Volume 3 Issue 1 March, 2005
MICROBIOLOGY TEST CHANGES Testing: Performed Monday through
Friday and reported within 24 hrs.
Specimen will be held for four (4)
*** EFFECTIVE APRIL 15, 2005 days in case the traditional
O & P (test #936) is needed.
New Test # 688 Cost: Client $ 35
Beta Strep Culture Throat Patient $ 40
Note: To obtain Parapak transport
media, contact our Supply Dept.
CPT code: 87081
Reason: Current guidelines recommend Note: Test# 1000 Giardia Antigen will
culturing only for beta hemolytic
streptococcus from throat
specimens. Beta hemolytic strep Questions: Contact Shari Talbert,
can result in serious secondary
infection, so rapid testing is
important. NEW TESTS AVAILABLE
Specimen: Swab from throat or pharynx
Cost: Client $10 *** EFFECTIVE APRIL 1, 2005
3 party $15
NOTE: If a clinical situation warrants
special considerations (such as Test #9290 Cyclic Citrullinated
bacterial pathogen carrier state or Peptide Antibody, IgG
the presence of yeast), please (Also known as “CCP”)
#601 Routine Culture RF (Rheumatoid Factor) has been the serologic
Source: Throat indicator for RA (Rheumatoid Arthritis). However,
AKA (Antikeratin antibodies) are detected in 40
NOTE: Test #602 Throat Culture will 55% of RA patients and 4050% of clinically
diagnosed RA patients who are RF negative.
“CCP” is an AKA and more specific than RF
Test #614 Beta Strep Screen – Genital Factor. A positive CCP may precede the
will be used exclusively for genital beta strep. clinical appearance of Rheumatoid Arthritis
cultures. Please note source as vaginal, rectal, by months or years.
vag/rectal or urine. Specimen: 1 mL serum, refrigerated
Reporting: Interpretation with
New Test #699 report.
Giardia/Cryptosporidium Antigen Cost Client $ 50
3 party $ 55
CPT code: 87328 87329 Note: Severely lipemic,
Reason: 1. Antigen tests show greater contaminated or
sensitivity and specificity hemolyzed specimens
than traditional ova and are not acceptable.
parasite concentrations. Questions: Contact Lisa Hart,
2. This test offers better Processing Coordinator.
turnaround time since only
one specimen is submitted Test #9304 Testosterone, Total and
as opposed to three Free for Females and
specimens for O & P.
Adolescent Males (13
Specimen: Semiformed or liquid stool years of age and under)
submitted in both vials of a Para Testing methodology has changed to provide
pak stool transport system, specific testing for females of any age and males,
refrigerated. 13 years of age and younger.
For males 14 years of age and older, continue to Test #1565 Troponin I
order test #369 Testosterone, Total and Free. Ref. Range: <0.05 ng/mL
CPT code: 84403 84270 This was previously reported as
Specimen: 1 mL serum, refrigerated <0.5 ng/mL
between 6AM and Test #1581 E. Coli Shiga Toxin
10AM. Specimen: 5 grams preserved stool in
Cost: Client $50 enteric transport media (Cary
3 party $107 Blair), frozen
Questions: Contact Lisa Hart,
Processing Coordinator Test #1889 Galactose1Phosphate
Test # 955 GFR Specimen: 7.0 mL Whole Blood Heparinized
(Glomerular Filtration (sodium or lithium) or Whole
Blood EDTA, refrigerated, and
Rate) completed “Patient History for
CPT code: There is no CPT code since Galactosemia” form.
this is a calculation.
Test #7582 Legionella Pneumophilia
GFR is a calculation based on the serum creatinine, Antigen, Urine
patient’s age and gender. Specimen: 5 mL random urine, refrigerated
Estimation of the GFR (Glomerular Filtration Rate) To obtain Hemoguard tubes, “Patient History
is the best overall indices for the level of kidney for Galactosemia” form, or CaryBlair media,
function. A low or decreased GFR is a good index contact our “Send Out Dept.”
of chronic kidney disease. The level of GFR is a Questions: Contact Lisa Hart,
strong predictor of the time of onset of kidney Processing Coordinator
failure as well as the risk of complications of chronic
kidney disease. Estimation of the GFR in clinical
practice allows proper dosing of drugs excreted by
glomerular filtration to avoid potential drug toxicity.
Based on the results of a recent onsite inspection,
Specimen: 1 mL serum, refrigerated for the Physicians Laboratory Services, Lincoln, Nebraska,
creatinine. Also include has been reaccredited by CLIA (Clinical Laboratory
patient’s age and gender. Improvement Amendments). An inspector
Reporting: ml/min/1.73 m
2 examined the laboratory’s test results, quality
Cost: None; since this is a calculation. control and quality assurance records, proficiency
Questions: Contact Jan Nelson test records, qualifications of the staff, laboratory’s
Chemistry Supervisor equipment, the general facilities, the safety
program, and the overall management of the
***IMPORTANT: TEST CHANGES*** laboratory for the preceding two years.
Effective immediately, several tests have new
specimen requirements or reference range as listed REQUESTS TO FAX REPORTS
below. Changes are underlined. CPT codes
remain the same. In complying with HIPAA standards, our Client
Service Department will fax reports to other
Test #65 HLA B27 physicians as requested by the provider when the
Specimen: 5.0 mL Whole Blood Heparinized fax number is provided. Submitting only the other
“Hemoguard” tube or Whole physicians’ name is not acceptable since “secured”
Blood EDTA “Hemoguard” tube, faxes can’t be guaranteed.
Test# 93 RBC Folic Acid
Specimen: 1.0 mL Whole Blood EDTA, 1. Only the “standard” Medicare waiver
frozen, protected from light and Advanced Beneficiary Notice (ABN) can
hematocrit value be used, and it must be in the correct
font. Do not print your own form.
Test #705 Carnitines Free and Total 2. Enter the patient’s name and patient’s
Specimen: 0.5 mL Heparinized Plasma Medicare number at the top of the form.
(sodium or lithium), frozen 3. Provide a valid reason.
Test #1533 Helicobacter Pylori Antigen, This information can be found in the CMS
Stool Program transmittal AB02168. For further
Specimen: 5.0 grams unpreserved stool, questions, contact the Medicare office or