March 2022 WML Test Directory Update

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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.

 

Due to nationwide reagent shortage, FRDIG – Digoxin, Free, Serum, will be temporarily non-orderable effective immediately.

Update Summary

Effective Date Update Type Name
03/01/2022 Inactivated/Replace Test LTE4 – “Leukotriene E4, Urine” replaced by RLTE4 – “Leukotriene E4, Random, Urine” Jump to update
03/29/2022 Inactivated/Replace Test FVLMA – “Factor V Leiden Mutation Analysis” replaced by F5LM – “Factor V Leiden Mutation Analysis” Jump to update
03/29/2022 Inactivated/Replace Test JCVQT – “JC Polyoma Virus DNA, Quant” replaced by JCVQN – “JC Polyoma Virus DNA Quant RT PCR S/P” Jump to update
03/29/2022 Inactivated/Replace Test LTE4 – “Leukotriene E4, Urine” replaced by TLTE4 – “Leukotriene E4, 24 Hour, Urine” Jump to update
03/29/2022 Inactivated/Replace Test P202A – “Prothrombin 20210A Mutation Analysis” replaced by F2PM – “Prothrombin 20210A Mutation Analysis” Jump to update
03/30/2022 Inactivated/Replace Test FXDNA – “Fragile X (FMR1) with Reflex to Methylation Analysis” replaced by FXRM1 – “Fragile X (FMR1) with Reflex to Methylation Analysis” Jump to update
03/21/2022 Inactivated Test TXGOQ – “Toxoplasma gondii DNA Quant” Jump to update
02/22/2022 Updated Test ALDR – “Aldosterone/Direct Renin Ratio” Jump to update
02/22/2022 Updated Test CBGLB – “Corticosteroid Binding Glob” Jump to update
02/22/2022 Updated Test CELIA – “Celiac Disease Panel with TTG and DGP” Jump to update
02/22/2022 Updated Test CELPS – “Celiac Screen without DGP” Jump to update
02/22/2022 Updated Test GIDP – “GI Distress Panel” Jump to update
03/21/2022 Updated Test BORDN – “Borrelia species DNA PCR -Tick” Jump to update
03/21/2022 Updated Test EPBAV – “Epstein-Barr Virus DNA, Quant Real-Time PCR, CSF” Jump to update
03/21/2022 Updated Test HIVRG – “HIV-1 RNA, Quantitative, PCR with Reflex to Genotype” Jump to update

LTE4 – “Leukotriene E4, Urine” replaced by RLTE4 – “Leukotriene E4, Random, Urine”

Effective Date 03/01/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

LTE4

Ordering Code

3807700

CPT-4 Codes(s)

82542

Replacement Test Details

Mnemonic

RLTE4

Ordering Code

3800268

CPT-4 Codes(s)

82542, 82570

Turnaround Time
4 - 8 days
Performed
Tuesday, Friday
Legacy Code
RLTE4
Example Report
Download

Specimen Information

Patient Preparation

Patients taking 5-lipoxygenase inhibitor zileuton/Zyflo may have decreased concentrations of leukotriene E4 (LTE4) if dosage has not been discontinued for 48 hours.

Collect

Random Urine

Specimen Preparation

Send 5.0 mL random urine collection in a screw capped plastic vial. No preservative.

Minimum Volume

2.0 mL

Transport Temperature

Refrigerated

Stability

Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 28 days

Methodology

Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS)
Enzymatic Colorimetric Assay
more

Reference Range

See report
more

Performing Laboratory

MAYO
more

Interface Map for RLTE4

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Leukotriene E4, Random, Urine3800268
3800269Leukotriene E4, Random, U33343-5No
3800270Creatinine, Random, U2161-8No

FVLMA – “Factor V Leiden Mutation Analysis” replaced by F5LM – “Factor V Leiden Mutation Analysis”

Effective Date 03/29/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

FVLMA

Ordering Code

3400370

CPT-4 Codes(s)

81241

Replacement Test Details

Mnemonic

F5LM

Ordering Code

3000306

CPT-4 Codes(s)

81241

Turnaround Time
1 - 5 days
Performed
Monday, Wednesday, Friday
Legacy Code
F5LM
Normal Example Report
Download
Abnormal Example Report
Download

Specimen Information

Collect

Lavender EDTA

Specimen Preparation

Send 5.0 mL whole blood.

