Announcement

The update for which you searched was implemented before July 2026. The was/is format for test updates is not available for this search; however, the result of the search will show a description of the change. Was/Is comparisons of changes will appear only for updates effective July 2026 onwards.

Update Summary

Effective Date Update Type Name
06/10/2025 Inactivated/Replace Test CIABG – “Cutaneous Immunofl Ab IgG, Ser” replaced by CIFAS – “Cutaneous Immuonofluoresence, IgG and IgG4, Serum” Jump to update
06/24/2025 Inactivated/Replace Test TMHIV – “HIV-1 RNA, Qualitative Real-Time PCR” replaced by HIVUL – “HIV-1 RNA Ultraquant” Jump to update
05/29/2025 Inactivated Test COXA9 – “Coxsackie A Serotype 9 Titer” Jump to update
05/29/2025 Inactivated Test LCM – “LCM Antibody” Jump to update
05/29/2025 Inactivated Test UGAL – “Galactose (Quant) – Urine” Jump to update
06/09/2025 Inactivated Test CRYAB – “Cryptococcus Ab” Jump to update
05/29/2025 Updated Test CVLPB – “Comprehensive Volatiles Panel, Blood” Jump to update
05/29/2025 Updated Test ENCS – “Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum” Jump to update
05/29/2025 Updated Test KIDST – “Kidney Stone Diagnostic Prof” Jump to update
06/10/2025 Updated Test HCVGT – “Hepatitis C Viral RNA Genotype” Jump to update
06/10/2025 Updated Test HCVRG – “HCV RNA, QN, Real Time PCR Reflex to Genotype” Jump to update
06/10/2025 Updated Test HVGII – “HIV-1 Genotype (RTI, PI, Integrase Inhibitors)” Jump to update
06/23/2025 Updated Test ARIX – “Arixtra (Fondaparinux) Level” Jump to update
06/23/2025 Updated Test KRBC – “Potassium – RBC” Jump to update
06/23/2025 Updated Test RIVAR – “Rivaroxaban” Jump to update
06/24/2025 Updated Test RBCF – “RBC Folate” Jump to update
06/30/2025 Updated Test HTLVD – “HTLV I/II DNA, Qualitative, Real-Time PCR” Jump to update
07/07/2025 Updated Test THIOT – “Thiothixene, Serum or Plasma” Jump to update
07/07/2025 Updated Test THIR – “Thioridazine and Metabolite, Serum/Plasma” Jump to update

CIABG – “Cutaneous Immunofl Ab IgG, Ser” replaced by CIFAS – “Cutaneous Immuonofluoresence, IgG and IgG4, Serum”

Effective Date 06/10/2025
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

CIABG

Ordering Code

3800500

CPT-4 Codes(s)

88346, 88350

Replacement Test Details

Mnemonic

CIFAS

Ordering Code

3800413

CPT-4 Codes(s)

88346, 88350, plus 88350 if reflexed to titer

Turnaround Time
4 - 9 days
Performed
Monday - Friday
Legacy Code
CIFAS
Example Report

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, separate and send 2.0 mL serum refrigerated in a screw capped plastic vial.

Alternate Specimen

Serum: Red top

Minimum Volume

0.5 mL

Transport Temperature

Refrigerated

Rejection Criteria

Grossly hemolyzed, lipemic or icteric specimens

Stability

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

Methodology

Indirect Immunofluorescence using Rhesus monkey esophagus substrate and human NaCl split
skin substrate
more

Reference Range

Negative
Report includes presence and titer of circulating
antibodies (BMZ, and ANA). If serum contains
BMZ antibodies on split -skin substrate patterns
will be reported as: (1) epidermal pattern,
consistent with pemphigoid or (2) dermal
pattern consistent with epidermolysis
bullosa acquisita.
more

