Update Summary

Effective Date Update Type Name
05/24/2022 New Test EEEVA – “Eastern Equine Encephalitis Virus Antibody, IFA (Serum)” Jump to update
05/16/2022 Inactivated/Replace Test BUPMQ – “Buprenorphine, Meconium, Quantitative” replaced by BUPML – “Buprenorphine and Metabolite – Total (Qual), Meconium” Jump to update
05/16/2022 Inactivated/Replace Test RAJIC – “Raji Cell Immune Complex Assay” replaced by CICC3 – “Circulating Immune Complex, C3 fragments” Jump to update
04/15/2022 Updated Test NSE – “Neuron Specific Enolase, Serum” Jump to update
04/18/2022 Updated Test DISUL – “Disulfiram (DEDTC Metabolite), Serum/Plasma” Jump to update
04/28/2022 Updated Test ENCS – “Encephalopathy, Autoimmune/Paraneoplastic Evaluation, Serum” Jump to update
04/28/2022 Updated Test EPCSF – “Epilepsy, Autoimmune/Epilepsy, Autoimmune Paraneoplastic Evaluation, CSF” Jump to update
04/28/2022 Updated Test EPSER – “Epilepsy, Autoimmune/Paraneoplastic Evaluation, Serum” Jump to update
05/16/2022 Updated Test B27A – “HLA B-27” Jump to update
05/16/2022 Updated Test C1QBA – “Circulating Immune Complex, C1q Binding” Jump to update
05/16/2022 Updated Test COCCP – “Coccidioides Antibody, Panel, Serum” Jump to update
05/16/2022 Updated Test COCSF – “Coccidioides Antibodies by Complement fixation and Immunodiffusion, CSF” Jump to update
05/16/2022 Updated Test COSER – “Coccidioides Ab by CF & ID, Serum” Jump to update
05/16/2022 Updated Test CY2D6 – “Cytochrome P450 2d6 Genotype” Jump to update
05/16/2022 Updated Test DDPUC – “Drug Detection Panel, Umbilical Cord Tissue, Qualitative” Jump to update
05/16/2022 Updated Test FAPIA – “Fungal Antibodies (ID)” Jump to update
05/16/2022 Updated Test HDMUT – “Huntington Disease Mutation” Jump to update
05/16/2022 Updated Test INFBM – “Influenza B Virus Ab, IgM” Jump to update
05/16/2022 Updated Test JK12P – “JAK2 Exon 12 Mutation Analysis by PCR” Jump to update

EEEVA – “Eastern Equine Encephalitis Virus Antibody, IFA (Serum)”

Effective Date 05/24/2022
Update Type New Test
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Test Details

Mnemonic

EEEVA

Ordering Code

3400496

CPT-4 Codes(s)

86652 x 2

Turnaround Time
3 - 5 days
Performed
Monday - Friday
Legacy Code
EEEVA
Example report

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Send 1.0 mL serum.

Minimum Volume

0.1 mL

Transport Temperature

Room temperature

Rejection Criteria

Grossly hemolyzed, Grossly lipemic, Grossly icteric

Stability

Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days

Methodology

Immunofluorescence Assay (IFA)
more

Reference Range

E. Equine Encephalitis (IgG): <1:16

E. Equine Encephalitis (IgM): <1:16
more

Performing Laboratory

Quest SJC
more

Interface Map for EEEVA

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Eastern Equine Encephalitis Virus Antibody, IFA ( Serum)3400496
3400497E. Equine Enceph. Virus IgG10896-9No
3400498E. Equine Enceph. Virus IgM10898-5No
3400499Interpretation24006-9No

BUPMQ – “Buprenorphine, Meconium, Quantitative” replaced by BUPML – “Buprenorphine and Metabolite – Total (Qual), Meconium”

Effective Date 05/16/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

BUPMQ

Ordering Code

3689350

CPT-4 Codes(s)

80348 (G0480)

Replacement Test Details

Mnemonic

BUPML

Ordering Code

3300312

CPT-4 Codes(s)

80348, 80362 (G0480)

Turnaround Time
5 - 7 days
Performed
Varies
Legacy Code
BUPML
Example Report

Specimen Information

Collect

5.0 grams

Specimen Preparation

Collect 5.0 grams, approximately 1 tablespoon, of the black - tarry Meconium sample and place into a clean screw capped plastic container. The sample may be combined several times from each evacuation up to approximately 72 hours.