Alternate Specimen

None

Minimum Volume

3.0 mL

Transport Temperature

Room temperature

Rejection Criteria

serum, plasma, heparinized whole blood, tissue, specimen previously tested

Stability

Room temperature: 8 days
Refrigerated: 8 days
Frozen: 30 days

Methodology

Polymerase Chain Reaction (PCR)
more

Reference Range

Wild Type F5
more

Performing Laboratory

Warde Medical Laboratory
more

Interface Map for F5LM

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Factor V Leiden Mutation Analysis3000306
3000307Factor V Leiden Mutation21668-9No

JCVQT – “JC Polyoma Virus DNA, Quant” replaced by JCVQN – “JC Polyoma Virus DNA Quant RT PCR S/P”

Effective Date 03/29/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

JCVQT

Ordering Code

3426340

CPT-4 Codes(s)

87799

Replacement Test Details

Mnemonic

JCVQN

Ordering Code

3400637

CPT-4 Codes(s)

87799

Turnaround Time
2 - 4 days
Performed
Monday - Saturday
Legacy Code
JCVQN
Example Report
Download

Specimen Information

Collect

Lavender EDTA

Specimen Preparation

Send 0.7 mL plasma collected in Lavender EDTA

Alternate Specimen

Plasma: Yellow ACD
Serum

Minimum Volume

0.3 mL

Transport Temperature

Frozen

Stability

Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 30 days

Methodology

Real-Time Polymerase Chain Reaction (RT-PCR)
more

Reference Range

Result Name Reference Range Unit
JC Virus DNA, QN PCR Not Detected IU/mL
JC Virus DNA, QN PCR Not Detected Log IU/mL
more

Performing Laboratory

Quest
more

New York DOH Approval Status

Yes
more

Interface Map for JCVQN

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
JC Polyoma Virus DNA Quant RT PCR S/P3400637
3400638Source31208-2Yes
3400639JC Virus DNA, QN PCR101342-4 Nocopies/mL
3400640JC Virus DNA, QN PCR101731-8NoLog cps/mL

LTE4 – “Leukotriene E4, Urine” replaced by TLTE4 – “Leukotriene E4, 24 Hour, Urine”

Effective Date 03/29/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

LTE4

Ordering Code

3807700

CPT-4 Codes(s)

82542

Replacement Test Details

Mnemonic

LTE4

Ordering Code

3807700

CPT-4 Codes(s)

82542

Turnaround Time
4 - 8 days
Performed
Tuesday, Friday
Legacy Code
LTE4

Specimen Information

Patient Preparation

If patient is taking Zileaton/Zyflo, discontinue for 48 hours prior to draw, if possible. Zileuton/Zyflo can reduce leukotriene 4 concentrations.

Collect

Random urine

Specimen Preparation

Send 4.0 mL urine in a screw capped plastic urine container. 24 hour or random urine collection is acceptable. No preservative.

Alternate Specimen

Urine with preservative: 50% acetic acid, Na2CO3, Toluene, Boric acid, 24 hour urine

Minimum Volume

1.0 ml

Transport Temperature

Refrigerated

Stability

Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 30 days

Methodology

Liquid Chromatography/Tandem Mass Spectrometry
more

Reference Range

≤104 pg/mg creatinine
more

Performing Laboratory

Mayo Clinic Laboratories
more

New York DOH Approval Status

Yes
more

Interface Map for LTE4

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Leukotriene E4, Urine3807700
3807700Leukotriene E4, Urine33343-5No

P202A – “Prothrombin 20210A Mutation Analysis” replaced by F2PM – “Prothrombin 20210A Mutation Analysis”

Effective Date 03/29/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

P202A

Ordering Code

3400504

CPT-4 Codes(s)

81240

Replacement Test Details

Mnemonic

F2PM

Ordering Code

3000308

CPT-4 Codes(s)

81240

Turnaround Time
1 - 5 days
Performed
Monday, Wednesday, Friday
Legacy Code
F2PM
Negative Example Report
Download
Positive Example Report
Download

Specimen Information

Collect

Lavender EDTA

Specimen Preparation

Send 5.0 mL whole blood

Minimum Volume

3.0 mL

Transport Temperature

Room temperature

Rejection Criteria

Serum, plasma, heparinized whole blood, tissue specimens previously tested.

Stability

Room temperature: 8 days
Refrigerated: 8 days
Frozen: 30 days

Methodology

Polymerase Chain Reaction (PCR)
more

Reference Range

Wild Type F2
more

Performing Laboratory

Warde Medical Laboratory
more

Interface Map for F2PM

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Prothrombin 20210A3000308
3000309Prothrombin 20210A Mutation Analysis24475-6No

FXDNA – “Fragile X (FMR1) with Reflex to Methylation Analysis” replaced by FXRM1 – “Fragile X (FMR1) with Reflex to Methylation Analysis”

Effective Date 03/30/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

FXDNA

Ordering Code

3671860

CPT-4 Codes(s)

81243, plus 81244 if reflexed at additional cost

Replacement Test Details

Mnemonic

FXRM1

Ordering Code

3600211

CPT-4 Codes(s)

81243, plus 81244 if reflexed at additional cost

Turnaround Time
Varies
Performed
Varies
Legacy Code
FXRM1
Example Report
Download

Specimen Information

Collect

Lavender EDTA

Specimen Preparation

Send 5.0 mL whole blood.

