 58792; Updates to specimen prep, alternate specimens, instructions, Rejection criteria

Specimen Information

Specimen Preparation

Previous:Updated To:
Send 0.5 mL urine in a sterile screw capped plastic container.

Alternate Specimen

Previous:Updated To:
Serum: Collect serum in red top or serum separator tube (SST), allow 30 min to clot, centrifuge and send 1.2 mL in a plastic screw capped vial.
 
 
Plasma: Collect plasma in Lavender EDTA, green sodium heparin or 3.2% sodium citrate light blue top tube. Centrifuge for 15 minutes and transfer 0.8 mL plasma to a plastic screw capped vial. 
 
 
CSF/BAL/Other Body fluid: send 0.5 mL in a sterile screw capped container.

Rejection Criteria

Previous:Updated To:
Tissue, sputum, bronchial brushings, stool, fine needle aspiration (FNA), biopsy, tracheal or bone marrow aspirate. Specimens too viscous to pipette, samples in transport media; fixative or isolator tube
 
 

ZPPI – “Lead-ZPP Industrial”

Effective Date 06/01/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Changes to reference range and canned message will need example report

Reference Range

Previous:Updated To:
COMPONENTS                     REFERENCE INTERVAL 
Lead, Whole Blood               < 6 years: <3.5 µg/dL 
Lead, Whole Blood              >= 6 years: <5.0 µg/dL
 
 
Zinc Protoporphyrin (ZPP)
 Whole Blood:                        0 - 69 µmol/mol heme 
 
 
Zinc Protoporphyrin (ZPP)
 Whole Blood:                       0 - 40 µg/dL 
 
 
These results should be interpreted in the context of OSHA, CDC, and local and state occupational health requirements.
Additional information is available through the following
link:
https://www.cdc.gov/niosh/topics/ables/description.html 
 
 
For occupational exposure to lead, OSHA requires ZPP whole blood concentration to be reported in units of ug/dL. For adults, conversion of ZPP to units of ug/dL assumes a hemoglobin level of 15 g/dL. Methodology used in lead analysis is atomic absorption. Methodology used for ZPP is Protofluor Z system manufactured by Helena Laboratories. This test has been modified from the
manufacturer's instructions. Elevated results may be due to skin or collection-related
contamination, including the use of a noncertified lead-free tube, or transfer of sample into a noncertified lead-free tube. If contamination concerns exist due to elevated levels of blood lead, confirmation with a venous specimen collected in a certified lead-free tube is recommended. The Blood Lead test was developed and the performance characteristics determined by Warde Medical Laboratory. It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for patient testing purposes. It should not be regarded as investigational or for research.

A1AGQ – “Alpha-1-Antitrypsin Genotype”

Effective Date 06/27/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

QSJC – 15340X: Attestation form required, specimen prep, alternate specimens, stability,

Specimen Information

Patient Preparation

Previous:Updated To:
This test requires a physician attestation form that patient consent has been received if the ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, OR, SD or VT or test is performed in MA.

Specimen Preparation

Previous:Updated To:
Send 5.0 mL whole blood. Do not transfer to other containers. Specimen stability is crucial. Store and ship at room temperature.

Alternate Specimen

Previous:Updated To:
Whole blood: ACD A, ACD B, sodium heparin

Transport Temperature

Previous:Updated To:
Room temperature only

Stability

Previous:Updated To:
Room temperature: 8 days
Refrigerated: Unacceptable
Frozen: Unacceptable

AGDEL – “Alpha-globin Gene Del or Dup”

Effective Date 06/27/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

QSJC – 16124X new order code: 16124 Attestation form needed, specimen/alternate updates, Stability changes, setup Internal: Order/Result ID changes

Specimen Information

Patient Preparation

Previous:Updated To:
This test requires a physician attestation form that patient consent has been received if the ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, OR, SD or VT or test is performed in MA.

Alternate Specimen

Previous:Updated To:
Whole blood: yellow ACD B, green sodium
heparin Amniotic fluid (20.0 mL; 5.0 mL minimum)
Cultured Cells
Chorionic villus sampling (20 mg; 10 mg minimum)

Stability

Previous:Updated To:
Whole Blood:
Room temperature: 30 days
Refrigerated: 30 days
Frozen: 30 days
 
 
Other specimens:
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable
 
 

Days Performed

Previous:Updated To:
Tuesday

11DCR – “11-Deoxycortisol”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP # 0092331

Correcting website

Specimen Information

Alternate Specimen

Previous:Updated To:
Plasma: Lavender EDTA or green sodium heparin, lithium heparin
Serum: Red top

17OPC – “17-Hydroxyprogesterone, Child”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP # 0092332

Correcting website

Specimen Information

Alternate Specimen

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

21HYD – “21-Hydroxylase Ab, Serum”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP# 3001962

Correcting website

LOINC# 3001963 85363-0

Test Details

Mnemonic

21HYD

Ordering Code

3687160

CPT-4 Codes(s)

83516

Specimen Information

Update to LOINC code.

