HCHLB – “Hydroxychloroquine, Blood”
Test Details
Mnemonic
HCHLB
Ordering Code
3300447
CPT-4 Codes(s)
80220
Specimen Information
Collect
Specimen Preparation
Minimum Volume
Transport Temperature
Stability
Refrigerated: 30 days
Frozen (-20 °C): 30 days
Methodology
Reference Range
Performing Laboratory
New York DOH Approval Status
Interface Map for HCHLB
| Test Name | Ordering Code | Result Code | Component Name | LOINC Code | AOE Prompt | Units |
|---|---|---|---|---|---|---|
| Hydroxychloroquine, Blood | 3300447 | |||||
| 3300447 | Hydroxychloroquine, Blood | 95921-3 | No |
PT18Q – “Quest AD-Detect Phosphorylated tau181, Plasma”
Test Details
Mnemonic
PT18Q
Ordering Code
3401179
CPT-4 Codes(s)
84393
Specimen Information
Collect
Specimen Preparation
Minimum Volume
Transport Temperature
Rejection Criteria
Stability
Refrigerated: 22 days
Frozen: 22 days
Methodology
Reference Range
Performing Laboratory
New York DOH Approval Status
Interface Map for PT18Q
| Test Name | Ordering Code | Result Code | Component Name | LOINC Code | AOE Prompt | Units |
|---|---|---|---|---|---|---|
| Quest AD-Detect Phosphorylated tau181, Plasma | 3401179 | |||||
| 3401179 | Quest AD-Detect Phosphorylated tau181, Plasma | 103675-5 | No |
PT217 – “Phospho-Tau 217, Plasma”
Test Details
Mnemonic
PT217
Ordering Code
3600576
CPT-4 Codes(s)
84393
Specimen Information
Collect
Specimen Preparation
Minimum Volume
Transport Temperature
Rejection Criteria
Stability
Refrigerated: 7 days
Frozen: 14 days
Methodology
Reference Range
Performing Laboratory
New York DOH Approval Status
Interface Map for PT217
| Test Name | Ordering Code | Result Code | Component Name | LOINC Code | AOE Prompt | Units |
|---|---|---|---|---|---|---|
| Phospho-Tau 217, Plasma | 3600576 | |||||
| 3600576 | Phospho-Tau 217, Plasma | 104663-0 | No |
ASPCF – “Aspergillus Ab by CF” replaced by ASGCF – “Aspergillus Antibody Panel, CF and ID, Serum”
Inactivated Test Details
Mnemonic
ASPCF
Ordering Code
3680160
CPT-4 Codes(s)
86606
Replacement Test Details
Mnemonic
ASGCF
Ordering Code
3401173
CPT-4 Codes(s)
86606 (x3), 86317
Specimen Information
Collect
Specimen Preparation
Alternate Specimen
Minimum Volume
Transport Temperature
Rejection Criteria
Stability
Refrigerated: 14 days
Frozen: 30 days
Methodology
Reference Range
Performing Laboratory
New York DOH Approval Status
Interface Map for ASGCF
| Test Name | Ordering Code | Result Code | Component Name | LOINC Code | AOE Prompt | Units |
|---|---|---|---|---|---|---|
| Aspergillus Antibody Panel, CF and ID, Serum | 3401173 | |||||
| 3401174 | Aspergillus Ab, CF, Serum | 5053-4 | No | |||
| 3401176 | Aspergillus flavus | 23820-4 | No | |||
| 3401177 | Aspergillus niger | 10894-4 | No | |||
| 3401178 | Aspergillus fumigatus | No |
HIVA – “HIV Ag/Ab 5th Gen (Diag)” replaced by HIV4G – “HIV 1/2 Antigen/Antibody, Fourth Gen with Reflex”
Inactivated Test Details
Mnemonic
HIVA
Ordering Code
3010685
CPT-4 Codes(s)
87389, plus 86701, 86702 if reflexed to Differentiation, at additional cost
Replacement Test Details
Mnemonic
HIV4G
Ordering Code
3401163
CPT-4 Codes(s)
87389, plus 86701, 86702 if reflexed to Differentiation; plus 87535, 87538 if reflexed to PCR at additional charges
Specimen Information
Collect
Specimen Preparation