Performing Laboratory

MAYO
more

New York DOH Approval Status

Yes
more

Interface Map for CIFAS

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Cutaneous Immunofluorescence, IgG and IgG4, Serum3800413
3800520Cell Surface Ab IgG 93233-5 No
3800540Basement Membrane IgG29994-1No
3800570Primate Split Skin IgG 104832-1No
3800414Cell Surface Ab IgG4 No
3800416Basement Membrane IgG4No
3800417Primate Split Skin IgG4No
3800580 Other48767-8 No
3800418 Cell Surface Ab Titer, IgG 104831-3 No
3800419 Basement Membrane Titer, IgG 104836-2 No
3800421Other 48767-8No

TMHIV – “HIV-1 RNA, Qualitative Real-Time PCR” replaced by HIVUL – “HIV-1 RNA Ultraquant”

Effective Date 06/24/2025
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

TMHIV

Ordering Code

3424450

CPT-4 Codes(s)

87535

Replacement Test Details

Mnemonic

HIVUL

Ordering Code

3041700

CPT-4 Codes(s)

87536

Turnaround Time
3 days
Performed
Monday - Friday
Legacy Code
HIVULTRA
Example Report

Specimen Information

HIV Viral Load Testing Notification
The purpose of this notification is to inform clients of an upcoming change to the HIV-1 RNA, Ultra Quantitative viral load (HIVUL) test report.
Currently, reports for specimens resulted as Not detected for HIV-1 contain the value <20 copies/mL in the HIV-1 RNA Quantitative result field, indicating a viral load below the assay limit of detection (LOD).
In order to meet certain state reporting requirements, specimens resulted as Not detected for HIV-1 will now contain the value 0 copies/mL in the HIV-1 RNA Quantitative result field.
Specimens determined to contain HIV-1 RNA will still be called Detected and the viral load will be reported in the HIV-1 RNA Quantitative result field. Specimens with very low viral loads between 1-19 copies/mL will continue to be reported as Detected with <20 copies/mL reported in the result field.
There is no change to the performance of the HIV-1 RNA assay. Results for all specimens prior to this change will remain unchanged. As indicated in the report messages, a Not detected result does not rule out infection.

Collect

Lavender EDTA

Specimen Preparation

Centrifuge and separate plasma from cells within 6 hours of collection. Send 3.0 mL plasma in a screw capped plastic vial. Dedicated specimens are required.

Alternate Specimen

Plasma: Yellow ACD A

Minimum Volume

2.5 mL

Transport Temperature

Frozen

Rejection Criteria

Serum specimens, shared specimens, specimens subjected to repeated freeze-thaw cycles, specimens that do not meet the handling/storage criteria listed above, gel based plasma separation media (PPT)

Stability

Room temperature: Unacceptable
Refrigerated: 3 days
Frozen (-20°C): 3 days
Frozen (-70°C): 6 weeks

Methodology

Abbott RealTime HIV-1 system uses an in vitro reverse transcription-polymerase chain reaction
(RT-PCR) assay for the detection and quantitation of the diverse group M subtypes A-H as well as
group O and N isolates.
The lower limit of quantitation is 20 copies/mL (1.30 log copies/mL) and the upper limit of
quantitation is 10,000,000 copies/mL (7.0 log copies/mL). The qualitative limit of detection is 20
copies/mL (1.30 log copies/mL). Specimens reported as DETECTED but <20 copies/mL contain
detectable levels of HIV-1 RNA even though the viral load is below the limit of quantitation.
more

Reference Range

HIV-1 RNA: Not detected
HIV-1 RNA Quantitative: <20 copies/mL
LOG HIV CP U/mL: <1.3
more

Performing Laboratory

Warde Medical Laboratory
more

New York DOH Approval Status

Yes
more

Interface Map for HIVUL

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
HIV-1 RNA Ultraquant3041700
3041720HIV-1 RNA Qualitative25835-0No
3041740HIV-1 RNA Quantitative20447-9NoCopies/mL
3041760LOG HIV RNA29541-0NoLog (10) Copies/mL
3041780HIV-1 Date ReceivedNot availableNo
3041790HIV-1 Date CompletedNot availableNo

COXA9 – “Coxsackie A Serotype 9 Titer”

Effective Date 05/29/2025
Update Type Inactivated Test
Test Update View Test Update ›

Notes

Suggested alternative is test code COXAQ: Coxsackie A Antibodies, Serum.