Minimum Volume

5.0 g

Transport Temperature

Refrigerated

Stability

Room temperature: Undetermined
Refrigerated: Undetermined
Frozen: Undetermined

Methodology

High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS)
more

Reference Range

See report
more

Performing Laboratory

NMS Labs
more

Interface Map for BUPML

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Buprenorphine and Metabolite - Total (Qual), Meconium3300312
3300313Buprenorphine - Total3415-7No
3300314Norbuprenorphine - TotalNo

RAJIC – “Raji Cell Immune Complex Assay” replaced by CICC3 – “Circulating Immune Complex, C3 fragments”

Effective Date 05/16/2022
Update Type Inactivated/Replace Test
Test Update View Test Update ›

Inactivated Test Details

Mnemonic

RAJIC

Ordering Code

3681220

CPT-4 Codes(s)

86332

Replacement Test Details

Mnemonic

CICC3

Ordering Code

3600205

CPT-4 Codes(s)

86332

Turnaround Time
4 - 11 days
Performed
Saturday, Monday, Thursday
Legacy Code
CICC3
Example Report

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Clot specimen completely (up to 1 hour). Centrifuge, separate serum from cells within 30 minutes and send 1.0 mL serum in a plastic, sterile, screw capped vial. Separate specimen must be submitted when multiple tests are ordered. CRITICAL FROZEN.

Alternate Specimen

Red top

Minimum Volume

0.5 mL

Transport Temperature

CRITICAL FROZEN

Rejection Criteria

Non frozen specimens. Specimens exposed to repeated freeze/thaw cycle. Grossly hemolyzed, lipemic, and icteric specimens.

Stability

Room temperature: Unacceptable
Refrigerate: Unacceptable
Frozen: 20 days

Methodology

Semi-quantitative Enzyme-Linked Immunosorbent Assay
more

Reference Range

<= 15 µg E/mL
more

Performing Laboratory

ARUP
more

Interface Map for CICC3

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
Circulating Immune Complex, C3 Fragments3600205
3600205Circulating Immune Complex, C3 Fragments10864-7No

NSE – “Neuron Specific Enolase, Serum”

Effective Date 04/15/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Due to reagent shortages, we are changing the performing laboratory and updating test requirements.

CPT Code(s): 86316

Collect: Serum separator tube (SST)

Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells within 2 hours of collection. Send 1.0 mL serum in a screw capped plastic vial. 

Minimum Volume: 0.5 mL 

Transport Temperature: Refrigerated

Rejection Criteria: Plasma. Hemolyzed specimens

Alternate Specimen: Red top

Methodology: Quantitative Immunoassay 

Performed: Monday, Wednesday, Friday

Stability:

Room temperature: Unacceptable
Refrigerated: 7 days
Frozen: 1 year (avoid repeated freeze/thaws cycles)

Reference Range: ≤12.7 ng/mL

Performing Laboratory: ARUP Reference Laboratory

Test Details

Mnemonic

NSE

Ordering Code

3804220

CPT-4 Codes(s)

86316

DISUL – “Disulfiram (DEDTC Metabolite), Serum/Plasma”

Effective Date 04/18/2022
Update Type Updated Test
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Notes

Update to rejection criteria.

Rejection Criteria: Serum separator tube (SST), Plasma separator tube (PST), glass container 

Test Details

Mnemonic

DISUL

Ordering Code

3501300

CPT-4 Codes(s)

80375 (G0480)

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

Effective Date 04/28/2022
Update Type Updated Test
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Notes

Update to name.

Name: Encephalopathy, Autoimm/Paraneo, S

Test Details

Mnemonic

ENCS

Ordering Code

3800079

CPT-4 Codes(s)

86255 x23, 86341

EPCSF – “Epilepsy, Autoimmune/Epilepsy, Autoimmune Paraneoplastic Evaluation, CSF”

Effective Date 04/28/2022
Update Type Updated Test
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Notes

Update to name.

Name: Epilepsy, Autoimm/Paraneo, CSF 

Test Details

Mnemonic

EPCSF

Ordering Code

3500037

CPT-4 Codes(s)

86255 x 19, 86341 (Plus others as appropriate)

EPSER – “Epilepsy, Autoimmune/Paraneoplastic Evaluation, Serum”

Effective Date 04/28/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to name.

Name: Epilepsy, Autoimm/Paraneo, S

Test Details

Mnemonic

EPSER

Ordering Code

3500038

CPT-4 Codes(s)

86255 x 19, 86341, plus others as appropriate, at additional charges

B27A – “HLA B-27”

Effective Date 05/16/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to reference range.

Reference Range: See report

Test Details

Mnemonic

B27A

Ordering Code

3511330

CPT-4 Codes(s)

81374

C1QBA – “Circulating Immune Complex, C1q Binding”

Effective Date 05/16/2022
Update Type Updated Test
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Notes

Update to test name, specimen requirements, and performed days.