Alternate Specimen

Whole blood: Yellow ACD A

Minimum Volume

1.5 mL

Transport Temperature

Refrigerated

Stability

Room temperature: 7 days
Refrigerated: 30 days
Frozen: 6 months

Methodology

Polymerase Chain Reaction/Capillary Electrophoresis
more

Reference Range

See report
more

Performing Laboratory

ARUP
more

Interface Map for FXRM1

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Fragile X (FMR1) with Reflex to Methylation Analysis3600211
3600212Frag X Specimen66746-9No
3600213Fragile X Allele 145321-7No
3600214Fragile X Allele 245322-5No
3600215Fragile X Methylation Pattern41107-4No
3600216 Fragile X Interpretation36913-2No

TXGOQ – “Toxoplasma gondii DNA Quant”

Effective Date 03/21/2022
Update Type Inactivated Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

TXGOQ

Ordering Code

3423700

CPT-4 Codes(s)

87799

ALDR – “Aldosterone/Direct Renin Ratio”

Effective Date 02/22/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Updates to rejection criteria.

Rejection criteria:

Aldosterone: Plasma: gross hemolysis, gross lipemia

Renin: Hemolysis, grossly lipemic or icteric specimens, non-frozen samples, serum, dark blue
trace element EDTA 

Test Details

Mnemonic

ALDR

Ordering Code

1003990

CPT-4 Codes(s)

82088, 84244

CBGLB – “Corticosteroid Binding Glob”

Effective Date 02/22/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to performing laboratory.

Performing Laboratory: LabCorp

Test Details

Mnemonic

CBGLB

Ordering Code

3511985

CPT-4 Codes(s)

84449

CELIA – “Celiac Disease Panel with TTG and DGP”

Effective Date 02/22/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Updates to CPT Code(s).

CPT Code(s): 86258 x 2, 86364 x 2, 82784

Test Details

Mnemonic

CELIA

Ordering Code

3084760

CPT-4 Codes(s)

86258 x 2, 86364 x 2, 82784

CELPS – “Celiac Screen without DGP”

Effective Date 02/22/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to CPT code.

CPT Code(s): 86364, 82784

Test Details

Mnemonic

CELPS

Ordering Code

3084780

CPT-4 Codes(s)

86364, 82784

GIDP – “GI Distress Panel”

Effective Date 02/22/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to CPT Code(s).

CPT Code(s): 86258 x 2, 86364 x 2, 86003 x 12

Test Details

Mnemonic

GIDP

Ordering Code

3070300

CPT-4 Codes(s)

86258 x 2, 86364 x 2, 86003 x 12

BORDN – “Borrelia species DNA PCR -Tick”

Effective Date 03/21/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Updates to transport temperature and stability.

Specimen Preparation: Send one fresh intact deer tick in 1 – 10 mL 70% ethanol in a sterile screw capped
plastic container.

Transport Temperature: Refrigerated 

Stability: Room temperature: 72 hours
                Refrigerated: 7 days
                Frozen: 30 days

Test Details

Mnemonic

BORDN

Ordering Code

3425780

CPT-4 Codes(s)

87801

EPBAV – “Epstein-Barr Virus DNA, Quant Real-Time PCR, CSF”

Effective Date 03/21/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Updates to accepted alternate specimens and reference range.

Alternate Specimen: Fluid: Bronchoalveolar lavage

Stability:

CSF, tissue, fluids
Room temperature: 48 hours
Refrigerated: 8 days
Frozen: 30 days

Reference Range:

Result Name               Reference Range                      Unit of Measure
EBV DNA, QN PCR              Not detected                                   copies/mL
EBV DNA, QN PCR              Not detected                                Log copies/mL

Test Details

Mnemonic

EPBAV

Ordering Code

3400475

CPT-4 Codes(s)

87799

HIVRG – “HIV-1 RNA, Quantitative, PCR with Reflex to Genotype”

Effective Date 03/21/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Updates to specimen requirements, rejection criteria, performed days and reflexed turnaround time.

Collect: Two Lavender EDTA

Specimen Preparation: Send 2.0 mL plasma collected in each of the two lavender EDTA tubes. 

Minimum volume: 1.0 mL 

Rejection Criteria: Serum; whole blood greater than 24 hours old; frozen whole blood; samples collected in lithium or sodium heparin. 

Performed Days: Monday – Saturday 

Turnaround Time: 4 – 6 days; if reflexed additional 4 – 11 days

Test Details

Mnemonic

HIVRG

Ordering Code

3515950

CPT-4 Codes(s)

87536, plus 87901, 87900 for Genotype, if performed, at additional cost

WML Test Directory Update | March 2022 | Warde Medical Laboratory Page
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