Inactivated Test Details

Mnemonic

COXA9

Ordering Code

3680520

CPT-4 Codes(s)

86658

LCM – “LCM Antibody”

Effective Date 05/29/2025
Update Type Inactivated Test
Test Update View Test Update ›

UGAL – “Galactose (Quant) – Urine”

Effective Date 05/29/2025
Update Type Inactivated Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

UGAL

Ordering Code

3502985

CPT-4 Codes(s)

82760

CRYAB – “Cryptococcus Ab”

Effective Date 06/09/2025
Update Type Inactivated Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

CRYAB

Ordering Code

3501850

CPT-4 Codes(s)

86403

CVLPB – “Comprehensive Volatiles Panel, Blood”

Effective Date 05/29/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to CPT codes

CPT Codes: 82441, 84600 x 4

Test Details

Mnemonic

CVLPB

Ordering Code

3300373

CPT-4 Codes(s)

82441, 84600 x 4

ENCS – “Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum”

Effective Date 05/29/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to CPT codes

CPT Codes: 86255 x 23, 86341

Test Details

Mnemonic

ENCS

Ordering Code

3800079

CPT-4 Codes(s)

86255 x23, 86341

KIDST – “Kidney Stone Diagnostic Prof”

Effective Date 05/29/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval

New York Approval: New York DOH Approval Status: Yes

Test Details

Mnemonic

KIDST

Ordering Code

3717400

CPT-4 Codes(s)

82140, 82340, 82507, 82570,83735, 83945, 83986, 84105, 84133, 84300, 84392, 84560

HCVGT – “Hepatitis C Viral RNA Genotype”

Effective Date 06/10/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to test name, specimen requirements, rejection criteria, stability, methodology and interface map

Test Name: Hepatitis C Viral RNA Genotype

Specimen Preparation:  Centrifuge and separate plasma from cells within 24 hours of collection. Send 2.0 mL plasma in a screw capped plastic vial.

Rejection Criteria: Unspun PPT Tubes, Unspun serum separator tube (SST), Unspun red top tube (no gel), Received room temperature, heparinized plasma, gross hemolysis, grossly lipimic.

Stability:

Room temperature: 72 hours
Refrigerated: 14 days
Frozen: 30 days

Methodology: Real Time Polymerase Chain Reaction (RT-PCR) – Sequencing

Reference Range: Not Detected

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3400971 HCV RNA Genotype 32286-7 No

Test Details

Mnemonic

HCVGT

Ordering Code

3400971

CPT-4 Codes(s)

87902

HCVRG – “HCV RNA, QN, Real Time PCR Reflex to Genotype”

Effective Date 06/10/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to test name, specimen requirements, alternate specimen, rejection criteria, stability,  and interface map

Test Name: HCV RNA, QN, Real Time PCR Reflex to Genotype

Specimen Preparation: Centrifuge and separate plasma from cells within 24 hours of collection. Send 3.0 mL plasma in a screw capped plastic vial.

Alternate Specimen:

Plasma: Plasma preparation tube (PPT); Potassium EDTA (white top)
Serum: Red top or Serum separator tube (SST)

Rejection Criteria: Unspun PPT tube, Unspun serum separator tube (SST), Unspun red-top tube (no gel), Received room temperature, heparinized plasma, gross hemolysis, grossly lipimic.