Alternate Specimen
Plasma: Lavender EDTA
Minimum Volume
Transport Temperature
Rejection Criteria
Stability
Refrigerated: 5 days
Frozen: 30 days
Methodology
Reference Range
HIV Ag/Ab, 4th Gen: Non-Reactive
Performing Laboratory
New York DOH Approval Status
Interface Map for HIV4G
| Test Name | Ordering Code | Result Code | Component Name | LOINC Code | AOE Prompt | Units |
|---|---|---|---|---|---|---|
| HIV 1/2 Antigen/Antibody, Fourth Gen with Reflex | 3401163 | |||||
| 3401164 | HIV Final Interpretation | 56888-1 | No | |||
| 3401166 | HIV Ag/Ab, Screen | 56888-1 | No | |||
| 3401167 | HIV1 Antibody | 68961-2 | No | |||
| 3401168 | HIV2 Antibody | 81641-3 | No | |||
| 3401169 | HIV 1 RNA, QL RT PCR | 25835-0 | No | |||
| 3401171 | HIV 2 RNA, QL RT PCR | 69353-1 | No |
HIVS – “HIV Ag/Ab 5th Gen (Screen)” replaced by HIV4G – “HIV 1/2 Antigen/Antibody, Fourth Gen with Reflex”
Inactivated Test Details
Mnemonic
HIVS
Ordering Code
3010665
CPT-4 Codes(s)
G0475, plus 86701, 86702 if reflexed to Differentiation, at additional charges
Replacement Test Details
Mnemonic
HIV4G
Ordering Code
3401163
CPT-4 Codes(s)
87389, plus 86701, 86702 if reflexed to Differentiation; plus 87535, 87538 if reflexed to PCR at additional charges
Specimen Information
Collect
Specimen Preparation
Alternate Specimen
Plasma: Lavender EDTA
Minimum Volume
Transport Temperature
Rejection Criteria
Stability
Refrigerated: 5 days
Frozen: 30 days
Methodology
Reference Range
HIV Ag/Ab, 4th Gen: Non-Reactive
Performing Laboratory
New York DOH Approval Status
Interface Map for HIV4G
| Test Name | Ordering Code | Result Code | Component Name | LOINC Code | AOE Prompt | Units |
|---|---|---|---|---|---|---|
| HIV 1/2 Antigen/Antibody, Fourth Gen with Reflex | 3401163 | |||||
| 3401164 | HIV Final Interpretation | 56888-1 | No | |||
| 3401166 | HIV Ag/Ab, Screen | 56888-1 | No | |||
| 3401167 | HIV1 Antibody | 68961-2 | No | |||
| 3401168 | HIV2 Antibody | 81641-3 | No | |||
| 3401169 | HIV 1 RNA, QL RT PCR | 25835-0 | No | |||
| 3401171 | HIV 2 RNA, QL RT PCR | 69353-1 | No |
INHNA – “INHIBIN-A”
Test Details
Mnemonic
INHNA
Ordering Code
3000893
CPT-4 Codes(s)
86336
Days Performed
| Previous: | Updated To: |
|---|---|
| Monday, Wednesday, | Monday, Wednesday, Friday |
Turnaround Time
| Previous: | Updated To: |
|---|---|
| 1 - | 1 - 4 days |
MAFP1 – “MSAFP (AFP Single Marker – NTD only)”
Test Details
Mnemonic
MAFP1
Ordering Code
3000355
CPT-4 Codes(s)
82105
Days Performed
| Previous: | Updated To: |
|---|---|
| Monday, Wednesday, | Monday, Wednesday, Friday |
Turnaround Time
| Previous: | Updated To: |
|---|---|
| 1 - | 1 - 4 days |
QUAD1 – “QUAD Screen”
Test Details
Mnemonic
QUAD1
Ordering Code
3000356
CPT-4 Codes(s)
81511 (or 82105, 82677, 84702, 86336)
Days Performed
| Previous: | Updated To: |
|---|---|
| Monday, Wednesday, | Monday, Wednesday, Friday |
Turnaround Time
| Previous: | Updated To: |
|---|---|
| 1 - | 1 - 4 days |
TFTLC – “Testosterone, Free (Dialysis) and Total, LC/MS/MS”
Test Details
Mnemonic
TFTLC
Ordering Code
3723600
CPT-4 Codes(s)
84402, 84403
Specimen Information
Specimen Preparation
| Previous: | Updated To: |
|---|---|
| Allow blood to clot at room temperature, centrifuge, remove serum from cells and send 1.8 mL serum in a screw capped plastic vial. |