Name: Circulating Immune Complex, C1q Binding

Specimen Preparation: Allow sample to clot completely (up to 1 hour). Centrifuge, separate serum from cells within 30 minutes and send 1.0 mL in a screw capped plastic vial. CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Performed Days: Monday, Thursday, Saturday

Test Details

Mnemonic

C1QBA

Ordering Code

3680420

CPT-4 Codes(s)

86332

COCCP – “Coccidioides Antibody, Panel, Serum”

Effective Date 05/16/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to methodology, rejection criteria, and reference range.

Methodology: Complement Fixation (CF)/Immunodiffusion/Enzyme-Linked Immunosorbent Assay (ELISA)

Rejection Criteria: Contaminated, hemolyzed, icteric or lipemic specimens, body fluids other than serum.

Reference Range: See report

Test Details

Mnemonic

COCCP

Ordering Code

3683605

CPT-4 Codes(s)

86635 x 4

COCSF – “Coccidioides Antibodies by Complement fixation and Immunodiffusion, CSF”

Effective Date 05/16/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen requirements and methodology.

Specimen Preparation: Collect Cerebrospinal fluid (CSF) and send 2.0 mL fluid in a screw capped plastic vial. Mark specimen plainly as “acute” or “convalescent”. 

Methodology: Complement fixation/Immunodiffusion

Test Details

Mnemonic

COCSF

Ordering Code

3600201

CPT-4 Codes(s)

86635 x 2

COSER – “Coccidioides Ab by CF & ID, Serum”

Effective Date 05/16/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria, methodology, and reference range.

Rejection Criteria: Other body fluids, contaminated, hemolyzed, icteric, or lipemic specimens.

Methodology: Complement fixation/Immunodiffusion

Reference Range:

Coccidioides Antibody by ID             Not detected
Coccidioides Antibody by CF             Less than 1:2

Test Details

Mnemonic

COSER

Ordering Code

3600202

CPT-4 Codes(s)

86635 x 2

CY2D6 – “Cytochrome P450 2d6 Genotype”

Effective Date 05/16/2022
Update Type Updated Test
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Notes

Physician attestation form requirement updates.

Specimen Information: This germline genetic 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.

 

Test Details

Mnemonic

CY2D6

Ordering Code

3423000

CPT-4 Codes(s)

81226

DDPUC – “Drug Detection Panel, Umbilical Cord Tissue, Qualitative”

Effective Date 05/16/2022
Update Type Updated Test
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Notes

Update to CPT codes.

CPT Code(s): 80326, 80347, 80364, 80355 (G0481)

Test Details

Mnemonic

DDPUC

Ordering Code

3618900

CPT-4 Codes(s)

80326, 80347, 80364, 80355 (G0481)

FAPIA – “Fungal Antibodies (ID)”

Effective Date 05/16/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to rejection criteria and reference range.

Rejection Criteria: Other body fluids, contaminated, hemolyzed, icteric or lipemic specimens

Reference Range: See report 

Test Details

Mnemonic

FAPIA

Ordering Code

3682945

CPT-4 Codes(s)

86606, 86612, 86635, 86698

HDMUT – “Huntington Disease Mutation”

Effective Date 05/16/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen requirements, alternate specimen, stability, and reference range.

Specimen Preparation: Send 3.0 whole blood.

Minimum Volume: 1.0 mL

Alternate Specimen: Whole blood: yellow (ACD A or B)

Stability:

Room temperature: 7 days
Refrigerated: 1 month
Frozen: Unacceptable

Reference Range: See report

Test Details

Mnemonic

HDMUT

Ordering Code

3514250

CPT-4 Codes(s)

81271

INFBM – “Influenza B Virus Ab, IgM”

Effective Date 05/16/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to specimen requirements and rejection criteria.

Specimen Preparation: Centrifuge, separate serum from cells within 2 hours of collection and send 1.0 mL serum in a screw capped plastic vial. Mark specimens as “acute” or “convalescent”.

Rejection Criteria: Plasma, hemolyzed, lipemic, icteric, heat inactivated or turbid specimens, bacterially contaminated. 

 

 

Test Details

Mnemonic

INFBM

Ordering Code

3684060

CPT-4 Codes(s)

86710

JK12P – “JAK2 Exon 12 Mutation Analysis by PCR”

Effective Date 05/16/2022
Update Type Updated Test
Test Update View Test Update ›

Notes

Update to stability.

Stability:

Whole blood, Bone marrow:
Room temperature: 24 hours
Refrigerated: 4 days
Frozen: Unaccepatable

Extracted DNA:
Room temperature: 30 days
Refrigerated: Indefinitely
Frozen: Indefinitely

Test Details

Mnemonic

JK12P

Ordering Code

3623000

CPT-4 Codes(s)

81279

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