Stability:

Room temperature: 72 hours
Refrigerated: 14 days
Frozen: 30 days

Reference Range: Not Detected

Interface Map:

Result Code Name LOINC Code AOE/Prompt
3400967 HCV RNA, QN, Real Time PCR 11011-4 No
3400968 HCV RNA, QN, Real Time PCR 38180-6 No
3400969 HCV RNA Genotype 32286-7 No

 

Test Details

Mnemonic

HCVRG

Ordering Code

3400966

CPT-4 Codes(s)

87522, plus 87902 if reflexed to Genotype, at an additional charge.

HVGII – “HIV-1 Genotype (RTI, PI, Integrase Inhibitors)”

Effective Date 06/10/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to CPT codes

CPT Codes: 87900, 87901, 87906

Test Details

Mnemonic

HVGII

Ordering Code

3400610

CPT-4 Codes(s)

87900, 87901, 87906

ARIX – “Arixtra (Fondaparinux) Level”

Effective Date 06/23/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria

Rejection Criteria:

Specimens received room temperature or refrigerated. Hemolysis.

Test Details

Mnemonic

ARIX

Ordering Code

3423100

CPT-4 Codes(s)

80299

KRBC – “Potassium – RBC”

Effective Date 06/23/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen requirements

Specimen Preparation: 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.

Contact the lab prior to ordering for special logistics arrangements.

Test Details

Mnemonic

KRBC

Ordering Code

3718600

CPT-4 Codes(s)

84132

RIVAR – “Rivaroxaban”

Effective Date 06/23/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria

Rejection Criteria: Samples received refrigerated or at room temperature. Hemolysis.

Test Details

Mnemonic

RIVAR

Ordering Code

3400398

CPT-4 Codes(s)

80299

RBCF – “RBC Folate”

Effective Date 06/24/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to New York approval status, specimen requirements, stability, and turnaround time

New York Approval: Yes

Patient Preparation: A hematocrit result is required. Provide a hematocrit from this collection with the sample submission. A hematocrit collected within 24 hours of the RBCF collection is also acceptable if the patient has not received a transfusion or experienced excessive bleeding in that 24 hour period. Please note: Methotrexate and leucovorin may interfere with assay.

Specimen Preparation: Send 1 full EDTA whole blood (entire sample) in the original collection tube along with the hematocrit.

Transport Temperature: Frozen

Stability:

Room temperature: 8 hours
Refrigerated: 24 hours
Frozen: 2 months

Turnaround Time: 2 – 4 days

Test Details

Mnemonic

RBCF

Ordering Code

1000773

CPT-4 Codes(s)

82747

HTLVD – “HTLV I/II DNA, Qualitative, Real-Time PCR”

Effective Date 06/30/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to alternate specimen, performed days, and turnaround time

Alternate Specimen: No alternate specimen listed.

Performed Days: Sunday – Saturday

Turnaround Time: 3 – 4 days

Test Details

Mnemonic

HTLVD

Ordering Code

3400829

CPT-4 Codes(s)

87798 (x2)

THIOT – “Thiothixene, Serum or Plasma”

Effective Date 07/07/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to test name, CPT code, specimen requirements, methodology, turnaround time and result name

Test Name: Thiothixene, Serum or Plasma

CPT Code: 80342

Minimum Volume: 1.0 mL

Methodology: Liquid Chromatography – Tandem Mass Spectrometry

Turnaround Time: 4 – 6 days

Result Name:

Result Code Name LOINC Code AOE/Prompt
3510400 Thiothixene, Serum/Plasma 6696-9 No

Test Details

Mnemonic

THIOT

Ordering Code

3510400

CPT-4 Codes(s)

80342

THIR – “Thioridazine and Metabolite, Serum/Plasma”

Effective Date 07/07/2025
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to CPT code, specimen requirements, and methodology

CPT Code: 80342

Minimum Volume: 1.0 mL

Methodology: Liquid Chromatography – Tandem Mass Spectrometry

Test Details

Mnemonic

THIR

Ordering Code

3300480

CPT-4 Codes(s)

80342

WML Test Directory Update | June 2025 | Warde Medical Laboratory Page