Rejection Criteria

Previous:Updated To:
Grossly hemolyzed or lipemic*Grossly hemolyzed or lipemic

Interface Map Changes

LOINC Code

Previous:Updated To:
85363-085363-0

AOE Prompt

Previous:Updated To:
NoNo

Interface Map for 21HYD

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
21-Hydroxylase Ab, Serum3687160
368716021-Hydroxylase Ab, Serum85363-0 No

ADACT – “Adalimumab Activity and Neutralizing Antibody”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP # 2011248

Correcting website

Test Details

Mnemonic

ADACT

Ordering Code

3618440

CPT-4 Codes(s)

80145 (activity); 82397 (antibody)

Specimen Information

Update to LOINC code.

Specimen Preparation

Previous:Updated To:
Centrifuge, separate serum from cells as soon as possible or within 2 hours of collection and send 1.0 mL serum in a screw capped plastic vial.*Centrifuge, separate serum from cells as soon as possible or within 2 hours of collection and send 1.0 mL serum in a screw capped plastic vial.

Days Performed

Previous:Updated To:
Monday - Sunday*Monday - Sunday

ADDPF – “Adenosine Deaminase, Pericardial Fluid”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP# 3002984

Correcting changes

Specimen Information

Rejection Criteria

Previous:Updated To:
Whole blood, bronchoalveolar lavage, turbid specimens

CARFT – “Carnitine Free and Total”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP #0080068

Correcting errors

LOINC Code change: 3607330 Loinc code #14282-8

Test Details

Mnemonic

CARFT

Ordering Code

3607300

CPT-4 Codes(s)

82379

Specimen Information

Update to LOINC code.

Collect

Previous:Updated To:
Green sodium heparin or lithium*Green sodium heparin or lithium

COXBA – “Coxsackie B Virus Abs”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP # 0060055

Correcting website

Specimen Information

Rejection Criteria

Previous:Updated To:
Plasma specimens, CSF, hemolyzed/lipemic specimens

HTL12 – “HTLV-1 and 2 (EIA) with Reflex”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP # 0051164

Correcting website

Specimen Information

Alternate Specimen

Previous:Updated To:
Plasma: Lavender EDTA, green sodium or lithium heparin, Light blue (sodium citrate)
Serum: Red top

INSAB – “Insulin Antibody”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP #0099228

Correcting website

LOINC Code # on Arup website #56546-5

Test Details

Mnemonic

INSAB

Ordering Code

3620680

CPT-4 Codes(s)

86337

Specimen Information

Update to LOINC.

Rejection Criteria

Previous:Updated To:
Plasma, hemolyzed or lipemic*Plasma, hemolyzed or lipemic

PETHB – “Phosphatidylethanol (Peth), Whole Blood”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP # 3002598

LOINC Code #
3002599 Loinc #97606-8
3002600 Loinc #97607-6

Test Details

Mnemonic

PETHB

Ordering Code

3600171

CPT-4 Codes(s)

80321 (G0480)

Specimen Information

Update to LOINC.

Alternate Specimen

Previous:Updated To:
Gray top, green lithium heparin*Gray top, green lithium heparin

PSE – “Pseudocholinesterase”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP # 0020167

Correcting website

Specimen Information

Alternate Specimen

Previous:Updated To:
Plasma: Lavender EDTA

THY – “Thyroglobulin and Anti-Thyroglobulin Antibody Panel”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ImmChem – THY; updates to Reference Range and canned messages.

Reference Range

Previous:Updated To:
Thyroglobulin Antibodies: <4.0 IU/mL
 
 
Thyroglobulin:
Intact thyroid: 1.6-50.0 ng/mL
Athyrotic, post-thyroidectomy (tumor marker): <0.1 ng/mL
 
 

UCRET – “Creatine, Urine, 24 Hour”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ARUP #2002343

Correcting website

LOINC code corrections 3424915 Loinc Code # 34275-8

Test Details

Mnemonic

UCRET

Ordering Code

3424880

CPT-4 Codes(s)

82540

Specimen Information

Update to LOINCs.

Stability

Previous:Updated To:
Room temperature: 6 hours*Room temperature: 6 hours
Refrigerated: 24 hoursRefrigerated: 24 hours
Frozen: 6 monthsFrozen: 6 months

VITD – “25-hydroxy Vitamin D”

Effective Date 06/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

ImmChem VITD – move to QVAL 17306 –

Test Details

Mnemonic

VITD

Ordering Code

1007180

CPT-4 Codes(s)

82306

Specimen Information

Update to LOINC.

Patient Preparation

Previous:Updated To:
Fasting preferred, but not required.*Fasting preferred, but not required.

Stability

Previous:Updated To:
Room temperature: 7 days*Room temperature: 7 days
Refrigerated: 7 daysRefrigerated: 7 days
Frozen: 28 daysFrozen: 28 days

Performing Laboratory

Previous:Updated To:
Quest ValenciaQuest SJC

Days Performed

Previous:Updated To:
Sunday - Saturday*Sunday - Saturday

Reported

Previous:Updated To:
3 - 5 days*3 - 5 days
WML Test Directory Update | June 2022 | Warde Medical Laboratory Page
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