Alternate Specimen
| Previous: | Updated To: |
|---|---|
| Plasma: Sodium or lithium heparin | Plasma: Sodium or lithium heparin |
| Serum separator tube (SST) |
Rejection Criteria
| Previous: | Updated To: |
|---|---|
| gross hemolysis, gross lipemia |
MIRTZ – “Mirtazapine (Remeron), Serum/Plasma”
Test Details
Mnemonic
MIRTZ
Ordering Code
3505085
CPT-4 Codes(s)
80335
Specimen Information
Specimen Preparation
| Previous: | Updated To: |
|---|---|
| Centrifuge, separate serum from cells and send | Centrifuge, separate serum from cells and send 1.0 mL serum in a screw capped plastic vial. |
Minimum Volume
| Previous: | Updated To: |
|---|---|
| 1. | 1.0 mL |
Methodology
| Previous: | Updated To: |
|---|---|
| Liquid Chromatography/Tandem Mass Spectrometry |
CPT-4 Codes
| Previous: | Updated To: |
|---|---|
| 80335 | 80335 |
CYGAB – “Cysticercus Ab”
Notes
Update to reference range
Test Details
Mnemonic
CYGAB
Ordering Code
3501145
CPT-4 Codes(s)
86682
Reference Range
| Previous: | Updated To: |
|---|---|
| Less than or equal to 0.9 IV Negative: No significant level of cysticercosis IgG antibody detected. | |
| 1.0 IV Equivocal: Recommend repeat testing in 2-4 weeks with fresh sample. | |
| Greater than or equal to 1.1 IV: Positive IgG antibody to cysticercosis detected, which may suggest current or past infection. |
VK – “Vitamin K”
Test Details
Mnemonic
VK
Ordering Code
3420980
CPT-4 Codes(s)
84597
Specimen Information
Rejection Criteria
| Previous: | Updated To: |
|---|---|
| Hemolysis | Hemolysis, lipemia |
VEDOZ – “Vedolizumab QN with Antibodies, Serum”
Test Details
Mnemonic
VEDOZ
Ordering Code
3800094
CPT-4 Codes(s)
80280
Reference Range
| Previous: | Updated To: |
|---|---|
| VEDOLIZUMAB QUANTITATION: | VEDOLIZUMAB QUANTITATION: |
| Vedolizumab lower limit of quantitation = | Vedolizumab lower limit of quantitation = 1.0 mcg/mL |
| VEDOLIZUMAB ANTIBODIES: | VEDOLIZUMAB ANTIBODIES: |
| Antibodies to vedolizumab: <9.8 ng/mL | Antibodies to vedolizumab: <9.8 ng/mL |
| Absence of antibodies to vedolizumab is defined as <9.8 ng/mL | |
| Presence of ATV is reported as positive when concentrations are > or = 9.8 ng/mL |
GHBSP – “Gamma-Hydroxybutyric Acid (GHB) with Reflex to Confirm, Ser”
Test Details
Mnemonic
GHBSP
Ordering Code
3300067
CPT-4 Codes(s)
80307
Specimen Information
Specimen Preparation
| Previous: | Updated To: |
|---|---|
| Centrifuge, separate serum from cells and send | Centrifuge, separate serum from cells and send 1.0 mL serum in a screw |
| capped plastic vial. Positive screens will reflex to confirmation. | capped plastic vial. Positive screens will reflex to confirmation. |
Minimum Volume
| Previous: | Updated To: |
|---|---|
| 1.0 mL |
Methodology
| Previous: | Updated To: |
|---|---|
| GC-MS/MS |
GHBUR – “Gamma-Hydroxybutyric Acid (GHB) with Reflex to Confirm, Ur”
Test Details
Mnemonic
GHBUR
Ordering Code
3300071
CPT-4 Codes(s)
80307
Specimen Information
Specimen Preparation
| Previous: | Updated To: |
|---|---|
| Send | Send 2.0 mL urine in a sterile, screw capped plastic urine container. Positive screens will reflex to confirmations. |
Minimum Volume
| Previous: | Updated To: |
|---|---|
| 2. | 2.0 mL |
Methodology
| Previous: | Updated To: |
|---|---|
| GC-MS/MS |